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Home My WebLink About19556-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20035 Date JUNE 26~ 1991 THIS CERTIFIES that the building ALTERATION Location of Property 595 NORTH PARISH DRIVE SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 1 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOUEMBER 27, 1990 pursuant to which Building Permit No. 19556-Z dated DECEMBER 3~ 1990 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 ENCLOSE EXISTING DECK AS APPLIED FOR. The certificate is issued to EUGENE CROASDALE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-167861 - JANUARY 4~ 1991 N/A ~/~Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPART/~ENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) County Tox Map No. 1000 Section ........... 7,/,,, ..... Block ..... ,/.,, ............ Lot No ....... ~. ............. pursuant to application dated ....... ~.~.,"~.....~.. ................................ , Building Inspector. 19../~..~,., and approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 A~PLICATION FOR CERTIFICATE OF OCCUPANCY This application'must be filled in by ~ypewriter 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 limes, stree£s, 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 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 gherefor in writing to the applicant. C. Fees I. 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 ot Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......... .......................... :;ew Construction .... ~ Old Or Pre-existing Buildi~.... .... .............. ........... House No. Street Ha~et Onwer or Owners of Proper~y ................................................................ co.n~y Tax ~p ~o 1000, section..2./ ......... ~lock .... l ........... toc..$. .................. Subdi~ision .................................... Filed Map ............ Lo~ ............. '~ ........ ~ tg7~I . ~lann~ng Board ~pproval ..................... ~eque~g ~or: .TemP°rarY Cor~fieate ........... Final Cert~cate CO ~ 200~S THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I 85 JOHN =;TREE'F, NEW YORK. NEW YORK 10038 Application No. on fil~ o~- the e~ trlcal ~uipmen t ~ ~c~b~ ~ a~ int~uc~ by t~ ~i~.t ~ on t~ a~ ~ti~ numar in t~ p~ of in the/ollowing location: ~ Btsement ~ Ist FI. ~ 2nd FL GIlT ,~tion Bilk tt~s exar. ined o. and found to be in cornpllance u'ith ghe r~luire.nents of this ~. FIXTUIIE t $! ~ RXTUIIE$ EANGES OVENS EXHAUST FANS OUTLETS ECEPTACLE SWITCH~ ~INCANDESCENT[ FLUORESCENT I OTHER H P DRYERS MOTORS FUTURE APPUANCE FEED~R~ TIMECLOCKS UNIT HEATERS MULTI-OUTt~T DIMMERS SYSTEMS NO. OF FEET WATTS SERVICE D~SCONNECT S E R V I C E ~C~ A.W.O. NO. . COND. Of CC. COND. 275 TOVN HARBOR I,~NE $OUTItObD, NY, 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. COPY FOI~ BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 'OUNDA~ION ( 1 st) 'OUNDATION (2nd) :OUGH FRAME & -PLUMBING [I;SULATIO}; PEEN. STATE ENERGY CODE FINAL ~DDITIO~[A'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~}*4NSUCXTION [ ] FINAL DATE ,INSPECTOR TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHCIL~ ~L¥o 1.1,[171. TEL.: IOLD ~ ? ...... 19~.'.~ .... , I Permit No.. . Disapproved a[c ...... INSTRUCTIONS BOARD OF HEALTH SURVEY CALL . . .. ..., MAIL TO: a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building I~xpeetOr, w[t..h. sets of plzms, accurate plot plan to scale. [:ce ac'con:ting to schedule. b, Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stree or areas, and giving a deta/led description of layout of property must be drawn on the diagram which is par~ of this app, cation. c. The work covered by tiffs application may not be commenced before issuance of Building Permit. xL Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm shall be kept on the premises available for inspection throughout the work. c. No building shall be occupied or used in whole or in part for apy purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of th.e Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the Construction of buildings, additions or alterations, or for l:emoval or demolition, as herein descfibec The applicant a."rees to comnl,, with ..- .... - ,~, , admit authorized mspectom on nrern;o,,o ,,_~4 :_ ~.,.._,. ~ ,. bufldm, code,., housing code, a d re-ula 'o · I~lgnature ot apphcant, or name, if a cort~orandn')' ' ' · (Mailing address of applic~nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· (as roi later'Jcl '" '" ' ' If applicant is a corporation, s!gnature of duly authorized officer. ameand,title of o ora o er) Plumber's License No ....................... Electrician's License No .... Other Trade's License No ..................... 1. Location of land on which proposed work will be done; '" ' .................. Street, .................. Ha/nl~t ................... HOuse Number ' ' County Tax Map No. I000 Section ............... Block ................ Lot ,' Subdivision ................................... Eilcd Map No. (Name) .............. Lot ....... fp . Slate existing usc and occupancy o rcmiscs and intended use and occupancy of proposed construction: B. Intended and o?eupancy ..... .7~ t- .......:/¥.. 3. Nature of work (check which applicable): New Building .......... Addition .......... Altcr;~tion V'.~ ....... Repair'. ....... Rl~moval .............. D,'molition ... {l~~oo). .......... ee, Cour :7.':: .... ......... .......... /'0 OO~., , Fee 4. Estimated Cost .... r' ..... i ...................................................... ' ......... ,I (t.o bc paid on filing, this appJicat on} 5. If ' ' ' ' : 7umber of dwelling units on each. fl..o.o: . ' dwelhng, number of dwclhng units .... ./. ........ 'ro"araee. numberorcars ............. : ................................ ::::::: '" 6. Il' business, commercial or mixdd occupancy, specify nature and extent of each type of use .'..'77 ............... 7. Dimensions of existing s~ructur~s, if any: Front,. ~ ~.d ......... Rear ............... De .......... Height . t~..ir. .......... Nudtbcr of Stories . ../. .......................... · ......... . ... D.cpth ,. ........ . .......... ,...l'leI.glrlrt ..... ~, ................ Number of Stones ....... o .... 8 Dunenslons of entire new cons~nlctlon Front ~; c~,c~*.r~,~q.e~Rear Depth ., Height Nu~nber of Stories ' 9. Sizeoflot:Ftont /.00.. I ~ · ...... ~ ........ Rear ...<'.q~....:. ........... Depth .~ .......... 11 Zone or use district in which piemises are situated 12. Does proposed construction vi61ate any zoning law, ordinance or regulation' 13. ill lot be regraded ./7.°. .. ~,:. ~, ................. Will excess fill be removed from premises: ~9% 14. ~arne of Owner of nremises,/~?./~'.r?..~a. Zo, e C'ro,,~'d,~ ~tdr~. ~"~5' /b~-,/g /2t,-,,~4 ~e,,~A~t Phnne No 7'.~5. ...... Name of Arch:tect' /.~ .... ~, .~ ....... ....... Address ................... Phone No ............... Name of Contraetor'~4e./. ,..~c~.~c./~.. ~i .... ~.. Address <e/Je..~X .~'~.. ~,./,e~-~ ..... Phone No~',2.~. ~-.,Y..~'..d~.. 1.5..'ra r-la.la property l. ocar. ed withln'!l(10 feet of a tidal wetland? ~¥E$~...NO .... ~If yes, Southold To~zu Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimen:ion: property lines. Give Street and block number or description according to deed. and show streei: name~ and indicate interior or corner lot. STATE OF NEW YORK, i S.S COUNTY OF · (Name ofindividual signiugcontract} above named. · AP~ROVE~ AS NOTED ~-' NOTIFY BOlLiXiNG OEP~'RTME' T~LT~T 76~-1802 9 AM TO 4 PM FOR THE FOLLOWING ~NSPECT{ONS', 1, FOUNDATION . TWO REQUIRED FOR PC}URED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. iNSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the applies: He is the' . ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, :md is duly authorized to perform or have performed the said work and to make and file application: that all statements cohtained in this application are true to tim best of his knowledge and belief; and that work will be perforated in the re:ruDer set forth in the application filed therewith. Sworn to before me this I ............. ..... day:or ..... Nota~, Public .... ............ Countu HELENK. DEVOE , ,~ / NOTARY PUBLIC, S~te of New YO~ ................ ~ Ne. 4707878, Suffelk .C~. n~ .... lena Expires Momh 30, I8..,;,L? (Signature o f applic~-