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Home My WebLink About25246-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEP~-RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26043 Date: 10/20/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1195 GOOSE CREEK LA SOUTHOLD (HOUSE NO.) (STREET) (PL%MLET) County Tax Map No. 473889 Section 78 Block 8 Lot 8 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1998 pursuant to which Building Permit No. 25246-Z dated OCTOBER 19, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupanoy for which this certificate is issued is BATHROOM ALTERATION, REAR ENTRY ADDITION & STORAGE SHED ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to ARTHUR & MARCIA WEINBERG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTHENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-150344 09/20/90 PLUMBERS CERTIFICATION DATED p6/08/98 PERFECTION PLUMB.&HEATING Build~I~spec r 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. 25246 Z Date OCTOBER 19~ 1998 Permission is hereby granted to: ARTHUR & MARCIA WEINBERG CUTCHOGUE,N¥ 11935 for : CONSTRUCTION OF A BATHROOM ALTERATION & REAR ENTRY ADDITION & STORAGE SHED ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated OCTOBER Building Inspector. 1195 GOOSE CREEK LA SOUTHOLD Block 0008 Lot No. 008 19 1998 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. FSnal survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval frQ~ Health Dept. of water supply and sewerase-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 buildings 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 and 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 signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. :. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ............................. ~ew Construction ........... Old Or Pre-existing Building.~ .............. ,ocation of Property... .i...~.~'..~ ~ ......................... House No. Street Hamlet ~wer or Owners of Property.. ~..~Vf..~....~f(&~..-~0~.6-~ ............................ :ounty Tax Ive~p No 1000, Section...'.~-..$ ........ BlOc~---~- ............ Lot .... ~- ..... ' ........... Filed Map Lot -- · ubdivision ...... 'ermit No..~5~6~ ....... Date Of Permit.. 4~/45~ ..... Applicant.A~.~. ~...M~R.Q~6.~gI~B5RG ..... Underwriters Approval ........ Approval ................. {ealth Dept ............ lanning Board Approval ..... lequest for: Temporary Certificate ........... Final Certicate ........... . . v,. ::. -. :~ - 85.JOHN STREE~,:N~~ YORK,'N~. YO~K ~0038 ' . , THAT"-, . '' ' ' '" ~ ,'~ ,' ~, '- : ,' ,, OVENS MULTI-OU~UEr [ -1DIMMERS SYSTEMS -COOl)ALE F-J, ECTI~[C '/355 r zc.#7.ss-s ~TTITUCK, F~, 11952 This certificate must'not be alte~d in'any mann~ ~efurn to ~he office of'the ~o~rd incorrect. ,Inspectors may be identified by their credentials. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 C E R T I F,,,I C A T I O M Building Permit No. (pl~se Prin~) (please przn~ I certify tha~ the solder used in the water supply system contains less than 2/1,0 of l%'lead. (plumber ' s signature) Sworn_ to before me this _~day of ~/a~-e__ ,' ~lOtary Publi ,~/~J~county Notary Public BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. 1 SURVEY ......... TOWN OF SOUTHOLO CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL 8OUTHOLD, N,Y. 11971 NOTIFY TEL.: 765-1B03 CALL .... , ............ Examined..~..~..'~./f.., 19f.~ . MAIL TO: Approved . .m. . , Disapproved a/c ..................................... · .g p ) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Ttds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit· d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until ~ Certificate of Occupancy shall have been granted by~ the Building'lhspecibr. ' . APPLICATION IS HEREBY MADE to the Building Department for tlie issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold Suffolk County., New ~prk, and. other app!igable Laws Ordinances or Regulations, for. the construction of buildings, additions or alterations, or for remuS, al or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin~g.~;od*~';-,ff~p~using$9~e, and regulations, and to admit authorized inspectors o~ prem!ses and in b~ilding for necessary (S~ ~l~l~flq~,~ame, .,f a corporat,on) State whether applicant is owner, lessee, agent, architect, enginee~','~e:/i6~ai~b~tl~l~t~,A~ e~e~.~%'l~lmnber or builder. .................. · .......................... ~,~ '~ ~ ................. Name of owner of premises .. ~ ~ :~ /.~.~../~..~. ~. ~47' ... If applicant is a corporation signatt re:of, dul,g~agth'oriz,'ejl officer (N d 'tl f ffi r,) " ALL CONTRACTOR'S HOST BE SU. FF,OLK COUNTY LIC*gNSED Builder License No Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locatiou of land on which proposed work will be doue~ ................................. '. ............... ltouse Number Street Hamlet CountyNo. ,000 Secfion ..... 7. e ......... .... ? ............. Subdivision Filed Map No Lot ~ (Name) 2. State existing use and occupancy of premises and intended use and ogcupancy of proposed construction: a. Existing use and occupancy ............................................... b. Intended use and occupancy ........ )°tS*... ~t~.. ............................................... / 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. RemovaU .............. Demolition ............. Other Work ............... (Description) 4. Estimated Cost ...................................... Fee,, .....(t~ ............................... be paid on filing this application) 5. If dwelling, number of dwelling un [ts ............... Number of dwelling units on each floor ................ If garage, number of cars .......................................................... 6. If business, commercial or mixed occupancy specify nature and extent of each type of use ................... 7 ..... Rear Depth Dmaens~ons of emstmg structures, If any: Front Numbe~ of Stories ........................................ Height ............................................................ Dimensions'of same structure withlalterations or additions: Front Rear Depth I Height Number of Stories 8 Dimensions of entire new construction: Front ' Re~[ Depth Height ............... Numbe[ of Stones ................................................ . 9 Size of lot: Front ' Rear Depth 10 Date of Purchase . Name of Former Owner . Zone or use dmnct m whmh premises are s~tuated ................................................... 12. Does proposed construction violat{ any zoning law, ordinance or regulation: ................. ~. ............ 13. Will lot be regraded~?; ........... I ........ ......... Will excess fill be removed from premise~: Yes No 14. Nme of Owner 0fpremises ..... ] ...... Address ..... Phone No. Name of Architect ] Address Phone No N~e of Contractor ........... I ......... Address .... : .............. Phone No ................ 15. Is this property located wi~i~ ~6 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold To~ Trust~es Permit may be required. PL~ DIAG~ Locate clearly ~d distinctly ~l bu~ild~gs, whether existing or proposed, and. indicate ~1 set-back d~ensions from property lines. Give street ~d block number or description aceord~g to deed, ~d show street nines and indicate whether interior or corner lot. I A VID N ED. ~. ~ ~ .BY: ~' UNDERWRITERS CERTIFICATE N~ BUILDING D~PA~MEN~ AT REQUIRED ~-1~ ~ AM ~ ~ PM FOR THE ~ FOUNDA~ON -~O REOUIRED ~ ~URED ~R~ "" 2. R~QH - F~ t AUMBI~G If copper tubing Is used 4, FINAL - CONSTRUCTION ~US~ for water distributing BE COMPLETe FOR[C.O. System; piping shaU be ALL CONSTRUCTION SHALL MEET of ~pes K or L THE REGUIREMENT~ OF THE N.Y. STATE CONSTRUCTION & ENERGY UNDERWRITERS OER'FIFIOAFE CODES. NOT RESPONSIBLE FOR ~ESIGN OR CONSTR~CTION ERRORS REQUIRED eOU~Y OE.. ~. ~ ..... ~'~ ........ [~ ~ ~. · .~. ~..ZF/.~ · · ~ ........ being duly sworn, doposes a~d says that he is tho applicant (Name of individual signin8 c~ontracO ~bove named. ~ ~ (Contractor,. agent, corporate officer, etc.) >f said owner or ownem, and is duly au{hofized to perform or ha~e performed the said work and to m~e and file this ~pplication; that all statements containedl ~ this application are true to the best of his knowledge and belief; and that tho ~ork will be performed in the m~ner set forth in the application filed therewith. ;worn to before me this ....................... day of .................... , 19. ~ota~ Public .. County Nota~ Publ)o. 8talo of Nav~ 0rk (Signature of applicant) No, Commi~ioa/xpimo Juno 8, USA, ~ttl;UR~NCE CORPORA TION OF' VY~$TAI~V~TER BAN~* ......... ~" ' ~RT~ L~ · ' .... ' . ~' ~ . .' ~ ,~ .",