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Home My WebLink About22481-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-23530 Date MAR~H 7, 1995 THIS CERTIFIES that the building ADDITION Location of Propert~ 1415 FOURTH STREET NEW SUFFOLK NY House NO. Street Hamlet County Tax Map No. 1000 Section 117 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 1994 .pursuant to which Building Permit No. 22481-Z dated NOVEMBER 21, 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 A PORCH ADDITIONTOA ONE FAMILY DW~T.~.ING AS APPLIED FOR. The certificate is issued to (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MARK & BONNIE T~RRY N/A N/A N/A / B6il ding~-I nspect or Rev. 1/81 FORM NO.$ TO~/N OF SOUTHOLD BUILDING DEPARTMENT TO,tN ~ $OUTFIO~.D, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNllL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 22481 Z .................. .A....~.~.....~...~<.:.~.,. ........ /~ ...~ ~ ........ ,~ ~ ./.~...~.~ ........ ~..z~......~...~..~....~ ~. ~ ~ ..... ~/~.~..~~ ............................................................................ ............................................ ........ .............................. Coun~ lax ~ap ~o. 1~00 S~e~on ...... ~.~ ....... BI' ~ ....~ ................. Lot No..~ ...................... pursuant to appl,cation aat~ ............. ~..~.....~ ............... 19..~.~.., and approv~ bV~e Building Inspector. Fee $._ .~.~_ .............. 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 ali 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. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100o0D 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.OO New Construction ..... / ...... Old Or Pre-existing BuildiDg....~ ............ ~ ~-~ . Location of Property ......................... .~. ......... l~.~.~.~.. ' ) ........ Hoose No. Street Hamlet Onwer or Owners of Property .... ~k~r~...~..~.~'~1~).i ......... ~ ................... County Tax Map No lO00, Sect,on .... J.J.~.,g~.Block..~.~ ..... Lot.:?.~.~.:~.? ....... ...........7? ................. ,, ..... ...... ....... lannLng Approvat... ~,'~.~ ............... Board zquest for: Temporary Certificate ..... Final Certicate..f~ ............... 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 January 23, 1995 Mr. Fred Milner 870 Bray Avenue Laurel, NY 11948 Re: Mark & Bonnie Terry Prem: 1415 Fourth Street, New Suffolk NY To Whom This May Concern: We are unable to complete your Certificate of because of the xx Occupancy following reasons: 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22481-Z Please contact our office on this cooperation. matter. Thank you for SOUTHOLD TOWN BUILDING DEPT. BUILDING DEPT. INSPECTION ]FOUNDATION '"ST [ ] ROUGH PLBG. ] FOUNDATION ZND [ ] I~LATION / ] FRAMING [,~ FINAL INSPECTOR 7GS-X~Od~ BUILDING DEPT. INSPECTION FOUNDATION lST [ ] ROUGH PLBG. F~JNDATION 2ND [/~]~'~LATION /~/FRAMING [ ] FINAL DATE INSPE. G~OR ImV - g Icjga yNr'- OF SOL ~ ~ · :...~>,¢ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL..' 765-1803 Examined.../~...'~.. ..... 19~..~ ^pproved ....... .>../ ..... 19?.%e. it No. ...... BOARD OF HEALTH ......... 3 SETS OF PLA~S ...... .... SURV£Y .................. ClIECK ................... gEPTIC FORH ............. CALL ............. HAIL TO: Disapproved a/c ..................................... -' / ~PPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, 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 st?eets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall 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 shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit aut h°rized inspect°rs °n premises and in building f° r necesT~7'.i.~-~[Z~.~}~,...~.~lf)./,~ ~ ................ --- (Signature of applicant, or name, if a corporation) · ..... .... (Ivlail~g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... .~..'v.4~J.~. ............. ..................................... ~:'-~,:,~ '~ · Name of owner of premises .... .~.'~....,b. P (as on the tax roll or lal~t :cteed_)~_~_' ?~,TF- e'~' ~ If applicant is a corporation, signature of duly authorized officer. ' ! ~i r. ": ,' .:C · , '.-:~2 g~ ,~,:~h Tr) ~. ~ FOR. (Name and title of corporate officer) / Builder's License No ...................... Plumber's License No ...... .~/3 Electrician's License No ..... ~q~)'~.::; Other Trade's License No ...................... CO~El~ ~11~. RESPONSlB - ~OR E STRUCTI~.R?.. Location of land on which proposed work will be done .... ~5,,)..~.......5.x~ .~...~. ~..~... .... ... z,-z/,,( .................. .... ............. .......... . House Number Street Hamlet County Tax Map No. 1000 Section ...~.~.,.O. ~ ...... Block .... ~).') :..Q .o.i... Lot ..... ~}O.~ ~.(~.{~.. Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... . .~..~.[..~..~..IO.~ ...... .~....~fT~... .................................. b. lntended use and occupancy i BLDG D-~ TOWN OF Sf