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Home My WebLink About13013-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Zi9507 Date NOVEMBER 14, 1990 THIS CERTIFIES that the building. Location of Propert~ 210 House No. County Tax Map No. 1000 Section ACCESSORY CUTCHOGUE Street 110 Block 006 Lot 004 Hamlet Subdivision RAVATONE REALTY Filed Map No. 539 Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29~ 1984 pursuant to which Building Permit No. 13012Z dated APRIL 10, 1984 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 BUILDING IN REAR YARD. The certificate is issued to JON AND KATHLEENLAKE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO~ N162176 NO%~IBER 2?¥ 1990 PLUMBERS CERTIFICATION DATED N/A / Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19508 Date NOV. 14, 1990 THIS CERTIFIES that the buildin~ ADDITION Location of Property 210 GLENWOOD RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 006 Lot 004 Subdivision RAVATONE REALTY Filed Map No. 539 Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10~ 1984 pursuant to which Building Permit No. I30t3Z dated APRIL 10~ 1984 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 2ND STORY ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JON AND KATHLEEN LAKE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N658598 SEPT. 6~ 1984 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 l~OJl, llJ NO, Jl TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COJ~APLETION OF THE WORK AUTHORIZED) N? 130i2 Z Permission is hereby granted to: .... ....... ............................ .... ~,,~.~ ...... ~;~,.,~ ...................... ~,~. ,~ ~ ..... ~ ......... ~. ....... [l....q...~..~. ..... ..i~.~......~.~ ........ ...... ~ ................. ~'o .~.! o .~..~.. ~ ........... ~ at premises located at .................. ~ .............. ~.~ ........... County Tax Map No. 1000 Section ...... .I..(,..O. .......... Block ........ ~ ........... Lot No ....... ~ .............. pursuant to application dated ..... ...~.~...~..........~....~ ................. , 19.~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJVilT MUST BE KEPT ON THE PREMISES UNTIL FULL CO/VIPLETION OF THE WORK AUTHORIZED) N? 13013 Z Permission is hereby granted {o: ~ {~ ..... ;~.1.~.....~.....~.....~.....~....~ ........................ .............. ~: ............. ~., ........ ; ..................... , ~o..~~.~ ...... ~.E....~.....~.~.~....~~.~ ............ .................................................... County Tax Map No. 1000 Section ..... !.J...~. ........... Block ........ .~ ........... Lot No ........Lf ............... pursuon, ,o epplicotion dGted .... ....~..~.~....~.~ ................. , 10.~.~, ol3d opproved by the Building Inspector, Fee $...~,~;..~.~. ..... IBuilding Inspector Rev. 6/30/80 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 inspector with tha 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 i% 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. 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. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinnning 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15,00, Commercial $15.00 Date .......... /.././~..../~...~. ............... ~ew Construction ...... ...,.,~Old Or P/e-existing Build,~ng~ ............... ~ocation of Property.~.~f-~.%.~'2~-'--~'~-/.~.... ~ House No. Street/' )nwer or Owners of Property..q~t~..~.. ......................... :ounty Tax Map No 1000, Section .... /./.~ ...... Block ...... ~ ........ Lot ..... ~ .............. ~,ubdivision ........................~.._... ~ . ~. ,,7//~Fi~ Xap...~..~-~.~..Lot ..... ................ pp icant... ealth Dept. Approval.. ............. .. . ,, ,... . .Underwriters Approval..,~~./.~..~ lanning Board Approval ........................ equest for: Temp?~ry Certificate .........., Final Certicate .... ee Submitted: $ .... ~. .................... ................. .... ~PLICA-NT 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 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/i0 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. 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 i. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .................................... qew Construction ...... ~)f21,?~rZD-existing Building.., ...... [ ....... ././. ~..,~...~C~.. ~ocation of Property..-'....~J-f?~5?. :.~-~Cr,~F... ~.....~~~. ................... House No. Street~ Hamlet )nwer or Owners of Pro ertl, ~/// ~ ~~ ~/~"~- ' ' :ounty Tax Map No 1000, Section..././..~. ..... Block ...... ~. ....... Lot ....... ~ ............ ;ubdivision .................................... Filed Map....~$...'~.~. ..................... Lot . . . 'ermit No./~.~./~..~..Date Of Permit../..~.~Z~..~...Applicant... ~,,~. ..... :~..~ ..... [ealth Dept. Approval .......................... Underwriters Approval .......... 'lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted: $ ........................ . .......................... FIELD IN.S PECT~IV FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE COMMENTS FINAL ADDITIONAL COMME~ITS: ADDITIONAL COMMENTS: FOUNDATION {1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING 3. INSULATION ?ER N. Y. STATE ENERGY FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~'] ROUGH PLBG. [ ] FOUNDATION 2ND \/ ~[~] FRAMING INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765..'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG.' [ ] FOUNDATION :)ND [ ] INSULATION FRAMING REMARKS: DATE INSPECTOR 7G5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under buildlng permit no. 13013Z issued to Jori Lake on ~0/84 for Addition 'is complet'ed and a final inspeetlon has ( ) has not ( x ) bee. done. ~n order to complete this file, it is necessary that Certificate of Occupaucy be issued. Please fill out the enclosed form, return same to the above office with a check fo$25.00 payable to the Tows of Southold. Please indicate Whom the Certificate of Occupancy is to be mailed, and ~rrange with this office for an inspection date Occnpnncy or use is unlawful withoOt a Certificate of Occupancy. Plea~;e help us to clenr np this mntter so that legal action does not have to be. taken. Thank you for yonr prompt attention. Very truly y~, Victor Lessard Executive Administrator VI,: ga r cncl . TOWN OF SOUTHOLD OI':FICE OF BUILDING INSPECTOR ILO. BOX I179 TOWN IIALL SOUTIIOLD, N.Y. 11971 November 5, 1990 Jon T. Lake 210 glenwood Road Cutchogue, N.Y. 11935 TEL. 765-180,2 To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is :lot on file. (ENCLOSED) /--_///blo Underwritcrs Certificate on file. /..~The check [:;(qXliXR~LRl(~/not on file.) $50.00 2 CO's required @ $25.00 /i~/ blo Ileal. th Dept. Approval on file. each. /-~/ No final inspection has been made. P]ease contact ()ur office on this matter. Thank you for your cooperation. lluLl(]~ng PermJ. t t! I 3 O I 2 Z I 3 0 I 3 Z Building Dept. *.~/_--/ Ho Plumber Uoldc~: Certificate on file. ( all permits involving plumbing being .i'ssucd after April 1,1984