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HomeMy WebLinkAbout25677-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-26371 Date APRIL 12, 1999 THIS CERTIFIES that the building. ADDITION & ALTERATION Location of Property 3538 CEDAR BEACH RD. SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 93 Block i Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1999 pursuant to which Building Permit No. 25677-Z dated APRIL 12, 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 ENCLOSE EXISTING SCREEN PORCH WITH GLASS & SHED ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to EUGENE HEACOCK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-063457 ~I'~RCH 11~ 1999 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. 25677 Z Date APRIL 12~ 1999 Permission is hereby granted to: EUGENE F HEACOCK SOUTHOLD~NY 11971 for : ENCLOSE EXISTING SCREEN PORCH WITH GLASS & SHED ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 3538 CEDAR BEACH RD SOUTHOLD County Tax Map No. 473889 Section 093 Block 0001 Lot No. 006,~ pursuant to application dated APRIL 16 1999 and approved by the Building Inspector. Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN NALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Th£s application must be filled in by typewriter OR ink and submitted to the building iaspector with the following: for new building or new use: }. 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 instaliation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used ia system contains less than 2/10 of i% lead· 5. Commercial buildin~g, industrial building, multiple residences and similar bu[ldJngs 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. Fr~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildiags and "pre-existing" ].and uses: 1. Accurate survey of property showing all property lines, streets, buiiding 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 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-existing Buildin~ - $100.O0 3. Copy of Certificste of Occupancy - · .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $]5.00, Commercial $15.00 .. ........................ ' ,,ocation of Property.] ..... ~~~7~[~... }louse No. ~ ~ Str~e~ Hamlet Onwer or Owners of Pro ert- ~~ ~ ~ ~ ~. ................................... Filed Map ............ Lot ...................... S~>division . Permit No.~.~..~.2%.~.Date Of Permit ............. · ..Applicant ............................. ltealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Reqaest for: Temporary Certificate ....... Fee Sobmitted: $.~.,.~ ................. ' , T,HE' NEW YORK BOARD OF FIRE 'UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 ~ · ~ ~RCH 11,1999 17gO539~/99 H 063~5~ Date Application No. on file r THIS CERTIFIES THAT only the electrical equipment as described below and introdttFed by the applicant na~ed on' the abo¢e applicaHon number is in the premises of GENE HEACOC[(, 3515 CEDAR BEACH ROAD, EAST HOUSE~i, SOU~HOLD, NY in the following location; [] Basement [] 1st FI. [] 2nd FI. OUT Section Block Lot MARCH O5,1999 was examined on and fox,nd to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES FIXTURES RANGES OVENS DISH WASHERS OUTLETS FLUORESCENT OTHER DRYERS OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey has been~made 'of,.the ~exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. SYSTEMS R C E JOHN ROt~NELLI ~ L ~c P. P. BOX 696 SOUTHOLD, NY, 11971 GENERA~ MANAGER ,COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUsT ~oT BE ALTE~AD IN ANY 'M~NNER, q,'.. 7o,w~<>/ O F-' -FORM NO. I TO~N OF SOUI'HOLD BUILDZNG DEPARTMENT TOViNItALL SOUTHOLD, N.Y. 11971 TKL: 765-1802 INSTRUCTIONS NOTIFY: CALL ............... .. . HAIL TO: .................... a. ~his at~lieatim ~st be er~.letely iillt4 in ~ ~i~r or in il ~ ~itt~ to ~ ~ildi~ I~tor ~ 3 ~ts of pl~, m~ plot p~ w ~le. 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