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Home My WebLink About23549-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. u~ITIFICATE OF OCuumANCY No Z24562 Date August 8, 1996 THIS CERTIFIES that the building alteration Location of Property 1060 Moores Lane, Green~ort House No. Street Hamlet County Tax Map No. 1000 Section 33 Block 2 Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 11~ 1996 pursuant to which Building Permit No. 23549Z dated July 1! 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 a renovation on an existing one family dwellin~ as applied for and erect a fence 4' in height. The certificate is issued to Mordi and Janet Yaron (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H 051082 dated PLUMBERS CERTIFICATION DATED July 24, 1996 N/A f /~l~ng Inspector Rev. 1/81 tOK~ NO. ~ TOWN OF SOUTHOLD "IUILDING DEPARTMENT TOWH HALL $OUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23549 Z Permission is hereby granted to: ...~...r.-.z ....... ~ ................................................ / .... D..~.z .m....~.....N.,,,-~...~ ....................... ,~ . ..cJ~?.,,.,~z ~..~_~:. ... (z.ex...z. ..-... zzo. . ~, ,o. ~~..... ~.~...... ~..,.,...~...L~.~..~ ........ ~.-..~ ....... ~/./,..~.. ,,dz..../~../...~_2.'~..... ~...~.... ~.~.-..~....ff~....... ~....../../<J....'.. ~< .~,./T. at premises located at ....... .Zf.~..~..~......x~-~./~.~.....J~-......~.'~... .................................................. Building Inspector. ,//~ir~ Inspector Rev. 6~30/80 Fo _~-::a No. BLDG. DEPT. ' TOWN OF SOUTHOLD---~PL~C.~TION FOR ~E~TIFICAT_~ ~ OF OCCUPU~NC~ TO[~ OF SOUTHOLD BUILDING TOW~ HALL 765-i802 This application must be fi!lad in by typewriter O~ ink and ~'' ~,-=~ =uom ..... to the building inspector with ~he fol]owin=: for new building or new use: Final su~;ey of property with accurate location of al! build!qgs, proper~y lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposa!(S-9 form). 3. Approval of electrical insua!lation from Board of Fire Underwriters. Sworn s~atament from plumber csr~i£ying that the solder used in sysze_m contains !ess than 2/!0 of !% iaad. '. 5. Commercial building, industrial bui!ding~ multiple residences and similar buildings and installations, a certificate of Code Comp'llanos from architect or engW_~eer responsible for the building. 6. Submit Planning Board Approval of completed site plan requiremenHs. For e.~ist~_ng bnA!dings (prior to April 9, i957) non-conforming uses, or bui!din~s and "prs-e~'~isting' land uses: !. Accurate sure, ay of proper~7 showing ali proper~/ lines, s~reecs, building and unusual natural .or topographic faaUares. 2. A properly comp!aged application and a consen~ to inspect si=o~ed b7 the applicant. ~f a Certificate of Occupancy is denied~ the Building inspector shall s~aue the reasons ~herefor La writing to r-he applicant. C. Fees i. Cart!£iaaua of Ocoupanca~-= ~e%-~ ~dweiling S25.00: Additions ~o dwelling $25.00~ ~1 t er orions =o d~e!lino~$.~2525.00~Swimmin~ oooi S25.00: Accessor? build-..hag $25.00, Additions to accessory buiTdlng $25.00. Businesses $50.00. 2. Cer~i£icate of Occupancy on Pre-~xistin~ Bnildin= - $i00.00 3. Copy of Cerri£icate of Occupancy - , .2~ &. Updated Certificate of Ocaupancy - $50.00 5. Temporary Cart±fAcets of Occupancy - ~esidenu±a! $L5.00, Commercial $!5.00 ~ate . .7'..'. ~.: .9.~ ............................ New Construction ........... Old Or Pre-existing Buildin~...~. ............ rope= . .... ...... .............. House No. Sir_et F~I~C Onwer or O~aers of Property'.~4~t)~ .~..~-7~ ~ ~ County T~x ~ap No 1000, Section .............. Block ................ Loc ...................... Subdivision ......................... ~ ......... Filed ~ap ............ Loc ...................... Health Dept. Approval .......................... Unde-~-~rizers Approval ......................... P!anninE Board Approval ........................ / Request for: Temporary Car~i£icata ........... Final ~-r--ica~e ........... ' " ...... .................. Il INSULATION PER N. Y. STATE ENERGY CODE JI FINAl. ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS --' WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE __ ELECTRICAL INSTALLATION AS COVERED -- ':Z:'°" "F~'' 7G5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDA~~ 1ST [ ] ROUGH PLBG. [[ ] FF~~iMiDNAGTION 2ND [[ ]] IFNiNSUALLATION [] FIREPLACE &_cHIMNEY ~. *: ~'-'*- DATE INSPECT~ FORI4 NO. ! TO~I OF SOUTIIOI,D BUILDING DEPARTNENT TOI~N I1ALL SOUTtlOLD, N.Y. 1197 I TEL: 765-1802 BOARD OF IIEALTtl ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORN ................... NOTIFY: NAIl. TO: .................. APPLICATION FOR BUILDING PERHIT INSTRUCTIONS Date ................ ,19.. a, qhis application mtst 1~: eempletely filled in by t~iter or in ink and antmaitted to tim ~tildi~ Ins~cto 3 ~ o~ plus, ~ate plot p]~ to ~ale. F~ acco~i~ to ~de. b. Plot pl~ ~i~ l~atlm of lot ~ o[ ~iildi~ ~ ~mi~s, relation~dp to ~joini~ p~i~s or ~lic struts or are~, ~ givi~ a detail~ ~ripti~ of last of p~rty ~mt 1~ dr~ ~ tt~ di~ ~id~ is ~rt ttnt ~licati~. c. ~e ~ c~ ~ this a~licatim ~ mt ~ ~[m~ ~fore isle of ~ildi~ Pemit. d. 1I~ ~al off this a~licatlm, tim Buildi~ ln~ctor will is~ a ~ildi~ Pemir ro the ~lic~t. ~mlt ~mll ~ ~pt m tlm pr~i~s ~ilable for ins~tim three,mt the ~rk. e. ~ ~ildi~ Mall ~ ~i~ or ~ in ~le or in ~rt for ~ ~ ~mt:~er m~til a ~rtificare of ~ droll h~e ~n gr~t*J ~ ~m Buildi~ lector. ~A~TI(~ IS 1~ ~ to tl~ Buildi~ ~r~nt for tim issue of a ~ildi~ Pemit ¢lramnk to the Buildi~ 7~ Otdi~e of tim ~ of ~tlmld, a~ffolk C~ty, ~ Yo~, ~ other a~lichble I~, ~i~es or ~lati~s, for tlm rotation of ~ildi~s, ~itlons or alterari~s, or for r~al or d~liti~, ~ l~rein (~ri~. ~m applier ~s to cm~ly with ail a~liceble l~s, ordlmmes, I~ildi~ ~, ~i~ .............. :,...: ............................................................................. ~ offer of ~i~s .~.Sa ............. ~ ..................................... ~~~ ....... {as m }1~ t~ mil or latest d~) ~ l~fld$ ....... ...... ............. ............... ..: ............... Builders License No .......................... Pluntmrs License No .......................... Electricians License No ...................... Otlmr Trade's Lice~me NO ..................... L BLDG. DEPT. 'TOWN OF SOUTHOLD '1. I0. II. 12. 13. I/~. 15. ~,ir ............ ~a~ ............. ~ion ............ Oth~ ~,~'~. t~.~...~(~.. ~.~... (lo Im [~lld (~ fi l i,8 Ihi~ ~t~1 icmti~) If ixlsi~ss, ~]m~rcial o~ lni~l ~O]l~[~y, s~clfy ~ature m~l extent of each ty[~ o~ ~s~..~..~ ............... [E[~lt ......................... Rider of Stories ...................... I~it~lL ......................... ~t~r of ~l;oTi~s ..................... ~iz~ DE lot: F~st .................... I~a~ .................... l~pth .................... 2~ or u~ distr~cL in ~{~l pro,i~s are sit~t~l ............................................................. ~l~s DE ~r DE pr~ni~s ........................... ~ilre~s .............................. ~ ~) .......... ~-~ o[ fird]itecL .................................... ~lress .............................. ~ ~) ....... ~.- ~]~ oF C~tractor ................................... ~khess ............................... I~i~ ~ .......... I)I.OT I) IAGRAH l~cale clearly m~l distinclly all l~]il(li~s, t~mlher exls/:ing or I)ro~l, taxi [~licnte all ~t-l~:k clh~sions x.4mll~er inter,or or coca,er lot, PLUMBER CERTIFICATION ON LEAD CONTENT BEFORl~f, rq l p a Kl (,V OF OCCUPANC~vu' n.,,.,. 0R ~I~TE ;U SE IS UN~AWFUL SOm~R USED t~ W~T~ ' SUPP~ SYSTEM CANNo~ITHOUT CERTIFICATE EXCEED 2/10 of 1% LEAO43F OCCUPANCY A~ROVED/iS NOTED NOTI~ ~UI~DING DEPARTMENT AT FOR ~URED C~CR~E 2. RO~H - F~MING & PL~BING tNSU~ON 4. FINAL - CONSTRUCTION MUST BE COMP~ FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY ~N~(~FIC~'[~ CODES. NOT RESPONSIBLE FOR ~tq~J~,~J) DESIGN OR CONSTRUCTION ERRORS ..... ................... ,,,,,, ,. (~,~ of i~xlivJch~al signi~ ,~ ~ ,,~ ............. .O~.~d ..................................................................... IhnL 1lie ~rk wi I 1 I~ imrrons~l ill Ihe isl, ll~r ~t Forth i, the al~)l ic~l:Jou ~J I~l tl~rwi th. ~tar~ l~bl~ ~.~.. A. ~ ~. ~... , N~ ~bti~ Sta~e of N~ Y~ No. 48795~ ~ /