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Home My WebLink About24291-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-25394 Date: 11/26/97 THIS c~u(TIFIES that the building Location of Property: 22750 CR 48 (HOUSE NO.) County Tax Map NO. 473889 Section 84 ALTERATION CUTCHOGUE (STREET) (HAMLET) Block 4 Lot 2 Subdivision Filed Map NO. I~Dt No. conforms substantially to the Application for Building Permit heretofore filed in tb/s office dated JLrLy 2, 1997 purs%umnt to which Building Pe~ait NO. 24291-Z dated AUGUST 7, 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 AN EXISTING PORCH OF A THREE FAMILY DWELLING AS APPLIED FOR. CORRECTED 1/29/10 TO SAY THREE FAMILY INSTEAD OF ONE FAMILY DWELLING. The certificate is issued to PEARL L.F. & MICHAEL HERBERT (OWNER) of the aforesaid building. SOF~OLKCOUNTYDHPARTMENTOFHEALTHAPPROVAL ELEt-r~ICAL CERTIFICATE NO. PLIERS t~KTIFICATION DA-£~U N/A N/A N/A Rev. 1/81 FORM 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) Permission is hereby granted to'/~ , / , ..... /~....X.,.£~ .............. ,o ;~l~lanngt itn~p:;tp~:iatio~, dat,,~ ................ ~...~ ......... , 19..~...'~., and approved by the Rev. 6/30/80 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 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ~. 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, 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-existinR Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential~15.09, Commercial $15.O0 ......................... New Construction. .~.... ~_~ Old Or Pre-~'isting Building ~ ~ .. . Location of Property...~.~..~.:...$1 .... ~..~~.~.~.~.'~.~.~./-f3..~-... Onwer or Owngrs of Property....b4~t~. ~f-f~f.f'~ , ~ . ..~. i ~ ~M/.~ _//7.'~.o~...~. ~. .................... County Tax Map No i000, Section..~...~. ...... Block....~. .......... Lot....~%.. ............... Subdivision .............................. /~ .... Fil/~d Map ......... ff'~.~t....~.z~. ;'/'' ''~' Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...z%..~--~ Fee Submitted: $ .~..~ · .~'~-.~ ............... '~ . ? f FLICANT ]65-1802 BUILDING DEPT. INSPECTION [ ] FOUNOATIONIST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSUliN [~NAL [ ] FIREPLACE & CHIMNEY INSPECT~ Memorandum from .... ASSESSORS OFFICE Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 1197I 765-1937 'l'o.. il,: .~OI,V,lOI.D .~II.V~ ~ ....................... ~Ut I.IH~O D~PaWmEwr CH~C~..~ ................... 'FOI4N llAl.l. 5EPT1C FORH ........ ; .......... TEL: 765-1802 NOTIFY: -- . / HAll. TO' ~aJlding hml~tor) &I'P~;~I~ F~ BIII1.DIHO PERHIT ~ Date ................ l HBTRUCTIOHS a. 'lhis al~dlcat'ion b. Plot plan ~in8 l~ati~ of lot taxi og ladldh~a ~ prt~ni~s, relationship to mljolnlng proM~es or t~hllc slr~ts or areas, this all~l e. 'lhe ~rk c~r~l I~ this appl icakion ~,~ ~x~l lm c¢~e~l Imh~re iaa~e of ~dldlng Permit. ¢d. IllXa~ alff~al of this aH~lica~i~, the ~dhling lnSl~Ctor will ismm a ~dhling Pe~it to Ihe ai~licaut. ~c:h l~rmik ~mll I~ kepk ~ tim pr~i~s available For ins~cti~ tl,~o~,~,t the ~k. e. ~ l~dhli~ ~mll Im ~pi~l or t,~l in ~ole or i,, ~rt for ar~ ~,,-~ ~,at~er until a C~rtlfica~e of (k:&q~n~:y ~mll ha~ I~n grant~l hy I1~ I~dhling lnsl~CtOr. AH~JCA'I'I~ IS JJ~l~;~ ~ to tim I~lilding ~Dart,~nt for the ismnqnce og a 5dlding Petal: Dlrmtant to the Ikdlding 7~ Ordi~e of tim T~l of ~Ll~ld, ~f[olk (kamly, ~ York, mx] o~her a~lJcable l~s, O~xHno~es or ~p, ulal i(ms, for tl~ cmstn~tim or I~dldh~s, ~klJtlam or alterati(sm, or for ~al or ¢~olition, as herein t~scrilx~l. .............. (.,il,,v~lure oP npOl icanl', or ,~ate.~f a.corl~rat ion) ...................... %... ..... {... .................... ........... ~e of ~r of proni~a . .~ .~ .... L.. ~... g .... [../.~. ~5~.~ ........................................................ (~,,e a,,(I title or corlx~rate officer) Electricians l.{cen.~e Nc~ ...................... 8. Il). IL I~:l~li~' . ...... .~. I~al ....... . ...... IX~I il ion .... ~ ...... Olhar I~1~ ....... ~j ......................... ~ ~ ~ (l~.~:ripl. i~O ........... .......: ................. Il: ~lli~l~, ~*,,t~r of ~11i.~ I.,il~ ..~ ...... li,,i~r ~1: ~a~llinB ~MI~ (.~ ~nch [l(x~r .... ~ ........... ll~il~ll ......................... II.d~r o1: tl~ ileal ...................... lt~il~ll ......................... lieder o1: Slorle~i ..................... i~ i~ ~l~ di~l~icl ill ~lllcl~ I.~i~e~ aie ~it~t~l .............................................................. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY AP. PRI)'I/~ AS NOT~ _ oa~: £/~/P~ ~.r,. # ~ ~/ NOTI~ BUI~ING DE~ 765-1~2 9 AM ~ 4~M ~R ~: FOXING INSPE~ONS: 1. FOUNDATION - ~ REQUIREi FOR POURED CONCR~E 2, ROUGH - ~MINB ~ P~MBINL 3. :NSULATION 4~ Ft~JAL CONSTRU~tON MUS 8~ COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEE THE REqUIrEMENTS OF THE N.~ STATE CONSTRU~ION & ENERR' CC)OFS. NOT RESPONSIBLE FO[ DF~GN OR CONSTRU~ION ERROR~ the ................................................................................................... ..... ~:--t ...... :;ly o .... ~--I~J..:--/.. JOYCE M. WlLKINB Notary Public, State of NewYork No. ~,9§2246, Suffolk Count~ Term Expires June 12. _ I. =>- ,, /