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Home My WebLink About25319-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26412 Date: 04/28/99 THIS CERTIFIES that the building ADDITION Location of Property: 270 BOISSEAU AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 3 Lot 6 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 23~ 1998 pursuant to which Building Permit No. 25319-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 BLOCK FOUNDATION FOR BILCO DOOR AS APPLIED FOR. The certificate is issued to CARLISLE & JEAN COCHP~N (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A 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. 25319 Z Date NOVEMBER 10, 1998 Permission is hereby granted to: CARLISLE & JEAN COCHRAN PO BOX 285 SOUTHOLD,NY 11971 for : INSTALLATION OF A BLOCK FOUNDATION FOR BILCO DOOR AS APPLIED FOR. at premises located at 270 BOISSEAU AVE County Tax Map No. 473889 Section 063 Block pursuant to application dated SEPTEMBER 23 1998 Building Inspector. SOUTHOLD 0003 Lot No. 006 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 mo 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 ofc~0pleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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 sig-aed 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. Certificata of Occupancy on Pre-existing Buildin~ - $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 .~./.~..~. Z~. Z .......... New Construction ........... Old Or Pre-existing Building.~ ............. ........~7~ .e~./../&../F... ..... z.~..z Location of Property.. ~.,.. _,~.~.~z.~....~.~ ..... / ....... House No. Street mlet Onwer or Owners of Property .................................................... county ~ mp No 1000, Sect~on...~.Z~ £M.?.~loc~.. ~¢ ~ .Lot .... ~ ......................... Subdivision .................................... Filed Map ............ Lot ...................... of ~/l<~ .......................... Health Dept Approval Underwriters Approval . .. Planning Board Approval · Request for: Temporary Certificate ........... Final Certicate....~ ....... Fee Submitted: APPLICANT FOUNDATION ( 2ND ) ~-~ It II. ti !i '" <'' INSULATION PER N. Y- con~ Il II. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INOCULATION [ ~FINAL DATE 765-1802 BUILDING DEPT. INSPECTION ] F/OUNDATION 1ST [ FOUNDATION 2ND [ ROUGH PLBG. INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: .~ / _~ ~, DATE ~///~///~ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] F,REP~ACE & CHIMNEY RIEMARKS. _~_~--~:~__.~_~._* ~~.~ DATE ~/////~-///~ INSPECTOR FORI~ NO. [ TOWN OF SOUTHOLD BUILDING DEPARTI4ENT TOI~I HALL SOUTHOLD, N.Y. ]197{ TEL: 765-1802 Disapproved a/e .................... BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY .......... CHECK ......................... SEPTIC FORii ................... NOTIFY:, CALL ................ .. PAlL TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application m~st be ca~pleCely filled in by type~rriter or in iak and anhnitted to the Building Iaspsctor 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan ~ing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and §lying a detailed deacriptiee of layout of prolmrry ~t be dra~n on the diagram ~hich is part of this application. c. 11~ ~ork covered by this application rmy not be ccetreneed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector ~ill issue a Building Penalt to the applicant. Such pamit shall be ke~t on the premises available for inapeetion thront~aont the work. e. Na building ahall be nec~pied or used in ~ole or in part for any purpose wImtever ontil a Certificate of ~ecupancT ~hall have been granted .by the Building Inspector. APPLIC~rlC[~ I$ EEB~Y ~ to the Building Bepartment for the iammsee of a Building Permit puz~x~mt to the Milding Zone Ordinance of the To~n of 8ourhold, Suffolk Camry, Re~ York, and other applicable La~, Ordimmees or Re$ulationa, for the construetian of buildin,g,~, eddition~ or alterations, or for r~aoval or demolition, as herein de~ribed, abe a~plicant agrees to cemply with 11 ..... a apphcable la~s, orS~xanees, bulldxng e.~,~x~, mg code, and regulations, an~ to ad,it authorized inspectors on premises and in bt~ldiu& for~eceamir.~,in~ions.,O (Sit~ature o~ applicant, or haut, if a corl~..rat~on) (l~ailing address of applier) State ~t~ether applicant ia o~ner, lessee, agent, archirect~ engineer, general contractor, electrician, phs~ber or lmildex (as on C[~ tax roll or late~t deed) If applicant is a corporation, signature of duly anthorized officer. (N~re and title of eerparate officer) Pltrabers License l~o .................... , . . .. , Electricians License lis ...................... Other Tcede's License ~ ..................... 1. ~ti~ of 1~ ~ ~i& ~r~ ~A will ~ ~...~ ........................................... ,...: .......... ............................ ~'"l ........................................... t: .....?'?'" .................... ai~isi~ ...................................... Fil~ ~p ~ ................ I~t ............... 2. State ~sti~ ~ ~ ~y of ~s ~ inte~ ~ ~ ~ of ~ c~t~ti<: 11' a. ~ ~ ~ ~ ..... ~. L~ .................................................... b. ~t~ ~ ~ ~ ................. .... .~. .................................................... 3. Pamre nE work (check ~d, idt alllicable): ~ I~dldiug ......... &ldition .......... Altera~i~2 ...... ~... , (to ~ ~id ~ filing this I~ garage, ~r of ~ra ..... ~ ................................ 7. Di~nsi~s of ~sti~ at~a, if ~: ~t ................ ~ar ............... ~pth ................. Di~at~ of ~ attire ~th alterat~s or ~it~s: ~nt: .............. ~ar ~pth .................... ~i~t ........ ' ............ ~t o~ Stories ............... ~ or u~ district in ~i& pre d~s ~ si~tM .............................................................. ~ of ~tr~tor ........ ~ ............... ~... r~ss ................................... f ............................................ ~ ............. Im~ duly ~m, del~s a~l ~7s tlmt he I~ is the ............................................................................ (~tractor, a~nt, c~rat offleer, etc.) of ~id ~r or ~rs, a~ is &try mtlmri~ to ~rfom or h~ ~rfo~ tim ~id m~ m~l to rake a~ flte this a~l. icatia~; that att stat~nts cmtat~ in~ this a~l. lcat[~, am tn~ to fl~e I~st of his k~l~ that the ~rk wit[ ~ ~rfo~ i, the mmmr~t forth in ~e a~l. icatim filed tlm~. (Signat-~re of Applicant)