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Home My WebLink About24605-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25499 Date: 01/23/98 THIS CERTIFIES that the building ALTERATION Location of Property: 580 L'HOMMEDIEU LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 64 Block 2 Lot 53 Subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 1997 pursuant to which Building Permit No. 24605-Z dated JANUARY 15, 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 RECONSTRUCT THE FRONT PORCH OF AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PETER & JANET BLOOM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A 24605 Z FORM TOWN OF $OUTHOLD BUILDING DEPARTMENf TOWN HALL $OUTHOLD, N,Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..,..~7,~hl.~4~.Y ........ ,1,.5 ........................... 19..~.EI .... Permission Is hereby granted to: ....... fl,O~,,.DAL~/G~.~LQD~ .............................. ....... ~2...W.I.~MA~IM,.~ ............................................. ....... ~E~QB~,,,i~&~ ...................................... to.,.,.REC~N~BU~%..~E.,,E~ON%..R~R~...OE..~.,~INGLE..,E~.LL~,.~ELb~ ................ ~,S..~B~L.2E~..ED~ ...................................................................................... 5 ' at premises located at ..................... ~.....~...~.~...k.~ ..............................~.Q~.%~D~ ........... CounlyTaxMap No.....¢.7~BB~ ...... Section ...¢.b& ............. Block ...,gD~ ........Lot No. ~5~ ............... pursuant to application dated .,.~B....,.&5 ......................... 19..,...~Z ..... rind approved bythe. Building Inspeotor. Fee $ ........ Z.~.^ P.O ..... Rev. 6/30/80 ¢"- TOWN Or SOUTHOLD ~ ~"""~'~72~ t//t// ~U~L~ING DEPARTMENT '~(,!~¢.All~%ICATION 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 all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health D~pt. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire UndeCwriters. 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. C~rtificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .2~. 4. Updated Certificate of Occupancy - $50.00 5. ~emporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........ ~' '~' '~'1' 1 ~9.~ .............. ./ New Construction .... ~...... Old Or Pre-existing Building ................. Location of Property ...... .~..¢ ............... .4~.~....~/~o~p ......... ~.~.~.~ ..... House No. Street Hamlet Onwer or Owners of Property..f]~.~tq,~¢...~.~..~J~. ........................................ Cosnty Tax Map No 1000, Section '. ....... Block ................ Lot ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No...~..~..~..~...~...Date Of Permit..1.1.~.~.l.~.~...Applicant...~.~~.. Health Dept Approval Underwriters Approval .............. Planning Board Approval ......... Request for: Temporary Certificate ........... Final Certicate ........... 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 JANUARY 16, 1998 JOEL DALY 52 WILMARTH AVE GREENPORT, NEW YORK 11944 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) No Underwriters Certificate on file. 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 # 24605-Z Please contact our office cooperation. (~LO0~) on this matter. Thank you for SOUTHOLD TOWN BUILDING DEPT. JOEL DALY .~ BUILDER $2 WILMARTH AVE · GREENPORT, NY 119~ · (516) '1'77-0529 INSURED LIC. # I$06BHI 'TH8 I tO S o o'THo co · ~T'-t--1 ~ ,,v~r '.-Pe o [~~TO~IN OF SOUTI1OLD 'rord N llALL SOUTIIOLD, N.Y. 1197 I TEL: 765-1802 SURYEY .............. ? ......... CIIECK ......................... · ~EPTIC FORH ................... NOTI FY: HAIL TO: .................... Disapproved a/c .................................. AP~,I"~.ICATION FOR BUILDING PERHIT 7NS'rRUCTIONS a. 'Ibis application most be conpletely filled in by tyl~miter or in ink and m~hnitted to the Pidlding hmpector 3 sets of plans, accurate plot plan to scale. [tee according to schedule. b. Plot plan abcmin8 location of lot and of buildings on premises, relationship to adjoining premises or l~/I)lic streets or areas, and giving a detailed deserlption of layout of property mast be dra~n on tim diagram ~hich is part of this application. c. 'Bm ~ork covered by this applicatioa my rot be ccrauenced before issuance of Pidlding Peemit. · d. Upon approval of this application, ti~e lluildi~ Inspector will issue a Pmilding Permit to the applicant. permit aball be kept on ti}e premises available for inspection thr~hout the ~rk. e. No building ~hall be nccuple(1 or used in ,4}ole or in part for any lairpase vtmtever until a Certificate of Occupancy rltall have linen granted by tim II, dialing Inspector. APPLIC/;rI(lq IS ltEIIEBY Id, filE to the Building Department for rite issuance of a Building Permit pursuant to the Building Zone Ordinance of the Ib<~a of ~utt~old, Suffolk Century, Ne~ York, and other applicable l~s, Ordimanees or Regulations, for the eetmtructlan of tsfildings, additions or alterations, or for removal or demolition, ss herein descrilmd, lhe,.applieant agrees to ca,ply witi~ all applicable lams, ordinances, building code, hooslng cede, and · ~.~ ration)' (Hailing address of appl leant) ...... · --~ .~oo,~r architect enoineer neoeral contractor, electrician, pltxnber or beilder. SLate *statler ;p~;~ ls ~r, ~e~, ~ ...... ~ ,~ ....... ..................................................................... ........ OCCUPANCY OR llifilders License No .... I-.'~-~.~..~'-'1 .... USE IS UNLAWFUL Pln.~rs Cieense No ........................ .WITHOUT CERTIFICATE ~leet,~ici,~s nice.se No ...................... OF OCCUPANCY Offer Trade's License No ................... r- 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: t. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH ,- FRAMING & PLUMBING 3. ;NSULATION ,¢. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQ[UREMENTS OF THE N.Y. S~;'~TE CONSTRUCTION & ENERGY CC~9E$. NOT ~ESPONS|BLE I. location of lar~l on ~hich propesed ~x~rk will be done. ......................... ¢~?~hiSN-Ol~ CON$II~tlO~'EI~RO~i'2' ....... .~ ......................... ~ L~..~ J.¢.~ ~. ......................... ~-~ ................. 1~ ~r Strut ~le~ ~m~ T~p K)- ]a~ ~tion ..~.:D.:Z~m<k ................ ~t ..~./ ......... ~lMivlsi~ ........................ .............. Fil~ ~p ~ ................ l~t ............... (~) 2. State existi~ ~ ~ ~ of ~mi~s aM inte~ ~ aM ~c~ of Vo~ cmstmction: a. F~isti~ ,m aM <m~ncy ....... ~.l.~-- ~.~ L.L i.~.~ ................................... b. Intended use and occupancy ............................................. ' I ical~te . A1 teratlon .......... 3. Nature o17 '~ork (d~ck Mnd~ app ): ~ t~lildin~ ...... ' ....~klltion ..... , .... ' 7 50 ..... ~ [sti.~tal Crest (to Im ~ .... d ~ ~lhn~ tins 5. 1[ ~1 lln~ ~Imr o~ ~lll~ units ............ tt~i~r o~ &~llln~ ~tt~ ~ e~d~ flier ................ I~ garage, t~i~r o[ cars . ..~~'" 6. I~ Ix~i,~ss, ~m~rcial or mi~l ~q~ut~y, s~clfy ~ature m~l extent o[ each [y~ of use ...................... Dinensi~s o[ st~ stn~tz~re ulth illteraLl~l~ or m~htlons: Front ..... , ~nr ............... I~pth .................... [~i~ .................... N~d~r o[ Btorien l~il0~t ......................... ~d~r o~ Stories ..................... I ' ' I~ ' Il. 7~ or u~ district in M,ich ' a~ ~i~t~ ~...., ' .., ...................... 12, I~ prol~M I:~n ~l;n~:tl~ violnt~ any ~nd.g 1~, '6rdhm~ or refi[llatl~. .... , ........... 13. Will lot I~ ~gr~l ....... ~.~ ....... gill excons f~ll I~,rs~] rvo,~-~,~ YES 14. ~a~s of ~r o~ I~i~s .... .~...~.~. ~klress .............................. ~ ~ ............... · ~ oi Ard~JtecL .................................... ~klres~ .............................. ~ ~ ............... ~st~ oE C~tr~lor ................................... ~k]re~s ·· . .. ....I~ ~ ............... 15. ls this p~rLy wlthln ~ ~t of a ti~l ~Cla~? * ~3 .......... ~ .......... P1.OT 1) IAGRAH I~ate clearly ~1 disti~tly all tmildh~s, ~mtlmr exlsti~ or pro~, a~ iMicate all ~t-I~ di~nslons fr~ pml~rty li~s. Gi~ st~t a~ bl~k airier or ~scripti~ acco~ing to i~l~ a~l ~ strat ~s ar~l ialieate xdmtl~r interior 0r co~r lot. (N4~re ol: 3~ltvidual ~xg~il.g ctmtract) Ihat the ~rk ~i/l lm l~rron~l in the .~a.~r ~t ~orth in the nl~l Jcatltm FU.~I tl~r~th. · .beieg dtJly ~n~rn, delx~s m~I aayg that be is tl~ .~ppli~nt