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Home My WebLink About24484-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25371 Date: 11/21/97 THIS CERTIFIES that the building ACCESSORY Location of Property: 6540 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 128 Block 2 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1997 pursuant to which Building Permit No. 24484-Z dated NOVEMBER 13, 1997 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 ACCESSORY DECK IN THE REAR YARD OF EXISTING ONE FAMILY DWELLING "AS BUILT IN 1975" AS APPLIED FOR. The certificate is issued to ROBERT C. & JUDITH MCLAUGHLIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspeftor Rev. 1/81 t 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) NOVEMBER 13 97 24484 Z Date.............................................................. 19........... Permission Is hereby granted to: ROBERT SCALIA AC R. MC LAUGHLI (� .................................................................................... PO BOX 598 .........................................................................I................ SOUTHOLD,NY 11971 .......................................................................................... CONSTRUCT AN ACCESSORY DECK IN THE REAR YARD OF A SINGLE to........................................... .................................................................................................................. FAMILY DWELLING(AS BUILT 1975) AND AS APPLIED FOR ................................................................................................................................................................... ................I..... ......I................................................................................................................................... .................................................................................................................................................................. ................................................................................................................................................................... at premises 6540 GREAT PECONIC BAY BLVD LAUREL ped at........................................................................ ................................................... ............................................................................................................................................................. CountyTax 473889 128 0002 001 Map No. Section ...............I........ Block ........................ lot No. ........................ OCTOBER 23 97 pursuant to application dated .......................................................... 19................ and approved by" Building Inspector. 35.00 Fee$......................... ......... WB:ullidling�lnsp . Rev. 6/30/80 AL Z TOWN OF SOUTHOLD BUILDING DEPARTMENT OCT ,M �,� TOWN HALL 765-1302 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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. lFor 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, Additio �Alterations to dwelling $25.00, Swimming pool 525.00 Access�well�i ng $25.00, Additions to accessory building $25.00. Businesses $50. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25v. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . �� . . . . . .. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . .?Old Or Pre-existing Building. J . . . . . / Location of Property. . . .4'.J.a� . . . . . GCI�iG. . �. .�,��:�. . . `:.QUA/c�/�/ . . . . . . . . . . . . . . . . . . . House No. Street /Hamleet ��'' Onwer or Owners of Property. .l.�.!' .�a.�. .4-.�. . .�. . v.�! �?!'. J�0. �?e. /ll... . . . . . . . . . . . County Tax Map No 1000, Section. �1. . . . . .Block. . . . . . . .. . . . . . . . .Lot. . . ./. . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fileeed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . ?ermit No7. 7U. ./. . . .Date Of Permit./� . . . .Applicant. . . . . . . . . . ... . . . . . . . . . . . . . . . . . iealch Dept. Approval. . . . . .. . . . . . . . . . . . .. . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . ?fanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Zeauest for: Temp orary Certificate. . . . . . . . . . . Final Certicate."(. . . . . . . . ,ee Submitted. 5. . . � . . . . . . . . . . ! j f, . .. . . . S3ALpPLIcAN^T. . . . . . . . . . . . . . Caz a5-3 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 6a fz a�� S DATE / INSPECTOR I 111.11 111'il'1:1;f I IIU III'1'1111'C (►�•!�, „ -_-_. Cut It 11 ' -. rl I Innnln"1'11)11 1 r' !`UUIII►n't'l(111 (11111) � i� i ,n •,r,.n w s n w.n.... �w..,..n n_n w.. -......++ter+.—T+.--.•..�.....n n m..-r...+.....�.�..+�...+.v...r n-..n...+rrn....r.n.. 1 I111111111 I'IIAIII; R Q 1'1.1111111 fl(t -- ----------------------- -- 11►f;ul.Aa'11111 1'KIt I1. Y . ( I :1 1 A I I'. I',li It Il 11 Y , (;111111 / V Sk V I IIA1. . ..._ . ... ....» . . AllI1� nn '�' UIIAI. , Itll;ll'i'1 ....- - »» J 1` 6• ' o f•� `14 1. BOARD of HEALTH . . . . . . . . . . . . . . . h ' FORM NO, I 3 SETS OF PLANS . . . . . . . . .'. . . . . . U TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . OCT 12340 BUILDING DEPARTMENT CHECK . . . . . . TOWN HALL SEPTIC FORM SOtIT110I.0, N.Y. 11971 'tt 0 DG.DEP. C a TEL: 765-1802 NOTIFY: CALL. . . . . . . . . . . . . . . KA"nined../!. ,/.�.l.l.., 19.... (� MAIL TO: . . . .•. . . . . . . . . . . . . . . . Approved.z//. � ... 19. Permit No. / ..............................I...... Disapproveda/c .. .................................... ................................................. .... ...t[. .. ( lldirng Inspector) APPI. ATION FOR BUILDING PERMIT . Date. . . . . .%9 . . . . . , 19 9 .� INSTRUCTIONS a. 'Ibis application must be•eaipletely filled in by typewriter or in ink and submitLe:d to Elie Building Inspector wit 3 sets of plans, accurate plot plan to scale. Fee according to adie:dnle. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or lxnblic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram winich is part of this application. c. 'line work covered by this application nxay not be cantennced Before issuance of Building Permit. d. Upon approval of this application, Elie Building Inspector will issue a Building Permit to the applicant. Such permit small be kept on Elie premises available for inspection thranll►out Elie work. e. No building shall be occupied or used in winole or in part for airy purpose whatever until a Certificate of Occupancy small have been granted by Elie Building Inspector. r APPLICKrIM iS IEIIEIIY MME to the Building D"rhrent for Elie issuanice of a Building Permit pursuant to the Wilding Zone Ordinance of the Tam of Southold, Suffolk Ccxunty, New York, and other applicable Laws, Ordinancesor Relpnlations, for Elie eanstruction of buildings, additions or alterations, or for removal or demolition, as herein described. the applicant agrees to canply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. fury �beso .......:.............. (Signature of applicant, or nam, if a corporation) k�X'Sr18 �L 1i3Ofid, A.l Y /l'4"/ .••'• . . • ..••••••.. . (Mailirngaddressofapplicant) State wlneElner applicant is owner, li ries" enO architect, enginneer,'genieral contractor, electrician, plunber or builder ....��EN.....Fc.2...ou�N.....,�.Ee �vd�/Lr d..�!v�j!?�1, Kc t�Jc�ycinJ...... .... .......................... Nate of owner of premises ...& :c�.�xd-t . . �.�',K................................................ (as on Elie tax cull or latest deed) If al>t)licant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) , Builders License No. Plumbers License No. Electricians License No. ..................... Odner Trade's License No. .................... o s � 8l✓mac ��cI NY I. location of laeid on wl►id► proposed work will be done....� �....! G....:G.. ..........<..........!....... ...... ?................. Peso cmc .Q� /✓cL..................... ..... . !..Y............... Manse Number Street : IlamleE County Tax Map No. 1000 . Section ..... ... Block ......!�:....... Ivt .. ........... SU1xlivisi0n ...................................... Filed Map No. ............... Lot ................ (Nance) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructions a. 1':x i s L'i nig use and occupancy ..... :P4S ............................. .. ... b. Intended use and occ upancy ;� j.• .... `..!..I...... / 1v ...... ....:...... '1' 3. N•►tttre of work (clsec:k whidt opplicable):� New iktildhrg .......... /kklitI(w, .......... Alteration .......... Repair ............ Ile"Mal ......... IkattollClon ............ Other Work ..... .. ................... �r •` (Description) 4. 1sstittvtted CosC ................ ree ................................. ............ (to be pnid oto filing this application) 5. if ckaelling, tttni►er of dwglling tints ............ tludrer of ckaelling %mita on ends floor ................ Ifgarage, nud►er of cArs •...................................... 6. if Ixtsiness, eannercial or mixed occulrancy, specify torture and extent of eadr type of use...................... 1. Ditaennionn of existing stnrcturea, If any: Front................ Rear ............... Depth ................. ikilo►t ......................... Mother of Stories ...................... Dimensions of sane stnscture with alterations or ncklitions: Front ............... Rear ............... Depth .................... lleigltt .................... Nnher of Stories ............... 3. Dimensions of entire new co stnrction: Front ................ Rear ............... Depth .............. Ileilo►t ...... baiter of Stories ..................... I. Size of lot: Fiont ... .............. Rear .................... Depth .................... IO. lk)te of hordrnne ..................... Name of Fotner Owt►er ........................................ 11. 7xx►e or use district in vhidt promises ace nittsated .............................................................. 12. lk►es proposed constnretion violnte ally %kissing lova, ordinance or regulation: ........................ 13. Will lot he regraded ...•.... .......... Will ew.eas fill he retrwed rrom premises: YFS ttI 14. Miles of (Mier of premises ........................... Mklrena .............................. lixxte No. .............. None of ArdAtect .................................... Mklreas .............................. 111rone No. .............. Notate of Grmtractor .................................... Address ...............................i'lume tk). .............. 15. is this ptnperty within 300 feet of a tidal wetland? * YEN NO .......... *IF YES, 90Ui1UD 7U14N 711161108 FEIMIT MAY ifs, MJ 11M- PLOT DIAGRAM loc:nt.e clearly and distinctly all lxrildingn, whether existing or proposed, stxl Intlicate all set-back dimensions frun pr•ol►ert-y lines. Give streA and block ntnirer or description according to cleecl, and slsow street "amen and irxlicate .+Irel.her interiorYor corner " �,AI AS_ OT OCCUPANCY OR B.�� 4 _ USE ISLA ' Ft ABY: WITHOUT CERTIFICATET AT °" 8,17 A arN BUILDING KA FOR TIFF CF OCCUPANCY I �F(�,frl��i�F1 TWO t�Ti REQUIRED �y°,:= POf.lR°M CONCRETE R!�JlC _ ERA1`I INO 8: fU0VSI .+r r a;a..i .�fTpue;�,t E4plk + V°.aS8 ff)I°, N.iFT•iF_�1°0ggR Cis. , A tl p ,t..�. t�aP YZ a:3' i.ii;<TION Si•d.L.l,.l., MET REQUIREMENTS OF THE N.Y. C.ONSTRUCTiON & ENERGY ``t 1ES. NOT RESPONSIBLE F01 il'Klli U' Nld YUtK, SS PRa'GN OR't"0N°S`°1"R'i7CT16NO ERRORS x1fINIY (ll. ....................... ....:....'....................Ireillg duly Swint, ckalxrses and arty" that he in lire applienlit Keir of itxlividuat signing contract) AXWe tunVd, A5p,(1k: iS the .. ........................................................................... (Gcmtrnctor, agent, corporate officer, etc.) IF Raid owner or owarern, Mid 11; chsty rn)thorized to i►er.form or have iterfornted the said work and to nuke and rile thin al>t►11cnti(xt; thnt nit statements contnii"I in titin olrAicatiem are tare to the best of itta ktxrwleclpe atd.Ix;LieF.; atxl thnt the work will he perforated in the iminiser net Forth In lire nppl.icnt-icm f1ted therewith. !)(Awn to before nr_ this '`:L:dny of :r:............19.9 7.. Nota Ilrhtic ��..... ; .. ry ... .� .. /6;-1qV,,ttnI-ure ... . .................... cAnO►:A.BOHN ppl.icrntt) NU fARY PUBUC, STATE OF NY NO. 6190li I09 QUALIFIED IN SUFFOW ra GCMMISSION EXPIRES