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Home My WebLink About25737-zFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26472 Date: 05/21/99 THIS CERTIFIES that the building ADDITION Location of Property: 1040 pARADISE SHORE RD SOUTHOLD (ROUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 1 Lot 26 Subdivision Filed Map No. -- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 17, 1999 pursuant to which Building Permit No. 25737-Z dated MAY 21~ 1999 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is DECK ADDITION "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KAREN F VANDEPUTTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25737 Z Date MAY 21r 1999 Permission is hereby granted to: KAREN F VANDEPUTTE 20 ALBERMARLE WESTBURYrNY 11590 for : CONSTRUCTION OF A DECK ADDITION "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 080 pursuant to application dated MARCH Building Inspector. 1040 PARADISE SHORE RD SOUTHOLD Block 0001 Lot No. 026 17 1999 and approved by the Fee $ 75.00 ~/~r~ed S ig'nature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEFARTMENT TOWN tlALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the butJdiug lespector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property Jines, streets, and uunsuai natural or topograpUic features. 2. Final Approval from lIealth Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical instalJstion from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that tire solder used in system coutnles less than 2/10 of 12 lead. 5. Commercial butldin, g~ industrial buildi.g, multiple residences and similar buHdlngs 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. F~*r exlmtfn~ buildings (prior to April g, 1957) non-conforming uses, or bni[dl~gs mud "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 de,led, tire Building Inspector shall state the reasoas therefor in writing to the applicant. C. ' Fees ~ 1. Certificate of Occupancy - New dwelling $25.OO, Additions to dwelling $25.OO, Alterations to dweliing $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Busiuesses $50.00. 2. Certificate of Occupancy on Pre-existimg Buildtn~ - $100.00 3. Copy of Certificate of Occupaocy - . .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $~5.00 .. ........................ New Construction..(./.... .... ()id Or Pre-gx2~sting Building ................. ' Location of Property ..... /..~.~,.~, ...... Uouse No. Street Hamlet Oawer or Owuers of Property ............................................................ County '['ax Map No t000, Section. ~.3 .Block. / ..... Lot...~?..~.. Sul~division ....................................Filed Map ............ Lot ...................... Permit .... Applicant ............................. Ilealtb Dept. Approval .......................... Underwriters Approval .......................... Pl. aaniug Board Approval ........................ Request for: Temporary Certificate ........... Final Cert~ SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S,C, TAX No, 1000-80-01-26 SCALE 1"=20' FEBRUARY 23, 1999 AREA = 13,~-15.60 sq. ff. 0.308 ac. CERTIFIED TO: INTEGRITY ABSTRACT CORPORATION CHRISTINE W. WASKO Joseph A. Ingegno Land Surveyor PHONE (516)727-2090 Fox (516)722-5095 FORH NO. I TOWN OF SODTIIOLD BUll,DING DEPARTMENT TOWN DAI.1. SOUTllOIA), N.Y. 1197 TEl.: 765-1802 Exanlned ................. , 19 .... A~I ................. , 19 .... Permit No ................. Disapproved a/c .................................. BOARD OF IIEALTH ............... 3 SETS OF F~ANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... .NOTIFY: CA1,L .................. HAIl. TO: .................... (l~al l(llng Inspector) APPLI[CATION FOR BDII.t)ING PERHIT 1NSTRDC'FIONS a. ~lhis al~lleatlon must be ccs~letely filled in t~] tyF~.~rlter or in ink m~l ~lmitt~l to the ~dlding lns~ctor 3 ~ts of plus, ~o~rate plot plan ,~o scale. Fee according to sd~lule. b. Plot plan ~i~ lmtlm of lot a~ of Imilding~ m ~i~s, relatimshlp to mtjolni~ ~ise~ or this ag)l ieatim. d. U~ nl~al o[ tld~ a~>lleati~ the l~ildi~B Insl~etor will is~ a ~ildi~ ~mit to the n~llcant. e. ~ l~ildi~ glall ~ ~i~l or uml in dmlo or in Imrt for m~ I~rl~ ~mtmr tmtil a {~rti[iente ~l~rI~ IS Ili~l~ }fig to tim ~ildi~ l~rlmnt for the i*mm~o of a ~dhlle . l'emit p~rmmnt to the · ~ildi~ 7~ ~im~e of tim ~ of ~tl~hl, ~fffolk ~mty, ~ York, ~ other~ dleablo l~s, ~im~e8 ~datims, for tim =st~tim of ladldi~u, mkliti(m, or alter t~m., or [or~a ilion, a8 lmreln State ~mtlmr ~flle~t is ~r, les~, ngeat~ urddt~t, cagier, ~mral ~tr~etor~ ele6triflan,' plu~mr or lmilder o: o, me ox ~ sea ../..: ............................................. (as ~ tim t~ mi1 or latest d~) If ai~licant is a m~at~m, *i~ture of ~dy m~tl~rir~l officer. N~ BUI~ (~ aed ti~te o~ ~rate o~icerOCCUPANCY OR USE IS UNLAWFUL ..i,,~rs ,.i~e.~ No ............ WITHOUT CERTIFICATE p,,.~ ,.,c~.~ No .......... OF'O~PANCY El~trici~s Lic~ ~ .................. Otl~r ~'s l. ic~ ~ ..................... 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INlPEC11ON~. I FOUNDATION - 'IWO REQUIRED FOR POURED CONCRETE 2. ROUGH o FRAMINg] & ~ 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR CO. ALL CONSTRUCTION SHALL MELq' THE REOUIREMENT$ OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR I. lt~catlon o[ lard tm d~icl~ propoml ~ork will I>e (~ .................... DES~N'~S~U~N ~R~8 ....... ......... :.,. ...................... /4~..d ~ ..... ~ad) ............ ~~ ........... I~ ~r Strut t~et ~,lxlivisi~ ...................................... Fil~ ~kap ~ ................ l~t .~ ............ (~) 2. State existing um m~ ~y of ~ims ami inte~ u~ mgl ~o~ of ~ml ~stmcti~: a. Existi~ o~ ~ ~m~y ............................................................................. ~. ,.~, ,,~ ~ ~ ....... ~<C~..~...~q(~ ~ .......................................... I~,l~ir l~. I~}1 it lot~ ............ Other I~.k ............. .~ ......... '?['~'. ...... (l~:r ipt. i~s) 5. If c~mlli~ql, it~i~r of ¢~llit~} units ............ tl~l~v of t~llitUl unir~ txl each fl¢~ ................ 9. l;iz~ of lot: F~xs~r .................... l~ar . ................... l~lllll .................... 11. ?zse or u~ dlsl:~icr in ~hid~ proui~s a~e ~it~t~l .......................................................... 13. ~111 loc Im reBrm~ .................... ~ill e~e~ fill Im ro~l fro, proni~o: ~E~ 14. ~t¢~ of ~r of I;~ni~ ........................... ~lre~a .............................. I~m ~ ....... ~e of ~rdtltecr .................................... k~lres~ .............................. ~ lb ....... 15. l~ Ih[~ prolm~ty within ~l f~t of a tit~[ x~l;lm~l? ~ Ylkq .......... ~ PI,OT l~:ale clearly m~l di~lt~tly all I~tildi~, Mmther exis~in8 o~ pro.sol, a~l i~lieate all set-I~k