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Home My WebLink About25255-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26616 Date: 08/09/99 THIS CERTIFIES that the building ADDITION Location of Property: . 2855 CEDAR BEACH RD SOUTHOLD (HOUSE NO.) (STREET} (HAMLET) County Tax Map No. 473889 Section 91 Block 1 Lot 1 Subdivision Filed Map No. -- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 27, 1998 pursuant to which Building Permit No. 25255-Z dated OCTOBER 20, 1998 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 SECOND STORY DORMER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL B~AVERMAN & MARK STEFURAK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A PENDING N/A S~ild~g ~ns~c-t~r 08/02/99 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. 25255 Z Date OCTOBER 20 98 Permission is hereby granted to: MICHAEL BRAVERMAN 2855 CEDAR BEACH ROAD SOUTHOLD~NY 11971 for : CONSTRUCT A 2ND STORY DORMER ADDITION CONTAINING HABITABLE SPACE & HAVING A MIN. HT. OF 7'6" CLEAR TO AN EXISTING ONE FAMILY DWELL AS APPLIED FOR. at premises located at 2855 County Tax Map No. 473889 Section 091 pursuant to application dated AUGUST Building Inspector. CEDAR BEACH RD SOUTHOLD Block 0001 Lot No. 001 27 98 and approved by the Fee $ 75.00 - Building I~spect~ ORIGINAL Rev. 2/19/98 Ac Form No. 6 '~j [ ........ il/~ BUILDING DEPARTMENT i i; o t999 TOWN 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. 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 fo~) . 3. Approval of electrical installation from Board of Fire Underwriters. 4, Sworn statement from plumber certifying that the solder used, less than 2/10 of 1% lead. ']'] 5. Co~ercial building, industrial building, multiple residences and inst~llations, a certificate of Code Compliance from aroh~ ~J[J~ responsible for the bullring. 6. Submit Planning Board Approval of completed site plan require= mt . April 9, 1957) non-confo~ing us For existing buildings (prior to Upre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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 Buildinz - $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 House No. Street Hamlet Onwer or O,, ers of ........................................ County Tax Map No 1000, Section ...... ..... Block..-¢.--.~I Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~..~..~.....~..Date Of Permit../.O./~..O.l?.~ .... Applicant...~..~.~./.'.~/../-; ~[~'~'~ Health Dept. Approval......... ............. . .. . Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicete..~. ..... / .¢_r, ............... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 2, 1999 Michael Braverman 2855 Cedar Beach Rd. Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occup~cy ause of the following reasons: / . XX An application for Certificate of Occup~hcy is ----~xx~q~ No Underwriters Certificate on fil~ ~ 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 # 25255-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~OU__NDATION (1st) ?OUNDATION .~. (2nd) ROUGH FRAME & .PLUMBING' I~SULATION PER N. STATE ENERGY CODE ~============= ·FINAL ADDITIONAL TOXVN OF OFFICE OF BUILDING P.O. BOX TOWN HALL · £OUTHOLD, N.Y. 11971 765-1802 CERTIFICATION (Plgase print) Plumber ~0 ~,~ V~ (please print) :I certify that the solder used in the water contains less than 2/10 of 1%' lead. supply system S.worn to b~fore me this ~ day of ~ ,. ~;Otary Public~ County (plumber' s signature) ' ~!Notary Pubtic JOYCE M. WILKINS Notary Public, State of New Yor~ No, 4952246, Suffolk County Term Expires June 12, Go = 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] iN~~ON [//]/FINAL [ ] FI REPLACE.~CHIMNE//Y~ //~/~)r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN/SULATION [ ~]/~INAL [ ] FIREPLACE & CHIMNEY DATE iNSPECT~~, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ]~JGHPLBG. [ ] FOUNDATION 2ND [ ~ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & C~/IMNEY // -,, DATE INSPECTOR / 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [/~ROUGH PLBG. [ ] FO~JI~ION 2ND [ ] INSULATION [ ~j/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY INSPECT~~ ..,:,',..,.' ' ,,,:,.. .,: tx. Fen.i t Ho ................. ~U~V~¥ · ..; · ,, ,, ~ :,'.' ,; ......... CIIgCK .................. ~ ...... $1Zt~TIC ~Olllt ................... 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I. l~uti~ o~ 1~ ~ ~ltd{ p~l ~rk viii ~ a ............................................................. ............................. t~ ~r St~t ~1.~ --, · ,:~ · · · · ........ l~t ~ivisi~ ...................................... ~ll~..~p ~..., ..... ~' .....~t ............... 2. State exlsti~ ~ ~ ~ o~ ~t~e ~-h~e~ ~e ~ ~ o[ p~ ~t~ti~: ' ~/~ ~/~ ~ ~J~v.. xa¢/.~.~ ............. · ................... R), II. 15, /~ ~ /~ Local:a cl. early,a~d fl'c~ prol~tty },ln~a, Olvn al:reel: ~d~etber Jnl:erlor or eot'net ...... ~ ............. Ix~h,.r.~ duly ~.,~)£., (l~lx)~9~ n~xl ~ye LI,ol: lie J~ the n~pl.h~,mL (('~ltractor, nl~l~,--c )rpornte oEEleer, ere,) .......... z~ ..... ,,.,~,~ ../F-~4~.=,,..~.~.., FAY O. ~DER No. 41-499~73 ~ssion Expires April ]1' 'I