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Home My WebLink About21454-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICAT~ OF OCCUPANCY No Z-23070 Date J~3NE 28, 1994 THIS CERTIFIES that the building ADDITION Location of Propert~ 200 COREY CREEK L~/~E SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 4 Lot 6 subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated }{AY 26, 1993 pursuant to which Building Permit No. 21454-Z dated ~ 3, 1993 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LEE CHATTAWAY & FRED YOUNG of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H041306 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A JUNE 13, 1994 N/A Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) pursuant to application dated ,~....~....~.....~ ....... ; ............................. , 19.?~.~...., and approved by the Building Inspector. Fee $.....~/'~ Rev. 6/30/80 Form No. 6 -- BUILDING DEP~TME~ TOW ~LL 765-1802 ~PLICATION 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 n~w 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 ~proval 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 $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 Buildinm - $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-existing Building .... .'/7. ...... Location of Property .... ~ .................................... House No. Street Hamlet ' Onwer or Owners of Property ................. .............. County Tax Map No 1000, Section .... Block ..... Lot. Subdivision .................................... Filed Map ............ Lot ...................... Permit No...~.~.~.~..~..~.....Date Of Permit....~/3./..~ .... Applicant..Z.~.--~.-. '~ .~.*/~..~.~..~..~. Health Dept. Approval.' ..... .~/../~. .............. . Underwriters Approval ...................... . .. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: 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 June 6, 1994 Ms. Lee Chattaway 200 Corey Creek Lane Southold, N.Y. 11971 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. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21454-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION 1st) FOUNDATION 2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: , .~. '73 OCr q ~;',I I0: ~'l. · ':.' · ,. ~ ~.~? ---,z]~.~ -.-'~'v ~ 7 , ': .l. ~ ,l , o~)~.l l. :' ~ ' . ... .... :. ~.'.'.. " ~ ~:'..~ .-;. ,' 0 '0 0 ~ ~ ..:~' , .. ~ ~P ... ~ .~'-,, I' ~ ~ ~ .~'' ' I '~ ~ ~ ' ': ~ · , .~ ....~. ~ , ~: · .' .... ~;, , '~ , - ~. ~}" ~ ~ ./2 ...... ~' '~ '~ ~ ~ · , '~ z: ,~:.:~, '. ' .-.,.,.... ~ ~ .' ... ~.: i.. ~:.':' ~ ~ . . .-.. ,. ., .. ~ ., .. s. , · ~ ..., . '.', ~ ~ .,, . ~ ~ ' ~ .'.' ~' ~...C '"';'" ..~ , ~ . ..~ .. ., ' ...~.~ · ..:..,, ~-~. ~. ",'~ . . ,........,. ~ ,. .... ..:..~,~.~ ,. ~ .~ ~: .-.-.--- %.~ ,~ · . .:, ' , , ,~,.-~;.~ ~.. ~..~'~'b. , -. ~, .~ . F 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ZNO [. ~ IN~~ON ]FRAMING ~ FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [,~NAL THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 ,~,~8247 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT PE~T N0, 214542 , o~y t~ electrical ~uipment ~ ~scrib~ be~w a~ intr~uced by t~ appJ~ant ~med on the a~ve application nu tuber in the premhes of FRED YOUNG/LEE CHATTAWAY, in the followiag location; [] Basement ~s examined on J'O~.~ 09,1994 COREY CREEK LAN~, SOUTHOLD, N. Y, [] Ist Ft. [] 2nd Fi. O[~J~ Section Block and found to be in compliance with the National Electrical Code. Lot FIXTURE OUTLETS DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SWITCHES FLUORESCENT SYSTEMS NO. OF FEET OTHER APPARATUS: DECK- 1 G.FoC.I:-i E R V I C A W G NO, OF NEUTRALS A. W, G, OF HI,LEG O~ NEUTRAL FRED YOUNG /LEE CI{ATTAWAY 200 COREY CREEK LANE $OUTHOLD, NY, 11971 OENJR&~,MANAGER~ Per , ~ Th~s certificate must not be altered in uny manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. FORM NO, 1 ~ i"~ '! ~¥ 2 6 IgOr'}' TOWN OF SOUTHOLD i~!~'! BUILDING DEPARTMENT ~': ~' .... ':: TOWN HALL ' ~ )~,,' ':" SOUTHOLD, N.Y. 11971 ' -~ i TEL.: 765-1~302 Exanlined ........ , 19~.~. ' / ~ /"~ . , Approved..~o/,~ .......... 19/~.. Permit No..~'. d.~.C.~. ? Disapproved a/e ..................................... _ . ~B~5 ildi g I~,_~ec t or) APPLICATION FOR BUILDING'PERMIT INSTRU6TIONS B~ARD OF HEALTH ........ 3 SETS OF PLANS ........ SURVEY SEPTIC FORH ............ NOTiFy: · CALL ............. a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of 5uildings on premises, relationship to adjoining premises or public sti'eet., 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 m;t 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. c. 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 descr/b~d. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit author/zed inspectors on premises and in building for necessary inspections. pp 'cant, or name, if a~corporation) · . . . ~ (MaiLi~.g address of applican~k. State whether applicant is owner, lessee, agent, architect, engme~~r;ele~ct~i~, ~lu/r~b~r/or builder. Name of owner of premises · (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authori2ed officer.' · . _ (Name and title of corporate officer) Builder's License No ................. ' ......... Plumber's License No ......................... Electrician's License No. Other Trade's License No. Location of land on which proposed work will be done. House Number Street Hamlet Cou ty T No. lO00 Section :., .... Block ' Lot .................. Subdivision ......... , .......... Filed Map No. ,~..~ Lot ~' : (Name) ' ' '- ....................... Stat~ existing use and occupancy of premises and intended Use and occupancy of proposed Con;truction: a. Existing use and occupancy .... /.~./~...-%....F~'.~-//.~./.L/c~.D...~./¢-;~,~/~.~.... b. Intended use and occupancy ' ~ .... '~ ........................... " ( ppli " ) ' Additi ' · 3. Nature of work check whict' a cable: New Building ......... on · · Alteration .. . · .. ~. Re r .............. Rtmoval .............. Demolition .. .... : ........ ;.. OtherWork ......... 4 Estimated Cost ~ ~ ' """ (Description) · · ......... ................Fee ...................................... ' ' (t b p 'd n filing thi ppli atl n) 5 lfd lling b ofdwll /~,//lav · o e m o sa c o If ga robe of ~?..,~//~:.:.t: f~i!~, ..... . .N, umber of dwelling units on each floor fv//~.'. .... · rage, nu r cars ... 6 If business, commercial ~f~':'-.-~ ' .................................... ' ' ~,,,~,~,~:?~o.c~ _fy sp £yn ~,,retand ntofeachtypeofuse i'~'/>fi~' ......... ' .... 7' cupan , ecl a exte -. Dimensions ofexistin-o ' N mb rst i .~,~ ............. ar ....w..m' ....... Depth e '. ......... t ere ores .. ... Dim nsi f hm tmctu ith ...... It atio .................................................. e onso s es re ~v a er ns or additions: Front D pth ' Rear · ..Height..., ....... ' ; ...... ;..NumberofStories ...... ' ' Dimensions of entire new corn truction: Fr~r~... ~..jF.~ i~ ' ' ~ .Height ............... Nu ...' ...... ~berofStories../ ........ ,' . . . ,. I0. DateofPurchase,~,..,.=...~.~ ~iqii Ji f~or~'' 'lb ....... '-~ ............ 11.Zone or use district in which 'emises are situated . ~..41.~.~4/T.~,,~ Does proposed construction v ,late any zoning law, ordinan'ce or regulation: ,/g/~. .... ' ......... .Z.' ............... 14. r}~n'i '4~ .~,. ill exc.%s llp%re.m, pv~d~rom premises: Yes All, lame of Architect ......... /VHName of Contractor ........ ' ................ Address ........... . ........ Phone No ....... ·. · .................. Address ............ z ...... Phone No... ~ ......... 15.' Is this property within 300 feet of a tidal wetland? *Yes .... -- ~d~ '.' .......... · ~If yes,'Southold ~own' Trustees Permit may be required. · '~ ...... .... PLOT DIAGRAM Locate clearly and distinctly all buildings, (~heth~r existing or proposed, and. indicate all set-back' dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. gTATE OF NEW YORK, S.~ SOUNTY OF ................. , (Name of individual signing contract) ,bove named. ·. being duly sworn, deposes and says that he is the applicant le is the.. .,. I ., I ontractor, agen ............................... " · · , (C t, corporate officer, etc.) " .......... f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this .~lication; that all statements COntained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner sdt forth in the application filed therewith. worn to before me this ~ · · .' ..... , 19. ,a blic, .... .... ,! ..... County .w · · . ",'