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Home My WebLink About23299-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24253 Date APRIL 2, 1996 THIS CERTIFIES that the buildin~ ADDITION & BLTERATION Location of Property 2280 BOISSEAU AVE. SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 14.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCE 11~ 1996 pursuant to which Building Permit No. '23299-Z dated MA~CH 14, 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 & ENCLOSE EXIBTING PORCH FOR AN EXIBTING ONE The certificate is issued to FAMILY DWELLING AS APPLIED FOR. MARJOR¥ MOFFAT ~'~VENS & ORS. ( owners ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/~ N-291912 - OCTOBER 7, 1993 N/A Bu[ld£ng f ns~ecto~' FORM NG.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 23299 Z CountyTax Map No. 1000 Section .............~ ....... Block ............................ pursuant to application dated ................... ~.~.~_,..~.C ........ 19..~../~,.:.., and approved by the Building Inspect' Fee $....~.~.~ ...... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN.HALL'. ~65-1802 · APPLICATION FOR CERTIFICATE OF ocCUPANCY A. This application must be filled in by t~pewriter 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 t6pographic features. 2. Final Approval from Health Dept. of water supp%y and sewerage-disposal(S-9 form). 3. Approval of electrical installation from' Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1'0 of I% 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 requirement?. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural ar 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 Inspect'or shall state the reasons therefor in writing to the applicant. C. 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 Building - $100.00 '3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New' Construct k/' ' Date ...~ ..... .¥/.l./, .~.. ?. ......... ion...f..~ ...... Old Or Pr~-existing Buildin~ ................. '. ' ...... House No. Street Hamlet Onwer or Owners of Prop.arty ........ .~. . :.. County Tax Map No i000 Section , .............. ac ......... ~F ...... LOt .................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No Date Of Permit ' Applicant Health Dept. Approval .......................... Underwriters Approval ......................... Planning. Board. Approval ........................ . Request for: Temporary Certificate ........ Final Certicate. Fee Submitted: $. 0-~ ' .... '-' '-"" .... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1996 Ms. Marjory Moffat Stevens Pine Neck Road Southold, NY 11971 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 # 23299-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. I:UIIrII)^T 1 Oft i I;;'l' ) IrOU{ll)^'l' f ()Il ( ;~ Fll) ) It()(IcII I~ItAFii~, & PI,IJHIt ! NC IN,~;IJl.^'t'l()f! ]'f~,l{ Ii. ¥. C()I)I~ 765-1802 BUILDING DEPT. INSPECTION DATE II EOAEI) {)lr IlEAl,Ill ............... 3 SETS OF PLANS ............... SUEVE¥ ........................ CDECK ......................... SEPTIC POEM ................... NOTIFY: 765-1222 Carol CALl ................... MAIL TO: .................... INSTRUCTIONS a. 'lhle a[rpllcatlon raJat be ~cu~pletely filled in 1~ typewriter or in iak aed ~l~itt~ to the ~dldi~ In~ctor wlt 3 r~ts o~ plans, ack,ate plot pl~ ~o ~ale. F~ acco~iug to b. Plot plan M~{~ l~ati~ of lot ~ of ~dldJ~s ~ ~i~e, ~lati~shlp to ~jolning p~ises or ~bllc tld~ o~l icati~. c. lira ~k ~ ~ Ods a~llcati~ ~y ~t tm ~ lmfore is~a~e of ~ildieg Pe~it, d. U~I aM~al of thla a~hcat~, tl~ ~ildlng lns~ctor will ia~ a hdldlng ~t to the a~hcant. ~,ch ~it Mmll I~ kept ~ O~ ~9 ~altable [or {ns~cti~ th~t the ~rk. e. ~ l~ildi~ ~all I~ ~i~ or ~1 in ~ole ~ in ~rt for ~ ~ ~mt~r ~t{1 a ~rtlflcate ~ildi~ ~ O~i~e of tie l'~ o~ ~tl~ld, ~f~olk ~mty, ~ York, a~ oS~er a~llcable 1~, ~h~ee or ~latims, for t~ ~st~t'i~ o[ ~ildi~, ~Mitims or alterati~s, or for ~al or t~lition, as tmrelo ~Mscril~l. 'llm applicant agr~s to c~ly with all a~licable 1~, o~im~es, l~ildi~ ~e, ~latlms, aM to ~it mlOmriz~ ins~tors ~ ~ni~s a~ in ~lldi~ for ~e~m~ insulins. ' (~o#) PSne ~eck Road, 8outhold, ' 8t~(e ~tl~r al~llm~t x* ~ , les~, agent, arddt~t, eegh~r, ~rol cmtract~, electrician, plier or I~ilder · . ~ o~ ~r ,o[ pr~ims .... ~jp.~7. ~q~. ~.~Y~gq ,. 2q~¢..E,. B. qar~,. ~$1Z~am. A..~fa~ ................. ~[~r~ l.lc~m ~o .......................... gl~trlti~s l,lc~ ~ ....................., O~r '~ I, icen~ ~ ..................... llouae l~mber Street Ilaal e t C~ydnty Tax Map No. I[ID ~tla~ .... ~.~ ......... Bl~k ...... ~. ........ ~t ...;~..~ ........ ~l~ivlsim ...................................... FiI~ ~p ~ ................ l~t ................ 2. State ~sthg om ~ ~a~my of p~i~s aed lnte~ use ~1 ~ of ~ c~atmcti~: . . One family dwellin~ .......... a. gx~st~ u~ a~ ~ ................................................................... One family dwelling ..... b. lute~ um md m~a~ ........................................................................ EXISTING (Io Im Imid os filin8 lids I)ifl~nai~m al; sam atnmO,re ~ith alteratitma or ~klitiona; Front .... I~t..~.l~... l~ar .. ]~ ~l~ ...... I~. ~a pro~a~l c~mtn~i~ violaLe?any ~dn8 h~, ordinm~a ac reflulatitm; ....... .ao'n~ ........... ................ ....... ............. ~klreaa ............................. ~ ............... ~ PI.OT I)IAGRflH SEE ATTACHED SURVEY .~H'A'II'; (Xi* I~ ¢(XINI'Y OF .......... Suf.f olk .... AP IIOVJED AS NOTED . NO?IFY BUILDING 765-1802 9 AM TO 4-PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE STATE CONSTRUCTION & ENERGY CODES. NOT RE~PONEIBLE FOR DESIGN OR ~N~U~ ~RO~ Marj ortho'f-fat Stevens ............ · Mg.r.~g.r~..M.°.f..f.a-t..$g.~Y~n~ .................. I~:i.I; duly m~,~u, delxmee a,M cayc that he is' the ~q;pl leant (Na, te of i;Mividtml signi.g enntract) ~ I~ is tim O~er , ((xmtrsctnr, agent, c~rlx)rate officer, et'c.) nf iraid (~t~r or (~mrs. asM is duly m~thorizcM to Ix]rich. or have ixwlorul]d lira ttahl ~rk mil to .rake s~l file Ihi~ al)plies[ia, s; thsL all stata,entfl contaC[md in Ih[~ applicat ien are t rl~ to the I~mt Ilmt the ~)rk will I~ Imr~oru~l h) Ihei.~m~g~r ~t I~rlh iu Ihe el)plieal:io, filed tlmr~iih. q