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Home My WebLink About24013-zFORM NO. 4 TOW~N OF SOUTHOLD BUILDING DEPAi~TMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24979 Date APRIL 10, 1997 THIS CERTIFIES that the building. ALTERATION Location of Property 1367 ALDRICH LANE LAUREL~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 125 Block 2 Lot 1.13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 1997 .pursuant to which Building Permit No. 24013--Z dated MARCH 28~ 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 ENCLOSE EXISTING DECK TOA ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to DAVID T. & DIANA L. EENNETT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H-054496 - MARCH 25, 1997 N/A ~Building ~nspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N? BUILDIHG PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24013 Z Do,e .......... ....~...'~.~.,~ ............. ,,...~...~ Permission is hereby gr~nted to: .P~.~.~......~..~~ .................. ...... ~.~.:.~.~.........~.~...~ ........................ .........,~~' ............ ./..~. ~..././...~../...~........' ...... d~. ~/../~... ~.. ~.~.~.../~... ~......~/~... ~... ~...~.~.~ - County Tax Map No. 1000 Section ..... ./,,.~..,.~-, ..... BIc~k ......... ~... Lot No..,.,/.../..,../..'....~...., pursuont 'o application dated .............. ~:~.~....~../......, 1~..~...~. and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 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 Fi=e Underwriters. 4. Sworn statement from plumber certifying that the solder used i~ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 'fpre-existing" lamd 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. 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-e.xistin~ Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - : .25~. 4. Updated Certificate. of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......... New Construction ........... Old 0r Pre-existing Building ................. Location of Property ................................................ House No. Street H~.I et r0oo, ....... .... Subdivision.. g.~gA. ~ f~hY. ................. Filed Map ........ Lo~ ..................... Pe~i~ No ............ Date Of Pe~it ........... Applican~ ~z~ g. ~/~m. ~F~ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Reques~ for: Temporary Certificate ........... Final Certicate ........... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ].~,ATION [ ,~j" FINAL []FIREPLACE&CHIMNEY REMARKS: ~~'~ ~_~. DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRANlllNG [ ] FIREPLACE &CHIMNEY REMARKS: [ ] INSULATION [:~FINAL~ ~) DATE INSPECTOR~~-~ THE NEVi YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date ~L~r?{ ~{b ~'~'? AppJlcationNo, onf~J~ ~. ~r,'?~w~/~ ~[ THiS CE~IFIES THAT ~y ~ e~tr~ ~u~ment ~ ~cd~ ~ a~ int~uc~ by t~ ep~Jcant ~m~ on ~he a~ve applicati~ number in t~ p~m~s of ~mV!~ ~ DTAN% L~E~ETT~ 1367 Ai~D~ICH ~.~ ~L~L. N,Y. in the following loc.tion; ~ B~sement ~ Ist FI. ~ 2nd FL 'T'5~ S~,ion Sl~k Lot ~s examln~ on ( L~H ~ ~ ~ ~ ~ and found to be in compliance ~ith the Na~on~ Elect~c~ Code. RXTU~E RXTURES RANGES C~KING D~KS OVENS FANS OUTLETS ~WITCHE$ ~ FLUCRE,~:ENT OTHER I H. P, DRYERS S E R V I OTHER APPARATUS: e lec t r ~,.~.~ I e?Jip~R:l'~t in the MULTI.OUTLETI r.U*,DiMMERS C Y L~.JR~L,, N ~ t!9~8 ~is cedJficate must not be altered in any manner; ~turn to the office of the ~ard if incorred. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY NANNER. IIOARI) []F IIgAl0'l'll ............... BETS OF ,~EPTI C. FOEH NOT I FY: CAI,I ................... HALT. TO: .................... b. Plot plan ~b~ t~att~ o[ lot taxi o[ I~,ihllngs (~ prani~a, relntioQsldp to ~ljoiai.g pr~i~s or sl:r~ts or areaa, a~l Bivh~ a ~btatl~l ~bncrlp~ias of la~t off ptolmrty ~JSt t~ drms~ a~ the dlagr~ ~,ich is ~rt o d. lllx~ a~al oi this a~tlcatla~, th~ I~dhllna lnsl~Ctor ~dll isaac a ~dldh~ ~iL to the n~lleant. I~.nit ~mll Im kep~ ~s tl~ p~i~s a~ailnble For in~l~cttl~ tl.x~t~l~t the ~rk. e. ~ I~dldi~ flmll I~ ~pi~l or t,~ in ~le or in ~rt rot ~.y lx~r~ ~ate~r ~mtll a (~rtiEicnte ~:oq~as~y grail Ita~ I~n grant~ by tie I~ildi~ Insl~ctor. l~Hhlt.g ~ Onlim~e off tt~ 'Ikg~ off ~tl~dd, affR)lk Cx~.~ty, ~ York. ar~l other a~llcable l.~s, oalhw~es or ~l~ulnti~s, for tl~ c~stn~ti~ of I~dhllngs, ~iti~s or alteratiln~s, or for ~a[ or ~lltt~. as herein ~cril~l. 'lbe appllcanC n~r~s to cm~ly ~ith all a~llcnble l~n, ordlnm~es, I~ildh~ c~le~ l~mh~ . ~..:.~ .... !~. . (~illnat.re of .~liennt~ or n~ i~ a cor~rati~) .~.~e~.~.,.~.~t~-~.~. ~:.~.!(fi.~ .... (as ix~ the Lax roll or Intent: dec~l) IF .[qd|cnnt |s a corporat|o~% slg~ture oF d~lly n. tbor|~r~l officer. (t~,ne m~l title oI: corporate o[ficer) I kx*s~e ~.st~er Street IL'~n] eL c~,,,ty T;,~ ~,p ~. ,X~ ~t;,~, ..... I.~ ...... nn~k ...~ ........... ,~ J.-.~. .......... ~l~livlsi~ ' Filal ibp a~ ................ l~t ............... (~) 2. State ~isti.g u~ m~l ~c~q~:y of pr~nir~n mai iutei~led uae mxl c~CUl~n~ o[ pm~l c~stmcti~: n. Exlstb~ u~ as~l ~aqmncy ............................................................................. ~,. ~,,t~,,~ ,,~ ~,.~ ~,~,~y .~. ~.g.¢.q.~...~.6.~.~r~..~.C%...~.~. l~.e~ ~.~ .................... Ihll,lii' . ........... Ih~nl ............. Ibi~)lil. l~)x~ ............ lilliput: IX')Jll . ......................... 1~. 1~51. i.~llc~l lilst . ~. I~ t~lli-ll~ ~l~r ll~ ll~illi.ll ,,il~ ............ lin~l~f iH: i~llHl~ i~Hl~ ~l ~t,':h fl~r ................ ..............I~~ 7" 15. I~ Illi~ prOllr[~ ,ilhln ]~1 f~ ~1: ,[id, I i~l. lnl~l'i ~ ~1~i .......... ~) ...~ ...... UNDERWRITERS CERTIFICATE REQUIRED I;IA'IE I11.' IIi~t llllll, lh~ ullk .ill I~ i~rf~lll~l in Ille ll~l.l~l' tlel; I'l~llh iii Ill~ tll~l~lil:iil loll l'il~l