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Home My WebLink About20823-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23637 Date MAY 12, 1995 THIS CERTIFIES that the building ALTERATION Location of Property. 17525 COUNTY ROAD ~48 MATTITUCK N~ House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10, 1992 pursuant to which Building Permit No. 20823-Z dated JULY 13, 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 ALTERATIONS TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to LORRAINE MILLER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION SERV. 4035 PLUMBERS CERTIFICATION DATED (owner) N/A APRIL 10, 1995 N/A Rev. 1/81 /~ B~spector lrO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CIrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N~N? 2088~Z Permission is hereby granted to: ................................. ...zz.~.~.......~/........~.~. ....... ~... .... .~ ~.~.~..,~,~ ........ ~.~.....z,r..~.~ ....... ,o...~..~.,z..........*.......~7..<....~.~.~.......~.. ....... ~.~ ....... ~....~.-.~...../..~......~ ............. £~' ~ ~ ~f,~ . .~ .~z~,.,.'.~.. ...,~...~ ........... .......... /..~,~../.,d.~6 ................. ~ ............. ~.~ ....... .~.. .................................... : ........................... at premises located at ........................ ~..~../.~..~..~.......~.. ....... .G(ddZ~.......fd:.....~.Z ..................... ~,,~,.~,~ ~. ... ~.:~.~- .., ........... ...... ........ :::::::::::::::::::::::::::::: County Tax Mop No. 1000 Section ....... ~..~... ........ Block ....... ..~..../~... .... Lot No..:....../...~. .......... pursuon, '0 application dated .............. ?/./..~. ......... ...................... , 19.~..~..., and approved by the Building inspector. Fee $.....~..~.f..~. .... / Building Inspector Rev. 6130/80 Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF Ao 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. Sworn statement from plumber certifying that the solder used in system contairs 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, 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. 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. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 Copy of Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00' 3. 4. 5. New Construction ........... Old Or Pre-existing Building ...... Location of Property../..~..~[~-.~. ..... ~.<).f~../O~[~....~.~..~/.~.... ~.~.~.2~.~.L.//.~. ~7~._~._x~' House No. Street Hamlet Onwer or Owners ,.,f Property...~.~/~ .~/~ County Tax Map No 1000, ....... ic, ok ..... 3d ........ ................ Subdivision .................................... Fil ed Map ............ Lot ...................... ...... Date Of Permit ..... Appli llealth Dept. Approval ...................... Underwriters Approval ........ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~.. Fee Subm~ted: 28~5-'6642: ' ' ~: EAST PATCNOGUE, NEW YORK 11772 : !~5'25 County ROad 4S ,Kenneth ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE APPLIC4TION LIC, ARI~A$ LISTED WERE INSI EC~I ED ON,4-! 0-'~ AND WERE FOUND ?0 BE IN COMPL ~ ,~ ICALGOI)E~ ~ ,l,, LocATIoN: ' BASE ~3RD "~ O~8XDB, RS8, _1(~ IST ~2ND SMOKE DETECTOP, oN FILI~ ' ~PooLi: ATTIC, ' DETACH )ARAOE~ ' ' '~ ,,,, TI~IS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER ~q'I ! ...... MAY -- 4 1995 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 26, 1995 Mrs. Lorraine Miller 17525 County Road %48 Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx xx xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20823-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~teit~tirl ~;C Avenue, Southold, New York 1197l ~, g pyg~center 1235 Youngs 7~5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION ZND [ ] INSULATION FRAMING [,/.~l~*~ / t~.~'~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION ZND [, ]~IrATION [ ] FRAMING REMARKS: /~///~ ~'~ DATE ~/r~/,~"'--// / INSPECT~ 76S..1802 BUILDING DEPT. INSPECTION FOUNDATION I$T [ ]/ROUGH PLBG. / FOUNDATION 2ND [~]~ INSULATION [ ] FRAMING [ ] FINAL DATE //~/~ INSPECT~ FOU~ DA'T% ON ( 1 s t ) ~U~DATION ¢2nd) 2. ROUGH FRAME & .PLUMBING II~SULATION PER N. STATE ENERGY CODE FI;IAL ~DDITIO}~A'L COMMENTS: TOWN OF SOUTHO~D ~ E×amined ..... ...... Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDINC DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.; 765-1802 APPLICATION FOR BUILDING PERMIT ROAaD OF HEAL, I'll ......... suavs',' SEPTIC FOR:I HAIL TO: Date .................. , 19... 'DATE: N~t~ BUILDING DEPARTMENT AT 765-1802 9 AM ~ ~ PM FOR THE FOLLOWING INSPECTIONS: I, FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2, R~UGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST ~ COMPLET~ FO~ C.O., (Name and title of corporate offi~UOU p~3tl~O? ............. &< ¢' .¢ ..... u; OCCUPANCY Other Trade'sLicense No ...................... AbE CONSTRUCTION S~ALE THE REQUIREMENTS OF THE N.Y, Location of land on which proposed work will be done. . . STATE CONSTRUCTION & ENERGY Ilouse Nmnber Street / Hamlet County Tax Map No. ]000 Section .................. ~]ock .... Lot / Subdivision .. File8 Map No ................................... · ............. Lot ............... (Name) ' State existing use and occupancy of premises and intended use and occupancy of proposed consfruction: Existing use and occupancy ~ ~ r~ ~ [!-Intended use and occupancy ...... ~'.q~ C .... ~ /¢.a 6~¢ R .... ' .... ' INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 2ts 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 o' ' ,, detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. ¢. 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 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 roll he. ye 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. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to :imit authorized inspectors on premises and in building for necessary in~ (Signature of applicant, or name, if a corporation) (/Vlailing address of applicant)' tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .'amc of owner of premises .. - (as on the tax roll or latest deed) 'APP[IO 'E 'S[$ NDTED' ' 'applicant is a corporation, signature of duly authorized officer. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration t Repair .............. Removal .......... 4.~ ~) 0 i .............. Demolition .............. Other Work ............. · " " 4. Estimated Cost... .. e rich) ........ I ....................... ~ Fee ' (to b paid p fili0g thi&/,~p~llqati~13) 5 Ifd 11' b f 1 elli ~nits e n , ., · we ~ng, num ere tw ng . . N nb fd Ill ....... Ifs b f ............. m ere we ng uoits on each floor . arage, num er o cars ..... i ..... ' ' ' ......... ~i~bnUeS~ie~i Co~.n~:;iCnl~ls~u:~l;e~ (}~c~ ney 'fy d tel h type of 7 a , specl nature an exton eec use ........ · ight l~..~ ~e y~: Fr .... ,../.~ ~ R q L-. D pth ont ........ He .... Num r ~ · .... ear .......... c .. · ' · · · · . o~ atories ..... / ......... ' Dim ' f ture wi~t It ti ...................................... enslons o same stmc 1 a era onse additi Fr ................ ear ...... D pth i or ons: ont. R "' .................... '.. Height ..... · ........... 8 D' ' of ' rt~Ictio F ................. Number of Stories ...... lmenslons entire new const n: rent .......... R ....... ..... ear ............... Depth .. &O.q./ .... Height ............... Num ier of Stories ...................... . ............. 9. Size of lot: Front ........... ! .......... Rear ...................... Depth .................. 10. Date of Purchase ... , ............... Nanke of Fpn~n0r Owner ... ' ' ' 11. Zone or use district in which pre~ises are situated ....... .~.~q.i./.[(.,4.,~ .......... i..' ............. 12. Does proposed construction relate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded .. fp ...... .t~/~ .................. Will excess fill be removed from premises: Yes No 14. Name of Owner o remises . '!"q '&~'g~ ......... Address Name of Architect : ./.2~,g.~..~ .W.'t,/.~ qg/~Pbone No. ........... , ................ Address ................... Phone No ................ Name of Contractor ........ Is th±s property within ~'~ ................ Address ................... Phonex)No ................ ~0 feet of a tidal wetland? *Yes ........ No..~, .... ·If yes, Southold TOwn Trustees Permit may be required· ... i PLOT DIAGRAM Locate clearly and distinctly all Buildings, property lines. Give street and block n ~mber or interior or comer lot. rATE OF NEW,Y,6RK," , out'fy OF S.S (Name of individual signing fiontract ~OVe named. , is the ....... ...~. ~ ~?3'Q.~.,~'. i.. whether existing or proposed, and. indicate all set-back dimensions fi'om descriptioh according to deed, and show street names and indicate whet,her ........ being duly sworn, deposes ahd says that he is the applicant said owner Or owners, and is duly au plication; that all statements contained ~rk will be performed in the manner set 'om to before me this ,o .......... .... or . 19?..o?-- ry Public,(d~' .~~ County CLAIRE I. GLE1/I/- Notary Publl~. State of New Yell[ No. 4879506 Qualified in Suffolk county ~/~-- Commi~lon Expires De~ember (Contractor agent corporate officer ) ........................... , , , etc. :horized to perform or have performed the said work and to make and file this in this application are true to the best of his knowledge and belief; and that the forth in the application flied therewith. (Signature of applicant)