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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, '{ ~ ~