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Home My WebLink About25887-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27007 Date: 03/29/00 THIS CERTIFIES that the building ADDITION Location of Property: 1150 JASMINE LA SOUTHOLD (HOUSE NO.) (STREET} (HAMLET) County Tax Map No. 473889 Section 69 Block 3 Lot 24.13 Subdivision Filed Map Nc. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 7, 1999 pursuant to which Building Permit No. 25887-Z dated JULY 22, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD P & DENISE WITZKE (OWNER) of the aforesaid building. 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. 25887 Z Date JULY 22~ 1999 Permission is hereby granted to: RICHARD P WITZKE PO BOX 333 SOUTHOLD~NY 11971 for : CONSTRUCTION OF A DECK ADDITION FOR AN EXISTING SINGLE FAMILY DWFLT,TNG AS APPLIED FOR. at premises located at 1150 JASMINE LA County Tax Map No. 473889 Section 069 Block pursuant to application dated JUNE 7 1999 SOUTH/PEC 0003 Lot No. 024.013 and approved by the Building Inspector. Fee $ 75.00 / Authorized Signature Rev. 2/19/98 ORIGINAL '~OWN OF SOUTHOL}) LDING DEPARTMENT TOWN 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This app~i~Jcion must be filled in by typewriter OR ink and submitted to the buildin~ inspector with the following: for new building or new use: l. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Uealth I)ept. o[ water supply and sewerage-d~spo~al(S 9 torreS. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solde~ used in system contains less than 2/10 of 1% lead. 5. Co~ercial building, industrial building, multiple residences and similar buildi~ and installations, a certifScate of Code Compliance from architect or engint-et responsible for the building. 6. Submit Planning Board Approval of completed sLt~ plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a~ "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 I~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 dwellinE $25.00, Alterations to dwellinE $25.00, Swimming pool $25.00, Accessory bull_dinE $25.00, Additions to accessory buildin~ $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - . .25~. ~. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Rew Construction ........... Old Or Pre-ex~st~ng Bu~ld~ng ................. House No. Street Ha~et 000, ....... ........... ot. fCJZ .......... Subdivision .................................... Filed Map ............ Lot .................. Permit No J?.~. ~..~.7 $;z Date Of Permit.7/~2~2./-~?· ..... Applican~--j?''~*''~'- Health Dept. Approval .... / ........ ...................... Underwriters Approval ............. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~ ....... APPLICANT J7 77 Co 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND ]FRAMING [ ] INS**~UJ,ATION [ ~'~1NAL REMARKS: ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ ] INSULATION [ ~INAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR PLYING il ~IJI. AIION PER N. STATE ENERGY CODE 1999 765-1802 BUILDING DEPT. INSPECTION [~'~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPECTOR 765-1802 BUILDING DEPT. .INSPECTION ~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS:~~ ~A.~ .1,,~. ~ ~A_~. ~A . DATE ~~/ INSPE OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY NOnFY ~UILOmG OEPARTMENT 78B-1~02 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED Du ors 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 RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS .] FORHNO. TO. OF SOUTHOLD TO~R~HALL SOUTIIOLD, N.Y. ll97! TEL: 765-1802 INSTRUCTIOSS BOARD OF REALTII ............... 3 SETS OF PLA~S ......... ' ...... SURVEY ........................ SEPTIC FORIt ........... ....~'~ ~IL TO: .................... a. This appllcatico ~t be ~.letely filled in by t3~i~er or in iuk a~d mitred to ~be a~ilding Iasl~ctor 3 sets of plea, ~ra~e plot plan r~ ~-~le. l?ee aceordlng to sd~lule. b. Plot plan shosdn~ loca~i~ of lot and of Imildi~a co p,~ses, relatiosehip ~o adjoining prisnises or public streets or areas, and giving a detailed descrip~io~ of layout of property ~ust be d~'~ co ~he diagr~n ~ich is part of 'this application. c. ~e s~ork corroded by ~his applicatico may cot be ccra~ced before issuance of Building Penuit. d. ~ ~,~al of thia applicatico, the Building Inspector viii i~-- a l~ilding Pemit to the applicant. pemit ~11 be kep~ o~ ~be ~..~sea a~ailable for i~ectico ~htx~hcot the e. Ro building ~hsll be occ~ed or used in ~aole or in par~ for a~ ~ vhatever until a Certificate of Oeo .m~,v~ shall have been i~auCed by I~e l~ilding Iuspector. API~ICATI(I~ L~ ~ ~ ~o ~he Building Depar~t for I~e iasua~ce of a Building Pemit purst~ut to the Building Z~e Or~i,~ce of h~e T~n of Scol~old, Suffolk C~m~, ~ York, and ol~er a~plicable La~s, Ordinates or Rel~lati~, for I~e c~st-n~.tim qf huildi~s, a~ditto~a or alteraticos, or for ,~al or ~litico, as herein ~'ribed. ~ applic~t agreea ~o c~ply vi~h all applicable 1~, ordi~-s, buildi~ code, ho~si~ c~e, and ~el~l~ti~s, a~d ~o ~e~it coll~orized i~spectors m p~ises a~d in building ~or ~ecesser~ iuspecticos. ............... (Sisnature of applicant, or m, if a corporation) /./.?.. ..... 7../. ....... (Hailin8 ~ress of applic~t) State ~,t~e~t~er applic~t is o~er, lessee, agcot, architect, e~i~eer, ~ral ~t~tor, el~trici~, pl~r or ~il~ ..................... (~ ~ ~ ~ mi1 ~ later ~) (lt~e a~d title of corporate officer) J. J~t.re of ~rk (check d~ich o~plicoble): Ne~ ~ildi~ .......... ~iti~ .. ~. ..... ~tera~i~ ..... ~ir ............ ~1 ............. ~liti~ ............ O~r ~ ................................. (~ipti~) ~. ~i~ ~s~ ....................... ~ .............................................. (to ~ ~id ~ fili~ this ~limti~) ~. If ~lli~, ~r of ~lli~ ~its ............ ~r o[ ~lli~ ~its ~ e~ ~r ................ If ~r~ ~r of ~s ...................................... 6. If ~imss, ~ial ~~, ~i~ ~m ~ ~tent of e~ ~ of ~ ...................... ~. Di~i~ o[ ~sti~ st~a, if ~ ~t ................ ~ ............... ~pth ................. I~i~t . ~r of Stories ...................... Di~i~ of ~ st~ ~th alterati~ or ~ici~s: ~t ............... ~ar ............... ~pth .................... ~i~ .................... t ~r o~ Stories ............... 8. Di~i~ of ~tim ~ ~t~ti~: ~t ..~ .......... ~ar ...]~..' ...... ~ ~'.~ ....... a ~i~ ..~. ~a ... ~r of Storiea .~ ................... ~. si~ o~ ~o~: ~ ..Z~ ............... ~ ~ ............... ~ .Z2~ ............. ~0.~ of ~ ~-..]~ ...... ~ of s~ ~ ........................................ Il. ~ or ~ district in ~i~ p~,,i~s am si~t~ ~dXz~q~d. .......................................... 12. ~s ~ ~ti~ violaLe ~ ~t~ 1~, o~i~ or ~la~i~: ~ .................. lB. ~ill lot ~ ~ .... ~.~ ........... ~ill ~ss fill ~ ~ ~ ~s: ~ ~ ~ ~ ~4.~e, . ~, ~0~'2~.'~'g' ............ ~ of ~it~t ...................... ~ s .............................. ~ ~ .............. ~ of ~ ................................... ~mss ............................... ~ ~ .............. 15. Is ~is ~~iu ~ ~t of a ti~l~tl~? * ~ .......... ~ ..~ ..... PLOT DIAGRAI4 l~cate clearly and distinctly all buildings, vhether existir~ or proposed, and indicate all set-bsck di~sioas ftc, proper~-y li~es. Give street and block ~her or description sccordi~ to dsed, and ~ street meres and indicate ~hether interior or corner lot. ~FAI~ OF i~ ............. (N~e of i~ivi~ si~ ~tr~t) i, ,,, ......... ............................................................................ (~tr~tor, ~nt, ~,~ate offi~r, etc.) of ~id ~r or ~rs, ~ is ~ly ~ri~ to ~rio~ or ~ ~r~ ~ ~id ~ ~ to ~ ~ file thi~ a~lleati~; ~t all stat~,~,,ts ~tal~ in ~is ~llcati~ a~ t~ to ~ ~st of bis ~1~ ~ ~lief; ~ that ~ ~ ~[ll ~ ~r~ in tim ~r ~t forth in ~ ~li~ti~ fil~ ~. ...... ......... ..... . ...................... ~ Publ~ S~e ~ N~ ~ Te~ ~ir~ Ju~ t~ 1~ ,/ ...being duly s~orn, deposes a~l says that he is tie applicant