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Home My WebLink About23303-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY NO Z-24266 Date APRIL 8, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 1695 OLD WOODS PATE SOuT~OLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 87 Block i Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAR~H 12, 1996 pursuant to which Building Permit No. 23303-Z dated MARCH 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 REPAIR & ALTER EXIBTING RAISED CONCRETE PORCH WITH WOOD PLATFORM ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to W.S. BA?~.RNGER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/a N/A Rev. 1/81 d~g Inspector FaRM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. NB 23303 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permlsslon Is hereby granted to: ~of ,~,v /?o ................ '. ............... .......... ,0...~~..... ~ ....... ~......./....~.....~.~.~.... ~.,.~,j..... ~....o~ ,,~- .~,~.~ ....... ~.,..9..~ .......... ~......~~ .................................................. at premises located at ............ ../.~.~ ........ . .~......~. ....... ...~..~?)....'~.. ........ ...~.~..~../. ......................... ....................................................................... ..................................................... CountyTaxMap No. 1000 Section ...~...~.. .............. BIock,,..,.,.~.,..~.- ........... Lot No ...... .~, ...,~.., ............ pursuant to application dated ..........~, ..~.,~...~........./..~... ................. 19....../~...~.., and approved by the Building Inspeotor. B~ctor Rev, 6/30/80 ~ '.. , I APPLICATION FOR CERTIFICATE OF OCCUPANCY · Tg__W~ Or ~OUTHOLO A. Tins' ~~~'~'~ filled in by'typewriter OR ink and submitted to the building* inspector with the following: for new building 6r new use: 1. Final survey of property with accurate location of all buildings, property line~, streets, and unusual natural or topographic features. 2. Final Approval from.Health Dept. of water sapply 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 2710 6f 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. · B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings'and , 'Ppre-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 Buifding Inspector shall s~ate the reasons therefor in writing to the applicant. C. Fees 1. C~rtificate of'Occupancy - New dwelling $25.00, Additions to dwelling $25.00," Alterations to dwelling $25.00, Swin~ning 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 Occapancy -.$50.00 5.' Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 New Construction ........... Old Or Pre-existing Building..~ ........... Location of Property,.Jl~%~.~.~. ~-~ ) House No, Street Hamlet Onwer or Owners of Property,. ,; .... , ..............~ ........ ............ , ........... ,,, .... ,, County Tax Map No 1000, Section ......... Block ............... Lot.. ~ ....... , ...... Subdivision .................................... Filed Map ............ Lot ...................... 't App App ' ' Heal h Dept, roval .................... Underwriters roval .................. ~ ...... Planning Board Approval .................. .Reqaest for: Ten!porary Certificate,, ',~,,, Fee'SubmittedJ. $ ...... ~;-~ ............... .... Final Cer ticate ........... ~ ................... . 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 April 5, 1996 Environment East Inc. P.O. Box 190 Peconic, NY 11958 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. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23303-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. DAT I'~ C(JHI II'.:ll l'~J F I I1^ I. ADD I~'1' I 01t^1. C(.)I-II~II~.It'['$: 9661 ~ ~IY/N 765-1802 BUILDING DEPT. FOUNDATION 1ST FOUNDATION 2ND FRAMING INSPECTION [ ] ROUGH PL~ ~[ ] INSU~N ...,-ACE · REMARKS:/~ BLDG. DEPT. ~OWN OF SOti'rHO1.D .FORH RO. I TO~/N OF SOUTI1OLD BUILDING DEPARTHENT TO~4N I1ALL SOUTIIOLD, N.Y. 1197! TEl.: 765-1802 BOARD OF IdEAL'Ill .. ...... ... .... 3 SETS OF PLANS .......... ~ .... SURVEY .... ~ ~ .... , ............. CtlECK . . ~ ..... SEPTIC FOEIt .............. NOTIFY: HAIL TO: .................... (lluildi~ Mnspe~tor) APPLICATION FOR BUII,DING PEP, HIT INSTRUCTIONS a. lids ,~plication ~mt 1~ cc~l~letely filled in ~ ~riter or in ink ~ ~itt~ to dm alildi~ 3 ~ts o~ ¢~s, ~rate plot Ca to ~ale. Y~ ~i~ to ~le. b. Plot plm~ ~i~ l~ti~ o[ lot m~ oi ~ildi~s m ~ms, mlatimddp to ~olnlq ~t~d~s or F~llc ~t~ts ~ ~as, ~ givi~ a ~tail~ ~rlptim o[ l~t of ~rty mst ~ ~ m ~ dt~ ~t~ ts c. ~ ~k ~ ~ O~is ~licatim ~ mt ~ ~ ~om ism of ~ildi~ ; d. ~ ul~t~ o~ ~is a~licati~, tl~ ~ildi~ Ins~tor will is~ a ~ldi~ ~t to the ~li~t. l~t ~mll ~ kept ~ fl~ ~s ~ilable f~ in--tim fl~mt tl~ ~k. e. ~ ~ildi~g ~mll ~ ~iO ~ ~ in ~le ~ in ~rt for ~ ~ ~mt~r mtil a ~rtiilmte ~ ~ffil I~ ~ ~t~ ~ fl~ ~ildi~ In--tm. ~I~I~ IS I~ ~ to fl~ ~fildi~ ~rt~t for tl~ isle o[ a ~ildi~ ~t ~t to ~tati~s~ [~ tl~ ~st~ti~ o[ ~ildi~, a~itims m alterati~m, ~ for ~1 ~ ~litim, ~ ~min ~ri~. 11~ ~llc~t ~s to ~ly with all ~licable 1~, ~i~es, ~ild~ ~, ~i~ ~atlms~ ~ m ~it ~rlr~' ins~tors m ~i~s ~ in ~ildh~ [or t~esm~ in~ti~s. ........... (Si~m o[ ~li~t~ ~ ~, if a ~atim) (~iti~ ~ms~ of elicit) State ~flmr ~limt is mr, 1}s~, ~t, a~dt~t~ e~i~r, ~ral ~t~tor~ el~trici~ pl~r m ~il~r. ......... ~.~.~,..~3 ~~ ........................................... iP~JO~!~.I[ ~01[~ ......... · ---.-~ ................. ::~ .............. : .............. W~- · ,-~'--'e~;,:~' .... E ~ly ~O~iz~l o[~cer. 765-1802 9 AM TO 4 PM THE ~: FOLLOWING INSPECTIONS: 1, F~UHDATION - TWO REQUIRED ......................... FOR p~URED CONCRETE & tNSU~T~O~ : hil4~q l,lc~[~ ~... O.~. ~. ~... { ~.'~. -* ..... ' ..... ~' ~ n~ ¢OMPLETE FOR C O Ph~r~ L[c~ ~ .......................... LL CON~TRUCTION SHALL MEET ~[~r[cln~ [,[~ ~ .................. STATE CQNSTRUCTION & ENERGY C~DES. NOT RESPONSIBLE FOR ~l~r ~s L~n~ ~ ..................... DESIGN OR CONSTRUCTION ERRORS ~[~ Tax ~ ~. ~ ~[i~ ................ m~ ................ ~ ...,~ .......... ~i '" ~ Fil~p~ ~. ~d,~ ~ .~ .~ ...~ ..... ~.[~ .........~.. · · If garage, t~der of cars ...I .................................. ~. Dh,enai~m of =iati~ ~tnmtt,?ea,, if any: Prat ..... ~. ~ar ............... ~pth ................. I~i~tt ~ ~dmr of SLoriea Ili~i~ of ~ atnmmra w}th alterati~ or ~itiona: l~t ............... ~ar ............... l~pth .................... Igl~t .................... a~dmr of Stories ............... ............. , ....... ~ o~ ltonmr ~mr ........... Il. N or o~ district ie ~lid~ prmi~a are ait~mt~ t" .t .... w ....................................... FLOT I)IAGIIA~ frs. p~r~ lima. alva st~t ~ bl~,k a~imr or &scriptt~ ~rdiog to ~, ~ ~ strut ~s ~ l~tca~e ~mtlmr interior or co~c lot. ...... bei[~l duly earn, delnsea ac~l says that lie ia the appltqant k,~__.ff(~r o~ appl leant) lie ia tim ...... · ,~.~7~2':,,,.~.,, ...... L .................................................................. ~' ........... of maid ~r ~~ i. ~fly'~tlmri=, to ~rfon, or ,~e lmrfon,~ the said ~ ~ to .~ file this a~lieati~; ~mt all a~tm~ta ~tOi~ in this a~licati~ are trim to the ~st of Ida ~1~ ~ltef; ~ tlmt tim ~ ~ill Im ~rfo~.jn fie m~umr ~t forfll in the aH)licatia~ fil~ flmr~lth. ~ /