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Home My WebLink About25199-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27072 Date: 05/09/00 THIS CERTIFIES that the building ADDITION Location of Property: 705 SMITH DR SOUTH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 76 Block 2 Lot 28 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7, 1998 pursuant to which Building Permit No. 25199-Z dated SEPTEMBER 23, 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD H INSULL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-483857 03/26/99 06/25/99 CHRISTOPHER TALBOT ~ut'horized ~gnature FORM NO. 3 TOWN OF SOUTHOLD 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. 25199 Z Date SEPTEMBER 23 98 Permission is hereby granted to: DONALD H INSULL 705 SMITH DRIVE SOUTH SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ADDITION AND ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 705 County Tax Map No. 473889 Section 076 pursuant to application dated AUGUST Building Inspector. SMITH DR S Block 7 98 SOUTHOLD 0002 Lot No. 028 and approved by the 'Fee $ 75.00 ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thib application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: i. 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildiJ 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 a~ Vpre-existing" land uses: 1. Accurate survey of property showing ail 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.Certificate bf Occupancy on Pre-existing Buildinm - $i00.00 3.Copy of Certificate of Occupancy - , .25¢, 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $~15.00, Commercial $15.00 New Construction .... ...~..,. Old Or Pre zsti Date ...7./..~./...~..d~..///7/ .................... .. -~x' ng Building ................. ,~ __ , ~ ' Location of Property.. ......... House No. Street Hamlet Onwer or O ers of Pro art · ....... ............... County Tax Map No 1000 Section ~ ' - .... ~--- Subdivision .................................... Filed Map ............ Lot ................... Health Dept Approval ' L Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate......~..... Town Hall, 53095 Main Road P, O, Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Owner: (please print) Plumber: (~a~e print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( PI-~mbers Signature) Sworn to before me this Notary Public, ~ County FOUNDATION (2nd) ROUGH FRAME & .PLUMBING' COMMENTE I~SULATION PER N. Y. STATE ENERGY CODE 'FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P.O. Box 1179 Soulhold, New York 11971 BUILDING DEPARTMENT TOWN OF I~tOUTIrlOLD Fax (516) 765-1823 Telephone (516) 765-1802 March 23, 1999 Donald H. Insull 705 Smith Drive South Southold, N.Y. 11971 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. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25199-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF souTHOLD March 23, 1999 Donald H. Insull 705 Smith Drive South Southold, N.Y. 11971 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) ~'Q~XX 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). ~ XX BUILDING PERMIT # 25199-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. $OU'FN "~" ~}e~o 7G5-'(802 BUILDING DEPT. INSPECT [ ] FO~iI~ATIONIST [ ! ROUGH PLBG. [ ]~ F/OUNDATION2ND/ [ ]INSULATION [ ~' FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:/~~ ~ ~'~/~ ~ ~)//~-~ DATE/~"~/~~ INSPECT~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FO.~JNDATION 1ST [ / [ ,L/]/FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL 765-1802 BUILDING DEPT. INSPECTION [,~FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG. INSULATION FINAL INSPECTOR ~~ 765o1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROU~.IPLBG. [ ] FOUNDATION 2ND [/~]/INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA~ & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I_/NS/~I'ATION [ ]FRAMING [ ,~/FINAL [ ]FIREPLACE & CHIMNEy DATE~INSPE~~,~ ~K BOARD OF FIRE UNDERWRITERS THIS CERTIFIES THAT ~am~on~a~a.l~a~o. numb~ri,,nth, prem,sesof wm~ examtned on ~R~ 22,1999 a~d found to b~ in compliance with the Naaonal Electrical Code. FIXIIJRE I I FIXTURES I RANGES I COCK Ne DECKS { OVENS I D SH WASHERS EXHAUST FANS ~____ ,~ 2 x _ I ,I ) I __) I _~1~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS i iPECIAL REC PT. TIME C[OC[S BELl ~ UNIT HEATERS MULTI-OUTLET DIMMERS SERVICE DISCONNECT J NO. O~ -~ S E R V I C E ~THER APPARATUS: This certificate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER. PAUL R. BURNS PO BOX 1061 SOUTHOLD, NY, 11971.-0932 TOWN OF $OUTIIOLD '[OWN IIAL~ S.OIITIIOI,D, N.Y. 1197 l TBI.; 765-1802 I)i s.~M)roved u/c .................................. ; , a~ 'L ~le~ety iill~ tn by ~riter b. PloC 1~ ~i~l~ti~o~lot . . ~ . - g~d{ ~dd~ la.ri of d. ~ a~l o[ ~d~ a~li~cio~, tim luild[~ I~c~or will i~ a ~ildi~ ~mi~ ~o ~m ~ppli~t, ~, ~ax~'a~ IS ~ ~ co tt~ ~tldi~ ~rt~nC for ~ ~ A..C~ ................. i ~9...1~ ~,.~X~..~a ~ ........... 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