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Home My WebLink About25326-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Nail 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26109 Date: 11/16/98 THIS CERTIFIES that the building ADDITION Location of Property: 2740 PECONIC LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 3 Lot 19.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 1998 pursuant to which Building Permit No. 25326-Z dated NOVEMBER 16, 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 CANOPY ADDITION TO AN EXISTING COMMERCIAL STORAGE BUILDING AS APPLIED FOR "AS BUILT". The certificate is issued to HENRY & STELLA SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Bu ildi~Zg I nspeq~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. 25326 Z Date NOVEMBER 16, 1998 Permission is hereby granted to: HENRY & STELLA SMITH 1380 HOBART ROAD PECONIC~NY 11958 for : CONSTRUCTION OF A ROOF STRUCTURE ADDITION (CANOPY) TO AN EXISTING STORAGE BUILDING AS APPLIED FOR "AS BUILT" at premises located at 2740 PECONIC LA PECONIC County Tax Map No. 473889 Section 074 Block 0003 Lot No. 019.001 pursuant to application dated SEPTEMBER 22 1998 and approved by the Building Inspector. Fee $ 150.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo This application must be filled in by typewriter OR ink and submitted to the build 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 buildir and installations, a certificate of Code Compliance from architect or engineer responsible for the buildingo Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, o~ ~Buildings an '!pre-existing" land uses: i. 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 Buildi~ - $100.00 3. Copy of Certificate of Occupancy - · .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~'~/~ ~ ... O d e= ~ ax~sting Building..../..> .......... Location of ,roperty ...... f ....... .................... House No. Street Hamlet Onwer or Owners of Pronertv ~1 ''~' County T,~ ~p ~o ~000, Section...O~¥: ~9...Bloc~...0. ....... Lo . '. ' .. Subdivision .................................... Filed Map ............ Lot ........... ~ ...... Permit No ............... Date Of Permit ......... Applicant . . Health Dept. Approval .......................... Underwriters Approval ....................... Planning Board Approval ...... Request for: .... ~ .... Temporary Certificate ....... Final Certicate... ............... TOI/3I OF SOUTBOLD BUILDING DBPARTI~NT TOI~I HALL SOllTIiOLD, TgL: 765-]802 CHECK ............... SEPTIC POP&I ........ NOTIFY: CALL ......... miL TO: 2%.<.:3~[-~ .... Disapproved ale ................................. . I~tr - 1111I A~LICATIONFO' BUI~DIN.~B~'IT ~a,e ..... 7./)..~..,,,?.~. B~. DG. DEPT. 3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~on~i~ to b. Plot pl~ ~ l~ti~ of lot ~ of Mildings ! ~s, ~latiolip to Mjoinil pr~s ar ~lic struts ar are~, ~ glvi~ a ~tail~ ~rlpti~ of layer of pm~ ~t ~ ~ ~ ~e di~ ~i~ is ~rt of this a~li~ti~. c. '~ ~ ~r~ b~ ~is a~li~ti~ my ~t ~ c~e~ ~fo~ is~ of Mildi~ PeMt. d. U~ a~al of ~is a~lieati~, ~e Mildi~ l~etar ~fill is~ a Mildi~ ~t to the applier. ~mit ~11 ~.~pt ~ ~ ~s avail~le far i~ti~ thr~t ~ ~rk. e. ~ Mildi~ ~11 ~ <~i~ or ~ in ~le or in ~rt for ~ ~ ~t~er mtil a ~rtificate of ~m~ flmll Mve ~n ~mt~ by ~ Mildi~ I~tor. ~I~I~ IS ~Y ~ to t~ Mildi~ ~mnt for ~ is~ce of a Milding ~Mt ~t to the Mildi~ ~ Mi~ of ~ T~ of a~ld, Mffolk ~, ~ Yo~, ~ o~ar a~li~le ~s, Mi~s or ~lati~, for tim ~t=ti~ of Mildly, ~iti~ or altaratio~, or for r~al or ~liti~, a ~in &~riM. ~ a~li~ ~s ~o ~ly ~ all aDli~le 1~, ordi~es~ Mildi~ &, ~i~ c&, r~lati~s, ~ to ~it ~riM i~tora ~ ~s ~ in Mildi~ f~ mces~ in~i~s.~/ State ~bether applicant is o~mer, lessee, agent, architect, eagmeer, general contractor, electrician, opluder o bml& If applicant is a corporation, slgnam~e of duly antt~rized officer. (llw, e md title of corporate officer) B~ilders License Ii> ..................... . . .. . Plmbers License Ro .................. .. .. . . .. O~r ~'s Li~m ~ ..................... ~ivlsim .................... Fil~ ~p ~ ............. I~t ......... 2. State ~stiZ ~ ~ ~ of ~M~sD~~ int~ m ~ <~ of pro~ mt=tiT~: .. , ~. ~.~.~ ~ ~ ....... .~..~:~._...~...~ ............................. .......... .................... . ........... ~,~ture of ~rk (cheek ~ldd~ oppheable): Repair ............ P~ao~l ....... Estit~ated Cost . .~.. .. If ¢kvelling, nt~er of d~lling ~mi N~ Building .......... Addition .......... Alteration: ......... .... Demalitlon ........ Otlmr l~ork .............................. · . (to be paid on filing this application) :a ............ Itmber of t~elling traits on each floor ................ If garage, nc~rher of cars/ .~.)~~~~ Dimnsi~s of ~sti~ st~s, !f ~: ~t ................ ~ar ............... ~tli., .4 ..... ~---.~. Dimnsi~ of ~ st~e ~th alterati~s or ~itions: ~t ............... ~ar ~pth .............. ..... . ~i~t .~ .................. ~r of Stories ........... . . . . ,0. .................... ........ . . II. ~ or u~ d~trtet m ~ ~t~ am ~mt~ .. ................. ~~.._....._......... 12. ~8 ~ ~t~tlm vlol~t~ ~ ~i~ 1~, o~i~e ~ re~latl~: ................ , ~ of ~it~t ~ ~ ~ss ........................ H~ ~ ........ ~ of ~tr~tor ~ ~ ....... ~ress ................ H~ ~. , 15. Is fid* ~r~ ~tn ~ f~t of 18 till ~tla~ ~ ~ .......... ~ . .. ~LOT DIAGRAH I~ate clearly ~ dls~i~ly all ~ildi~, ~r ~isci~ or ~, ~ i~icaCe all ~t-~ di~nslons ~ ~r~ li~s. Gi~ st~ ~ bl~ ~r ~ ~scrlpti~ acco~i~ to ~, aM ~ strut ~s ~1 ~r interior or ~r lo~. SS ..2 .... · .... .'71.. ............ being duly m0om, deposes and says that he is tt~ x~ of i~tvi~l Si~lUg c~tract~ m 1~ is Lhe ................................................................................... (~traetor. n~nc, eor~ate officer, etc.) of ~id ~r or ~rs, a~ is ~ly ~tho(i~ to ~rfo~ or h~ ~rfo~ the ~id ~ ~ to ~ a~ file this a~licatlon; that all s~at~nts c~ai~n ~ds a~lication are tn~ to fl~e ~st of his k~l~ that the ~ will ~ ~rfo~ in the m~mr ~t f~rOt in ~e a~l. icaLi~ fil~ ......... ~yo . ~.~..}9 ........ OUALtFII ~D IN ~UFFOLK OOUNIY ~ ~ COMMIS$10~ ~PIRF~ ;E~RUARY 23~0U o 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY [ ] ROUGH PLBG. [ ~ULATION [ ~] FINAL DATE ////~,/~ ~ INSPECTOR NIOI~ $. 0