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Home My WebLink About23855-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-24803 Date DECEMBER 17, 1996 THIS CERTIFIES that the buildin~ Location of Property 530 MAYFLOWER RD. House No. County Tax Map No. 1000 Section 107 Subdivision ALTERATIONS MATTITUCK, N.Y. Block 8 Filed Map No. Street Hamlet Lot 27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2, 1996 pursuant to which Building Permit No. 23855-Z dated DECEMBER 11, 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 ALTERATION TO EXISTING OWE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to EDWARD & LINDA CORRIGAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-053079 - DECEMBER 9, 1996 DEC. 13, 1996-MATTITUCK PLUMBING & HEAT. IPORH NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO* 23855 Z Date ........ .,..~...,~-~--~,, ......./.~. ..................... , 19..,~..~. pursuant to application dated .......................... ~..~.~.... ........ , 19~.~..., and approved by the Building Inspector. Fee $..~..~ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTi~EBIT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must b~ filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. 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 i% 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 Ppre-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 sig~ed by the applicant. If a Certificate of Occupancy is denied, the Building {nspector shall state the reasons therefor in writing to the applicant. C. Fees 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ................... New Construction ........... Old Or fre-~xisting Building ................. Location of Property ............ - ........... ~ .................... House No. Street Hamlet Onwer or Owners of Pro rty .................................... County Tax Map No I000, Section .... I..~.~. ..... Block .... .~ .......... Lot2 ..................... Subdivision .......................... ........ .. Filed Map ............ Lot ..................... . Health Dept. Approval ........ ~.k~ .............. Underwriters Approval....~t..~.'.~.~..f~. Planning Board Approval ..... ~.~.. ............. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..... ~. ............... APPLICANT Town Hall, 530§§ Malrl Road P. O. Box ! ! 79 Seulhold. New York ! 1971 Fax (~l ~) 76`5-1823 Telephone (516) 76.5.1802 OFFICE OF THE BUILDING iNSPECTOR TOWN OF SOUTHOLD (please print) '(please print) ! certify that the solder used in 'the Water supply system contains less thaa 2/~0 of 1% lead, (Plumber~ SEgnat~ // Sworn to before me this Ii'iiiI d~ O~ ~ Notary Publ~,~3~ ~ County I)^'1 L'. I~ I IIAI, AI)l)l'l'lOllAI, COtlHi,~iH,~;: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~)6.~6(~ BUREAU OF ELECTRICITY I ~- , :, 85 JOHN STREET, NEW YORK, NY 10038 Date DEC~-~,~E}!,~{ (~9 ~ ~.~ Application No. on file THI~ C~IFIES THAT o~y t~ eteetricul ~ufpm~nt ~ ~seri~ be~ a~ int~uc~ by t~ ~p~ant ~d on the a~ve appllcetion number in the p~m~es of Lot 27 RANGES SPECIAL REC'PTJ R V I C EXHAUST FANS DIMMERS ~NO VISUAL DRF~]CTS.· "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obwLous unsatisfactory condition was found. GENERAL MANAGER This ce~ifkate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credermaJs. EDWARD & LINDA CORRIGAN BOX 14 CUTCHOGUE, NY, 11935 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICAIE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY ROUGH PLBG. INSULATION FINAL DEC TOWN OF SOUTIIOLD BUll. DING DEPARTHENT TOWN IlALL SOUTHOLD, N.Y. 11971 TEL: 765- 1802 BOARI) OF Illr, Al.'fll ............... 3 SETS OF PI,ANS ............... 5~llRYE¥ ........................ ~CI1ECK ......................... ~ SEP'I'IC FORH ................... ^pprov~l.. ~A .... , .... I'emlt ~ ................. Bi ~nppt~,ed ale .................................. NOTIFY: }JAil, 3'0: .................... 1NRTRUC'I'IONS a. 'lhla application ramt be con~letety filled in by tyler{viLer or in ink a~l ~hnltt~ to the Buildlt~ InSl~CtOr w{I : 3 ~ts of plans, ack,rate plot pl~ to scale. F~ acco~ling to sch~lule. b, Plot plan M~i~ l~ati~ of lot ~ of ~ildit~a ~ pr~i~s, relati~fip to ~ljoining pr~i~s or ~bl lc sl:r~ts or areas, a~ 8ivi~ a tbtail~ ~scrlption of last of ~:o~rt:y a,Jst tm dram ~ tim dia~ MHch is ~rt of this application. c. 'lhe work covered by this application way not be co~raetmed before is.~nce of Buildisg Permit. d. Upon approval of this application, tim Building Inspector will is.~ae a lkdldi~g Pemit to the applicant. permit shall I~ kept on tl~a pr~nises availahle for inspection througha~t the e. ~ NHldi~l ~mll I~ ¢<o~pi~l or a~ ia ~le or in Dart for any ~ ~oJ~ ram[l, h~e I~n gr~t~l I~ dm ~ildJng IonFecCor. APH.I(~Ti~ IS I~H ~ to tl~ l~dldlr~ ~rt~ent for the ismm~e of a 5dlding Pe~i[ ~wmmnr to the l~ihti~ ~ 0Circe off the T~ off ~tl~ld, ~[folk ~nky, ~a York, arm other apptlcable I~gulal:ions, for tl~ ~stn~ti~ of Imildi~s, ~Mitlons or altera/i~s, or For ~al or ~lition, as herein ~bscril~l. llm applicant agree to ca~dy with all a~licabte l~s, ordi~es, Imildi~ c~te, I~si~ c~le, ami reg~lati¢ms, a~l tvv~t ~t~rlz~l ins~l:ors SLaL$ Mmtber applicant is o~er, lessee, agent, ard~itect, engineer, §eneral conLractor, electrician, plml>er or ladhler, (as on the ta~ ~coll or latest deed) 1~ al~plicant is a corporation, slgmture o[ duty mRl~)rlz~l oEficer. (Haan a~l title of corporate officer) ~d: ~J~k (dmck sJHch apl~lic~!hle): 14~ I~dhlint} .......... /vklition .......... Mteration ......... , ((o1.~ l~hl ~m filing thi~ appllcati~m) ... ~ Ardd tee~ ................................... ~klress .............................. lqm~ ~ ............... PI.OT I) TAOITAH clearly m~l dlst:i~l7 nllj I.dldil~s~ ~mlher exl~l:in8 or pro[z)sed, m~l i~xlicate ail set-bock dlu~n, ion~ erinr or eorr~r 1o1:. UNDERWRITERSCERTIFICA~ REQUIRED fiP,PRO~rEO AS NOTED 765-180~ 9 AM TO ¢ PM FOR TH~ FOLLOWING INSPECTIONS: ~, 6OUNDATJON - l~O ~EOUI~ED SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD. If copper tubing is used fo;r water distributing systern; piping ~;hall be of types K or (XX/NIY tXr ....................... / ~ FOR POLJRED CONCRETE 3. INSULATION 4, FINAL CONSTRLJ~ION MUST BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIRE~E~ OF THE STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR: DESIGN (N;s,e of i,xlJvhlual ~il;ni.,b, comrnct) ; AIk~ i~; Ihe .................... ~ ...................................................................... ~q)pl ientio.; tJl~ll: all 6tflt~ntf~ col~t~i,xad hs 11118 al~d icatJon nrc I~ Lo the IK~n(: of [hnL tl~e ~rl( ~Jll I~ I~rJ'o~.~l i. Ih~ .~.,~r ~et J:orlh J~ the ~ppljc~H:Jo. fi l~l Iherc~iLh. ................... ....... NOTARY PUBUC, S~te of N.Y. Term E~ir~ May 31, 19~ i (Sil;Iml m-e (pi: AppI i(mnl )