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Home My WebLink About23367-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25071 Date JUNE 3, 1997 THIS CERTIFIES that the building ADDITION Location of Property. 380 HORSESHOE DRIVE House No. Street County Tax Map No. 1000 Section 95 Block 4 Subdivision Filed Map No. UU'i~OGUE, N.Y. Hamlet Lot 18.21 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 1996 pursuant to which Building Permit No. 23367-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 DECK ADDITION TO EXISTIN~ 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 CHARLES & LAURA COY N/A N/A N/A // ~lding'Inspector Rev. 1/81 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. N9 23367 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ,:)ate ...... ~r--~/..../..~ .............. ~9..~.~. CounlyTaxMapNo. 1000 Section ......... .Z~.,,,,~.. ...... Block,,......~... ............... LotNo./~.~..~....~...( ......... pursuant to application dated ................. '.~..~..~.. .......... 10....~.~. ..... and approved by the Building Inspector. Rev. 6/30/80 FIIllllllr~l I011 (I:;'1') I{()II(:II FII^IIF, ~ I:I.IIHII I III:HII.^'I'I{III I'F,I{ II. · ~;'1 ^ I F, F. III{I{(}Y F I I1^1, Ii^ rI; I;UIIIII,;II l:i Al)l) ITIOII^I. (;OIIIIl{lt I']: ~,)' Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 29, 1997 Charles 380 Horseshoe Dr. Cutchogue,N.Y. 11935 To Whom This May Co~cern: 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 # 23367-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. 7GS.'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH,PLBG. [ ] FOUNDATION2ND [ ] INACTION [ ] FRAMING [/,~FINAL [ REMARKS: ] FIREPLACE & CHIMNEY ~"~/~/? INSPECTOR ~ DATE ~ ~ JR)AlU) OF IIF, AI.TII ............... ~ 3 gETS OF PL^HS ............... --.-.-.-.-.-.-.-.-.~ SUEVE¥ ........................ ~ CIIECK ......................... SEPTIC FORH ................... cA,.:...*TX ~..~.~.. n~,,. *o:. ~..~<m~.~ ........ ~¢g~....'~.~ Date ............ , 3 ~ts of ph, m, ac(~lrnte plot plml Lo scale. F~m nccordlug lo b. I'IoL plan ~h~ lmti~ of lot: md o~ I~dhli*~ ~s pr~ni~es, ~lnLionship Lo ~ljoioing prenl~e~ or I~d)lic fllreet~t or ilren~J, m~l Bivh~g fl (~tfliJ~l (~eril)t:ical of Ifl~lt of i)S~l~rty ,,~mt Im (Irt~ cm Ihe diflsr~n ~idJ l, Imrt of thili nlq)l c. lhe ~)rk c(~er*l hy Ihi~ 011)1 icoti~J troy *x)l 1~ ctmn~l~l Ira[ore i,~u,~:e of Ikdhliog Pc[mit. d. Uix, t fll~)~nl of thl, flll)[lcnthm,, lira Ik~ihllni[ hml~Ctor uill i,mm fl Ikdl(llng l~mir Io the fl~lh:md:. i~tml~ tdmll Im Lel)t ~ tim pmui~e ovflilnl)le for io~q~ctl~ th~xi~tx~t the e. ~) I~ihling i~mll Im ~cupi~l or u~l h~ ~ole or lu lmrt for m~y I~rlx)~ ~mtever onLH a ~rtlflcnle ~mqmm:y ~m[[ have I~en ~rantml hX tim I~dhlJnB hml~elor. AI~FI.I(~T[~ IS II(ffi[BY ~ to tl~ lk~Jhlh~ I~l~rt,eot for the temms~e of n I~lhlh~ PetmiL [x~rmmnt to the I~ihlh~ 7~ 0rdhmm:e of the 'l'~m o~ ~Klmhl, ~fFolk (~,d'y, ~ Yerk, taxi olher tq~lJeable l~s, 0~litms~e8 l~RuJathms, for I.Im ~mt~thxl ()E I~dldlt~, ~klltham or nlteratimm~ or for ro~x~al or c~liLion, a~ Imrein ~ct'Jl~l. '11~ applicant ngr~h to c~lily ~ith nil ,llfllcable l~s, o~lhm*mea, Ixdldiog c~, I~mlug ;:: ...... ~ .... (SJp~ture of alq)licaCt, or t~e, iE a c~rlx)ratlon) Il: nl~d h:nnt i~ , corl~rnti(x~, 8iDmture of th,ly ~mtl~,ir*l officer. ........... , ....... ....... , ......................... (l~'~s~ m~l title of corlmrat.e officer) ~ffOwn OF-~U'thO e D i 11mi~ern 14ce,7 Eo ......... ~./. .............. .......... Other 'lrn<le ~ l,ice ~e ....... /. ............ Itxml:ion o1~ lmxl oft vlddl lmOlX~ed ~x~rk will I~ do*~e .... L'~.'. .................................................... Ik~me i'l~i }~ r Street IL'~fl et (~x,d.y 'l'nx ~q} ~). I{~) ~Ll*~ ...... r. ........ Bhx:k .............. let ............. *' .............. ' ' . ................... ~ ............ Filel ~q~ ~l. lot . State exl~l:i~ll u~ ~M ~t~l~y of pm.im~ m~l in?~l use ~*.1 ~rmim'rY 9[ 1~1~ c~.tmctlom ....~.,~ ,,~ .,. ~..,~,~. ~.~.v~h~...~.g~....~P.~&'... ~ ............................. b. Iote~x~l om taxi ~qmt~y ~ ~ ... ~- ............... II, .......... ..~,...-'J{~'~5.......r'T..'~,,7;.,'~.'"~.~.~:'r~h~... i .................. latiqt d.ly I~.n, Ilelx)lletl i.,I llqfl th/it he ,,,,,,,,,,, ........ .................................. ((~ll:r~c[ r, IIIlellt, ('.orlx)lnte offl~:er, el'c.) Ill~it. the ~)tl~ ~ili Im I~rfl)u~(I Ju th~ ii~l[,~r (TeE forth I, the iq)l)li(:,ti(,~ I'lh~(I IherL~lth. ..... .~ ............ ,,,,~ ,,~ ~.I...,',..~. ~..- JOYCE M. WILKIN$ Notar'/Public. State of NeW York Ne. 4952246, Suffolk Courdv Term Expires June 12. 19...~..'~ (Slll.~l!. :.l e of' ^llpl h:..t)' ,. ..... . ,..:':. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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 writing to the applicant. C. Fees 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-existinR Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - . .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date ...~.q~.~...~..~J.~.~7 .................... New Construction ........... Old Or Pre-existing Building..~l~ ..~.~o Location of operty.... O ....... ........... ....... House No. Street Ham_let Onwer or Owners of Property...~-~-_.....__..... ................................... County Tax Map No i000, Section. ~.~..,.~...Block..~..~. ~ .d?.~ ..... Lot...~.~.%.: .~.~J ....... Subdivision.~.~/~' ...... ¥/f~. ~.~$ ......... ................ Filed Map.. ~ ~.~J .... Lot. ~ ~lJ ... Permit No...~ ~. ~?.% ~.Date 0 f Permit...~.%~% ~.~ ..... Applicant..~ . .~. ~.~.. ~T..~PJq..~ ....... Health Dept. Approval..~.. .................. Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicat ..... : $... .................... i ...........