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HomeMy WebLinkAbout24069-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCcuPANCY No Z-25230 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the building. ACCESSORY Location of Propert~ 345 WAVECREBT LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 100 Block i Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~PRIL 11, 1997 pursuant to which Building Permit No. 24069-Z dated APRIL 23, 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 GARAGE IN X~ REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid buildin9. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TIMOTHY & DEBORAH A. POOLE N/A N--428234 -- AUGUST 11, 1997 Rev. 1/81 Bu ~ding Inspector 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) N? 24069 Z Dote ..... ~ ............ , 19 Permission is hereby grant_ecl, t_ o: . ~ ~ County Tax Map No. 1000 Section ...Z~ ........ Block ...../.. .............. Lot ,o....../.....~.... ......... pursuant to application dated ......... ~..../~.. ............. 19Y./~..., and approved by the Building Inspector. / '~ Building Inspector / Rev. 6/30/80 Ao TOWN OF SOUTHOLD ~7~_ BUILDING DEPA_RTMENT ' ~ TOWiq HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP.~NCY b~ filled in bv 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 ail 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. Approve! of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/t0 of i% 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, i957) 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. 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-existinz Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .25~ Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...................................... ~ew Construction...% ...... 01d Or Pre-existing Buildin~ House No. Street Ha~et 0~w~= o= o=~=~ o~ ~=o~=~.~.~s.r~< z..~(..~~. ~.~ ..................... :o~=y ~, ~ ~o ~ooo, s~,~o~..~e¢ ......... ~o~ .... ~ .......... ~o~. A ~. ................ ~a~o~.~/~ .... '~ ............. ~ ~ ............. ~ ~ ~ ~o~ .~2 ................. ................ ane Of Pe~it ................ Applicann ............................. Real~h Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ ~"'l' - , Ce~tz__c_te ........... Final Car~ica~a. ~Re~ues~ for: Temporary ~ '~ ........... Fee Submzcted: $. ~ ~ ~d,.~ '~HE 'NEW YORK BOARD OF FIRE UNDERWRITERS p~ ~. ~-~(~(~7~ ~ . -. , , ., BUREAU OF !ELECTRICITy, [--" 85 JOHN STREET, NEW YORK, NY 10038 Date Ai~GU~'][' ~Li, 1997 ~pplication No. onyi~e ~42,78497/97 ~ 42823~ THIS CERTIFIES THAT T~I{ P~LE, ._4.~' WAVECRE~T I~NE, t~t~A~UCK, N~Y. ~ in ~he followlng h,ca~io.; ~ B~sement ~ Ist FI. ~ 2nd FI. ~/ODT Section Bilk Lot ~s examined on AU~[]~ ~* 06 ~ 1997 and found to be in compliance with the Na~onal Elect~cal Code. OTHER APPARATUS: G. F, C .I';'~4 · 323 DEEP HOLE ROAD - ...~, CALVERTON, NY, 11933 Per I1 GENERAL MANAGER 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 BUILDI,NG DEPARTMEN'[. THIS COPY OF,CERTIFICA~'E MOST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] F/~OUNDATION 2ND [ ] INSULATION FRAMING I I FINAL [ ] FIREPLACE & CHIMNEY REMARKS= _~~ DATE. 7 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/ ] I~ATION [ ] FRAMING [~] FINAL [ ] FIREPLACE.& CHIMNEY DATE ~/~;~ INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~ULATION [ ] FRAMING [~ ] FINAL [ ] FIREPLACE-& CHIMNEY REMARK~:"~ ~ ~ ? 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNOATIONIST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INS/~LATION [ ] FRAMING [/]/FINAL [ ] FIREPLACE & CHIMNEY Alii) I'1'1 l, FORH HtJ. *F()X,~H OF ,t~OU*l*ilO].]) BU 11.1)1 NC I)F. PAWI'HI~NT TO'NH Il^lA, SOIJTIIOI.I), N.Y. 11971 TEl.: 765-11102 I N!ITIIIICT I 0i"1~ IlllAl(tl (Il" III':^I,Ttl .............. -~'.] lil{'fll OF tH,^NS ............... '~ ,'i lilly E Y ........................ -' CIII{CK ......................... ,qI{PT 1C ¥OIIH ................... NOTIFY: c^,.,...2 f. 14A I 1, TO: ' Date ................ , 19 .... ~{. 'lhii{ apldiCal }(~x utml I~.' co.pletely filled i~ I}y lYl)e~,n-ilcr or in ink nxM ~nd~uitt~l to the Ikxihlinl~ I~'c-I~U~:y ~d.lll have I~n lirOnt~l lyy lhe lld hling Inflation-. ltd hling Y~i Onlina~e of tim 'li~{ o1: ~lhold, ~ffl'olk (i~.lty, ~v YoiR, m~l other aPl)l ic~ble J4~tl, Ih~l~ulal i(nm, for Ihc t~{lit~:tJ(~l al I~dhlinl~L m~lll h~{ or allc{al, long, or for r(mxival or dat~)l il'ion, a~ heroin de,trilled. 'Ibc alqdicaul, ngrees Io c~]~ly ~ilh all alq)licablc l~s, otdiimnces, I~dhlin~ c(xl% h(z~Sinl~ (Mail in~ ,mldre~s of appl icanl ) Slate xdlether ~H~plicant ia ore,er, lessee, ilgenl., ~rchitect, engil~r, get~ral contract.or, elecLricbm, l)hnd~r or I~sihh ......... ~ .................................................................................................. ,,,,,~ ,,[ ,~,~r .1' p,'m,i~cs ...I.t~..~. .~.~. ~ ....................................................... (as ~l the tax ~l)ll or lalesl, deed) If nl~Aicmll ia II corlxlrlll, ien, signature of duly auLhorizi~d officer. (I~,,~ m~l t h le of ¢OrlX)rate officer) Ih~l~Hr · ........... lb.~,~l . ~lH. Io,~ ............Ot~ ......... I~ i,,~,* ~1 (~.~r -~ ........ ~ .... r.o ....................................... ~:~:tllm[~:y. olx~(:i ~y ,~r~l~lr~ z~t~l (~x(~ltt. of' e~]~:lT I.~1~ (1[ ~l~le ...................... I)h~*m~d~.m or ~.,~ ~l~t.:t~r~ ~[th ~Hlet~Li(~m or ~.ldtt. ion~: Front ............... I~.pIh .................... I~]il~d ~ .................... ~i~ of t~{~'{~ ............... ~i~ . .~ ~ ~ ................................ ........... : ...... ,,~,-'. ~.,~ ~ .......... ,~,~,,, . .. ~.'7 .......... 7~ or ulm ~11~1~ I~l' in ~i~t~ I~r~lne~t ~'~ ~l~le~l .............................................................. , ,~,,,,~,, ,,r-~,,,~, ,,r ,,,, ,,,~,, h~ .N~.~.. ~,,,,,,, ~k~.~a~.&~ ...... ~,o,~, ~,.4~2~ ~..' R,~ ~F Archile~'.t ................ ~ ............. ~Nhe~m .............................. I1~o~ ~*, I~; II,i~ I~lX~ly ~ilhh~ '~X) reel: o~1~ ~, I id~H I~l.h~.l? * Yl~l (,,I i,' iJte ()f ^lqlll(mrll) HELENE D, HORNE Notary Public, State of New York Qualified ia Commission Expiros May ((2.11 (r)(:l (Pr, rq%¢ml, (:<)rl~<)rld e ()rl'i(:er-, {!l (:.) APR II 1997 BLDG· DEPT. TDWN OF SOUT,'IO[ f) OF OCCUPAnCy l!