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Home My WebLink About19926-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~qTMENT Office of the Building Inspector Town Hall Southold, N.YJ CERTIFICATE OF OCCUPANCY No Z-21023 Date SEPTEMBER 15~ 1992 THIS CERTIFIES that the building. REPAIR Location of Property 7025 PECONIC BAY BLVD. MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 10 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 1991 pursuant to which Building Permit No. I9926-Z dated JUNE 5, 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 REPLACE PORCH POSTS, K~EEWALL & WINDOWS AS APPLIED FOR The certificate is issued %o CATHERINE E. SMITH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 I~ORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPu~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 19926 Z Permission is hereby granted to: .... ~.~~.....~......~.~ .......... / q.g ~ ~/ ~ (~ . ~/.~.....~~~ .~.:~,..~.;~ ~ ~...~.~...~ ....... ~~.....~ ...... ~.~ .............. --~ ................................ ~...~ .............. ~... ";~ ............. ~--~ ........... ~...~-~ .......... ~t p~mi~** ~ ~t ..~.~. ........ J~...~&~....!~ ........... [~~ ........ County Tax AAap No. 1000 Section .... /;..~...~.. ........ Block ...... Z ............. Lot No.../. .................... pursuant to application dated ........ ...~...,t,&ff~.....~ ................... , 19.~../..., and approved by the / Building Inspector. Fee S.A.~......~ .......... Rev. 6/30/80 Form No. 6 FOR CERTIFICATE OF O TOIfN OF SOUTNOLD BUILDING DEPARTMENT TOWN ~IALL 765-1802 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 of 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. · 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_F~gw dwelling $25.00, Additions to dwelling $25.00, ~-' Alterations to dwelling~25~90~,~Swimming pool $25.00, Accessory building $25.00, Additions to' accessory b~ild~$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 $15.00 .ew Construction ........... Old Or Pre-existing · P Y ......... ..... ; ' ;r ............... - .............. House No. Stree~ /-2 /~'~/ Hamlet ero r y .... ................... 'ou. y 00o, ..... ..... fS]T ermit No../ .Date Of Perm~t..~.~.~..~..J .... Applicant..q.~.~f..~.. .... .... ~~ ealth Dept. Approval....,...o.-' .... Und rwriters Approval '!'.~'j. lanning Board Approval... q equost for: Temporary Certificate ........... Final Certicate...~ ..... ~0 ~.-~ }e~ APPLICANT BLDG. DEFT. mow OF sou Ou 148 Bayvicw Ave. Port Washington, New York 11050 September 1, 1992 Town of Southhold Building Department Town Hall Main Road Southhold, New York 11971 Att: Viotor Lessard Building Inspector In going through some papers I find that I failed to submit the application for a certificate of occupancy on repair work done under building permit 19926 at 7025 Peconic Bay Boulevard. Mattituck, N.Y. I submitted a blank check for the certificate at the time the application for permit was sompleted. This check was on the Crossland Bank. Since I no longer have a checking account with this bank, the check should be returned to me. I am submitting a new check on the Roslyn Savings Bank. I have left the amount blank since I am not sure of the amount charged for the CO. Thank you for your assistance. Yours truly, Catherine E. Smith FIELD, l,,S, FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: qt FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.' 765-1802 BOASD OF HEAL'fll ~SET$ OF PLANS SURVEY ................... CIIECK ............... S£PTIC FOR:'! .. ~. ~.. Approved..~..,~--. .... 19.~.j. Pe,nit NO. (Building Inspector) APPLICATION FOR BUILDING PERIVIlT INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 ets of plans, accurate plot plan to scale. Fee according to schedule. '" b. Plot plan showing location of lo/and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. co The work covered by this application may not be c~)mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit .~all 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 ~all 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. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Jmit authorized inspectors on premises and in building for necessary insjpection~. (Signature of applicant, or name, if a corporation) · ............. ,4 tare whether applicant is owner, lessee, agent, architect, en=ineer, general contractor, electrician, plumber or builder. 'ame of owner of premises .... i ~ .' ~. ~Z~.~.' i~~/.' i i .~ (as on the taft roll or latest deed) 'applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... /. ?...~..~..~.. Plumber's License No ....... , · .................... Electrician s License No .. ........... Other Trade's License No ...................... APPROVED AS NOTED FEE: 0--~, ~ BY: Y, ,,~, ~' . NOTIFY BUILDING DEPA"TMENT AT 76B-1802 9 AM TO 4 PM FO~ THE FOLLOWING INSPECTIONS: 1. ~OUNDATION ~0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O. Location of land on which proposed work wil be d^n r~ ,,~- .~7 ' ' ~ ....... , ~ ' ~; THE' REQUIREMEN'FS · OF' TIDE- .N .... ................................... · CO'q: House Number Street County Tax Map No. 1000 Section Subdivision ..................................... Filed Map No. Lot (Name) ' ' ....... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~..d-..~.....4fi~... d. · ...... .................. b. Intended use and occupancy 3. Nature of work (check which aplplicab e)' New Building ......... Addition - ' ,Rep ~mrA' . .2<.~..~. ...... .~ Removal .............. Demolition ...... n%~.'~h'or ~lot/vratmn .......... ~'~ ~ ~-~ c_~ - ' ~ ~ ' '~w~'.'; ~ ..................... (to be paid on filing this application) I dwelhng, number of dwelhng gmts ....... Number of dwelling units on each floor..~..~. . If garage, number of c~s ..... ( ................. 6. If business, commercial r m~xed occupancy, specify natu[e and extent of each type of use 7. Di~nensions of existing structure , if any: Front ..... t.'7.t. ...... Rear .. l 7 ....... Depth .. Bp ........... Height ............... Number of Stories ........ ~ .......... D~ensions of same structure w alterations or additions: Front ~ ...... Depth .. ~ HeiSt ~.~ _ · .......... Rear ...... .. Number of Stories ........ 8. Dimensions of entire new construction' Front . · · Rear ............... Depth ............. Height ............ Number of Stones .......... · · 9. Size of lot' Front . i ~ o ~ i0. Date of Purchase ..... ~.-.~.7~7~. , "~;'" CU ........... Depth 12. Does proposed construction violate any zoning law ordinance or re"ulation-' ' '~ .......................... 13. Will lot be regraded ...................... ......... ~t ........ Will exc ...... '' ~ ~ . ~ '/[ ' [ ' ' ~, · · 0 ~SS HII De removeajrom premises: Yes No 14. ~e o~ Uwner of premises ~~ ~ddress t ~ ~ e , .... .......... xr~ . . ~, ','j''~...:.~ .... Address ..~ .~{ - PhoneNo cig yes~ Sou~hold T~n Trustees PermSt may be raquZrad. ' :... ~ PLOT DIAG~ Locate clearly ~d distinctly ~1 bulldogs, whether existing or proposed, and, indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block ncmber or descfiptioh accord~g to deed, and show street nines and indicate whether interior or comer lot. q (Signature of applicant) ~ATE OF NEW YO2~[(,~ / , ............. ,. being duly sworn, deposes and says tha~e is the applicant (Name of individual signing [contract) ore named. ~, ? ontractor, agent, corporate officer, etc.) ..... said owner or owners,, and is dnly ag/horized to perform or have perfommd tim said work and to make and file this )Iication;,th~t all statements conta'ned.~n this application are trtm to the best off.knowledge and belief;and t mt the ck will be perfo~ed in the manner se~ forth in tim application filed therewith. onl to before me this