The URL can be used to link to this page

Home My WebLink About25201-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26764 Date: 10/27/99 THIS CERTIFIES that the building ALTERATION Location of Property: 1640 CALVES NECK RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 70 Block 4 SOUTHOLD (HAMLET) Lot 39.1 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. 25201-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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BERNHARD JOHN PETERS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. ~/81 N/A 25861 09/04/99 09/30/99 ROBERT VAN ETTEN PLUMB. 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. 25201 Z Date SEPTEMBER 23 98 Permission is hereby granted to: BERNHARD HDHN PETERS PO BOX 64~~ SOUTHOLD~NY 11971 for : CONSTRUCT AN ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated AUGUST Building Inspector. 1640 CALVES NECK RD SOUTHOLD Block 0004 Lot No. 039.001 7 98 and approved by the Fee $ 75.00 7TM - Bdildi~tor ORIGINAL Rev. 2/19/98 Form No. 6 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 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 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 building. 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. Co 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 - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 N Constructi Old Or Pre existi g Building ... ew on........... - n ,.....o . · ..... Location of Property ........................................... House No. Street Hamlet On Owners of pe ty · · · wer or Pro r .., · ............ · ............... ......... Block..,~. ............... County Tax Map No 1000, Section...~ Subdivision .................................... Filed Map ............ Lot .................... Permit No.Z~.?C.O.J..~..Date Of Permit ...... .~...Applzcant..~... Health Dept. Approval .......................... Underwriters Approval ....................... Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... APPLICANT INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 CERTIFICATION No. (please print) [please print) I certify that the solder used in the water supply system contains less than 2/10 of Ig lead. Plumbers S~-gnatu~e) Sworn to be£ore me this : da, of Notary Public, ~ounty JOYCE M. WILKIN$ N~tary Public, State of New York No. 4952246, Suffolk County Term Expires,June 12, ~Or- COMM£NT£ FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING I~SULATION PER N. STATE ENEROY CODE 'FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. NSPECTIO [ G. F~/U~NDATION 1ST //~/FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY DATE INSPEC~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INFLATION [//J/FINAL [ ] FIREPLACE & CHIMNEY DATE,~~ ~ .~ 5 INSPECTO .¥ORH HO. I~UI L1)II'{G 'i'OglH IIALL · q0UTIIOLD, H.Y. { {9? { TEl.; 765-11102 Disapproved o/c .............. PPLICATIOH FOR BUILI)I]'IO PIIRHIT BOARD OY BBALTtl ...~>--~ ........... ~ s~rs o?~.s ~ ............ su~v~ ..~_ ..................... ~RItCK . .'ZT.?;'-. ..................... $1II~TIC ~'ORH ................... II-ISTRUCTI OI'lS a. 'llds applicaCio~ uc~9[ be ~91e[ely ftlI~ {n by [7~rl[er or tn {~ ~ ,trot, o~tltrei,, ~ Ui~' ~t,il~ ~ript'~, o~ 1~.C at pro~rc, ~c ~ dr--- ti, d,~-. ~.' .=. this ~g)l icotto*, ' ~mit ~mll ~.~pt ~ 6m ~s ~ail~le Jar t~ti~ theft tl~ ~lagi~s, ~or tl~ ~t~i~ o~ hdldi~, ~}tl~s or a{tarsgi~, or for ~al or .... ~~ ......... g~. ;.. State M~dmr a~licant ia ~r, les~, ~ent, archit~t, engi~r,'ge{eral c~tY~tor, el~tricl~, pier or IxHhle ¢ ~a~ .............. ................................... (~m tl~ tax ~11 or latest ~) I[ aa)ticant is a co~rati~, si~re ag ~ly ~ti~)ri~l o[ficer. (N~.u ~d title of corporate officer) l~ilders I,icen~ Ho .... / ........... icians License Ho. Tracle'a License Po ..................... I0, II, 12, 13. 15. ~8 pm~l ~mt~cJ~ viola'tn a~ ~ln~ I~, o~]lm~e or regula~Jm: .,~ .............. ', ' . Xo~ ' " ,! PI.OT DIAOIIAH l~ate clearly ~ dlati~tly al;1 ~tldl~a, ~mflmr ~lecln8 or pro~, ~ t~Jca~e all ~c-I~ frcm prol~rty lI~ea. Glva etre~l: id~etl~r I,terlor or corner lot. /o ~..Z ($1l&~ql ute ol~ ^ppl ,~ i,, ,,,, ................. a..~.....~Z .z2.. .................... , .......................................... (('~ltraetot, ellent~..cOrllornte o~teer, eta.) b