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Home My WebLink About20711-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22268 Date APRIL 20, 1993 THIS CERTIFIES that the building~ Location of Property 410 BLOSSOM BEND House No. County Tax Map No. 1000 Section 115 Subdivision ADDITION MATTITUCK~ N,Y. Street Hamlet Block 6 Lot 27 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9~ 1992 pursuant to which Building Permit No. 20711-Z dated JUNE 11~ 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING 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 JAMES & ELIZABETH CHRISTY ldfng Inspector Rev. 1/81 lJ~.wr NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~N? 20711Z Permission is hereby granted to: /~ -- . -- ..... £..~:... .~......~.~.~ ...................................... ... ~.z.~ ........ ~...../.,..~.~,~. ...... ~....~.....~~~.~.· /;,~-, ~~ pursuant to application dated ...... ~...~.......~.. ..................... , 19...~..~., and approved by the Building Inspector. c,~Z~), dO Fee $ ........................ Rev. 6/30/80 Form No. 6 '"'~ ~" TOWN OF SOUTHOLD '~ . BUILDING DEPARTMENT f ~' APPLICATION FOR CERTIFICATE OF OCCUPA~ ~ ~'~'"/! ~,i~? 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 statement from plumber certifying that the solder used in system contains less than 2/10 6f 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. B. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction.. . Old~..~.~.. ~.C~(L~Or Pre-existing Building ................. ~~ ? ~J ~ House No. Street mlet Onwer or Owners of Property ............................ County Tax Hap No 1000, Section ......... Bloc ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ....... Permit No..~..~.'.7..//..7.-~....Date Of Permit ..... ~./././~. f.~..Applzcant.~q~.~..~.~q ~..c,~.~.' ' ~ Dept Approval . . . Underwriters Approval ......................... Health ........................ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: ............................. 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE C~/~ ~ ' NsPECTOR _~~~-~c~ FOUNDATION ( ls t) FOUNDATION (~nd % ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~ \l JUN.. 9 1992 , , ' TOW,~ t.~,' L~',:~-q~ ~: TEL.: 765-1802 Disapproved a/c ...... . ............................... FORM NO. I TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF IIEALTll ......... 3 SETS OF PLANS .......... SURVE ' · ~ INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the B ddmg 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 adjoilffng premises or public streets 3r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this applt- :ation. e. 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 applJcanL Such permit hall be kept on the premises available for inspection throughout the wc~rk. e. No building shall be occupied or used in whole or in p~t 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 ]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. 7he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit anthorized inspectors on premises and in building for uecessa~ insp,~tions. _ (Signature of applicant, or name, if a corporation) ?.7.?, : '>. : , ?? : y., .//. j.:. ' (Mailing address of applicant) ;tare whether applicant is owner, lessee, agent, architect, engineer, general coutractor, el~':trician, plumber or builder. .... &. xr e [':ican t J~ration, signature o f duly ~,th, orized o ffJcer. (Name and title ofcorporate officer) 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: Builder's License No. ].qt .'~..q~ //_Z" 0CCUPAHCY OR '. FOUNDATION - TWO REQUIRED .................. mR POURED CONCRETE mmber'~ License No ......................... IJSE IS 8JI'{tLA~VFUL 2. ROUGH- FRAMING & ~'LUMe]NG ............. 0F 0CCUPA~CY ~E cou~t~T~,o~ c.o. Other Traders License No. ALL CONSTRUCTION SHALL MEET ..................... THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY Location of land on which proposed work will be'done .................... CODES NOT RESP~NS BLE FOR HoUse Nmuber Street Hamlet Connty Tax Map No. 1000 Section ..... //.6 ........ mo~ ...... & ... [oi R Z ..... SnbdivJsion Filed Map No Lot ' (Name) State existing use and occupancy of premises and intended use anti occupancy of proposed construction: b Intended · Use and occupancy " ' 3. Nature of work (check which 4pplicable): New Building .......... Addition Alte;ati,-,- .... Repair ............. Removal ..... r-, ....... · "' '; · - f.~ ~,~. ...... , · ....... ~:muuuon ..............Other .Wo__~ . -D.~' q'~JQ.. . n. Es,mated Cost '°'' Fee : :~(pescription) [ (to be paid on filing this application) .5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .... · If gars. ge, number of.cars .... ] .......................................... . ........... 6. If business, comm. ercml or mixdd occupancy, specify nature and extent o£'e ............... 7. ~Dlmenmons of existing structures if any' 1~'~,,~ 4-'~, / - a~. type of nsc .......... ! .......... Height ...... Nu"'ber ofo, · '~ .;,, . t~ear . .,,J. V. ........ Dept ..... ~' clerics , ~ . ' .......... Dimensions of same structur~ ~ith alterations or additions: Fro~t ................................ Depth ' Height ................. Rear 8 .......................... Number of Stories · Dmfienmons of entire new construction: Front '.~0 r. ..................... ~eight N.umber of Stories ..... . ....... Rear . .~.~ .~ ......... Depth 9. ~,ze of lot' Front ZOO' ',2. ............ ; ........ i De;th .~;~ ..5~ (/. 10 Date of Pu'rchase ....... i ....._ ...... ~ear .... /.0.6_/.~. , .............. ~Z ..... ,~i ..... i ......... ' ......... Name of Former Owner .......... l I. one or use district in w ch pr mists are situated ............. ................... ;on: ................................. 12.vets proposed construction viol.ate any zoning law, ordinance or re ula ,97.(27 .... ......... ~ .................... fili b ....................... 13. Will lot be regraded Will excess e remov_.ed fr m re ' ' 14. NameofOwnerofpremises ~0..m.ec Ok,-,~t .... ~ ,~. ~, ,. ~ .z.~ ,o p mists. Yes No Name of Architect i ......... °'7' ' 'aoaress .tc/9~.'~,c~O'~,~t~tL.?hone No~tt~..:&r,: 1~ I' - ,., --- ' '~' ' ' ''-' ' '[ ................ Address -,~t-~l ~c~. .. r ........ r~ame otContraetor .~lO£,Se~¢~...PfSff.~ ~:ll k~e~i~]; ~.'.',~,' U.[';.i' Ei'"rn°~er~o ...... ~. ...... : 15. Is this property wifihin 300 feet of a tidal wetland? *Yes ........ No...;i:I/-x...' ............. tlf yes, Southold T~own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether, existing or proposed, and. indicate all set-back dknenslons from ' property tines. Give street and block number or description according to deed, and show street names and lndlcat~ whether interior or Corner lot. TATE OF NEW YORK, I O UNTy,~IF . S.S (Name ' . ................ being duly sworn, deposes and says that of ndimdual s gmng ~ontract) lie is the applicant ~ove named. : is the ............ I r, agent, corporate officer, etc,) said owner or owners and's duly aui!orized to perform or have erformed the ' phcation; that all statements contained, tn t is a""licati ...... 'P ...... .sa d work. and to make and file th s ' ~ m- ,,,, mu true to me oest o~ Ins l<t owledge and belief; and that the ~rk will be performed in the manner set [zff~ in the application filed therewith. ,om to before me this · ' ~blk, , t~ .~,~ff_~ . (Signature of applicant) 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 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD APRIL 9, 1993 SID BEEBE & SONS BUILDERS, INC. P. O. BOX 979 CUTCHOGUE, NY 11935 RE: JAMES CHRISTY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~w 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 $ 20711-z Please contact our office on this matter. cooperation. CC: JAMES CHRISTY Thank you for SOUTHOLD TOWN BUILDING DEPT. I ~/OSso