HomeMy WebLinkAbout23366-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF O~CUPANCY
No Z-24597
Date SEPTEMBER 6, 1996
THIS CERTIFIES that the building
Location of Property. 1205 HOBARD ROAD
House No.
County Tax Map No. 1000 Section 64
Subdivision
ACCESSORY
SOu'£~OLD, N.Y.
Street Hamlet
Block 2 Lot 8
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 5, 1996 pursuant to which
Building Permit No. 23366-Z dated APRIL 12, 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 ACCESSORY ONE CAR GARAGE AS APPLIED FOR.
The certificate is issued to THOMAS TYNAN, JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL INSPECTION CERT. $12935 -'JULY 30,
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
1996
N/A
Buiidi'ng~ Insp/tor-
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAJ. L
$OUTHOLD, N.Y.
N~
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23366 Z Date..i ....... ~...,/,.~ ......... ]'~.~..
CounlyTax Mop No. 1000 Section .~_~.....~...~_. Block ......... ~;~ ........... Lot No.,...~..... ..................
pursuant to application dated ........... ~..~ .......... 19,....~..~:;)..., and approved bythe
Building Inspector,
Fee s...~..~.......~. .....
Rev. 6/30/80
Building Inspector
BLDG, DEPT.
TOWN OF SOUTHOLD
~RTITIC~.-- OF OCCU~YCY
TO~ OF $OUTHOLD
BUILDING DEPART.U~_~.NT
TOW~
765-i802
This application must be fiiled in by zype~iter OR ink and submitted to the building
%=spector with the fo!lowing: for new building or new use:
!. Final survey of property with accurate location of al! buildings, property lines,
streets, and unusual natural or [opographic features.
2. Final Approval from Rea!nh Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of e!accricai insuallatiou from Board of Fire Underwriters.
Sworn statement from plumber certifying tha~ the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial buiiding~/industrla! bui!d~ng, multiple residences and.similar buildings
and installations, acertificate of Code Comp!lance from archi:act or eng~--neer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For e.x:isting buildings (prior to April 9, 1957) non-conforming uses, or build~ngs and
"pre-existing" land uses:
i. Accurate survey of proper~f sho%~_ng ali property lines, s=reeus, building and
2. A properly comp!sued applmcation and a consenn no inspect sit=ned by ~he applicant.
If a Certificate of Occupancy is denied, the Building inspector shall s=a=e the
reasons therefor in ~riting ~o ~he applicant.
i. Certificate of Occupancy - New dwelling $25,00, Additions to dwelling $25.00~
.(iterations to dwelling $25.00~ S~-Jmming pool $25.00, Accessory building $25.00,
Additions ~o accessory, building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-~xistin~ Buildinm - $100.00
3. Copy of Certificate of Occupancy - : .25~.
4. Updated Car=if!cane of Occupancy - $50.00
5. Temporary Car=ificata of Occuoancy - Residen~ia! $!5.00~ Co~ercia! S15.00
Eouse No. Street H~mlet
.......... .............
;ouu~y T~x ~p No 1000, Seen!on ......... Block .... ~ .......... Lat..
~o~ ......................... :~ .......... ~il~ ~.. ~3~ .... ~o~ .... ~/.~.~m ........
{aatth Depu. Approval ..... ~.~ ........... [ . . .Unde~ri~ars Approval .....
Olanning Board Approval .... ~.~ ...............
aques= for: Temporary Carulfica~a ........... Final Caruiaaue...~ ....
DATE: 7/~0/96
ELECTRICAL INSPECTION SERVICE INC.
3 75 D UNTON A VENUE
EAST PA TCtIOGUE, NE~ YORK 11772
12935
~PJ~LICATION 37~ ON FJLE
VILLAGE: SOUTHOLD
ISSUED TO: THOMAS 7TNAN
TOWN: SOUTHOLD
JNTRODUCEDHT: THOMASBr ,ALL E~LffCT~.~ ~C LICNo: 2520-E
was ~amin~ on 7-30.96 and fou~ W be in compli~ ~t~ ~e Na~onal E~at Co~
LOCATION: .Bas~., l~t ~ , 2nd ~d A~o
De~ Ga~g~ ~ Hot Tub Pool
CLk,,g ...... FIXTURES
~WITCHES ..... RECEPTA HIZATERS FANS , G,F.I. ~m, COND,
2 4 5 i
.........~ISH~SH~ ...........DR~ C~kES ~ASN. " 0~- D~ ~GE~ , "O~ ..... ~0~ DEiCeR
~ACE OIL OAS C]~ MOTORS B~ T~ SER~CEDI~ONNECT
OTHER
BUILDING PERMIT No,
BLUE ORIGINAL yELLOW COPY
PINK COPY OFFICE
I' I ISt.l) I ll~il'lS~.i [ I.~)11 RI",I'I}II I
FL;UIIIIf~T I I)11
II1!1111.^'1'1011 I'1~,1~ II. ¥.
I~ I I1^ I.
~llt)l'l'lOtl^l. (;OIIIii~.iti'S ~
UNDERWRITERS CERTIFICATE
REQUIR£D
APP.~OVED AS ~AOTEB
3. INSU~TION
4. FINAL * CONSTRUCTION MUST
BE COMPL~E FOR C.O,
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR ~NSTRUC~ON ERRORS
765-1802
BUILDING DEPT.
INSPECTION
[ ~/~FOUNDATION 1ST [ ] ROUGH PLBG.
[~'] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE~////~/,~
INSPECT~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ~] I~ATION/
[ ] FRAMING [/*~ FINAL
[ ] FIREPLACE & CHIMNEY
REMAR~
INSPECTOR
IJ()ARI) OF IIF, AI,TII ...............
FOIIH rio. I ] Sl~.'l'~ OF ['LAN8 ...............
........................
'I'()T~H IIAI,I. SEPTIC ~OrH ...................
TEl,: '1~5- II10] NOTIFY:
.......... .... ........
......................................... .....
.... ......
n. 'lhi. ~lqd icaLiml illml: I)~ c(~.plelely flile(I in by I:ylX~.~dter or in i.k md mihuitLe(I Lo die IhildinG Tn.l.Clot ~JJJl
] ~eL~ of l)lmm~ accurate plot I)hm Lo ~cale. Fee accordin~ to
I). l)lot i)lon ~mi:~ l~tim of lot a~ of h,ildi~ m pr~.i~8~ ~laLionsllil) to ~joinln~ pr~d~efl or l~blic
flt'r~Lu oc ~lrens) m~l Bivi;qJ fl (~tail~ (~scril)t:i~l o¢ Ifl~t ()[ p[o~rty ,,~st I~ dr~ ~ tile dlaBr~ Mddl ia p3rt of
Ibis nppl
e. 'lhe ~)[k c(~r~l by Ihi~ al¥1icaLi~ ~,~ly ~)1 I~ cronus.:ed I~rore ismm~e of lhihlin8 l'ermlt.
d. II1~ nl~r~nl of this al~dlcati(m, Use I~dl(liqj Inflictor ~dll ie~t~ a I~dhlln8 l~nui[ Io the .pplJcnnL.
l~nnlt flmll I~ kept (~t tl~ p~nJ~e nvflilable for Jnsl~cl:im~ tll~l~l~t the
e. ~) bdhlh~B al)all Im ~cupi~l or u~(I in ~()le or iu ~rt for any lmrlx)~ ~)at~er until o ~rtiflc~te of
(~m]lm~:y sh~ll. Isove I~en grnnted by 11~ I~dl(linl~ lnn~etor.
AffH,lC~'I'I~ 18 II~I~IiY ~ to tl~ l~,il(lil~ l~lm[t.ent for the i~mm[~e of n Ihlhli~ Petmlt imrmmnl: to the
I~dl(li,~ ~ 0rdi,~e of the Tom of ~tl~l(l. ~ffolk ~.fly. ~ York, a~ other fl~flienl)le 1~., 0nlltv~[~e~
l~lvl.thm% for I1~ ~.tn~tlm of hdl(lit~o. ~klil:i~ or olterati~, or for ms~l or (~,~tition, ~. I~rein
(~.cril~l. '11~ oH)tienut .gr~ to c(~,91? with nil .l~)lic~l)le 1~, or(Ih~e% Imllding c~, I~]~ing c(xle,
(~ililB ~xklr~ss oE fll~licant) / /
Stflte ~l~tber npI)llcm]t is (~)er~ les.eee, .'li~ellt~ arddleet~ engh~r, gei~rfll c(]~tractor, electrician, i)lud~r or h]ihler.
~'e Of *~r o~ pr*,uses ................ ./' .... ....... "'"''
(eS (~) the I'a~ r()ll (~r /aLesl: (le~])
1[ nl~)l kant is fl corl~roLi(m, si~ture o[ duly ~d~)ri~l officer.
title of corporate officer)
I
i PI.OT I) IAGRAH
II.
10.
II.
12.
I'1,
..~.~.~ ..... .~ ~.~. ~e..~i~. ~ ................. ,,,,,,,,, ,,,,,, ,~,,-,,, ,,~,,,,,~,, ,,,., ,,,,,,, ,,,,,~ ,,~., ,,,. ,,,,,,,.~,,,,,
~ll~l~J Jc;Ji:Jo~l; Lllnl. ~lll flLJlJSl~llLii (:l)nlaJl~(J ill IIIJfl lilJjiJ ilml ion l,'J]
Ihnl Jile ~)ll( ,ill le lerl~olne(I ill Ih~] ll~llli,]r ~1. J'ollh ill Jho tlj~jlJl(:nl:JolJ filed Ib(]lc~ilh.
...... ~:: ....... ,,,,, ,,~.~...,~..~..
HELENE D, HORNE j ' ' '
Nota~ Public, State of New,York
No, 49513~4 ;
Qualified in Suffolk ~lmly ~
Commission Explzes ~'~ay 22, '{ ~ ~