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Home My WebLink About24206-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26329 Date: 03/16/99 THIS CERTIFIES that the building ADDITION Location of Property: 950 TOWN HARBOR LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 64 Block 5 Lot 6 Subdivision Filed MaP No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27, 1997 pursuant to which Building Permit No. 24206-Z dated JUNE 23, 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 SECOND STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CYNTHIA LOCROTONDO (OWEER) of the aforesaid build~ng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 18107 05/06/98 N/A yBulld~ng Inspecto~ lrO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) z Do,e ...... .~.~ ............... , 2420(; Permission is hereby g rant,:~,,~..~..~.~,,,, ,~,~ ~ ~ ......... County Tax Map No. 1000 Section .......... ~. Block ....... .~ ...... Lot No. ~ ................... pursuant to application dated ................... ./...~..~....~.. ........ , 19~..Z and approved by the Building Insp,~e~ ~e. ,....Z~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 Ppre-existing" land uses: 'i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ~. A properly compieted 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. 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 Buildinm - $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 Date · - New Construction ........... .~..~.~. ~-~Old/ ~~}~Or Prevex~,sting~ iBuilding ........ ~) Location of Property .... ,~ .~...,...~.;.~v~..:,-.,. ................ ~] ................. House No. Street Hamlet Onwer or Owners of Property Subdivision .. . Filed Map Lot~ ............ Permit No Date Of Permit Applicant ..... Health Dept. Approval.................. ...... . . Underwriters Approval ......................... Planning Board Approval ..... Request for: Temporary Certificate ........... Final Certicate ........... DATE: 5/6/98 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE EAST PA TCHOGUE, NEW YORK 11772 (516) 286-6642 18107 APPLICATION No. ON FILE VIL~4OE: Southold TOWN: $outhold ADDRESS: ISSUED TO: 950 Town Harbor Road Frank Locrotondo · · INTtZODUCF2)BE' Paul~PvbglanO3Elee~e "f~. was ~minad on 5/6/98 and f~ to be In comp~ance w~th the N~tlonal Elec~ical Code LOCATION: Base.. ist 2nd XX Srd Atria Der. Garage Hot Tub Pool SWITCHES RECEPTACLES FIXTURES I HEATERS FANS G.FL ~.IR. COND. 8 11 4 I 2. DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RdNGE O~ SlffOICE DETECTOR 3 FURNACE OIL GAS CIR. MOTORS BELL TRA3L SERVICE DISCOivSV~CT OTHER EQUIPMENT BUILDING PERMIT No. ORIO1NAL YELLOW COPYPINK COPY OFFICE HUGO S. SURD1 PRESIDENT ( I!;TI ,. '~'~ I~ I IIAI, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]~TION ~/] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ]~JGH PLBG. [ ~ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE ~//~////~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUN~JON 1ST [ ] ROUGH PLBG. [ ] ~JNDATION2ND [ ] INSULATION [~]/FRAMING [ ] FINAL [ ] FIREPLACE~CHIMNEY REMARKS: // DATE ~'~'/1"'/~ 7 INSPE~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ] ROU~ PLBG. [ .]~IJLATION [ ,r,,]' FINAL [ ] FIREPLACE & CHIMNEY DATE* /~'/'/~/~/~- INSPECT~~ FORHNO. ! TOI~INOF SOUT~OLD BUILDING DBPARTHENT T0~N BALL SOUTHOLD, N.Y. ll97[ TEL: 765-1802:'~ Disapp~ te .................................. . ' AP~CATION FOR BUILDING PERHIT INSTRUCTIONS BOARD OF HEALTH ............... ~ SETS OF PLANS ............... · SURVEY ................ CHECK ....... SEPTIC FOR~ ................... NOTIFY: CALL 1~I1, TO: .................... a. This application must be e~pletely filled in by typewriter or in ink and submitted to the Building Inspector vith 3 sets of plans, accurate plot plan to scale. Fee eccordlng to sche~fle. b. Plot plan sho~ing locatioa of lot and of blfildings bh premises, relationship'to adjbining pi~dses or ~ublte st~ts or areas, and giving a detailed description of layont of property ramt be dram on the diagram ~bicb is part of this application. c. The ~rk covered by this application may not be carmeeced before issuance of Building Peri,it. ' d. Upon awtoval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such permit shall he kept on the pr~uises available for inspection thranghout the ~ork. e. No Imilding shall he occupied or used in ~aole or in part for any parpase ~mtever ontil a Certificate of' Occupancy shall have been granted by the Building Inspector. APPLICATI(Ii IS lflttl~ll~ ~ to the Building l)gl~rtment for the issum~e of a Building Permit lxtranant to the Building Zone Ordinance of the To~u of Sonthold, Suffolk Coonty, Ne~ York, arfl other applicable La~s, Ordinates or Ilegulatiens, for the construction of buildings, atkiitions or alteratioon, or for removal or demolition, as herein described. The applicaat agrees to ct~ply with all applicabld la~s, ordinances, building code, housing cede, and rngulations, and to adnlt anthorized ingpectors on premises and ia building fo sec, essery i tion . (Sig~re of applicant, or name, if a corporation) ............. (~lailing address of applicant) State ~daether applicant is o~er, lessee, agent, architect, engineer, general contractor, electrician, plmber or builder. ~ ..~..~...~...%. · . . ~ of ~,~r of ~ses ...~...~.flk.~.'.,..a.....~:...~.°..~.V-~--~Lc~' ............................................... (an on the t~x roll or latest deed) If applicont is a corporation, signature o~ duly authorized officer. (Name m~ title of corporate officer) ' Builders License No ......................... · Plt~bers Lieease No ...................... .. .. Electricians License No ...................... Other Trade's License No ..................... I. Iz~ation of land on ~icb proposed ~ork ~ill he done .............................................................. ..... ....... ....................... .............................. tlo~se N~l~r Street l~ulet County TaxliapNo. I(}O0 Section .... ((~...~.. ...... Block ..... ~. ....... Lot ......... ~2 .... Subdivision ...................................... Filed ~ No ................ Lot ............... (~) 2. State existing use and eccupanod of premises and intend~l use and eceupeney of proposed constructioa: .\ ' ' a. Existing use and occupancy .... ~. .... ¥ ................ b. Intended use and occupancy .............. :.~. ............. ~ ................................. (~ripti~) 6. Est in~t~l C~sC O~o~ ~ ............................................. ' II garage, ~ami~r of ~ra ..... l ........................ ......... 6. lg Ixmi~sa, ~mrctal or mi~ ~qm[~y, s~cJ~ ~mre a~gl extent o[ each ty~ of u~ ...................... Din~naia)s of sam stricture wJ~h alrerati~e or ~MieJons: ~]t ............... ~ar ............... 8. I)i,ensi~s of entire r~ ~mt~t:~cn~: Fr~)t ................ I~ar ............... [~pth .............. 9. Si~ o[ lot. l~t ........... : ......... ~ar .................... l~pth ... Pf 15. la:ate clearly ~ dlsti~tly al I~tldn~a, ~mtlmr exi~tmg or pro[~, a~ ~aheata ail ~t-lmk P~n pro~rty li~a. gi~ strut aM bl~k altar or &acrlptt~ aeco~ing Lo ~. a~ ~ street ma a~l ialicate lb in the ............................ (C~tracter, agent, c~r~rnte officer, etc.) oE .aid ~mr or ~mr., a~.l ia duty ahthorizal te I~rfonn or have imrii~n~ the .aid ~rk m,I to rake a~l file ~pplmat.m, tha: all stata~ ts c~mta3~l m I us nl~flicatlen are t. nm to the Imst of his k~x~l~gm m~ Nillefl a~xl that the ~rk ~ill Im lmrfou*~l in Ihe[ num~mr ~t f~tl~ in the appl. lcati~m fil~ tlmr~ith.