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Home My WebLink About23898-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICA%TE OF OCCUPANCY No Z-25098 Date JUNE 20, 1997 THIS CERTIFIES that the building ADDITION Location of Property 17130 MAIN STREET NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 28.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 30, 1996 ~ursuant to which Building Permit No. 23898-Z dated JANUARY 22, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MICFA%EL & SHANNON SI~K)N N/A il~ng I~spector Rev. 1/81 Iv'OB, If NO. It TOWN OF SOUTHOLD BUILDING DFPARTMENT TOWN HALL $OUTHOLD, ~. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ....... ~.,...i...z .~..,..a~...~, ................. ~ ~ , ....... ~~~, .... ~,~..7..../..z~_ , , _ . at premises located at ............. /....?.../.....?....~..., ~.'~.. ~ ........................... co,,,,,,, ','ox Mop No. ,000 Se~,,o,~ ........ ~...i~,~,o~,~ ....... ~. .......... Lo~ No....,a.~.-...../. .... pursuant to application dated .......... .~~....~...~.. ............. , 19...~., and approved by the Building Inspector. Fee $ ............ 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 coutains 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. B. 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. properly completed application and a consent to inspect signed by the applicant. ~ff 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 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, Commercial $15.00 Date ... New Construction ........... Old Or Pre-existing Building ................. Location of Pro err 1~/ 3 0 Z~.~<~ ~..?'.~.~-.~. '7. /~/..~ZZk/. %~Y.~?.e+ ¥. House No. Street Hamlet County Tax Map No 1000 Section Block. . . . Lot . . Subdivision .................................... Filed Map ............ Lot ................... . .. Permit No. 7. ..Date Of ~ermln ...... v ......... Applicant,. . .~..//~.~.~-.... .a~..q .... Health Dept.~pproval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $~.~.'.~ ..................... ................. A FLZCA rr FUUHII~ I'l()ll (21'111) I1^1. ,I Al)l) ITl ()lfAI. (,;Otltllr, ll'l'!l: ~ 7~? Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 12, 1997 Michael A. Simon P.O. Box 303 New Suffolk, N.Y. 11956 To Whom This May Concern: We because XX XX are unable to complete your Certificate of Occupancy of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23898-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. TO: Southold Town Building Department FROM: Michael A. Simon 17130 Main Street PO Box 303 New Suftblk 11956 SUBJECT: Building permit for deck DATE: 15 January 1997 1 am hereby enclosing revised sketches as a supplement to my application for a building permit for constructing a deck behind nay residence at 17130 Main Street, New Suffolk. The original application was filed on September 30, 1996~ If there are any fQrther questions, I can be reached at 734-7237 or (212)666-1090. J/i/~! i 6 - 765-1802 BUILDING DEPT. INSPECTION [ ] FIREPLACE & CHIMNEY REMARKS: INSP£CTORj/~~! 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGHPLBG. [ ]/OUNDATION 2ND [ ] INSULATION / Iv/] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY _ REMARKS. ~/~ - ~),~ INSPECTOR 765-1802 BUILDING DEPT. [ ~]~NDATI, [ ] PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL []FIREPLACE&CHIMNEY DATE/~ E~ 0 0 .$5P 3 0 1,qgfi 1 IqSTIUICTIONS BOMilI) OF III'iAI,TII ............... 3 8E'I'S OF PI,AN$ ............... SIIIIVI~¥ ........................ CIIECK ......................... SI~P'I'I C FORH ................... NOTI FY: c^,.i..7..J.~.--.'7.a..3..7.... a. 'ibis applieatia~ saJst be cmtfletely filial in by tyl~riter or in ink aal suhaittal to fl~e Ikfilding InSl~Ctor wi 3 ~ts of plans, accurate plot plan to scale. F~ acconling to sch~lule. b. Plot plan ~i~ l~ati~ of lot aM of hdhlit~s ~ pres.i~s, relationship to Mjoinlng pro,iaea or [x~blic strolls or areas, aM givi~ a &tailcM &acription off la~C of prolmrty uust lm drmm ~ die diagran ~fi(:h ia l~lrt of this appl'icacion. c. 'lhe sg)rk ctwerc~l by I.his aid'Ileal'ion l,~xy l~3t: 1~ cml~el~ed Imfore isst~.~:e of /kdlding Permit. d. I)lx~l appeal of this application, the Ihildi.g lnst~d:or uilt issue a I~ihling Pensit to the applicant. ~,ch lermit ~all lm kept: al ttm prani~s available fnr insl~cdon thrtxl~l(~t the ~rk. e. ~) hfildi.g ~sMl Im (~cupial or u~d in ~ole or in ~qrk for lilly InfUse ~lalever instil a (~rdficate of ~:all~u~:y fl~all have I~n graat~l by the l~dlding Ins~ctor. APPLICA'I'I~ IS I~[fl~BY [~E to tl~ l~fildi~l I~rtnent fer the isstm~e off a ~fihling Penni[ ixn-stmnt to the Ihfihli.8 ~ Oxdi~m~me off the 'l'~a~ nf a~ihold, ~dSfolk (hinly, ~ Yozk, ar~ other applicable l~s, Or(li~r~es or I~guladt~s, for tim cxa~atn~t'i~ off hdldinga, aklitia)s or alterations, or for ra~al or da~¢)l ilion, as herein &serliO. 'lira a~)licanc agr~s to cm~ly with all al~flicable l~s, ordina~es, hfiMing c~le, I~mi~g tale, aM regulad(z~s, aM to ainit a~tl~ri~l inslmclors a~ la'arises six[ in hdlding for t~cessa~ inal~ctitz~s. (~[~iliog ~ldress o[ al~)licanr) ~,,~: ,,~ ,~,~,. of I,~,~a ...A(../!..¢..~.4 g.&....~.-:.~.~. ~. .... A~. ~....T~..4 ~.,.~.o.~........?.:.~.. a, ........... (as czl tim ta~ ri)il or latest dec4) I f appl ica(it i. a a)qx~ratlcm, sllc~ature of &lly a~l.l~rizal officer. (l~e aM l itle e[ corlx)rate officer) , J I'I,OT I)IAGRAtI Ixx:al~ clearly m~l dl~t i~t;ly nl jl~. d ,q,o, xJl~lher exlntlng or plolX)Sed, taxi i,~licnt, e nil net--Imclc dm~,n~ ((~o,1.~ ~(:t or ~ nlV.,t, co~ jg~rn~ (~ orFicm-, el t:. ) C~IREL, OL~ J ~ or Al,pi iv,,nl ) .... N~a~ Pub~io, S~ato of No. 4879506 Qualified in Suffolk Coun~ ~mmissJon Expires December ~8, 1