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Home My WebLink About23555-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILBING DEPARTMENT office of the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z--2S026 Date MAY 6r 1997 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 3255 BAYSHORE ROAD House No. Street County Tax Map No. 1000 Section 53 Block 6 Subdivision Filed Map No. GREENPORT, N.Y. Hamlet Lot 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~NE 13~ 1996 pursuant to which Building Permit No. 23555-Z dated JULY 2, 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 ACCESSORY STOI~AGE SHED IN FRONT YARD AS APPLIED FOR. The certificate is issued to (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED VINCENT & LINDA BASILICE N/A N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~u~ANC"Y No Z-25025 Date MAy 6, 1997 THIS CERTIFIES that the buildin~ ALTERATION Location of Property. 3255 BAYSHORM ROAD House No. Street County Tax Map No. 1000 Section 53 Block 6 Subdivision Filed Map No. GREENPORT, N.Y. Hamlet Lot 8 Lot No. conforms substantially to the Application for Euildin~ Permit heretofore filed in this office dated JUNE 13~ 1996 pursuant to which Building Permit No. 23555-Z dated JULY 2, 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 ALTER AN EXISTING BATHROON IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VINCENT & LINDA BASILICE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-395340 - AUGUST 26~ 1996 AUGUST 1, 1996-THOMAS AZZARA Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER/dlT Ct'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23555 Z Permission is hereby granted to: ~' ~ . ~ ~ .... .././.~_~.....~ ....... .~.L~ .... ...... ~.~ ......... ,,o~.~...~.~.. .............. ..... ;:~~.~*'~ .......... ..~...,._~.....~ ............. . . to.,~.~. ....... ,. ................. ~...~...~. ............... ~..~: ............... ~ ........... ~. ........ ~_ ....... ....... .......... ........................................... at premises~located at ...... . ..~..~......~-....?....,...~,~./Z~-.....~.- ' ..................................................... ............................................................. ~~.,.~,...~.. .................................................................. County Tax Map No. t000 Section ....~-....~. .............. Block ........ .C~... .... Jot No. pursuant to application dated ................. ~./~...-~.. .......................... , 19.../~.~., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTM3~N~ TOWi~ H~L 765-1802 A-oPLiCAT!ON FOR CF~RTL=ICATE OF OCCUPANCY 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, s~reets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of etectrioal installa=ion from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in systmm contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificats of Code Compliance from architect or engineer responsfmle for ~he building. 6. $ubm/t Ptann~_ng Board Approval of c6mpteted site plan requirements. BI' For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-~xisting" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applica~ion and a consent to inspect signed by the applicant. tf a Cert~--ficate of Occupancy is denied, the gui!ding Inspector shall state ~he reasons therefor in writing to the applicant. C. Fees 1. 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. Cer=ificaua of Occupancy on 3. Copy of Certificate of Occupancy - ,..25~. 4, Updated Certificate of Occupancy - $50,00 5. Temporary Certificats of 0cc~pancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-exist~_ng Build~--ng....~.. ........... House No. ~ Street Ra~let County Tax Map No 1000, Section .... ~.~ ....... Btock....~ ........... Lot..~ .................. Subdivision .................................... Fi2ed Map ............ Lot ...................... Health Dept. Approval .......................... Under~rriters Approval ......................... Planning Board Approval ........................ · Cer,_~_cate ..... Final Cerzicate. Request for: Temoorary ~ ................ Fee Submitted: $ ....................... ~ ~. . . .c .. .. ........... '--------~ APPLICANT TOWN 0F SOUTHOLD BUILDING DEPARTI~HNT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 surveX of:property ~th accurate location of ali buildings, property iines, 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 c6mpleted 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 al! property lines, streeCs, 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. C. Fees 1. 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-e-~is~in~ Buildin~ - $100.00 3. Copy of CerTificate of Occupancy - ...25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date , . .~/.Z ?. [ ?..-~. ............................ New Construction ........... Old Or Pre-existing Building....'~.. ........... Property....~. ~ %'..: ~..~'..~..~..~%..~.~..- ......................................... Location of House Nc. -~ Street Hamlet Onwer or Owners of Property.. h'..~...C~.~%~..~.,n.~ .~....~-~.,.I.'. .q-e. ................. County Tax Map No i000, Section .... .~..~ ....... Block .... ~ ........... Lot..~ .................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No...?>.~. f.~.~.'~....Date Of Permit....-~ . ¢...Applicant..~.~'~-~..~ZY-~.~{I'- .c~p- ..... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submit ted: $ LV APpL -=wn -2. d. 52095 Main .=ex :518) 765-~823 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION 8u .... nq P_rm_. No. (please print) (please print) _ ~_~_~ tkat %he solder ~se~ in the water sump_! system contains !ess %kan 2/i0 of 1%' ~ead. ( Plumbers SignatUre) ~wo~.~ to before me th'-s ~-- day of · ~3~- , l~ ~ ROBERT I. ~. N~ARY PUB~ ~tat~of N,Y, No. 472508~, Suffolk ~u~ ~erm Expires May 31, 19~ 0 0 - .I F1HgI.D INSPECT{ON REPORT DATE CO¥fl~IENTS FO~DAT I ON ( 2ND ) ~1 [NSUI~.TION PER N. Y. STATE ENERGY CODE mJ FINAL ADDITIONAL 765-1802 BUILDING DEPT. INSPECT!O~ [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION /.ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING INSULATION ~~N~L REMARKS: DATE ~////t/~ 7 765-Z802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [~INAL DATE INSPECTOR 'l'Ok/N OF SOUTIIOI.O BOII.DIHGTowNDEPARTMEHTiiAi,L SOOTI1OI.D, N.Y. 11971 TEl.= 765- 1802 D i mnpproved ale .................................. I~OARI) OF llEAI,'Fll ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECff ......................... SEPTIC FORH ( l~d l~l~g ~slx~c tot ) API'I.1CATION FOIl BUll.DING PERHIT l NSTRUCT [ fINS a. 'lhls applicatio~ trust be corcfletely filled in by lyl~.miter or in ink ned .mll~Mtted to the hdlding lns~tor will 3 ~ts of plus, ~rate plot pl~ to ~ale. F~ ~cordi~ to sd~edule. ;' b. Plot: pl~ fl~i~ l~ati~l of lot aed of la,ildi~s m prmi~s, relati~gdp to Mjoini~ prmims or struts or areas, ~1 glvi~ a ~taiL~l {~scriptitm off last o~ pro~rty anst tm dr~ ~ the dia~m ~ich ti[is al~l icat ira. c. 'lhe ~rk c~r~l 1~ this a~licatita~ .~ ~t I~ c~[red I~fore ismm[re of ~lildi~ Pemit. d. Ulm a~n~al of lids a~flicati~, tim lh~ilding lnslector will ismm a ~ilding Permit to I.he ~mit Mmll 1~ kept m tim ~mi~s milable for ins~tim Ihrtx~l~t the e. ~ l~dldi~ flmll t~ t~o~pled or u~l in ~le or in ~rt for mV ~ ~mt~r ~,tll a ~rtlflcate of {km~l~y ~mll h~ l~o gr~t~ l~ tim ~tildlng lns~ctor. ~fl~.ICATI~ IS 1~ ~E to Ihe ~dlding ~lmrt~nt tot d~e is~'e of a ~ildi~ Posit ~cm~t to the l~dldi~g ~ Onli~e of tim T~ of ~thold, ~ffolk C~mty, ~ York, a~ other a~llcable l~s, Onli~es or l~tlati~m, for tim ~mtn~ti~ of I~fihli~gs, ~kliti~s or alteratltms, or for ~al or ~lltlon, as IM~ril~. 'lira applic~t ages io c~ly with all aMfiieable l~s, ordi~mtmes, [~dldi~ ~, I~si~ cede, re~flati~m, aed to ~[t m,[l~rlz~l hm~tors t~ pr~i~s m~l in Iziildhg for ~mcessa~ ~ppllcan~, or nane, if a corlx~ratlon) (t4ailN~, ~klreas off at~Pl leant:) ' ' ,.:.,. l ~',,: .................................................................................... ' ' (as m t]~ tax mil or latest de~) Iff ~] iC~nt is ~'~raci~, s~l.u~ off duly m~tl~r~l oFficer.~ "- ~'-. ..~ ' ,, '" OCCUPANCY~,,no {~ a,~.,iLle o~~r. te OE~Ce~) ,' . USE IS UNLAWFUL '"~' ' ', """ ' " WITHOUT CERTIFICATE · ,,,,~,..,.,.~ ~,.~.z~t. ' 'OF OCCUPANCY P1 u~t~rs Licetm m~trleim~s I.ice.~ m..~..¢.~ ........ I. I~atim o[ la~ m ~ieJ~ ~ml m~ ~ill I~ {k~ .............................................................. .... k55 :: .............. ........................................................ C~mty Ta~ ~qp m. I~ ~tlon ...~.~ ........ Bl~k ..... .~. ........ l~t ..~ ............ ~l~ivisi~l ...................................... Fil~l ~t~ ~ ................ lot ............... (~) 2. Skate existlt~ b. lnt~l u~ a~l ~y ..~.~ ............................... ~ .............................. 6. Esti.~ital (~st: ...~.. ........... ~ee .............................................. (to Im fid tat filitq; thi~ al~ll 7. Din~xmits~s t}f exiati~g st~tg:tmes, i~ any: iqta~t ................ i~ar ............... l~pth ................. I~i~k ......................... ~dmr og SIo~ ins ...................... Dine.sitms o~ alteC stgt~:tu~¢ with a~tetati{am or ~litions: F~ot~k ............... l~ar ............... l~i~l~ ...................... ... ~Jd~r of 8(orlea ..................... 9. ~Jz~ o[: lot: li'l~xlt .................... ~a~ . ................... I~l)(ll .................... II. ~.m or t.~ dial~ict i. ~,i~]~ p~ni~a ave a~tt~tcal .............................................................. 13. ~ill lot: I~ ref~tmkM .................... ~ill e~:esa fill Im l~t~l Et~n 15. l~ Lhia Inol~ek~ ~iLhi. ~X) fe~t of a tic~l ~Llm~l? ~ YI~i .......... ~) .......... I'I,OT I) IM~,R^H clearly at~] (lietil~ctly all lalil(li,~s. M~ether exist:in8 or I)rOl~)s~l, a,M i,Micate all set-I~k in-oi~ ly li,~s. Give ~t~eet a,~l bh~k ~,~t~r or <~seriptk~ according Io ~1~ m~l ~~~st[ee~ i~es. ~ ~mxl~. i~licate APrno, AS nOTEO i UMB tERT/FICATION/I I uA'r ' ~OLDE ~ FO~O~m INSPEmONS: //----SUPPL) SYSTEM CANNOT ~. FOUNDATION~R ~D ~' ~O REQUIRED 4. FINAL - CONS~U~ION MU~ 8E COM~ ~R ~O, THE REQUIR~EN~ OF ~E N.Y. STATE CONS~UCTION · ~ERGY PLUMBING CODES. NOT RESPONSI9~ FOR ~ PLUMBING ~ DESIGN OR ~.~U~ ~mX ta~., .~,~ ~ING 8E~RE COVERING UHD~ITERS ~IFI~ .... REQUIRED .......................................... (.~ ..... lz:i~q; d~tly ~,rta, tkzt~S ;1~zl say~; that he ia the ((kmtlactor: agent, COllX~rale of ricer, etc.) Iltnt khe m~tl: ~ill I~ i~rfoin~l ]u the II[llll[tl ~;et: birth iii the applicat iou filed