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Home My WebLink About25641-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26496 Date: 06/07/99 THIS CERTIFIES that the building ADDITION Location of Property: 1060 LEEWARD DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 7 Lot 40.3 subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 15, 1999 pursuant to which Building Permit No. 25641-Z dated MARCH 23, 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 JOHN & SHARON RUMPLER (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. 25641 Z Date MARCH 23~ 1999 Permission is hereby granted to: JOHN & SHARON RUMPLER 1060 LEEWARD DRIVE SOUTHOLD~NY 11971 for : CONSTRUCTION OF DECK ADDITIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1060 LEEWARD DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0007 Lot No. 040.003 pursuant to application dated MARCH 15 99 and approved by the Building Inspector. Fee $ 75.00 Authorized Signature COPY Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL APPLICATION FOR CERTIFICATE OF O¢ Thi's application must be filled in by typewriter OR inspector with the following: for new building or new use: 1. ~ildim Final survey of .property with accurate location of all buildings, property lines streets, and unusual natural or topographic 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 building, industrial building, multiple residences and similar buildi 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a ~pre-existing" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applican 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, Sw4~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - ...25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. House No. Street Hamlet Onwer or Owmers of Property .......................................... County Tax Map No i000, Section ........... Block .............. Lot...~/1. ~. ......... Subdivision. k~.~'.~...~0R~. .............. Filed Map ............ Lot .................. Permit No~.~.~?JJ..~....Date Of Permit ................ ApplicanJ.~.~' }~.~.L~ ......... Health Dept. Approval....~/~. ................. Underwriters Approval. Z.~/.~ ............... Planning Board Approval .... ./~./.~.4. .............. Request for: Temporary Certificate ........... Final Certicate ......... Fee Submitted: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSU. U.U.U.U.U.U.U.U~ON [ ] FRAMING [/_~NAL [ ] FIREPLA~ CHI~NE~f REMARKS DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ! ~,SI~LATION [ ] FRAMING [ g~/~FINAL [ ] FIREP.L~I~ CHIMNEY REMARKS.~ DATE ~~/ ~ I NSPEC~O~ DNDATION (2ND) DATg ,UGIH{ FRAHE & PLUI~BING I1_ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY (3') 2"X 12n C~ r~ p E~, "APPROVEDAS NOTED - F~: $ 7S'~ m': NOTIFY BUILDING DEPARTMENT AT 7S5-1802 g AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUND_,~TION - ]~IO._BEQ ILUflEQ ...... FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING S, INSULATION 4. FINAL - CONSTRUCTION MUST BE Cr)MIq. ETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS i ?. L o" o.C. I'4 m:~bIV~ 3~0', ~ORH~O. ! TOI~I OF SOUTHOLD 5UILDIN6D~pARTHE~T TOI~HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 lBuilding Insp~tor) ,ICATION FOR BUILDINC PI/RHIT ~R~TRUcTzOHS ,~ s~s~o~ ~ :.':::.'.'...'.'.'.. CALL a. 'Ibis application ~nst be 'comPletely filled in by type~iter or in ink and submitted!to ~e Building Inspector 3 sets of plass, accurate plot pl~ to scale. Fee according to schedule. b. Plot plas a'~o~ring location of lot and of buildi~s on premises, relatio~hip to adjqini.ng premises or pt~lic streets or'areas, and giving a d~'t, ailed descril~ion of lalmut ofpropagty u,~st be~dra~m on the diagran ~hid~ is part of this application. c. The ~ork covered by this applicatiee my eet be core.riced before issuance of lluilding Penait. d. Ulxm al~x~al of this application, the Building luspactor will issue a Building Pemit to the applicant. pamlt shall be,kept on the premises~available for inspection thronghont the wrk., ' ' e. 1~o building shall be occupied or used in ~&ole or in pa~ for a~ purpose ~aat,~er tmtil a Certificate of ~upancy shall have been grasted by the l~ilding Inspector. APPLICATI(I~ IS ~ ~ to the lhilding Dep~ ~,.~ for the issuance of a ltuildi~g Permit ,l~ws~ut to the ltu~lding ?~r~ Ordinas~ of file ~ of Sasthold, Suffolk Co~lCy~ ~ York~ and,other applicable L~s~ Ordin~ees'or Regulations, for the ~or~t-ruc£ion of buildings~ additions or alterations, o~ for rem~al or ~lition, as herein described. ~he applicant agrees to c~x~ly ~ith all applicable la~s, ord?seces,' building code, housing code, and regulations, and to ~A~!~ authorized i~spactors on premises and in I~dilding for nscessavy inspeeti~.~_ ~ignaturo of aPPlieast~ or mine, ~f a corporation) (liailing ~,t~ress of applic~t) State ~hether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builde~ ....... ~.,~,vs-~ ................................................................................................... .. of r, se, .......... H aaa ................ .................................... (as on the tax re11 or latest deed) If applicant is a eorporatio?~ sil~ature of del¥ authorized officer. (Name and title of corporate officer) Builders License Ixb .... ~ ...... ~ .......... Plumbers Lice~e lto .... ¢ff/.~. ................ Other ~'s Iacasse lib .... .X./~/~. ........... I. Location of land on ~hich proposed ~ork will be de~ ............ ~ .......... ' ..................................... ~.. Bonse ~er 5treet H~let ~. ~,i~ ~ ~ ~ ......... ~l~.~.Eq....~ ~.lf.a~!;7 ...................... ~. ~ ~ ~ ~ ................ ~..~5...5~...~ ........................................... appl lcab,!,e): ~ ~ldit ioa ....... Alteratio~ .......... 3. Nat,~e of ~ork (check ~hidl ..... Buildi~ .......... PLOT BIAG~ ~r interior or ~r lot. ~m to ~Eore ~ ~is ; .... A' ............. gay of . . · HELENE O. HORNE~ N~W P~Ii~ ~ate of New Yo~, No. 4951364 Commi~ion ~tres M y ,19 ~ ,~