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Home My WebLink About24356-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26302 Date: 02/25/99 THIS CERTIFIES that the building ADDITION Location of Property: 2120 CROWN LAND LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 7 Lot 6 Subdivision Filed Map No. __Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4~ 1997 pursuant to which Building Permit No. 24356-Z dated SEPTEMBER 16~ 1997 was issued, and conforms to all of the requirements of the applicable provisions of ths law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LEWIS LEFFERTS EDSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 ~vO~ NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. N? BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24355 Z mt,, ...~..../..~., ...................... , ,~.~.~ Building Inspector. Rev. 6/30/80 Form No. 6 ' ~ TOWN OF SOUTHOLD I~ BUILDING DF3ARTMENT TOWN EALL ~ ?~5-~02 OEC 9 ~98 APPLICATION FOR CERTIFICATE OF OCCUPANCY ] ~ This application must be filled in by typewriter OR ink and submStted 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 limes, 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 electrlcal 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 s/milar 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) uou-conforming uses, or buildings and '!pre-existing" land uses: I. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent co inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Imspector shall state the reasons therefor in writing to the applicant. i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ng pool $25.00, Accessory building $25.00, Addi~ions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy ~ Residential $15.00, Com~ercial $15.00 Date ......... New Construction ........... Old Or Pre-existi~g Building ................. ~oeation o~ F~operty... ~J..OO...O~..A..Ca..~.. ~Ai...,...~.~6Ua- .................. House No. Street E~mlet On, er or O,~ers of ~roperty..4..~.i.~..~Z{t~' ......................... ..~. ~...~ ................ Count~ ~a~ ~ap ~o 1000, Seotion.../~ ....... ~lo~ .... .? .......... ~ot ..... ~'. ............... Subdivision .......................... ..... . .. . .. Filed Map ............ Lot ................. . . . - - Permit No Date Of Permit Applicant .. . ..... Heal=h Dept Approval . ... . :Underwriters Approval ........ Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certlcate ........... Fee s~ ...... ~. $. .o..0. ..... -" APPLICANT Owner(~) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town , which is sho~ and designated on the Suffo~ That the underslKned (has) (have) filed, 'or caused to be filed, an applica- tfon tn Zhe Sou~old To~ Bufld~ng Inspec%or'a Off[ce for the follow.g: That the unders~ned do(es) hereby give consent to the Bulldog of ~e Town of Southold io ente~ upon ~he above described property, including an~ and all buildings located thereon, to conduct such inspections as they may deem necessary with ~espect to the aforesaid application, ~clud~g inspections to determine that said premises comply with all of the laws, ordinances, ~rules and regulations of the Town of Southold. The unde~signed, in consenlinc to su~ ~spections, do(es) so ~th lhe knowledge and understanding that any ~for~ation obtained in the conduct such inspect[cna ma~ be used as evidence i~ subsequent pvosecutinns latinns of the laws, ordnances, rules ov ve~lations of the Town of ' ' ' , , (print name) (signature) (~rint name) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ [ ] FRAMING [ ,~,~t~INAL [ ] FIREIPL~ CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~NAL [ REMARKS: ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. iNSPECTION [ NDATION 1ST ] ROUGH PLBG. ~ou r [ ] FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL []FIREPLACE&CHIMNEY RIrMARKS: ~'~~~ BU I I,D I IslG I)I(I~ARTHENT ',~I '1'O~I l,I IIAI.I. ~OIITIIOI.D. H.Y. lip7 ~ TEL: 765-1802 ' APPI~IC~FI O~~ FOIl IIU I I,I)1 NO ! NSTI,H, JCTI ()NS NOT] FY: c^L, ..... HA ir I. TO: ................... a, 'lhis alq~licaLit~n rrtist I~ covqAetely filled in by lyl~trJLer or in ink iuxl sulsnitt~l to the IMihlinR Insl~clor e. ~ txJildis~ ~iatl t~ (~o~pi~l or t,~ ill ~r)le or hi I~Jrt for i.~ I~lrl~,~ M~atever l.~til a (~rtiFicate of I~dhlin8 Zz~ Ordh~:e of tl~ '1~ off ~tl~hl, ~¢olk Cz~mly, ~ YorR, al~l other applicable l~, Ordinates or ~el~ulaci~m, for 11~ c~mtn~ti~ oF I~dhli~s. ~kliti~s or alterati~s, or for ro~ or daniel, as herein (Silpmture of al~d icanl, or I~lle. if a corlx)r'nl ion) (l'lai I itq~. ~lch'ess of appl leant ) (a~ (~l the ta~ tx)Il or latest 1 l' apl)l ic~.~t is a cOt'l~)rati(~l, $igf~tture of dtdy i~fll~)rizm~l officer. (b~l~ a~d title of corl~*rate officer) Ikdhlers I,icen~,~e No ...................... ! h.d~ers Incen3e Et:, ................... / .......... Elect ri,cian~ License Ho .......... / ......... (~) OCCUPANCY OR USEIS U~LAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APP, ROyED AS NOTED NOTI~ BUI~ING DEPOT AT 765-1802 9 AM ~ 4 PM FOR THE FOLLOWING INSF~ONS: 1. FOUNDATION - ~OREQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMOtNG 3. *,NSULATION 4. FIHAL CONSTRUCTION MUST BE'CO~PLE~ FOR C.O. ALL CONSTRUCTION SHALL TH~ REOUTREMENTS OF THE STATE CONSTRU~ION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONS~U~ON ERRORS