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Home My WebLink About24093-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~JpAN~Y No Z-25003 Date MAY 2, 1997 THIS CERTIFIES that the building Location of Property 554 WESTLAND RD. House No. County Tax Map No. 1000 Section 59 Subdivision ALTERATION~ SOUTHOLD, N.Y. Street Hamlet Block 2 Lot 11 Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 1997 pursuant to which Building Permit No. 24093-Z dated MAY 2, 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 ENCLOSE PORCH OF EXISTING ONE FAMILY DWELLING - 1 SLIDING GLASS DOOR & 3 SLIDING WINDOWS AS APPLIED FOR "AS BUILT" The certificate is issued to HELEN G. GAGEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A /Bulldlng Insp~or FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJVUT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TH',: WORK ^UTHORIZED) N? 24093 Z Permission is hereby granted to: HELEN G. LEE P.O. BOX 515 SouTttOLI), N.Y. 11971 ENCLOSE PORCH OF EXISTING ONE FAMILY D~ELLING 1SLIDINC CLASS DOOR & 3 SLIDING WINDOWS AS APPLIED FOR. "AS BUILT" at premises located 445 ~l~S~ RD Sg...U~...g~,D, ~,X, ........... County Tax Mop No. 1000 Section ..... 5.9 ............... Block ....... 2, ............. Lot No. I.I ..................... pumuant to applicotion datod ...... ..~._R..I.~...~.~., ................................ , 19..~0J.., and approvc~l by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTF~LD BUILDING DEPARTMENT TOWN HALL 765-i802 9IS. 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/i0 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, 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 re~so~s therefor in writing to the applicant. 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 of Occupancy on Pre-existing Buildin~ - $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-exiating Buildin~ ................. Location ef ?roper~ ....................................................... House No. Street Hamlet Onwer or Owners of Property .................................................................. County Tax Map No [000, Section.~.--.~.~.~//..Block ................ Lot Subdivision .................................... r_led ~ap. .Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Beard Approval ........................ Request for: Temporary CerTificate ........... Final Ceruicate ........... Fee Submitted: $...C~3~-..~m-. ............... '.. 00 300 I;'OIU'I NO. I TOT~bl OF SOIJTIIOLD BIJ}I.D] HG I)EI~AJ{THE HT 'r ()l,~ N ilALI. · qOllTIlOl,I), N.Y. I 197 I TEl,: 765-1802 F,~.nir~-'d ................. , 19 ..... Aplnc~eM ..... ' ..., 19 .... Peuuit I% ................. 1) h;nppr~,,ed a/c .................................. II()ARI) OF IIF, AI,Tll ..... (~....' .... 3 .qETS OF I:'I.ANS ............... SURVEY ........................ CilECK ......................... ,~; I~. P'I' I C FOI{FI ................... HO'J' I FY: C^I,I ................... H A 1 I, 'l'O: .................... (Ikd hling hmpeclor) API'I.] CAT] ()N FOR IIII I I.I) I NG PERH 111 I)ate ................ , 19 .... I H.q'l'RIl(71'l ()NE; a. 'Ibis Sl)l)licati(m.tmt be cm,pletely filled in by tyl~0riter or in ink aim suhnitl, ed lo the ]kdlding hml~ctor with b. Plot plan f~l(xving l<mati~ of loc nr~l of Ixdhlir~s ol p,-canises, relationMdp to ~ljoining pr~nises or ix,I)lic thi~ npplicatiom c. 'lhe I~)rlc cover~l by this alq)liest i{~{ troy I<)L 1~ come,red I~fore issua~ce of Ik}ilding Permit, (k~{a,l~nA:y 8hal I have I~en grm,t~l by tim IMi IdJl}g hmi~ctor. ~gularitxm, for tim c~mtrtmLi(~l o[ Ixdldings, mkliLit~s or allezation8, or for r~,~a{ or dca~litiotl, as heiein {~scril~M. 'lhe applicaat agrees lo ,-eRuh,ti(~u;, a,,I to ,~,nil: autl,,riz¢~l i,m~clors on l,re, nises a,,I (F~li I i:lg {~ldz'ess of appl leant ) (as c,t the Lax mil~oc lal~;;t, deed) [1: applicant is a corlx}ration, si{,gmture el! duly atH. l~)Fizcxl officer. (Nm~e tnxl I'iLle el: COrlX>rate officer) Ik.ihk~ro I.icense I,k:, .......................... FJecl;ri(:ians l,icenee I%...; .................. Other 'l%~le's License },i) ..................... I, Iz~.',at i(a, of Intel (xt ~dch p~qxmed ~nk will Im do~ .............................................................. Ika[se ~,[{~r ~{tr eel I~nleL a. ExisL lng u~ al~l {mcuDmmy ....... fee ..... .~....~. ~ (h~l~ paid on li li.g Ihlq npplic~lion) , l,lrllY o~,' .... ,.~'4~.J~ .......... ' i ROBERT L SC NOTARY PUBLIC, No. 4725089, Term Expires Ma )ta~e of N.Y. fo~. Cou~ ~31o 19~ (ol; ; eoI: Alqd il'mil ) tLl C) ~d