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HomeMy WebLinkAbout25276-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26526 Date: 06/28/99 THIS CERTIFIES that the building ADDITION SOUTHOLD Location of Property: . 60 KOKE DR (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 6 Lot 14 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4, 1998 pursuant to which Building Permit No. 25276-Z dated OCTOBER 23, 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 SCREEN ROOM ADDITION TO ~/STING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LORRAINE M FEIMER ( 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 /~ ~" Buildi~ng ~Inspec~r FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25276 Z Date OCTOBER 23 98 Permission is hereby granted to: LORRAINE M FEIMER 60 KOKE DRIVE SOUTHOLD,NY 11971 for : CONSTRUCT A SCREEN ROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 60 KOKE DR County Tax Map No. 473889 Section 078 pursuant to application dated SEPTEMBER Building Inspector. SOUTHOLD Block 0006 Lot No. 014 4 98 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUP~CY must .... {' This application be fzlled ~n by typewrzter OR znk and subm~tCe&""~o: 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 Under~iters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-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. 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 Buildina - $100.00 (3. Copy of Certificate of Occupancy - , -25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $t5.00, Commercial $15.00 Date ............................... New Construction ......... , Old Or Pre-existing Building.. Location of Property.i]...~..~.~.~.~..~./..~ ......... i]]i]]]]]]]~~ ............. House No. Street Hamlet / Onwer or Owners of Property..../~..~..'~./../~.~....~.~/.~.~ ......................................... . . County Tax Map No 1000, Section....~..~. ....... Block ...... ~ ........ Lot... ~.~.. ...... ". ....... Subdivision .................................... Filed Map ............ Lot .............. :.. ...... Permit No ................ Date Of Permit ...... Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDINO DEPARTMENT TOWN OF SOUTHOLD June 22, 1999 Lorraine Feimer P.O. Box 953 Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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 # 25276-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ [ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] I~ISULATION ] FRAMING ~.~ [~'/FINAL ] FIREPLACE & CHIMNEY ~///~/ CTO~~, DATE . . _ INSPE FOUNDATION (2nd ROUGH FRAME & · PLUMBING· INSULATION FER N. STATE ENERGY CODE ·FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROU~H~,BG. [ ] FOUNDATION2ND [ ]~,~OLATION [ ] FRAMING [ ,~ FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 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