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Home My WebLink About25723-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26459 Date: 05/19/99 THIS CERTIFIES that the building ADDITION Location of Property: 775 OAKWOOD DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 90 Block 4 Lot 22 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31~ 1999 pursuant to which Building permit No. 25723-Z dated MAY 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 DECK ADDITION WITH ROOF OVER 'AS BUILT' AND REPLACEMENT OF AN EXISTING DECK 'AS BUILT' AS APPLIED FOR. The certificate is issued to SUSAN OIESTAD of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A 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. 25723 Z Date MAY 13t 1999 Permission is hereby granted to: SUSAN OIESTAD 2200 BROADWATERS RD. CUTCHOGUE~NY 11935 for : CONSTRUCTION OF A DECK ADDITION WITH ROOF OVER "AS BUILT" AND REPLACEMENT OF AN EXISTING DECK "AS BUILT" AS APPLIED FOR. at premises located at 775 County Tax Map No. 473889 Section 090 pursuant to application dated MARCH Building Inspector. OAKWOOD DR Block 31 1999 SOUTHOLD 0004 Lot No. 022 and approved by the Fee $ 75.00 Authoi~zed Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PLICATION ~R C~TIFICATE OF OCC~ANCY A. Thi's application must be filled in by t~ewriter OR ink and submitted to the build inspector with the follow, g: for new building or new use: 1. Final su~ey of ~property ~th accurate location of all buildings, property lin: streets, and ~usuai natural or topographic features. 2. Final Approval from Heaith Dept· of water supply and sewerage-disposal(S-9 3. Approval of electrical ~stallation from Board of Fire Underwriters. 4· Sworn stat~ent fr~ plumber certify~g that the solder used ~ syst~ contain: less than 2/10 of 1% lead. 5. Commercl~ building, ~dustrial build,g, ~ltiple residences and s~ilar buil, and ~stallations, a certificate of Code Compliance from architect or engineer responsible for the buildi~. 6.Submit Pla~g Board ~prov~ of co~leted site plan requir~ents. B. For ~ist~g bu~d~gs (prior to ~ril 9, 1957) non-conforming ~ses, or bulldogs '!pre-~ist~g" laud uses: · Accurate su~ey of property showing ~i property lines, sgre~ding and unusual natural or topographic features. ' 2. A properly co~leted application and a consent to inspect, si~ed~yZ!~b~3~plics If a Certificate of Occupancy is denied, the Building inspector ~l~t~ reasons therefor in ~itlng to the applicant. ,"~ ." . . i. C~rtificate of Occupancy- New dwell~g $25.00, Additions to Additions to accesso~ building $25.00. Bus~esses $50 00. 2. Certificate of Occup~cy on Pre-~ist~K Butldin~ - $i00.00 3. Copy of Certificate of Occupancy - : .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 ~ew Conjunction .... OId Or Pr ' - ' .... County T~ ~p No 1000, Section .............. Block ................ Lot ................. Pe~it No ......... Date Of Pe~it ........ Applicant. ~ ......... Health Dept. ~proval ............... Unde~iters Approval ?.. . Planning Board Approval ..... ~ ............ Request for: T~porary Certificate ........... Final Certicate .... ~ ..... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROU~pLBG. [ ] FOUNDATION2ND [ ]~OLATION [ ] FRAMING ~//]' FINAL [ ] FIREP~~IMNEY REMARKS:I~ DATE~INSPECT~ [ELD INSPECTION REPORT DA~E C(~IHEITrS # 0UNDAT ION (2ND) PLUHBING ~ OUNDAT~O~ (]ST) NSULATION PElt STATE ENERGY FOP, M NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF DEALTE ............... 3 SET8 OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOIIH ................... NOTIFY: ~a.-~ ~'-~ ~ '~ HAIL TO: ................... i' ! . ~*~n , ' 'i~JJ APPLICATION BUILDING PERMIT --~ ' OaEe. ~ ........ ~9~ ~b. ~or pl~ ~ l~tlm of lot ~ of ~ildi~ m ~8, mlati~ip to ~joini~ p~ or ~lie ~i~ c. ~ ~ m~ ~ ~i8 a~li~tim ~ mt ~ m~ ~fom im of ~ildi~ Pe~t. d. ~ ~1 of ~i~ ~li~tim, ~ ~ildi~ I~ror ~11 i~ a hildi~ ~mir to ~t ~1 ~ ~ m ~ Vi~d~ ~il~le for i~tim ~t ~ ~. ~I~ IS ~ ~ to t~ ~ildi~ ~t for ~ ism of a ~ildi~ Pe~t ~t to the ~ati~, ~ ~ ~t~tim of ~ildi~ ~iri~ or alterari~ or for r~al ~ri~. ~ ~limt ~ ta ~17 ~ ~1 ~li~le 1~, o~im~, ~ildi~ ~lati~, ~ m ~[r ~i~ imror~ m ~ ~ in ~ildi~ for ~..~~~--~ ..................... (S~tme of ~llmt, or m, if a co~ratim) ..J~.~c~~g... ~ .............. (~ili~ ~m~8 of ~limr) ....... ~~ .............................................................................................. ~ o~ ~ o~ ~ ..~.~~..cb .... ~.~s.~ ..................................... (~ m ~ t~ mi1 or later ~) If ~limr i~ a m~tim, ~i~ of &17 ~ri~ offi~r. (Na~ and title of cerporate officer) Builders License No .......................... Pl~bers License No .......................... Electricians License No ...................... Other Trade's License NO ..................... I. I~cati~n of la~t on ~hich proposed ~onk will be do~ ............................................................. ...... .7. Y. .~. . . . ....... ~ ~zd. .l~ la ~ D. . . . J~. : .................. . . .-:. . . a r. ~ :. ~ . (~ ............ ttouse Number Street llaal et ~,T..,~NO. ,,,~ ~,io. .... Z~ ...... B~o~ ..... .~.. ....... ,~,...,:;~a ..... ~i,i~ .C~.~.~./.~ .Z~<.&.~. f~ff~No .............. l~t 7Z (mm) 2. State existing use a~l occupam'y of iFemises sud inteivted use and occupancy of proposed construction: 3. ~nture off ~rk (check dddt applicable): ~ I~ilding .......... ~lditioo ...~ .. Alteration .......... Repair ..,~ ....... Remowal ............. Demolition ............ Otber Work .... 4. Est imted Cost ....................... fee .............................................. (to be paid on filing this spplicatioo) 5. If d~elling, ntxnber of ck~elling~ts .... / ...... limber of dwelling onits on each floor ................ If garage, number of ears ...................................... 6. If business, ccmmrcial or mimed occupancy, specify nature a~d extent of each type of use..~ .... ~77..-~'. ......... , ,, 7. Dimensions of existing structures, if any: Front..~..~...q ..... Rear ..x-~.~./.~.[~. .... Depth ............... ~i~t ../&...7 .............. ~ber of Stories .... /.~.. ........... , · Dimensions of sa~ structure ~ith altergtjo~_ or additicos: Front ...~--..~..~. .... Rear ..~..~.Pf..... r~pth .. ~q..~. ........ ~,~t .... /&..~. ........ ~ber o~ Sro, es ... J. ff~. ..... s.~=nslo~ of e,tire ~ ~trnctlon: ~t ..... .~.~..~..:. Rear ............... ~pa ..~/.~7.... l~i~t ..... ~..'.~..2 .......... ~r of Storie, ..................... ' .... ~.q.,..~.*/... ~p,h .../2 .~...&.?... 9.~i~ of lot: ~t ..... q.O.,..a ...... Re= .. ~o.r~te of ~a=~ ...."~.,4~.,..'.ctS.. ~ of ~o~r o~r .... ~ .. .~. ...... II. Zo~ or use district in vhich premises are slt~att~l ..... ~.-~/.~-/.~. ~ ....... ! ...................... 12. Does lm:~osed constructioo violate any zoning l~a, ordinance or rel~lation: .... ~.~.. ............ 13. laill lot be regrnded .... /~/~. .......... 14ill e~ess fill be removed from pr~fises: ~ of ~,it~ct . /3 ~7. .<t .4. ....... t,t&ess 2~.)?.3.~ ......... : .... n~ ~o. ?.~ff. ...... ~ o~ Ccot~torp/~.-~.~zez~fZ:~ ~airess ............................... 15. Is ~fis p~ ~fl~iu ~ f~t of ~ tirol ~tl~~ ........ ~ .......... PLOT OIAGRA~ I~cate clearly and distinctly all buildings, xahether existing or proposed, and indicate all set-back dimensions f-mm imaperty lines. Give street and block rsmher or description according to deed, and sho~ street na~s and indicate ffnether interior or comer lot. (~ of i~ivi~ si~ing ~tr~t) l~ is the ........... (~tractor, ~nt, co.rate offi~r, etc.) of ~id ~r or ~rs, ~ is ~1~ ~thori~ to ~rfo~ or h~ ~rfo~ Om ~id ~ ~ to ~ ~ file Otis a~lieati~g Umt ~ ~ will ~ ~rfo~ in tl~ ~r ~t forth in ~e a~ticati~ fil~ ~. being duly s~om, deposes and says that be is the applicant ,%om to before ~e this ........ ..... (Signature of ^pplicant) 5UP-.VtE"r' OF= LOT ¢~ -11 ~ N SUBDIVISION MAP "C, EDAI~. BEAC, H PARK" 51TUATE: BA'fVIEI~ TOI~'~I OF 5Ot.rT'HOLI~ 5t)~=OLK OOt)NTY, 50P~=OLK Od)LINTY TAX ~ IO00-qO-.4- 22 C, ERTIFIED TO: .SUSAN OIESTAD FIDELIT'¢ NATIONAL TITLE INSt)RANGE OOMPAN¥ OF N2f FNT ~81~O[~ NOTES, · MoNt)MENT PoUNE~ O PIPE POt)NE) AREA = I~,C]~ ~= OR O.~2 AOP-JES REFERENCE DEEE~ L.84~:~ OP.260 A.HJN.f'4. = APPARENT HICH INATER MARK ®RAPHIC SCALE I"= 20' % e 0 o O J SURVEYOR EAST MAIN STREET RIVERHEAD. N.Y. 369-8288 Fax 369-8287 + W ~z E S N Y.S. LIC. NO. 50202 REFERENCE # 98-272