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HomeMy WebLinkAbout23484-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-24505 Date JULY 17, 1996 THIS CERTIFIES that the buildin~ ADDITION 25 STERLING PL. Location of Property 405 (a/k/a 306) BRIDGE ST. GREENPORT, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 34 Block 3 Lot 51 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MY 6, 1996 pursuant to which Building Permit No. 23484-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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to of the aforesaid building. JOAN M. CAREY (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ilding I~spector/ IVOBM NO. ~ TOWN OP $OUT~OLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISF..5 UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N.o 23<t8~ Z Permission is hereby granted to: ........................ .... ~...~.~ ,o .....~)~.~ ....... ~ ......... ~.~ ........ ..~..~.~.~ ...... ~ ........... ~ ................... ..~.~.......~.,...~.~ .......... ~.~ ........ ~~..~?..~......~..~'~, at premises located at ...~...~ ....... .~,./...ff.~.r.~(.ff.,...~... ...... ~.../..~.~.,.~ ......................................................... County Tax Map No. 1000 Section ......~..Y ........... ,lock ..... ..~....~.. ......... Lot No.......~./ ............ pursuant to application dated ............... ..~.....~.. ............................. ,19...~..~, and approved by the Building Inspector. Fee $ ........................ //B~ltlding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMEN~ TOWN HALL 765-i802 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: 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). o. 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, t957) 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations no 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 Buildint - $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 Jew Construction ........... Old Or Pre-existing Building ................. ~ocation of Property ..................................................... House No. Street Hamlet }nwer or Owners of Property ........ .....................~em~ ~V~ ~t~.~... .................................. 3ounty Tax Map No 1000, Section ..... -~..~ ..... Block ..... ~ ......... Lot...~../ ................ 3ubdivision .................................... Filed Map.... .........~o~.~ - . .................... Permit No ................ Date Of Permit ................ Applicant ............................. :{ca!th Dept. Approval ................... Underwriters Approval ......................... 'lanning Board Aoproval .................. ~equest for: Temporary Certificate ........... Final Certieate..~l~ ...... Submitted: $ .... ~..~ ..................... ...... ................ APPLICAN~ ~' I'lJlllliJAI i(]ll (t:~'1') I~UUIII)A'I lull ( ~lll.l~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I~ATION [ ] FRAMING ~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS. (~~~_~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN~J~ATION [ ~*~INAL [ ] FIREPLACE & CHIMNEY DATE ~////.//~_~ INSPECTOR ~/~~'~/~ ^I'I'I,I(~A'I'ION FOI{ IIUII,I)IN(~ I~Ir, RHI'I* a. 'Ih|. IJlq}lit:at:|o~l nxmL be c(~.pletely I"illed iH hy tylx~.z[Jter m it~ init m~i mdx~dt.l.c~l Lo the lA,il(ling lns[~(:lol x~ilh tilts ~pl)li(:ntlon. Il. [IJX~l ;ll~)t~aJ O~ Iht6 atq)lJ('nLion, the IhlJldJlqT lll~l~t:lor ~.~Jll Jnme ~ l~ildJng lfermJt to the ;tl)l)iJ(:mll.. (k:(:~lJ~il~:y ~IHI I have I~eli [~rllllte(J I1y Ihe I~lJltJillg ill~l~(:lor. AI~q,I('A'I'I(~ IS Ig~l~ll~ ~AII~ ,J() [l~ I~il(lil~g Ik~l~llllenl [O[ lile iBm.lll('e oF a l~,i IJlill8 I~ellnJ~ ~Jr~lanl: Io the (~.cril~d. 'lira appliea. I ni~reeB to C[li{)l? ~ilh o11 nppiJc~d)le i~.., or(lJnmxtes, I~lJJdin~ (xxie, I.~8Jng c(xle, aixl ......... ..... ............ (~,ililq[ mhhess of alq]lJcm,,r) (~J.'; o~ the tJ~ r~ll or Inte.m deed) If ;q:,plJem~L i, ta cOt-lX~xl'j(~U ~ip,~ll.e o£ dxd¥ m~ll'~rlz.~d ol-£Jcer. (flm~e nl~l tltle oE Cml~Ornle officer) I0, 12. 13. 14. ............ ¥..~...~.~} .................... l)~)lli Io I)~[(HII~ I~). Illlll ~ / ........ I~ll ~ I~b~_~~..~.,,.~.,./~.. C~IRE L GL~ ~ / Nota~ Pubfic, State o~ew Yo~ No. 4879505i ~ ~ Qualified in Suffolk Coun~ ~/~ Commission Expires Deoember 8, 19~ \ plO LOT ~ 74,,07 0 LOT ~ ~0.0O' SURVEY OF P/O LOT 9 & P/O LOT 10 MAP OF PROPERTY OF JONN A. MONSELL FILED JUNE 18, 1873 FILE NO. 5S A T GREENPORT TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 34 - 03 - 51 Scale, 1" = 20' Dec. 28, 1994 ~0,00' rLR I'If lED JOAN ~t, cAREY FIDELITY NA I?ONAL FIFLE INSURANCE COMPANY CENTERBANK MORTGAGE COMPANY glA IF O~ NFW YORK kloRrGAGE AGENCY ANY AL 17~RA rlON OR ADOIITOIV ID ~ 5'URVEY IS A VIOLA Of ,~EOTION T209 Of THE A~W yORK STATE ~I]UCA TI~I LAW, EXCEPT AS-PER ,~'EeTION ?~09-5'UBDIVI$10N R. ALL ~REON ARE VALI) FOR THIS klAP AND COPES 17~REOF ONI. Y F SAIO MAP OR COPE'.S BEAR FNE IMP~_SSED SEAL OF Dill 5~VEYO~ wHoG~: 5lENA FL~'E APPEARS tiER~ON, '"'~£DITIOItALL Y TO COIViPL Y ~rtt SAID LAW ~ rERI~ 'AL TERE~ "tUfT BE U,,eFD BY ANY ~ ALL SUI~V~YOR$ U~ A ~ANO rlt~ a"I~RV~YOR'$ ~4P. TL~FtI$ SUCH AS 'IA~tTCTED' AgO '~U~t?-ID~DA 1~' ARE ROI iN CO~ IAMC[ ~IN ~ I.A~. (516) 76.5 - 5020 P. O. BOX 909 MAIN ROAD SOU7HOI. D, N.Y. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG.. [ ] FOUNDATION 2ND [ .].I/,~SULATION/ [ ] FRAMING [ ,~ FINAL [ ] FIREPLACE & CHIMNEY RrMARKS:/~i?~ ~' ~-~_~,~/~_:~/.~/~,~ -- DATE 2'/" INSPECT~