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Home My WebLink About20938-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21022 Date SEPTEMBER 15{ I992 THIS CERTIFIES that the building. ALTERATION Location of Property 1475 WESTPHALIA ROAD ~4ATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 8 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2, 1992 pursuant to which Building Permit No. 20938-Z dated SEPTEMBER 3, 1992 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 INST~LLATION OF TWO NEW WINDOWS AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ELEANOR MEEHAN & HANNAH MASTERSEN Rev. 1/81 Bui~tding Inspector LVOWM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT COMPLETION OF TIlE WORK AUTIIORIZED) N-°iN? 20938 Z Permission is hereby granted to: ~.~.~......e..~~.~.: .......... ...~.....~.~....~.~.~...c~ ................. .... ~ ............ 'J... "[JJ....ii'J.;[.;..i [;.; ........................ ..~..~.~ .......... Ct prem oc ed ..................... ~. .C~,~ .......... ~ses, ot ot ~. ~ ~--....L0 ..... ',.~. ......... : .......... " "~i'i17~':~i' ' .............. ~'~'~'~"~'~ .............. '~ ............................... County Tax Map No. I000 Section ....!....~,.[ . Block ...... ~..! .......... Lot No.....~..~,., ............... pursuont to oppltcoflon doted ~.~...,~.,....~.., ............ , ,9.~....3~., ond approved by the Building Inspector. Building Inspector Rev, 6/30/80 Form No. 6 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i ' APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ " A. 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 state,ant from plumber certifying that the solder used in system contains ~ less than 2/10 of 1% lead. 5. Commercial building, indus.trial building, multiple residences and similar bu~dings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. q 6. Submit Planning Board Approval of completed site plan requirements. : B. For existing buildings (prior to April 9, 1957) non-conforming use~, or bulldogs and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building ~, 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... New Construction ........... Old Or Pre-existing Building ................. House No. Street Ha~et Onwer or Owners of Property. .,. . ' .o.f County ~ax Map No I000, Section .......... Block ............ Lot ................. SubdiVision - .................................... Filed Map ............ Lot ...................... Permit No. o~ ~.~....~...Date Of Permit~.[~/.~?~. ..... Applicant~ ;~f~.~ .~. ~-.~....~/.~ ~ealth Dept. Approval..~ ................... Underwriters Approval .... ~.]..~. .......... Pi ~ '!'" arming Board Approval ................... ,'i Request for: ' .Temporary Certificate ........... F~tica~...~.. Fee Submitted: $ ...~ ..................... ....... ........ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance 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 SEPTI~XflSER 14, 1992 ENVIROI~4ENT EAST, INC. INDIAN NECK LANE PRCONIC, 1~ 11958 RE: ELEi~NOR NEEHAN To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of 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. (Ail permits involving plulnbing being issued after April 1, 1984). BUILDING PERMIT ~ 20938-Z Please contact our office on this matter. cooperation. CC: Occupancy Thank you for SOUTHOLD TOWN BUILDING DEPT. ELEANOR MEE~AN OU~IDATION OUNDAT!O:~ (1st) r .OUGH FRAME & .PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FI;IAL A DDITIO~!A'L COMMENTS 2 U o C lq 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: ] FO~JNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE FORM IXlO, 1 ,' i TOWN OF SOUTHOLD '"' ' 5EP - 2 1992 : $'BUI%DING DEPAItTMENT " i'i, '. ' ' TOWN NALL ' · t,,,,.., ', .,... ,..,.. ,,',4,'COUTHOLD. N.y. 11971 3~,~,,3~' ' , j . , ~ TEL,: 765-1802 '~Per°v~d' ~'t'~. ~l~,· .~., l~ t.N P~..u No. A.~.~A ~ )isapbroved a/c , (Building Inspector) APPLICATION FOR BUILDING pERMiT BO ~.Itl)OI 3 SETS SURVEY, ClIECK 'F SEPTIC NOTIFY CAbL NAIL Date '" INSTRUCTIONS a, Tins apphcatton must be completely filled in by typewriter or in ink and submitted .to the Building inspeetor~with 3I ts of. plans, accurate plot plan to scale. Fee according to schedule. b." Plot plan allowing location of lot and of buildings on premises, relationship to adjoining premises or public streets · .areas, and giving a detailed description of l~yout of property must be drawn on .... .lion. i . · ~,c;'t~,The work.covered b tiffs a ic ' ' , the diagram which is pale of,.~ tis appll. t.d?. , Y. ppi atton may not be comfnenced · . IUpon approval of th,a apnlicatio. *h- n_:. ..... .before issuance of Building, Perm'* all be kept on . - ...... .umg inspector will issued a Building Permit t~°the a;;li~nt.' Such permit" the premises available for inspection throu~mut the work. . e. No building shall be occupied or used in whole or in part for m3y ' all have been granted by the Buildhlg ,Inspector. purpose whatever until a Certificate of Oceupan~y APPLICATION IS HEREBY MADE to the Building Department for tim issuance of ' lilding Zone Ordinance of tile Town of Southold, Suffolk ountz, New York. and other applicable Laws, Ordinances or{ C ' a Braiding Permit pursuant to the ~gulations, for the construction of buildings, additions or alt · ~e applicant .agrees to comply with all ~'ll~nl|e~13~ ~ ,. orations, or for removal or demolitio -..~r..~- ~,.~.~,o,~ o. prem,ses and ~, building rot neces~ary'~nsp;~T/g.Z"' .ousm~ co.e, and regn'ations, and to . (~S,guature o,t applichfit, ~r .. ~dT_ (~,~@ ,,~-m ~-~ (Mailing address of applicant) rte wh. ether applicant is owner, lessee, age.hi, architect, engineer, general contractor, electrician, plumber or builder," as on the tax roll or latest deed) ppli?nt~r~..a, eq~b s:~gnatgre of d~ly authorized officer. .... 's~ . License No ,-Plumber Electrician's License No ' ' ii .... Other Trade's License No Lo.,cation of land on ~tllich nrop..osed wor~ ......... · will be~ done .... ' . ' :' ,'. . i 'd_-'-[ 76' ; ' "" ' : ., ~?,,um0cr . , ,$1reet , ....-,-r,-~., .., ;-_ ( · unty[Ta N ' 1000 S t.y/ " · O x, Map o,, ecti°i'lt ..... "*'°0.,,. c "~""o '~..h..,,0. ct,0. [,~i~,~,,,,,, ubdivision.; ..... .... ~r..., ...................... F:iled Map No. ,- ' ' ." i'"' ' 4N~ ue) ............ Lot ..,,,..~,..,,,,. late existing t!se a,ld occupancy o£ premises and il:tended use and occupancy o£ proposed construction: .3.., Nature of work (check which apt) icable): New Building ..... ' ..... ' Repair ~ Additiou .......... Alteration .............. Remov.al .............. Demolition .............. Other Work,. Fe .~ , ~1 ng tins appbcatlon) ~, v Ir dwelling, number of dxvelling u~fits .... '~ .. (to.be paidoa . ?' Ir garage, nmnbcr of cars ...... , ............ ~. .. Number of dwelling units on each opt 6.'" Ir business, commercial or mixed !occupancy, ipcci[y nature and extent or c,~h tw~e of um .~,. Depth i' lleigh[' Number or Stohes 8.j' D[mensiops or entire new constn~ction Front ' ' ' Rear Depth ' .~ Height N~ nber or StoHes ..... ' ................................ Rea~ ' ' Depth 10 Date of Purchase [ '~*'"~ .......... ........... f ~ Qwner 11 Zone gdi i ti wlil I ein' resituated 12, :Does proposed construction vi~l~te any zonin- law ord~nanc ....... ~"~-. ' ~' -, ~ ~ ~ . ¢'.~ .,_ ' ~l~t · '.~' ' '.', Wdl ex,egg fill ~ req~oved from premises. ..Locate cle~ly ~d dist~ctly Ml]buadk~gs, whether existing or proposed, m,d. indlcato ~l set-bagk'd~anaion~'fr~, prop~y ~nea. Give street ~d ~lock ~umber or description according to deed;'~d show street nines and"~diea~ ..I *%, ........ ,. ~'. . (Name of individual sigmng contract) ~bov0'fiamed: I ....... being duly sworn, deposes and says that ho is. tho oppllqao, I ' ' I ;'4,;;; '&')'' '.' :.' '; ".':. ~,~5~9xo~v~er. or, owners,:~d ~s duly.autho~rr0~m or have performed the sa~d work and to m~ and flip thl )P~¢a[lon; that all stat?nents' coOtaincd in tbis'applic~tiou are true to the best of his knowledge and beliofland'tha~ th~ or~3vfll, be performed m the m~ner set forth in the application filed tlmrcwith. ~ ' " ' ~ ..... .' ' .-. ' :~o~,.,O.ocwre. m~ ~ms.',' ' .. 'i ' X ' ' ' . , '.'" ' ' , ' ~lal K O~ ' ' (Signature' of'appllcm ,' ~. ' ~o,~87~ ~ .' "". ' ; Ou~ll~ In 8~d~ ~n~ ~ -. ' . . .