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Home My WebLink About23772-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25623 Date: 04/01/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 335 PRIVATE RD #3 SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 6 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 1996 pursuant to which Building Permit No. 23772-Z dated OCTOBER 23, 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 CHIMNEY ADDITION, ROOF & WINDOW ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARJORY & PETER STEVENS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uidding Inspector Rev. 1/81 FORK 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) M 23772 Z � a2 Date .... Permission is hereby grant to: L�K o v4J . ... ....... / . ... ........................ .:.....1 ..`.-1........... to . .. ...............a� ........................... 0000. ........ ..................................... ............. ... ..... ......... ... .. .. .. ............. ` .. . _ d� atpremises located at .........................0.....000. . .. ......... 0000 ... .... ... ............................. ............................................................................... ...CwV.. .. 0000. ...................................... .................//.--.......................................................0.........00..........0.... County Tax Mop No. 1000 Section ........... Block ...........5P........ Lot No. f.f2ro................ pursuant to application dated .....................l.S.l.. . ........... ,19 va, and approved by the Building Inspector. Fee $ . ... ....,1. .. ..............<'w. .. .... ... ..................... Building I or Rev. 6/30/80 *must Form No. 6TOWN OF SOUTHOLD BUILDING DEPARTMENTTOWN HALL765-1802 ON FOR CERTIFICATE OF OCCUPANCY This 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 Undefwriters. 4. 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 completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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, Alltera-Li=s.._tQ„dwe liag_.,$25.,QQ,,_Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25p 4. Updated Certificate of Occupancy - $50.00 2 3 7 7,z 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .Y.(. < ..�//� . . . . . . . . . . . . . . . . . . . . . . . . . . onstruction. . . . . . . . . . . Old Or Pre-existing Building. . . !!. . . . . . . . . ion of Property. . . . 3 3 . . . . . 1, .��.? . . :: i�.. . . . . . . . . . P,U,7 G?I? 4 . . . . . . . . . . . House No. Street Hamlet or Owners of Property. .S �1 ?( 9. . . . CF "SDJ `,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . y Tax Map No 1000, Section. . . .?1?. . . . . . .Block. . . . . . . . . . . . . .Lot. . . . . . .1.3. . . . . . . . . . . . vision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�..F/illed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . t No. Date Of Permit-10A �q4 . . .Applicant VA'12.Q6X hDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . ing Board Approval. . . . . . . . . . . . . . . . . . . . . . . . at for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . X . . . . . ubmitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . N, //�� 4 '�Jii�� . . . . . . . 6TH J/ , V PLICANT roZ-a56 ' rIh:fe> IIts rl,cI IuN lmrolrr DAI tc _(:urir)IiNIp W I V 1"OPUDATI ON r) -,-,-. a 110111:11 PRANK F -•_• �'-- _.. . _ .. . n , 11I,IIhI It I NO ry%fig ' ... . Ill:ilit.n')'ION 1'ICIt N. Y . R'I'A'I'R FNPRrY lk __...... I., r• IhIAI• -vt r- �� _ � AD1 I'i'IUNAI, COMMUITS. , 'ibl . o �. � . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. j ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL ( ] FIREPLACE & CHIMNEY REMARKS: � - DATE INSPECTOR �3 72�?, M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( FIREPLACE & CHIMNEY REMARKS: ex- DATE f INSPECTOR M-1802 BUILDING DEPT. INSPECTION ( ) FOUNDATION IST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] 1 LATION [ ) FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 7 DATE INSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RgUGHrPLOG. [ ] FOUNDATION 2NDINSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE-0 CHIMNEY - ` REMARKSU DATE INSPECTOR i 765-1802 BUILDING DEPT. INSPECTION [ ) FOUND ON IST [ ] ROUGH PLBG. [ ) FDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE S CHIMNEY REMARKS: �v ` DATE �� INSPECTOR /4130 z _ .. __ �.. / - ' 1 1. 51997 PIPL lb J I , f t . : L ly u 3 7 Sal C.{{- ri l.. J `'YJ EE, I v JI �� I � I { 777JJJ/� 61 Aj co)) ScxqL5 � i . i iz c L � IvyL I � � S IT ! �r55 �ry i Yom.. .`1' ;j4-�"[�'•i}��-�l r�iY.l ) i 4 Y Y 1 71, 1.J k,, A � J - � r u, t �C n A jN6 P4 Q • l @ 9 B � 3 S rF, 1 c 7 L I r 0 ..PIPE � � ��CY rf y � �-0 f l AREA ' t ii s GJ v, xva j i of- 6' _ o ! I N74 tSE ✓ �cM� _ -. u_ � f te), / o - FART" I r�• .__._._ _ 34gt� E. 7m °jt,y� ti e h 97.37 � OOT (i.1 .. i BOARD OF HE-ALI'll FORM NO. 1 7 SITS OF PIANS . . . . . . . . . . .. . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . .. . . . . Vp A TOWN UALI. SEPTIC FORM SOUTDOLb, N.Y. 11971 "fY31M.1g�1''l.bti.6T1: TCL: 765- 1002 NOTIFY: ,.-,._,...>....a.,.. �/ MAIL TO.* J\LLIa�B(lc2S. . . . . 191(f Pe00 Permit a, ( �a. Disapproved a/c .................................. ............................................ .. ...... .... .. ....... . .... Alilding Inspector) APP CATION FOR BUTLOTNC PERMIT INSTRUCI'TONS mt This application mnAt be anplletely filled in by lyp>e.ariter or in ink sal milJmitled to the Building )nspector will] 7 sets Of plans, accurate plot plan to scale. Pee according to schedule. ,, h. Plot plan slxrwing location of lot and of luild(ngs on Premises, relationship to adjoining, premises or public streetn or areas, and giving a detailed descriptirnr of: layout of properly oust be drain on lite diagram which is part of this application. c. 'the work covered by thin application Pray not be commenced before issounce of IAlilding Permit. d_ Upon approval of this alpblientioin, the 00ding Inspector will issue it nuilding Permit to the applicant. Soch pennit shall be kept on the premises available for inspection throughout the work. V. MY bUildirp; titan be oncabpied or used in wlxrle or in part for any purpose whatever Until a Certificate of OcNpatx_y shall have leen granted by the Ikrilding Inspector. APPLICATUM 15 111310W HAVE to the IAlilding Department for the Wallace Of a Building Permit pill-nnant to the lArilding 7.rne Ordinance of the 'town of ScxlOxild, Suffolk County, New York, mid other applicable Laws, Ordinances or Regulations, for Lite coostrvetion of lnildings, acklitions or alterations, or for removal or demolition, as herein described. 'Ilse applicant agrees to cotmpdy with all applicable ]mss, Ordinances, luiWing code, housing coda, aril] regulations, and to admit mbthorizetl inspectors cit premir,es still in boilding for necessary inspections• _ r (Sigi turn Of appplicant, or nam, if a rOTputatirnp)• ....... .Z.,Ad�..S(...1.. -. !�:P.Z1.�Z-..... ftii hig address of appl.ic_ant) Slate whetter applicant in cuter, lessee, agent, architect, engineer, general contractor, electrician, phislper or txbilder. ...:..................... /.............................................................. ..... Nam of Owner of premises 2001 7TU ............. (as on Ube tax roll or latent eed) If applicant. is a corporation, signature of Only auUwrized officer. ......................................................... (Nam arxl title of corporate officer) Builders license No. _. 3g,. 0.�.. l•• Pluders License No. ......................... Electricians license No. ..................... Oliver Trade's License No. .................... I. Location of land wt which proposed work will be done.............................................................. ..................................... Home Nou er Street Haamlet (lmint.y Tax Map no. HX)O Seclirnl ....7.Q......... Block ...:0.......... lot ...105......... xllxlivisirnb ...................................... Filed Map to. ............... int ............... (Rare) 2. Slate existing use and occupancy of premises atXI intended use and occoprnocy of proposed e<nslructirnr; a. -xistitpg lire and tbctabpatx:y --- IL�....177�.�............................................. h. In(cod d use and occopaarxy .—TRAN: ?V7.(.IN--.._......................4...................,.... 1. R)lure oi' tiurk (check %ihich a1ld icahle): Net, Iktilding ..... Addition .,,. . .... . AlleruLioq . . ..... .. 1(:14111 ...... .... .. Removal cry? �..... Nino! ..... .. .... . 011ier Wilt Chle .. f/. . (ClIJ.�QL.yJ.. e (Deacrlp ion 1). tial ia¢d CA Unit �.r/�,ISTa ....... i.. ., fee .. ..... .. ..... ............... .,.,. (!o be lilid oil filling this application) da0ling, rouser of Amiliug till ... .t.. ... .. Mrdier of dvellhng unira on each floor .. .. . ....... . . .. Itgarage, nether of care; .........� ........ . .. .... .... ........ . fl If la)si)xaas, cernoercial or mixed lie enliancy, specify nal.wre Euxl extent of each Lype,of use........ .... ..... ..... 1. N11)M:)Iti llxlli of exial hog Nl nu.Unr es, ii if any; Vnxu.. ...3.2.. . ..... hear . . ..�. 2...... Ik:plh . .. ..!!0.6. .... ... IWi � nl �...... ........ .. f' y �tix:r of Slnr'ie±N .. .. .. .Z:... ....... . . !� . ... .ice �. biaroaials E f none al ruraure with zjllerali,Exia or =1I ioea: Frnnl. .,. .��. .��.-.. . p r/ Iteav . ... ..�..... . Ik!plh . .... . ........ .. .. Ika l;t rt 1. . .... ..2—.. .... . 9stiler of til oriE!& .... .5.1-2..... . ' .... x)atnull Ir e( fie i)iur:naiam En enlira nE.�Ea cr �Exn: FrExLL ..�O..X16,. .... Roar . . ....,... Dept Is Ik.igld ..., ..... ...... N,itix:r of: Scoriea .. ...... ... 9. Size of lite: Ila)t ... . . . Mar .....73. ... .... .. Will Is . f��. .... ....... I(1. 14n1e of Nrn:hNaa —4.14)'rA ..... .i..,. 1Lme of Varner (),IWI, 11. Zan: nr use dialricC in tdnich prendaes are situated ...... ............. .. ... ...... ...... ... .......... ..... .z... . .. 12. INsa )rowsed+turouirn.tion violuLlf any mining law, ordinance or regulation: . 1 I /V !'). W111 lot Ix. r4 �r:xled ,...... Will oxceNa fill Ili, reiorved frau pte/ain�ea: YES 111) 10 VIA= of 0 n;r of pnodaes 114 .. �rN$... MkIrE:Ne��WWT�"t✓SR l4/� d. Z-11sale Nr��J'�'9r�, r . Hams: of ArddLecl lukhaaa .... .. . . 11ronu: Nr). ... ... . . :.... �l r' ll;rrr: of (:Exnl roti or�(/.�r/�:.....�/!3� tuklres. ST ...... .... .. Mors u: !'i. la Ibis prolx:rty wll uu . l( feet of a tlda wetimxl! A YV1i .. .. ..... Nfl . . .. ... ... Aw YBs, l�(XNllilf) 1"M '1141"I ?S ilii r( -l' lk1Y IV? Ivit11lUA. PLOT I)TAGRAM 10ent a clearly and distinctly all Ixrildings, whether existing or prolx)sed, and indicate all sel-back dbaenaions f'rtru prolunly lines. Give Street anl �)lock o ni)er or dt:acriptian according to deed,-and ah(xa atreet stalkless and inlical'e whether interior or corona lot. well OCCUPANCY DATE: apaov °gip#ori �z tMol-,I�fv WE IS UNLAWFUL FEE: BY: NOTIFY BUILDING DEPA765-1802 9 AM TO 4 PM T �j ��ITT CTIICA& EFOLLOW NG INSPECTIONS: FOR THE ri OCCUPANCY i. FOUNDATION - TWO REQUIRED PORR POURED ED CONCRETE 2. j ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR :;I'All: W fila Y(ail(, DESIGN OR CONSTRUCTION ERRORS IXXIN (Xe .... . ..... .... .. .. .. rL'� ... .. . .. . ... ... . .. ..Ixang duly rwcrnn, eklx)ses stout toys that: he in the nppliaunt dual signing, contract) a1mve )fined, IM in Ihe ... ....... .. . . . ...... .. . .1, .,. . .... .......,....,....... ... ..... .. ... ........ ... ... ........... .... .. (Girt rector, agels rurlx)rate officer, etc.) of staid (Ansa or imucra, ural in dill# authorized to 118410n1 or have lierfonned The staid work and to nmke and file thin uppl kation; lhal. all slalerents Wain:d in thin and iewfon are Irue to the Isis] of hin turs"Iedge and bol iel; nod that Lhe Milk will Is i)eribinied in Ilho aalav:r ties. forth in the andicnLioo filed therewith. Ikx)nn to before ur: fill 14)Laly M)blic JOYCE M.WILKINS il;unture of And icant } Notary Public,State of Now York No.4952246,Suffolk Cour Term Expires June 12,19 J