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Home My WebLink About22301-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23430 Date DECEMBER 29, 1994 THIS CERTIFIES that the building ALTERATION Location of Property. 6285 NEW SUFFOLK AVENUE NEW SUFFOLK NY House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 5 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 1994 .pursuant to which Building Permit No. 22301-Z dated SEPTEMBER 6, 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 NEW CHIMNEY AND FIREPLACE AS APPLIED FOR. The certificate is issued to PAUL & THEODORE MAFFEI (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A FORM NO.3 BUILDING DEP~RTMENT TOWN ~ SOUTHOLD, N.Y. N~ 2230i BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) oo, ............. ..................................... Permission Is hereby granted to: , ,/,~.~,~..~.~ ....... ~..~z,.-',~,,Z. ................................... ,,,,,~,,.,,,,~,~,~,..,~zZ,..-,,,m~,~, ................................. .... ~,,..../..~. ......... ~.~,,,,,/~z~.~. to...~.~.~ ....... ~ .......... ~ ........ ~~.....~.,~...........~..~..~... ...... ,,~.,,7. ......... ,,~/,~.~ ........ .~. .,c. .............................. /. ....................................................... atpre~lses,ooated,,t ......... ~...,Z....Z....'C... .......... ~/.........~.~...~ ................................. CountyTax Map No. 1000 Sectlon,...~..~.. .............. Block ......,.~,...~... ........... LotNo ..... ..'~...~,..~Z.: ............ . ../.~. ~ pursuant to application dated ............... ~...~....~...: .......................... 19 ............... and approved by the Building InspeotoL Fee ~. Z..(..-..~ ......... Building 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 i% 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, street~, 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. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .................................. . . .. . . . New Construction ........... Old Or Pre-existin~.Building Loeation of Proper ....... -. ........................................................ House No. Stree~ Hamlet Onwer 0 of ~ perty ~' County Tax Map No 1000, Section. ./.72 ~0.0 ........ Bloc~ ................ Lot .................... Subdivision ................................. . .. Filed Map ........... . Lot .................. .... .~..~ ~ermit ~/~/~ A licant ~-~4~ ~.~P'~,' Permit No .......... Date Of r ...... ~.f ...... pp ............................. Health Dept. Approval ......................... Underwriters Approval ................. Planning Board Approval........ ............ .. .. Request for: Temporary Certificate ..... ~ ...... Final Certicate Fee Submitted: APPLICANT OCCUPANCY]OR ' ' OF -OCCUPANCY Z~,~ / ¢ R . /o~rR5 : 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INFLATION [ ] FRAMING [~/] FINAL REMARKS: DATE /~.~1~/~/~ ~ INSPECTOR//~~~ ULATIO~I PER N. Y. STATE E~IERGy CODE ADDITIOHAL CO&~IEI.ITS: · o° BLDG. DEPT. TOWN OF SOUTHOLD FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 1 ~isapproved a/c ~l ................. ) ............... BLDG. DEPT. .............. ~OWN ~F SOUTH~[~ ' ~i~m p ~PLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ........ 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FOEH 7E ' CALL ........... HAIL TO: Date ................... 19... a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 streets ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appll- .ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspeetor will issued a Building Permit to the applicant. Such permit' hall 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 hall 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 luilding 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 agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to 'dmi.t authorized inspectors on premises and in building for necessary ins~s.~ .~ . (Mailing address of applicant) (Name and title of corporate officer) Builder's License No .... .~..~. ~..~..~.~ '~]-1 Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... .irate whether applicant is owner, lessee, agent, ~rchitect, en~neer, general contractor, electrician, plumber or builder. ~me of owner o remises ........................................................................ · (as on the tax roll or latest deed) f applicant is a co~omtion, signature of duly authorized officer. AP RGRED AS FOLLO~NG INSPECTIONS: 1. FOUNDATION ~ ~O~ rEQUIRED FOR PourED cO~cn~E ~. INSU~TION 4~ FINAL - cO~TrucTIO~ Mu~T BE COMPLETE FOR C.O. ALL cO~sTRU~TIOfi SHALL MEET ~catjon of land on which pmpo~d work will be done ...................... T~E' 'REGUt~ENT~· OF' THE' ~.Y; Hou~ Numar Street H~N OR CONSTRUCTION ERRORO CountvTax No. 000 Section II2, o.q. mock lot.. oo6. ooo ..................... ~ ? ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) .. State existing u~ and occupancy of premises and intended use and occupancy of proposed construction: b ~tended use and occupancy ~ V~J ~' ~[~ t~ Nature of wok (check hich applicable): New Building ' Repair .~ Removal ' . ......... Addition .......... A~ration ....~. .... ............. . ............. Demolition ............. Other Wqrk. ,~.,. ~ ......... // ,Y-O O ! ; (Description) Estimated Cost .......... ~ ...... ~ ................... Fee If dwelling, number of dwelling units, ~. ON F .(~). (to be paid on Fdmg this application) If garage, number ofc~ .... ' ........ Number of dwelling units on each~fl~ ..................... ensions o structures, ifa ' ' .............. ~t .~ fSt ZOi~i '}~'"*~' '~' .... Depth .... He~ ........... Number o o~e~... ' .... D~ensJons of ~me structure with alterations o- .~,,.~ ..... Dep~ · auu~tiona: front ....... Rear D~ensions of entire new constructionist ........... .. Numar of Stones .................. Ke~ ............... Depth .............. ~el~ ~b C St .' .............. Nu er o ofies ............ / Ze )~'~ .......................· .... ' .......... ~z, oHot: Front .......... ~ R~ .........~ ............ D~m · .;. DateofPure~as~ . · ~ ........ ' ......... N~e of Foyer Owner . .~ 'hp ' i .. . Zon~ or u~ d~tfict in wMc rem:aea are ~tuated ................ ' ............ Doea proposed eonst~ction violat~ an~Izonin~ ~ ...... ~ ........ WBI lot b~ regraded ......... ~ ~.' .' ...... N~e of Owner of premises ~'~q~ ~/ -~ ~o ~ ~' e. t i, - ,w .......... :: .... ...... ' .... ::. :. P~T DIAG~ ,ocat~ cIe~ly ~d dis~nctly ~I bufld~~, whe~er exist~g or proposed, ~d. indicate ~ set-back d~ensions from :~ Hnes. Give street ~d block number]or descfip~on aceord~g to deed, and show steer n~es and indicate whether tot or co~6r lot. ~amed~Name of indMdual sigfiing contraci) ' ' ' (~on~actor, agent, co.orate officer, etc.) owner or owne~, ~d is duly auto.ed to peffo~ or have pe~o~ed the ~id work and to t/on; that ~1 sMtemen~ contaMed ~ this application tree to the best of Ms ~owledge ~d ~Hef; and that the fll be peffo~ed in the m~ner set fo~ M are the app~cation filed therewi~. o befo~ me ~h .,