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HomeMy WebLinkAbout24332-zFORM NO. 4 TO~N OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: z-27704 Date: 05/21/01 THIS CERTIFIES that the building ADDITION & REPAIR Location of Property: 380 GIN LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 3 Lot 6 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 24332-Z dated 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 REPAIR EXISTING DECK & CONSTRUCT A STAIR CASE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CAROL CONROY of the aforesaid building. (OWNER) SuFfOLK COU1FI~ DEPARTMenT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~£~ Rev. 1/81 N/A lt'O~'M 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.° ~3~ z Do,e ...... ~..~ ................... , ............ ~/--'---' ................................................ . ........... 7, ...... ............................................. . ..-. . ....... ot p~i.e. ,~a.~ ~, ......... ~. .~...,,,,,.~,,~.~.....~'..~....,~, .................................................... County Tax Mop No. 1000 Section .......... ~... Block .......... .-~ ..... Lot No...~.. .................. pursuant to application doted ...... J.,..~...~..~. ...................., 19..?/..~., and approved by the Building Inspector. _.... .......... ~'~;il~;;'~'-W~;,,~'"" ............ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD C BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buiidin~s, propeft-y ~ines~'/ and unusual natural or topographic features. streets, 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S~P'~f6~r~./ 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 1% 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: I. 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 o 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 Bnildin~ - $100.00 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 F.re-existing Buil~3~ng.. Location of Property.~.0.. &/.g..~..~..L...~.~.~..~...--~...~..../../.~..~..-/ ...... House No. ~a~-~ ~r~ ~ UHamlet Onwer or Owners of Property .................. .~. .............................. County Tax Map No i000, Section....~...~. ...... Block... ~. ........... Lot....~ ................. Subdivision Filed Map Lot . .. Permit No.~..~3g.~'..~..Dat~ Of Permit ................ Applicant...~..~...~ ........ Health Dept. Approval ...... f.' .................. Underwriters Approval ..... /.: ................. Planning Board Approval...../~../.~.. ............ K~,.~ ~ Request for: Temporary Certificate ........... Final Certicate..~ ..... Fee Submitted: .......... ~ ............. ~ . . ~ ~ ~ ~+1~ ........... ............. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-I 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 21, 1998 Carol Conroy 380 Gin Lane Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24332-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 0 Z ©. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGHP~I,I, BG. [ ] FOUNDATION 2ND [ .~] ~I~'ATION [ ] FRAMING [~,~/'"FINAL [ ] FIREPLACE & CHIMNEY T, JUH ~' 5 I~()RH NO. TOWN OF .qOHTIIOI.I) BU l I.I) I N(; DI( PAI[TI~H~.N']' TOWN tl^l.l. :;OWI'I1OI,I), N.Y. I 19!1 TEl.: 765~ 1802 AP~M.ICAT1ON FOR BIlII,I)INC PgRM['r I NS TRllC, T ! ON.g IgOARI) OF lll~.^l.TII ............... 3 SS'rs OF PLANS ............... 511RVlr. y ........................ C I I F. C K ............. . ............ git. pT I C F(}RH ................... a. 'ii,is applic,utio, n~mt t~ completely filled in by tyl~.~ritor or in ink a,~l m~t~itl~l to the ~lildlng Inn~clor 3 ~t~ of plans, ack,rate plot plan t:o ~cnle. F~ accordin~ to b. Plot plan sh~i~ l~ati~ of lot a~l of l~dldinRg ~ prying, relation~dp to ~ljoJlling praises or sit. ts or ,ute,us, ~l giving a (ktail~l ~gcripli~l of In~lt or prol~rty ~mt t~ dr~ ~1 Ihe dingr~ ~dch i9 l~rt or this nl]~] icat c. 3]~o ~rk c~l 1~ this a~licntil.~ v~y ~)t ~ cowPnc~l {~fore i~o of Ihd]di~ Pomit. d. Ui~ n~)~al of this a~licnti~, tl~e hdlding ]ngl~ctor will issue n ~dldbg l'omit to tho a~licant. ~mlt ~nll {~ kopr ~ lira ~i~s ~ilablo For ing~cti~ thr~O~,t the e. ~ ~dlding J~ql] 1~ ~oq)i~l or .~1 in ~]e or in lmrt for n~ ~r~ ~mt~or xml il a C~rtiflcate iff AI~,I~'{'{~ IS }~l~ ~E to O~ lk{ilding ~rtn~nE For Lh~ i~qnce of a hdlding Pemit ~r~ant to the }~ilding 7x~ ~li~q~e of the T~m of ~thold, ~fffolk C~nLy, ~v York, a~{ other n~l icable l~s, ~'d{~o~ or ~dati~, for IJ~ ~st~ti~ oF l~ildi{gg, mkliti~g ~ alterations, or for r~a] or d~lition, ag herein ~gcril~l. 3he opplic~t a~g to c~ly wilh all n~licM)le l~g, ordh~qnco~, I~dldlng c~le, h~minR ?...: ............... .................. St`ute ~{ether a~licm~l i~ ~r, les~, a~nl, archit~t, engit~r, ge~ral cmirnclor, el~lricinn, phml~r or l~dl(lor }kdhlors l.icen~ ~) .......................... DATE: ~ ,,B.R~ . ~ ' FEE: B~ ~ NOTI~ BUILDING O~T~A USE IS U~LAWFUL WITHOUT C[~TIFICATE OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRE~ {:OR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBIN~ 3, ',NSUI ATiON ~,. ~{~!AL C~$TRUCT~ON MUS BE COMPLETE FOR C.O. ,gl,ute exiSlling USO ~1 ocolp,ut,~2! or prcmi,~o.q ~ixl inte~k~l uso ar~l ~il~qr~T or pmm.~l congtrt,cti~: Other Tr,~le's l,icenr~ Ho ....................... ALL CON~]TRUGT!ON * SH~LL ME~ ....................... ~' ~T[' 'C(J~i.]{~OM' '&' 'E~RG' COOE~." NOT RESPONSIBLE FOE ...................................................................................... ~F~ DR'C~U~ION'ER~R~ Ikxl~ ~r Strut lLmn et m .... ....... .......... ..... ........ (m~) - · .............. al)iff icat. io, q tim( all siat~nts cootai~xl in this al)pi icat icnt ale t.l~m Io the I~sl. o[: his km~lcyltle a~gl Ix~lief~ nlm ........