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Home My WebLink About25340-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Suilding Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26200 Date: 01/04/99 THIS CERTIFIES that the building ADDITION Location of Property: . 280 CEDAR BEACH RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 90 Block 3 Lot 1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 28, 1998 pursuant to which Building Permit No. 25340-Z dated NOVEMBER 19, 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 DECK ADDITION "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN J LEE JR of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building In~ctor 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. 25340 Z Date NOVEMBER 19 98 Permission is hereby granted to: JOHN J LEE JR 12 CAMPBELL RD WARWICK~NY 10990 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR "AS BUILT" at premises located at 280 CEDAR BEACH RD SOUTHOLD County Tax Map No. 473889 Section 090 Block 0003 Lot No. 001 pursuant to application dated SEPTEMBER 28 98 and approved by the Building Inspector. Fee $ 75.00 building nsgec or ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: I. 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 site 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 amd unusual natural or topographic features. 2. A properly completed application and a consent to inspect sigl~ed 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 - l~ew dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 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 Construction ........... Old Or Pre-existing Building ................. House No. Street F~ml et ~wer or Owners of Property ..... ~ ~. ........................................................ ,unty Tax Map No I000, Section ........ Block ...... Lot ........... Piled Map Lot · Approval Underwriters Approval · :alth Dept. ........ ................ .. ' ....................... arming Board Approval ....................... :quest for: Temporary Certificate ........... Final Certicate ........... ;ubmitted: $ o ........ 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 December 30, 1998 Carol Bohn P.O. B6x 55 Peconic, New York 11958 RE: John Lee, Jr., 280 Cedar Beach Rd., 1000-90-3-1. Southold, 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. 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 # 25340-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING ~.~[-~FINAL [ ] FIREPLACE & CHIMNEY~ ~'~6S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~/~~'~ FORHNO. TO~I OF SOUTHOLD BUILDING DEPARTHENT TOl01q HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 Disapproved a/c .............................. . . . ',",:,; ..... /: ........ ~, ,, BLDG, DEPT. TOW~N 05 ~QUT??,OLD IIISTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... ..... a. 'Ibis application m~at be cc~pletely filled in by type~iter or in ink and suhnittad to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule, b. Plot plan sbeafing location of lot and of buildings on premises, relationship tq adjoining premises or public streets or areas, and giving a detailed description of layout of property nnst be dra~n on the dingrm ~hich is parc of this application. c. 'llm ~ork covered by this application may not be camer~ed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector ~dll issue a Building Pemit to the applicant. Such permit shall be kep£ on the prc~alses available for inspection throughnst the e. lto building shall be occupied or used in ~aale or in part for any purpose daatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATKIt IS I~I~BY ~ to the Building Department for the issuance of a Building Pemlt porammt ~o the Building Zoee Ordinance of the Toga of Southold, Suffolk County, ~ York, and other applicable L~s, Ordinances or llegulations, for the c~stroction of buildings, additions or alterations, or for removal or dewnlitian, as herein described. The applicant agrees to cc~ly ~ith all applicable la~s, ordinancas, building code, housing cede, and rngulatior~, and to ad, it authorized inspectors on prealses and in buil/j~ing for nscesaa~ inspections. {Signature of apphcant, or na~, if a corporation) .... State ulmtber applicant is o~mer, lessee, agent, architect, engineer, general contractor, electrician; plm~er or buildex (Nam and title of corporate officer) Plt~bers License llo Electricians License No .............. Other Trade's Idcansa No ..................... 1. Incation of land on ~/dch propesed ~rk~ilt be done .... ~..~.~ ..... ~-¢¢~...~.~ ..... House N~u/~er S~reet ltanl et County Taxl4apNo. 1000 Section ..... .~..~. ....... mock ..... ,'~ ......... Iht ...l ............ Subdivision .................... iSled l~ap hb . . 1~ ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed camtructian: a. ~xisting use and occupancy ................................... b. Intended use and occupancy ..................................... o I0. II. 13. 15. p~ ' . F, ature of ~ork (check ~id* e licable): Ne~ ~ildl~ .......... ~iti~ .......... Mterntion .......... ~ir ............ ~1 ..~ .......... ~liti~ ............ Otlmr ~ .~.O~,~...~.Q...~.:. ..... ~Q ~rtpti~) ~,~ima~ ~,~ .. Z~. :~ .~.. L ........ ~ ..... ~..~q,..~..~ ......................... ~ ' (~o ~ ~id ~ ~iling this If &rellim, ~mr of ~lli~ trolls ......... q.. ~r o~ &rolling ~its ~ ead~ ~r ................ If ~ra~, ~r of cars ..... ~ ................ : It I~i~sa, ~relal or ~ ~, s~i~ v~tura ~ ~tenr of ead~ ~ of u~ ...................... Di~nai~s of ~iati~ st~a, i~ a~: ~t ................ ~ar ............... ~pth ................. ~imn~i~ o~ entlm ~ ~st tim. ~t .., .............. ~r ............... ~p~ .~...~... 5i~ of lot: ~t ~ar ~pth . Will lot ~ r~ ~ Will ~esa Jill ~ ~, o~ ~r o~ p,~, .~...~ ...... ~,~ .~.~.~a...~.~.t ........ ~ ~7~:~ ..... .~.~.~?~~ ~ ............ ~ o~ a~,it~t ............. ~ ...................... ~resa ...... ......... .... __ ~ of ~tr~tor ............ ~ ...................... ~ress ............................... H~ ~ ................ la this ~ ~thln ~ f~ st a ti&t ~tl~? ~ ~ .......... PLOT DIAGRAH Iocate clearly ~d distinctly al l buildings, ~aetlmr existing or ~r~, ~ i~ia~e all ~t-~ di~nsious ~fl~r interior or co~r lot. ( .... ~~ ......................... ~ing duly ~m, del~s and ~ys that he is tim a~l.i~lk (lisle of individual signiug eo~traet) above (Contractor,'- ' ~age.t, of ~id ~r or ~rs, a~ is ~ly ~t a~)l icati~; that all stat~t8 that the ~rk will ~ ~rfo~ in the ~m to ~fore ~ this m N~a~ Publio, State of New Yo~ ~. 4B22563, Suffolk Coun~ ~ Term Expires Decem~r 31, 19~~ orate officer, etc.) ~orised to perfomt or have perfonred the said work taxi to make and file this ed in this application are true to the best of his ktx~ledge anser set £orth in the application filial therewith. (Signature of Appl. lc~nt) ,!