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Home My WebLink About23174-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-24347 Date MAY 13, 1996 THIS CERTIFIES that the building ADDITION Location of Property 690 OLD WOODS PATH House No. Street County Tax Map No. 1000 Section 87 Block Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 2(] Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 4, 1995 ~ursuant to which Building Permit No. 23174-E dated DECEMBER 11, 1995 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 ROOF ADDITION OVER AN EXISTING DECK AS APPLIED FOR. The certificate is issued to ROBERT E. PAUL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 Build'lng ~nspe/or -- FORM NO.$ TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 23~74 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: /2z~..-...../.~:...~..~..&.~..~.....~,..~ /-~- . . . . ,:. . . ,z~. . . . . ~i.~. ~ ....... ~ ...... ~x ~ ~ ~/ ,o...:~z~ ......... :: ........ ~:~ ............ ~.:::~:.~ ........................... ~,,.~ ............. Ooun~,Tax.apNo ,000 Sec,,on .~Z B,ock ..... ~/ ........ Lo__,No ........ ~ ........... pursuantto appllca;lon dated ........... '.'..~.'.'.~.'.'~:.'.'.'.'.'~...d.~....:::: ........ ",';:,...~..~..'..., and approved bythe Building Inspector, Fee $....~..~.~.~.. ....... // ~,,~uilding 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 water supply and sewerage-disposal(S-9 form). 3. 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, 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 appl~cant. if a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 2. 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. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $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 ....~..../~.~'~.l.~. ~,~ ...................... Jew Construction ........... 01d Or Pre-existing Building ................. ~ocation of ProperTy... ].~.'?.~ ......... House No. Street Hamlet )~wer or Owners of Proper~y....'~.~.~...~-':. ~on~ty T~ Map ~o 1000. Section...~? ....... Bloc~ .... ~ ........... Lot..~.O ................ Jubdivision .................................... Filed Map ............ Lot ...................... 'ermi, &. ?Z. . .... Bate Of ermit. . 2a ml .Applicant .~.l~¢c'~..'.~.'. qealth Dept. Approval .......................... Underwriters Approval ......................... 'lanning Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate..~. ...... ......................... [ .......... ................. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Mr. Albert Fickeissen Box 1451 Southold, NY 11971 Re: Robert Paul - SCTM#1000-87-1-20 Prem: 690 Old Woods Path, Southold 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 # 23174-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. [ ] II~LATION [~'~INAL FIREPLACE & CHIMNEY ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING DATE /~//~,~_~/~ INSPECTOR~/~ 765.t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FORM NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 3 SETS O~F,..,-'F'LANS SURVEY~" CIIEC~ .~L-, ................. SEFT[C FDRII .............. IlO? 1 PY | c^~ .2r~ 155,,q-. ......... HAlL TO: APPLICATION FOR BUILDING PERMIT Date / '~(~'er~ ~/er' 19?'6'~ INSTRUCTIONS a. Tiffs applicaUon must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plau to scale. Fee according to schedule. b. Plot plau showing location of lot aud of build~lgs on premises, relationship to adjoining premises or public streets or,areas, and giving a detailed descriptJou of layout oF property must be drawn on the diagram which is part of this appli- cation. ' c. The work covered by tbD application may not be commenced before issuance of ?~Hding Permit. , ~. Upon approval of this application, the Building lnspecto~ will issued a Building Permit to the applicaut. Such permit shall be kept on the premises available for inspectiou throughout the work. e. No building ~hall be occupied or used iu whole or iu part for auy purpose whatever until a Certificate of Occupm~cy shall have beeu grauted by the Buildiug luspector. APPLICATION IS IIEREBY MADE to the Buildiug Departmeut for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Soutbold, Suffolk Couuty, New York, and other applicable Laws, Ordiummes or Regulations, for the coustrucfiou of buildings, additions or alterations, or for removal or demolitiou, as bereiu described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, aud to admit authorized inspectors on premises and in buildiug for necessary inspe~gns. ~ (Siguature of applicant, or name, if a corporation) ....... (Mai ing address 9f ~<p~Jicant) State wbethe~ applicaut is owner, lessee, agent, architect, eugineer, geueral contractor, el~ctfi'6'i~a)).; ~ ~ihiber ov builder. ~eae~/ ~e~ ~¢~ ........................... appa0~aDaS ~0TED ............. ' .... Name of 6wne~ of premises ...................................... ~aa" ~' ' ~~ '" (as on the tax roll or la~ ~DILDIN~ D~gAa~MaNT AT If applicaut is a corporatiou, signature of duly authorized officer. (Name aud title of corporate officer) BuiWer's Liceuse No..../~..'45..~.0./~. e/'/.~. .......... Phuuber's Liceuse No ......................... Electriciau's Liceuse No ....................... Other Trade's LJceuse No. 1 ..................... 7654802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION · TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I. Location of la d , ................. '. e./</. ........... ....... 3o .................... llouse Number Street tlamlet County Tax Map Ho. 1000 Section ................. Subdivisiou ..................................... Filed Map No ............... Lot ............... (Name) 2. Slate e~isting use aud occupaucy of premises and iutended use aud occupancy of proposed constructiou: a. ~xJs[Jug use aud occupaucy .. ....... · ...... ..... .~ ¢._ ............ ' ....... b lnleud~d use and occupauey ............................................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteratio~L. .......... Repair . ............. Removal ............ Demolition .............. Other Work ~.~ .TQe~.~e~.. i '" ~' K~s fi 2~ deel<o(Descrlption) 4. Estimated Cost ~o~ 5. Ifdwelhng, number of dwell ng uni'ts. (to be paid on filing this applicatiou) · ./. .......... Nu,nher of dwelling nnits co each floor ................ · If garage, number of cars ., .~...; .. 6. If business, comm0rcial or mixed ogenpancy' specify nature and extent of each type of use .................... 7. Dimensionsgf~exisfi,~gstmctures, ifany: Fro,,t..)_g. 7.'. ....... Rear ..~.7. lleight ............ Nulnbo~. of Stories .................................................. Dimeusions of ~anm stnlctura with ~alterations or additions: Front ... ~ ~ .......... Rear . ~ ~ ........... ~?tb ...eSL.... ............. {I-f~igl~ . g~Tf...; ............ Nu,nbcr of fitori~s...~ ..... ' 8. ~fln?nsio~r,~nt~ro now constrnctiion: front.. ~fi .......... R~ar..g.~.'. ........ D~pth /.~ n~ignt .(. ~ .......... Number of fitori~s... / .................................................... 9 Siz~ of lot: Front , ~ ~ i R~a ~ .................... r .................... Deptll .................... lO Dateofl chase ' . ~t. . ......... ~ .............. .~am~ of Former Owner .... ........................... . Zone or uso district In which l)remlSes are situated. . 12. I ocs proposed constructlgn vlolateJany zoning law, ordina lee or regu etlon' ~ ......... 13. Wlllotberegraded ~ . ~ ..... "T' ~ ' ................... · ~. ~ · ........... w n excess nn ~o ~emoved from promises: ~/~Yes No 14. NameofOwuerofprenises~/~o/ ' Ardress ~oo~lr( . Pbono~ 7~ ~/~ Name of Architect ........ ~..~ .............. Address ................... Phone No...;., .......... Name ofeontiactor (~&~ 3., .~g ~O.~g~e .... Address . ~*eg~a/C~ ...... Phon0 No. ~.~Tffr.~ .. t5. fs this property within 300' feet of a t~dal wetland? , I ~Yas ........ ~f yes, Southold ['own Trustees Perml. t may be required. ' ..... PLOT DIAG RAM : a Locate. clearly,, and distinctly all buildings,~ whether. . existing or. proposed, and Indicate all set-back dimensions fro n t roperty hues. C, Ivo street and block number or doscrlptlon accord ~g to ( ced, and show street names and indicate whefl er bderior or corner lot. ~OIJNTY OF. ~.~..~.[: .~.../~. S'Si ........... (~ (g~ ~ .... ~ ................. being duly sworn, deposes and say~ that he is the applicant (Name of individual signing ~ontract) Ibove i~amed. leis the .... ~..e¢ ~ .~..roi e .'~.q .~: ........................................................................ , (Contractor, ageut, corporate officer, etc.) ff smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file this [pplicafion; that all statements container' iu this application are true to the best of his knowledge and belief; and that the ~,ork will be performed in the manner se forth in lhe application filed therewith. ,o I,