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Home My WebLink About23430-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-24617 Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building ADDITION Location of Property 245 BAYVIEW AVENUE House No. Street County Tax Map No. 1000 Section 106 Block 10 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 1.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 1996 pursuant to which Building Permit No. 23430-Z dated MAY 10, 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 The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ANTuONY & BARBARA DiVELLO N/A N/A N/A Rev. 1/81 / B~ilding Inspector FO~M NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N=o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23430 Z CountyTax Map No. 1000 Section ....... X~......~.... Bock ...... .~....~.. ........... LotNo. /e / pursuant to application dated ......................... ~.~..~ 19....~....~......, and approved bythe Building Ins~:.~./,~ Fee $...¢.....~... ....... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~ALL 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 an~ "pre-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. 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 buit~ing $25.00. Businesses $50.00. 2. Certificate of Occupancy on~Pre-existing Buildinz - $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 Dar e (~......~.t~... ~ ~.9.~..~. ................. Location of Property' .~..*.+f. ,-.--.~Y~J~.. ~.O~ ................. · .~. · .-~.~'~. ~.'~ ............ House No. Street Hamlet Onwer or Owners of Propert . . ~ County Tax Map No 1000, Section. /~.~. f.O.b. .... Block..~.O.~.O.O ....... Lot..~.~f ............... Subdivision .................................... Filed Map ............ Lot ................. ; .... Permit No..~...~.~..~.P~...Date Of Permit ................ Applican~..~..~.'.'-~¥.~.~.~ .... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval , Request for: Temporary Certificate ........... Final Certicate ........... Fee submitted: $..%%:'.0...o. ................ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG/HPLBG. [ ] FOUNDATION 2ND [ ] I~ULATION / [ ] FRAMING [ J/FINAL REMARKS: [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [~"FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F/~OUNDATION 2ND [ ] INSULATION [ ~'] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: DATE/~~INSPECTOR :t)l)tr ' OF HF. ALTH SERVICE~ ~ ONLY BOAtiD OF III~AI,']FII ............... FOI{H ti(). I ~3 ,qE'rS OF PI,AND" ........ , ...... TOI4X OF SOUTIIOLI) ~ StiRVE¥ ........................ BUII,DltiG DEFAR't~IEWI' '- CIIECK ...... ~ . ..; .............. '['O~dN IIA1,L ,qEPTIC FOI1H ................... SOU HIDLI), N.Y. '~'.,,;J'E~ :. 7.65-11102 a. 'lhir, al~llcaticn ,a~st be co~lflel.ely filled ia by tyl~,~riter or iu ink a~l md~nitt~ to the ~filding Ins~ckor with ~3 ~ts of plaas, ~a~rata plot pisa to scale. F~ accordi~ to I). l'lot plan ~it~ h~aticn~ DE h)t and of Is~ilcli~s ~m pr~dses, relaticamhip lo ~l.]oinlna praises or I~hlic ~str~ts or areas, a~l 8ivh~ a (~tail~l ¢~scrlpti~ 'lhe ~r~ c(~ I~ this al~llcatitm vny )x)t 1~ c¢~)~ed I~fore is~m~e of ~fildin8 l)e~it. d. UI~ al~al o~ Ii,is all)licatlon, the lk~ildln8 Ioslector will ism~ a lk~ildln8 Pemit to the al)plicank. ~ch e. ~) Ixfildlng amlt 1~ ~:~qfied or u~l ia ~ole or in I~trt ~or a~ ~r~)se ~ml~er ~til a ~rtificate o~ ?~c~a,~y ~mll have I~ ~m*ted I~ tl~ ~dldln8 hm~ctor. AI~A(~'I'I~ I8 I~ta;llY ~E to tl~ ~ildlt~ ~l~rt~nt for the is~m~e of a l~ihlin8 Pemlt ~ramnt to the ; I~ihlh~ 7~ O~li~r~e of tim '1~ o~ ~tl~ld, ~frolk (~mty, ~t York, a~ aurar all~llcable l~s, 0~h~es or ~gulati~s, ~or tl~ ~mtn~ti~ o~ l~dldinBs, ~hlltkms or alteratkms, or for ~at or d~lltlon, as I~rein ]&scril~l. 'llm alq)l, lcant ogres to c~ly with all al~llcoble re~dati¢ms, m~ to ~sil: mltl~ri~l insl~ctord ts~ prenlses and in lalildin8 for ~cesmary hm~ti~s. (~lgt~kt~re o~ a~)llca~, or ~, ~ a COrl~rak~0 .... (~[ailllB ~klress of al~ticanl:) lloildera License 1~ .......................... Ptt~i~era Lice.se RD .......................... Electriclaas License No ...................... Other Trmle's License ~ ..................... State whetl~r al~llcank is o~a~er, lessee, ~nt, architect, engl~r, gears[ cootraetor, eleetr[elnn, phal~r or la~ilder. a( s ~ tl~ tgx roll or la,est deed) 1~ al~dicank is a coq~rati~, Bi.tatum off duly autl~rlz~l officer. (~ a~ ~itle o[ cOX'l~rate aL[leer) ~ ' __. BLDG. ~ TOWN I. I~cat|on of land ¢x~ ~ddch in-oposed ~,~ork will I~ Ck~e .............................................................. ....... ...................... ..................... .................... I~ ~i~r l~nlet ~l~ivlsi~ ...................................... Fil~l ~[*p ~ ................ l~t ............... 2. State ~istl~ u~ aed ~c~y o~ pr~i~s aed intetx~l use and ~O~l~t~y of pr~l a. ~stl~ u~ a~ ~oq~,~y ........... t/ .... ~9 ............................................... ~,. ],,~,~ ~ ~,~ ~&f~,~r I~ ~ ...... ~[ .......................................... (lUU IddV ~-9 ~mlmfil!~)