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HomeMy WebLinkAbout15313-zFORM NO. 4 TOWN OF $OUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25108 Date JULY 1, 1997 THIS CERTIFIES that the building ADDITION Location of Propert~ 1427 LIGHTHOUSE RD. SOUTHOLD, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 50 Block 5 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 15, 1986 pursuant to which Building Permit No. 15313--Z dated SEPTE~4BER 24, 1986 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 NEW PORCH, KITCHEN & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to pEARL VAUGHN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-422178 -- JIPNE 10, 1997 PLUMBERS CERTIFICATION DATED JUNE 26, 1997--H.SMITH PLUM~ING & HEATING Rev. 1/81 I~OB3~ NO. ~ TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER'AlT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15313 Z Permission is hereby gronted to: ........ .....~....~...~.....~..:~.,.....L~.~.../ ........... ,o ~..~...~.~..~.../C.~.~L~.;....~&~.....~ .... at premises located at ...J...~..~.'7...,...~:..°.....~..,.~t~,~.~.,,~.....~.~. '/..¢......J..,~..~ ...... ..~ ............................................................................................. County Tax Map No. 1000 Section ..... .0..~.'~.,. ....... Block ....... .(~...~. ..... Lot No ...... ..~. ............... pursuant to application dated ...~..~..~ ....... ~ ........... , 19.~..g.., and approved by the Building inspector. Fee $....~. ................ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL 765-I802 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 ~f completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ~. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .2~¢ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing B~ilding...~. .......... Location of Property. I~_,~O ~, ~.~c~c~____ ~..~. House No. ~ Street Hamlet Onwer or Owners of Property ....................................................... County Tax Map No 1000, Section...~O. ...... Block ..... ~ ......... Lot..~ ................. Subdivision Filed Map Lot Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... . ,' / ~//~Fin'al Centre_re Fee Submitted: $ ......................... · · · .~/~ ~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: June ~, 1997 Building Permit No. 15313Z Owner: Pearl Yaughn 1400 Lighthouse Road, (please print) Plumber: H. Smith Plumbin9 & Heating, Inc. (please print) $outhold, NY I certify that the solder used in the water supply system contains less than 2/10 of 1% lead in the work done by H. Smith Plumbing and Heating, Inc. ~~~~~) Sworn to before me this c~--day of June , 1997 I'lotary public, State ol New York --- quallhed m Albany Coul?~y .. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 18, 1995 Ms. Pearl Hulse Route 6, Randall Road Wading River, NY 11792 ***** THIRD NOTICE ***** Re: Building Permit #15313-Z Premises: 1400 Light House Road, Suff. Co. Tax Map #1000-50-5-3 Southold NY During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 'FEBRUARY 2, 1990 2ND & FINAL NOTICE PERMIT EXPIREC NO C.O. TO Whom This May Concern, Rgi PEARL VAUGHN We are unable to complete your Certificate of Occupancy because,of the following reasons. ~_--~ An application for Certificate of Occupancy is not on file. ENCLOSED ~_--ff "No Underwriters Certificate on file. /5/ The check is~not on file.) $25.00 /~/ No Bealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit tt I 5 3 I 3 Z Building Dept. *~*/~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TO~rl~i OF $OUTtIOLD OFFICE OF BUILDING IN£?ECTOR ILO. BOX 1179 TOWN IIALL $OUTIIOLD, N,Y. 11971 March 21, 1989 TEL. 765-1802 Mark Finne 1370 Lighthouse Rd. Southold, N.Y. 11971 RE:- PEARL VAUGHN To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. ~/ An application for Certificate of Occupancy is ,lot on file. (ENCLOSED) ~_--/ bio Underwriters Certificate on file. /~/ The check i:~(Yo~ixt-~/not on file.) /~/ No Health Dept. Approval on file. /-'/ No final inspection has been made. $25.00 Please contact our office on this matter. Thank you for your cooperation. lh~ildir:~f PermLt # 1 5 3 I 3 Z Building Dept. **~/ rlr~ Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ]65-1802 BUILDING DEPT. INSPECTION [] FOUNDATION 1ST [] ROUGH PLBG. / -- [ ] FOUNDATION ZND [/~] INsuLATIoN / 76S.'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [] FO/UNDATION 2ND [] INSULATION [~F~MING-/' [ ]FINAL FIELD I~[~EC~T ION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ,I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . .~. ~ .~..., Permit No. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. TOWN OF SOUTHOLD Received ........... ,19... Date...~..-7'./'../. ......... 19.?~. INSTRUCTIONS a. Tins application must be completely tilled 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 tins 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 cod¢¢ ankh,regulations, and to admit authorized inspectors on premises and in building for necessary insptectio~,,,s;,.~ / ,-~ ~' (Signature of applicant, or name, if a corporation) State whetller~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises' i i~ . .~~ ...................................... ,~--,,~ (askO'n the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's LicenseNo .......................... Plumber's LicenseNo ......................... Electrician's License No ....................... '. Other Trade's License No ...................... House Number Street Hamlet County Tax Map No. 1000 Section .... ~.i~ ......... Block . .' ................ Lot ................... Subdivision ' Filed Map No ............... 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