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Home My WebLink About25315-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26272 Date: p2/09/99 THIS CERTIFIES that the building ALTERATION Location of Property: 3250 PINE NECK RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 12 Lot 1 Subdivision Filed Map No. -- Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 1998 pursuant to which Building Permit No. 25315-Z dated NOVEMBER 10, 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 ALTER EXISTING ATTACHED GARAGE TO A DEN AS APPLIED FOR "AS BUILT" The certificate is issued to JOHN & JUDY FERGUSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-062358 12/08/98 PLUMBERS CERTIFICATION DATED 11/16/98 GREENPORT PLUMBING & HEAT ui~ding Inspector Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, NoY. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25315 Z Date NOVEMBER 10 98 Permission is hereby granted to: JOHN & JUDY FERGUSON 80 DARTMOUTH STREET ROCKVILLE CENTRE~NY 11570 for : ALTERATION OF AN EXISTING ATTACHED GARAGE TO A DEN AS APPLIED FOR "AS BUILT." at premises located at 3250 County Tax Map No. 473889 Section 070 pursuant to application dated SEPTEMBER Building Inspector. PINE NECK RD SOUTHOLD Block 0012 Lot No. 001 9 98 and approved by the Fee $ 75.00 BuildingfWI ns~e/ct~ Rev. 2/19/98 ORIGINAL USE IS UN-LAWFUt ...... OF OCCUPANCY ............. I}NI)ERWRITERS CERTIFiC^TE REQUIRED BROVIBE Op.~N!_~G$ I~OR ........................ EMERGENCY ESCAPE AS N.Y. STATE BUKBING If copper tubing is used for water distributing ............. system; piping shall be of types K.or L onJ~- ........... UNDERWRITER~ C~RTIFICME .......... TOWN OF SOUTHOLD TOW ~LL 765-1802 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 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 ~ite 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 Date /l]]~l.~ .............. qew Construction ........... Old Or^Pre-existing Building ...... ~ ......... ... Location of Property .... v.~--.w .... ~:~ ..... ¢.-,~...~-..~ ......... * ...... '~. · House No. Street Hamlet )nwer 0,~ers of Fropert,, --To~ vA-~ ~E9.c;~9~.~. .............. :onnty T~x ~p ~o~7~{%, Seetion..O..7.0 ....... ;ubdivision Filed Map Lot ·.. ~ermit No..~.~.~.~. J~...~.~..Date Of Permit.../~/~.l~....mpplicant..~p.~q- j~.?~.~.~.-wk-'~'d.'~' .... {ealth Dept, Approval..........................Underwriters Approval. ..................... ... ?lanning Board Approval ........................ lequest for: Temporary Certificate ........... Final Certicate ........... ~ee Submitted: $...~ ................ .............. ...... · ./, .... ....... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: ~ ~ ~J b/o/ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of Notary Public, County LINDA J,; COOPER Notary Publlc, State of New No, 4822563, Suffolk County BUILDING DEPT. /'~ ~' IHSPECTION -~*'-~ [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ]ROUGH PLBG. [ ~].~SULATION [ ~J~ FINAL REMARKS:~~ .~ %'TION (1st) ~OUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENER0¥ CODE Z 'FINAL ADDITIONAL COMMENTS: ---765-1~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]/~I~ULATION/~ [///J FINAL t~.~,' [ ] FIREPLACE & CHIMNEY DATE INSPECTOR t'JO 'l%'? i 'roi FOILM NO. TO~fN OF SOUTHOLD BUILDING DBPARTt4ENT TO~/N HALL SOUTflOLD, N.Y. TEL: 765-]802 BOARD OF HEALTH ........... ~ .. 3 SETS OF PLANS ........ ~.~.. . SURVEY ........................ ---~CN~.CtC . .qff,.~.o. ................ SEPTIC FORN ............ ... . . .. Diasppro~ed a/c (Building Inspector) APPLICATION FOR BUILDING PERNIT INSTRUCTIONS NOTIFY: CALL ............... ... HAIL To:X~i~. . ...... a. 'mis application mist be c~upletely filled in by type~iter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan aho~ing location of lot and of buildings on premiaes, relationship to adjoining presaises or public streets or areas, and giving a detailed description of layout of property nsmt be dra~n on the diagran ~hich is part of this application. c. 'll~ ~ork covered by this application ruay not be caumencad before issuance o[ Building Permit. d. Upon approval of this application, the Buildir~ Inspector will issue a Building Pemit to the applicant. Such pemit shall be kept on ~he premises available for inspection throughout the ~ork. e. No building shall be occupied or nsed in ~onle or in part for any ~ ~iaatever ontil a Certificate of ~ccupansy ~hall have been granDM by the Building Inspector. APPLICATIilq IS ~ [4MIg to the Building Department for the issuance o[ a Building Permit pursuant to the ~,Building Zone Ordinanee of the To~n of 8onthald, Suffalk Coonty, li~ York, agfl other applicable La~s, Ordinances or Regulations, for the constrection of buildings, additions or alterations, or for re~mval or a~mlition, ns herein described. The applicant agrees to canply with all applicable la~s, ordinances, building code, housing code, and r_egu~ati _~o~._, ai..~_ tO ._a~mit,au _t~oFized iu~eeto, rs on pr-emises and in building.~&for _, .. ..P. ..................... ....... ~ q $ ..... :~[~1(~ aO , ~ ~,~.7] / t/~,, ~,. ~-"~. ~ I(t4ai~in~ ~ddrflss of applicant) State vl~t~r appl.ic~n~ is~il}ll~s~t~l'lngeat, architect, engineer, genstar coutrac or~ e ~ p · t~ of o~uer 'of ~,fl~"~t~.!-'~ .......... !'..t..t. ~.~'. ...................................................... ,'!,.tL~F~ '~ ~[~[~ - ,d.~q t~e tox roll or latest deed) . Ii applicant i,s a ,c.9~a,~i~..,O~j~ ~'~f daly antherized officer. Other Traders License No ..................... 1. Location of land on ~hich proposed ~rk will be done ........... ............ gz ........ .'t ............................ ...... 5 .................... l~use l~her Street ~let Camry Tax mp NO. 1000 Section Block ~ Lot Subdivision (Nam) 2. State existing use and a. Existing use and occupancy II. 13. I~. 15. [~cate clearly and distinctly al fr~ property llr~_.~. ~i:m st.~eet ~ ~ethe~ interior or come~ ~ot. F~atnre o[ work (check ~hid~ applicable): k~ .......... Repair ............ i~meval .... ~ ......... Demolition ............ Other (Descrlptioo) ' ~7~ I (to be paid on filing this application) If d~elling, nunher of d~elllngl~mits ............ tlt~ber of &~elling trolls on each floor ................ If garage, nmber of cars Dimensions of existing struetun!s, if any: Froot ................ Rear ............... Depth ................. llelght ........................ ~ tklm~r o[ Stories .............. ........................ l~pth .................... ltei~.t .................... Nt~L~ o[ Storlea ............... ~,~.~i~.~ o~ ~n[,-~ ~ ~.s~ioo~ ~ .......... .~.~.~Re~r ............... ,~ .............. tleight ....................... .{ klt~bor of 8torie~ ..... : ............... Size o~' lot: lh'r~t .. ' Deptt ......... ~ ........ Rear .................... ~ ~te of },,~O,a~ ...3. Jm.l~.4 ...... ~ of 1.'o~ O~r ............................... tg ~XO ~.~a ~0~ E.. ~ooe or u~ dlstriet in *~hlch ~ ~[~ am ~t~ ........ ~ ........................................ ~ill lot ~ ~ ................... ~ill m~s fill ~ ~ ~ ~ o[ ~lt~ .... ~ ~. ~ .~--_+'~' ................... ~res~ ......... ,~ ~ .~~, .................... m~ ............... PLOT ~IAGR~ 1 ~ildi~s, ~tl~r ~isting or pr~, a~ i~icate ail ~t-~ dimnsi~s b!~ ~r er ~s.~rlp~i~ ~c~ing ~ ~kcd, a~a ah~ s~raet ~a ~1 iMicare CL~q IY (~ ....................... Nq~ROYED AS NOT[~ N~I~ BUILDING DEPA~Fy/ 785-~2 9 AM TO FO~NO INSPE~IONS: ~ F~DATION - ~0 REQUlRFD 2. ~. ~O & PLUMBIN, 4. FINAL . CONBVRUCTION BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y, ~TATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR DE~N OR CONSTRUCTION ERRORS o ' individual sxgmng contract) I .............. hemg duly sworn, deposes anti says that he is tim a~li~nt is the ............ ~ ........ I..~ ........................... (~tractor, a~nt, qor~ra~e officer, etc.) I . aid ~r or ~rs, aM is ~ly ~tl~rir~ to ~rfom or h~ ~rfo~ the ~id ~ mM to ~ke a~ file this ; that all skat~nts c~t~i~ in this a~l. lcati~ are the to H~e Imak of his k~l~ and ~liefl ~t the ~rk will ~ ~rfo~ in tl~ m~mr ~t forth in ~e a~l. lcati~ film ~ to ~fore ~ ~is ...... .... ..... .... ........ ~&~}'G~ d~ · · Nota~ Publ 0. No. 01491~5 A~I.i Qualified In K ngs & Nassau ~ ~ ~ COrem sslon ~ires Feb. 1. !!