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HomeMy WebLinkAbout23747-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCy No Z-24852 Date JANUARY 13, 1997 THIS CERTIFIES that the building Location of Property 255 NORTN LANE House No. County Tax Map No. 1000 Section 31 Subdivision ADDITION EAST MARIONt N.Y. Street Hamlet Block 7 Lot 11 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 1996 .pursuant to which Building Permit No. 23747-Z dated OCTOBER 16, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 KENNETH F. & CONCETTA I. SCHOEN N/A N/A I~O~Jl NO. ~ 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) N.° 2374T Z County Tax Map No. 1000 Section ...... ...~..../.. ......... Block ........ Z .......... Lot No....~./... ............... and approved by the Rev. 6/30/80 iO~.©~ OF SOUTHOLD BUILDING 765-1802 biPPLICATiON FOR CERT!iiCATE O? OCCUPANCY ThUs application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: !. Final survey of properny wi~h accurate !ocanion of al! buildings, property lines~ screens, and unusual ~aturai or %opographic features. 2. Final Approval from Health Dept. of water supply and sewerage-dlsposai(S-9 form). 3. Approval of eiec~ricai nnsraliacion from Board of Fire Underwriters. 4. Sworn statement from plumber ceruifyia§ that the solder used in system contains less than 2/10 of [% lead. 5. Commercial 5uilding~ industrial building, muir!pie residences and similar buildings and-instal!anions, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval ~f completed si~e plan requirements. For existing buildings <prior ~o April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing ail 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 re~so~s therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling S25~00, Additions to dwelling $25.00~ A!~era~ions to dwelling S25.00, Swim.ming pool S25.00, Accessory building $25.00, Additions to accessory building S25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Bui!dinm - $i00.00 3. Copy of Certificate of Occupant7 - .25¢ 4. Updated Certificate of Occupant7 - $50.00 5. Temporary Certificate of Occupancy - Residential $!5.00, Commercial $15.00 New Construc=ion ........... Old Or Pre-existing Building/ , --z ..... [o t on of roperty S. ....... ......... ~ouse No. Street .... // Health Dept. Approvai .......................... Unde~#riters Approval ......................... Planning Board Approval ........................ Raques~ for: Temporary Certificate ........... Final Car~icata.~. ..... Fee Suom±t~ed: 3 .................... Board Of $outhold Town Trustees SOUTHOLD, NEW YORK uthorizatiou Pursuant ~ro the provlslons of Chapter bib of fha Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resoluflon of The Board adopted at a meeflncj held on c~/25/96 .... 19 96 , and ~n consideration of the sum of $Z50.00~ paid by Kenr~eth & C~.ce.tta $choer~ ................................. of .... ]~a~.'~.. ~4ario~ .............. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Soufhold Town Trustees authorizes and permits the following: Wetland Permit for a lO'X 51 ~ deck attached to existing house· Marion Lake all in accordance with the defeiJed specifications as presented in the originating application. IN WITNESS WHEREOF, The se~d Board of Trustees here- by causes ~fs Corporate Seal to be affixed, end these presents to be subscribed by a maiority of the said Board as of this daf, e. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSU~ION [ ] FRAMING ~-4~NAL [ ] FIREPLACE & CHIMNEY R£MARKS: ,//~ .,~ // FORH NO. ! TO~N OF 5OUT,,OLD BUll,DING DEPAR1~ENT SOUTBOLD~ N.Y. 11971 TEl.: 765-1802 BOARD OF IIEAI,TII ............... ~3 SETS OF PI,fiNS ............... 2$UR~EY .............. :... SEPTIC FORN ................... NOTIFY: NAIl. TO: .................... ,_q'ulh 2s ,9~.~ D~te ............... , a. 'Ibis applicati~ mint I)e conpletely filial in Dy typewriter or in ink anti md~aitted to tim ~dlding Ins~etor with ~ts of pl~s, ~trate plot pl~ to ~ale. F~ ~co~li~ to i b. Plot pl~ M~i~ l~ati~ of lot a~ of ~ildi~s ~ pr~i~s, relati~dp to Mjoini~ pr~i~s or st'r~tu or areas, ~ givi~ a ~tail~ ¢~ucripti~ of l~t of ~o~rty mJSt Im dr~ ~ tim dia~ ~id~ is ~rt of t~ds a~licati~. c. 'lle ~rk c~l I~ Otis a~licati¢m ~ ~t I~ c~<~l Imfore issue of ~ildi~ Pemit. d. U~ alq)~al of this a~licati~, tl~ ~ildlng ln~etor will ismm a ~ildi~ ~mit to tim ~ican~. ~h ~it shall Im kept ~ tl~ ~i~s ~ilable for ins~cti~ tltrta~t tim ~rk. e. ~ lafihli~ Mmll I~ ~i~ or u~l in O~le or in ~rt for a~ ~ ~mt~r ~tll a ~rtifieate of ~:ca~m~y Mmll h~ l~n grmtM I~ tlC ~filding lns~ctor. AH~.I~TI~ IS ti~l~ ~ to tim ~dldi~ ~rt~,t for tim issue of a ~dldi~ Pemit lkfildil~ 7~ O~li~e of tim T~ of ~tl~ld, ~fffolk C~mty, ~ York, a~ other a~lic~}le I~s, O~i~ea or I~da~i~m, ~r t[~ ~atn<ti~ of {adldi~s, ~iti~s or alterati~s, or for ~u,~al or ~ril~. ~ a~li~:t ag~s to c~ly ~ith all a~licable l~s, o~i~es, I~ildi~ re~flati~m, a~ to ~it ~tl~ri~ insurers ~ ~i~s a~ in lafildi~ ~r :~ces~ in~ti~s. ~.~,/r(~.. ~.. ~/~ ............ (~ili~ ~klress of a~licant) State whether applicant is career, lessee, agent, architect, engi~r, ge~r~l c~tractor, el~trician, pl~mr or Imihler. (as ~ lira t~ ~ll or latest d~) IF alqfiicant is a ~rati~, si~ta~ of ehdy m~tl~riz~l officer. ( 'Haae nt~l title of coqx~rste officer) Buildera I.icense No .......................... PIt~i~ers License ILo .......................... Electrici~s I.icen~ ~ ...................... Otl~r lYmb's l.icen~ ~ ..................... I. l~ati~ O~1 ~ ~id~ ~ ~rk sill I~ ~ ...................................... .... ............................. .... ........... ~mLy Tax ~qp ~. I~) ~tJm, ...~.~.[ ...... ,)l~ ..... .~ ........ lot .... L/ ......... ~lxlivisi~ ~4~1~. ~ .~.-~Cf~ Fil~l ~,p ~)...~ ~. ..... l~t............../~ ~ . (~) 2. Stale existi~ t~ a~ ~l~T~y o~prmi~s aTKI inteTx~l tJ~ atxl ~c~y of ~ c~stmcti~: ,,- ~,,,~,~ ,,~ ~,~ ~,~ ...6~:q;.O.<~z~aa ................... ~ I~ bmil~ c~Jm~reial or mi~l ~:m~lm~, ~l~ei~ ~Lure m~l extent of each Lyf of u~ ........ I)I.OT I) IA(;KAH I0. II. 12. 13. "4 c J-JGb .l~!i[~lI d,lly ~'..'()fn, (lelxme~ taxi IIIlyll lllilt lie ill the ~Jpl)l ;lll,ellL, {¢:orlx)rale orfl(:er, cie,) (July [mllhc)[ i~(~l L(~ Ix]rfoJm fir Imve [x~rl'(n,~(I Ihe ~mitl ~)fk taxi (o ,[vilte mKI file Ihill ..... ~. ....... -:...=.,,,,~, ,,r ~-~ ..... ,,~. Z~... ~/ ./', NoIaW Publio, State of N~Yo~ No, 495 ~ 364 Oueflfted in Su~olk Coupty Commis9ion Expires ~ay 22, ^ppi il:mil,)