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Home My WebLink About23385-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~u~AN~f No Z-24325 Date MAY 1, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 220 MECHANIC STREET House No. Street County Tax Map No. 1000 Section 61 Block 4 Subdivision Filed Map No. SOu'rHOLD, NEW YORK Hamlet Lot 17.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 1996 pursuant to which Building Permit No. 23385-Z dated APRIL 24~ 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 SCI~EBNED PATIO ADDITION, QI,%SE PORCH ALTERATION & GARAGE STORAGE ONLY ALTERATION TO EXISTING ONE FAMILY DWELLING "AD BUILT" AD APPLIED FOR. The certificate is issued to of the aforesaid building. MARIE SMITH (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 PENDING - APRIL 24, 1996 N/A Bui'l~fng Insp~or FOIZM TOWN OF $OUTHOLD BUILDING DEP~,RTMEN? TOWN HAIL $OUTHOLD, N,Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~,,..i ......... ~.~A .......... ~.~.. 23385 Z Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN.HALL'. ~65-1802 : APPLICATION' FOR.CERTIFICATE OF OCCUPANCY A. . This application must be filled in by t~pewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accura'te location of all buildings, property lines, streets, and unusual.natural or t6pographic 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/l'0.of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compiiance 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 shgwing 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 Inspec6or 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-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New'Construction ..... ~.... OTM Or Pre exi ting Building... House No. .- Steer,, · Hamlet Onwer or Owners of Property /.7 /. ' County Tax Map No 1000, Section ...... ........ Block ............ .. Lot... ~ ............ Subdivision ' Filed Map Lot Permit No ................ Date Of Permit ........... '..'...Applicant~. ; ,..' Health Dept Approval Underwriters Approval Planning Board Approval ' Request for: Temporary Certificate ........... Final Certicate ........ I Illil'l!l; I. I.I}ll IIl~l'OII I I'1111111~^ I' I 011 (IIIT) III,dll,^l II)11 I'l~,ll II. ¥. ;;'I'A I It. IN^l, I~' AREal = 12,569 sq. ft. CERT~'IED' TO' $ONYAL YNNKING WALTER'COLE BRIGHAM Ill AOUEBOGUE ABSTRACT CORP. 65E-S-§079 SURVEy OF PROPERT'Y A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. lO00- O~., 04 - 17. t Scale; 1"= 30' P. O, BOX 909 1250 TRAVELER STREET SOUTHOLD~ N.Y. #971 .ClR_ 1.qR ~LDG. OEP'r TOWN OF SOU- BLDG, DEPT. ToWN OF SOUTH,OLD BLDg. DE'PT TOWN OF SOUTHOt 8LDG, DEPT. ~O~i/N OF SOUTHOLD BLOG, DEPT. BLDG. DEPT, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ! IN~LATION [ /~ FINAL ] FIREPLACE & CHIMNEY REMARKS: DATE ~~/~/~' I N S PECT~/~,~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ ~i SOUTHOLD, N.Y. 11971 i~ ~ TEL.: 765-1802 ' A~CATION FOR BUILDING PER~IT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. t;OTIPY{ CALL ................... HAIL TO: a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bflildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the w~rk. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone~0z~lig'~g~e~O~th~l~6Waa of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or Regulations, for the q~o~OyCtion of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housingA:ode, and regulations, and to admitauth°rizedinspect°rs°npremisesandinbuildingf°rnecessarY~X ~J~ 5r~~~ .... .... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ ,~ .............. (as on t ~e tax roli or latest deed) If applicant is a corporation, signature of duly auth. orized officer. - (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electri.cian's License No ....................... Other Trade s License No ...................... Location of rand on which proposed work will be' done ................................................... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~...l ......... Block ...... ~ ......... Lot ..... /.7.:. L ....... Subdivision ..................................... Filed Map No ........... , .... Lot ............... (Name) State existing use and occupancy of premises and intended use arrd occupancy of proposed construction: a. Existing use and occupancy . ~/?.~.... ~. ...... .. ~ · b. Intended use and occupancy ......................................... 3. Nature of work (check which applicable): New Building .......... Addition ....... Alteration . .: .... Repair .............. Removal .............. Demolition .............. Oth~yo=~k). ~< ~. ........... 4. Estimated Cost · . Fee ....... ~*' (to be paid o on) 5. If dwelling, number of dwelling units ......... Number of dwelling units on each floor ................ · If garage, number of cars ................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use i....~ / ''~- ...... 7.HeightDimensi°ns of existing structures, if any: Front,,.. of Stories ..... /"~l..:~ ..... Rear ........... :...- .-.Depth' ,,, ber ...... ............... . .............. Dimensions of same structur,~r~ with alterations or additions: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories ............... ; ...... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... .eight ............... Number.or, to.es ..... .............. 9. Size of lot: Front ........ ./.¢~..~t ...... Rear ........ Depth 10. Date of Purchase .................... . ......... NjameDo. f Former Owner ............................. 11. gone or use district in wliich premises are situated .... .~....g-~-~...4 .. ...................................... 12. Does proposed construction violate any zonine law ordinance or re-ulation' v~/,a 13. Will lot be regraded ....... ~t~......~. ~, .... ~,...t..,. Will exce~s, fill.be removed ~rom premises: Yes 14. Name of Owner of premises.,,,_: .-~YJq l~.fiI ~..&~. [-.$../. Address . ./~-~M¢~...~?... Phone No...7. .6'.~F.,-I.~-.~ .'~. Name of Architect ........................... Address ................... Phone No ................ -~'l~ame of Contractor .... ~ ................... Address ................... Phone No ................ ~15. ~s this property within 300 feet of a tidal wetland? *Yes.~ ....... No ......... ~ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ail; buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot, , UNDERWRITERS CERTIFICATE REI}UIRED APPROVED AS NOTED .._. DATE~B.R # ~' ~ '~< BY: NOTIFY BUILDING DEPAP~4ENT AT 76~-180~ 9 A~ ~ ~ PM FOR THE FOLLOWING INSPE~IONS: 1. FOUNDATION - ~0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF ~E Nfl. STATE CONSTRU~ION & ENERGY COOES. N~ RE~PONSI~ DESIGN ,OR CO~T~ I STATE OF NEW YOI~ . . ; ~ COUNTy_ OF.....%.0 lc.. ~./..~ .... ~'.~ ...... ~,..,-~, - ~...,~. ..... .. ~ ......... bein, duly sworn, deposes and says that he i, the applicant (N~me of individual si~n[ng contract) above named. Heis the ..................................................................... . . (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have.perfo~ed tlie said work and to m~e and file this application; that ail statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be performed in the manne~ set forth in the application filed therewith. Sworn to before me this .......... ...... ........ C~=,~Slk~;n~,~ (Signature o' applicant)