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Home My WebLink About19940-zNo Z20119 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date JULY 29, 1991 THIS CERTIFIES that the buildin~ Location of Property 595 House No. County Tax Map No. 1000 Section Subdivision ADDITION YOUNGS A~qZ. MATTITUCK Street Hamlet I14 Block 10 Lot 27 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 1991 pursuant to which Building Permit No. 19940Z dated JUNE 12~ 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 OVER EXISTING PATIO The certificate is issued to BARNEY P. HARRIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL_~/~ UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 · OR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 19940 Z Permission is hereby granted to: ~ ~ / · ....................... £~ _. ,.~)~-' ~ .... , at premi,e, located at ......~....~.....~...~~ ........ ~ ........................................................ County Tax Map No. 1000 Section ...... ./.../....~.. ...... Block .......... ../...~.. ..... Lot No ....... .~......~.. ....... pursuant to application dated .......... ~ ...................................... 19..~Z, and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF $OUTIIOLD BUILDING DEPARTMENT TOWN I~LL " 765-1802 APPLICATION FOR CERTIFICATE OF!oCCUPANCY ~- This application must be filled in by typewriter OR ink and sub~ ~e 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.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 C~npliance from archiuect or engineer responsible for the building. 6. SubmiE Planning Board Approval of COmpleted site plan requirements. ;. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-exzstlng 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 appiicant. 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. 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.O0 -~ Construction ..... ~, ..... f'''I' ........................... ...... o*u or ~re-exzstmng Buziding .......... ~wer or O~ners of Property ..... ~ ..... ~[~ ........... ~... division ....... ............................. Filed Map ............ Lot .......... rmit No. · .... Date Of Permit.. ....Applicant ................. alth Dept. Approval ...... ~..~.. .~.~. ............ ' · .... ~ ., Underwriters Approval ...... arming Board Approval ..... . , .~ . ~uest for: Temporary Certificate.. : ......... Fi~al Certicate ........... Submitted: $.~f~ APPliCANT · ° ............. ~OUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 xamined .~ .~./. ,tO.. 19¢Z ................. 19. e~ t No ~s;pproved a/¢ ...~ ........ ~"-~ ................. ',~%-i8q2 ~ AM l() 4 PM FOR THE U~mmg Inspector) FOLLOW, lNG )NSFaECTIONS, ~PLICAT ON FOR BUILDING PERMIT 1. FOUNDATR')N - '~O REQUIRED FOR ¢OIJRE¢ GONCRET[ 2, ROUGH * FRAMING ~ PLUMBING BOARD OF HEALI'II ......... 3 SETS OF PLANs .......... SURVEY ................... C IICCK SEPTIC FORtl CALL JUN I 0 t991 Date .................. , 19... 3. INSULATION INSTRUCTIONS a T~sFiNAL . CONSTRUCTION MUST ', , 83f~;~l~iil!S'ffitltOl~'O~mplet.e. lg.,filled in by Wpewfiter or in ink and submitted tO the Building Inspector, with 3 , o~ p~a~~ ~e.~according to schedule. ,~;a:~~~ of b~ild~gs on premises, relationship to adjoining premises or ubHc streets ' ~ ~m~, ~S~l la out el re err . . . P 'on. ~n;~*~,,~Sl~ y P p y must be drawn on the d~agram whlch m pa~ of this a :', ~~~~ay not be cbmmenced before issuance ofBu ding memit , ~ .g PP ~vm'~{'-thm'ap~hc~tionTthe Building Inspector w~I issued ~ n-:~" ~ ..... ' toe Ke~ n the premises ~yaflable for ins~e ' n ~hr~nah~,,f fh m. ~ ~um~ re~ir to the appUcant. Such pe~it Ih v ' -7 . , . · ...... v~, ,~,any purpose wnarever unt a Certificate a e 9a~t~ggt~a.mg ~e Bml~d~E3I~sFd~tor. of Occup~cy r~'~~l~[EB'~g&~e BulldOg Depmment for the issu ' · - din~........ ora Bmldmg ee~t pursuant to the um,o~, g~5~2~.~;~_ ;~4~"~'~ ~P~JY' ~ew jerk, ~d other apphcable ~ws Ord~ces or .appu~n[h,~p~k~}~Fomply w~th aB a~Dl cable lnwq nwl; ....... - ...... ohtmn, as hereto described. ~t autl~'~d~'{6E~y~mo~i .... 52-_ .... ,--¢ ........... ¢~, uUnmng co~, nousmg code, and remdations -ALL CONSTRUCTIO~ SHALL ME~ ..... .~,.--.~~ ...... !.~.~ ......... THE REQUIREMENTS OF THE N.Y. (S~natnre of applica~t, or name, if acorporanon) DESIGN OR CONSTRU~ION ERRORS (Mailing 5ddrcss'of appIicaut) ...... ~ whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,e of owner of premises .~ ......... (as on the t~ roll or latest deed) plicant is a corporation, signature of duly authorized officer. ,' .............. occupancy (Name and t tie of co,orate officer) .... .. ¢.( ......... USE iS UN WFUL Electrician's License No. ...................... 0F 0CCUMNcy 3dmr Trade's License No. ~ ................ )cation of land on which proposed work will be done. , ............................................... ................ ~ . ~' , , ................ ~usc Number ........ Hamlet tmty Tax Map So. J000 Section .............. Block .... ¢~ Lot ...... ............. %.2 ........ bdivision .................................... Filed Map (Name) .............. Lot ............... te existing use and occupancy oCprcm/ses and intended use and occupancy of proposed conqtruction: occupancy ......... 3. Nature of work (check which appllicaMe): New Braiding .......... Addition., .~..~ Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ..///..ORD. i ...................... ... Fee .... 8,O (Descr/ption) dwelling, number of dwelling u ' (to be paid on filing this application) $. If flits ... N · If garage, ,*umber of cars ...... i .... ' .... iii .... umber of dwelling us,ts on each floor ................ 6. If business, commercial o---"- ' ,-, ..... · ,,aea 9ccupancy, specify i at, re alld extent o ' each t ~¢ of us .. 7. wm~cnstons ot exlst,ng stmctures,[if anv. Front I~ t ,, ,; tt ~Vl e .................. Heig ,t .. . x~,,.,., i ,.L ..... J '12 ' ' ' '~ ..... aear . .~.y... Depth ............ oqr o~ atones .... t..~... 5.r.~.~t.&-'...¢: ... ' ............. Dimensions of same structure wtt~ alterntions or additions: Front ' Depth ................. Rear ................. ................... ~...! Heig ~t ...................... Number of Stories ...l~ ' 8. Dimensions of entire new construcltion: Front · Rear ................ oH. eigh t.. .............. Num bcl .............. - .............. rofStories . . · ...... . ........ Depth 9. atzcollot: Front . . /~ i '~. ..... ,;.'Ak ................................ ). DateofPnrchase i~e.~...I ....... Kear../~,~. ............... )ept~. /.~'~' ...... ,. · . ..". .... ." ................. eofro,.,, rO,v,er ......... u or usc dmmct tn which premises are situated .11 --. ~ t~ --, ,~rt ............................. 1. woes proposed construction viol-*-, ..... · , · · · ~..-.a.,...t.,,-...~,'.L.. · ;'; .~.... .......... . ......... 3. Will lot be regraded .. . ~,~/-j.;~, ,.orang mw, ordinance or regulation: ...~.'~. ....... .,'[ ... ' ' 1..NameofOwnerot,,r;~is~:'~',~'.v;~'Z",~."t; ....... Willexcess fill be removcd from premise's: Name of Architect ..... ....... ~ .............. Address 0 Name of Contractor ........ i ................... Pt, ne No ....... , ........ .... 't' b'f T'"''Address ............ , .. Is thzs property within ~00[ f'e~ tzdal wetland9 ,v .... .~.~ ................ If y ~ . · %es ...... .~ · Ng. ~.~. · es, Southold Towh Trustees r~rrnzt may be requzred. '~ , · ~* .... i PLOT DIAGRAM , . '," Locate clearly and distinctly all buildings, whether existing or proposed, and. inrJic:ite all sbt-Sack dimensions from operty lines· Give street and block number or description according to deed, and show street names and indicate whether rerior or comer lot. - , I five. being dtdy sworn, deposes anti says that he is the applicant -' named. the ! (Con tractor ............................... agent corporate officer etc ) .............. :d OWner or owners, and is duly a thonzed to perform or have performed the sakt work and to make and file this :alien; that all statemants contained ' ~ · mi tins application are true to the best of his knowledge and belief; and that the will be perfomled in the manner set forth in the application filed therewith. ~ to before mc this . No, ~2-9703728 ~olk ~-~- ' w ~ (Signamr: of applicant)