HomeMy WebLinkAbout25154-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25942
Date: 09/02/98
THIS CERTIFIES that the building ALTERATION
Location of Property: 7185 GREAT PECONIC BAY BLVD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 126 Block 10 Lot 12 .!
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 21, 1998 pursuant to which
Building Permit No. 25154-Z dated SEPTEMBER 2, 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 ENCLOSE EXISTING OPEN PORCH TO HABITABLE SPACE AS APPLIED FOR
"AS BUILT"
The certificate is issued to JUDITH FINN
of the aforesaid building.
(O~ER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
H-061113 08/27/98
N/A
uilding Inspec~r~
FORM NO. 3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
25154 Z Date SEPTEMBER 2, 1998
Permission
is hereby granted to:
JUDITH FINN
PECONIC BAY BLVD
LAUREL~NY 11948
for :
ENCLOSE EXISTING PORCH AS APPLIED FOR "AS BUILT".
at premises located at 7185
County Tax Map No. 473889 Section 126
pursuant to application dated AUGUST
Building Inspector.
GREAT PECONIC BAY BLVD LAUREL
Block 0010 Lot No. 012~/
21 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
mo
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildinl
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 buildi~
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements. :'
For existing buildings (prior to April 9, 1957) non-conforming uses, oK ~uildings an
'!pre-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.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swim~ning pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2.Certificate of Occupancy on Pre-existing Buildinz - $100.00
3.Copy of Certificate of Occupancy - , .25~.
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residentiai $15.00, Commercial $15.00
Date ....
New Construction .......... Old Or Pre-exi~ting Building~ .............
Location of Property. [..q. t ~'~. .... ~X~.~....~. ~.~....~..~... j i .~.'.:..~... ...........
House No. Street Hamlet
Onwer or Owners of Property ................................................................
County Tax Map No 1000, Section ......... Block ............. Lot ....
Subdivision .................................... Filed Map ............ Lot ........... ;j .......
Permit No ................ Date Of Permit ................ Applicant ................... ~.? .....
Health Dept. Approval .......................... Underwriters Approval ........................
Planning Board Approval ................
Request for: Temporary Certificate ........... Final Certicate~.. ......
Fee Submitted:
SURVEY. FOR.
WILLIAM JAMES FINN
LAUREL
TOWN OF SOUTHOLD
SUFF CO., N.Y.
SCALE= I"= 50'
SEPT.~I6, 1960
OCT. Z4, 1960
NOV. 9, 19~60
JULY 17, 1969
GUARANTEED TO:
SECURITY TITLE~IGUARANTY CO.
RORTH FORK BANK~,TRUST *CO.
LANO S U~q~ V_EYO~ N.Y.S.L.I~.I~). 1284 S
RIVERH EAD- N.Y,
NOTE'
· · MONUMENT
n a$TAKE
BLDG. DEPT. ,~
TOWN OF $OUTHOLO ''~'[~
.[~ORH BO, I
TO'fl IIALL
~.OIITII01,t), 1'I.'/. 1197 i
765-'11102
HOTII~Y~
C~L~ ..................
I)[ s~pg~vml eJc .................................. : .
< ' ,
...... .
~ Insi~to~) . '
~letely
3 ~t~ o[ 1~, ac~rote plot plan
b. Plot pl~ ~i~ l~ti~ o~ lot ~ ot ~[ldh~ ~ ~s, ~lati~iP W ~oJn~ p~i~s Or ~>lic
~tr~s or ureas, ~ B[vt~ a ~tu[l~ ~riptt~ o~ layout o~ p~o~rty ~t
e. ~ ~iidi~ 2roll ~ ~pi~ or
............... · ~.
....... ~ ' '~ ~ "~'~
~latt~, for tl~ ~C~' , ~ '~'
Or u~, ii a corporati<~O
~m~ o~ =ppltc~t)
(Nm'a urd title o[ corporote ol~ficer)
DATE:~
POLl. OraNG
I. POUNDATI
FOR POUR
2. ROUGH.
3. INSULATIi
4. FINAL ,.
BE COMp
ALL CON~TRI
THE REQUIRE,
STATE CONST
~C~NCTWRE~EQU/RED
CONSTRU~iON
TE FOR C,O.
I~iON ~ALL
RESPONSIflL~
~S?RUOTtON 'E~ORs
CODEs. NOT
DESIGN OR CO
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e~ld t~r or ~rn, ~t ts t~ty mtl~cl~ ~o l~rEonn or h~e t~rforn~l the ~hl ~k otxl tO ~ke o~] ~{).e L u~
myra Lhal: he la Lbe n~l.R~lltl: