The URL can be used to link to this page

Home My WebLink About19837-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20100 Date JULY 22, 1991 THIS CERTIFIES that the buildin~ ALTERATION Location of Propert~ 870 SMITH DRIVE NORTH SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 76 Block 2 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29~ 1991 pursuant to which Building Permit No. 19837-Z dated APRIL 29~ 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 ALTERATIONS TO EXISTING ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-022649 - JUNE 13~ 1991 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ~EINROD & KAREN DANZER ~uilding Inspector Z~O]l.Z~ NO. ~ TOWN OF SOUTHOLD BUILDIHG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 19837 Z ~at....~ ........................................ Permission is hereby granted to: ~~~~..~..~..,. ............. ...a.:. .......... ~.~.~....-/:: ....... ~ ........ ..~ ....... ...~;/.,~. ...~__,,,~ ........................ ' .... '... ...................................... o, ................................ County Tax Mop No. 1000 Section ...... ..'~........~. ........ Block ............ ~.. Lot No....../~,.~ ........... pursuant to application dated ............. ..~/~.. ............................. , 19.~./..., and approved by the Building Inspector. Jng~l~tor t Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTNENT TOWN IkALL 765-1802 APPLICATION FOR CERTIFICATE O~j,OCCUP,\NCY This application must be filled in by typewriter OR',[nk 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/i0 of 1% lead· 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~pliance from archiuect or engineer responsible for the building. 6. $ubmi~ 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: I. 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 ~. 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 - $i00.00 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 Itouso ~o ................................ · Street Hamle~ ......... un~y Tax Map No , ion .............. Bloc~ . ............................. Filed H~p ....... Lo ~lth Dept. Approval .... ' ''' ............... ; ...... Uaderwriter£ Approval. . . :nning Board Approval... ' ' :uest for: Temporary Certificate... F/nat Certicate ..... Submitted: $ ...... . ...... · EW YORK, NEW YORK 10038 ~ *~, ~ , /j~! THIS DCa;;TIFIE5 THAT , BgD~OO[4, BA?E~O0~'' i ", SOU~i,,ttOi-, % ~,/~ 1 '197 J This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, ................... D,~D'I'i,I~IT THI~ COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY IvlAHNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TO~VM HALL ~ SOUTHOLO, N.Y. ! [97! TEIr. Y65-t 802 To Whom This May Co~cern, We are unable to complete your Certificate of Occupancy because.of the following reasons. An application for Certificate of Occupancy is not on file. ~ /--/ No Underwriters Certificate on file. /_~ The check is(~/not on file.) ~6~ /5/ No llealth Dept. Approval on file. /5/ No final inspection has been made. Please co~tact our office on this matter. Thank you for your cooperation. Bui]dJ. ng Permit tt ---~/--5~-'-~' 3 ._7_._ Z Buildinq Dept.~ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLp, N.Y. 11971 TEL. 765-I 8O2 To Whom This May Cogcern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /~ An application for Certificate of Occupancy is not on /--/ No underwriters Certificate on file. /_~ The check is(t~/not on file.1 /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please coHtact our office on Thank you for your cooperation. Building Permit tt _L] ~'~'_~ 7 % Building Dept. ***/~/ blo Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) this matter. FOUNDATION (lst) FOUNDATION (2nd~ ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 58246 1 2 3 4 § 6 2 3 4 § 6 5 6 7 8 9 13 ~sed be 1 2 3 4 5 6 , , : , _ ,~-, r" ,[ - "~,,,.-~o'=o~1!!!~! !! !!!!! ~r:"-~:~'-~''e~,.~ ~ ~ ............... ~~~.. ~~:t:4:.,~, ~, ,.,,: It! ~.-.-: .~. -:_=~-:~= ~~L!J::. ~.~ J~L_IL !..t_,_:~S .:_ 7 ::Tl~: .,: r~! Pitt ,' ) 10 11 12 13 16 ~9 2O Fo,qM NO. ] TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHQLi~ ~L¥. 1.t~7 t TEL,: 7G5,1B03 MC ..................................... SURVEY CltECK · .u .............. SgPTIC FORM .............. CALL .................... , .~22~~ ....... APPLICATION FOR BUILDING PERM{~ ' A ,, - - .' .... INSTRUCTIONS ,,, ,licatzon must be completely filled in by typewriter or in ink hnd'submitied to the Building l~p~tc:.... -- ~ccurat, plot plan to scale. ~ ~o~ing to schedule. ~g location or lot and or build~gs on premises; relationship~/o adjoining premises or pu~.:.: ::. a defiled description Of lhyout of property must be drawn OP the diagram which is pan o~ [;.:.. uVcred by t~s application may not be commenced before issuanc~'otBu~d~g Permit, this application, the Building Inspector will issued BulldOg Pe~it to tho apbHc~t. Such ;.::. premises available o ' ' ~ a build~g shall be occu~;~ ~.ms~qct~o~ t?ou~out the work,',' ~,~u ur usea m WhOle or in part for any'purpose whatever until a Ce~ificate of 0::~:... the Bulldog Inspector. · , ,.~ .. IS HEREBY MADE td.~ BulldOg Depmment fo-';~ ~';'' >% ..... ' '~ u~ u)~ ~( et a ~mloing ~e~it papuan: :e - ; u~mance et the Town of Sou~hold, Suffolk Count, New Y~ h;; ~,~ ..... :~or the construction of bufld~-s addi+i ...... ~ ~-~?t ,w[~ ~,,,~*-~v,,-able ~vs. ~ ~-* ur ~.uera[ oas, ?.~r:remg~ al'or demoliaon, as hereto t agrees to comply w~th aH apphcab]e laws, ordinance, build ' · meal mspectoa on prem~es ~d m bufld~g for neck, .... ~ .... s.~g qO~ housing code, and rcgulaI:¢n;, , , . ,. ~e,~ X * ~,:~ ~''~ ~ '"' .............. ~remses ................... ~ ....... {..fi%c.v ~. ,., (as on the tax roll or latest de~d)' ....................... , signature ofduly authorized officer. ,' title of co.orate officer) .... "': ..... :'k; ..... ~ ri,~,,~ ~o ......... l .q ~.&? .~-~ ' ~.' ' .:., . ./..'¢ ;'s' ' ~ ~ O~ w~licn proposed/work W;' h,, ,~,~. .' ,, ..G.Ji~.~:~...: ?.', ~i~'t' ' ....... ... ~,m, h ~ ~e ~o~ c ~ , / abet ' ~ ............. ~ ~,~[ ......... ~(..., .... Hamle~ ........... ,v,'., ... Block ..... c;;.;..~ .....Lol ' , ~,'"'~ (Name) . · Kflcd Map No, ccupancy of prcmls¢~ and intended u~ ..... -, - ', ' use arid occupancy ....... $~(' ~{ .~ ~,~ - use and occu-anc.' ~ , .- ' ' ~' ~-.. ,Nature bf'.vork (check whkh 3pplic3b, .. * ' · ~c]. New Buildin . ' .............. R~moval .. ~ '": i .... Add~ti~n ...... ;'' ~lcr~li~n ~urt .~ .... *. Ac~-~"* ........ D~mohhon ......... ~ .... L~.~OO ~ ..... Fence ....... Ocher ~ork;" ' z ............................. F~e .... .......... · ~ .. ~'~;~', ....... . ......... abero~dwellingunits,.. ' ~hcpaidon~ ngthis ....... ~,.~ tbcr of Car~ .......... Nt m bet o r ,h. ,,,. ~ , - .................... -~,*Cmng units on each ~oor .~. ~'-~erc~al or mixed occupancy ..... ; .................... - ...... ?~olcxafin. s[~ ..... '~ _ __~,~Hcc.ynat~j~andcxlc.,.~ ~ .................. ' .... , -' ,.'. o ~cs, l~any:.Froni., /5 ~ -'~.cacn typeofusc . ,. ' ~ ............ Number nr o. · ~i'' ......... Rear /~r _ ''''..,..- ' .' ',::Depth ... -",~ ~,luc~urc with alteration. ....,:.i~ ' ' ' k' ' · '~ ................ ~ _. ~,~.yi.,. · ~l~;~t*- ~,,u~. ~ron~ ...... /~o o,uncs ...... ~ ...... . ............ ~epth ~.~... ' ,v.-~.~a~e of Pur~se ;~" ' ......... Rca- /'~ ...................... ' '~' · "' ~ .... "~ ............. ~._ ';k" ........... Dcp~h 1 l,~:Zone or use district in which · 12..~,~;D0es propo~d co~,, .... .~ pr~m~ses are situated .... 13. :'W~I Ioi be re-~* ..... l~loiate any zonin~ law o-~;~ ......................... o[ ~vncr or prcm~ . a; '~' X'.*.k' k'.' '. ...... Wall excess n..~'~_~' ' ';; ........... ; ...... , ::~e of Architect ..... '~'' '~'~ ..... Addre~ .. ~ ~u.ioveu lrom pr~li~: . Ye ,~¢f~e 0f COntnctor .... ~ ............. Addres~ ..... ~ .......... Plmne No. . '~ ~ea. ~n,,~ ~--~u ~thzn ann ~ '; ..... : ........... PhaneMn ~" '~t~fior. orcomerln~ ~d b~°cknumberordescfiotia ..... z?r Proposed, ~d, mdicate ~ ..,.~..~; '. ;-~ki'. - ........ ~u~omg tO deed, ~d ~h ...... ~ .... o.~K u~e~$io~s fro . ,:,~:,,, ~ .... ~w ~reet n~es ~d ~dl~t~'~hc}~ ~OTIFY BUILDING DEP,~R'rMENI All. 765-1802 9 AM TO ~ F-M FOR 1'HE' FOLLOWING INSPECTIO~. 1. FOUNDATION ~JO REQUIPED FOR POURED CONCRETE ,,: 2. ROUGH · FRAMING ~ PLUMBING INSU~TION ~: FINAL - CONSTRUCTIONMU~T 8E COMPL~E FOR C.O .' .... ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE N.Y.' STATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS .TE OFNEI~O?'ORi~-~-~ ,. ,::, .~.,, 'Chh .......... being duly swom, deposes ~d says t . '~: , : .' '!'~J' ,' hat he:s lhe ~pplic: . "' '~'-' " ,' (Contractor ....... ' ........................ , /::..~, la ?~.~: or owners, ~d is duly auth- · - , "~.~, corporat~ officer, ct~.) .... t ...... ~t~,.... w~L b<perfom~ed in the m~ncr set c~.,,, a~pllcation arc lru~ ...,j: ,/ .. · , ~' :~.. County "~&:?J%~'~::"~' ~,, ,m~' ~79505 . ~ ,..