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Home My WebLink About26272-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27012 Date: 03/31/00 THIS CERTIFIES that the building ALTERATION Location of Property: 52325 CR 48 UNIT 19 SOUTMOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 135.1 Block 1 Lot 19 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NO%-EMBER 22, 1999 pursuant to which Building Permit No. 26272-Z dated JANUARY 13, 1999 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 INSTALLATION OF A SINK IN UNIT 19 AS APPLIED FOR. The certificate is issued to MARY JEAN ROBINSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 11/16/99 Rev. 1/81 N/A N/A N.F.PLUMB.&MAINTENANCE ~uthoriz~d S/nature FORM NO. 3 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) PERMIT NO. 26272 Z Date JANUARY 13, 1999 Permission is hereby granted to: MARY JEAN ROBINSON 41-48 PARSONS BOULEVARD FLUSHING,NY 11355 for : INSTALLATION OF A SINK AS APPLIED FOR. at premises located at 52325 CR 48 UNIT 19 SOUTHOLD County Tax Map No. 473889 Section 135.001 Block 0001 Lot No. 019 pursuant to application dated NOVEMBER 22, 1999 and approved by the Building Inspector. Fee $ 75.00 Author~z~ed Sign~ure ORIGINAL Rev. 2/19/98 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 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 Ap~ii 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 qccupancy on Pre-existinK Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction Old Or Pre-existing Building .. Location of Pro ert {/¢.,9'0Z,0'"$¢-/~ ...... House No. Street Hamlet CountyOnWer or Tax Owners Map No of Property..~1000, Section' ...... ''~. ............. / ~ ~' !'''~'~~Block .................. / ............................ ..'iilLo~''.~ Subdivision .................................... Filed Map ............ Lot ....... A' '~ ~' .......... /. - oo b ? ;2- ate Of Fe it ...... A lieant .......... ............ Permit No.~ ...................... PP ''~ ~ Underwriters Approval ' Health Dept Approval . ...... .. ........ Planning Board Approval .... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .... .?..~.~ ...~. ................. . . .~.....~. j~__~A~~L~ ~ ¢ ...:. · ........... 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO~H PLBG. [ ] FOUNDATION 2ND [ ~,]/~iSULATION [ ] FRAMING [ ~] FINAL [ ] FIREPLACE & CHIMNEY DATE~__~~ 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 DATE. Building Permit No. ~ Owner: ~( ~ s ~r i~t )~)~ (please print) I certify that the solder used in the water supply system Sworn to before me this !~_~ day of ,~[~O~-)(~-~ 19~ Notary Public, %~1~ County FIELD INSPECTION REPORT DATE COMMENTS P0U~AT~ON ( ~ s~) II FOUNDATION ( 2ND ) ROUGH FRAHE & ~NS0~AT~ON PER N. Y. co~ ~DXTXO~L CO~S: County Road 48 & Soundview Ave, SOUTHOLD, LONG ISLAND, NEW YORK 11971 (516) 765-2080 ~?~OWN~F~O0- _ TBOLD ,j / :FORM NO. I TO~ 0i"' SOUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. { }97 I TEL: 765-1802 Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... NOTIFY: CALL .................. MAIL TO: .................... AP~iCA~I~N FO~ BUILDING PE~IT Date .... ~0~...:Z , {9 ~? INSTRUCTIONS ~ ...... a. 'Ibis appllcation must be completely filled in by typewriter or in ink and suhmitted to the Building Inspector 3 sets of plans, aocurate plot plan to scale. Fee according to schedule. b. Plot plm showing location of lot and of buildings on pr~nlses, relatlonshlp to adjoining premises or peblic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pert of this application. c. The work covered by this application may not be c~eneed before issuance of Building Permit. d. Upon approval of this applicatlo~, the Building Inspector will issue a Building Pemlt to the applicant. Such permit stroll be kept on the premises available for inspection throoghout the mvork. e. No building shall be occupied or used in vahole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by che Building Inspector. APPLICATICIq IS I~Nea~Y ~ to the lkaildlng Departnmnt for the isstmr~e of a Building Pemnlt pursuant to the Building Z~e Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or R~gulations, for the construction of buildings, additions or alterations, or for ravoval or demolition, as herein described. 31~ applic~mt agrees tO c~uply with all applicable laws, ordinances, building code, housing code, and retaliations+ and- to tKku. jr~Jth~ri~sd iospeetors_c~ .uramisea_a~cl. jn..buil~ing f~oLn~.~ek ,s~. ~in~P~c~ions! TESTINO BF~0RE'C;0¥£mN~'_-C'RTIFIC,,~"E OF' O~CU~ ' - SOLDER USED IN. Jd/AT~lailing address of. ~appllcant)' Cl. t136~ SUPPLY SYSTEM ¢~NNO~r ' ...... '"- ...... ............... ....... Las on the tax roIt ' -- If applicant is a corporation, slgr~ture of duly autherlzed officer. ~,~. ~ .u ~,. NOTIFY BUILDING DEPA~N'r ,~1~ ........................................ : ................. 765~1802 ~ AM TO 4 PM FOR and title of,corporate ° [f UPANCY OR Bu,I rs ....... {.S...U..NL.AWFU L ...... .V ii' OUI. CERTIFICATE FOLLOWING INSPECTIONS: I FOUNDATION - TWO REQUIRED FOR POURED CO~K:RETE 2. ROUGH - ~ '&' {'IA~BING 3. INSULATION 4. FINAL . CO~$'eRUL'TION MUST RE COMPU~' FOR C.O. ALL CONSTB~CT~I~ SHALL MEET Ocher Trade's l,ieeuse No ................................ TN; REOUIREME~qT~' OF'THE ~ti~ of 1~ m ~i~ F~ ~rk ~11 ~ ~ .......................... gtAtJ. CONSTROC~ION-&-EN~RGY- / .~--CODES. NOT RESPONSIBLE FOR ~ ~r Strut ~et ~ T~p~. I~ ~t~ ..... .... ...... . BI~ . ............... ~t .... ......... ... (~) ~a~re of ~ork (cl~ck ~hlch appli~ule)-' He~ ~ildi~ .......... ~iti~ ........ Alteration .......... ~ ~rip~i~) If garage ~t~r of car~ . Di~nsi~s of ~isti~ st~res,[ if ~: ~t ................ ~ar ............... ~pth ................. l~i~t ......................... ~r of Stories Di~nsi~ of ~ st~re with 'alterati~s or ~itions: ~ont ............... ~ar ............... ~pth .................... ~i~t ~ .................... ~r of Stories ............... l~i~t ......................... ~r of Stories ..................... ~. Si~ of lot: F~-~L .............. . ......~ar .................... ~pth O. ~te of ~r~a~ ................. ; ....~ of Four ~ of ~d it~t ' ~ress ~ of ~tr~tor ............... , ................... ~ress ............................... Mm~ ~ .............. ~ pr~r~ li~s. Gi~ st~t ~ bl~ ~r or ~scriptim ~co~ing to ~, ~ ~ strut ~s ~ i~icate ~hether interlor or cormer lot. (Signature ~1/^ppl~i~aut) ' ~ r (~tracto~? ~g~nt~;'~rate officer, etc.) ~f ~id ~5 9r ~rs, a~ ip d~l~v~t~r~ to ~rfom or h~ [~rfo~ ~m ~id ~ m~ to ~ a~ file ~licati~; ~mt al1 star--ors c~tai~ in this a[~llcati~ are t~ to ~e [mst of his ~l~ a~ lmlief~ a~xl that ~e ~rk will lm ~rfon~ in the ~d~mr ~t forth in thea~llcati~ fil~ t~.