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Home My WebLink About23542-zFORM NO. 4 TOWN OF EOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. uERTIFICATE OF No Z-24618 Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1865 HIGHLAND ROAD =UTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 8 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 1996 ~ursuant to which Building Permit No. 23542--Z dated JUNE 27~ 1996 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RAI~MOND RADIGAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A Building inspecfr FO~ NO. · TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWH HALL $OUTHOLD, N. Yo BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23542 Z ~te ...... ..)/7..~......'~... ........................... , ,~ Pe~ission is hereby grant~ to: ~,..~....~e~ ........................................ .:~Y~_~...~.~....z~:~ ~ ~,,, ---- ~,~,,~ ~, .................. ~ .......... ~ ~ ~~~~.~~.~-'~ ................................. .............................................................. ........................................................... County Tox Map No. 1000 Section ....... ........ Lot No ................. ...... pu~uant to application dat~ .................... ~~.~~---- .......... , 19¢~ and app~ by ~e Building Insp~tor. .. ,..7~.:~ Rev. 6~30~80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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, i957) 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 i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling 5_5.00, 3. 4. 5. Alterations to dweiling $25.00, Swimming pool 325.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existinR Buildine - $tO0.00 Copy of Certificate of Occupancy - .25¢ Updated Certificate of Occupancy - {50.00 Temporary Certificate Of Occupancy - Residential $15.00, Commercial $15.00 Date ...... J~. J~-.~.~. ~. ...................... New Construction ........... Old Or Pre-existing Building ................. Location of Property...(°C'~. ~'"~ ....... .~. ~..~...~...~.~j ............... .~.'~ .~..~.~P':~. House No. Street Hamlet Onwer or Owners of Property .................................................. County Tax Map No I000, Section .... ?~.~.. .... Block ...... .~. ....... Lot g Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~..~..~?. ~ ...... Date Of Permit .... -~- l~. ?.-/.~.~..Applicant. ,~....~.. ~.~..~.~. ~.' Health Dept. Approval ......... ~3.~. ~. ........... Underwriters .Ap p roval ..... ?./- ~. .............. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................ ~'~/~//~ 5IqO& ................. FIEI.I} IN.~iq~CTION RF. PORT DA"I'K C()MFIP~N'I'S FOUNDA'F iON (Is'r) 11 II FOlmDATION (2ND) ROUGH F~3 & INSU~TION PER N. Y. CODE {i FINAl. II II ADDITIONAl. COMMENTS: 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [] ROUGH//PL~ [ ] FOUNDATION 2ND [~.~I3LATION [ ] FRAMING [~ FINAL [ ] FIREPLA~C~CHIMNEY REMARKS: ~ DATE INSPECT~ FORN NO. TONN OF SOUTI1OLD BUILDING DEPAR~E~T TO~N ItAI,L SOHTIIOLD, N.Y. 11971 TEL: 765-1802 BOARI) OF IIEAI,TII .............. -~-"3 SETS OF PI.AIqS ............... SURYEY ........................ CllECK ......................... SEPTIC FORN ................... ~IOT I I/Y: C^LI ................... ]HAIl. TO: .................. Disapproved a/e ............................. ..~ APPI.I~T1ON FOR BIilI.DI~IG PERHIT INSTRUCTIONS a. lids application mint be c~mpletely fillt~l in by type~riter or in i~ ~1 ~nitt~ to tl~ Ikdldir~ lns~tm 3 ~ts of plus, aerate plot pl~ to ~le. F~ ~cordi~ to ~de. b. 'Plot plan M~i~ l~ati~ of lot ~ of ~ildi~s ~ prmi~s, relatim~ip to ~jolnlng pr~i~s or ~llc st~ts or are~, ~ givi~ a ~tail~ ~ripti~ of l~t of ~o~rty m~st ~ dr~m m tt~e di~ ~id~ is ~rt t this a~licati~. c. ~m ~ ~ ~ fids a~licati~ v~ ~t I~ c~tm~ ~fore isle of ~ildi~ Pemit. d. II~ ~al of this ~llcatine, tim ~ildi~ In~etor xeill is~ a ~ildi~ Pemit to the ~lic~t. ~ ~mit ~mll ~ ~pt ~ tim ~i~a ~ailable for ins~tim thm~t the x~rk. e. ~ ~lildit~ ~{aIl 1~ ~i~ or ~ in ~)le or in ~rt for a~ ~ ~{at~r ~til a ~rtiflcate o[ ~ ~m[1 h~ ~n ~t~ ~ ~ ~ildi~ Ins~tor. ~1~ IS 1~ ~ to tim ~ildi~ ~rt~nt for the issue of a ~ildi~g Pemit ~m~t to the ~ildi~ ~ O~i~e of ~ ~ of ~ttmld, ~ffolk ~t~, ~ Yo~, ~ other a~li~le ~s, ~di~es or ~lati~s, for t~ ~st~ti~ of ~ildi~s, ~iti~s or alterations, or for ~al or ~mliti~, ~ tmrein ~ri~. ~m a~li~t ~s to ~ly with all a~li~ble ]~s, ordi~es, ~ildi~ ~, I~i~ c~e, ~ ~flati~, a~ to ~it ~ri~ i~tors m ~i~s a~ in hfildi~ for ~es~ in~ti~s. .................... (~aili~ ~ress ol: a~lic~t) State ~hether~is o~aer lessee · , agent, ardlitect, engineer, general contractor, eloetrlcian, pltlll)er or txli tf al~licant is a eor~rati~, si~tu~ of {~dy ~tlK>rir~ officer. ..................................... :~:~4M,. (~ a~d title of ~rate officer} f~$ ~I~ ~ L~n~ ~ ..................... .... ~ .... .!.$¢5 .......... ......... .................... l~ ~r St~t l~let ~ty T~ ~. 1~ ~:tia, ...5~.~ ..... BI~X ....... ~. ..... ~t .... G ......... ~ivlsim ...................................... Fil~ ~p ~ ................ ~t ............... (~) 2. State ~isti~ m ~ <~< of pr~i~s ~ int~ u~ ~ ~ of ~ cmstmctim: ..................................... 765-1802 9 AM 'fO 4 PM FOR FOLLOWING INSPECIIONS: 1. FOUNDATION . TWO REQUIR FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBI 3, INSULATION 4. FINAL - CONSTRUCTION MU BE COMPLETE FOR C.O. ALL CONSTRUCTION ~HAE. ME THE REQUIREMENTS OF It. rE STATE CONSTRUCTION & ENER, · ~ (l~:ript ic~) t~ gsti,~K~l C~st oOaO0 (lo t~ fid ~l filing Ihls al~lie.ti~) 7. lJinensil~m of existing slrx~tuxes, if any: Fs(~t ................ I~ar ............... I~plh ................. I~i0~t ......................... ~,t~r of Stories 9. Si~ off lot: Fnx~t .................... I~ar .................... ~pth I I. 7~ or u~ district i. ~dd, proni~s a~ slt~t~ .............................................................. 12. ~s prol~l c~mln~ti(~ violate any zxxdog 1~, o~lirml~e or 13. ~ill lot I~ regrm~l .~ ............. ~ill e~ess fill PI.OT I)TAGRAH l~cate clearly n~ distinctly nil I~dlditkgs, ~heO~er existing or proposed, m~l it~licate all set-I~vzk dlm~nsions frc~ proi~rty lh~es. Give street arK! block ~x~zl)er or lescript o~ accotxllng to deed, m~l ahcx~ street n~sres s~xl indicate ~a~eH~r i~terlor or corner lot. 15-~/o /~o~ ~ -- 5q'A'IF, (Xi' FI'M YOI~ .~.~ ~....~~.¢~?. ..................... ,~,,,,~,,,,,, ~,,, ,,~,,,~ ~,~, ~,,,~ ,,,,,~ ,,~ ,~ ~,,~ , .~ :,~ - . x'k~., "~ ~ ~' l~ ~ 'ti?, ~/ .... ~ .~ ................ [ ......... ~ ................................................ '" . ~ ~rack~e.t, c~rl~rn e officer, e t' I tirol Lh¢ ~)tk wi[ [ 1~ i~rFoo~l in the ~m.,~r ~ forth in the appl ieatlou fil~ tl~r~iLh. // ~./ NOTARY PUB~ State of N.Z / / Term E~ires May3I, 19~ ' , ' : ~' . ~ ' . /b l ' - ~ , ~NOF SOUTHOLD - tns~~epartment and foun~ MOHRING ENTERPRISES LOT 9~ "HIGHLAND ESTATES" MaY 4 ~ I~ AT CUTCHOGUE D~T[: M~R, 17, ~WN OF SOUTHOLD SC*LE, I" SUFFO~ COUNTY, NEW ~RK NO, HE~ OEPAflTMENT-DATA F~ APPRO~L TO C~STRUCT mE ~"~ FO~ WHOM THE SU~EY IS PREPARED YOUNG a YOUNG : ~ ~RIL a%, 1~7 Ag FILE N~B~%. AND ~ND SURVEYOR N.Y.S, UCEN~E NO. 12845 HOWARO W. YOUNG, LANO SURVEYOR N ~ L~T~ ~ W~L(W},~IC TANKIITIa CES~OLS(~) ~N Hglg~ N,Y. S. LICENSE NO. 45,893 ~[ ~ FIE~ ~SE~TI~S ~D OR DATA OBTNNED F~ OrHte S