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Home My WebLink About24141-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-25069 Date JUNE 3, 1997 THIS CERTIFIES that the building ALTERATION Location of Propert~ 3350 PINE NECK ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 12 Lot 02 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1997 pursuant to which Building Permit No. 24141-E dated MAY 21, 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 ALTERATION & RENOVATION OF EXISTING ONE FAMILY DWELLING AS The certificate is issued to APPLIED FOR "AS BUILT". THOMAS R. & MARGARET E. TAYLOR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H-055062 - APRIL 30, 1997 N/A BulldOZing In~ Rev. 1/81 FOR~ NO. ~ 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? 24141 z Dote Permission is hereby granted to: .....z.~.~.....~/.._.....~... ../...~... ....,~..~/...~,.../../..~.z ............. . ,o.~....,~....../~~.......~.......~....~.~ ...... .~ .................... .......... ~.~./~ ........... ~.,...~ ........ ~.~ ................... ~.. ............. .../.... .................................. /......~?~.....~.',..~:......~. ............................................................ at premises located at ..................................... County Tax Mop No. 1000 Section .... --.7.~.. ............ Block ..... ~....~... ........ Lot No.......~,...~... ........... / Building Inspector. Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING D EP.%RTi~NT TO~ HALL 765-i802 APPLICATION FOR CERTI~_CAT~ 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 uew use: I. Final su~zey of.property wi~h accurate location of all buildings, property'lines, streets, and unusual natural or topographic features. 2. Final Approval from ~ealth Dept. of water supply and sewerage-disposal(S~9 form). 3. Approval of electrical ins~al!a=ion from Board of Fire Underwriters. 4. Sworn sta~emen~ from plumber certifying ~hat the solder used in system contains less than 2/10 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. Submit Planning Board Approval of c6mpletad si~e 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 ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect sig-aed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state reasons therefor in writing to the applicant. C, Fe~s i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, ~ltera~ions to dwelling~wimming pool-~ Accessory building $25.00, Additions to accessory ouilding $25.00. Businesses $50.00 2. Certificate of Occupancy on Pre-~xistin~ Bui!din~ - $I00.00 / 3. Copy of Certificate of Occupancy - ~ ,25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $I5.00, Commercial Si5.00 Pate .RA~...R~,..1~.~7 ........................ New Construction ...... Old Or ._e-existing Building .... Location of Property ....................... 3g~O ~[~¢ ~ k.. ~..~.¢~. .... ..................... House ~o. S~ree~ ..... ..... ....... co~=~y ~ ~ ~o ~0oo, s~io= ..... ZP. ..... ~zo~ ...../.~ .......~o~ ..... ¢.& ............. Subdivision .................................... Fmlad ~p ............Lot ...................... ~eai[h Dept. Approval .......................... ~nde~i~a~s &pp~o~i ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Car~ica~e .... ~ ..... Fee Submitted: ................. (21111) .............................. ~;UI Il I1~ II I'll ITl ()ll^l. (.;()tlfll~ll'l'fl I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG, [ ] INSULATION [ ~FINAL INSPECTOR ~ BLDG, DEP'r, 't TOWN OF SO;JTHO[D ~ Dimppro~ed a/c . .. FORM NO. I TOWN OF SOUTBOLD BUILDING DEPARTMENT TOWN NALL SODTtlOLD~ N.Y. ] 197 I TEL: 765-1802 BOARD OF REALTII ............... 3 SETS OF PLANS ............... SDRVEY ........................ CRECK ......................... SEPTIC FORH ................... NOTIF .' cA,.,. ....... MAIL TO: .................... APFLICATION FOR BUILDING PERHIT .A INSTRDCTIONS · Date .~]/l.y.. lt. ....... 19 .$ .7. a. 'fl}is applicatim atst be campletely filled in by typ~riter or in ink and anlxaitted to the Noilding Inspector with 3 sets of plans, accurate plot plan to acale. Fee according to ml)coh)le. b. Plot plan sluing location DE lot seal o[ I~dldings on pramlses, relationship to adjoining praises or pta)lie streets or areas, ,and giving a detailed deacriprion of layout o[ property mist be drama on the diagram ;ahish is part fids application. c. ll}e work covered Dy this application may not be coraaeoced before issuance of lloilding Pemit. d. Upon approval of ti}is application, the Building Inspector will isaa~e a Building Petal} rD the applicant. Sud} pennlt ahall be Imp} tm tho pronises m~ailable for inspection thronghant the work. e. No building shall be occupied or used in ~hole or in part for m~j purpose ~hatever tmtll a Certificate Occupancy shall have been granted by tim I~dlding Inspector. taPl%lCa'rtcl~ IS t~I~IP/~ to the l~}ilding Department for the ismmoce of a Building Permit puranant to the '~uilding Zone Ordinance of the Tosm of Son}hold, ~fffolk C~mty, New York, and other applicable La~s, Ordinances'or R~gulatlans, for tim casa}tut}lan of buildings, addltims or alterations, or for rem~al or de,Ii}lan, aa herein described, llm applicant agrees to conply with all apphcable lin*s, ord~naoces, building code, l~an~ cede, . *regulations, anti to admit antl}orized inspectors on premises and in building for necessary inspections// ............. (Signature ,o,f applicant, or n~, if a corporation) -3550 P,~'~ ...~..q~:..~. ~.~..J.g .% .~:/, ... ~.,....;., ..... (mnlng adaressloe ............................................................... ............ ~ ~ T ~. ~,~'~2 FE=, r - , ...... ,'__~_'_.~ ..... ~_. Naae o~ owner of pt~ntses ...~ .~ t,~'.-~... [.'~. .... J ~.~{ .~. ]7,....T... y.v.: ;.~,~, ........... (as on the ~ax ml! or la~est deed) 765-1802 9 AM TO4 PM FOR THE 'If applicant is a corporation, signature of duly anthorlr.-qt officer. USE IS UNLAWFUL Bu,lders Li eese No ..................... .WITHOUT CERTIFICATE . ense No ..................... OF OCCUPANCY Eleccriclses License No .................... .. Other 'lYnde's License No ..................... FOLLOWING INSPECTIONS: 1. FOUNDATION ' TWO REQUIRED FOR POUREO CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSIRUCTION MusT ~ BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CC)DES1 NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Rouse ~r Street ltanle t Oamt7 'Fax Nap No. I000 Section ................ Blink ................ ~t ................ ~ivJsJ~ ......... F[I~ ~p ~ .............. ]pt ............... (~) ~,. ~t,~ n~ ~ ~,~~ ~oA:w'..O.*......~..._..~33.1...~P.~ .... Ro.o~ .... ...... If Ixmi,~s~, *~m~rcJn[ or mi~ll ~:(nq~y, ~l~cif7 ~l.ure a,~l exLent of em:h tyl~ o~ uae.. , Id~tlr~r Jm,erior or co~r the .................................................................................................. ((x~ LracLor) ~BenL) col x)ra(e or,il:er, eLe.) IRISR, B~ (Silpml't)re o¢ AI)l)tJcaut) ~ No. 01BE~4751 I ~mm~on Expires ~u~ ~'{,