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Home My WebLink About25027-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25961 Date: 09/09/98 THIS CERTIFIES that the building ADDITION Location of Property: 3395 SKUNK LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 9 Lot 11.1 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 1998 pursuant to which Building Permit No. 25027-Z dated JULY 14, 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 BEDROOM ADDITION EXTENSION & BATHROOM TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARTIN & NOREEN FREY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF NEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-061166 08/31/98 PLUMBERS CERTIFICATION DATED 09/08/98 MARTIN FREY //~B ~l~d~(n~ctor 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. 25027 Z Date JULY 14, 1998 Permission for : is hereby granted to: MARTIN & NOREEN FREY 3395 SKUNK LA CUTCHOGUE~NY 11935 CONSTRUCTION OF A BEDROOM ADDITION EXTENSION AND BATHROOM TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 3395 County Tax Map No. 473889 Section 097 pursuant to application dated MAY Building Inspector. SKUNK LA CUTCHOGUE Block 0009 Lot No. 011.001 29 1998 and approved by the Fee $ 75.00 n' g In~ss~ ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin~ 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 buildim 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or'~uildings an '-~pre-existing'f land uses: · 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the appli6ant 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 dweiiing $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-existinR Buildinz - $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 ..... ~. .... . ....... New Construction ........... Old Or Pre-existing Building. ~ Location of Property.. ~ m House No. Street Hamlet Onwer or Owners of Proper . .. County Tax Map No 1000, Section. ~P.~.? .... Block..~p..O~.~. ...... not.~.f! ...... f .... ..... ~ ~ OO ..... Subdivision Filed Map Lot Per,it No. ~ ~..~.7. ~... Date 0 f Permit .... Applican ~. ...... Health Dept. Approval .......................... Underwriters Approval....~.. ................. Planning Board Approval ............... Request for: Temporary Certificate ........... Final Certicate....~.. ..... Fee Submitted: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. ~& Owner: ~ ~ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( Plumbers Si~nature~~' Sworn to before me this day Notary Public, ~ County MARY ANN CYSULSK! Notary Public, State of New Residing in Suffolk County NO 52-5895900 Commission Expires Apr I THE NEW YORK BOARD OF FIRE UNDERWRITERS 8072074 BUREAU OF ELECTRICITY ~ 40 FULTON 8TREET~ NEW YORK~ NY 10038 THIS CERTIFIES THAT ~0, 25~27 only the electrical equipment as described below and in~oduced by the applicant named on the above application number is in the premises of ~%RTIN & NOREEN FREY, 3395 SKUNK Lg.~, CUTCHOGUE, NY in the following location; [] Basement [] let FL [] 2nd Fl. Section Block was examined on AUGUST 21,1998 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES COOKING DECKS OVENS FIXTURE RECEPTACLEE SWITCHES OUTLETS FLUORESCENT OTHER 4 5 3 DRYERS WASHERS EXHAUST FANS SYSTEMS NO. OF FEET OTHER APPARATUS: G.F.C.IL-2 E R V I C NO. OF CC COND, PER ~ A. W.G. NO O~ HI-LEG OF HI-LEG NO. OF NEUTRALS AWG. OF NEUTRAL 3395 SKUNK LANE CUTCHOGUE, NY, 11935 GENERAL MANAGER Per- This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 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 August 26, 1998 Martin Frey 3395 Skunk Lane Cutchogue, New York 11935 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) XX 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25027-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. =OUNDATION {lst) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING' INSULATION PER N. Y. STATE ENERGY CODE COMM£NT£ FINAL 'DDITION~L A COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG~LBG. [ ] FOUNDATION 2ND [~_..]~INS~LATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &/CHIMNEY R£M~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ]ROUGHPLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ I FIREPLACE & CHIMNEY DATE ~//~ ~//~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ~]~/~NDATION 1ST [ ] ROUGH PLBG. [ ~/] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY / -- v v--,-/ '-7~ DATE 765-180Z BUILDING DEPT. INSPECTIO? N FOUNDATION IST [~'] ROUGH PLBG, ],~UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE t ~/3 SETS OF FLAN$ ............... ~(~I1ECK ............... --/./ ~' ~w,~ QF~OLO , ~ a. 'Bd8 a~lioCt~ ~C ~ ~letely ftll~ 3 ~ts of p]~ at.raCe plot lfla. ~o ~ale. ~ acco~l~ to b. Plot pl~ ~i~ l~ti~ of lot ~ o~ ~ildlngs ~t~t~ or areas, a~ 8ivi~ a ~coli~ ~ripCi~ this a~fl icaCi~, ', d. U~ a~al of fids a~]icaCi~, ~1~ Ihildi~ ~t ~mll ~,~pC ~ ~ ~ ~ail~le for ins~ti~ cf e. ~ ~ildi~ troll ~ ~p~ed or ~ in d~le or in ~rC for a~ ~ ~mC~er ~cil ~ ~r~ifica~e of ~,I~'~ IS }E~ ~ ~o d~ {k~ildi~ ~rt~nr for tim {hildi~ ~ ~di~ of C~ ]~ o~ ~l~ld, ~g~olk ~, ~ York, ~ o~{~r a~li~{e I~s, ~di~es or ~laCi~s, ior,~flm ~i~ of hfildi~s, ~i~i~s or alCeroCt~s, or for ~al or ~liti~, as ~in ~scril~. ~ appli~C ~s to c~ly wi~ ali a~licable 1~, ordinates, ~tldl~ ~, ~i~ c~, and (~ili~ ~mss of s~iicanC) ._ S~e ~Omr a~ican~ t~ ~r, ]e~, ~en~, archi~, e~i~r,'gei~ral c~rac~or, el~rician, plMmr or I~dlde~ ~ ~ ~ o~ ~ ..... ~.~.~.n.~.~e~n ...................................... (as m tl~ lex mil or latest I[ a~)lican~ is a co~ratim, si~re of duly ~[l~)ri~l oificer. ........................ (~ ~ ~i~le oi co.rate officer) ?l~bers License Eo .............. Electricians l,icem~ No ...................... Od~er Trade's License No ..................... l~caCion of land on ',tdd~ proposed ~)rk will be. (Lone .............................................................. · I~ot Subdi i i ........ Filed H~p (~e) Sta~e existing use and occupancy of [n'emisea and iotended uae and occ~q~-'y o~ proposed cooatn~ctic~: a. F,,x/s~:i~'~ t~e and occupancy ......... ~ ............................................................ ~s ~ ~c~ ......... ~. ................ b. lntenr~l um and occulmr~c7 .................................................. ~ ~ ~rip~i~) "'~"~ ~ '"'" '~'l.'.~.~-~. ~ ~ ~- ~ .............................................. .{ ~sm of Ardilt~[ ................................... ~]ress .............................. ~ ~ .............. td~tlmr Interior or co~r lo~, ' ....................... L~ ....... : ................... IxemlJ' duly ~rn, delx~a taxi ~ya thee he Ja the appl. i(~ml (~ o~ i~xlivkhml. Mgnh~g ctm~ract) I~ ia the .............................. , ..................................................................... (C~traetor, ngent~ccr~rate officer, e~c.) o~ amd ~r or ~ra~ m~l ia ~ktty ~'Lt~vt~ to Imr[onn or h~e IX~rFor,~l Lhe ~hl ~k a~l to aake ami file alq~l icatiou; tht~t all atato~nts c~mtal.~ In this nllfi, icatlim are trim Lo lhe I~oL of his h~l~ge that Lite ~rk will I~ ~rfo~l tn tho ~mtmr ~c forth in the appllca~ion fil~l (Silpml:m'e Of ^pplicant) ~