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Home My WebLink About23881-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No M-24861 Date JANUARY 21, 1997 THIS CERTIFIES that the building Location of Property 50 FAY COURT House No. County Tax Map No. 1000 Section 123 Subdivision ALTERATION MATTITUCK, N.Y. Street Hamlet Block 5 Lot 14 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3, 1997 ~ursuant to which Building Permit No. 23881-Z dated JANUARY 6, 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 ALTER AN EXISTING BUILDING SPECIFIC TO A TIRPLE 2 x 10 GIRDER AS APPLIED FOR. The certificate is issued to RICHMOND S. CORWIN~ JR. (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 FO~ NO. ~ TOW~ OF $OUT~OL~ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) ~,0 23881 Z Date ......... ..~ ................................. , 1 / Permission Is hereby granted to: ~..~......~...~.~ ........................... - ~./.... .. .......... ...... ~.~....~......~~..,..~.~ ......................................................................... at p~emlses located at ....... ~.........~.....~..: ...... ~..'~....'~. ................................................................ ......................... :.::~ ........................ ,~.~.~.~.~ ......................................................................... County Tax Mop No. 1000 Section .~. ,~.. ............ Block .... .~..,,.~,,. ...... Lot No ..... ../...~...., ....... ..... · .//...~..~... ......... 19~...., and approved by the pursuant to application dated ....... ~ ........................ , Building Inspector. 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: i. 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 plumbar 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. Be For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. 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 - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... /./.~. J.~. 7. ........................... New Construction .......... . Old Or Pre-existing Building ................. Location of ~ ..... ~, ~O ~-~q¥ ~C~T House No. Street Ha~et Onwer or 0~ers of Property ..................... ~ ........................................... County T~ Map No i000, Section...~P.~..Block.. 12% ~ ...Lot. ~ . . Subdivision ~D ~ ~m ~ Filed Map Lot ............. Of Pe~it Applicant Pe~it No Date ..... Health Dept Approval ........... Underwriters Approval Planning Board Approval ....................... Request for: Temporary Certificate ........... Final Certicate.....~.] .... Fee Submitted: $ ~.0 k~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ JC~llq~.--~ [ ] FIREPLACE & CHIMNEY INSPECTOR FORH Iq(). I 'I'ONN OF ,qOUTIIOLD BUll,DING I)1~ PAR'I'HENT TOWN IIALI, · qOUTIIOI.I)~ N.Y. 1197 I TEl.: 765- 1802 '" ' '"' '~"~l~,il '" APPI,ICATIOH FOR BUll.DING PgRHIT 1 NS'I'RU(71'I ()NS IlO^liD OF IIF. A1.TII ............... ] SETS OF PI.AN.q ............... · qlIRVI~¥ ........................ CIIECK ......................... SI~P'I'I C FORH ................... a. 'lhla ~q)plicati(m n~mt be co~l}letely filled in by typewriter or in ink b. Iqot plsn ~a~mi,~ l~atim oP lot ar~ oP lxdldi~a ¢m prcmdses, relaLio.shlp Co ~ljolning pre~nisen or ix~bl ic si recta or areas, atxl Rivh~ a del:ailol ~acrip~i~ oP layout: o~ prol~rty ,amt Ihls appl lcation. d. Illxm appr~M o~ this applicati~L the l~dlding hml~ctor uill iamma lkHIding PemiC to the applicant. ~clt [xmnit: shall I~ kept ~ the p~,i~s available for inal~CCkm I.hr(x,~la~C the e. ~ Ixdlding ~tmll I~ (~pi~l or tm~ in Mg)le or in i~art for any iX. lXme (k:CUlml~:y vamll have Im~n i~rant~l by the Ikdhlin8 hm~ctor. IMihli,g ?xx~ Ordinm~:e o[ the 'r~m of ~xllhold, 5if folk {~ml.y, ~ Yod% taxi other applicable I~, Ordina~e~ or (Silpmtm-e oF applicanr, or ~, if a Cm'l~al ion) (ag fsi Ihe ta~ mil or latest dec41) If al~licant iR a corporation, signature o1: duly aul.horJz, ed oflqcer. (1~. at~l t it le of corlx~rate officer) Electricians 1,icense Ho ...................... OIImr 'l'rade's License ~ ..................... Ikx~se ~l~r fit-ret l~nlek (~e) h. lnleixk,d use aM ~cuDqm:y ~0~ ~X~¢~ l. P.'lh,u of ~,~H~.heck ~li('Jl opldie ihle): I~.~; I~dhlinl~ .......... ~klition .......... Allern~ion .......... ,. E,~, i,,~,ted Qmt .... f~ ........ : ...... [e~ .............................................. i. If (ksHlinS, ~.,d~r of (k~Hlir,8 ..JLa ...... ~ ..... Ik.l~er of, (~mlllnl~ unlt'n ¢m each fhx)r ...~...~/ ..... ~. I~ I~m]f~amT~ c(~m~rc:ial or raised ~C.l~.my, ~lmcif~ nei~ire m~l ettLenl or ench I. yf~ o~ ~1~¢ ...................... ~. I)in*m~H(~m of ea[~d'in~ eL~t~:Ltlle~l,, If m~y: I~(~11 ................. I~n~' . .............. I~l)th ................. I. I)i.~nmhsm or enl lie i~7 e(smt, zT~:l;i(s: Fr(xH .... ~ .... lkmr ...~ .... I~ldh .............. II. ~s~ or t,~e district: in ~Jd(:h praqhma are a~tt,al¢~l .............................................................. 13. I~ill lo1: I~ rel~r~x~d ...... ~ .......... tl[ll escetm fill Ix~ r~l~ed fron H~ of (~a~Lraelor ~I~C~~...... ..... . .... ~D~CT~.... ....... .... ~klrCma .~..~ ........................ l~lom ~ ............... 1'5. 1~ this p~)ix~ty ~(thil~ ~l) feet: ~f a thlal 1~t'la~vY/ * YI~I ........ ~1 .......... I PI.OT I)IAGIIAH l~:ate clearly mai dlsl:l~tly nil il~Hldh~a~ ~&mther axial, in8 or in-ol~)~ed~ taxi hxlieate all aeC-back dJuenalorm f~. pro[s~ly 1 h~a. Give ~Lreel: m~l bl~k ~,~mr or ~aerlpl'lts~ accordh~g I'o ;fA'IF, DATE: ~..~.B.P.# ~' IqOTIF¥ BUILDING OEPARTM~NT AT 78~-'t80~ 8 AM TO 4 PM ~OR THE FOLLOWI~ aNSPHCTIONS'. 1. FOUNDAI'ION - TWO REOUIg~D FOR POURED CONCRETE ROUGH - F~AMtNG ~ PLUMBING INSULATION FINAl. ~ CON~7~UC'flON MUST BE COMPLETE FOR C,O. ALL CONS~'RUCTION ~tlALL MkET THE R~OHIRFMENTS OF THE N.Y. SLATE CC)NSTI,~UC'i~ON & fiNEPGY CO~ES, NOT RE~PONSIDLE FOR DESIGN OR CONS1RUCTION ERRORS Ihnl Ih~ ~)~l~ ~ilI I~ i~rfmnad in Ihe I,~lfll~ eat rorlh Jn Lhe ~ppJ. lJ:nl:Jon [Jled IJ~rc~JLh. HELENE D, HORNE Notary Public, State of,New York No, 4951384 Qualified in f:h.fffulI,; county ~;~ (Llii;nahrre ol: Appl i,lX,ll ) u