HomeMy WebLinkAbout39887-ZC
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37667 Date:
THIS CERTIFIES that the building ALTERATION
Location of Property: 8145 Alvahs Ln, Cutchogue
SCTM #: 473889
Sec/Block/Lot: 95.-3-10
7/21/2015
7/21/2015
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/22/2015 pursuant to which Building Permit No. 39887 dated 6/22/2015
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
ALTERATION TO INCLUDE CHIMNEY AND WOOD STOVE TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR
The certificate is issued to Clark, Robert & Clark, Darice
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
lXuXorL-led Signature
Permit #: 39887
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
Clark, Robert & Clark, Darice
424 4th St
Greenport, NY 11944
Date: 6/22/2015
To: construct chimney & install wood burning stove. Replaces BP 11978.
At premises located at:
8145 Alvahs Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 95.-3-10
Pursuant to application dated
To expire on
Fees
12/21/2016.
0 and approved by the Building Inspector.
PERMIT RENEWAL $15.00
CO - ALTERATION TO DWELLING $50.00
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features. -
2. Final Approval from Health Dept. of water supply and sewerage -disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 \
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: AlL
House o. Street // Hamlet
Owner or Owners of Property: 4Wztzo
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision �/ Filed Map. Lot:
Permit No. �5 �11 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate
Fee Submitted: D
(check one)
Applicant Signature
j
s 0
o
C1711MV -
TOWN OF SOUTHOLD BUILDING -DEPT.
765-1802
INSPECTION- '
FOUNDATION IST
FOUNDATION 2ND
FRAMING/ STRAPPING
FIREPLACE & CHIMNEY
FIRE RESISTANT CONSTRUCTION
ELECTRICAL (ROUGH)
CODE VIOLATION
ROUGH MBING
11 LATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTMT PENETRATION
ELECTRICAL (FINAL)
CAULKING
I
DATE,
FIE;D INSPECTION
JDATE
COMMENTS ,
g
FOUNDATION (1st)
FOUNDATION (2nd)
3
H
,
2,
ROUGH FRAME &
PLUMBING
0
Ilk
3.
INSULATION PER N. Y.
STATE ENERGYf�
CODE
H \
gym]
4.
FINAL
H\
o
�
ADDIT ONAL COMMENTS:
z
— B ,
m•
H
-
a �
H �
U
,r
r
x
C3]
a
r
H
rn
H