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Home My WebLink About23396-zFORM NO. 4 TOM OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25146 Date JULY 22, 1997 THIS CERTIFIES that the building Location of Propert~ 1445 BAY SHORE RD. House No. County Tax Map NO. 1000 Section 53 Subdivision ADDITION & ALTERATION GREENPORT, N.Y. Street Block 4 Filed Map No. Lot No. Hamlet Lot 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1996 pursuant to which Building Permit No. 23396-Z dated APRIL 20, 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 ROOF ADDITION & ALTERATION TO EXISTING OWE FAMILY DWELLING AS APPLIED FOR. The certifisate is issued to of the aforesaid building. ANNETTE GOLDEN (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A PENDING- JULY 18, 1997 N/& Bu i~ding Ins~tor Rev. 1/81 FORM NO.3 TOWN OF soU'[HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 23396 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: .~. ......... ~......m...~~ ........ ~.. ..~.7~..,5,_~.~ ~,,~......~...~ .................. to......~:~.~..':.. .......... ~.. ............ ,~.~........../....,~.~,.~.....~......~,;r_/>~,,,~ .,.: ......... ~ ....... :~...:~:~:.~ ........... .,.,,~.~. ........... ,~, ./,,,~.Z,,~ ........... ,,,~-~..,. .......................................... ./.... ................................ at premises located at .............. .~...~....~.:~....,,/~r..~r...~,.~,~ ................................ Counb, TaxMapNo. 1000 Section.,,....~. ........... Block...,..~,.,.~.:. ........... LotNo ...... ..~..~ ........... ,./...Z~ pursuant to application dated ....... ........ ........ 19.....~.~p., Building Inspector. ~ee S....:2~ ........ and approved by the Rev. 6/30/80 , " BLD6, DEPT, ~ ~ 'rOW~',t OF SOU'Ti ~0! ',~ J Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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 certif'icate 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, I957) non-conforming uses, or buildings and Vpre-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 writing to the applicant. i. 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~ - $100.00 3. Copy of Certificate of Occupancy - = .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~UlY..i4.1~.~? ......................... Old ildi xxx New Construction ........... Or Pre-existing Bu ng ................. !445 Bg¥~re Rgad Greenport NY Location of Property ....................................... House No. Street Hamlet Onwer or Owners of Property..~PAg~.~P~9~ ............................................... County Tax Map No i000, Section..~ .......... Block...~ ............ Lot.~ .................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No.~$~9.6..$ ....... Date Of Permit;~lP.r.%.1. .16. r~.7. .Applicant..B. ~.u.e. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: ' Temporary Certificate ........... Finat~te .... X..X.X.X... Fee Submitted: $ ............................. ~/~ .~:-. ..... ..... ........................ I~OUIII)^'I' I ()11 ( 21 I'1.111111 I II(l Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 11, 1997 Fax (516) 765-1823 Telephone (516) 765-1802 Blue Spruce Building 275 Baldwin Place Cutchogue N.Y. 11935 To Whom This May Concern: 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) XX 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 # 233965-Z (A. GOLDEN) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. I 23' ,%-3~- THE NEW YORK BOARD OF FIRE UNDERWRITERS Pn~ 1195099 BUREAU OF ELECTRICITY F ~"~ 85 JOHN STREET, NEW YORK, NY 10038 O.,~ JULY 2~,'1997 ~pplicetlon ~o. o.f~ 143lG197/97 ~ 426~13 THIS CE~IFIES THAT o~y t~ el~tric~ ~ipment ~ ~sc~ be~w a~ int~uc~ by t~ ap~ican~ ~m~ on the,a~ ~plication fl~mber, in th~ ~rem~s of ~. ~I,D~N, BAYSHO~ ROAD~ G~NPORT~ N.Y. ~s examined o. ~LY 18,1997 and found to be in compliance with the Na~onal Elect~cal Code. RXTURE FIXTURES RANGES C~KINGDECKS OVENS DISH WASHERS EXHAUST FANS 4 6 6 4 ~0 BOX 38 . This ce~ificate must not be altered in any manner; return to the office of the ~ord if incorrect. I.sp.ctors may be identified by their COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: R/OUGH PLBG. ~" INSULATION FINAL INSPECTO~ ,~/.~ 765-1802 B DEPT. 1ST UNDATION 2ND ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL R£MA.~,S: DATE ~/~~ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ]~LATION [ ~/J FINAL [ ] FIREPLACE & CHIMNEY ,,,,,,,,,,,s, 7 / INSPECTOR FORH HO. T~JWN OF SOUTHOIJ) JI0 II,I)IHG DEPAR'~E~T TOB~ llAl,I, TEl,: 765-1802 Disapprcr~ed a/c .................................. BOARI) OF IIEALTli ............... 3 swrs OF I'LANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORM ................... NOTIFY: Ed Worth CALL -7~%4- ?3.g 7 ........ MAlL TO: .................... OMi 1 ~p(8~Jn~S~ec tnt ) APPLICATfON FOR BUll,DING PI'ii{HIT I It S TRU CT 1 ON S l)ate]kpril..16.95..., 19 .... : a. 'lids appl. icatic~ frost be completely filled in by tyi~wlter or in ink and aul~nitted to the ~dlditg Ins~ctor with 3 ~ts of plans, ~curate plot plan to ~ale. : b. Plot plan ~i~ lneati(m of lot m~ of Imildi~s ~ pr~d~s, relationship to ~joinlng pr~i~s or lx~blie str~ts or areas, ar~ glvl~g a ~tailed ~scripti~l of ]a~t of pro,fLy ,mst I~ dr~ m the dia~ ~dd~ is ~rt of c. 'lhe ~rk c~r~ by Lids a~licati~ p~y ~t 1~ c~e~l ~fore ismm~e of ~ildi,g Pe~it. d. I11~ a~al of this al~licatkm,.the l~ilding trisector will iam~ a l~ildi~g Pe~it to the applicant. ~ch ~xmit Mmll Im kept ~ tim I~l~s available for insl~cti(m thr(x~Oi~t the ~rk. e. ~ I~fildlt~ ~mll Im ~qfied er u~ in ~ola'br in ~rt for a~ ~r~ Mmt~er ~til a ~rtificate of ~gnflati~s,' for tl~ ¢~stn~ti~ o~3~dldit~s, ~klitiam nr alterati~m, or for ~al or de~lition, aa I~rein <bscril~l. :'Bm ~1 fca~;( figr~s t6 Co~pl SLate ~ether applicant is owner, lessee, agent, arddtect, engineer, general cnntractor, electrician, ph~iber or ladlder. ............... t~ui.l~er. .............................................................................................. Na~e of ~a~er of I,r~nt~es .kl~I~¢.t.$g..G.Q).(].e.n. ....................................................................... (as on tim tax roll or latest deed) If applicant ia a coq~oratlon, sigrmture of duly autboriz~l officer. (N~ne m~ title of corporate officer) Builders License No.. 1.~0~85J~[. ............. Phmbers License No .......................... Electricians Licen~ ~ ...................... Otlmr ~'a Licen~ ~ ..................... I. I~ati~ of la~ ~ ~dd~ ~lm~ ~rk will I~ t~ne .............................................................. · ..1445...~ay~hor~. &oad..~ ae ~po.~ ~. ........................................................................ 1~ ~mt~r Strut l~.let ~nly Tax ~p ~. 1~ ~ctim ...53 ........... Bilk .... 4 ........... l~t ...4 ............ ~Mivisia~ ...................................... Filed ~p ~ ................ l~t ............... (~) 2. State ~isti~ u~ a~l <cn~t~ of pr~i~s arxl inte~l use a~l ~oqmtmy of l~O~ const~ction: a. ~isth~ o~ aM ~oqml~y .. ~ i&~.~, f.ami Ly..ra$~dance ........................................ b. lnte~ ~ ~ ~culmr~:y ...... aa~ ................................................................. j ' ~00] ~ O~ ' '!;I 'VI 't,I '~1 'il '01 'il 't '9 '(,