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Home My WebLink About19898-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19943 Date MAY 30t %991 THIS CERTIFIES that the building, Location of Property 900 LESLIE ROAD House No. County Tax Map No. 1000 Section 97 Subdivision ADDITION CUTCHOGUE~ N.Y. Street Hamlet Block 9 Lot 3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24t 1991 pursuant to which Building Permit No. 19898-Z dated MAY 28, 1991 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 (SCREENED IN WITH FREEPORT ALUMINUM ENCLOSURE) TO EXISTING ONE FAMILY DWELLING AS BUILT. The certificate is issued to VINCENT ~ PATRICIA KRUPSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPAN%~MENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO, N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FO~e NO. ~ ?OW~ O~ $O~TNOL9 BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9898 Z Permission is hereby granted to: ...... ~..o.. ...... ~~....._~ .................. ...... ~Z.....~.~..,.~,..~..,,../.../..~ . /. ,~' / - .y , , ,o at premise, ,ocoted ot ....~...~....~.....:~~ ..... ?...... ......................... .~...... .................. County Tax Map No. 1000 Section ......... .~....~.. ..... Block ............ ..~.. ..... Lot No..~. .................. pursuant to oppJlcotion ~c~ted .... ~.... ................................ , 19.~...., and approved by the Building Inspector. Fee $......,~...~. Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN I~LL 765-1802 APPLICATION 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 new use: I. 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. Appr6val 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. Con~ercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from archiuect or engineer responsible for the building. 6. Submi~ 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 un.sual 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 s~ate the reasons therefor in writing to the applicant. i. Certificate of.Occupancy - New dwelling $25.00~ Additions to dwelling $25.00, Alterations to dwelling Sg.~.00, Swimming pool $25.00, Accessory.building $25.00, Additions to accessory building $25.00. ' Businesses $50.00,- 2. C6rtificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 year? - $10.00 4. Updated Certificate of 0~cupancy - $5~.00 Temporary C~rtJf~cate of Occupancy - Residential $15.00, Commercial $15.00 Construction ........... Old Or Pre-ex~sting Building...'.~. ............ i of Property ~ Ho,,~e No. Street Hamlet )nwer or Owners of Property ................... , ...... · ........ ,ax No 000, .... .......... ...................... iubd Jvision .................................... Filed Map ............ Lot ................ ~ ..... 'erml. t No ................ Date Of Permit ................ Applicant ............................. ~ealth Dept. Approval .......................... Underwriters Approval ........... ~... .......... laening Board Approval ........................ ~.quest for: Temporary Certificate .......... Final Certicate..5...~p,.. , . ............ ~~.~ ......... C 0 ~ ) ~ ~ q~ APPLICANT 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION [ ] FRAMING~ ~]~NAL DATE MAY ~3 0~** ~-3PM SCOMZO ~ SONS FREEPORT SPAN TABLES ; ...... "'.'.'.'.'.'.'.'.E~:~---'-'~....~...~_~_/'-:' ~'-' ,.. Sect,on 1,0, Page 4, Effectmue 4/1./79 ~ Wnsco, Div. RHW, inc. 1979 L