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Home My WebLink About23326-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF No Z-24246 Date MARCH 26, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Property 275 ~%NKS ST. (P~T. RD ~8) UuT~HO~UE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 3 Lot 18.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18~ 1996 pursuant to which Building Permit No. 23326-Z dated MARCH 21, 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 DEOKADDITION 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 ANTONIO & EILEEN MASSIMO N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT IO'WN ~ $OUTHOLD, N.Y. N~ 2332G Z BUILDING PERMIT ~TH~S PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Permission Is hereby granted to: ...:../~:.-:.~..X.: ........ ~.:...:.:.,.~ ............................ .~ ::.~_:...,~... ,.~,~,,~ ....... ~.~.:....z:.z..~ . '.:..... to ..~,.~..~ .............. ~ .......... ~.~.~.....~...~ .......... ~ ....... ~ ......... ........ :: ......... ':,.. ........ ...:........:...: ............................................................... at premises located at ................ ..?..(.~.~-.........~....¢~..~'~.....:.J:,....~ ............................................ CouniyTax Map No. 1000 Section.,, .~...~... ............ Block ....... ..~...~., .......... Lot No. ......~..?..:....~.. ......... pursuant to appllcation dated ~.,~.........~'.~ ......./..~...~ ............ 19 :~..., and approved bvthe Building Inspector. Fee $ ................ .~...¢~.., Rev. 6/30/80 MAR 18 19 },9 Form No. o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY Ao This application must be filled 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 Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial build'lng, i~dustrial 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)' ~on-conforming uses, or buildings and '?pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual na~q~al 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. 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 Buildinm - $i00.00 3. Copy of Certificate of Occupancy - $20~OO 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 .................... I~/~.~./.~.~ .... .~.~...~.9.~..~-.. ....... C~L.Q~.~.,~;.~. ........... ~ouse No. Street Ha~%t Onwer or O~ers of Property. ,.5.. .~'.~ .... ~. ~J~ .- $~.~ ............. ooo, ....... ....... ...... ..... ..... Subdmvmszo= ...................... Filed Map ............ LoC ..................... Pe~i~ No ......... ' ....... Date Of Pe~it ................ Applicant ........................ ... .. Health Dep: Approval..~a::$ ]~-d.~ ..... Unde~riters Approval .............. Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .............................. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] i~ISULATION / [ ] FRAMING Ir//] FINAL [ ] FIREPLACE & CHIMNEY _REMARKS: DATE INSPECTOR I:OI1M NO. 1 TOWN OF SOUTIIOLI) [IUILDIN(} DI~PAR TM f~NT: TOWN I IALL $OUTIIOLD, N.Y. 11971 TEL.; 705-1803. Exam,,,ed .... '?//~ Z'. ..... ,l ~' .~ ^,,,,,o,,~d ............... .~//.;/.' ~9~,,~,,,,, No. . ~)Z ~'Z .......... (; ~- I)isallploveda/c ................................ ~..:. APPLICATION FOr1 BUILDING PEF1NtIF 3 SE~.$ OF PL.~,NS ......... SURVEY CIIECK ................... SEPTIC I-ORH (;ALI .................... [1^ fL 'I'O: Date .................. , 19... IN STI~.UC'I'IONS a. This applicallon must be complelely filled in by lypexvdler or in ink and submilted to ti e lJ Fldmg Inspector, wilh 3 se{s of phms, nccmale I~lot plan {o scale. Fee according to schedule. b. l'lol plan showing location or lot and of bt~'ddmgs' on p~em~ses," elat'onslup 'to a(jommgl' ' ' *rem~ses o~ pul~lic sfieels m a~eas, and g~ mga detailed descr~phon of layout of property mui{ be drown on the thngmm whtcb is part of cation. c. The wink covered by th's ~ ~1 calma may. not be commenced before issuance of Ih lid' g Pm d. Upon approval of this application, the Building Inspecto~ will igsued a Buikling l'emdt to the applicant. Such shall be kept oa {he p~emises available for inspec{ion Ihmugbout the work. e. No build}ag shall be occupied or tlsed in whole ol in pad for any purpose whatever until n CedHicate o[Occupancy shall bare been g~an{ed by II~e Bt ~klmg Inspector API~L1CATION 1S IIEREI1Y MADE to the Building Department for the tsst auce of a Building Permll pursuant to Ihe Building Zone Otdhmnce oflhe Town of South~ld, Suffolk Co ~ly, New Yo~k, and other applicable Laws, Ordlnancesor Regulations, for the constu}ctlon of buildings, additions or altmatlons, or for removal or demolition, as bemln described. The applicanJ agrees Io comply with 'all ',p ?cab? laws, otdinances~,bu ( ~g code housing cod~and ~egulatio~s, ~ ~ to admit authouzed inspecldls o~ p~emises 0mi m building for ne6essa~ mxpeclhons. ~ /~ " (Sig,,atule or apphch~/~;~ ~20, po,alia,,) (Ma'hng adthess of applicnnl) Slate whelher applicant Is owller, lessee, agent, aicbltec{, cnglnee~, general contractor, ¢lectliciall, plumbe~ or builder. .... ~oe.~. (as on Ihe {ax ~oll or latest deed) l[ ~pplJcan{ is a coil>oration, slgnatu;e of duly att Ihouzed' ' officer. (Name aad Lille of ¢o~polate ollicm) 13uilde~'s Licease No .......................... l'lumbe~'s License No ......................... Electrician's License No ....................... Other'l'l; les License No ...................... I louse Ntml her Sl~eel llamlet ,,,,,,o. ,ooo .... 7 ......... .... ......... .... ...... Sul,divisio,, .~gee~ ~.e~O~e~ .................... Filed Map No ............... Lot .../.: ........ ' ' (Name) "q~?e exisling use and occupancy or ~[emises and inlended use nad occupa cy of ploposed'constrt~clion' '~S,,,e a,,d o~,,,,a,,~ ...¢¢~,. g ¢. ~. ~, ~1 ............. ' ... 3. NalHre o£wm'k (check which ap I!cable): Now lluihling .......... Addition ......... Alteration .......... Repair .............. Removal Demolition Other ' ..... ' ........ · . , ·: ......... Work 4. l~slimatedCost .. o . , escr Hion ........ : ....................... Fee .... . (obepaid(n fi gthis pp c o ) 5. lfdwelling, ntm~berordwellingun~ts ............. Nuh)eroftwe g 1 soleac~floor . Il garage, iltllllber of cars .... . ................ ,. , I hllOrllllXefl o~ctl),lllc~ s)eclfy Ire ?. IJllllellSIOllS ol'existing s~mctures, i:(any: Front ............... Rear ............. ~ Deplh ............... lleighl ............... Number orSIor~s ... J)llllellStOllS O[ Sallie sh'uclure wHb jalterations m. addilJons: JTl'OllJ '.. , Rear , ' ....... I)epth ' ~ ' .................. lleighl ........... .i ........ ..,NumberofS ores 8, Dimensions ofenHre new constnml on: front ........... l laJght ............... Num be~, off S(ories ........ Size o~lot: Front ......... ~ ... i .... Rear DaleofP 'caso ~, ..... J ........ ~2~® '''~ ............. z. olle Or use olslr[cl 111 which pre~lliRes are situated ......... ' · '. ............ o~ p:j.c ~... Does proposed construclion violale~any zoning law, o '{ W o ~e egr~re¢ . .- ' .......................... · .......... * ................ Will excess fill be removed from premises: Yes No aide o ' A 'c ~ct - ....................................... ', P I,OT D 1 A(] RAM Idings, whether exisling or proposed, and, indicato nil sell)ack dinlen~ions from bet or description nccordiog to deed, a~d show street names ami indicate W~mther l,ocale clearly and dislhlctly all bui )lope~ty lines. (~lVe street an[ block nun Illt~,liOf or col'iici lot. APPROVED AS NOTED ' . OATE: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4. PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2'. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRtJCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 'CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ....... ' ......... being duly swmn, deposes and says thai he is Ibe applicant )ntracl) (C , co:" ' ') ............................ .oalractor, agent porate olficer, elc. ' saki owner or owners, mid is duly au(J~orized to perform or have performed lhe said work and to make and file lhis ,plicalion; that ali statements co~ltaiaedj in tliis'application iue l'rue to Ihe best of his knowledge and belief; and that the :)l k will be performed in the manner set forth in the application filed therewith. vora 1o before me this I o4axm ,, ' ' ..................... :, ..... qu~llfl~ t~ ~.ffo~k County ~. ' (S:~naa:r~ of a )plicant)