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Home My WebLink About23334-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF ~CUPANCY No Z-24261 Date APRIL 5, 1996 THIS CERTIFIES that the buildin~ Location of Property 105 CEDAR DRIVE House No. County Tax Map No. 1000 Section 22 Subdivision ~DDITION EAST Street Block 2 Filed Map No. Hamlet Lot 34 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21~ 1996 pursuant to which Building Permit No. 23334-Z dated MA~CH 22, 1996 was iseued, and conforms to all of the requirements of the applicable provision~ of the law. The occupancy for which this certificate is is~ued is DE~KADDITION TO EXISTING ONE FAMILY DWELLING "AS HUILT" AS APPLIED FOR. The certificate is issued to of the aforesaid building. JOHN TRIKOUKAS (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A pLUMBERS CERTIFICATION DATED Rev. 1/81 - Building 'Insp~or - FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEtiON OF THE WORK AUTHORIZED) Do,e ...... 23334 Z Counly Tax Map No. 1000 Section ........ ,~,,..~; ..... Block .......... ~ ........ LotNo....,,'~....,~,,, ............. pursuant 'to application da'ted ................. ~.,.~/.,.....~,, ...,...~.,,, ;9 ¢~,..., and approved by'the Rev, 6/30/80 Building Inspecfor Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. ~. Final Approval from Health Dept. of water supply and sewerage-disposal(S-? 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 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 "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 writiog to the applicant. 1. Certificate of Occupancy - New dwelling $25.0 ~s to dweli 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-existinR Buildin~ - $IOO.O0 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $I5.O0~, Commercial $15.00 New Construction .... '.~.. .... Old Or Fre-ex~sting Building ocation of ......... ....... i ......... House No. Street Hamlet Onwer or Owners of ~rope ~y .................................................................. County Tax Map No 1000, Section....~..~-~.. ..... Blnck ........ ~ .... Lot..~.% .............. ~ubdiv~sion .................................... Filed Mop ............ Lot ...................... Permit No.,~..~...~. .Date Of Permi-.. -- .... Applicant., , .................... Health Dept. Approval ........ ./.(~.~. ............. Underwriters Approval..~ff.~.~.'. ................ 'fanning Board Approw~l ................... ,, ;~equest for: Temporary Certificate ........... Final Certicate ........... ............ ~O~V2~I ............... FI)IIIII)~,, I' I 011 ( FOU(II)~'I' 1 ()ti (211f) ) IU)IJ(:II FIIAFIIT & Iq.Ill. ill [ I',1(: III};lll.^'l'lOl! I'EIT lt. ¥. .~'I'ATI~ Al)l) I'lL' I Oil^ I. (](.)tll'll~lrl'.~ · I.I 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] IN. ION [ ] FRAMING [ ~]' FINAL [ ] FIRE~HIMNEY REMAR_KS~ . _ ~ INSPECTOR ~.~ I }l,~YJ'lt iJCT [OIl~ IN)Alii) OF IIF. M;III ............... 3 !il~,T.tl [)F PI,AH~ ............... ~IJRVEY ........................ CIIIH;K ......................... !H~A~'I' 1C FOITH ................... HO'I'I FY; CAI,I ................... HA 1 I, TO: .................... n. 'Jill..Iq)licnticxl .~m~: Im (:{J*1)lel. ely filled in by (.yl~.;riter or in ink m~l ml~.itt*l Lo the Ih]ilOh)g hml~etor b. Plot plan nl~i~ hrathm or lot nr~l o[ I~dhling. ~ p~*.ises, ~lnt Jenshlp to mljolulug l)re. lne~ or i~,blh: Ihitt nppl (~(~qm,.:y slmll hove I~en Ilrm~ted b7 tim Ihdldlnlt hmlm(:lor. "Al'lq.l(~'l'l(~ IS IEI~HIY ~l~ [o II~ Ikdhlhq~ I~lmrtn~nt for tike tom}mine oE n I~IIldh~l Pelln[t ¢lrlamnt [o the deneril~d. '11~ Olqdicont .grail I.o co,l)ly ulth .Il .H)llcoble I~, o~dlnmmeo, I~dhling c~, I~ming c{xle. (slp~alure~f ul~llc.i~t, or nm~, If n eorlxmd, ion) Stele ~mtlmr Ul~)llcm~t is ~r, ]e,see, ngenL, err~itect, enghmer, ge,mrtd c{mlracLor, electrlclen, I)h~imr or I~,ihler. ~ ~ . . ......................................... ,~,,, ,,~ ,~,. ,,~ ,,r,,,,,,, ..J:~.k~...~.-~¢~.'~ ..... ~.,t<O.~.~<~.* ....................................... r ' (H~,,~e e,xl tit le of corlx~rel.e o fleer) I!ulhler~ l.teen~m tie. F. lecCr ielmm License (RImr 'I'rnde~e I.icemm }~) ..................... I. Imal:i~ of Im~l ~ ddch pmI~ml ~nk ulll la &~r~ .............................................................. Ikame ~dmr Gtreet Ihlnlet [hdvlivini{a~ ...................................... Filed F~,p Ik) ................ It)t ............... ( ~.~ ) ,,. ,,,,,,,~,, ,,~ ~,,, ~,,,,,,, ..... ~.~ ...... ~.¢. e.. ~x~.'.... ................... 3, II. II, I'l. . I~I.()T l) [ A(~IJAH FOLLOWING INSPECTIONS: 1. FOUNDATION ' ~O REQUIRED FOR POURED CONCR~ 2. ROUGH ' FRAMING ~ PLUM~ING 3. INSU~ON FiN~ " CONSTRUCTION MUST BE cOMP~E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REGUIREMENTS OF ~E N.Y. STATE cONSTRUCTION & ENERGY cODES. NOT RESPONSISLE FOR DESIGN OR ~N~RU~ION ERRORS .............. J)qJnl~ (l~lJy m~J'lll, delX)im, llixl'llliy~ IJl~iE tie ill (1~ IJI)l)lJi:mi( (lh,,~l ut: hxlivid.~BI ,il[lllul)(:i)nl. rll(:l)j CLAIRE L. GLEW J otaly Public. State of New York ,~ _ No. 4879505 /// Qualified in Suffolk County v///~ Commission Expires December S, 19.~,.Y/