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Home My WebLink About25115-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26148 Date: 12/08/98 THIS CERTIFIES that the building ADDITION Location of Property: 56525 CR 48 (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 44 Block 1 Lot 25 GREENPORT Subdivision Filed Map No. -- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1998 pursuant to which Building Permit No. 25115-Z dated AUGUST 18, 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 RE-CONSTRUCT AN EXISTING ROOF DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to M. WOLF & M. CLARKE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A - - Build'lng inspecto~ - 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. 25115 Z Date AUGUST 18 98 Permission for : is hereby granted to: M CLARK /WOLF 911 COVERT AVE NEW HYDE PARK~NY 11040 RESTORE AND RE-CONSTRUCT AN EXISTING ROOF DECK FOR A SEASONAL DWELLING AS APPLIED FOR. at premises located at 56525 CR 48 County Tax Map No. 473889 Section 044 pursuant to application dated JUNE Building Inspector. Block 30 98 GREENPORT 0001 Lot No. 025 and approved by the Fee $ 75.00 Building Inspec/~or ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING 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 ali buildings, property lines, streets, and unusual natural or topogr~hic 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, ~dustriai building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer respons~le for be 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: 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. 1. Certificate of Occupancy - New 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 - ~ .~5~. 4. Updated Certificate of Occupancy ~ $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00 Date ..... (..~;. ~..~ ~. ~ · .~. ...................... Construction ........... Old Or Pre-existing Building ................. ,tion of Property... ............ ........... ........ House Ho. Street Hamlet ~wer or Owners of Property ........................................... 3unty Tax Map No i000, Section....~..¥ ...... Block... ~.~ J ..... Lot.. ~ .............. ~bdivision .................... ~iled Map ............ Lot ................... ~.. ~alth Dept Approval Underwriters Approval -- · [arming Board Approval ........................ aguest for: Temporary Certificate ........... Final Certicate ........... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R~U~GHPLBG. [ ] FOUNDATION 2ND ~ ~INSULATION [ ] FRAMING ['~ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU/J,ATION [ ] FRAMING [ ~J~INAL [ ] FIREPLACE & CHIMNEY · :iELD A.S ..... ~OUNDATION (1st) FOUNDATION (2nd) RouGH FRAME & .FLUMBING INSULATION PER N. STATE ENERGY CODE 4. FINAL ADDITIONAL COMMENTS: FORH NO. TOITN Off SOUTtlOI,D BUll,DING DEPARTHENT TO~N llALL SOUTHOI,D, N.Y. 11971 TEL: 765- 1802 A~RHIT INSTRUCTIONS BOARD OF tlE/ALTH %/. ........... COECK SEPTIC FOP, t4 '. ................. CALL . HAlL TO: .................... a. This applleatlou au.st be completely fille<l in by type~,rriter or in ink and sul~nltted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to nchedule. b. Plot plan sho~ing location of lot and of beildings ¢m premises, relationship to adjoining pr~dses or public streets or areas, and giving a detailed deseriptlon of lal~ut of property mst be drawn on the diagram ~hid~ is part of this appIication. c. The ~x~rk coverad by this appllcakion may t~)t Im co~raenccd be£ore issuance o[ Building Pemit. d. Upon approval of tiffs application, the Building Inspector will issue a P~filding Pennlt to the applicant. Sud~ ~erm|t shall be kepk on tim premises a~ailable For inspectia~ thtxmghalt tie work. e. No building shall be occupied or used in ~d}ole or in part for any purpose ~hatever until a Certificate of Occtqmncy shall hwee linen grante{l by the Bolhllng Inspector. APPLICATI~I IS l~lll';llf ~ to the Building Departnent for the issuance o~ a Building Pemit puranant to the Building Z~e Ordir~qnce o~ the T~m of Sontbeld, ,%Polk Cxamty, ltz~ York, and other applicable l~a, Ordlannees or Phgulation~, for the construction o1~ buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to conpl.y with all appllcable lin*a, ordinances, building code, honalng code, and regulations, and to admit authorised inspectors on premises and in building for necessary inspections. ., (S~gflature o£ appheant, or name, ~ a corporation) (liaiHng address o[ applicant) State ~hetber applicant is owner, lessee, agent, ard~tect, engineer, general eontractor~ electrician, ph~her ~ l~ilder. ~ o~ ~ o~ ~, ......... .w.<.~'../.¢zo~.~. .......................................................... (as m t~ t~ roll or latest d~) If a~li~t isa ~i~, ~ of ~ly ~t~ir~ officer. ~il~rs Llcen~ ~..d..~ .................. ~r~ Lican~ ~ .......................... El~trlcians Licon~ ~ ...................... Offer ~s Lic~ ~ ..................... l. ~ti~ of la~ ~ ~id~ ~ ~rk ~11 ~ ~ .............................................................. ............. tm ~r St~t ~ ~. ,~ ~ ...... ~. .... ~,~ ...... ~ ........ ~ ..¢~. ........ ~Mivislm ...................................... Fil~ ~p ~ ................ l~t ............... 2. 8tale ~isti~ u~ ~ ~ of p~ims aal intoned u~ ~1 ~ of ~I a. ~isti~ ~m ~ ~ ................................ ~ ....... * ................. ' .................... ................................... · ~v~ ......... 3. P~ture of ~oik (cl~ed~ v~dch q~plicable)~ Nc~ lkdhlint~ .......... ~klition ........ ,. Akterati~m'., ........ 6. If I~milmaa, ~mercial or m~ ~:~y, a~etf~ ~Lure ar~l ~tent of ead~ tylm of. Diu~nn mm of exlat:lng atnmturea, if any: L~in~l: ................ ~ar ............... [~pEh ................. Din~naim~a of nam atn~t~re with alteratiinm or ~glitiona: front ...... ~ ........ l~ar ............... ~ I · ~ of Arddteet .................................... Mklress .............................. l~mim ~ ............ PI,OT I)[AOIIAH I~al'e clearly taxi diatl~tt all Ixdldil~a, ~mtlmr exJatin8 or p~o~aml, ami hxlieate all ~t-J~k di~mnaiona x~etlmr Interior or conmr lot. , (Nml~ of il~lividual slg. ing"conlra,,.t.) ((~}llLractor) ~ corlx)rare officer~ eLc.) ' (~ t~l&i(I (~,ax;r or al)piication; tirol, all lhaL the ~)rk will I~ erl:onl~l ~}nl t()~ll~ this ~t ary~~ t~ ~ ~x~lres Dec. 8, ~ y nuiho[ iz(.I ro [x;r,lo.u m have i,~rJofni~d Ih(t ImJd ~;rk aim Io n~d<o JlixJ fiJ(l Ihia il L~ iKNI In Ills alqHicat'jon ara t. ilm Lo the Jmal: of his k,x~l~lge alxl Ixiliefj alxJ Ihe iiCi[liar ~L Forth i. Ihe applical:ion fi led Ilmr~ilh.