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HomeMy WebLinkAbout23863-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25209 Date AUGUST 19, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 710 TALLWOOD LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 7 Lot 19.15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 1996 pursuant to which Building Permit No. 23863-Z dated DECEMBER 16, 1996 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 ACCESSORY STORAGE SHED IN REQUIRED REAR AS APPLIED FOR. The certificate is issued to JAMES GEBBIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding Ina ector Rev. 1/81 FORM NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23863 Z Date ................ ....................., 19..:. Permission is hereby granted to: .. .. ... � . : . .�.�. .......................... ... _ .................7 ...f/. � .... 70 ........................................... to . .. ......: ...41 ............ � �... .�.. :.. ... - � .. .... .. . . ............ ... .......... ....... at premises located at .................�� ....... ... �d.:i ..G......... ..fI�i���......................................... ...........................................................�;"'""i�lY-7 .`.�". ........................................................ County Tax.Map.No...1000 .Section .......... .� Block ........ ...........Lot.No....`. pursuant to application dated ......................... .. ..Q..�......5 19.5�<;-?and approved by the Building Inspector. Fee $.. �1..a..::... ..... .. . .............................................. .................... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25-r_ - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 VC� Date . . . !. 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .; t. . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . Location of Property. . . . . . . . .�!�-,fjtlb4.�. . . L.. . . . . . . . . House No. p� Street Hamlet Onwer or Owners of Property. . . . . ... . . . . . . .�Z%�3!:✓�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . jj County Tax Map No 1000, Section. . . ]./ .. . . . . . .Block. . . . . .� . . . . . .Lot. . . . 1.!: 5. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . ... . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Permit No. .?4-3. P. .6.3 . . .Date Of Permit. 1 � . . .Applicant. �M'L-5. .�� -Tof : . , , , . Health Dept.. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certi te. . . . . . . . . . Fee Submitted: $ . .2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLICANT c 0 ZQ.50 W -- � OG� Town Hall, 53095 Main Road y 2 Fax(516) 765-1823 P. O. Box 1179 n Telephone(516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD JAMES GEBBIA 710 TALLWOOD LANE MATTITUCK, NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : %X An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check* is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23863Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �ISULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE71530 1�7 INSPECTOR I I II I,I o it I. ))Al V tj I I'm I I II)ATI Oil T;l F 0 U M 1)ATI 1-1 ------ ------ VI ----------- IIINULATI011 ti. y . !;TATIF 0 111 r. . ———--—--————-— ------ Za^ ......A - F I I(Al. —------—-—— - -————-——---———-——-- ---— -- ----------------- ;--------------------- ---- --- tj ti I I I I - - - - -Q -1_ --- -- - - - 9Fr_ IL -- --- --- ---- -- ----- C] GI ® C1 1 612*110 P 4 --- --- i IVL - -- -=�- --- - -- -- L FO - - -- ---� ---- - - 1,- - !- G��- ----- - - P P --- --- --;- - ��-s --ice, ; - ��` - ----- ---- - - -- ���' - - ply � ' � -- - -- - ------- ---- - —� - - — - - —-- -- -- -- --— — — — -- ?l TA I-LWo ---- �a �_t x� .�.�} c--�. _ �- <1 ; -a, +r:- � •°'� siff RWI.��. - 7a -r- >;, a A�t e %�� fti��k �".�z„- - •����h;� �-��*�y 'a� ��'�' _. �-• frs i,. < «'Mtr; mi•A.n,...,^ y>,. +m, 5-r ;xth�' �,:-.s � < � cw.,S.r al.� -a•"..�, -•e.�., •r'. fk-�J �'".r� .an, •.';m v�,: ._ 4., ;r NAn r x a' h•- � �sevda y _ � - '� "�+.�c � ]a�,x'r r�� � A *� r ..,�,,,r�nbi� �&S'. .vim'" i� � nS>. J '� `xr �r 1 �""�-ixh;Se' �' ._•S.'`,iv � aT' J""F' .-�'�. - L 1 e dy 7 �o n•t-��`5��'T+s.=t -S"* +: - • � � ,�.�r i....��,."fir ,��.a..ys. AArrinscir- z: r - s IIOARP OF III{AI.'I.11 . . . . . . . . . . . . . . . i' FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . • • . . _ f0(drI OF SOII'1'I10111) SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTME..NT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . 5 19�� TOWN IIALL SI�TT I C FORM . . . . . . . . . . . . . . . . . . . DECGV a SOU•1•IiOLI), N.Y_ 1 197 1 7 G S- 1 i307 NOT i F Y CAi,I. . . • • . . 199� 1-1 A IL -1.0 c437 Appr(rml.. �t�!..., 19� Pernri t Ncr6;1r_ R4. iR J�!c ATTiiuGL�• �u/,. 119?;?!. . . . . ... Ili,alyroved a/c ............... ................... . .... . . . - •-•.... .. _.•................. __._ � -•• (Mlilding Inrax>cror) 'i.ICATION FOR I3111LDINC PFIRMIT Date. . . . . . . . . . . . . . . . . 19. . . . i NSTRUCT I ONS a. 'Ihi, appl icati(m "list" be coarq)lecely .filled in by tylx1.111 ter or in ink mA ,ulxnill.ed to the rkcilding Inspeelor with 3 (sets of plan,, aceurnte plot. plan to scale. I?ee according to ,cliedille. Ir_ Plot plan ,IKnding locaticxr of lot arxl of Ixrildinl;, on pranises, relationship Lo adjoiniol; prc-nines or lnihl is so.reos or areas, arxl Iliviog a detailed de,ctrip0oo of lay(mt: of property nlr),l. Ire ch-a(an on the diilprrxn wlricli is part of Uiis appl.icaLicm_ c_ 1be work c_mered Iry Lh.is appl.icaLion rtiAy rxrL Ire carrrx:crced before isswumc.e of Milding Permit. d_ lllxxi approval of this nppl ication, the lkii l.dinp Inspeewr will is,ne a iltd lding Permit to the 'appl icmit:. Surly immit. shall lie kept oil the premises available for iospe(-Licm Lhrocrglxxit Live work. C. Ck) Ixlilclilig slialI be oc(:ripi(d or used in whole or in part: for any 1xirlx)se whatever unlit a Gn-tiFicnte of (k:culi:uK.y SIMI J. have Ireen J;ranted by the ik)i ldinl; Insp cLor.. AI111LICA•110N IS Iflga--,I3Y MAM-Lo the Wilding 13elrart.rnenl: for Lhe is lance of a Jkiilding Permit pirsoni l_ to live lkrilding 7.00e- Ordinance of the focal of: Fxx.lholol, Suffolk CAxrnty, Neva York, and other ElIjAicahle laws, Ordirurnevs or- Regulat:ious, for UK! cooslruc:Li(m of Imilding,, mWiLicnis or. al.l:erations, or for mixival. or dcivolilion, as herein de,criNNI. 'Ihe applicant allrees to ccxnlrly With n11, alq)licable Irna,, ordinances, Ixrilding c(xle, hoos-inl; c()le, nod vetndaLi(nis, arxl to ;7xiuil anit-Wrized inspectors cni premises aril in building for necessary inslrecticnis. r r _ joi atore o : alipl is nl, or na vie, i IF a coi-porat:ion) 710 IA-G�-L-oa0 (,�} /,t.lfy IG(�-- (K)i Lint; Mdress of alrhl i(7.ant) 2fe--576� Slate wiielher allAicanl' :is otmer, lessee, agent, archiLecL, engineer, general contractor, elecLrician, p1mber or- IndIder. Q w tv C=YL 4 ... ...................................•....._..._._..... ..... .. .... ..._..... ...._........ ...... ...... . ..._.. ... ..._.. s Naixt of cicnier of premises ................... ... .. _.............. ._._.............. ......................... '. (as (-Ar the tax roil or 1n1-est deed) If appli(-.;mt is n corlx)raGoii, signatire of duly aulliori7.ed officer. . ............... ......................................... (Ruic'! aril Litle of: corlwate officer) !Qn?, Ikrildcers I.icense No. ......................... I'lunirc.r s I,icen::e No. ............... .......... Electricians i..icense No. .............. ....... Other Trmki's License No. .................... 7/O (f} l Gc 00a I-f)-N¢�,f/1RT77�Gl2 �0fiP rj7r/''(6lA*si). I. Icxal:i(m of larxl cxi which prolxi,ed work will Ixr (lot),....... .... ........ . . IkAme Mt Ili)(.1 ;i1-reeL tt II-vilieL 1 44,$ (:cnmLy Tax RL•ip No. I(XX) Sect icni ..7�??......._.. illcx:k ....©�........ L(.>L . ..��� .1 ��...... `411xlivisicnr ......................... ..... Idled Kip No. ............... i,ot: ....... ...... .. Mine) 2. Slate exisl:ing, use aixl a,(_-up-nxy of lircinise, aril inler)(led use aril (x:cupancy of proix)sed consLrucLion: a. Existini; one arxl (xx'ulrnx:y ...d7rt /.�(=c . . .. ........... . ........... ................. . ......... I>_ Inlcaxle(I use arrd cx.culzirx:y ... SH�D_7_.... . n.. ............. ......... ....... ..... »h..-,.1:`. y4Yr iai:il�i �`d ?t$ti;;i ty1'S.'.ii• 1. R-1111le of wollc (clxtcic 1JI1id1 al)l)lic.ahle): PkaJ Iklildiol. . . ... . Addition Alleral.1011 . . . . . . . 11,.yulir .. ..... . . ... . ... . ..... ... lknx)Iilion . .. . . . . ... .. 01her 4folk (Ileac:ripcioil) s �1 I!.:il III li1(l'.<I (A):i 1. ... .... ..... .. ...... . I'ee _. .. .. ... ... . ... ._ .... .... ...... . .. __. .�. .... . (to be paid on Ili I h1g, Ibis appl ica1:ion) i. I f IAx:I l iog, ixulx:r of (14e1l lIlls unit s . .. . . ..... . . Ikelber cif cllx:l l in1; units on each fl(x)r . . . . . .. . . . . . . .. . Ill lilge, 1x0lber of ciu'a .... .. .. . . ... .. . . .. .. ... .. ... . . .. . . . . . h. If Ix)shit!ss, crrn;r2rcial or a1ixe:d rx:ctlpancy, t;pec:ily nature alxl extent: of: each lyix: 'of use........ . . . . ... .. . .. . . 1. Ilink:osicxls of: exisl-iog sLrtuaures, if ;illy: Front .. . . . .. . . . .. . .. . Rear .. .. . . ......... Du1)(I) . . . .... . . . . . . . . . Ik:i1911. RKiber of Stories . . . . ... . . . . .. . . ... . ... Uinleludoos of re satiu0m:lure will) alleral.loos or iukliLlun:;: Front' hear . . . .. . . .. . . . . . . Ik:l)111 .... .. . . .. ..... ..... Ikd0lt .. . .... . ..... . . . . . . . 4r1l)cer of :;brie::; .. . .. . . ... . .... !1_ Illnrulsl<x1s of col ile: IK94 coostr%v:Ciexl: Frexll . .... .. .. .. ... .. Rr:ar . .. .. . . . . ...... Dept11 . . . . . . Ik:iglll. .. .. .. .................. . I-Arlix:r of SIorien . . . . . . . . . . . . . . . . . .. . . 9. :3he.e of: lot: I''rrx11' ..... .. .. . .. . . . . . .. . Rehr - ... . . ._ . .. . _. .... .. Ik:1)l11 . . .. . .. ... .. .. ..... . 10. I);11 c: of [Nil chclse ll nx: of Fouler Owlie1" .. .. . .. . .. . . . . . . . . . . . .. . .. . . . . . .... . .. . . II, Ztxwz! or u:;e (Iis1.ric:L in 1,A1ic:h prunises are si.lualed .. . ...... . . . . ... ... . ... . . .. . ...... . .. ........ ... .. ... . . .... . 12. Ikx:n plolx)sed ccx)slrlu:lioo violate any ux)ing lint, orclivalu:e or regulation: . . . . . .. .. . .. .. . .... . ... . 11. hi l l lol. Ix! regrixk.d ........ . .......... . Will excess f ill be res)K;ved from prreni sell: YI:`i lX) I/1. Ni►1. of: (<J1K:r of proni sell .... .. .... ... .... . ..... .... AtkII t!i;I; Mont! I•k). . .. ... . . . . ... 1-fa1e of Ardii(ecl ..... ..... . . ... .. .... ....... . .. . .. .. Arkll'ena . .. .. . .. . .. . . . .... . . . . .. .. . ... 111oxx: IQ). . . . .. . . . . . . . . Mktxe ol: 0x)I I'ilc:l or. . .. . .. .. .. . ..... . ..... ....... ...... Address . . . .. . . . ... . . . .. .... .. . . .......1�1r)lu' tk). _.. . . . . .. . . . . I'i_ I:; 111is plolx:rly wilhin W) feel: of a Liclal 1,Jeclalxl? R YI?,ci IJO .. . . .. .... xll? YI S, :i(Xf111f7{1) 'IMN 'I1(l)' :S 11 11.11'1' MAY III: I(I(�l1lKGf). PLOT DIAGRAM lex:ale clearly alxl disLinaly all Ixtild'Ings, vAlelher exisl:ing or proposed, alxl indicave all sel•--hack disr!nsions lion prulx:rly lilx!s. Give inxl block Ixul)er or desc:ripLion aceordinl, Po deed;-and slKx4 slleel' Italy2a ald ilwlieate 1J11c:1h1!1 inferior or conKir lot:. APPROVED AS NOTED F ' �N �S��U ". ClATE: l/v .�R.P# Z3F6 3 L'H,, FEE: BY �J, NOTIFY BUILDING OEF' _ t 765-1 B02 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 7#' `dpt I�`- 1. FOUNDATION m IWO REQUIRED FOR POURED CONCRETE ) g'f)-apt 2. ROUGH - FRAMING PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONS T RUCTION 'SHALL MEET THE REQUIREMENTS OF THE MY; STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR rnlr: lH rd � v lC DESIGN OR CONSTRUCTION ERRORS 0XIIIIY OF ... .. . . .. .. . . . .... . . . . . .. . .. . . •�� ). . . . .. . ... . . .. . . . . . . . . . .. . . . . . .Ix:il)g dilly :worn, delx)ses alxl nay:; that: he is Lhe appl ic•aol 04;nK: of: imllvidual signing cool racy) alxlvc n;alod, . . . . . . . . . . . . . . . ... .. . vU '}?!` . _ . ... . . . . . . . . . ._._. .. . _. ._ . .. . .... . ....._. .. .. . . .. .. . ... ... ... ... (('e)nlr act of, agent'., c:orlx)rale uf1:ic(!I olf said InJIN.I nr InJIK!1ii, nlKl is dr11y autI101 d I.o IKerfoon of Dave lxerfunllc:d the said weir{ alxl to 111;11ce 211K1 f ile Ibis appl ical ion; Ihill all nlalulmilt n conl.ailK!d in 111i:; nppl ic:al ion ;Ill.. (IIK! to the hr.sl: of: his IuxnJlCdgc r111d Ix!1 iol" n1Nl 1ha1 IIK! wool( will Ix: Ixerfonleel in the ueunK:r c;ec forth ill the applicat.ioo filed there-ohil. :k,.nu to IK!I()la ❑r: thin QQ � . . . . . .(I;ly c . . ... . . . . 19.r _ . Ik)I ilry 1111)I it: .. . .. ... ..... . ... _ . . . . .. . . . . . . . .. . ...... . ROBERT 1. SCOTT, R. (S'l;nalclrc: of: Appl icanl ) NOTARY PUBLIC.S e of N. > No.4725089.Su Ik Coin\,• Term Expires M y 31, 19 t 41?911 ,o�me' ' , ta k . . ,t 22�•8� g°19 51 � • y E`~Z2 N 5 P. 00 w � ) o N ® ^' i CPO 63o1431"E• t Jl s �'. coo X. N L"+--K- 42- Sp wo S.63 14 00_ sO . now or WOW ., ` o 0 O. 5 EL ,�40 o� . t 40 22e� cn w0 EPq R s• 50.000 O WOO o. t 04TEp �N + �P A PPRpVA� �-p CO ` t P TAX MAP DI SOURCE CONSTRUCT • O L. rt+ RE S?' 00® E OF W4- C�. ''t. !S NO OW SECtiON ER : PRsv _ -� E LL I N —� .� 4tE RE 'N THOSE SHOWN S WITHIN 100 FEBTflCK �OT _ LOTp�P.UUBLIC g 4:R SUPPLY HEREON E OF ty1S pROp 9 AI�p SEWAGE DIS' ERrY _' SE '0�tHE STANDARDS L SYSTEAN f ES. OF THE SUFFOLK OR Ty1S RESIDENCE COUNTY Df PART ME N t Few it �� /�