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Home My WebLink About25806-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26999 Date: 03/22/00 THIS CERTIFIES that the building ADDITION Location of Property: 965 MILL CREEK DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 135 Block 3 Lot 38 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 1999 pursuant to which Building Permit No. 25806-Z dated JUNE 17~ 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 HANDICAP IL%MP TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOLORES ALEXANDER (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. 25806 Z Date JUNE 17~ 1999 Permission is hereby granted to: DOLORES ALEXANDER 965 MILL CREEK DR SOUTHOLD~NY 11971 for : CONSTRUCTION OF A RAMP TO ONE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 135 pursuant to application dated JUNE Building Inspector. 965 MILL CREEK DR Block 14 1999 SOUTHOLD 0003 Lot No. 038 and approved by the Fee $ 75.00 Authored Signature ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This a~ication must be filled in by typewriter OR ink and submitted to the build ' . inspector with the ~following: for new building or new use: ~.1. Final survey of .property with accurate location of all buildings, property lin~ ~ streets, and u~usual natural or topographic features. ~v-. -Final Approvai=!from Health Dept. of water supply and sewerage-disposal(S-9 for~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the soider used in system contain~ less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bull, 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 buildtmgs (prior to April 9, 1957) non-conforming uses, or buildings Vpre-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 sig~ed by the applic If a Certificate of Occupancy is denied, the Building Inspector shall state th reasons therefor in writing to the applicant. C. Fees I 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ing pool $25.00, Accessory building $25.0 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ........... Old .Or Pre-existing Building...k./.. ............ New Construction House Ho. Street On.er or O ers Property.. . .lO . ......................... County Tax Map No i000, Section ........ ~lock .............Lot ........... Subdivision . Filed Map ............ Lot ...... Permit No ...... C~..~.~-. .... Date Of Permit ....... Applicant ...................... Health Dept. Approval .......................... Underwriters Approval .................. Planeing Board Approval ........ Request for: Temporary Certificate ........... Final Certicate....~. ...... Fee Submitted:$ ........ 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. 25806 Z Date JUNE 17~ 1999 Permission is hereby granted to: DOLORES ALEXANDER 965 MILL CREEK DR SOUTHOLD~NY 11971 for : CONSTRUCTION OF A RAiMP TO ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 965 County Tax Map No. 473889 Section 135 pursuant to application dated JUNE Building Inspector~ MILL CREEK DR SOUTHOLD Block 0003 Lot No. 038 14 99 and approved by the Fee $ 75.00 COPY Rev. 2/19/98 EDWARD FORRESTER Director of Code Enforcement BUILDING DEPARTMENT TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road RO. Box 1179 Southold, New York 1197 Fax (516) 765-1823 Telephone (516) 765-1802 July 14, 1999 Dolores Alexander 965 Mill Creek Drive Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occu~Dancy 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 # 25806-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. q/oct.ge., APPROVED AS NOTED O^TE: ~B...A__C~ ~,,~~°~' ~ N¢I~ BUI~ING ~P~P~ENT AT 765-1~2 g AM ~ 4 PM FOR THE FOXING INSPECtiONS 1. ~UNDATION - TWO REQUIRED ~R POURED CONCRETE 2, ROUGH - FRAMING A PLUMBING ~. INSU~ON 4. FiNAl.. ~ CON~"m.tCT~ON MUST BE COMPLET~ ' ' ~F: ( O ALL CONSTRU, ,..r.~ SHALL MEET THE REQUIRE~'L~ '~; OF THE N.Y. STATE CONS''~,'' ,~(~N & ENERGY CODES. NO' -~ ~PC~NS~BLE FOR ~DESIGN O~: CO,~TRdCTtON ERRORS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN~LATION [~/I~INAL DAT/~~ INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[/]~ION 2ND [[ ]] IFNi::LLATION ] FIREPLACE & CHIMNEY DATE 765-180;2 BUILDING DF. PT. NSPECTION AA;',::";.:, i :::;"LA;'Lo":' [ ] FRAMING [ ] FINAL [ ] FIREPLA/~ & CHIM.~K~~ REMARKS: ~/~~~~__~ DATE FORH NO. ! TO~I OF SOIITHOLU BUILDING IDEPARTHENT TO~l HALL SOUTHOLD, N.Y. 11971 TEL: 765-]802 ~...-;.l.'.-( ....... , ,~.~..a. ~t ~...a..?.~.~.. Dis~vwved ale ................................. . APPLICATION FOR BUILDING P~IT INSTRUCTIONS BOARD OF HEALTH .............. 3 SETS OF PLAIIS .............. SURVEY ....................... CHECK ........................ SEPTIC FORH .................. NOTIFY: CALL ~ ¢.~ tiAIL TO: ................. a. This application re. mt be ca~pletely filled in by t-ype~iter or in i~ ~ ~itc~ to ~ ~ildi~ I~c 3 ~ts of pl~, ~ plot pl~ ~ ~le. F~ ~i~ to ~le. b. ~ plm ~ l~ti~ of lot ~ of ~ild~ m ~, mlati~ip w ~joini~ p~s or ~li~ s~s or m~ ~ gi~ a ~f1~ ~ipti~ of 1~C of ~ ~ ~ ~ ~ ~ di~ ~i~ is ~ ~is ~li~ti~. c. ~ ~ ~ ~ ~is ~li~i~ ~ ~C ~ ~ ~fom i~ of ~ildi~ Pe~t. d. ~ ~,~ of ~ia ~li~i~, ~ ~ildi~ ~tor ~11 i~ a ~ldi~ ~t to ~ ~li~c. a ~t ~1 ~ ~ ~ ~ ~a ~il~le f~ i~tim ~$t ~ ~t. ~ e. ~ ~ildi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~ ~r ~ ~ ~r ~til a ~ifi~te of ~ldi~ ~ ~ of ~ ~ of ~ld, ~Ik ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s or ~ati~, ~r ~ ~ti~ of ~ldi~, ~i~i~ or ~ti~, or f~ ~ or ~lki~, ~ ~in ~i~. ~ ~li~t ~s ~ ~ ~ ~1 ~li~le 1~, o~i~s, ~ild~ ~, ~i~ ~, ~ ~lati~, ~ ~ ~!t m~ri~ i~t~ ~ ~ ~ in ' ' ' . State ~r ~li~t is ~r, les~, ~t, ~it~t, e~i~r, ~ral ~t~tor, ela~tieia, pl~r or ~ ........ a~N~ ............................................................................................... o, ................................................... (~ m ~ ~ mll or ~est ~) If ~li~t is a ~i~, si~ of ~ly ~ri~ oifi~r. (Na~ and title of corporate officer) ,.~c,ie oL ~L~ ~t~x ~a~:c~ applical)ie): [4e~ ltuildin8 .......... ~tdition .~.. .... Alteratioa .......... Repair ............ Re~val ............. Ilemulitiou . .. . ...... . . Other 14b~k Esti~a~e~ Cost .'~.~./.I~!~..O.;'' ~ee .................. (to be paid on fillag this si~plication) If ~elli~, n~ber of deelliag mits ............ limber of d~elli~g mits on each floor ................ If garage, uuri~er of cars ...................................... If business, m-a,~rcial or mi~ued occupancy, specify nacre and extent of each type of use ...................... Dir~asions of existing structures, if any: Front ................ Rear ............... Hepth ................. tleight ......................... lira/vet of Stories ...................... Dimensions of same structure ~ith alterations or additions: Front ............... Rear ............... Depth .................... Height .................... limber of Stories ............... Diuenelons of entire se~ coustruction: Front ................ Hear ............... Depth .............. Height ......................... Nuut~r of Stories ..................... Size of lot: Front .................... Rear .................... Hepth .................... 0. Ilate of Purdmse ..................... Nare ol: Former O~uer ........................................ I. Zone or use district in ~aich premises are situated .............................................................. 2. Does proposed oonstruction violate any z~tu8 la~, ordinance or regulation: ........................ 3. Will lot be regraded .................... Will excess fill be removed from premises: YES t. Na~ee of O~ner of pr~misss ........................... {Vldress .............................. ]Pho~ No ............ ~ of tu-chiteet ..................................... Address .............................. Phone No ............ 5. Is this property ~rlthin 300 feet of a tide1 ~etland? * YES .......... NO .......... PLOT DIAGRAH Locate clearly and distieetly all buildings, ,.berber existiag or ~x~ed, and indicate all set-back dii~nsicmu/ rc~ property lines. Give street ~ block msuber or description sccoudiag to deed, snd sho~ street ,~,~s and indicate hether interior or cour~ lot. 'FA1E O~ NI'iN ~lRK, Z~/~' .... . f .......... ~ of i~ivi~ si~i~ ~tr~t) e is the .................... ~:;~.~. ............................................................... (~t~t~, ~ut, ~te officer, etc.) f ~d ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfo~ or ~ ~rfo~ ~ ~id ~ ~ to ~ ~ file th~s lint ~ ~ will ~ ~rf~ in the ~r ~t forth ~n ~e ~l~t~ fil~ ~. Notary Publk% Stl~ of New Y~k No. 01 GL4879506 Qualified in Suffolk C~ul~f ~ _ ,, Commission Expires Dec. 8, ~ duly ~ore, deposes and says that he is tl~e applic~t (Signature of Applicau[)