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Home My WebLink About23485-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-24472 Date JUNE 28, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Property 515 WINDY POINT RD. (PVT. RD. %12) SOu'r~OLD, N.Y. House No. Street Hamlet County Tax Map NO. 1000 Section 78 Block 6 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 1996 pursuant to which Building Permit No. 23485-Z dated JUNE 7, 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 EXISTIN~ SEASONAL DWELLING ~ APPLIED FOR. The certificate is issued to DANIEL STEGNER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A ld~n~ fInspector / FORM bO. 9 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) Permission is hereby.~granted to: . ............................. County Tox Mop No. 1000 Section .... ~ .......... Block ........ ~ ......... Lot No.....~...~...~l ..... pursuant to application dated .................................................... ~ , 19.~. ond opproved blt Oae Building Inspector. Rev. 6/30/80 Form No. 6 BLDG, D~Pr I ~ ..... _YOWNOFSOUTROL~PPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be fi%led 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. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 forza). 3. Approval of electrical installation from Board of Fire Underwriters. 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 ~simitar 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 "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. Busines§es $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 u ate ...... (J.. .................... New Construction.~.~.~ .... Old Or Pre-existing Building ................ Location of Property ~ ~'~.. .~.(.~.~.X ~.~.l~. ~ ........... House No. Street Hamlet f ty ..... Onwer or Owners o Proper ..................................... County Trax Map No t000, Section..fP2g. ...... Block... ~ .Lot...~O¢~ ....... Sabdivision .......................... ~ ......... Filed Map ............ Lot ...................... Permi~ No...~.~..~.~.~...~..,Pate Of Permit..~T.7. T.?~ ..... 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 June 26, 1996 Mr. Daniel Stegner 470 Windy Point Lane Southold, NY 11971 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 not on file. (Enclosed) No Underwriters Certificate on file. xx 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 # 23485-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. F~'ELI) INSPECTION REPORT DATE COMMENTS FOUNDATION (]ST) II' FODNDATION (2ND) PLUMBING II [NS~Am~ON PER ~. FINAL ADDITIONAL COld'lENTS: 0 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] IN~TION [ ] FRAMING [~/J' FINAL DATE INSPECTO/ FORH NO. I TOWN OF SOUTHOI,D BUll,DING DEPARTMENT TOWN IIALL SOUTI1OLD, N.Y. 1197 TEL: 765- 18()2 APPLICATION FOR BUILDING PERHIT INSTRUCTIONS BOARD OF HEALTH ............... //3 SETS OF PLANS ............... SURVEY ........................ ~CHECK ......................... "--.qEPT IC POP. Pi ................... NOTIFY: CALL .................. HAlL TO: .................... BLDG. DEPT. TOWN OF SOUTHOLD a. ~ds appl ieatlon vamt he c~letely filled in by typ~.~rlter or in ink ar~l .~dl~altted to fl~e Buildi~ Ine~ctor with 3 ~ts of pl~s, ~ate plot plan to scale. F~ acconll,g to scl~le. b. Plot pl~ ~ing l~ti~ of lot ~1 of ~ildi~s ~ ~i~s, ~lationshlp to Mjoining p~i~s or ~blic struts or areas, ~ givi~ a ¢~tailed {b~ripti~ of l~t of ~rty mk~t ~ dr~ ~ the dla~an.~dch is ~rt of this a~llcati~. c. ~ ~k c~ I~ this a~llcati~ ~ ant I~ c~med t~fo~ is~a~e of ~dldi~ d. D~ a~al of Hals a~llcatim, tl~ ~ildin8 lns~ctor will is~ a ~ilding Pemit to the a~llcant. ~mit ~mll ~ kept ~ the ~ims mailable f~ Jns~cti~ th~O~mt ~e ~rk. e. ~ ~;ildi~ M,all 1~ ~i~ or u~l in ~ole or {n ~rt for a~ ~r~m ~mt~r ~tll a ~rtlficate of ~.I~T[~ IS t~t~ ~ to tt~ ~fildi~ ~r~nt for O~e issue of a ~ildi~ Pe~k ~t to the ~lldi~ ~ ~i~me of tl~ 'r~ of ~ld, ~[folk ~ty, ~ Yod% a~ other a~lleable I~s, ~h~es ~[ati~s, for tl~ ~st~ti~ of ~fildJngs, ~iti~s ~ alteratlms, or for ~al or ~llti~, as l~mln de~ri~. ~1~ ~llc~t a~8 to c~ly with all ~llcM~le 1~, ordi~m~es, ~ildi~ ~, ~si~ ~lati~s, m~ to ~it ~tl~riz~ in--tars en ~i~s a~ in l~;ildi~ ~r mcensa~ in~ti~s. (Si~re o[ ~lle~t, or ~, ii a co~ratlen) (~ili~ ~ress of a~llcant) State whether applicant is o~ner7 lessee, agemt, architect, englr~er, general contractor, electrician, pltuber or ladlder. of of , ,,ises ....... ....................................................... (as m ~ t~ mi1 or latest d~) If a~licent is a ~rati~, sJ~ of ~ly ~t~rized officer. and title ore or p orate officer) Builders License No .......................... Pl~nbers License No .......................... Electricians License ~ ...................... Other Trade's License No ..................... I. tocation of land en ~hicb propo~d ~rk will be done · q, .~1 r [ .... [ ./:. -- ~ l- '" ....... ..... ...... ...... .................................................. [louse Nmi)er Street lla~let c~,,~ Ta~ mp No. 1000 .~ctlon ..p..7.~ ........ meek ...~. ............tot .10.,.I ......... .%bdlvisloo ...................................... Filed 14ap No ................ tot ............... 2. State exlsti~g use a~xl oeoJpanc-y of pr~nises and intended use argl occul~ancy of proposed censtruction: a. Rxisti,M ,se and oca,pancy ...~w~...~N~.. .... ~..e~..~. ................................................. h. lnte~Ied nse and ocoq~x~z ........ ; ............ ~.. ~'.>... ~] ~!... 3. I0, II. 12. 13. I~. 15. P~lure of ~)[k (clmek t,i~ich i~I dienble)= l~:l~d r . ........... I~ncr, ml .............. property llne~. Give ~dmlher lnLe. t'ior or comer lot. Nk, a l~d hli.g .......... ~klit ion .......... Alteration .......... I)aml it. ion ............ Other 14k)tk .... . ,~...e. ,a./~--~ ......'. ............ (to Im Imid on fil lng Ih[~ appl ical:ic~i) .I . / ; . ~. imf of SLoc-ie~ ......... 7~ or u~ disl:rict in ddd~ ~rmd~8 are 81t~mt~l .............................................................. ~ms prOlmt~l cmlsl:nmt, i~ ~io~nte any ~ming 1~, ordina~me or regulal:l~m: ........................ Ard~itee~ PI,OT I)IACllAN lzx:nt:e clearly m~l dlstl~t'ly ~ll I~ihlis~s, t~mlher ex ~ :lng or i~ro[~l, m~l i~sliente ~ll setHmek din~usions ~ssimr or ~seriptic~l according to ~ed, m~ ~s~ utreet nm~ m~l ialieate J ;Zo/ duly ~,~)rn) delXme,~ m~l 8nys thaL lie i,~ the applic:nnL .......... C~RE L, GL~ Nota~ Public, Smto of Now No. 4879505 Qualified in Suffolk Commission Expires December agent,icoqx~rate ofl:icer, etc.) appl icnLio,; IJial, alt mat~l~nts (:()ll}alll~J in IJli~ nl~)l leal. ion n~e In~ LO the J~lil.