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Home My WebLink About24749-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25587 Date: 03/13/98 THIS CERTIFIES that the building ADDITION Location of Property: 1565 SMITH DR SO. (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 76 Block 2 SOUTHOLD (HAMLET) Lot 37.3 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17, 1997 pursuant to which Building Permit No. 24749-Z dated MARCH 3, 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 DECK ADDITION TO. EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to RICHARD BAUMGRATZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A ~ector 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. 24749 Z Date MARCH 3, 1998 Permission is hereby granted to: RICHARD BAUMGRATZ 143 MEADBROOK ROAD GARDEN CITY,NY 11530 for : CONSTRUCT A DECK ADDITION ON AN EXISTING SINGLE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. at premises located at 1565 SMITH DR S SOUTHOLD County Tax Map No. 473889 Section 076 Block 0002 Lot No. 037.003 pursuant to application dated OCTOBER 17 1997 and approved by the Building Inspector. Fee $ 75.00 Bu~/Zcu[ng /nspec or ORIGINAL Rev. 2/19/98 T~N 9F SQUTHOLD 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 ali buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Hnderwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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. Sabmit Planning Board Approval of completed site plan requirements. For exiating buildings (prior to April 9, 1957) non-conforming uses, or buildings and '7pre-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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buil~i~ $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - : 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ Data .............................. New Construction ........... Old Or Pre-existing Building..,.. ............. Locatzon of Property ................................................ House No. Street " Hamlet Onwer or Owners of Propert/..~.'.~-~hl:~2]L' ..~(~,Q.~L.(~-~'~-~'~---~- -' .................... ......-. Subdivision....... .................... . .... . . .. Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval. .......... . ... . . .........Underwriters Approval. ....................... . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~.. ..... ,-/ / s' '7 .......... r~ ...... USEIS U WIT OF FEB 2 7 BL~G, CERTIFICATE:' FORH NO. ! TOWN OF SOUTHOLD BUILDING DEPARTHENT TO~N HALL SOUTHOLO, N.Y. l]97] TEL: 765-1B02 Disapproved a/c ................ .................................... ....... INSTRUCTIONS BOARD{O~:'DEaLTa :i. '..,: .......... ~i sETs::OF,:, ;PLANS ......... ' ...... SURVEY ~ ~ ....................... CRECKc;% :' · ~ SEPTIC FOR14 '. ............... . .. ~IL TO: ' a. This application must be caupletely filled in by tyPe~iter or in ink and s~d~nltted to the l~dlding Ynspector 3 sets of plans, accurate plot plan to acale. Fee according to achedule. b. Plot plan shewing location of lot and of buildings on premises, relationship tO .adjoining praises or public streets or areas, and giving a detailed description of layout of property must be dra~m oh the diagram x4~ich is part of this. I applicat ion. . c. ~lm ~onk covered by this application m~ ant be comueaced before issuance o[ Building Pemlt. ~ d. Upon approval of this application, the Buildlng Inspector wil~ issue a l~ailding Penuit to the applicant. Sud~ pemit stroll he kept on tim premises available for inspection throughont e. No building shall be occupied or used in daole or in part for any purpose ~aatever ~til a Certificate of Occupancy shall Imve been granted by the I~ilding Inspector. ' ' APPLICATI~I IS I~t~asZ ~ to the lluilding Department for the issuance of a l~ldi~' Penuit pursuant to the Building Zone Ordinance of the Tff~n of Soutbold, Suffolk County, Ne~ York, and other 'app.licable La~s, Ordinances or Ragulaticas, for tl~ constroetion of buildiags, additions or alterations, or for'ramVa!.0r demolition, as herein described. 3he applicant agrees to co~ly with all applicable l~as, ordinances, code, lx~ing code, and regulations, and to admit anthorieed inspectors on premises and in xnspections. (Signature State ~dmther applicant is o~a~r, lessee, agent, architect, engineer, general a corporation) or builder. ~ of owner of pr~nises (as on fl~ tax roll or latest deed) If applicant ia a co~-puratian, signature of duly ant~clzed officer. · . p~CUPANCY OR (l~me aM t~tle of corporate offxeer USE IS UNLAWFUL ~.ders "ce~ No ............... ,--~ CERTI r~ cx~c Electricians License No ...................... 1¸: Other Trade's License No ..................... (~.- p - ~ZOZ~ (~NS~N ERRORS ~ of ~ ~ ~ ~ ~rk ~m ~ ~...d..~ .... ~~:Z~.. ~ ..................... ................................. ~ ................................ ~. ........ ., .............................. ':~ . . · .~ ...... ~.~ ~ ,: , , a. m~m~ ~ ,~ ~ ........ X .~ .................. b. hte~ ~ ~ ................................................ , .......................... 5. I~ d~elli~g, mi)er of &lh~g ,mtts ............ Nmber of ~mlling traits ~ e~ fl~r ................ I[ gar ge ~r'.o[ c~a { ............... 6. If Imsimsa, ~eial 'o ~, s~ei~ ~ture a~ ~tenC of ead~ ~ of ~ ...................... 7. Din~naiam of ~isting ~t~ a, if any: ~t ................ ~ar ............... ~pth ................. I~i~t ......................... ~r of Stories ...................... Bi.nails of ~ at~ra wl~ alterati~a or ~itlons: ~t ............... ~ar ............... tt l)iunnsi~ o[ entire ~ ~st~ [i~l: ~r ..................... ~P~ ............ I~i~[ ...................... , ~mr of glories ..................... I I. ~ or u~ district in ~dd~ p ~a a~ ai~t~ 12. ~a pro~ ~at~ti~ vi419te a~ ~ing 1~, o~i~e or regularly: ........................ i3. 9ill 1o~ ~ ~ ~ 9ill ~ss Jill ~ 16. ~s of ~r o[ ~s .~..J ............ ~ress .............. ~ ~ ..... 3 ......... ............. I ....................... ~ress .............................. ~ ~ ............... ~ of .C~tr~tor ......... I~ ...................... ~klreaa ............................ 15. Is this p~mrty vithin ~ f~t of a ti&l ~tl~? ~ W3 .......... ~ .......... I ~' PLOT DIAGRAH I~ate clearly a~ disti~tly ~11 ~ildi~, ~mtlmr ~iati~ or pro~, a~ il~iea~e all ~-l~k dl~nsi~s ~ pm~rt~ llma. gi~ st~t ~ bl~ ~r or &scrlp~i~ ~co~ing to'~. a~ ~ strut ms a~l i~lica~e 3f,# {~.~ and ~ay. that he is the aFoiicant (~tractor~ agent~ cor~rate of[icer, etc.) said ~r or ~rs, ami is dul~ ~thorx~ to ~rfom or h~ [~r[o~ the ~id ~rk at~l to ~ke a~ fil.e this alq~ltcat[~; fha at1 staCmnts c~.tat~ m dns al~l. icsti~ are tn~ ~o ~e I~st o[ bis ~l~ m~ I~llefj arxl timt the ~rk will 1~ ~r~on~l in' tth ,mn,mr ~t forth in the a~licaci~ fil~ tlmr~i~. OCCI]'PAI~OY OR USE-1S'UNL^WFUL ....... ........................................... WIT-HO UT-CERT! FICA'I:F~- ........... ~ .............. T~.~