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Home My WebLink About23744-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-25409 Date DECEMBER 2, 1997 THIS CERTIFIES that the building Location of Propert~ 990 CARDINAL DRIVE House No. County Tax Map No. 1000 Section 115 Subdivision ADDITION MATTITUCK, N.Y. Street Hamlet Block 5 Lot Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1996 pursuant to which Building Permit No. 23744-Z dated OCTOBER 13, 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 DECE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PATRICIA E. KREN N/A N/A ~/~Building Inspe/cto~- Rev. 1/81 !~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 23744 Z Permission is hereby granted,~: ................................... et premises I~ated at ..~ ........ ~.~~ ............................................ co,,~ T~ ~,p No. ~000 s,~t~o, ...... ZZ~ ...... s~g ...~ .............. Lo~ No..~. ................. Building Inspector. Fee $..~.~. Rev. 6/30/80 BLDG. DEPT. T~WN QF SQUTHqLO TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 'PLICATION 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. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-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. 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-existing 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 Date ...... New Construction .... ' ....... Old Or Pre-existing Building ...... ocation of Property... .% ................. ....... ....... House No. Street Hamlet Onwer Owners of Property .................. County Tax Map No 1000, Section...~.. ...... Block ..... ~ ....... Lot ...... / ............... ............. Filed Map ............................... Permit No. ,~.~.~.~,~,.~,...Date OfPermit. .~.l..~ 1~ .?~.. .... Applicant..~FJ~-. · ,~'- .'- -~-T'~''- Health Dept. Approval .......................... Underwriters Approval'. ........................ Planning Board Approval...... ........... ... · .. · Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .~.~,...~. ...... APPLICANT N.$3~ 8:44 FROM 84 LUMBER COMPRNY TO 862_8 ' !~I~:~!!f~;i?i:..,i:'"!.:'.i:;!~}t'il~:~["{~i~tl~i~i'~:t::" ',. PAGE,OOS/B08 CU I LIST OJSTrJHFP -~ PATR[C:[A KRLN DATE (}RI2LXgG P, LP F'F'FOE, 205 iL.] AUG ~. I ' 96, 8: :33 .¢ PAGE . 005 PLAN VIEW ,L P~u~s ,~ll )~'2 buiid~,O coded ~nd AUG 8! '06 8:33 F' A ~'~-. 004 f/ 9Fl~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 8, 1997 Patricia Kren P.O. Box 1018 Matt£tuck,N.Y. 11952 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 file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23744-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 'IELD INSPECTION REPORT DATE COMMENTS ?oUNDAT I 0N (IST) ~'0UNDATI 0N (2ND) I~ I~ .... , ....... _ .....~___z, Z-_~___=_z~I ......................... - ~DITIONAL COMMENTS: .~UL Ik~ '97 9:4Z. FPOII ~d LUHBEF~ TF / / /! / ,' ,,/ /? PRGE,007/007 .ILl[. ~'~ 10TAL PAGE,00~' ~ PAGE,OOT P.,LI1 CUgTOMFll -' p^tRI¢I^ X KRFN DATR d7/i41/91' liEF PXK06/06 BEAM I.A¥OUI cUSTOMER -- PATRIUI^ X KREN DATE ~3'l/IRlO'l I'i[F PXK06206 'IFil 8D NAIL3 9,.1 I. D~CK ~'r~ iN '92127 LAU ' .... ~.L/NG BOLT,~IN CONO~ETE, ~ 0 L~ 834 ~ 10 .............. UUANTITV DR$CRI PTION 552(t7 J~ P.,A ' '' 3 1,[1.9 16D L:~.LV. NAILS 1 ~A[ DECK STAI~ 27 RA l/~" WAflTTRR 14 EA &/2"X6" B~LT a ~A ]'/~"XO" OAR SOLT 800 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [. ~SULATION [ ~ FINAL 765-1802 BUILDING DEPT. [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ULATION [ ] FRAMING [ ~INAL [ ] FIREPLA(~-~ CHIMNEY RE:MARKS: ~//--~ -- INSPECTION FORH NO. I TOWN OF SOUTHOLD BUILDING DEPARTHEHT TOI~N HALL SOUTHOLD, N.Y. 1197 I TEL: 765-1802 ~o^Ro OF ,E^~,Tf~ ...~......... 3 SETS OF PLANS ....... SURVEY ......... ~ ......... CHECK ~ SEPTIC FORbl ................... NOTIFY: CALL ~k¢..~/~.. f'/. HAIL TO: .................... BLDG. DEP L Il INSTRUCTIONS ~"'~ia appli~ti~ ~t ~ ~letely fill~ in by e~iter or in i~ m~ s~itt~ to the ~dlding Ins~tor with 3 ~ta of plus, ~rat'e plot pl~ to ~ale. F~ a~rding to ~le. b. Plot pl~ ~ing l~ti~ of lot ~ of ~ildi~s ~ ~mi~s, relation~ip to ~joining pr~i~s or ~lic struts or areas, ~ givi~ a &taiI~ ~ripti~ of l~cmt of pro~rty mst ~ dr~ ~ ~e dia~ ~ich is ~rt of this applicati~. c. ~e ~ ~er~ ~ ~is ~)licatlon ~ ~t tm c~mm~ ~fore isle of ~ildi~ Pemit. d. ~ a~al of ~is applicati~, the l~ilding ]ns~ctor vfill is~ a ~ilding Pe~t to the ~lic~t. ~ ~mit ~mll ~ ~pt ~ t~ ~ ~ail~le for in~ti~ thr~t the x~rk. e. ~ ~ildi~ ~all ~ ~alpi~ or ~ in ~ole or in ~rt for any ~r~ ~mt~er mill a ~rtificate of (~ ~mll h~e I~n ~t~ by ~ ~ilding In--tot. A~J~l'Iffi IS 1M~ ~ to t~ Mildi~ ~r~nt for ~e is~ of a ~ildlng Pen~t pir~t to tim ~ildi~ ~ Ordi~e of ~e 'r~m of ~thold, ~ffolk ~, ~ Yo~, a~ ot~r a~licable ~s, ~din~es or ~gulati~, for tim ~st~ti~ of ~ildi~gs, ~itions or alterations, or for r~al or d~mlitlon, &s ~rein ~ri~. aim a~lic~t a~s to c~ly with all a~licable l~s, ordi~es, ~ildi~ c~e, h~si~ ~e, a~ ~lati~s, ~ to ~it ~ri~ im~tors ~ p~i~s ~ in ~ildi~ for ~ce~ ins~tions. ..... ................... (Si~mre o[ a~llcant, or ~. if a co.ration) (~ili~g ~dress o[ appli~nr) State uhether applicant is o~-aer, lessee, agent, architect, engir~eer, general contractor, electrician, lfl~nlmr or builder. Nane of oaner of proaises.. .~ . ............................................................ · (as o~ tim tax roll or latest deed) If appIicant is a corporation, signature of cluly tmthorized officer. (Na~ and title of corporate officer) ll~ilders Licerme No ...... .~.~37r ............. Plr~bers License ~ ........................ ,. El~trlcions Lice~ ~ ....................., Ot~r ~'s Licen~ ~ ..................... ,. ~ o~ ,~ ~ ~ .~ ~, ~ ~..~,:~..~..~~.~r~...~n~ ...... ..... g~go~¢..L~.~ ..... ~ ~ .... ~m.&~[..~.. ............... g~{a& .................... M~ ~r Strut ~mty Tax mp m. 1~ ~rion ..... [/.~.-... mink ...... ~ ...... ~t .... [ .......... ~v,~ .l~a&~l~¢..k~.~ .... ~-~. ~ ................ ,~ ............... (~) 2. State existing t~ a~ ~al~y of prani~s a~ inte~ ~ ~l ~cu~y of prol~ construction: .... ................... b. lnte~ u~ a~ ~y ............... ~.~ ................................................. 3. 10. Il. 12. 13. 14. 15. frown properly lites. ~' and x~etber interior or corner loC. Nz~ture of work (cheek MHch al~ licable): I~, l~dlding .......... ~itlon .......... Alteration .......... EsL i.~]t~l C~sl ....................... f~ .............................................. (t'o I~ ~Md tm fillng this / If I~mi~ss, ~m~reial or ]nx~l c~O]lmt~y, s[~cify ~ture m~] extent of ead~ lyf of use ........ ~': ...... . Is Ihis pm~ty within ~1 [eet of a tidal xmtla~l? * ~q .......... ~ ...~ ..... ! PI,OT DIAGRAM lmate clearly a~[ dlsci~tly all h~ildi~s, xd~ether existing or pro[m~l, ar~l i~xtleate all set-l~k dln~nsions bl~k ms~i~r or iMserlptl¢~ cco~dmg to ~1, m~l ~ (~',m of i~llvkh~l slgnh~g eo.tr~ct) 7654802 9 ~,,~ '~) 4 P~ ~R THE 1. FOUNDATION '~O REQUIRED FOR POURED CONCRETE 2, ROUGH * FRAMfl~JG & PLUMBING 4. FINAL CONSTRUCTION MU~T BE COMPLETE FOR C.O. ALL CONSTRUCTION SHAIJ. ~EET THE REQUIREMENTS OF THE N.~ STATE CONSTRU~ION A ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ................... Ix~ing, duly .,r~rn, delxmes taxi .fly. that he ].~ Ihe nppl i(~.it or ~mid ~r or (~r,. at~l is duty ~U~oriz~[ to I~r[onn or I,~e [~r[o[n~d O~e n~[d ~rk ,~l to rake taxi file LIH~ [Imt Lhe ~)[k ~i1.1 I~ l~rfot,ed Jn t m: ,~,.~r set forLh J.]~ the a[~l {csl:[(nl fil.~l there[th. (Si[~tml-ure o~ Al*pi