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HomeMy WebLinkAbout24193-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25105 Date JUNE 24, 1997 THIS CERTIFIES that the building ADDITION Location of Property 270 GAGENS LANDING House No. Street County Tax Map No. 1000 Section 70 Block 10 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 1997 pursuant to which Building Permit No. 24193-Z dated JUNE 18, 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 ALUMINUM AWNING ADDITION OVER AN EXISTING BRICK PATIO The certificate is issued to "AS BUILT" AS APPLIED FOR. ROBERT & JANE COVATTI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 uilding I nspetor IrOE~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24193 Z Dote ..... .......~...../...~.. ................ , 19.~....~. Permission is hereby granted to: __ / __ __ ..... ........................... .... ..~..~~...~.z.~....z/...~.z.c... ..~.....~~....~y)~......:;~........~....t....~..;~... Coun~ ~ ~ .o. ,000 S,~,,o. ............ 20.... ~'~ ........ Z~ ...... ~o~,o...Z~ ............ ,u,uan, to opplicetion da,~ .................... ~.~ ........... , 19.~ and ~,prov~ by the Building Inspector. Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. ZJ0200 Date 0etobo, r '15 19'.09 THIS CERTIFIES that the building ................................................ Location of Property 270 Oagens Landing Road, Southold, County Tax Map No. 1000 Section . . 9.7.©. ...... Block 10 .Lot Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore flied in this office dated z t T~ lA 28 19 ursuant to wlfich Building Permit No. dated .... ~.~.~¥..~. ~ ................. 19 .~9, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... Pti'rate One-Family Dwelling The certificate is issued to Henry China ~ ..................... b ¥. b ), '/&~/Y g'~-%%~'b'~)~ ..................... of the aforesaid building. 10-f~0-3.~, 9/29/80-Robert ,~. Villa Suffolk County Department of Health Approval .......................................... N/*94971 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev 4/79 TOWN OF SOUTHOLD BUILDING DEPARTi~3~ TOWN HALL 765-I802 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 su~ley 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-disposai(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 c6mpletad si~a plan requirements. For existing buildings (prior to April 9, 1957) not-conforming uses, or buildings and qpre-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 sighted 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, ~~ltarations 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-~xistin~ Buiidin~ - $i00.00 / 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Cartlficate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Bate .....~%.~.w...a~., ~. ~ .................. ~w cons~io= ........... o~ Or ~r~-~is~ ~=~.. ~)~. ~' ~==~= o~ ~o~=~.~...~5~ .............. ~~.~ .~ .... .............. House No. ~tre-~ Ha~e~ Subdivision .................................... Filed ~ap ............ Lot ...................... .... of ..... ,pplica= ............................. Health Dept. Approval .......................... Unde~ri~ers Approval ......................... Planning Beard Approval ........................ Request for: Temporary Certificate ........... Final Cervical. c o~2 ~ ~103 J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS~..ATION FRAMING ~/~NAL REMARKS. ~/~/2~,~-~~ ~· ~ for this locatir, n 'have been ~th~O d~partment and found · , ,TANK Ex~mlr ~1. SOUTI1OLD, N.Y. 1197 l TEl.: 765-1802 Aplmr~ /c .................................. //({lu{ J d i')8 I ssilector) AP~, FC~'l' 1 ON FOIl IHJ I I.I)l NG [)ERH l T 1 NS'rRUCTIOHS BOARI) OF IIEAI.TII ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SI(PI'lC FORM ................... NOT1 FY: c^,., ....... 2 ~ 5..'~..c(3~ .~ MAI1. TO: .................... a. 3his appilcat:icn~ nust be co~)let:ely fillet{ in by tyl~.a,rriCer or ie ink a~} sulxai~r~l ro tim /k~ildi~ lns~ctor ~itb 3 ~ts oF plans, at.rate plot pl~ to scale. F~ accordir~ to b. Plot plan ~avi~ l~al:i~ o~ lot md of Imildings on pr~aises, relacieoMdp ko adjoiniag pr~,isea or ~a~lic s~r~ta or areas, ~1 givi~ a &tail~ ~ripcion of lay(x~t o[ l~ot~rty ~st ~ dr~ on rim di~r~ dficb is ~rr of this a[~licaLi~. e. 'Ibc ~mrk c~r~l by Ods application my ~)r }~ comer~l Imfore is~l~e oF lkdlding Penait. d. Ili~ appr~al of this a~llcation, the ~ilding [nsimctor will issue a Ikdlding PemiU to the appllcanL ~mit Mmll I~ kept al tim i~ani~s available for ins~cki(m tbra~a~t tile e. ~) IxHldiag Mmll Im ~cupi~ or u~i in ~ole or ie ~art for any ~arl~ ~{arever until a (~rtificate ~oqm~:y ~mll h~e Ima ~ant~ I)y tim hfildi~ lns~tor. Mqq.l(~'l'I(~ lB }~a~ ~E I:o tim Ihilding l~rtnent for the isstmnce of a hdldlng Pemit lmrmmnC to the l~[lding 7~ Ordi~e of tbe 'l'~m of ~ltl~fld, ~lffolk ~mty, ~ York, a~ other a~>lleable I~s, Ordin~es or ~gulations, for tt~ c~sC~tim of I~fildi~s, ~iri~m or alterations o[ ~r r~or d~tlon, as herein re~Hatiom, ami to misit a~tl~riz~ ios~tors ~ proni~s a,~ r ~ cti ns. ~iling ~dress of al~licant) State ~tber applicaot is ~mr, les~e, agent, a~itect, engi~r, ge*~ral contractor, electrician, plmt~r or Is~ilder. ~X,~+ ;~ ~kq?>w~ 5~.w ~.. ................................................ .A ~e of ~mr of i~fi~s . .~ .................................................................... (as em the tax roll or latest: deed) If applicant is a corporation, signature of duly authoriz~l officer. (Nane and title of c-orl~)rate officer) Ikfilders License i% ................... Iqmt>ers IAcense Ro ........................ Electricians Licen~ ~ ...................... Other Tr~'s Licen~ ~ ..................... I. lx-,cati~m of land c~, ~hid~ proposed ~ork will be dor~ ..................yin,? ~t~r~y~;~ ~:~$..OF ................... .... ~.M .~...~.. ~... ~>.~ ......................... ,..~.?. ~.~y ................... ~.,~ .~ ~ ~. ,~ ~i~ .... ~.0 ....... ,,,,~ ....... ~.~ ..... ~o~ ...t~ ......... a~ivisia ................. . ..................... File~l )~p ~ ................ I~1: ............... (~) 2. State existing u~ a~ ~o~n~:y o[ l~ani~s mxl intem~i ua p~l ~}a~my p~ ~q~l c~mtmction: ~. ~,~,~ ,,~ ~ ~,,~ .gt ! ~.~= :.~m~. ~.S, ~ ........................ ' ~ ......... ~ ....... ~{ ...... i .... T,':Xl .......... I ........................... *ZI '11 '01 '6 '! '9 · i/