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Home My WebLink About23239-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southeld, N.Y. CERTIFICATE OF OCCUPANCY No Z--24154 Date FEBRUARY 6, 1996 THIS CERTIFIES that the buildin~ Location of Property 3965 M/LLLANE House NO. County Tax Map No. 1000 Section 107 Subdivision AC~ESSORY Street Hamlet Block 4 Lot 2.8 Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5, 1996 ~ursuant to which Building Permit No. 23239-Z dated FEBRUARY 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 AN "AS BUILT" ACCESSORY BUILDING LOCATED IN T~ REAR YARD AS APPLIED FOR. The certificate is issued to AR'£nUK & LADI%ETTA BAUER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ~/A l~ng Inspector Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLO BUILDING DEPARTMEN~ TOWN HALL $OUTHOLD, N.Y. N~ 2223~ Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEllON OF THE WORK AUTHORIZED) Permission is hereby granted to: ,~.,:...r.....~.~....~ ........ ~S~.~ ......... .... ~ ......... ..~.....~//.......~,~.,~ ................... ,~......~.~. ............ ~ .......... ~..:.~.'.:.:..~.,~/ ........... ~/~.,~ ......... ~.....~. .?:.Z .......... :. . ~ ............. ~. ~ ............ . . .~. . .-~. . ~ ...... ~ ~:. . ......... ~.~. . . .:. . '. ......... ~. .~ Rev, 6/30/80 This appiicatiou muse be filled in by ~yp. ewriter OR ink and submltued to the building inspector with the foliow~ng: for new building or new- use: 1. Final survey of property with accurane location of all bui!d~gs, property lines, 2. Final Approval from Eec!th Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical ins~a!!ation from Board of Fire Unde~iters. 4. Sworn sUanement from plumber certifying tha~ the solder used in system cou~ains less :ham 2/10 of i% lead. 5. Commercial building, indus~riai building, mu!~iple residences and similar buildings and installations,-a certificate of Code Compliance from archi:ac~ or engineer responsible for the building. Submit Planning Board Approval of completed s!~e plan requirements. For ~xisting buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-~xisting" land uses: 1. Accurate survey of proper~y showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect sit-ned by the app!ican~. if a Certificate of Occupancy is denied, the Building Inspector shall s~a:e the reasons therefor in %~i~ing :o the applicant. S. ' Fees ~ 1 Certificate of Occupancy - New dwelling ~_3.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swi.~m. Sng pool $25.00, Accessory building $25.00~ Additions ~o accessory building $25 00. Businesses $50.00. 2. Certificate of Occupancy on Pre-~xist~-nZ BuiidLnm - $100.00 . Ca ...... ate of Occupancy - $20.00 3. Copy of ~-~- - 4. Updated Cer~ifioans of Occupancy - $50.00 5 Temnorary Ce ...... at~ of Occupancy Residenclal ~1=.00, Connnerciai $15 O0 ............................. Sew Con$:~ac~ion ........... Old Or ?re-exis:ing 3u£1din~ ..... ~ .......... ~o~o~ o~ ~o~...~¢.5~ ....... :....~,.~.~..c~ ~ ............. ~ ~p.&..~ ..... ~ouse No. S~ree~ ~m]et Subdivision. .Filed Map ...... ~..: .Lo~ ...................... Pe~i: No ........ ~ ...... Date 0f Pe~it ................ ApplicanC ............................. Health Dept. Approval ........... ~ .............. Unde~r%:ers Approv~ ......................... Planning Board ~ ~ -- ~pprova ......................... ~,eques: for: Temporary Cer~ificacs ........... Final Cartlcace ..... ~. .... ~ee Submi=ed: ~.X-~;~54'~::,..~:.~.. ........ ~/""X ~. ~%a~,~q .... ,~..; ~ ............... I ,,2 x& -/&" 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ I FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INS~JL-ATION [ ~INAL DATE ~//~/~ INSPECTOR ~/,~/ FOP, N NO. I TOIdN NALL SOU~IOLD, N.Y. 11971 TEL: 765-1802 Disat~,,~ed a/c .................................. BOARD OF llEA[.~t .............. -~-3 SETS OF PLANS .............. SURVEY ........................ ClIECK ......................... SEPTIC FORH ................... NOTIFY: HAIL TO'- .................. (BUild i~osl~ctor ) APPLICATION FOR BUILDING PEP, HIT INSTRUCTIONS 'Date ................ ,19.. a. 31da application mast be completely filled in by type~iter or in ink m~d sulamitted to the ~dldi~ In--to 3 ~ts of plus, ~ate plot pl~ to ~ale. F~ ~m~ing to ~le. b. Plot pl~ ~i~ l~ti~ of lo~ ~ of ~fildi~s ~ ~i~s, ~lati~ip ~o ~joining ~i~s or ~bllc struts m are~, ~ givi~ a ~tail~ ~rlpti~ of l~t of ~r~ ~t ~ dr~ ~ ~ di~ ~i~ is ~rt · this ~licati~. c. ~ ~rk ~ ~ this ~licatim ~ mt ~ ~t~ ~[o~ ism of ~ildi~ ~mit. d. ~ ~l~,t~l of fl}is ~llcati~, t~ ~ildi~ lns~tor will is~ a ~ildi~ ~mit: to the ~lic~t. ~. ~mit ~mll ~ k~t ~ tt~ p~u,d~s ~ailable for in~ti~ thm~mt the ~rk. e. ~ ~ildi~ ~mll ~ ~i~ or ~ in ~ole or in ~rt [~r q ~ ~atmr mtil a ~rtlflcate of ~ ~mll t~ ~ ~t~ ~ ~ ~ildi~ I~tor. ~I~ lS ~lI ~ to t~ ~ildi~ ~r~nt f~ ~e isle of a ~ildi~ Pemit ~mt to the ~tati~, fm ~ mtxti~ of hildi~s, a~it[~ or altera[i~s, or f~ tu~at or ~liti~, gq [~rein ~ri~. ~ ~llc~t ~s to ~ly with all ~llmble l~~es, ~ildi~ ~, ~ing c~, ~ ~latims, ~ to ~it ~ri~ in--tots m ~s ~ in ~ld~ Ifor ~smw in~ti~s. .......... (Si~ of ~lie~t, or ~, if a co~rati~ ~ili~ ~mss of ~lic~t) State ~betber~applieant is o~mer,, lessee, agent, arddtect, engineer, general contractor, electrician, pltmber or bei Na~ of o~ner of premises ...................................... ;~ ............... .................................. (as on the tax roll or latest deed) applicant is a corporation, signatur~ of ch~ly authorised officer. (Nam and title of corporate officer) Builders Lie~n~'l~ ......................... Plmt~rs Lieens~ Eo ...... .~.~.. ............... Electrlci~ns License No ...... D..~ ............ Other Trade's License No ..................... Deose limber Street lla~let T= NO. ,.tlon ....... ........... .¢.'3 .......... ~ivlsi~ ...................................... FiI~ ~p ~ ................ l~t ............... State ~sti~ ~ ~ ~ of ~i~s ~ int~ u~ ~1 ~ of ~ c~st~ti~: a. ~isti~ ~ ~ <~ ............................................................................. b. ~te~ u~ ~ ~ .................... ~ .............. .~ ............ m..'."f'~,y'.. .................... 3. P~t.re o~ ,,~OH'-. (cl~x:k ~i~'l* api)licable): I~w Ik~ihlh~ ~ ~li~i~ I~ir ............ I~ak ............. I~l iLi~ ............ Other (to I~ ~d ~,~ filin~ tiH~ ~lica~i~) Ili.en~i~m of ~i~tin~ ~tn~mne~ if any: ~m~t.. ~ .... I~ :~ ....... ~l~tl ...~'.-~;~ ....... ,~i~ ..'~ .................. ~,~ ~ ~o~i. ..... X ................ 8. Bi.~nsi~m of entire ~ ~st~ti~: Frank .~.-.,.~ ....... l~ar ............... ~pth ...... II. ~ or u~ district in ~idl pr~i~s ~m si~t~ ...~...~ ................................................ 12. ~s propel mlst~ti~ violate any ~ing 1~, ordis~e or regulati~: ... ~.~ ............... 13. ~ill lot 1~ r~r~ ..~...'P ............. ~ill e~ess gill lm r~n~l fr~n pr~ni~s: ...................................................... ~.~ o~ ~i~ .... ~.~ ......................... ~.~ .............................. ~ ~ .............. 15. Is ll~is pml~rt~ within ~ f~t of a ti~l x~tl~? ~ ~ .......... PI.OT I)IAGE&H l~,cate clearly a~l dietlr~ctly all I~uild|ngs, uhether existing or proposed, a~l hxllcate all set-I~ek dim~nslons grc~, property lines. Give street and t)lock r, dmr or deseripti~ according to deed ehc~ street: nan, s as~l indicate sd~ether interior or eom~r lot. '% APPROVED AS NOTED - er: NC BUILOING DEPART~IENT' AT -1802 ~ AM TO 4 PM FOR THE i INSPECTIONS: )UNDATION - ~O REGUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMEING 3, ~RU~TION ~IN,*L . CONSTRUCTION BE COMPLETE FOR C O TF.~" "~", '"' ~ ., r ,, y. ~rll, delxmes m~l says that he is the al)pi lie is lhe (Cx~tractor, ngm~t, corporate officer, etc.) of .'mid (~n~er ()r (~rs, as~l is duiy mst horiz~l t:o Ix~r fort, or have i~r I'on~d I he ~ai(I ~)r k a~l to n~tke taxi fi le I hin (hal tike ~)rk will I~ Imrfom~l in the ,~mnec ~t forth in the al~licatio,, ril~ tiered[th. ................. ....................