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Home My WebLink About23808-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24866 Date JANUARY 29, 1997 THIS CERTIFIES that the building. ADDITION Location of Property. 1955-A-1 CALEB'B WAY House No. Street County Tax Map No. 1000 section 40.1 Block 1 Subdivision Filed Map No, GREgNPORT, N.Y. Hamlet Lot 1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 4, 1996 pursuant to which Building Permit No. 23808-Z dated NOVE14BER 15, 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 6'x 12' DECK ADDITION & G~/~AGE ADDITION TO EXISTING CONDO UNIT #lA ENTERING EXISTING NON-SLEEPING AI~EA. The certificate is issued to LYNDA LEE SPANGEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/$1 N/A PENDING - JANUARY 27, 1997 N/A ~vo~lt~ NO. ! TOWN OF SOUTHOLD BUILDIHG D~:PARTMEHT TOWN HALL $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON' THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) · ../.~'~//.../..~- . .................... Permission is hereby granted to: /.. ~ 6"/,.,,'/ .... ~' .................... :'""~'"~' 2- .~;..~..~ .............. ~ ................ ..... ~~..,...~~ ...... ~ ~ ................................................. ......... ~ .................... r..7.:.5.....~~-~ ........ 7 ........................................ .......... ,~._.~ _. ~ /~o~_.. ~.. '~ ........... ~, ...,,,i.- ,~..~... ..... ~Z .................................... ~ ........................ .................................................................. ~~ ........................................................... co~ r,~ uop ~o. ~o0o s~,o~ ...... ~4x..~ ...... m~k ..... .~ .............. lot ~o ........ Z. ............. Building Inspector, Rev. 6/30/80 TOWN OF SOUTEOLD BUILDING DEP.%/ITM~NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP~NCY This application must be filled in by typewriter O~ ~_nk and submitted to the building inspector with the following: for new building or new use: 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 i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Cods Compliance from architsct or engineer responsible for the building. Submit Planning Beard Approval of completed site plan requirements. For existing buildings (p~ior to ~pril 9, 1957) non-conforming uses, or buildings and 9pre-~%isting" land uses: 1. Accurate survey of property skewing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed appiiaation and a consent to inspect si~ed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall eta~e the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Altsrations 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-existinZ Euildinm - $100.00 3. Copy of Csrtificata 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 ................. Location of Property ............................... House No. $ tree~ onwe= er O ,er.s of ...... ......... O J'O' ......... ..... County Tax Map No i000, Section /.~0 ...... Block ........ Lo~ ............ ~..-- S~bdi~dsien...~Z~f~. ~../.~ ..... ~le~ ~p.. ~-r7....~o~ .... ~ 31 .............. Permit ,~o.. ~,3 ~,P~..Z--...Date o~ pe~t,../../~.~-../X.~..Applica=,~. Z.~. ~<~'.'¥e.X.~ ........ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Reques= for: Temporary Certificate ........... Final Certicate...~....... ..... Fee Submitted: $ .................. 765-1802 BUILDING DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUG~I, BG. [ ] FOUNDATION2ND [ ] INS~JL~TION [ ] FRAMING ~NAL 765-1802 BUILDING DEPT. . INSPECTION [ ~/FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ I FINAL [ ] F,REP~AC~&~CHIMNEY 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F~DATION 2ND [ ]INSULATION [c/~RAMING ~~ [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE-/r' ///-~/~ INSPECTOR -~~~ VORH HO. ! TOWN OF ,~OUT[IOLI) IlO ILDING I)EP&RTMENT TOWN IIALL SOO'I'IIOI,D~ ~.~. 11971 TEl.: 765- 1802 BO^RD (}I; Jll,~^l,'l'll ............... 3 ,'~1",'1',~ OF FLAN$ ............... SURVEY ........................ (:IIEGK .................. , ....... SEPTIC F(IRH ................... F, xmfir~l /d( .., 19..~.~. APPI.ICATION FOR BUII,DING PERMIT 1 NSTRUC'I'I ()NS NOTIFY: C^l,I ................... HAIl. TO: .................... a. 'lhls al~)licatitm rmmt be cc~,~pletely f[lled in by tyl~,~riter or in ink mxl sul~itt~l to the I~Hlding Inslwctor wit ~3 sels oF plans, accurate plOf l)lm~ to scale. F~ according I'o sd~lule. b. Plot plan M~i~g l~at~'c~ of lot a~ of I~ildi~s (m profits, relationship to ~ljoinlng i)r~ir~s si recta or areas, a~ glvitg a ~tail~ (~scripti~ of la~t: of ~o~rty .,mt t~ dr'~m ~] the dla~a, dli(:h is lwlrl' of this appl icatiim. c. 'lhe ~g)~k c~rc4 I~ this a~,licatioo v~ ~t. 1~ cmaet~l I~fore ismm~e of ~lildlng Permit. d. U[xm al~mal of this al~licati~, the l~i[Iding Ins~ctor will isstm a Ikiilding Pemlt to the appl leant. ~ch Ix,mil shall lx~ kept csl tl~ p~ni~s available for insl~cti~ thrm~O~t~t the e. ~ ImJldbEl ~mll I~ ~tm~piml or t,s~l in M~le or in imrk for any lxlrlx)se ~amt'~er until a ¢~rtlfit:ate of (k:oqm~x:y ~dm[l have I~n grant~l by tl~ lkdldlng hm~ctor. API].I(~TI~ IS 1E~;BY [~li; to tl~ l~filding I~art~nt for the issuarCe of a lkdldlng l'ennlt ~rm~ant to the lkfilding 7xs~ Ortli~m~ma of tim 'l'~m al ~tl~ld, ~fffolk ~mty, ~ York, a~ other a~licable l*~s, Ordinates or Ik?gulat team, for lira c~mtrt~ti~ of I~ihling% ~kllti~s or alteratltms, or for ~al or dmo/ition, as herein ~scril~l. 'lhe applicant agr~s to ea,~ly with all a~llc~a~le l~s, ordhmt~es, t~itdlng c~te, I~mlug c~le, re~dati~ms, m~l to ~glnit m~fl~rlz~l ins~ctors tm l~alses a~l in Izfihllng for ~cessaw iasl~ctlons. (Sig~ur~ff applicant, or~, if ~ :o I ' :' ) State ~dlether appllc'ant is (r~a~r, lessee, ~mt, architeck, e~gb~eer, go,rural c~Lractor, electrician, plmt~r or I~dhler If al~)l i~a~ture of duly authorlzx~l officer. ................. ...... (N.~, ,, of co, lx~rate officer) I. Ixx'al ion of lalxl ~×~ whid~ prolx)sed ~)rk will Im dtzm .............................................................. .~ ~ . .~ ................... ~de~ .~. . ~ ............................. ~~ ~ ................ Ik~se ~d~r Strc~ I~nlet ,,,,,,, ,.,,~,,~, ,~, ~.~, /~ .. ,,,~ ...~ ........ ~,~ ...a~=/... .~,,~,~,,,,, .~¢a&g~.~& ..... ,,,¢,,~,,, ~, .... ~.~...,,,,-. ...... ~ ....... 2. State ex[st, ing u~ ami ~cxiDm~:y of pr'a~s ar~inte(xled use mxl tx:culmt~y of p~x)d construct ion: a. Existi.g t.m at~l (~cul~a~:y ........ ~.(..~ff~.~ ............................................ 2x~ or usa di.l~icl: in sJdd~ pron[ae~l ara ~lualc~l .............................................................. ' ' h~'ale clearly a,M disl'il~tly all I~H}dinga. ~dlelber nxlal, i~g or prolxmed, t.~l hMicara all net-back dln~naiom~ UNDERWRITERS CERTIFICATE RE(~UIRED PROVIDE ~ HR. FIRE RATED ISEPARATIOI',I TO PART.~f) (1) 765-180~ 9 AM 1~) 4 P~/; FOR THE FOLLOW}NG }N~P~C 1. FOUN[,~ATiON '~'WO FOR POU~ED CONCRET~q 4. F'~NA~., CONSTRUCTK)~ MUST 8E COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET 'FH[~ REQUIREMENTS OF 'THE SI;6,TE CO~JSTRUCTION & ENERGY Ik! i, Ilu.' ' ' Ilml the ~);l< will I~ lerl:oumd iu Iho u~tnr~ m~t' Iorlh i.tim ~q~.~l.i<~' ' f~led ther(~itlF ~lRE L OLE~ Nota~ Public, State of Now York No. 4879505 Ouali~iod in Sufl~lk COLmW (~/' Comm~ssmn *Sxpiros D;member 8, 19~