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Home My WebLink About23845-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-24792 Date DECEMBER 12, 1996 THIS CERTIFIES that the building ADDITION Location of Propert~ 1120 BROADWATERS RD. House No. Street County Tax Map NO. 1000 Section 104 Block 9 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 1996 pursuant to which Building Permit No. 23845-Z dated DECEMBER 6, 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 EXISTING oWE FAMILY DWELLING AS APPLIED FOR "~S BUILT". The certificate is issued to pADRAIC & SANDRA FURLONG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 - / ~lding Inspector lvO~r NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERNUT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 238~5 Z Dote ....................................................... . ,~..~....~ pursuant ,o 'application doted ..................... ~-....../.~... ........... , 19.~..~, and approved by the Building Inspector. Fee $...Z~... ........... Budding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING D EPARTMEIqT TOWN ~%~LL 765-1802 ~%PPLICATION 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, snreets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposa!(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system connains less than 2/i0 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, t957) non-conforming uses, or buildings and "pre-existing" land uses: t. 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 r~aso~s 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 S50.00. 2. Certificate of Occupancy on Pre-existing 8uildin~ - $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 $15.00 Date ..J.!l~Pi~ ............................. New Construction...~ ...... Old Or Pre-existing Building ................. Location of Property... ~ ~.Q .~YP.~$. ~q$~..~.~98~^ . ~ ~ ........................... House No. Street Hamlet Onwer or Owners of Property..~3~I~Q~.,..PADRAI¢..a.r~. SAI~DRA ....... '. ....................... County Tax Map No 1000, Section..1D~ ........ Block. D~ ............ Lot.~2 .................. Subdivision. Amande~l .Map. 3% .of. l~assau. PaintFiled Map~. 15.~ ...... Lot. p/.o..2.5.2. ............ Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ..... ~A ................. Underwriters Approval..~/~ ................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Finai Certicate...x. ....... Fee Submitted: $..Jr~.Q. ...~'. .............. I'l}llllllA'l' I lin ( I;UII [ll)^'t' t Ol'l (2HI)) I' ' 5165671287 EUGENE L. .~;?'L_ ' ':'~' '" o ,j NICOLA 99~ PO1 NOU 04 '96 15:51 ,~T "i-OWN o~ EUGENE L. DENI~OLA November 15, 1996 Town of Southold Building Department Town Hall Southold, NY 11971 RE: Prem: 1120 Broadwaters Road, Cutchogue, NY Tax Map # 100-104-09-02 Dear Sir/Madam: Enclosed herewith please find the following for issuance of Certificate of Occupancy of Certificate of Completion for deck constructed at above premises at rear thereof: 1. Application for Building Permit; 2. Application for Certificate of Occupancy; 3. Three sets of plans with survey attached; 4. Check payable to Town of Southold in the sum of 51100.00. Kindly process same for issuance of Certificate of Occupancy for deck constructed thereon. In the event you require anything further, please do not hesitate to contact this office. November 15, 1996 Page 2 ELD:eb Enclosures Thank you for your courtesy~ erein. BO^RI) ()~ III~,^I/FH ............... FORH NO. I /' 3 SIVI'~ OF 1N,~N~ ............... 'I'ON~ OF ~OUTHOI,I) /"SURVEY ........................ IH/] I,I) l H(; DI~I'ARTHI~T ~CIIECK .... ~ .................... 'l'O~N IIALI, SEPTIC FORH ................... ~OHTI1OI,I)~ N.~. } 19? I TEl,: 765-18()2 NOTIFY: I HS'I'IHJCT I ON~ C^I.I HAl I, TO: .................... n. 'lhin nl,1)licnLi(~ ,,~mL IR? c(~*~)le{ely Filled in I)y lyl×-~qriter or in ink a~l md~n[tted to Ihe I~dhllug hml~rtor wilh '} ~els of plmm, nco,rate ploL I)ln,~ I:o scale. Fee ~,cco.ling lo seh~lule. b. Plot plnn rJ~h~ l~atio~ o[ lot mx] o1: I~lihli~s ~m pronise~, rel~Lionshi1) to mljoinlng thin al;pi leal. lolL e. ~ I~Hlding shall I~ ~x'.~qfi~l or u.ed in x3~ole or i. Imrt: For m~y ixlrl~e ~3mtever ~mtll n (~rl:il'icnte or (~:oqm,x:y shall lmve I~en Rrnnted by the I~dldh~B Al'ffl,l(~'l'l(~ ]~ lflgl~lU ~l]~ to Ihe Ihlildlng l~l~gt~nt for Ihe ismmnc:e off n I~dhliug Permit lx~Tmmnt to the I~HFcllng 7x~ Or(lis~.~:e of I.he 'l~m off rx~thotrl, ~ffrolk (~,ut7, ~ York, mxl or.her npptie~l)le I;~, I~l~dal i(~)s, for tl~ c(~mL~t, lon ol: Ixdhlings, ~kli~i(ms or alterat~pn~, or for rm~at or d~)lh, iou, an herein dencril~d. 'lhe applicanl. 0gree9 ['o co~vly with nil n~)ltcnble b~s, or(linnoce~mlidtn (~ prcmfi~e~ m~l in I~?[hling [~(:esnnry (Sq~l.ure~-- ~'oF ,ppi icm~t ~ or ~, [F n corl~al'ion) 9 Secor Drive. . .Port.~as.h~gto~,..N.Y..1 (~tqil lng ~ldresa of al~l it;mt) le ,.~elher oppli(:anl' is (~x~_r, le.,mee, agent, or<'hlte(-t, engh~er, ge~.inl co, lL~nct'or, elecLrlcblu, l)h=fl~'~ or I~dhle,. Owner (as (~l Itl('. Io~ ~11 or later;l: deed) ir nl~,l icnnl in n COrl~ral. lon, .igs)nture of duly m)tl.~rlr~d officer. ........... ......................................... (Nm~? ;u~l lille of corlx)rnte oFFicer) Electrl(:Jous l,icen~ ~...: .................. Amended Map A of Nassau Point (.a~) ~adra~c.~long & S~dra ~rlong 9 Secor Drive ' .~10~N,),~ m.767r.8922. PI.Of . APP~¥ED AS NOTED .- ~Ee: .~~: ~~ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPE~IONS: ~. ~OUNOATION - ~0 REQUIRED FOil POURED CONCRETE 2. ROYGH r' FRAMING & PLUMBING 4, FINAL CONSTRUCTION MUST ALL O0~TflYOTIO~ ~HALL MEET TaE flEOUIflEME~T$ O~ THE ~TATE ~ON~TflUOTION ~ EfiERBY ~O~E~. N~ ~E~PONSI~LE FOr DE~I~N O~ OON~T~U~ION ERRO~ N-- ROSEANNE OTARY I~.J.B~ :)RSKI ~Qullll~ ''~lld New York PAORAIC FURLONG A..]_,,:Ti.:lc:tO<:.,c:.J ~--dC~ ¢.Ot;',b,V /