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Home My WebLink About24019-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF O~=umANCY No Z-25113 Date JULY 17 1997 THIS CERTIFIES that the building. ADDITION Location of Property 135 ISLAND VIEW LANE GREENPORT? N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 57 Block 2 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~CH 26, 1997 pursuant to which Building Permit No. 24019-Z dated APRIL 17 1997 was iesued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SLIDING DOOR & DECK ADDITION TO EXISTING SEASONAL DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. JESSICA SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FO]~M NO. J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 24019 Z Do,e ........... ~....../. .............. , ,~..Y Permission is hereby grent~, to: / -- ............................................ ~..........~.,,~..-fZ.~ ....... ~..~..~.~,./. ................................................. at premises located at ...~,...~..~,,. ..... :.. __ / , County Tax Map No. 1000 Section ........ ~.~...... Block ..... ~ ........... Lot No..~....~... ............. pursuant ,o opplication dated .................... ~.~......~. .... I9.~...~..., and approved by the Building Inspector. Fee $..Z.~.....~/ 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 contains less than 2/i0 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 ~f completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land 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-existinR 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 New Construction ........... ,-~ .~Old Or Pre-existing___. ~ _~ _~_~_,Building .... ~ ........... ~ House No. Street Ha~et Onwer or O~ers of Property ....... ~ ........................................... Coun=y T= ~p No 1000, Section ...... yV.......Block.....Z.. ....... Lot.....5...~ ........ ~... Subdivision .................................... Filed Map ............ Lot ................. ~ .... Permit ........ Of ..... { ~..~pp~canr ...... . .................. :... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .......... 5 51{0 ........ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephon~ (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 12, 1997 Atlantis Home Remodeling P.O. Box 654 Wading River, N.Y. 11792 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on flle.)$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 # 24019-Z-KERR~ JESSICA Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I.,I ISL4,u3 ,.,3 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INS.~A~iON [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~~~_~ DATE INSPECTOR FORH NO. I TONN OF SOUTHOLD BUILDING DEPARTI4ENT TO~N HALL SOUTHOLD, N.Y. 11971 TEL: 765- 1802 INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOKH ................... NOTIFY: I4AIL TO: ................... a. This applicatio~ m~st be cc~r~letely filled in by type~iter or in i~ ~ ~tt~ to ~e ~lildi~ In--tot ~- 3 ~ts of pl~s, ~te plot pl~ to ~le. F~ ~i~ to ~le. b. ~ot pl~ ~i~ l~i~ of lot ~ of ~ildi~s ~ ~i~s, ~lati~ip to ~joini~ ~i~s ~ ~lic st~ts or m~, ~ givi~ a ~tail~ ~riptlm of l~t of ~r~ ~t ~ dr~ ~ t~ di~ ~i~ is ~rt of ~is ~licatim. e. ~ ~ ~ ~ ~is ~licati~ ~ ~t ~ ~,,,~ ~fo~ i~ of ~ildi~ ~t. d. ~ ~l of ~is ~li~ti~, t~ ~ildi~ In--tot ~ill is~ a ~ildi~ ~mit to the ~limt. ~ ~t ~all ~ ~ ~ ~ p,~,d~s ~il~le for in~ti~ theft ~e ~k. e. ~ ~ildi~ ~11 ~ ~i~ ~ ~ in ~le or in ~rt f~ ~ ~ ~at~r ~til a ~rtificate of ~ ~1 hm ~ ~mt~ ~ ~ hildi~ In--tot. aI~ IS mm~ H to t~ ~ildi~ ~h,ent for ~e isle of a ~ildi~ ~mit ~t to the ~ildi~ ~ ~i~ of ~ ~ of ~t~ld, ~folk ~, ~ Yo~, ~ other ~li~le ~, ~i~s'or ~ati~, ~ ~ ~t~ti~ of ~ildi~s, ~iti~s ~ alterati~s, ~ f~ r~l or ~liti~, ~ ~in ~ri~. ~ ~li~t ~s to ~ly ~th ~1 ~llc~le 1~, o~i~es, ~ildi~ ~e, ~i~ ~e, ~ ~lati~s, ~ to ~it ~i~ i~tom m ~ims ~ in ~di~ ~r ~/ in~ti~s. (Hailing address of applicant) State rdnether applicant is o~er, lessee, agent, architect, engineer, general contractor, electrician, plurber or build.- .................................... .~..~.~.~. ~ ~..~. .... .C ~ d.~..~.~.T..~..~ ........................................ ~ of o~r of v~i~s ............... ~.....~.'~ ~/~'~ ............. ./..~...~."~'~' ................................................. (as o~ ti~ tax roll or latest dee~) If applicant is a corporatioa, signat~re of duly a~thorx~ off,er.., ~4 title of corporate officer) Plt~bers License Ho .......................... Electricians License No ...................... Other Trade's Lieeose No ..................... 1. Loeatio~ of land o~ ~ich protx~l wrk will be done .............................................................. ........ ............... .... ............. ................. tk~ase Nunber Street ,,~ 7 lt~let ComutyTaxta. apNo. 1000 Sectim ..ff,~.~.-- ..... Block .... .......... lot .... ....... Subdivisi~ ...................................... Filed Hap No ................ Lot ............... (~) 2. State existir~ use and oeeupm~:y of premise! and intended use anti, occupancy ~ construetlon: a. .......... .......................... · b. Interr3ed use a~d oc~ ......... ~ ................................................................ 3. ~;lure 0f ~otk (d~ck ~ich applicable): Neu ~;ildi;~ .......... &kliti~ .......... ~lteration .......... I~la~ir ............ ~at ............. I~3liti~ .. Other ~ ..... ~ .................. (to ~ ~id (~ filing th ia a~licnti~) If garage, t~i~r of cars ...................................... 6. If Ixmi[mss, ~reia] or mi~ ~q~, s~ci~ t~ture a~l ~[ent of I)in~nsi~m of existing nth<lures, if any: Di~nsi~ of ~m stnm~re ~ith alterati~la or ~klitlons: Front ............... ~pH~ .................... llei~t .................... .~-- ~mi~r of Storiesz~...3 ........... I~i~:t ... ~... ~ .............. K~dmr of Stories ..................... 9. ,Size of lot: i~tstt .................... ~ar .................... ~pth .................... l I. ~n~ or u~ district {n ~i~ pr~i~sa~ sit~tal $~if o' ~ cflWw [~-~ ...................... . ......... 12. I~s prOlX)~l c~at~Li~ violate any ~ing 1~, ordi{~e ov red,latin: 13. ~ill lot I~ z~r~ ........ ~ ....... ~ill ~eas fill i~ r~x~ ..................... ~ress 15. I$ this p~rty wiHdn ~ f~t of a tirol ~tl~? ~ ~ .......... ~ .......... PI,UT I)IAGRAH l~caLe clearly at~l distinctly all buildings, ~hetber existing or proposed, taxi itxlicate all set~l~ck diraensions from proporty lines. Gi~e street and block nu~/uer or descriptic~ according to deed, and sl~ street rk~nes a~xl indicatr whether interior or corner lot. ~r! ~'~ f I F'¥ ~UILDING 7~$S~!802 9 AM ~ 4~R ~E FC)~,t. OW~NG }NSPE~IONS: ~, ~OUNDATION ~O REQUIRED FOr~ POURED CONCR~E Y.. ROUGH - FRAMING & PLUM~NG 3 ~NF;OLATION ,~, FU-~AL CONSTRUC~ON MUST ~ COMP~TE FOR C.O. ALL CONS~UCTION SHALL THE R'EQUIR~E~S OF ~E N.Y, ~YrATE CONSTRU~ON & ENERGY CCA~$. N~ RESPONSIB~ FOR ~ES~Gt~ OR CONS~U~ION ERRORS $x.,urn, delx)ses alii .says ti,at he is tim appl leant Ik~ is the ....... ~ ........................................................................................... ::'(Cx~trnctor, ageing, turF)rate off{cer, etc.) of maid {~r oc ~rs, a~xl is duly mtthoriz~l lo ix~rfotm or have [x~rf'or,~] (l~e maid ~rk a[~l 1o ,~lke a~xl file this that the ~)tk wl 11 I~ lmrfon~l in I1~ ,~xner ~t forth in the al~)licatltn~ fil~l tlmr~ith. (Sig~u,t.ure of Appli('ant)