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Home My WebLink About24758-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town HaL1 Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25601 Date: 03/20/98 THIS CERTIFIES that the building ADDITION Location of Property: 640 NORTH BAYVIEW RD EXT SOUTROLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 42 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit' heretofore filed in this office dated FEBRUARY 17, 1998 pursuant to which Building Permit No. 24758-Z dated MARCH 10, 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 THOMAS J ELAK of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED 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. 24758 Z Date MARCH 10, 1998 Permission is hereby granted to: THOMAS J ELAK P.O. BOX 673 SOUTHOLD~NY 11971 for : CONSTRUCT A DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR. "AS BUILT" at premises located at County Tax Map No. 473889 Section 078 Block pursuant to application dated FEBRUARY 17 1998 Building Inspector. 640 NORTH BAYVIEW RD EXT SOUTHOLD 0009 Lot No. 042 and approved by the Fee $ 75.00 Buildlng Inspe~or 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 buildi~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line~ 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar build> 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 '!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 appiicar 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 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 - ~ .25g.~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~.~c/~f...~ ~ .... ~ M ?.~ ............ New Construction Old Or Pre-existing Building . Location of Property ........ NP~... I.~}~....~ ................. ~.0.~.~ ...... House No. Street Hamlet Onwer or Owners of Property...I.~.~..~.5...2?~ .... ~.~..~ ............................. county Tex No 1000, Section.. .Sloc ..... fl . ot .... Subdivision Filed Map Lot . Permit No.. ~ ~ ...... Date Of Permit. 7~M...f.O...Applicant.. ~ ........ Health Dept. Approval ....................... Underwriters Approval ............. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $...~ .~ .................. APPLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 18, 1998 Thomas J. Elak P.O. Box 673 Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: not on file. (Enclosed) 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24758-Z(DECK) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. XX An application for Certificate of Occupancy is I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS~ATION [~*'~NAL [ ] FIREPLAC.~HIMNEY f, /_ ,~ ___.'/ ~ ~,? REMARKS, ~/t..Z~ ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU~G~LBG, [[ i :ORAU:~NA:ION2ND [[ ] ~iNA~ATION [ ] FIREP~CHIMNEY __~REMARK ~ Flushing ............ (718) 939-7200 Queens Village ....... (718) 479-5533 Lynbrook ............ (516) 593-3100 Mlneola ............. (518) 742-1011 Hicksville ........... (516) 931-6144 Huntington .......... (516) 271-0500 Wantagh ............ (516) 785-6000 Medford ............ (516) 475-3170 Riverhead ........... (516) 727-4800 Southampton ........ (516) 283d 508 General Offices ....... (516) 579-2000 Distribution Center - Baiting Hollow Distributors of: swan BOARI) OF IIL~AI,'I'II ............... SETS OF PLANS ............... SIIRVEY ........................ CIIECK ......................... SEPTTC FOPJ4 ................... NOTIFY: · .................. ^p,,,~ ..~.././.~.?~,~ ,0 .... ,,~,,,,,~ ~ .......... &q~ ~&~ .......................... ~ ......... ................ .... ~ , INSTRIICTIONS n. 11 is ,l~licoti~l ~st I~ cm~fletely hll~l in hy tyi~,~riLer or in hd~ ~d ~uh~dt't~l to the IhthlJn~ Tnsl~clor uill 3 ~s Of pl~as, ac~rote plot Iflnn I.o ~:nle. Fc~ occonling to h, Proc plan ~im~ lmatiml of lot ntd of hdldings ~1 l)rmli~s, rehlth)nship to ~joJning d. IJl~ a~}~al of this ~l~lJcati~b the l~}JhlJng lnsl~etor uilJ tast~ a i~dlding Pemk to the /IpJ)tjC~III. ~ICII I~mit ~.fll I~ kept ~ tl~ l~.J~s uwil~lde for i.~lmCttgn~ th~i~l(xlt th~ e. ~) I~ihlis{) idltill I~ (~cupJml or u~l in ~.~le or i. Imrf fi~r a.y {~nff)~ ~salever u. Lil n (3rtificnle (k(:Ul~lt~y ~sall have I~. grant~l by tl~ Ihihli.~ ]n~l~etor. fil'lff,~((Zfl(~ IH IEIUflIY t~lg to the INdhii.S Igff~rt.e.l: for the i~mmnee of a Ikdhllng CensdL Ikdidii~ h~ Ordit~e of fl~ ?~l of ~ltl~fld, ~lffolk ~xu~ty, ~ York, ~1 olher tq~flicahle I~uuhd(?ls, for tl~ cm~atr~tt~ of hdldiuga, ~kliti~s~ or alterations, or for rcn~al or d~lition. ~scril~l. 'll~ applica.t a~s to cra{fly with all n~fllcable l~a, ordlmnce~, hfihling c(fle, regutaLb~a, al~ Lo tobit m~tl~rlz~l i.sl~ctor~ ~s pro,iaea e~fl ie Ixd hlleg Ibr mcess~ry . (,~ig~mture of al~fficant, or ~*e, if a cor~raLion) (~aili.g ~lre~s iff a~)l .StaLe ~heLl~r i]pplicant is o~er, lessee, o/Bent, an:hilecL, engi~er~ general contr0etor, electrJcioe, plud~r or hdhler. ~,~ o~ ~,- o~ p~o,,~....~H~ ~ ~ .... ~. ...... L~.~.i~ ................................................. (as <~ the I.a~ mil or latest deed) If nppJicant is a corl~rati(~l, dlp.ature of duly atfl~)riv~l officer. LiLle Of corporate officer) Other 'J'rl~t~ l,iRen~ ~) ..................... I, h~aLi(~ o[ hi,fi I~ ~icll prol~S~l ~d~ wilt I~ &)~ .............................................................. Cxx:ut.y Tax ~ap ~). I~K) ~cti~l ........... I ~k lot ...... adxli~isi~ ...................................... Filed ~p (~) 2. SLate existin8 u~ aM ~(~]~?{~ly Of prmdses al~ inte~dc4 use a. ~xiabg u~ a~ ~[o~1~ ............................................................................. , I~.~... (S i,l,lml.ure of /E~ O ~ ~ T Y