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Home My WebLink About23482-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24991 Date APRIL 18, 1997 THIS CERTIFIES that the buildin~ REPAIR Location of Propert~ 145 SYLVAN DRI~E House No. Street County Tax Map No. 1000 Section 37 Block 3 Subdivision Filed Map No. EAST MARION, N.Y. Lot Hamlet 24 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 1996 pursuant to which Building Permit No. 23482-Z dated JUNE 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 REPAIR & REPLACE EXISTING DECK AS APPLIED FOR. The certificate is issued to ANNETTE G. FROBCH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 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) N.° 23482 Z at premises ,ocatea at .......... ..~..~......~...~.~...~.~~ ........................... Coun~ Tax Map No. ,000 Sect,on ..... &..7 ....... B,~ ~.. ................ 'at No..~ ....... pursuant to application dated ........................................................ , 19 ......... and approved by the 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 wster supply ~nd ~ewers. ge~-disposal(S~9 form). 3. Approval of electrical installation from Boa~'d o! F~re 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 and '3pre-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 building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $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 ...................... New Construction ........... Old Or Pre-existing Buildin~ ..... ~ ..... ,o ~ , House No. ~ Street Hamlet Onwer or Owners of Property ....................... County Tax Map No I000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ' ...... %~ ~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 11, 1997 Annette G. Frosch 4 Chester Dr. Great Neck, N.Y. 11021 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 XX not on file. (Enclosed) No Underwriters Certificate on file. 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 # 23482-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT FOUNDATION (~s~) · ~.~ com,m~s ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ROUGH FRAME & PLUMBING INSULATION PER N. ¥. STATE ENERG"f CODE FINAL ADDITIONAL CO~q~TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] R~GHPLBG. [[ ~/1~ FNi NS~ATION [ ] FIREPLACE & CHIMNEY .'=~.,~.#S-' ~ ~/~ ~ ~~ INSPECTOR~ Dlsal,taoved a/6 .... .~..' ~ORM NO. I TONN OF SOUTHOLD BUILDING DEPARTH~HT TOI~N HALL SOUTIIOLD, N.Y. 1197 I TEL: 765-1802 BOARD OF HEALTH 3 SETS OF PLANS .,~ ....... SURVEY .~.i~ .......... ,.., ..... CHECK .., ...................... SEPTIC PORH ,.~ ................ NOTIFY~ . .... APPLICATION FOR BUILDIHC PEP. HIT '-Date ................ ,19 .... INSTRUCTIONS a. ~hls application ~mst be coapletely filled in by 02pearlier or in ink ~ ~itt~ to ~ ~ildi~ ~s~tor ~t'~ts of plus, ~ate plot pl~ ~o ~e. F~ ~i~ to ~e. b. Plot pl~ ~ l~ti~ 0f lot ~ of ~ildi~ ~ p,~d~s, mlati~ip to ~jolni~ ~s or ~lic st~ts ~ ~as, ~ givi~ a ~t~l~ ~ri~i~ of l~t of ~ ~ ~ dr~ ~ ~ diem ~i~ is ~rt of fids ~li~ti~. [ . c. ~ ~k ~ ~ ~is ~licati~ ~ ~t ~ c~iae~ed ~fo~ is~ of ~ildi~ ~t. d. ~ ~ of ~is ~licati~, ~ ~ildi~ ~to~ ~11 is~ a ~ldi~ ~t to the ~li~t. e. ~ ~ldi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~rt ~r ~ ~ ~at~r ~tll a ~rtifi~te of' ~I~ I~ ~i ~ to t~ ~ildi~ ~t ~r ~ is~ of a ~ildi~ ~t ~t to t~ ~l.di~ ~ ~a of ~ '1~ bf ~ld, ~folk ~ ~ Yo~ ~ o~r ~li~le~, ~i~es:or ~lati~s, f~ ~ ~st~ti~ ot ~ildi~s, ~iti~ ~ alterati~s, or f~ ~1 or ~liti~, as ~in ~ri~. ~ ~li~t ~s to ~ly ~ ~1 ~li~ble 1~, ~i~es~ ~ildi~ ~ ~i~ c~ ~lati~s, ~ to ~t ~i~ in~t~s ~ ~s ~ in~~ in~ti~s. _ ........ st,t, ~ ~li~t is ~ l~,~, ~t, ~it~t, ~i~r, ~ ~t~tor, ~l~m~,~, p~ o~ ~[. ~ of ~r o[ ~ .............................................................. (~ m ~ t~ mi1 ~ latest ~) If~licmt is a ,~ti~, si~ of ~y ~t~i~ officer. (N~ ~ title of m~te officir) lhild~rs Liccmse NO ............. : ........... Plumbers Licease NO .......... , ............... Electricians Lic~se lib ...................... Other Tr~h's License No ..... t ............... location of land on ~id~ p~opOsed s~ w111 be do~ .... ?~.~ ...................................................... ....... ....................... Bouse l/~ber Stm~t / It~let ~,,~, T,~,,~,No. ,o0o ,~,i~ ...~..~ ....... Hlo~ .... ~. ......... ~ot .... ~.~ ..... , ................... iiled ~ No ................ Lot ... ~ ........... Subdivision .................. State ~sti~ use ~d occup~ a. Existir~ use a~d oconp~cy b. Intended us~ and occupanc~ ..y of p~e~dses and intended use and occupancy of p~oposed coastmction: 3. ~at~re o~)~o~k ~ ~dch applicable): .Ne~ Building .......... ~ldition ...... Alterati~ .. ~ I ............. ~liti~ ..... , ...... Oflmr ~ ........................... 4. ~ti~t~ ~t .~.~.~ ....... f~ .............................................. (to ~ ~id ~ filing ~is a~li~ti~) 5. If &lli~, ~r of &lli~ mits .... ~ ...... ~r of &lling tails ~ e~ fl~r ...... ~. ......... If ~r~e, ~r of ~rs ........... ~'.'~.~ ...................... 6. If Mimes, ~rcial or mi~ ~o~, s~ci~ ~e ~ ~renC of e~ ~ of ~ ..................... 7. Ui~i~ of ~ati~ aC~s, if ~y: ~r ................ ~ar ............ ~pth ........ I~i~r... ............ ---- -.-- · . ~r of Stories Bi~i~ o~ ~ attire ~th alrerati~ or ~iti~s: ~t ~ar ..... ~pth .......... , ......... I~i~r ................ ~mr of Stories ............... 8. Di~i~ of ~tire ~ mt~ti~: ~t ......... · . · . ~f~t ............... , ......... Nm~r of Stories ..................... 9. Si~ of lotl ~t .,-~.,, ............. ~ar .................... ~p~ ............... . ..... 10. ~[e o~d~........ ....... .- ..... . ~ o[Fo~r ~r ......... II. ~ or ~ district ' ' ' la ~ldl pr~l~8 are si~t~, i ................................................. · .. · . . ...... 12. ~a pro~ ~t~ti~ vlola~ ~ ~i~ 1~, o~i~e or re,laCier ........................ 13. gill lot ~ r~ ~ ..... t .....~....' .... ~i[l m~ fill ~ of ~it~t , .... ,.~ ............ ~ ...... ~rees ............. ~ ~ ~tr~tor ................................... ~reas ............................... ~m ~ ............... 15. ,la thisp~r~thin ~ f~t o[a ti~l~tl~? *~ .......... ~ ........ ,- PLOT DI AGRAI't lkmate clearly and distinctly all buildings, ~ahether existing or proposed, and indicate all set-track dimensions f-rc~s property lima. Give street and block nm~er or deacrip~im according to deed, and sho~ street ms and indicate ~tmtlmr ie£erior or corner lot, STATE OF NEI~ YORK~ cou 'r .... ss ......... .~..../~..0.?..~...~. ......... being &ly ~m, ~s a ~ya fiat he is the a~lidat t~ is ~ ................... , ......................................... ~ .................................. (~tor, ~at, ~ra~ offiar, etc.) of ~id ~r or ~rs, ~ ia ~ly'~fl~ri~ ro ~rfom or I~e ~rfo~ fl~ ~id ~ ~ to ~ ~ file ~ia a~li~ti~; flint all a~r~nts ~i~ in ~ia a~li~ti~ are t~ co ~e ~st of his ~l~e ~ ~lief; ~ r~t t~ ~ ~11 ~ ~rfo~ in ~ ~r ~t forai in tim a~licati~ fil~ ~r~i~. ~m to ~o~ m · . // ' ' ~-- ~ MAalE C. P~IVITZE~ ~ OommissJon Expires, Sep~mb~ ~ ~amro nF a~l ie~nrl .... FO[.LOVV~f~ ' 4, F~¢,~A¢, COI~SYRUCT~f)N MUST SE' COMPLETE FOR ALL CONSTRUC'rION SHALL MEET STATE CONSTRUCTION ~ E~ER6Y CODES, ~0~ RESPOkJSIBLE FOR DES~(~N OR CO~STRUCfiO~ ERRORS ! ,' (.. ce..'( ~ ,." i ...c/v,,x~, 5-r/< ,. 2.'I, 2',~q- I f~ . 6, , a ~ a