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HomeMy WebLinkAbout23673-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24650 Date SEPTEMBER 23, 1996 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 420 MILL CREEK DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 135 Block 3 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 1996 pursuant to which Building Permit No. 23673-Z dated SEPTEMBER 10, 1996 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to DEBORAH A. SWERSIE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-051850 - SEPT. 13, 1996 PLUMBERS CERTIFICATION DATED N/A (1 2, L Building Insp tor, Rev. 1/81 IrONM NO. f 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) 0 23673 Z Date ......SE...PT..... .................................. 19.1t .. ...... 10.. Permission is hereby granted to: .... DEBORAH A. ............ ....................... 420 MILL CREEK DR. ................................................................................ SOUTHOLD, N.Y. 11971 ................................................................................ to ....ALTERATIOI�i..�. ADDITION.TO,.EXISTING.ORR FAMILY DWELLING AS.APPLIED.FOR........... .. AMRATION. . .... ... ................. ...... ............ ................. ..... ............... ....... "AS BUILT" ................................................................................................................................................................ at premises located at .....420.MILL. CREEK.DR.................SOUTHOLD,..N.Y ........................................ ................................................................................ ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ........135.......... Block .......3............ Lot No. .......45............ pursuant to application doted ......SBPT.A,,AM.......................... 19......... and approved by the Building Inspector. Fee 5.........7.5-.00..... ................ .. ..... ...I............. Building Inspector Rev. 6/30/80 3 6- BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING I FINAL [ ] FIREPLACE & CHIMN REMARKS DATE INSPECTOR I• N I.IJ� kl';rl;c:l-1Url RI?l'ORl- Dnfl? CUMMI NIS ---- -�r -. - -- it ------------ "i _ - V1 1:011 NDATI ON I FOUNDATION [ LUN (2ND) t ._._ •------ ---- -- — .__-___tet._—r�-����------r._ — Z R01101 FRAME b t=1.11Mii I NG sr r INSULATION I'Isli N. Y . STATE 1?NI?IMY (:OM? F 1 NAT. ADDITIONAL COMMENTS: __. BOARD or HEALTH ...... . . . . . . . . . . . ( , QUJ .x , �� : FORM No. 1 � .�r'rs or PLANS . . . . . . . . . . . . . . . _ I . . . . . . . . . . . . . . . . . . . . . . . . . = 1 'TOWN OF SOII'I'I101.11 SURVEY 9 , BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IiALi. SEPTIC FORM pt SOU1'IiOLD, N.Y. 1 197 t BLDG'f3�t'7—T9MV OP 'OLD TEL: 765-1802 NOT IFY: CALi. . . . . . . . . . . . . . . . . . . I.A",Une(l.....`lpp�!0....... 1914 3 '4- MAIL TO: . . . . . . . . . . . . . . . . . . . . Aplrrovecl..... ........ 19. 6 Permit No. ................ .................................... Disapproveda/c .................................. .................................... .............................................. ....... rlding Inspector) CATWPP ON FOR IIULLDiNG PIsRMI'I' XD a t e�a . '/I�. . '. . � . . , 19 INSTRUCTIONS a. This application must be carpletely filled in by typewriter or in ink and suhnitted to the 13nilding inspector with :3 setts of plans, accurate plot plan to scale. Cee according to sche(hrle. , b. Plot plan sixiwing location of lot and of1xrildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descripticxr of layout of property must be drawn n on lire diagram which is part of this application. c. the work covered iry this application rriy not be commenced before issr-kince of Building Permit. d. Upon approval of this application, the Njilding Inspector will issue a ikrilding Permit to the applicant. Scrch permit shall be kept on the premises available for inspection ihrotrglxxrt the work. e. No lxrilding shall be occupied or used in whole or in part for any propose whatever until a Certificate of. Occulikixy shall have been granted by the Ikrilding Inspector. N'Pl.l(JKrtm IS nERERY twr's to the lkrilding Department for the issuance of a Ikrilding Permit pursuant to the IkAlding Zone Ordinance of the Tarn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of ixrildings, additions or alterations, or for removal or demolition, as herein described. 1be applicant agrees to comply with all. applicable laws, ordinances, lxiilding code, housing code, and regulations, and to admit aut)x>rized inspectors on premises and in 11 ' .(l rg for necessisaryy Innspect' s. �orpoation)WrfAapic(Sigatueo (hailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Ixiilder. (,l' �t/ i.........`..........................`...,.................................................... ]� M-nre of: owner of premises . ...... ... :..o�� .................................... ( ' (as on the tax roll or latest deed) If applicant is a cor-poration, signature of (Inly aut.lx)rized officer. ......................................................... (D viv and title of corporate officer) lkri 1ders License No. .....I.. ... .......... Pltnbers License No. ......... Electricians License No. ... .......... Other Trade's License No. ........ .. Location of land on which posed work will. be ckn►r ............................................ Ile ................!'�11L ..C. -......................S'� Tiz�® ................ Ikxrse Mnber Street hamlet i Coxmty Tax Map No. IMO Section ..1. 5 .... Block ...........s,...... Lot ........!.�.. S(ilxlivisi(n ...I '1./..L;.��1L4iU.;�....._ riled Map No. .-r.-7.......... Lot ............... MVM) 2. State existing use and occuparxy of pr i�� intended a/see and oc�cupany/of proposed consttrr/ucticn/:/ a. Existing use and occxrparx_y ....... ....... . ZA/Tl.......... , . /T /may b. intended use and occupancy ......./.� "S�� /'!.T� .... `?/ ...... .T!! Cc IFICATE ' f I iM � ' L u , ! i IT T !C� N TE f - -= D T c I A Y i N Tt 13 JIL IN ID, ATj FOR THE j } i r y a s U$Aj tNGON t l I jrr ij F- ChM LL -N TR6T�ON,MUST 1 LL NSTRU T� C O N TA R QUIOEl EN 'S F TH EE7 T-1 ' I E OF MY Ot i l i i r i c © �REOON ES N pR� 1'OI�SI6LE FOS j' 1 1 . I +{�,- Y fly,, , 1 ! I Ia x 4, i 3 I , LAG JAI, ` 1 ( I „�lREf9p _ - GR u d Ev'EL [t i i ' t I ' N CE N fI i 7. T—- , I I -- - i 1 LO-sl __..- _-.. 1 ...__ �.- — .__. -__-_ l___-._.— j.._. ,—.I� 51�-1.—..F__ _�_ _.... ._.__ —._.tae M::,r �•VFcw<.+n I —�—_.' OUTL-ET _ I 0ol I} i • ` be ! ! ► p ok) LIE zx(o -- HcADE cy, ff I I i i I - _ I H `E: T 13' gip" _ JL I , ' �STEQ$ 2x4 DECK%tACr 1 -- —� "xyDECK\NG r loll ��- ___—__ N_O�Uss ------------ _�...---- - - - 1-1DECK PLRNS , ; I I i j i I iG i a I I i I 1 ! 1 I r �