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Home My WebLink About25355-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26236 Date: 01/26/99 THIS CERTIFIES that the building WOOD STOVE Location of Property: 730 SMITH DR S SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) county Tax Map No. 473889 Section 76 Block 3 Lot 22.1 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2, 1998 pursuant to which Building Permit No. 25355-Z dated NOVEMBER 25, 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 INSTALLATION OF WOOD STOVE AS IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KEVIN KELLY 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 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. 25355 Z Date NOVEMBER 25, 1998 Permission is hereby granted to: KEVIN KELLY 730 SMITH DR. S. SOUTHOLD~NY 11971 for : INSTALLATION OF A WOOD STOVE. at premises located at 730 County Tax Map No. 473889 Section 076 pursuant to application dated OCTOBER Building Inspector. SMITH DR S SOUTHOLD Block 0003 Lot No. 022.001 2 1998 and approved by the Fee $ 35.00 Building Inspector ORIGINAL Rev. 2/19/98 ~ APPROVED AS NOTED FEE: ,~ ~ BY: NOTIFY BUILDING DEPARTMENT' 765-1802 9 AM TO 4 PM FOR FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRE[ FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBIN( 3, INSULATION 4. FINAL - CONSTRUCTION MUS' BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEE* THE REQUIREMENTS OF THE N.~ s~T/~_T~ CONSTRUCTION & ENERG' '(~(~OL~. NOT,~ RESPONSIBLE tj,EtES~I~ ~.:~'~i:R u CTIO. ERROR,' lXq INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FR~ING [ ] FIREPLACE & ~HIMNEY REMARKS.' .,~///'*~.~J ~ INSPECTT~ TOWN HALL ~ ~P i! APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. OEPT TOWN OF SOUTHOLO j This application must be filled in by type~riter O~ ink and submitted to Che building inspector with the ~ollowing: for new building or ne~ use: 1. Final survey of .property with accurate location og all buildings, property Lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of ~ater supply and se~erage-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 [I lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Comp'liance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan require~ents. For existing bnildin§s (prior to April 9, 1957) non-conformJ"S uses, or buildings and ~pre-existing" land uses: ~. Accurate survey of property showing ,11 property lines, streets, building and unusual natural or topographic features. 2. A properly co,pitted 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. 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-eXistinK Butldine - $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 ..... t...l..7 ............................ .~ ConstrUCtion ........... Old Or Pre-existing Building. ~ ........... .............. ....... ~-mtion of Property .......... · ..... Hnmlet House No. Street .................................. ~er or Owners of Property ................ mnty Tax Map No 1000, Section .............. Block ................ Lot ...................... Lot ' Filed Map ....... · ~bdivisiou trait ,o...~.-~-.'~.~'~' ~'Date Of Permit ................ Applicant ............................. .~lth Dept. Approval .......................... Underwriters Approval ......................... .anning Board Approval ........................ ~quest for: Temporary Certificate ........... Final CertScate.../ ....... ~e Submiti;ed: $ ................... .:'OUNDAT'r ON (2nd) ROUGH FRAME & .PLUMBING I~SULATION PER N. STATE ENERGY CODE 'FINAL ADDITIONAL COMMENTS: APPROYED AS NOTED 765-1002 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMSING S, INSULAllON 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ~T~T~ CONSTRUCTION & ENERGY I{~OOE~.,. ~QT,~tF~PONSIBLE FOR tj~6i~g~l ~'~i~I'R U CTION ERRORS Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ......................... CHECK ...................... ~-- SEPTIC FORI4 ...: ........... NOTIFY: CALL .................. NAIL TO: .................... APPLICATION FOR BUILDING PERNIT INSTRUCTIONS a. 'lids application ~st be ccxnpletely filled in by typewriter or in ink and ~ul~nitted to tim P~ildlng Inspector ~ith 3 sets of plus, accurate plot pla to scale. Fee according to schedule. b. Plot plan slmwlng locatl, on of lot and of buildings as in~mlses, relationship to adjoining premises or public streets or areas, and giving a detailed deseriptian of layout of property mist be drm~n on the diagram which is part of this application. c. 3~ae mvork covered by this application pay uot be crmmeseed before issuance o[ lkdldlng Pemlt. d. Upon approval of this application, the Building, Inspector will is.~e a I~ilding Permit to the applicant. SUd~ pemit shall be kept an the premises available for inspection thronghout the work. e. No building shall be occupied or used in ~aole or in part for any purpose whatever until a Certificate of Occv~uc'y shall have been granted by the Building Inspector. APPLICATION IS }l~l~uY ~ to the Building Department for the issuance of a Building Pemit pursuant to the Building Zaue Ordinmmce of the Towa of Sontbold, Suffolk County, New York, and other applicable laws, Ordinances'or Regula{cloas, for the construction of buildings, additions or alterations, or for r~oval or de~olition, as herein described. 'lbo applicant agrees to comply with all applicable laws, ordin~ces, building code, ho~sing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of ~iuplicant, or nave, if a corporation) State whether applicant is o~er, lessee, agent, architect, engineer,~._neral contract~ electrician, plt~i~er or builder. ~ of om'~r of praises .............................................................. ../< ......................... (as on tbe tax roi1 or latest deed) If applicant is a corporation, signature of d~ly authorized officer. ..... ..... (Naa~ aad title of co. orate officer) Builders License No .......................... Plumbers License 1~o .......................... {. ~tim of 1~ m ~i~ ~ ~& ~11 ~ ~ ................ ...... ..............., ~ ~r Stmt ~et 5 ~T~. I~ ~ti~ .... .~ ........ BI~ ~t ~ivisi~ ...................................... Fil~ ~ ~ ................ l~t ..... : ......... 2. State ~sti~ ~ ~ ~ of ~s ~ inte~ ~ ~ ~ of ~ c~st~ti~: .............................. ...... lO. Il. ~2, 13, 14, 15. l~.cate clearly and distinctly al frml property lines. 61~e street nnd whetlmr interior or corner lot. R'*tm-e of uock (cl~ck ~ficJ~ applicable). ~ l~fihling .......... ~kliti~ .......... Al~eratlon .......... ............ ....... (to ~ fid ~at filing this a~tieatim) I If garage, ~a~tmr of cars ...... q ............................... If ImMnesa, ~merelal or mi~ ~oqm~y, a~ci~ ~ture a~ ~tent of each ty~ of u~ ...................... I~i~e ......................... ~Imr of Stories ...................... l}inunai~m of sam st~mra ~itl alterati~s or ~itlone: l~ont ............... ~ar ............... l~pth .................... lbi~tl .................... K~ti~r of Stories ............... Di,ensi~m of entire ~ ~st~ tlru l~t ................ ~ar ............... ~pth .............. l~i~t ........................ Kl~imr of 8torlea ..................... 8i~ ef lot: l~t .................. ~ar .................... ~pth .................... ~lte of ~lrdla~ ..................... ~e of F¢mmr ~r ........................................ ~m or u~ district in ~tids pr ~i~s am si~t~ .............................................................. , ........... .............. PI.OT DIAGRAH [ ~ihli~s, ~mtlmr ~isting or pro~, and i~licate all ~t-I~k dinensionh }1~ a~mr or ~gscriptim acco~ing to t~, a~ M~ strut ms a~l indicate oE s~d ~mr or ~mrs, and is duly thorJ~ml to ~rfona or h~o imrfo[n~ tho said reek and to mira and file thla alq~l tcati~m; Lhat all stat~ent8 c(mea.i~l in this nl~l. ieatioa are tam LO the ImsL of his kt~l~&~ and Imllefj and that_ the ~rk wl [[ Im I~rfommt Jn thai mn.mr ~u forth in the npplicntlon fil~l .9~a~rn Lo Imfere n~ Ihia I ........ .......... day of ................. 19 .... (Sit,hal:are of ^pphcant)