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HomeMy WebLinkAbout26127-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26818 Date: 12/08/99 THIS CERTIFIES that the building ADDITION Location of Property: 3250 PINE NECK RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 70 Block 12 SOUTHOLD' (HAMLET) Lot 1 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 28, 1999 pursuant to which Building Permit No. 26127-Z dated NOVEMBER 4, 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GRACE L & MARGARET A. BOHEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A /Bui/ding Inspector 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. 26127 Z Date NOVEMBER 4~ 1999 Permission is hereby granted to: GRACE L BOHEN 45 PARKWAY SOUTOHLD~NY 11971 for : CONSTRUCTION OF A 12'X 12' SCREENED IN PORCH ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 3250 PINE NECK RD County Tax Map No. 473889 Section 070 Block pursuant to application dated SEPTEMBER 28 1999 SOUTHOLD 0012 Lot No. 001 and approved by the Building Inspector. Fee $ 75.00 [utho r~~l' zed~~ Rev. 2/19/98 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY B4 This application must be filled in by typewriter OR ink and submitted to the buildin 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 buildi~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a~ Upre-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 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 - 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ..................... . . New Construction .......... Old ~Or Pre-existing Building .......... House ........................ ' ........ No. Hamlet Onwer or Owners of Property .... .~...~..~.~.....~..,.~..(~.~..~..~ ............................. County T~ ~ap No 1000, Section....Cnd. Q .... Block...©.C~L.Z~. ..... Lot....~..O. / Subdivision. . Permit No~i~il~ i~.'i ~..Li .jlgl. j~.~i~i~ i. 17} iI..O.~. /'~' y' ' 'mpplicant~ ' '~$'~'Q ,~I~''L~'~' · '~' ''Filed Map ............ Lot ............... ~. Health Dept. Approval .......................... Unde~riters Approva~ .................. Planning Board Approval ........................ ~ Request for: Temporary Certificate ........... Final Certicate..g ........ Fee Submitted: $.~ ........................~ d ] ~ . "? ......... ..... Town Hall, 53095 Main Road P,O. Box 1179 Southold, New York 1197170959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax ~16)765-1823 Telephone(516) 765-1802 December 1, 1999 Robert Bohn Contracting, Inc. P.O. Box 55 Peconic, NY 11958 RE: Bohen, 3250 Pine Neck Rd., Southold. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 26127-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ' ' APPROVEDASN~'~ N~I~ BUILDING DE~ME~ 7~-~8o2 o m TO 4 ? ~m FOLWWINO INSPEmONS. 1. FOUNDATION - ~O REQUIRED' ~o.~u.~.c.~ ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 16" o OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY N.~PECT ION REPORT DATE II S~TION PER N. Y. STA~ E~R~ ~ CODE ~ ~. ADDITIONAL CO~IENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION I/ FORH HO. TO}IN OF $OUTIIOI,D BU]LDINO DEPAR'II4ENT TOI~N IIALL SOUTIIOLD, N.Y. {{97{ Till.: 765-1802 Ex~ni ned ................. , 19 .... I)[ ~pproved alt .................................. BOARD OF UEALTii..~ .............. 3 SBT$ OF PLAH$ ~.. ............ survey ..~. ..................... CR~C~ ...~'~. ..................... SEPTIC FORt{ ................... NOTIFY: ~ CALL . .~.~-~. t t i ~ .... HAIl TO: .... ,<i Z8 ~..: ..at,;.. ~ ,9. ~9 }~tj ,~] APPLICATION FOR BUILDlfl~ PERHIT ~ BLDG, DEFT. j INSTRUCTIONS TOWN OF SOUTHOLD ~. 'Ads ~li~ti~ ~t ~ ~letely itll~ in by t~riter or in i~ ~1 3 ~ts o~ p]~, acetate plot plan to ~1~. ~ ~cco~}~ to ~%l~. b. Plot pl~ ~i~ l~ti~ o[ lot ~ o[ ~lldi~8 ~ ~mt~, ~lati~lp ,trots or ureas, n~ givt~ ~ ~t~ll~ ~m:rtptlo~ oi l~y~t o[ pro~rty ~mt Im dr~ d. 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