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Home My WebLink About20508-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21014 Date SEPTEMBER 15~ 1992 THIS CERTIFIES that the building. ADDITION Location of Property 75 BROADWATERS RD.&350 VD~NSTON RD. CUTCHOGUE~NY House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 12 Lot 8.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 23~ 1992 pursuant to which Building Permit No. 20508-Z dated MARCH 27~ 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 ROBERT J. & LINDA L, GA~.LAGHER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 0 TOWN OF SOUTitOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 20508Z Permission is hereby granted to.'_ / / ~ . ~ .~ ...~.~....~~..... ~:~ ................. ....,--- ~' ~,~_~~,.~/~.,., ,:..:..~.~' . . ,o ~..~.~....~~....~..~~~ ......................... at prem~ '~,~ ~...~...~~~..~ .................................................... pursuant to oppllcation dated ............ w~...~...~... .............................. , 19..~7.....~';'., and approved by the Bui,dlng Inspector. '~-~' c~>'~~'~ Rev. 6130/80 }f V · Form No. 6 ~ ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to thc building inspector with the following: for new building or new use: 1. Final survey of proparty 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 an~ 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 Bses: ~ 1. -Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application ana'k 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 I. ~ertificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,' 1 ' A terat~ons to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory~g $25.00. Businesses $50.00. 2. Cer,tifieate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate ,of Occupancy - $5.00 over 5 y~ars - $10.00 '" · 4. .Updated Certificate of Occupancy - $50.00 5. T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ............................ ,ew Constructzon ......... Old Or ~re-existing Building ...... ',, House No. Street Hamlet ounty Tax Map No 1000, Section ......... Block ........... Lot,.. ~ ............... ~bdiviaion ........ '~. ,, ' · .......................... F~led Man ........... Lot. ermit N° t~ ~' : .~..2. Z~...Applicant..~.~..~ ....... · ..% ..... ~...Date Of Permit. ' ~ ' ~ .................. ealth Dept Approval ~. Underwriters Approval [anning Board Approval -- ~quest for: Temporary Certificate .... ~. ..... Final Certicate ........ ,e Submit ted: .............. .".'Tj INSPECTORS Victor Lessard P~incipal Bg~ld/ng Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance b~spector 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 (5i6) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SEPTEMBER 9, 1992 J0SElqt I~.NRY 36 $OWI~ STRgET GRBENPORT, NY 11944 ROBERT GALLAGRgR To Whom This May Concern: We are unable to complete your Certificate of ~ccupancy because of the following reasons: ~ An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ge~P~%~,~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 9 20508-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CE: ROBERT J. OALLAGBER & WF FOUNDATION (1st) FOUNDATIO~U (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FI;IAL ADDITIOM~L NTS: BUILDING DEPT. INSPECTION ~ [ ] FOUNDATION 1ST [~.~] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE /~ ~/~/~/~ INSPECTO i/t FORM NO, 1 2 3199 BUILDING DEPARTMENT , ,,~ TOWN OF SOUTHOLD ';L .,:,. ~..: :& .......... ¢"** TOWN HALL ~ L,W~'~ ~ :, ",:~ ;,;'~ I ~O; c~ SOUTHO LD, N.Y. 11971 TEL.: 765-1803 ..... , fBuild~lnspcctor) APPLICATION FOR BUILDING PERMIT BOAgD OF ItEALTll . '/SUrvEY ........... --CIIccK . ' . . Date ..... .,1 ..... 19 INSTRUCTIONS ,a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 dreas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- e. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~ail be kept on the premises available for inspection throughout the work· e. No building shall be occupied or used Jn whole or in part for any purpose whatever until a Certificate of Occupancy tall 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 .filding Zone Ordinance of the To~,vn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of bu//dings, additions or alterations, or for removal or demolition, as herein described. le applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to !mit authorized inspectors on premises and in building fo~: necessary inspections. __ , ) J. R. HOME IMPROVEMENT~ ............ -~ 'S U'fl.f '1~ cant) ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (a~on the trrx roll or atcst deed) ~ .... ~pplicant is a corporation, signature ordu y authorized officer. (Name and title of corporate officer) ~ Builder's License No.. [.~..., ~.c'3._~ J.~.2- ........... Plum bet's License No ......................... Electrician,'s License No Other Trade's License No ...................... Location ofland on which proposed work will be d~ne .... 7,~... . . . Y'' ,~; ....... ~ ................... [Iouse Nmnber Street ........... -'onnty Tax Map No. 1000 Section .... .).C).q ......... Block ...)o)0. t~. Lot ~.~ ............ ;ubdivision ..................................... Filed Map No. (Name) .............. Lot ............... late existing use and occupancy of premises and intended use and occupancy of proposed construction: .,isting use and occupancy .... ............... Inlended use and occupancy .... ,~.~.i ~ 1,~,,' ~ Rep:dr .............. Removal .............. Demolition .............. O.(.b e r Wo'tk ........... 4. EstimntedCost ..... (to bc paid o~1 fi]im~ this application) 5. If dwelling, number ofdwellin un'ts ~., ~' , . ' . . . t~)'~ ........ Nnmber of dwelling units on each floor ~.~: .... If garage, number of ears .... ... ....... · .... 6. If business, commercial or mixe ~ccnpancy, spomff ~?turc and extent of each type of tse 7. Dimensions of)xisting structure 'f f ny. From..~ .......... Rear . ~ ..... Demh Height ...lC... .... i'.iNmn 9rofStories,....,~ . .: . . - ................ Dimensions of same stmctur= wi ~altcrations or additions Fron~ ' ~'> ........ ' ....~ ...... ~'~ ........... ..... ' ~,~.. Je~[ . . . Numb,':r of Stories ~ ' ~... em ............... ucp~n .~.1 ..... 9. S~zeoflot:Front .. . / ~.~ll ~' .~ ,~'1 ........................................ ~ ~. 4one or ~se alS[riel m Wulch pronli~es aFC situated. ' .... r , · 12. DOeS proposed construction violat~ any zoning law, ordinancd or regulation: . N~e of Architect ............ ~ ............. Address .. p Nme of Co c ~ + '. ~, ' . · ............................. · ............. .... ~ weuxana. *Yes ........ No.. ~ .... · I~ yes, Southold To~n Trustees Perm~ may be required. . ... ' ~ PLOT DIAG~I Locate clearly and distinctly ~I b~ildings, whether existing or proposed, and. indicate al set-back d~ensions from propeay ~nes. Give street ~d block number or descfiptioh accord~g to deed, and show street nines and ~dicate whether :ntefior or comer lot. N,?IF¥ ~BUILD'IIqG OEP.~I~T~i2fl:~ff AT 76fi-1802 9 AM ~ 4 P~ FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~VO REQUIRED FOR POURED CONCRETE 2, BOUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL CONSTRUCTION MU~T BE COMPLET~ FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 'ATE OF NEW YORK, ~UN~y aP, ~. S.S . · ' :' ' ' ~ ...... ;:: .............. being duly sworn, deposes rind says that he is the applicant '~ ('Name ofin~vlduaJ signing c&ffract) We.named. C is the ........... e~ ~ ... ....................................... ' ontractor, agent, corporate officer, c~c.) :aid Owner or owners, and is duly authorized t~ perform or bare performed the said work aud to make and ~le this r):catmn; that all statements contained Im this application are true (o the best of Ids knowledge and belief; and that the will be pcrfo~cd in the manner set ~orth in the application filed therewith. ~m to before me this . ....... ....... or .... ....... , . /'~ .... ~''' C°unty ~.. h