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Home My WebLink About23546-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No z-24531 Date July 30~ 1996 THIS CERTIFIES that the building acceeaor~ Location of Property 3870 Stillwater Avenue, Cutchoque House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 01 Lot 011 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 10, 1996 ~ursuant to which Building Permit No. 23546-z dated June 28, 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 an acceeeor~ shed in the rear ~ard as a~lied for The certificate is issued to Roy E. & Antoinette DeMeo of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED lessee or tenant) N/A N/A N/A Rev. 1/81 FOWM NO. J TC~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 235~fi Z Permission is hereby granted to: r) . [ ....... ~?~'~""~'"'~~ .......... i .......... ..... ?Z2o. . . .~-~. /I~. ~. .~ . . . .~.~.~. . ............ ..~-,,J..~. ~..r-,~....x.....~..~....f/x~.~. ,o ..~..~.....~.....~ ...... ~..,.~/'~,/__.../~,. ........... ./.. ?...~.....4. ........... .,.c.~. ......x..~..~.... .................. ....... ~ ..... ~. ........ ~......~i~. ........ ~.; ................................................... at premises located/at ...~ .~,Z~.,......~..~./I.~(..,~,,-~,,~...~,~.,.'.~ ................................................... S.c,,on /g.Z.. ......... .,ock Lo. No ..... ~././. ...... County Tax Map No. 1000 ... ~..//~.,. :::....~..../....,,.........~../~ pursuant to application doted ..................... 19. ~r~ opprove~ by the Building Inspector. Rev. 6/30/80 Form TO~ OF SOUTROLD BUir-D I.NG D EP .41{Ti<Ei~T TOWN HALL 765-i802 .4.?PLICATION FOR CERTIFICA%E OF OCCUP~~NCY This application must be filled in by typewriter OR ink and submitted to the building ~uspector with the following: for new building or new use: 1. Final survey of propert7 with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Eeal~h Dept. of water supply and sewerage-disposal(S-9 for~). 3. Approval of electrical installation from Board of Fire Unde~aritars. g. Swor~ statement from plumber certifying that the solder used ~n system contains lass than 2/10 of i% lead. : 5. Commercial building, i~dusurial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or ang~-neer responsible for the building. 6. Submit Planning Board Approval of compleued site plan requirements. For e.~-isting buildings (prior to April 9, i957) non-conforming ~ses, or buiid~ngs and "pre-existing" land uses: i. Accurate su~ey of propert~t showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consen~ to inspect sig~ned by the applicant. If a Cert~_ficate of Occupancy is denied, the Building inspector shall ~ta~a the reasons therefor in '~riting ~o the applicant. Fees 1. Cartificaue of Occupancy - New dwelling $25.00, Additions ~o dwelling $25.00, AJ. tarations to dwelling $25.00, Sw~m~ing pool $25~00, Accessory bua-lding $25.00, Additions to accessory? building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Build~m - $i00 00 3. Copy of Certificate of Occupancy - 4. Updated Caruificate of Occupancy - $50.00 .......... Sub~vSa~on ......................... ~q~ ......... F~Sad Xap ............ Loe ...................... Pe~i~ No .............. Da~e Of Pe~it ................ Appiican~ ............................ Eeal~h Dept. Approval .......................... Under-~-riters Approval ......................... Planning Board Approval ........................ Request for: Temporary. · Certificate ........... -'~_n=~-' Certicata. .......... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~//_ ~~/~ [ ] ROUGH PLBG. [ ] INSULATION DATE FOLINDATTON (2ND) ~F![~kl~, IN,gPI'~CTION REPORT DA'rE LL FOUNDATION ROUGH FRAt4E & PI.UHB lNG [NSULATTON PER N. Y. STATE ENERGY CODE FINAl, COI,~4ENTS ADdiTIONAL ~4.4~°5d4o",,~. .L" 50.0'5 P~2. Nous~ FORt4 NO. I TOWN OP ,qOUTIIOLD BI/II,DING DEP^RTNENT TOWN I1ALI, SOUTOOI,D, N.Y. I 197! TEL: 765- IS02 Disapproved a/¢ .................................. BOARD OF ItEAI,TfT ............... .//~3 SETS OF PLANS ............... JSURVEY ........................ SEPTIC FORH ................... MAIl. TO.' .................... APPLICATION FOR BUILDING PERHIT TNSTRUCTIONS Date .... , ............ ,19 .... a. 'lhi.~ applieation ~mt be eo~letely filled in ~ t~rlter or in ink ~ ml~itt~ to 3 ~ts of pl~, ~ate plot pl~ to scale. F~ acco~ling to b. Plot pl~ ~ing l~ti~ .of lot ~ of ~lildings ~ ~i~a, ~lati~fl~ip to ~jolnlng pr~i~a or ~fl)l [e s~tn ~ areas, ~ glvi~ a cbtatl~ ~ripti~ of l~t of ~rty ~st ~ dr~ ~ the dia~ ~ddl in ~rt of this a~l {eati~. c. ~ ~k ~1 ]~ th[s a~llc~ti~ ~ ~t be ~r~ed l~fore ig~ ~mlt ~mll ~ kept ~ O~ ~i~s mnilable For ine~ti~ th~Jt O~ ~rk. e. ~ beildi~ ~mll be ~i~ or tl~ in ~le or in ~art f~ a~ ~r~ ~mt~r ~mtil a ~rtlfiente ~,l~'rI~ IS l~o~ff ~ to t}~ ~fildi~ ~rt~t for the isle of a ~ildi~ ~it ~{ldi~ ~ ~{~e of O~ T~ of ~O~ld, ~fffolk ~ty, ~ York, n~ DO,er a~lleable I~, ~i~ea or ~flatlms. for tl~ ~st~tim of h;ildi~s. ~itims ~ alteration, or [or ~latlm~. ~ to ~hlt antt~rlz~ in--tots ~ ~i~s a~ in tmihli~ for ~e,aaw (SigT~ature of appl leant, or r~a~e, if a corporation) ... ...... (Hall ins addre.qs or applicant) State ~hetber applicant ia o,~er, les.~e, agent, arehltoct, engineer, general cootractor, electrician, ph~ber or txdlde~ of of ..... ........................................ (aa on the tax roll or latest dee<l) Ir applicant ia a corporation, sigr~ture of Ckfiy ~ratborized officer. (Name ,m~l title of corporate o[[icex) Builders License No .......................... Pltni~ers l.lcense I~o .......................... Ele~triel.'m.~ License No ...................... Other Traders Lieen.~e No ..................... I. l~c~tlc~ o1' l<m~l o~ ~d~id~ prot~d ~rk will be d~, ...... · ........................................................ ..... .5..~.q.e .......... ..o7. ~/.¢..< ~ ~.?.~..... ~.¢~. .......................... .O..q.~.o..~..o. ~ .................... House Nt~ber Street llaml et c~y T=~ No. l~ s~t~o. ...... /..~.7.. .iDek ....... ~./ ..... l,,~ .... .o.../.( ...... 9alxiivision ...~,. ~.~...~....'74'. Z .... ..~...~.:..~Filed Hap I~,../..~-.~..0. ....... ]~t . .~.~. fi. ~. ?.... 2. State existing o.~e afl occtrpa~.-y of p'c~nlses at~l intended ,se stat oc~ of propo.~d c.~structlc~: a. Existing use a~l oecx~aney ................. ............................................................ ~r~__ ,. i.t~ ,,.~ ~ ~,~...C/~.<...~ .~.~ ........................................... ............ 3. P;Iz.re uf ~o~k (dteck ',,.hid~ .~-'~ ~ ~ .............................. I~l~i r ............ t~al ............. 1~)1 l~i~l ............ Other i~)~k .................................. ,,. ~i,,~,,~, c,,~ .~.~:~.~ ........ ~,~ .............................................. (1o 1~ fid ~m fil 5. 1~ ~lti~l, ~i~r o~ &~l~li~l ~it~ ............ li~l~r of &~llin~ ~il~ c~ ea~ fl~n- ................ If garage, ~l~r of car~ ...................................... ~. If I~mi~s, ~m~cial or mi~l ~nq~y, ~l~cii~ ~ml~re m~l e~tenl: of e~ch lyl~ of ~ ...................... ~,~ ....... ~ ~ .............. ~,,~ o~ s.,,-~ ..... (. ............... l~plh .................... l~i~t .................... ~1~ of ~lo~ies ............... 8. l)i,ensi~ o1: entire ~ ~m[r~:l i~: Fr~t ... Z ~ / l~ar .... ~ ......... l~plh ..~ ......... ....... ~t~r o~ Stories ..................... ~.si~ ,,~ ~o~: ~,~,~ ...... - -(.*.~.~ ...... t~ .... ~..~ ....... ~,, .... ~¢~ ..... I0. l~ae o~ ........................ ....~..- ..... ~ ..................... II. 7~ or u~ di~t~i~f i, ~d~ p~,i~ a~e ~t~e~l ............................................................ PI.fir I) 1 AGII^H Iz×:ate clearly alii disc[s~cl ly all l~tildlags. ~t~ether exisl:iu~ m p~oposed, taxi i~lical_e ull set--lx~:k di,~nsior~s OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY AppROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED 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 (S i l~ll u~ e of Appl icm~t ) ......... ~t ary t~[ ic . N~ Public, State of New Yo~ No, 4879505 ~, / Ouat~fled in Suffolk CounW ~ ~ ~ ~mmission ~ires December 8, 19 ~ (N~,e o~ itxlividt~H signing co. tract) ,, ,,,, ................... ((~a~traetor, agent, coq~rate ol:l:icev, appl icatio,; Umt all state~nts c~lai~l in ~l~is appl ical iou a~e 1~ 1o the I~t