HomeMy WebLinkAbout24508-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25405 Date: 12/02/97
THIS CERTIFIES that the building HOT WATER HEATER
Location of Property: 435 BAY RD CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 116 Block 2 Lot 11.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 19, 1997 pursuant to which
Building Permit No. 24508-Z dated NOVEMBER 24, 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 INSTALL NEW HOT WATER HEATER AS APPLIED FOR.
The certificate is issued to PAUL ODEA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
BuilKing Inspe r
Rev. 1/81
FORM NO.3
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)
Date...1� 19.../..
........... .
Permission is hereby granted to:
................. ,..,. ... . ..... ....................
to ......... .... ..............................4z......... .......... ..............................
..................................................................................................................................................................
..................................................................................................................................................................
.............. ...................................................................................................................................................
....................................
.......
.�..l............................._... .................................,.., ,,,.,,., .,
at premises located at........./....�.J�.........1 , '"ic.. .Vit...... ........ .......... ........................
......................................................................................................................I...................I.........
County Tax Map No. .. OOv....... Section
�....../...��7..... Block ....... .
Q.......... Lot No �,.. ..,.
pursuant to application dated ......•.1A.4" . <..,�....................... 19....%•7., and approved by the
Building Inspector.
Fee.. .7�00...,
...........t ".`.``o '. /�I'n4.
............Bullp
Rev. 00/80
T_0WTN OF SOUTHOLD
BUILDING DEPARTINT
TOWN HPS.L
765-1802
.PPLIC_T!ON FOR CERTIFICATE OF OCCUPANCY
A. This application must be fined in by typewriter OF, 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 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.
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 525.00, Additions to dwelling $25.00,
-iterations to dwelling 525.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses 550.00.
2. Certificate of Occupancv on Pre-existing Building - $100.00
3. Copy of Certificate of occupancy - _25p.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential [(/$'15.00, Commercial $15.00
Date �/C/y�fr. . 3 (�. . � .G . . . . . ... . . . . .
New Construction. . . . . . . . .. . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . . .. . . ..��. ::°:'.f . . . . . �v : . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street
/h D��Strreet ! ) �Hamlet
Onwer or Owners of Property.j(.✓ ... . . . d� `• • l-�
// . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. .. J/e: . . . . . .B1ock. . . . .�. . . . . . . .Lot. . . . . /' . •/ . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . .. .. . .. . . .. .. . . . . . . . ...Feed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
-Permit No. . . . . . . . . . . . . . . .Date Of Pezmit. . . . . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . .. . . . . . . . . . . . . . . ... . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . .. . . . . .. . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: 5. Q151.f)iD . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . .
APPAll
T
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.............................................................................. TRANSMISSION RESULT REPORT ....................(DEC 09 '97 12:12PM)..................
SOUTHOLD TOWN HALL 516 765 1823
................................................................................................................................................................................ (AUTO) ......................
DATE START REMOTE TERMINAL TIME RE- MODE TOTAL PERSONAL LABEL FILE
TIME IDENTIFICATION SULTS PAGES NO.
DEC 09 12:11PM 5162984214 00'30" OK ES 01 009
......................................................................................................................................................................................................................
E)ECM >)REDUCTION S)STRNDARD M)MEMORY C)CONFIDENTIAL #)BATCH
D)DETAIL $)TRANSFER
F)FINE P)POLLING
i
Q d C WILLIAM C. GOGGIN5
DATTORNEYAND COUNSELORAT LAW
NOV 9 P.O.Box 65
11775 Main Road
Vrk: BLDG.DEPT Mattituek,New York 11952
TOWN OF TH LD " Phone (516) 298.4200
Fax(516)298-4214
WILLUM C.GOGGINS
Attorney at Law
November 10, 1997
DONNA M.PALMER
Pamtegal
Southold Town Building Department
53095 Main Road
Southold, New York 11971
Re: Estate of Paul G. O'Dea;
Premises: 435 Bay Road, Cutchogue, New York
S CTM#1000-116.00-02.00-011.001
Dear Sir/Madam:
In connection with the above referenced matter, enclosed please find the
following:
1. Application for a Permit of Hot Water Heater, "as built";
2. Affidavit of Fred Taylor, regarding electric service panel; and
3. A check made payable to the Southold Town Building
Department in the amount of One Hundred
Dollars ($100.00), as and for payment of the
building permit fee and certificate of occupancy
fee..
If you have any questions, please do not hesitate to contact the undersigned.
Thank you.
Ver.y,truly ours
LL,'M�C. s GINS
WCG/dtnp
enclosures
11:18 5162984214 WILLIAM C GOGGINS 10/31/1997 11:18 5162964214 WILLIAM C GOGGINS PAGE 02
10/31/1997
ur aav as..�
HioiF SURVEY OF PROPERTY
ITW. AWWIr[t FaRK cowvrltr =UD SITUATED AT
5 89'42'10" E 153.781 CUTCHOGUE
,"= mom . o:.x0x. TOWN OF SOUTHOLD
I I SUFFOLK COUNTY.- NEW YORK
$ tM it S.C. TAX No. 1000-116-02-11 .1
1 1 - I :•aS,,d. I SCALE 1"=20'
DECEMBER 13, 1994
rap
,S 1~
o 1 ` AREAzs.z41.04 •q, tl.
� 0.602 ac.
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TPS ABSTRACT Coro.
TITLE Ne. TPSI-743053
THE NORTH FORK BANK
51 JOHN J. Tool"
FERN M. TOWN
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Joseph A. Ingegno
UP I
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Land Surveyor
AVAN,.U PHI Mc(514)7:T-:hs Fox(316)72:-3093
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