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Home My WebLink About24392-zFORM NO. 4 TOWN OF SOUTHOLD ,~ BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25852 Date: 07/27/98 THIS CERTIFIES that the building ADDITION Location of Property: 3905 WELLS RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 2 Lot 14 Subdivieion Filed Map NO. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4! 1997 pursuant to which Building Permit No. 24392-Z dated OCTOBER 2, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT E & ANNE N. MITCHELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 07/20/98 PLUMBERS CERTIFICATION DATED N/A Buildin~nspect~ Rev. 1/81 leO~M NO. It TOWN OF SOU'FI'fOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24392 Z Permission is hereby granted to: ~.~.~....~.).~.~../.~.~.~.~...~./.~ ,~;-~ ,, ,...~..--:....~_.~.,..¥..,........//:..~.,.... ................. . m ..................... ~ ............................................................................................ ~. ................. .... ~?"~' ........ "~:~ ........... ~~7 ......... ~"/" ....... ~~'"'"~ .... County Tox Map No. 1000 Section ...... .d'~.. .......... Block ..... ..d~.....~... ......... Lot No ...... ./..[..~... .......... pursuant to opplicotion dated ........... ?..'.'..'~..~../.....~.:........~......?.. ......... , 19.~.., and approved by the Building Inspector. Fee $,.. Rev. 6/30/80 Form No. 6 ~ TOWN OF SOUTHOLD BHILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY B.' 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 completed site 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 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-existing Buildin~ - $i00.00 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 ate .... ......................... ~ew Construction ........... Old Or Pre-ex~sting Bu±lding ................. ~Location of Property ............................. House No. Street Hamlet fOnwer or Owners of Property.~ ........................... .................................. ~County Tax Map No I000, Section ............. Block .............. Lot ..................... Subdivision Filed Map Lot .. . Permit No ............... Date Of Permit ................ Applicant. . .~%..f~./ ...... Health Dept. Approval ......................... .. Underwriters Approval ...................... .. . Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..................... ~ / .~ FOUNDATION ( 2nd ) ROUGH FRAME & ,PLUMBING 3. INSULATION FER N. Y. ,. STATE ENERGY CODE ~' / / ' " FINAL ADDITIONAL COMMENTS: 76S-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~~GGH PLBG. [ ] F/OUNDATION2ND [ ] INSULATION [//] FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY I NSPECTOR~~.~ 765-Z802 BUILDING DEPT. INSPECTION [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS. ~ _INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FP,~MING [ ] FIREPLACE & CHIMNEY DATE [ ] ROUGH PLBG. [ ] INS~J~ATION [~INAL FOUR SEASONS SOLAR PRODUCTS CORP. " :~ FOUR SEASONS SOLAB PRODUCTS CORP. :~: ~3 ~ ~ aom~O0~, U~ YORIC~ 11741 8'-3 3/4' m [. it'-SO 1/8" TOP OF LEDGER 12'-i 7/i6'* ~= m " , z ~ FOUR SEASONS SOLAR PRODUCTS CORP LEDGER HGT. 11'-10 1/8" FOUR SEASONS SOLAR PRODUCTS CORP, ~=.°o -o ~m r- FOUR SEASONS SOLAR PRODUCTS CORP. FOUR SEASONS SOLAR PRODUCTS CORP. ~G~ Mrs, Patrick J. (Beryl) Cronin 285 Terry Place Mrs. Roger (Tese) Brian and Kerry Berkeq~ Dr, Richard Ollen Dave Hommel Charles Ralph Main 730 Kevln .~. Zukas 270 Michael and Elizabeth Aprile Bayview .GOOSE NECK ESTATES SOUTHOLD NEW YORK Road FORH NO. I TONN OF SOUT{tIOLD BIJILDI NG DEPARTHENT TONINI HALL SOUTIIOLD, N.Y. ! 197 I TEL: 76S- 1802 Disapproved a/c .................................. INSTRUCTIONS BOARD OF IlEAl,lit ............... ~-""3 SETS OF PLANS ............... ,~--SURVEY ........................ ~CNECK ......................... SEPTIC FORH ................... NOTIFY: FLAIL TO:~L,~ g..~... ... .... a. This application must be completely filled in by typewriter or in ink and anlraitted to the P~dlding Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sbo~ing location of lot and of buildings on premises, relationship to adjoining premises or ptdflic streets or areas, and giving a detailed description of lay~x~t of property ra~t be drmm on tim diagram ~)ich is parc of this application. , c. lie ~rk covered by this application ~ay not be cc~eneed before issxkaece of Buildiag Permit. d. Utxm approval of this application, the l~uilding Inspector will issue a Dailding Permit to the applicaalt. Such permit shall be kept on tim premises available for inspection throughout the ~rk. e. hlo building simll be occupied or used in ~hole or in part for any p~rpose ~daarever until a Certificate o~ Occupancy shall have been granted by tim Poilding Inspector. APPLICd~Tlqlq IS IEIOMI¥ ~Ib[IE to tlc Building Department for the. isaamnce of a Building Permit [~araxant to the Building Zone Ordinance of tim Tc~n of Southold, afffolk Ccamty, ~ York, and other applicable Laws, Ordinances'or Regnlations, for tim cansrruction of Imildings, additions or alteratlca~s, or for r~vval or deraolition, as herein described. The applicant agrees to co~ly with all applicable laws, ordinances, building code, beosing code, and regulations, and to admit authorized inspectors on preraises and in L~ildi~!g for t~-~cesser~ knsp~tlons. (Signature of applicant, or nam, il: a corporation) (Hailing address of applicant) State ;d~etber applicant is oaner, lessee, agent, ard~itect, engineer, general contractor, electrician, pltrrber or builde (as on the tax roll or latest deed) If al~)licant is a corporation, signature of duly anthorised officer. 3. Otlmr Trade's Licanss No 4. FINALJ~J~...' CON~TRUJ~ION. MU~I' I. l~ati~ of 'A~ CON ...... ............... tk~ a&r St~t ST~ONS~U~ A ~ERGY CO~. N~ RESPONSIB~ FOR ~ty T~ ~p ~. I~ ~tlon ...... ~.~ ...... Bi~ ....... ~ ...... ~t -OE~OR-~NS~ ~R~S ~iuisi~ ............. i ........................ Fil~ ~ap ~ ................ l~t ............... (~) State ~isti~ ..... .... ................................................. (~rlpc 4. l~st.i,~t~l Cx>st ...... ' . ~ ....... fee .............................................. (lo I~ I~aid ~.~ fillng this 5. If ~:lli.i~, t~l~r of ~llin~ unit.~ .. /' I~ltt~r or ~k~llln~ ~mits ~s each ffl~r 6~ If I~mi~s~, ~rcia] or mJ~l ~C~l~a~my, simcity ~qlt~re a~l ex[ent of each ty~ of'use ...................... 7. I)i.,msi~n or ~isting strictures, if any: Fr~t ................ ~ar ............... ~pth I~il~t ......................... ~,~Imr off Stories ...................... l~plh .................... Ibil~t .................... ~tl~r of Stories ............... ~. I~i,,~,,si~s~a~ entire ,~ ~,sc,~:li~,: rr~,u ....~.~ ....... ~nr ..... ~ ..... ~l,lh II. ?zx~ or u~m district in ~dd* pr~d~s am ~itmt~l ...... ~.~.~.~-~ ................................. 12. l~s prol~l c~stnx:ti(~ violate any ~zxdng 1;~, onlls~m~e or re~ulat:t~: . ..;..~ ............ 15. Is this p~rty ~{thin ~) feet o[ a ti~l ~Llm~it , ~ .......... ~ ~ ...... v JACQUELINE A. HASSETI' Notary Public. State of New No, 01 HA5035395 Qualified in Suffolk County Commission Expires Oot. 31.19-~.~ l u ~5,jt~ j:~~: ,, ............. : .......................................................... .¥,~ ~IHT ;~0 ~r~tf~J~tlJO~Ae',,~,'{c°rp°n~te orr,cer, etc.) qf~ ~~s~l~:~.,Ihor{~l to lurfo,m or h~o I~rforn{~d Ihe m~l,I ~rk a,~l to .~ke a,xl rile Z t VAk) CAE ,[zF-L.[~-i ! 160,0 t m C~ ul