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Home My WebLink About23475-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25084 Date JUNE 13, 1997 THIS CERTIFIES that the building Location of Property 1545 WOODCLIFF DR. House NO. County Tax Map No. 1000 Section 107 Subdivision ALTERATION PECONIC, N.Y. Street Block 6 Lot Filed Map No. Lot No. Hamlet 17.4 conforms substantially to the Application for Building Permit heretofore filed in this office dated .MAY 9, 1996 pursuant to which Building Permit No. 23475-Z dated ~ 3, 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 THE EXISTING FRONT STEPS OF EXISTNG ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD McDONALD (owner) 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 · o~1~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT N.o Permission is hereby granted to: · ...F.~...~ ........ ~....~ ........... .~ .......... ........... ..... et premises located at .......'..~.~....~.~~.....~.,~. ................................................ (THIS PEP-JVtlT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23475 Z Dote ........ ~.......~... .............. , 19.,.~2..~ County Tax Mop No. 1000 Section ..... ..~....~.....~...... Block ..... .~., ........... Lot No..../...~.~.....~.... .... pursuant to application dated ...............,'~..~.....~.. ............. , 19..~.~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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 ef completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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 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 Buildin~ - $i00.00 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 Location of Property ~.f~..~.y .... .~..or.~.'.~../t.~. ~.f'.~ ~/~.~.S ..... House No. Street Hamlet Onwer or Owners of Property .......................................................... County Tax Map No 1000, Section...~.~.~7. ..... Block ..... ..~. ......... Lot..J.Z.~. ....... Subdivision .................................... Filed Map ............ Lot ................. ~... · - Permit No .... Date Of Permit..~.P..~? .... Applicant. ~. .... ~. ........ Health Dept. Approval.............. ........... . Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~....... APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [/,~NAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPECTOR F(ilJIIII^I I011 i Illl ) ........... II ............................................... ~ ..................... I] ............... II .~::~. ............................................................. ^l)l)l'l It)ll/',t. (;OIillt~.lt :~ FORM NO, 1 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.V. 11071 F. xamined ,3..'.,, 19 Disapproved, a/c .... . .............................. /I. (t, ilding,,,spe tor> AYP~ICATION FOR BUILDING PERMIT 3 SETS OF PLANS .......... SUEVE¥. ,. , ...... ~ .... , .... CtlEcK.. , .................. SEPTIC FORH .............. GALL , .... HAIL TO: · ~ iNSTRUcTIONs a. This application must bc completely filled in by typewriter or in ink and submitted to tire Building Inspeetor, wilh 3 seis of plaus, accurato plot plan to scale. Fee.according to schedule. b. PIoi plan showing location of lot and of buildings on promises, r~laiionsbip to adjoining premises or publi~ streets or areas, and giving a detailed d~scrlpiion of layoui of properly must be drawn on the diagram which Is part of this appli- cation. c. The work covered by th{~ application may not be commenced before issuance of pufid{ng Permit. d. Upon approval of fids application, th~ Building luspector will Issued a Building Permit to tho appllcanL Such permil slmll be kept on the premises available for inspection throughout the work. . , e. No building M~all be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupaucy shall bare been granted by tho Building Inspector. APPLICATION 18 HEREBY MADE to the Building Deparhuent for the issuance of a Building Permit pursuant to the Building Zone Ordinance of tho Town of Sou]bold, Suffolk County, Now York, m~d other applicable Laws, Ordinm~ces or Regulations, for tho construction of buildings, additlous or alterations, or for removal or demolition, as hereb~ described. The applicant agrees to comply with nil applicable laws, ordinances, building code, housing code, and regulatious, aud to admit authorized Inspectors on premises ami in building for uecessary~sp~~ .. .............. ..... (Signatnre of appllcant, or name, If a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, ageut, architect, eugineer, geueral contractor, electrician, plumber or builder· Name of owuer or I)remlses .. ,t.Y-d, .~.r: ......................... k/ (as on the tax roll or latest deed) If applicaut is a corpora]leu, siguature of duly authorized officer. (Name and title of corporate officer) Builder's License No... [.'.'~. 0. '.'~, ?.. ~'-~' .~. ?..'~-[' · ..... Plumber's License No ......................... Electrician's License No ....................... vow. o soot.om , j,, Olher Trada's License No ...................... Location of land on which proposed work will be doue .................................................. House Number Street ]-lamlet d "" ,,.'.t.q ..¢ County Tax Map No. 1000 SecBon .... . ........ Block ......... ,,,,~,..Lot : ........ Subdivision ......... .: .......................... Filed Map No .......... ~ ..... Lot '. .............. (Name) State existJug use aud occupaucy of premises aud inteuded use and occupancy of proposed construction; /'/ // I I b. lutended Use and occupaucy ............................ ~ .... , ................................ 3 Nature ofwork (cheek which applicab ) N 'Building ~ '~. ' · e ow .......... Addition .......... Alieratlon ....... Repair ' Reinova,I Demolition Other Work 4. Estimated Cost ,..,/...,~.~.,C)r~ C~C-) Fee ,.. ' ' (to bo paid on filing this application) ' 5. If dwelling, number of dwelling units .............. Number of dwelling traits on each floor ............... · If garage, number of cars ....... ~ ..................... , ,5 If business commercial or mixed o~cupancy ' ..... ............... ' ..... ' ............. · , , specify nature and extent of each type of tls0 .................... lloight ............... Number of Stories ........................................... Dimensions of same structure withjalteratlons or additions: Front ...... ................. Rear ........... 8 DD~ptb ..................... Jlle g ~t ...................... Nu,nber of Stortea ................ · 'mensloni of entire new constrnc~lon: Front .., ........... Rear ............... 'Depth llelght- ' ' , Number of Stories .......... 9 Size of lot: Front : Rear .......... .............. ~ ......... , ............. Deptb 10 Date of Purcbase ~ ' Namo of Former Owner I 1. Zooe or use district in whleb premises are situated. ' ......... 12. Does proposed construction vt?l, at6 any zoning law, ordinance o' rear latlon: ..... 13. Will lot be regraded .... ,~,o ~ .......................... 14, Name of Owner of premises., .L-~-.~.4 .~.'~. .,.., Will excess fill be fem. oveU f~o~.l-I~re,nlses: Yes · , ,'~./.¢~].cL... Address Z.5~..~'., .l~.&)~, ,g./(~. ~..,ffz/~. Pi;ono No, D ?~-- ~'7¥.~, Name of Arc~teot , , .... ! ~ ........... " .... · ' '"i' ............ Add,'esa ................... PhoneNo ,,,~ ........... Name of Contractor ,.., .......i ............... Address .,,,,, ............ '. Phone No ................ 15. Is I:bia property wll:bill 300 feel: of a t:ldal vmtland? *Yes ........ No,. ,... ~,., *If yes, Sou~bold To~n Trusl:eee Permit may be ~equired. PLOT DIAGRAM Locate clearly and distinctly all I bdildlnga, wbetber extstlng or proposed, and, Indicate all aet-ba¢k dimensions from property lines. Give street and block number or description according to deed, and sbow street ;lames and Indicate whether interior or corner lot, ;'FATE OF NEW YORK, :OUNTY OF ................. (Name of lndlvkhlal signlnl contract) named. .... being duly swore, deposes and says that lie JS tho applicant ~-L~5~.,c~..~, ~.INDA J, COOPER Notary Public, State of New No. 4~.22563, Suffolk County Term Eapires December 3~, (Signature of appllcanO 16 is lite ........... ~ ....... (Contractor agent corporate officer etc ) ,f saki owner or owners, and la dtdy alt I ~orlzed to perform or have performed tile said' work and to mak0 and file this pplicalion; that all statements contalndd In flfla applicattoo are true to the best of his knowlodgo and boiler; and that tho york will be performed In lbo manner ~t forth la tho application filed therewith. lwom to before me this i .................... aay o/, ........ ~ .., , ~otary Public, ........ ~~ ............ County D~