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HomeMy WebLinkAbout16708-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Yo CERTIFICATE OF OCCUPANCY No Z19509 Date NOV. 14, 1990 THIS CERTIFIES that the building. Location of Propert~ 9475 MAIN ROAD House No. Street County Tax Map No. 1000 Section 122 Block 006 Lot Subdivision Filed Map No. Lot No. ADDITION MATTITUCK Hamlet 014 conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 31, 1987 pursuant to which Building Permit No. 16708Z dated JAN. 7~ 1988 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JUNIUS ~UBBARD (owner) of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 /Building Inspector TOW'N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-I 670fl 2: · / . /J / - // ~, / . ~, at pre~.se$. ,=te~ at ..... .~.~Z~:=...~:...~...~"',,,,~ ................................................................ County Tax Mop No. 1OOO Section ...... ../..,?.....?'~- .... Block ......... ..~.. ......... Lot No ........ ../. ,.~.... ....... pursuant to (~pplicotion doted ............. W~...~./~..Z ..................... , 19...°~..~., and approved by the Building Inspector. Fee *.~...~.~_ 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 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.' 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 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 - $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 .... !'.1..~J.q.~ ............................. /. _ :ew Constructional. ~.c. ~..... Old Or Pre-existing Building ................. ocation of Property House No. Street Hamlet )nwer or Owners of Property .... .~..~J.t.~..~. ..... ..~(~.Y'.~. ................................. . . . ' Tax Map No i000, Section Block Lot iubdivision .................................... Filed Map ............ Lot ...................... ~ermit No. ]~'-~0~ hate Of Permit ................ cant ......................... ............... ~ Appli .... iealth Dept. Approval ....................... . .. Underwriters Approval...,...... .............. . lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate ........ ee Submitted: FOUNDATION ~( ls t) FOUNDATION 2. ROUGH FRAME & .FLUMBING INSULATION PER N. STATE ENERGY CODE (2nd) FINAL ADDITIONAL COMMENTS: OOCUI:~,NOY OR USE IS' UNLAWFUL WIYNO(_~T CERTIFICATE OF OCOU~%&NCY INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Sen/or VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765o1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 26, 1990 Junius Hubbard 9475 Main Road Mattituck, N.Y. 11952 Dear Mr. Hubbard: I am writing to you regarding your Building Permit %16708Zo This permit has now expired and you have not obtained a Certif- icate of Occupancy. Please call our office for an inspection and if the work passes you must file for the Certificate of Occupancy. I am enclosing an application for the C.O. This permit was for a deck on the rear of your house. If you have any questions please call our office so that we can help you resolve this matter. Yours truly, Enc. Secretary 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~]~AL E×amined../ . ........... 1 ? Approved ........... ,l . .?Pe mitNo ............ Disapproved a/c ..................................... 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 '(B uil~i'hg Inspector) BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY · SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: ~q~z~ / l ~-- APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. . b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors oIx premises and in bnlldlng for necessary/4~spections, .... ............... (SiJgnature of applicant, or name, if a corporation) ..Pl .~,.'~..?~.....P.,~,.¢..<~.?.~.q. ¢.~.~..?:%: .~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CON, TRACTOR'S MUST~BE S~FOLK COUNTY LICENSED Builder s License No ..... ~ ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ...1...~...~.. ....... Block ..... .~. .......... Lot .... /. ~ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... }.4 ?. C:O .~. .........~... {).O. Xc~ .~. ~ t~. ~. ................................ ........ oql le'ql pu~ '.JOllOq pu~ o2poFaou~[ S!~4 jo s.tql a[~ pue o~tu ol pue ~f~om plus oql pouuojsad oam[ .to aJoj.~od ol .poz.uo~[lne Kinps[ pwe 'ssau,~o zo sou,'~o p[zs jo ('~lo '.~oa!IJO ole.tod.~oo 'luo~'e '~olg'e.tluoD) mi~ s! OH s.ttp, ~ o~ojaq ol 'ql!a~o~oq~ polg uo!l~o!Idde otI~ u! ~oj ~s ~uu~m oq~ u! pottuoj~od ~q iF.~ ~soq oq~ o1 om~ oae uo!~o!idde s!q~. ~ pouN~uoo s~uotuo~e~s II~ ~mt3 · pottmu OAOqP, (:~ae~uoo ~'u!u~!s Nnp!A!pu! Jo om~N) gu!oq ................................................. lu~o!idd~ otB st. oq ~,~t[1 sies pu~ sosbdop 'u.~o~s Xinp ................. 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