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Home My WebLink About25621-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-26369 Date APRIL 12, 1999 THIS CERTIFIES that the buildin~ ADDITION Location of Property 3536 ~naR BEACH RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 93 Block 1 Lot 6.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAR~H 15, 1999 pursuant to which Building Permit No. 25621-E dated MAR~H 18, 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 IN ADDITION TO EXISTING ACCESSORY BUILDING "AS BUILT" AS APPLIED FOR. The certificate is issued to EUGENE ~ACOCK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-063459 - MARCH 11, 1999 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. 25621 Z Date MARCH 18~ 1999 Permission is hereby granted to: EUGENE F HEACOCK 3535 CEDAR BEACH RD. SOUTHOLD~NY 11971 for : CONSTRUCT AN "AS BUILT" SCREENED-IN AREA TO AN EXISTING ACCESSORY BUILDING. at premises located at 3535 County Tax Map No. 473889 Section 093 pursuant to application dated MARCH Building Inspector. CEDAR BEACH RD SOUTHOLD Block 0001 Lot No. 006 15 1999 and approved by the Fee $ 35.00 Auth~ ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the bui]ding inspector with the following: for new bailding or new use: l. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topograpbic 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 buildin, g, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance [rom architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. F,r exiating buildings (prior to April 9, 1957) non-conforming uses, or buildings ned "pre-existing" land uses: ~. Accurate sorvey 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 tile 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-existin~ Buildin~ - $1OO.O0 3. Copy of Certificate of Occupancy - .25~ 4. Updated Certificate of Occupancy - ~50.OO 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 ~ ~ate ../.2. :..~:..?.~ ........................... Locatlon of Property ....... ~.~.~ .... '-.~--.~ .... ~'~.~'~.'7~.. # ...... ~..~ ............... House No. S t re~e~ Hamlet f-, ..~...~..d. c~c ~--_ o. er or owners of Property .... Cousty 'Fax Map No 1000, Section .............. Block ............... Lot ................. Sol)division ................................... . Filed Map ............ Lot ...................... Permit No.~.~.~.~. .... Date Of Permit.3./.;.$/.~.f ...... Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning. Board Approval ..................... ... Request for: Temporary Certificate ........... Final Cert~~ Fee Snhmitted: ,...g~.....O~. ................. co ? .............. THE'NEW YORK BOARD OF'FIRE UNDERWRITERS ~7~7 ~S BUREAU OF.ELECTRICITY 40 FULTON STREET, NEW YORK, NY~,10038 -- MARCH 11,1999 ' 17805199199 H 063459 Date Application No. on j~le THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of GENE }SLACOCK, 3515 CEDAR BEACH ROAD, CENTER HOUSE-3, SO~UTHOLD, NY inthe following localvl.~ rl %'~k.'~5 ,C.~laseml g~9nt Section Block Lot · ' ~ lstF1. ~] 2ndFI. OUT was examined on and found to be in compliance with the National Electrical Code.. FIXTURE OUTLETS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS iPECIALREC'Fi'. TIMECLOCKS BELL AMT. K,W. OIL H.P. GAS H.P. AMI'. NO. A.W.G. AMT. AMP. AMT. AMPS. TRAN~S' OTHER APPARATUS: ~NO VISUAL DEFECTS, "An electrical survey has been made.of .th~ exposed · electrical equipmsnt in the premises indicated." . "No obvious unsatisfactory condition was found. ' ' ' ' ~ · " ~ FIXTURES *RANGES ASHE~s OTHER ........ K.W MULTI-OUTLET SYSTEMS NO. OF FEET EXHAUST FANS AMT H.P. DIMMERS AMT. WA115 .o. o~ .EU,,^tS ' }L w. o. P. O, BOX 696 SOUTHOLD, NY, 11971 GENERAL MANAGER This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR ~UILDtNG D~PA. RTM~NT. TH~S COPY OF C~RT~FICATE MDS~ NOT ~E ALTERED IN ANY MANNE~. OF' ,~'OU ~HOL_ .,..~ ,,~,'~'FF-O L, N C~.,,i%~, y. ~ 0 3535 -%- ~Ol~fNO. I TOI~I OF SOUI'BOLD BUILDING DEPARTHENT TO~RqHALL SOUTHOLD, H.Y. 11971 TEL: 765-1802 l)is~o~o~-d a/c .................................. A~LICAT~ON FOR BUILDING PERI, fIT INSTRUCTIONS 3 SETS OF MS ............... SURVEY ........................ S~PTIC PORH ................... NOTIFY: CALL .................. MAIL TO: .................... 'Da:e ~h 19~. a. This application mst be cempleCely filled in by type~iter or in ink and subnit£ed to the lhilding inspector vi 3 sets of plans, accurate plot plan to scale. Fee ~-r~rding to schedule. b. Plot phm sho~ing location of lot and of buildings m premises, relationship to adjoining premises or public s~eers or areas, and giving a detailed description of la~ut of property ~ost be dra~n on the diagr~ daich is part of this application. c. The ~ork covered by r_his application may not be oa~,.~aced before issuance of Building eemit. d. Upon ~vv~,,eal of this applicatim, lira Buildi~ Inspector will issue a lhiilding Pemi~ to the applicant. Such ~ennit shall be.kept on the p,~..Ises available ~or inspection ~hr~t ~ work. e. No building ~hall be occupied or used in ~tmle or in par~ for any purpose ~natever until a Certificate of APPLICATI(II IS I~10~t ~ to the Building De~r for the issuance of a Building Penait pursuant to the Boilding Z~e O~Oi~ce of gm To~n of ~hold, ~ffolk Coun~y~ Ne~ York~ and other applicable La~s, Ordinates'or Regulations, for the construction of buildings, additions or alterations, or for re~val or a~mlirion, as herein described. ~he ~pplieant agrees to _~:~?ly vith all applicable l~as, ordinances, building code, housing code, and regulatieoa, and ~o ~!t authorized inspectors en p,~iaes and in lmildi~ for necessary inspections. (Signature of applicant, or na~. ifa mratioa) (Hailing ~,4a~ess of applicant) State ~hether applican, is ~aner, lessee, ~ architect, engineer,' general contractor, electrici~m, plumber or lmilde, ~ of oaner of prmflses .............................................................................. (as cn the tax roll or lates~ deed) If applicant is a co, po~ti~.~ signature of duly authorized officer. (l~m~ aad title of corporate officer) Builders License No .......................... Plr~ers IJ~*e lto .......................... Electrici~xs License No ...................... Other Traders License No ..................... I.. I~cation of land on ~/dd~ proposed voflc v111 be done .................... ~ ....................................... . . . . . . . . , /g/. . . .... . /d. . , . ..................................... ~ Co~aty Tax Flap No. lO00 Section ................ Block ..... Lot Subdivision ...................................... Filed li~ No ................ Lot ............... 2. State existing use and occupancy of premises and intondod use.a~d occupancy of proposed construction: 3. Nature of ~ork (check ~hich applicable): lxlev Building .......... addition ... teration .......... Repair ............ lk~oval .......................... ~ .... llemoli~iee Other 6. Estimated Cost .;.:.,. ................... fee .............................................. ' // (to be paid on filing this application) 5. If dl~lhng, nt~r oF d~elling umts '. ....... i,,,~,~r of dva~l.hng units on each floor ................ If v. ara~e r~her of care ......... .tO ............ 6. If business, n'.,,,ercial or mixed 'occupancy, specify nature and extent of each type of use ...................... ~.~ima~s~ee~ of ~st~ st~=~,,._i~ ~.. ~ont.21£~. ...... ~ ..o?/.ff.*. ...... ~,th ,21..f'./. ....... :. ./.qi~..... J. Stories l)imacaions o[ r--' -' ~;~ : . ;-:i '-- -~':~ ; a&littons: Front ...r~.t?..~. .... l~r ...-~/..~.j.r... ~,th'.':..q ~.'. :':i ..... '... mi~t...e. :'.~;~... ~t~ or ,,~to~i, ._ t ........... 8. Dim~sions of anti,re ee~ constmetjee: l~ront ................ l~ar ............... l~pth .............. _~.ight ......................... ~IxX~ber o~ 8toriee ..................... ,. ,=t .... ........ .... I0. Date of Pm'dmee ............... , .....lx~ne of Ponmr O~mer ........................................ I I. Zone or use district in ~nlch premtsee ~re altuated ................................... 12. Iloee proposed construction violate any zoning 1~, ordtnmee or regulation ...... ~. ............... 13. ' regraded ....X/~ ~[ ........... ' mas ' roll lot be ~.,.. lhll fill be rmm,~ ~rcm Na~e o~ a~chiteet .............. ! ..................... &idress .............................. Phoee Mo ............... N~e of Ceetr~ctor ................................... ~klrees ............................... I~one No ............... 15. Is thi~ t, rot~rty }fithin ~ feet of a tidal *~tl~l? · ~.8 .............. ·IF Y~,S, StXIl~n 11~ TBUb'i~S I~ BAY ~ l~t, Ll~,u. i PLOT DIAOIL~I Locate clearly and distiuctly al~l buildings, ~Y~ether existing or proposed, ~nd indicate all set-b~k dlmausions frou property lines. Give street sud block m~her or description according to deed, ~ sho~ street ummes ~ indicate ~t~ether idterlor or corner lot. · .., ................ bexng duly 8~om, deposes And says that he is the applicant lie (Ceetrsct~ sBe~orporate o~ficer, etc.) ' , is the ................. ~ ................. · ...................................................... of said miner or o~ners, antl~i~y ~t~ri~ to ~rfom or h~ ~rfo~ tim ~id ~ ~ to m~ ~ Elle this a~licati~; ~at all stat~nts c~tal~ in ~is s~licati~ are t~ to ~e ~st of his ~1~ a~ ~lie[i a~ flint ~ ~ will ~ ~rfu~ in tlm~ m~r ~t forth in ~e a~li~ti~ fil~ ~. )zgnaCure of Apphcont)