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Home My WebLink About24983-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25805 Date: 06/30/98 THIS CERTIFIES that the building ADDITIONS Location of Property: 1265 RYDER FARM LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 4 Lot 4 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 1998 pursuant to which Building Permit No. 24983-Z dated JUNE 29, 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 FINISH 2ND FLOOR WITH BALCONY AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is ~issued to MICHAEL J & GAYLE SAVAGE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 06/18/98 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 3 TOWN OF $OUTHOLD 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. 24983 Z Date JUNE 29, 1998 Permission is hereby granted to: MICHAEL J & GAYLE SAVAGE 690 SLEEPY HOLLOW LA SOUTHOLD~NY 11971 for : CONSTRUCTION OF A DECK ADDITION AND FINISHING AN EXISTING SECOND FLOOR "AS BUILT" AS APPLIED FOR. at premises located at 1265 County Tax Map No. 473889 Section 015 pursuant to application dated MAY Building Inspector. RYDER FARM LA ORIENT Block 0004 Lot No. 004 4 1998 and approved by the Fee $ 54.00 Application fee + 75.00 129.00 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: 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 i% 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 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 Buitdinm - $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 ~ ~ ~ ~'~' · ~ew Construction ........... Old Or Pre-existing Building ................. ..~.~ .oc~t~on of ~operty.../,~ .............. ~.y..,~.~C..~-~. · f~, ................. House No. Street Hamlet .... ........................... :ounty Tex ~ap Mo 1000, Section...~)..~--~Block.--¢.qO-¢- ....... Lot .... :V~:C~.~ ......... Filed Map .......... Lot ..... ~-? .............. ;ubdivision · -- · ' ' Date Of Permit Applicant ........................... · · ermit No -- Approval Underwriters Approval ......................... {ealth Dept ...... ~lanning Board Approval ........... lequeet for: Temporary Certificate ........... Final Certicate ........... ...... . ............... 765-1802 BUILDING DEPT. INSPECTION [ [ ] ROUGH PLBG. [ [ ~,NSULATION [ [ ~/] FINAL []FIREPLACE&CHIMNEY ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING DATE INSPECTOR OCCUPANT'S NAME BUILDING OCCUPANCY IST BELow ALL EQUIPM~=NT WHICH YOU INSTALLED Loca- HUMBER OF OUTLETS No. of F~xtures & , MOTORS HEATERS, BRANCH, Lamp R~ceptacles , CIRCUITS tion Ceiling 3tde A[tach't Ty~e BP. Watts , Aw.a THIS APPLICATION IS INTENDED TO CovER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT iF AT TIME OF INSPECTION, THERE IS FOUND ADD TONAL EQUIPMENT NOT ABOVE L STED YOU ARE AUTHOR ZED TO MAKE THE INSPECTION AND ADJUST TH E FEE TO COVER THE ADDITIONAL ECU PMENT AS PROVIDED BY THE APPLICANT, ' ' , '. CHARAC~'ER OF WORK [] EXPOSE~ Applicant affirms that t~ere is not an application for electrical E]CONOEALED inspection pending with a qualified electrical inspection authority,'for ttie in~taliation listed hereinl ' This application is v&lid'for a pe~;iod not exceeding one year SERVICE ENTERS BUILDING "' from the date received-by the Board. ,,, [] OVERHEAD [] UNDERGROUND ~- ,, PRINT NAME AND ADDRESS NAME OF APPLICANT STREET AODRESS DATE Of APPLICATION [~ 85 John Street I E] 111 Washington Ave. I E] 3291 Lake Shore Road I D 217 Lake Avenue I I~ 202 Artehal~R&ad NEW YORK Ny 10038 ' ~L%%%~0~y 12~10 BUFFALO, NY ~421g ROCHESTER, NM 14608 SYRACUSE, NY 13206 THE NEW Y RK BOARD OF FIRE' uNDERWRITERS ::::' FORH HO, TOWN OF SOUT|IOIoD BUH,O]fNO DR P&R*IIqEHT TOkR4 NALL SOUI'IIOI,D~ H,Y. 1197 I TEL: 765- 1~02 .1)i~ a/c ........... ; .............. NOTIFY: CAI ~ a, 'Ibis aPPlication ~u~t be conpletely gi~led in by C~ypawriter or in }nk'and mdxutl;ted to ~m Building Inspector wi 3 sets o[ plans, accurate plot plan to scale. Fee ac~ord|ut~ to scl~lule. b, Plot plan sl~iuf~ location o[ lot and of bulldi~qls on pr~nisaa, relatioushtp to ad.loi.ir~ praises br l~g>lic streets or areas, and Biving a detailed descriptio~ o1~ laycut o1~ property m~st be dra~n un tim diagrau ddch is p~rt of ti, is application. c. 'lite xvork covered by this application may .or be coumnced beiore issuance o[ Butldln~ Permit. d. Upon approval o[ this application, ~be Building Inspector wilI issue a Building Pemlt to tim applicant. ~h pemit shall be kept on the prenisas available [or inspection throu~ont tim e, NO beiiding s~mll be occupied or used In vt~ole or tn part for any purpose ~a{:ever tmttl a Certil{cate of Occupancy shall have been granted Ir/ tim Ikdldlu~ Inspector. AI>PI,ICATI(It IS llEI~F.~r [IAI~ to tim Noilding Departuent [or tim issuance o[ a liuildiu~ Pemlt pursuant to tim {k~ildi~§ Zone Ordinance o[ ~ To~ o[ Southold, Suf[olk CIxmCy, Ne~ Yod% and otlmr applicable l~s, Ox'dtnauces or l~ulatlons, [or tim coostruction o[ ~dldin~s, additions or alteration, or for r~oval or demolition, as herein . described, lis applicant aarees to to. ply vith all applicable la~{, ordtnm~'.es, botldinl{ code, housiu8 code, ar~{ re~xdations,~m~l to a~ult authorized inspectors ~,* premises and in buildln~ [Or nece~ry iuspecti~xm. ................... (Sia~atore ol~ applicant, oF r~e, t[ a corporal .~:...~./...~..~.~ ....... : ..................... (Mailing~address o[ applicant) State ~4~etl~er applicant is o~er, lessee, a~'ent, architect, enfiineer,' ~,e~eral contractor, electrician, plt, nber or .............. .O.~ .~..~ ...................................................... · ................ : ...................... j;v~ ~ ~c '~*"a. ...~ ~..' ............................ ~ o~ ~r o~ p..,.a .............. ,~.~ ....... ~.,.-~ .............. ~ ~, ay,' .... ', (as ~n tbe {:ax roll or lutes{: de~l) 1[ applicant is a corporattcu, signature o[ duly auti~)rtzc*l o[[ieer, and title of corporate officer) Ik, ilders License lq$ .......................... Pixy,bars License No ....................... · · · Electricians 101cense No ...................... Otber ~'a Lice~ ~ ..................... o ...~ ........... ,~, ;....~ ......... ~ Tax ~ ~, I~ ~Cion .... ~,~ ........ Bi.~ (~) ]. l,~Jl.re o~ ~rk (cid dilch s~tl ~.'ble)t 1t~ ~lldlfll) .......... I~1~tr ............ ~ ............. 1~11~1~ .., ........... (to ~ ~lfl cm filing 1~ ~arfl~e. t~mi~r O~ ~ra .............................. , ....... I)in~nel~ of ~m etn.~m vid alteratime or'~l~lo,~ :~r~t .. ~ ........ ~ar ..~. . 8. I)l[.*nsi~m o~ entire ~ ~acm :Jm~ t~c.,~' /~{ i~ar ..~. / ~pLh~ .;' ..... , , - :~; 12. ~a propel ~m~lm viola~a a~ na 1~, o~i~e or re~u2aci~ ........................ 13. ~IH loc I~ ~r~ ?...'~..~ ........ ~lt~,~eea ~t1~ . ~I.OT D~AORAH · l~aCa clearly ~ dlzclmCly al: ~t]di~a. ~mflmr ~laClng or pro~, td~tl~r Interior or ~r ]oC. 3' ' ~/ - ....... .d ..... ?~.C~. ..... ~F~.~ .................. *~,,*~ ~ ~ ~,~ .. . ~.~.~ ............ ! .......... ~ ....................... (C~tractor, ~e ~t~ c~r~race o~teer, ere,) , ()~ said (~r or ~ra) ~tt~l ia (~ly ~Ll~rJ~ ~o Iwrfonn or It~e l~rfor,~l t.l~e tirol th~ ~rk ~ili I~ ~r~l in tl~,t~r ~C ~orLh in tie o~I. IcnLi<,~ .................... d.~ o~..,~.,~ .... ,9.?~ .... NOT~,TtY PUBLIC, Stczt~ o~ Iqev¢_~oz~ k.