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Home My WebLink About25450-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26210 Date: 01/12/99 THIS CERTIFIES that the building ADDITION Location of Property: 95 STROHSON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 103 Block 10 Lot 15 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 9, 1998 pursuant to which Building Permit No. 25450-Z dated JANUARY 5, 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 MASONRY CHIMNEY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AB BUILT" The certificate is issued to THE COMER FAMILY TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 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. 25450 Z Date JANUARY 5, 1999 Permission is hereby granted to: FAMILY TRUST THE COMER 7 HARBOR VIEW ROAD PT WASHINGTON,NY 11050 for : CONSTRUCTION OF A MASONRY CHIMNEY AS BUILT AND APPLIED FOR. at premises located at County Tax Map No. 473889 Section 103 pursuant to application dated DECEMBER Building Inspector. 95 STROHSON RD CUTCHOGUE Block 0010 Lot No. 015 9 1998 and approved by the Fee $ 75.00 Authorized Signature Rev. 2/19/98 ORIGINAL FORM NO· 6 TOWN OF SOUTHOLD · Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' Instructions A. This application must be filled in typewriter OR ink, and submitted l ~ to the Building In,pet- ter with the following; for new buildings or new use: u' 1. Final survey of property with accurate location of ,~11~ b iId!ngs, property lin0s, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and s0werage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial ulldmgs0 Multiple Residences and similar buildings and lnstalla. tions, a certificate of Code compliance from [he Architect or Engineer responsible for the building. 5.Submit P.lanning Board approval of completed site plan requirements where applicable. ' B. ,For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses; 1. Accurate survey of p=operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner'as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of bu*ld'ngs or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: ,1. Certificate of occupancv $.25100 -- BUSINg. SS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 ,. 00 3. Copy of certlficate of occupancy $'5;'00, over 5 'years $10.00 4.Vacant Land C.O. $.'20.00 ~ 1-1~ 5.Updated C.O. $"50.00 Date .../. Newcon~ t'~uc t,ion . ,.~'~,,, Old or Pre-existing Building ......... . ',. Vacant Land ............. Location of Property ........................... Hou~ No. Street Ham/er Owner or Owners of Property ...... Coun ax Map No. 10O0 Sectlon ......... Block ............ Lot ........... Subdivision ~ Filed Map No Lot No Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor, Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval .................. ,... Request for Tcmpora~ C~rtiflcatc .................... Final Certdmate ~ ...... Fee Submitted $ .... ' ................... 10.10.99 APPROVED AS NOTED =~ _l; '~ - ~ B.P. #~~ FEE. 'L~.~ e~d,~,¢,~---- -- NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 I~M FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & p~ 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES NOT RESPONSISLE FOR DESIGN OR CONSTRUCTION ERRORS 0CCUPA~"CY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY hoo~ /~AP O~ Li~ND ., [?. ,WE [LV,/OOD V. a. F)ATF?.ICIA/.',.~ 0 CUTCWOC, U[ "TBwt~ OF ~Bttlflt)Lt} , l'i.¥. ~kt '[UYL ~ 501,1 · FOR~ ltO. I TOl,llt OF $OlY~OLD '$OI]TItOLI)s N.Y. 11971 'TEL: 765--1802 NAIL TO: ............... IHSTRUCTIO~S a. 'mis applicetiou mst be.cceplerely filled in by typewriter or iu i~ ~ s_~tt~ m ~ ~1~ ~tor ~ (as a~ ~ rant roll or latest deed) I£ applicaac is a corporation, signature of duly asrhorlzed officer. (ltare and title of corporate officer) Builders License lto .......................... ' plmbera Licer~e lqo .......................... ElecCr~cxans Li~n~e 1~ ...................... Ocher Trade's License No ..................... ......... (~me of i~divid~l sisnt~ co~tract) duly s~ru, deposes mxl says that he is the eFpl. ica~t lle is tim ......~.~ ........................................... ..................................... (Co~tmctor, e&e~t, corporate officer, etc,) of ~d ~r ~ ~rs, ~ ts ~y ~rl~ to ~ri~ or h~ ~ri~ 6m ~id w~ ~ to ~ ~ file this Notary Public, State of New York No. 30 4520314. Qualified in Nassau County