The URL can be used to link to this page

Home My WebLink About24556-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25502 Date: 01/27/98 THIS CERTIFIES that the building ADDITION Location of Property: 600 COREY CREEK LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 4 Lot 10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 1997 pursuant to which Building Permit No. 24556-Z dated DECEMBER 12, 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 BRICK BARBECUE AND DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to HERSCHEL T & RUTH A. RICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Inspector Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPAETMEI~n' TOWN HALL SOUTHOLD, N,Y. 24556 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WOEK AUTHORIZED) Date ...... .D...E..C...E..M...~..E..R.......1..~ .......................... 19....9...7.... Z Permlsslon is hereby granted to: ........ ................................ 800 COREY CREEK LA SOUTHOLD~NY 11971 to ...... BUILT" 600 COREY CREEK LA SOUTHOLD at premises Iooated at ............................................................................................................................... Counh/TaxMap No ...... ~.2.~.~..... Section ....~.~ ............ Block ..... Q~ ........ Lot No..~0. .............. pursuant to application dated......N.g.V..E...M.~..E..~.......~ ........................ 19 ....... ~ ~ ..... and approved by the B~lldlng Inspector. F~,~ .~ 75. O0 Rev, 6/$0/80 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 submitt'ed 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 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 c6mpleted site plan requirements. Bo 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. 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. 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-existinR Buildin~ - $t00.00 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 0!~_~Pre-existing Building .... .~.,.~.~ House No. Street Hamlet County Tax Hap ~o 1000, Sect£on .............. Block... , .......... Lot ............ Subdivision ............................... .. ... Filed Map ........ ,...Lot ...................... Permit No.., ............. Date Of Permit ................ Applicant ......................... ~.~. Health Dept. Approval ..... ~ ................. .. . Underwriters Approval...~..~.~...~...~.~... Planning Board Approval .................... ~... Request for: Temporary Certificate ........... Final Cert~~ 5 ......... .............. · 765-1802 BUILDING DEPT. 'INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I/.NSULATION FRAMING [ ~] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE //)~/~ ~ INSPECTOR ~/~~'~~ chur'C~ FORH NO. I TO~I OF SOUTtlOLD BUILDING DEPARTHEHT TO~N HAl. L ~d~A.R.I} OF HEALTII 2J-'' '/ .......... ~ K ~gErs OF PLA~S ,....~&/~c~,~,~ .' .... ,~o,w~Y .... ~ .......... ~..~c~-- cl,~c~ ......................... SEPTIC FORH ....... HAll, TO: .................... APPLICATION FOR BUll,DING PERHIT INSTRUCTIONS tt~6-q? Date ................ ,19 .... a. 7his application most be completely filled in by typ~vriter or in ink taxi sul~nitted to tbe Building Inspector with 3 ~ets o[ plans, acmrrate plot plan to scale. Fee aecordh~, to .~chec~de. b. Plot plan sho~in~ lscatioa of lot and of heildi~gs on ln-emlses, relationship to adjoining pr~isca or public streets or areas, nod giving a detailed description of lny~H: of prol~rl:y mint 1~ drm.~n on the dlngram dlid~ is pert of this appl icntion. c. 1he work covered by this application s~ay not be c~r~enced before ismmnce of P~dldlng Pemlt. d. Upon approval of this application, the t~ildi~l, Inspector ~ill issue a P~fildlng Pemit to the applleant. .~ich pemit shall be kept on the ~emises available For inspection t:hr(x~pJlmlt I:he .m')rk. e. ~ I~dlding shall be occopied or o.qed in sd~ole or iii part for any purpuae ~dlatever tmtll a Oertifieate of 0cctr~m~ey shall haw been granted by tim Building, Inspector. API'IACATKlt IS IL~EBY ~ to the ~ildi~ l)elmrt,uei: for the ism~nce of a I~dtdlng Pemlt pursuant to the lluilding Zone Ordinance of the Toan of 5outbohl, ,~fffolk Cx~nty, Hc~v York, and other applicable la~s, Ordinances or l~egulatio~s, for tim construction of heildings, mklltlons or alterations, or for .~Eg~v~l or/~s/olitio, n, as berein described. ~he applicant agrees to comply with all applicable l.mm, ordinanceg,/, bil, fl~9~, I .lousing code, mad r~gulatians, a,¥.l to admit anthoriz~-~d inspectors c~, premises a,xl in I~,ild~~~ec~o~. ~ (flailing address of applicant) State ~bether appllcant ia oaner, lessc~, agent, arddtect, engineer, general contractor, electrician, pl~nber or beilder. ........................ P D AS NOTED (as on the Lax roll or latest deed) '""'~[3 .... ~--~'~/~-~ If app] leant is a corporatioa, slgnat~re of chRy and~ri?~ offmer. NOTIFY BUILDING DEI~R'~/'~EIN'r 765-1802 ~ ~ ~ 4 ~ FOR THE: ......................................................... FOLLOWIN~ (~ and title of corporate off~ce ) ~ FOUNDJ~IOfl · ~ R~(IUIRED I. ROtJ~H - ~ & I~UJMEING Builders lJeen~e No .......................... ~[, IN~ 4. FIN&L · ~Ol~[IY~t~rlON MUST Ph~nlx.~rs License No ......................... · EE ~0~[~ I~ ~.0. Electrleiana License No ...................... ALE ¢ON~F~U(~ION SH~EI. MEET THE REOU~REMENT~ OF THE N.Y. Othe[ Trede'a lAcen~ No ..................... STATE P.,ON~,TRtJ(~'ION & ENERGY ~ ................ ~ ~-v~ ~,,/~ COOEIL NOT R.PONSmLE FOR ................................................................................... .......................... lk~Jse [kanber Street t lk~ml e t No. . tlon ........ ................ .... ........ a~lxlivlsion... ...................................Filed Hap l~o. ... ............l~t . .~ , ........... 2. State exlsti~ use a~J ncm~paney of pr~nlses ar~! intended o~e ar~! ocmq~ancy o~ prc~oscd conatmctlon: 6. If I~mlimaa~ ~rcial or n i~d ~:a~ll~my, a[mci f~. nnt,uce m,i exLenC GE eadl tylm GE uae ................... ~.. II. ~xn~ or u~ district in ~lid praMsea are ~i~mt~l .............................................................. · n~ o1: ArddteeC : ~klreaa · ~ of C~tractor ......... ~ .......................... ~klrea8 ............................... llm~m ~) ............ PI.OT I)l AGRAH I~:ale clearly m~ dlstl~tl all In~Ddi~s, ~dtetlm~ exlstle8 or proDs~l, mM l~licate all aet-l~k dhmaai~na Mmilmr interior or conmr ((2)~t. ractor, ngen~:, ct6rl~rtfle officer, eLe.) ' Ih~ll qhe ~)rk ~itt I~ I~rfont~] illl the Ii,Inlet Bet. I'orth hi the al)l)llctfl:ion filed ther~ilh. ~rtl lc} I~f(}re tw! Ihia / JOSEPH H, GIBBONS Notaq Public, State of New Yo~ Nog 524618265 Oualifie~ in Suffolk County ~ Commission lExpires April 30, 19~ [