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Home My WebLink About23907-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24889 Date FEBRUARY 4, 1997 THIS CERTIFIES that the buildin~ Location of Propert~ 1935 LAUREL WAY House No. County Tax Map No. 1000 Section 121 Subdivision ADDITION MATTITUCK, N.Y. Street Hamlet Block 4 Lot 22 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUANY 4, 1997 pursuant to which Building Permit No. 23907--Z dated FEBRUARY 4, 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 OWE F~A~ILY DWELLING "AS BUILT" The certificate is issued to LILLIAN HEP/~RTH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION ~TED Rev. 1/81 N/A N/A /I/'ldingIn,p.ctor :LvORM NO. ,u TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23907 Z Permission is hereby granted to: .X..:.'././..,.~.....~.~.... ........................... /.~z...:..../~.......~..~.. ...................... ...,~.~.~.~..~...~../../z.~.~_...~... ...... . ,o..~~.... ....... ~. ........ ~.~ ........ ~~.....~..~..~~...~¥¢~ at prem/ises located at'"'. ...... /...~.~.... ,~..........~~ ......... ~.~'~. ................................................. ........................................ ,~.~.o~.z....~....<~... ........ ' ' ~......../..:..~.~.. ................................... / County Tax Map No. 1000 Section .../.~../ ............. Block ...... .~....~.... ..... Lot No ....... .~.....~... ........ ~u,,a~t ,o op~,,,,t,on da,~ ......... ~ ........ ~ .............. . "£.7.., and op~,~ by th, Building Inspector. Rev. 6/30/80 FoFm No. 6 TOW~ OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 763-1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY A. This application muse be fi!!~d in by typewriter OR ink and submit:ed to the building inspector with the following: for new building or new use: i. Final survey of property with accurate location of ail buiidings, 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 Boa~ of Fire Under, ricers. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 of i% lead. 5. Commercial buildi~g, industrial build'ing, multiple residences and similar buildings and installations, a certificate of Code' Compliance from architec~ or engineer responsible for the building. 6. gubmi~ ~ianning ~oard Approval of completed si~e plan requirements. 3. ~or existing buildings (prior tO A~ri! 9, i957) non-conforming uses, or buildings and "Pre-existing" land uses: ~. Accurate survey of proper~y showing ail property lines, s~reecs, buf-lding and unusual natural or ~opographic features. 2. A properly completed app!ica:lon and a consent to inspec~ Signed by ~he applicant. Ifa Certificate of Occupancy is denied, the Building inspeczor shall reasons therefor in writing Co the applicant. ]. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, A!cerations co dwelling 525.00, Swimming pool $25.00, Accessory building $25.00, Additions ~o accessory building $25.00. Businesses 550.00. 2.Certificate of Occupancy on Pre-existin~ Buildine - 5100.00 3. Copy of 4. Updated Certificate of Occupancy - ~$0.00 5. Temporary Certificate of Occupancy - Residen~iai 513.00, Commercial 5i$.00 '' Date law Const~uc tzon ........ wer or Owners of *r i I Z-.L l rt' opertv .................... ,unt 000, Section [bdivision ....................................Filed MaD ..........Loc. aith Demo Approval .Apoi,can~ GOP, MA~.{.~9~ ............. ............................ Underwriters Aaorovai ........... . .............. [nn&ng goard Aoeroval. ues~ for: Temporary Certificate ........... Final Cercicac~ AFFIDAVIT County of Suffolk) State of New York) Li]]ian Herfurth, being duly sworn, deposes and says that she resides at 11 Village Circle East, Manorville, New York 11949. Deponent further states that: 1. She is the owner of the dwelling located at Crescent Way, Mattituck, New York known on the Suffolk County tax map as District 1000; Section 121.00; Block 04.00; Lot 022.000. 2. The subject dwelling was purchased on September 20, 1969 at which time the existing 16.1' X 39.3' wooden raised deck was constructed. 3. She is aware that the Building Department of the Town of Southold will rely upon this affidavit to issue a building permit for said wooden raised deck. SworD ~to before me this ~ day of ~O~fiT[~'~, 1997 0 31.7' FOILM NO. I Tow SOU ,OLD nUILDING UEPA T NT TO~R4 HALL SOU~OLD. N.Y. 11971 ~L: 765-1802 Disapproved a/c .................... APPLICATION FOR BUILDING PERlqIT It(}ARB OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... NOTIFY: 2 NAIL TO: ........ 'Date... ............ . . 19~.7-- INSTRUCTIONS ~. ~his ~plicetion ~st i~ e~pletely filled in ~ ~iter or in i~ ~ ~tt~ to ~ ~fiMi~ ~tor ~ ~ ~ts of pl~, ~ate plot pl~ to ~le. F~ ac~i~ to ~le. b. ~ot pla ~ l~ti~ of lot ~ of ~ildi~s ~ ~s, relati~ip to ~joining pr~s or ~lic atr~Cs or ~, ~ givi~ a ~tail~ ~rip~i~ of last of ~r~ ~sC ~ dr~ ~ ~ di~ ~i~ is ~rr of ~is ~li~tim. c. ~ ~ ~ ~ ~is ~li~ti~ ~ ~t ~ c~ ~fore isle of ~ildi~ Pe~t. d. ~ ~al of ~is ~li~i~, the ~ildi~ ln~Cor will is~ a ~ildi~ ~C to the ~li~C. ~ ~t ~11 ~ ~pt m fl~ ~s ~ail~le for in~ti~ that the ~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for ~ ~ ~at~er mtil a ~rtificate of ~I~ IS ~ ~ to t~ ~ildi~ ~mnt for fl~ isle of a ~ilding Pemit ~t to t~ ~ildi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er ~lic~le ~s, ~i~es'or ~lati~, for t~ ~t~ti~ of ~iMi~s, ~iti~ or alterati~s, or for r~al or ~liti~ ~ ~in ~i~. ~ ~limt ~s ~-~ly ~th all ~li~le 1~, o~i~es, ~ildi~ ~, ~i~ c~, ~ r~lati~ ~ to ~t ~ri~ i~tors ~ p~i~s ~ in ~ildi~ for ~s~ i~ti~s. (Signature of aPPlicant, or na~, if a corporation) P.O. Box 1445,. Mattituck, NY .11952-0989. (l~aili~g address of applicant) State ~aether applic~t is mr, lessee~ agent~ architect, engineer, general eontractor~ electrician, plta~er or builder. O~ner ..................... Lillian .Her furth. ........................... ~. ~.~Q~ ~ '~$ .~ ~.~.[ ~ ......... BY: ~ ' NOTIFY BUILDING OEP If al~licant is a corporation, signature of duly authorized officer. (I~ and title of corporate officer) Pl~bers License No ............... Electricia~sLicenseNo ...................... Other Trad~'s License No ........ 765-~802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY I. I~x:atio~ of land o~ ~hid~ proposed ~ork will ~ ~ ......................... G~DE~.. NOT.. RESPO~I~.E-.F~.- DESIGN OB CON8TRU~ON ERRORS No # Crescent Way Hattituck ~ ~r St~t ~let ~ T~ ~. I~ ~tim 121.00 Bl~k 04.00 ~t 9~2.09~ . . ~ivisi~.. ......................... .. . .. .... .. Fil~ ~ .......... .. .. .. ~t ........... ... · (~) 2. State ~st~ ~ ~ ~ of pr~s ~ inte~ ~ ~ ~ of p~ a.~sti~~..~O~- ..!am... ....e.... .m....o~er........occ~[.. .............................. ~ooden raised deck for one family ~el~m omner occupied b. ~te~ ~ ~ ~ .............. ~" ~'~ .......... Ex~st~ng wooden deck constructed in_____~. 3. g'Rure of ~ork (deck ~zidt aPPlicable): ~ I~|lding .......... A~klition .......... Mteration .......... Deck is existiDg and mas oons~ruo~ed in October, 1989. ~rlpti~) If ~rage~ ~t~r of care .... ~ .................................. 6. If I~igmss, ~rcial or mi~ ~y, s~elfy mqLure m~l extent of ead~ I~l~t 0~ S~O~y ~r of Stories F k~xzsc~ng aecK) ' ~ · ResJden~$aZ Low Dens$tv A (R-8~) .... ~mtlmr interior or eo~r lot. SEE , ~TTACHED SURVEY .S.U. FFOLK ' Lfllian ~erfurth , . ~. .................................... ~ ..................... ~mB duly ~r~, del~)~ m~l (~ of i~[vld~l, nighieg al~e ~1', 8~~g~ m~l in ~d.y~deriz~l te i~rfo~ or h~ i~rfo~.~ lie ~id ~k ~gl to ~ke .~ fil.e this nlq)l lcatil~l; tirol: ~l Il [ ~tate~sta c(~oh~l in I.h[. nlq~l ltalic, are tt~ Lo Ue lent of that the ~rk witt I~ l~rfon~l in I.he ~mler ~t forLh io the nl~l. icati(m [11~ ~rn tO I~[ore ~ thi~ i ......... /. ........ ....