HomeMy WebLinkAbout24330-zFORM NO. 4
TOWq~ OF SOUTHOLD
BUILDING DEPAR~NT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25427
Date: 08/28/97.
THIS CERTIFIES that the building ALTERATION
Location of Property: 150 SEVENTH ST GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 48 Block 1 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 25, 1997 pursuant to which
Building Permit No. 24330-Z dated AUGUST 28~ 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 INSTALL WINDOWS IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to HOLLY A WEINGART
(O~h~ER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMEERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
p
FOI~.M NO. II
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TO'WH HAIL
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:
· ..~.F.......~~.....~ .......................
...~...../.~......~/_....//./.~......
,o...~......~........~~ ........ .~~ ........ ~.....~.....~.~. ........
/~m......~~......~/~..~....../~.......~.~...
Rev. 6/30/80
TOW~ O~ SOU.~HOLD
BUILDING
765-!802
-4-oPLiCATiON FOR C=~RTZTiCATE 0F OCCU?A_YCY
This application must be filled in by typ. ewri=ar OP. ir~k and submi:ted uo :ha building
i=~.speczor with the fo!!o%-ing: for new building or new usa:
!. Final survey of .properTy ~-iuh accurate location of ail buildings, property lines,
streets, and lL~nSUa! natur~J- or topographic features.
2. Final Approval from Health Dept. of water supply and sewerao=e-dis.oosa!(S-9 fo~--m).
3. Approva!..of elec=rica! installation from Board of Fire Underwriters.
t. Swoz-a s:a=ement from plumber certifying that the solder used in system contains
less than 2/10 of I% lead.
5. Commercial building, industrial building, mu!=ipte residences and s~'iar bu~_ldings
and installations, a certificane of Code Compliance from archiuec-- or engineer
responsible for the building.
6. Submit Planning Board Approval of c6mple=ed si~e plan requirements.
For exlszLng buildings (prior to April 9, 1957) non-co~formLing uses, or buildings and
'Ypre-exis~ing~' land uses:
i. Accurate survey of property sho~zing ~]] property lines, streets, building and
unusual na~ura! or topographic fea~ares.
2. A properly comp.!e:ed application and a consent ~o Lnspect cig-ced by the applicant.
if a Cartifica:a of Occupancy is denied, the Build~g inspector sha~! sta=a the
reasons therefor ~ ~%u~g ~o ~he app!icanu.
!. Carrlfica~a of Occupancy - New dwelling S25.00, Additions ~o dwelling S25.00,
B-Iterations ~o dwelling S25.00, Sw~ug pool $25.00, Accessory buL!ding $25.00,
AddiTions =o accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-exist~_n~ Bui!dinm - $I00.00
3. Copy of Cer-.ificate of Occupancy - . .25¢.
4. Updated Car=~icate of Occupancy -
5. Temporary CerTificaTe of 0ccupaucy - Reside~tiai $iJ.00, Commercial
~a~e ... ¥~../.?.7. q. ~ ........................
New Construction ........... Old Or Preye-~is~in~ Bui!d~_ng ........... ;~ ....
~ocat~on o~ ~_~o~e=~..?.~q..q ..... ~... ~ ~ .~.<~.~..?.~.~. / ........
House No. S ~reet H~r~l
Onwer or O~rners of ProperTy ..................................................................
~oumt~ ~= ~.~ ~o ~00o~ se=inn..¥f.~. ....... Hloc~.. ~ ............ ~oT..../.~. ...............
Subdivision .................................... Filed ..~a? ............ Lot .......... -./ .........
e=!t .... a;e .... .........
5ealzh Dept. Approval .......................... Unde~-rirers Approval .........................
Planning Board Approval ........................
Reques~ for: Temporary Certificate ........... Final Ca~-~oau
~~P pL i CJ-_\~r
CUI Il II!
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONlST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] ~IJLATION
[ L/]~FINAL
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ~FRAMING
[ ] ROUGH PLBG.
[ ~INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS, ~~ ~'/~-
DATE ~/~/~ 7
BILLING INFORMATION SUMMARY - COVERAGE BREAKDOWN
ACCOUNT MASTER
POLICY NUMBER
07@ ACM 21813145
GL COMM% 150
LIABILITY C/S% N/A
PAYMENT DUE COMM.
DATE AMT, DUE AMT.
10/25/91 4,434.00 665.10
DC117 (ED, 12-87) PRINTED IN U,S.A.
JUL 2 § 1997
B~D~. DEPT,
· FORH HO. I
'l'()~fN OV SOll'l'l[Of.l)
TEl.: 765-1802
ITOARI) OF II!.;AI.TII . /'~
3 SETS OF PLANS ............
sIirvi~v ......................
Cl,,,.c~ ,0. ~9..ci;~.. ~ .7~..~. .... :..
NOTl FY:
,:^,.,. ~/99. :. !~.$.~ ......
NAIl. T([: ....................
APPI.I(~ATIIIN FOR IHIII.DING PF. I1NIT
1 NS'rlHICT I CNg
Date ................ ,19 ....
n. 'lhin npIdiCalit~l rum[ lm cmqfietely filled in by lyl~,n'iler or in i~k ~.~1 suhnil, led
b. PIct I)lnn ~g~ing I~nti~* of lot a[xl of Ixlilding. ~ prisa[sen, relntiolmllil~
si r~,t~; or areas, n~l givit~ a {~t:ailt~l c~:l-Jl)t J~ or In~*,t of prolx~rly u~lsl: Im flr~l on Ihe diagr~ M~id~ in I~rt ~1'
this appl ienti~l.
e. ~ Iadhlh~ vamll tm ~¢a~pi~l or tls~l in ~ole or in ~rt lC. any tan~ ~mt~er until a ¢~rt ificate
Ikli Idlng 7x~ Ordism~e of tim T~ of ~tl.fld, ~rf~)lk (~Tlly, ~ York, alxl other a~l
~kmerilxM. 'llm nffplieant ngr~ to c~,~fiy with ~11 nl~flicnble Im0s, ordi~mnce~, IzHIdlng c~le, l~mit~g
(Silv~lute of nppl|cnnl, or i~e. if n corlx~rnl
State whether al'4¢icn. I i.~ otn~er, les.~ee., agent, architect, englr~er, ge~rn/ contractor, eleclri{tlnn, phstlx:r or I.dl(ler
~,,,~ .r ,~.~ or p,o,,i~s .... ..... ,./..~ ....... R~.~:..(4{~ ............
(15,,~,, n,~l lit 'e or cotlx,,.'al¢ off|eer) OCCUPANCY OR
..... USE IS UNLAWFUL
-', ................ OF-OCCUPANCY
O~het 'l'r~'s l.lce~ ~ .....................
~. ~,x:,,ti,~, ,,r h,,,] ,., ~,ivh prom~ ,~,,k ~il] t~ ,~,,~ ........................... C~O~S..N~..~E~..~
...... ~T~.q: .............. ~ o e ~ A ~7 ............... ~ ~¢.o.p~ ~ ............................
~.,,,ty 'r,, mp ~,. ~x~ ~,ti,,, .~ ........... m,~., ../ ............. ~,,t ../.~ .........
~l*llvislon ...................................... teilt~l ~lp ~ ................ let ...............
(~)
,,. ,~,i,, i,,~ ,,,~ ,,,,~ ,~,,,,~,~y .... /...~}. ~.,/~.. .~.e xZ~'.o.2 .......................................
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I~11
2.
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ALL
THE
STATE
lq.()T I) IAGRAH