The URL can be used to link to this page

Home My WebLink About23297-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No E-24654 Date SEPTEMBER 26, 1996 THIS CERTIFIES that the building ADDITION Location of Property. 80 BILKER ~OLT ROAD House No. Street County Tax Map No. 1000 Section 95 Block 4 Subdivision Filed Map No. CUT~HO~, N.Y. Hamlet Lot 18.39 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 1996 ~ursuant to which Building Permit No. 23297-Z dated MARCH 14, 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOHN BERGMANN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-389051 - JUNE 18, 1996 N/A ector Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. N~ 23297 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ...... .o,~ .:"~ ~,/ ~ .... ~.~ ............ :.~ ..................................... .......... ~Zd~ ......... :~.... ................................................. Count/Tax Map No. ,000 Section ......~..~ ......... Block ......~.....~.... .......... Lot No ..... ~.~..:.~ ........ pursuantto application dated .,./~. ~,,~ ........ Il ................... , 9...~...~ and approved by~e Building Inspector. Fee~....7~ .... g Inspector Rev. 6/30/80 . TOWN OF SOUTIIOLD BUILDING I) EP/\R'I'IIE~I'F 765-1802 YO~N O~ SOUINOLD APPLICATION FOR CERT[FICA'I'E OF OCCUPA~CY A. This applicatiou must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or nc~ nsc: 1. Final survey of property with accarate location of all buildings, property lines, streets, and uausual uatural or topographic features. 2. Fiaai Approval from Hehith Dept. of water supply aud sewerage-disposal(S-9 form). 3. Approval of electricml installation from Board of Fire U~derwriters. 4. Sworn statement fromfplumber certifying that the solder used iu system coatairs less than 2/10 of 1% lead. 5. Conmmrcial building, industrial building, multiple residences and similar buildings and installations,~a certificate of Code Compliance from architect or engineer responsible for th~ building. 6.Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 1.Accurate survdy of property showing all property liaes, streets, building aed unusual natural or topographic features. 2. A properly completgd application and a consent to iespect signed by the applicant. If a Certificate of Occupaacy is denied, the guilding Iespector shall state the reasous therefor in writing to the applicant. C. Fees 1. Certificate of Occupaucy - 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupaacy - Residenti~$15.00., Co~mrcial $15.00 ~ew Coestructlon... 1 . . LocatSon of Property .................... . ................ . llouse No, Street ttaml et On,er or De,ers ,.,f Pro.ertv SubdiviSion ..... J ....................... . ... Ilaaltb Dept. Approval ...... [P . . ..................... '' · ................. Underwriters A) royal . ?lannieg Board Approval ..................... lequest for: Temporary Certi~icate ........... Final Certicate ......... I:()II~II)A'I' I Oil ( I{tJIJ(]ll I;'ltAl, Jlr, & lrJ,cllil,A'l'l()l~! Iq~.l( i'l. Y. (:()1)1r, 48.z.~4 49.04 N.Y.$. LIc. NO. 496/8 iCONIC SURVEYORS; P,C. t6) 765 - 5020 0,." BOX 909 30 TRA VIZLER STREET )UTHOLD, N.Y. 11971 AffY AL TERA TION OR ADDITION TO THIS ,S~..IRVEy I$ A VIOLA T/Off -OF SECTION 7'EOB. OF TH£ NEW YORK STATE EDUCATION LA W~ EXCEPT AS PER SECT/Off 7P-Og'"F. UBDIVISIOff g, ALL CERTIFICA HEREON ARE VALID FOR THIS MAP AND COPIES TH£REOF W/lOSE S/G/lA TURE APPEARS HEREON. ADD/TION.~,LL Y TO COMPLY W/TH SAID LAlY THE TERM 'ALTERED BY" MUST 8E USED 8Y ANY AND ALL SURVEYORS UTIUZINE A COPY OF ANOTHE/'f SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED" AND "BROUEHT-TO~DATE' ARE NOT IN CoMF'LIANCE W/TH THE LAW. 765-1802 BUILDING DEPT. INSPECTION [ ] [ ] ROUGH PLBG. [ ] [ I "NSU~L..ATION [ ] [' L,,}"I~NAL [ ] FIREPLACE & CHIMNEY FOUNDATION 1ST FOUNDATION 2ND FRAMING DATE INSPECTOR ~//~~ ~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND' [ ~'~LATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY .E.J.,~s: ~~ ~ // DATE '~/,~-~/~'~' ,INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] F~DATION 2ND / [ c/I/FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL ] FIREPLACE & CHIMNEY INSPECTOR .//~,~, / 765-1802 BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS'. ~ DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NY 10038 ;*.:, <~-t~m.!,,,.~? JUNE 18,1996 .... / ~pti~.~o.~o,o.~,~ 11865096/96 N 389051 THIS CE~IFIES THAT o~y t~ el~tr~a] ~;pme~g ~ ~sc~ be~w a~ int~ by ~ applicant ~med on t~e a~ve application numar in the prem~es of JO~ BB~.~ ~ SIL~R COTT RO~, CUTCH~U~, N.Y. in the following location; ~ B~,e~nt ~ Ist Fl. ~ 2nd ~. G~/OUT Section Bilk Lot ~s examined on ~ ~ ~ ~ ~ ~ and found to be in compl~nce with the Na~onal Elect~c~ Code. OTHER APPARA/US: RANGES ~ECIAL REC'PT R TIME CLOCKS BELL UNIT HEATERS MULTI.OUT/ET MT. AMES. TRANS, NO. OF FEET V I C E NO, OF CC COND A W O, NO` OF HI-LEG PER ~' OF CC. COND. EXHAUST FANS DIMMERS A,W. G. qO OF NEUTRALS A.W,G. OF HI-LEG OF NEUTRAL PAUL R, BURNS P.O.BOX 1061 SOUTHOLD, NY, 11971-0932 LID. #3897~ GENERAL ~M~ _AGER This certificate must not be altered in any manner; return to the office of the Board if fncorrect. Inspectors may be identified by their credentiol/s. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE M~S?'NQ~'~E?ALTERED IN ANY MANNER. · j~,: FORH HO. I TOItN OF SOIITIIOI.I) BIJII.I)ING I)EPARTHENT T()lIN Il^lA, ,qOIlTIIOI.D, N .Y. 1197 I TEL: 765- 11102 Disapproved a/c .................................. IIOARI) DF ilEAI.Ttl ............... 3 SETS OF PL^HS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... HAIl. TO: .................... ! i~R I 11995 APPLICATION FOR BUILDING PERHIT ' Date 19 UA_~G. DEiq, INSTRUC'f IOHS ~. 'lhi~ ~1~1 icatia~ .~m~ I~ c(a~letely filial in by I'yl~riter or in ink m~l a~l].itt~ to the I~lildi~ Ins~ctor ~ith 3 ~ts of plmm, accairate plot plan to ~ale. F~ according to sch~kde. b. Plot plan g~ir~ l~ti~ of lot aM of Imildi~s ~ ~i~s~ ~la~ionahip to ~joining praises or I~blic sit, ts or areas, taxi 81vi~ a ¢~ta[l~ i~scrip~i~ of la~t of pmlmr~y ~ais~ Im dr~ ~ the diagr~ ~id~ is ~r~ of this al~l icati~. c. lhe ~[k c(~r~l I~ Ihls a~licati~ vny ~1. Im coa~em:~ Imfore ia~u~:e of lkiilding Permit. d. I11~ a~al of this a~ticati~ tim l~ilding Inslmctor will iss~ a Ik~ildin8 ~n~it Lo tl~e applicant, a~ch Imnnlt Mmll Im kept ~ tim p~i~s available for ins~cti~ th~t the ~rk. e. ~ ladhli,g ~mll Im ~oipi~l or u~ in ~mle or in ~qm~my g~al[ have I~n grantal by tim Ik~ildinE Insofar. ~LIC~TI~ I~ I~[BY t~E to tim Ik~ihllng ~rt~mat for the ia~m~e of a ~ildi~ Pe~iC ~rmant to the ~ildi~ ~ Onlbm~e of tim Tam of ~tl~ld, aiffolk ~mry, ~ York, m~ other a~licable l~s, Onli~ea or ~llati~s, for tl~ ~mtnmti~ o[ Ixdldi~s~ ~kliti~s or ~lgeratl~m~ or for r~al or (~1 ition, as Imrein t~ril~l. 'lira applicm~ agr~ to co~ly witl~ all q~llcable .gulati~m, a,~, to ~.it .,tl~riz~l ins.tars ~, pr.l~s a,xl in la,lid, for ,m.~ im~ti~,s. ~ ...... ............. ~i~ture of al~nt~r ~u. if a cor~raCion) (~ili,~ ~lress of a~ticant) StaLe O~tl~r al~li~nt is ¢~r, les~. agent, ard~ileet, engi~r, gear electrieiaa, plmimr or I~ilder. ~,~ or ~,~ o~ .~o.i,~ .............. ,.~ ............... A...~. .......................................... (as ~m the tax roll or latest d~) If al~llcaat ia a corl~ratia~, si~to~ of ~kdy ~ll~riz~l officer. (l~ar~ a~l title of corporate officer) lluildera License Ho .... ~..~..~.. !....~...~... .... Pit,dints License ~ .......................... El~triciaos Licen~ ~ ...................... Otlmr Tr~'s l.lcen~ ~ ..................... .............. ' ................ .~t.~g&..~.k r-..., gO., ....................... ~y.~a ~.q.~T ............. 2. State existi~ ~m m~ ~m~lm~y of pr~i~s a~l inlet~l use a~l ~y al ~ c~stmction. ,,. ~,,,,~ ,,~ ,,,~ ~,~,~ ..~;~..~.(¢~ ...... P~.~ ......................... ri. Ill. II. 12. 14. 15. prolerl'y Ill,ea. ¢;ive etreeC inter[er or corner lot, (tol.~ paid o. fitln3 thio al~llca( If Ixmh~m~, ~merctal or ml~l ~:~Jlm~y, ~l~eify [mime mM[ exte.t of emth tyi~ of ;me ...................... I~ prOlXl~d c~mtn~:tt~ vio~nte any a~ln~ h~,,ordlnm~:e or r~ulal:h~: ........................ 1. lid8 pmlmrty within ~ ~e~t o~ a ti(la[ ~tlmxl? * YI~ .......... ~ . PLOT I)[AGHA~I ((kml:raetor, nl~eUt~ ¢:orl~lrat~ offh:er, ~tc.) ........ ..... ~)lary 1511 ' ... C~IRE L BLEW I NotaW Public, State of New York Qualified in ~uflolk Coun~ ~ / ~mmission Expires Deoembe~ ~, 19 ~ 'e of ^pp/ M oO_~ UNDERWRITERS CERTIFICATE REQUIRED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED DATE: ~B.P.# FEE.~' ~ BY: ~', NO'IFY BUILDING' DE~RfMEN~ AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~T THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS SILVER COLT , .ocu ~ I~,~ N.44o27'55,,W .~. ~.,,,~ , · ,oo. oo, ,IZ'O@I ZaVONV9 ~0 Z ~ ,5) '" ONV'I -, _-I/0/N ROAD L= 44.99'