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Home My WebLink About22431-zFORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23479 Date FEBRUARY 3, 1995 THIS CERTIFIES that the buildin~ EEPAIR Location of Propert~ 63315 MAIN ROAD House No. Street County Tax Map No. 1000 Section 56 Block 4 Subdivision Filed Map No. SOUTHOLDv NEW YORK Hamlet Lot 15 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 20, 1994 pursuant to which Building Permit No. 22431-Z dated NOVEMBER 1, 1994 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 REPAIR EXISTING COTTAGE UNIT AS APPLIED FOR. The certificate is issued to JAMES BEDELL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT,OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A %5676 - SEPTEMBER 15, 1994 JAN. 30, 1995- JAMES L. BEDELL FORM TOWN OF SOU'[HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 22431 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Coun~Tax Map No, 1000 Sectlon....,~.~. ........ Block ....... ~ ............Lot No. ...?,~ ............. pursuant to application dated ...................... .~....~.....~...~......~., 19,..~.../~... ..... and approved bythe Building Inspect~,~ Eee Rev. 6/30/80 Form No. 6 ~.. BUILDING DEPARTMENT ~ -- 2 ~ Li9 TOWN }LRLL 765-1802 BLDG. DEPT. TOWN OF SOUTHOLD .... 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 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 S25.00, 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 Occupancy - Residential $15.00-, Commercial $15.00 Da t e . .'~.'..~. ~..'.. ~....J~. ~.~. .................. New Construction ........... Old Or Pre-existing Building...../~.. .......... ocatio of Prnper y. . . .............. . . . .......... . ....... House No. Street Hamlet Onwer or Owners of Property..~'/'J~%;..~"-~...~.i..~..~. ................................... County Tax biap No 1000, Section.~.~.~ .... Block..~.~.~.~D. ....... Lot..~'~./,~.~'~p ......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No.~.~/.~.~ .... Date Of Permit~f~..~.%./. . ~..~..Applicant..~f',',~.'~-~..~.% .~.~..~.~. ~.. Health Dept. Approval ..... ./~..'.'~.% ............. Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~ Fee Submitted; $.. ~. ~...~ ................. .... ........... .... {~ 0'"~ O~ 3 t~ 7 ~ ~ APPLICANT (51 ) 2es- 642 , ,, ~.:: , ,,' INTRODUCED BY ~" ' D~T ,GARAGE ;~=r'DISHWASHER r~; DR~E~':" rCLOTHES WASH.. GAR. DISP. RANGE ~ OVEN ~' SMK. DET. FU R~AC~ ' O ' L ~IAS ..... 1 1~ O.H. ;~=r'DISHWASHER ~" DR~ER r~CLOTHES WASH. GAR. DISP. RANGE OVEN J' SMK, DET. rqaNAC~ , O~L ~'AS C~R. ~O~0RS BarLL TRAN;~ , S[RV~C~ ~gCONNECT Town Hell, 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 January 30, 1995 Mr. James Bedell 441 Furrows Road Holbrook, NY 11741 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) ** xx 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. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 22431-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. - NEED A FENCE PERMIT- ~/~- ,~,~ ~ ~~.~,.c~..,~Jq3,~,, ** - SUBMIT DIAGRAM OF WORK DONE INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 CERTIFICATION Building Permit No. ~>(5;/~// (please print) (please print) DATE: I certify that the solder used in the water supply system contains less than 2/10 of IZ lead. fPlumbers Slgnatfi~) Sworn to befog_ th_~ ~ Public NOTARY PUBLIC, State of New No. 4821795 Suff~ Coun~ ~/ Ill II Town Halt, 53095 Main Road P, O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone {516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 30, 1995 Mr. James Bedell 441 Furrows Road Holbrook, NY 11741 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx xx An application for Certificate of Occupancy is not on file. (Enclosed) ** No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22431-Z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - NEED A FENCE PERMIT ** - SUBMIT DIAGRAM OF WORK DONE Thank you for CODE ADDITIO}JA'L CO.q~E~T$: Ii ! 765-1~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [,] IN~U~LATION/_ *, FRAMING [~"] FINAL DAT~ ,/.~-2/~ iNsPeCTOR /? 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL /1'! INSPECT~ INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANs .......... SURVEY ................... CIIECK ................ .... sE T:c FOR , . "..'..'.. NO?I FY; HA l L : a. This application must be completely filled in by typewriter or in ink and submitted to the ~uilding Inspector, with 3 ets of I~lans, accurate plot plan to scale. Fee according to schedule. b. :Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by this application may not be commenced before issuance of Building Permik d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit .lall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy aall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit puixuant to the .uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant aglees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary insp~clJons. ~ -" ~gnatu~re of applicant, or name, if a corporation) ·. ·, (l~ailiJg a~;e's; o~;ppli~an;)' ";~')7,/ (Name and title of corporate officer) Builder's ieense No .................... Plumber's License No ........ .' ................ Electrician's License No ....................... Other Trade's License No ...................... ;tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...~r~.2M.c°,~..... i.... ............................................... AP.R. IlOI/ED AS. tiOTED ..... '. ,~ame Of owner of premises.. ~.,,,~,,-?~..~'.~... Z.'.. ~t~', ~.e.~, ~.. .......... (as on the tax roll or latest ~1~' ;~rlL~DiNE~G' ~;~ (-' ~' ..... NOTI BUILDING appncan[ is a corporation, signature of dray authorized officer. ' 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, ~FOuI~DATION TWO REQUIRED FOR POURED CONCRETE 2, ROUGH ~ FRAMING & PLUMBING 3, INSULATION 4, FINAL CONSTRUCTION MUST I~E COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONST~RUCTION & ENERGY CODES. NOT'RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Location of land on which proposed work will be done.../?O..--g/.~'~.../:t/~.. ?.t?~/t/'/-~g;/.~5' ~,/--~ ~.--V.,-~e~,..,.,.,.,.,.,.,.,.,.~T...' S' ............................................. House Number Street Hamlet County Tax Map No. 1000 Section ~.J~'-~c>t9 ........ Block .~..~..~..O ........... Lot .~~ ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) · State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existiug use and occupancy . . ~ . .<~~ . .~.~5 ,/"- ..... ............... Repair .. ~. .......... Removal .............. Demolition ......... Othe, r:~N~)rk .......... (Description) 4. Estimated Cost ......................... Fee ..................................... (to be paid on filing this application) $. If dwelling, number of dwellin~ units .... ~. ......... Number of dwelling units on each floor... ~. ........... If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nat.~re and extent of each tyl~e of use .................. 7 Dimensionsol~,existingstructu~es ifany: Front ~..". Rear .~.~..'~ D~;th ~..~. 'Height ~. Nmn~er of Stories '~; ............................ Dimensions of ~me structure With alterations or additions: Front .... ,~..,P:.' .* ....... 8. ~lmensmns orennre new cons~ructi6fi: Front' .~ c~..o~... Rear ~,~o~. ~. De-th' '2,',, Height . ~..-~./~¢C~.. Nu~nber,~f Stqries.. x~. .............. 1, ............................. 9. Size of lot: Front .. ~.~.~,,q'?x~. ...... i... Rear...,x".,~,,~.~.~ ......... Depth/~'~.-~,~_.~ .~.;,,~, 10. Date of Purchase ,~..~.,,~...~,.~,~...~.~, ....... Name__of ?ormer Owner ~,cE'~/..,,~..~. I 1. Zone or use district in 4vhich premises are situated...~..-,g4 ........ /~. ..................... 12. Does proposed construction viqlate'any zoning law, ordinance or regulation: . .,,'u,'.t~ .................... 13. Will lot be regraded .. ,n,d~.. i · · ~ ............ ~ .... Will excess fill be removed from premises: Yes ' ' Name of Contractor ' Address Phone No i5. Ia this property w±l:h±n i300 feet of a tidal wetland? *Yes ........ No...t~.~..... · If yes, Southold ~own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all' buildings, whether existing-or proposed, and. indicate all set-back dimensions from property lines. Gwe street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. PLUMB£R VATe OF ' ' '~:* . . bein~ duly sworn ~ ' ~ . ....... ~?' .' ............ o , -.., ueposes ana says that he is the applicant >:,~ ~ .~c~ (~ame at ln&vJ~ual mgnmg contract) ~bof~ named. le is the ' (Contractor agent corporate officer etc ) ,f said owner or owners, ~d is dulyl authorized to - ~ .......... have perfo~ed the said work and to m~e ~d file this pplication; that all statements contained in this applicat on are true to the best of his knowledge and belief; and.that the york will be performed in the manner ket forth in the application filed therewith. me this ,worn to before i ' ...~ ./~..._.:.~.. ..... day of ..~...~. ,otary Pu aunty iLINOA i ~C .......... ,~, , ,~ · · Nervy t~uc ~ ~[t '' . ......... ~ '.~_t , t~ of ne~ vo~. (Signature of applicant) ~'~'~i