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Home My WebLink About23581-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF O~uumAN~Y No Z-24508 Date JULY 19, 1996 THIS CERTIFIES that the building ADDITION 950 INLET POND RD. & Location of Property 1075 MOOi~ES LANE NORTH GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 33 Block 2 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1996 .pursuant to which Building Permit No. 23581-Z dated J~LY 15, 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 FAMI~ DWELLING (IN SIDE YARD) AS APPLIED FOR "AS BUILT" The certificate is issued to MARY GOETZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23581 Z Dote ..... .~.//..~.-~. ....................................... , 19....~.. Permission Js hereby granted, tx ~..;~....~.4: ....................................... · ,.~./.....,~.~m:'":":"~'~~~ ~..~.~~~~~..~J~,,.~/~ ,, ~e~,,, ~,,,~ ,, .~ ..Z~:....~~.-~ ........................... ~ '. .................................... ......................................... .................................................................................... co~ ,o~ uop Uo. ~000 s,~t~o~ pumu~nt to opplic~tion dot~ ...~ ....................................... Building Inspector. ~ee $......~.~ nspector Rev. 6~30/80 TOWN OF SOUTHOLD BUILDING DEP:~RTM~NT TOWN ~'SALL 765-1802 .~PPLZCATION FOR CERTIFICATE OF OCCUP~'~YCY This application must be fil.ted in by typewriter OR ink and submitted to the building inspector wi~h the following: for new building or new use: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Eealnh 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: [. Accurate survey of property showing all property lines, streets, building and ~nusua! natural or topographic features. 2. k properly completed application and a consenE 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 !. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, AJ_terations co dwelling $25.00, Swimming pool '$25.00, Accessory building $25.00, Additions co accessory building $25.00. Businesses $50.00. 2. CerTificate of Occupancy on Pre-existing'Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .~5~. 3 4. Updated Certificate of Occupancy - $50.00 ~ 5. Temporary Certificate of Occupancy - Residential $15.00, Cormmercial $15.00 ...... ....................... New Construction,..~ .... Old Or Pre-existing Building ................. ~ -- oca ion Proper y ...... ' ............. ~ouse ~o. Street Property.'. ' Onwer or Owners of .~.. ~.~,..t~. .. .~.. ~ounty ~ ~p ~o ~000, Section....'"'i'..'5 ....... Bloc~ .... ~ ......... ~o~ .... .~...~. ............ .... iled .... .% .............. Permit No ................ Date Of Permit ................ Applicant ............................. 5ealth Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ !aquest for: Temporary Certificate ........... Final Carticate..~ .... APPLICAxNT co~VqSo~' CODE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~--~ ~/~' [ ]ROUGH PLBG. [ ] IN/SULATION [ ~,~NAL DATE 7/?/~')~./, '/ . INSPECTOR~ FORH NO. · rol4bl OF .qOUTIIOI.I) Illl I I,I) I It(3 I)F,P^IrI'HI~ItT '¥(fi, llq IIM,1. $OIH'IIOI,I), iq.Y, 1197 I TEl,: 765-1802 IlO^RI} ()ti. IIl~^l.'HI ............... 3 ,~ET$ OF PLANS ............... · qI/RVEY ........................ (;IIECK ......................... SIgPTIC FORH ................... H0'r [FY: (:Al.~. t122-..0.I..~. ........ HAIl. TO: .................... API'I.1CATION Ff)R BUll.DING I>EIIIIIT ] HSTRUCIq OH,q DaLe ................ , 19 .... a. 'lhis apl)lieatic~s mst be co~lfletely filled in by tyi~riter or in ink aM s~h.itted to the Milding Insect:or with '1 ~ts of pla.s, accurate plot plan to scale. Fee accor(li~ to sch~lule. b. Plot plan d~mi~ h~ati~ of lot aM of hdldil~S ~ pr~ni~s, relationship to Mjoielng pr~nises or ~ldic sL'~eta or areas, aM i~ivh~ a ¢~tail~ Chscripti~ of la~t of i~o~rty .nsc 1~ drmm ~ I'he diagr~ Mdch is lmrC of lids aHfl icatlon. c. 1he ~)rk c(~er~l I~ this a~ticstit~ ~,~xy ~g~t Im co,~e~:~l I~fore Jastkq~e off l~fildin8 Permit. '. ~d. II~ a[~nwat of this ai~lication, the I~filding lnsl~ctor ~.fill isste a I~ihling Permit ~o the a~]icant. ~ci~ l~n. it shall Im kept. (s~ tl~ preni~8 availa~l~ For ins~ckJ~l Ihrtx~(xl~ Lhe x~d;. e. ~ lasildlng a~all I~ ~cupi~l or u~ed in ~ole or in l~qrt, for a~ ~rl~ ~atever ~mdl a Certificate off (k. taq~ltg:y dsall h~me I~en gra. t~l by lira I~fihlin8 Tnsleetor. fil~,I(~'l'l(~ IS IE~I1Y ~E to ll~ Ihfildin8 l~l~rtuen~ For the ism~a~:e off a ~dldit~ Pennlt D~rbamnt to the Ikfildlng ~s~ Onli,~e off the 'F~l of ~tl~ld, ~ffFolk C~mty, ~ York, aM other appllcahle l~s, Ordi~es or I~gulati~a, for tim c~atn~ti~ off Inildinga, ~Biti(ms or alterations, or for re~al or fl~mlition, as Imrein &acril~l. 1he applicant agr~s to c~ldy wHh all aHflicable l~s, ordina~es~ ls~ihling c~, I~sing c~le, aM ature of appl i~an~-, or na~. if a corl~ration) (~fiting ~klress of a~lieant) ~ kN~ st'ate ~tlmr aH)~icank ia ~er, les~, agent', archilect, engineer, ga~rat contractor, electrician, plml~r or Izfihler. ,(as {s~ the tag mil or latest de~) If al~l Jcant is a cora}rat, lin, si~atum of duly autl~n-lz~l officer. (Nme affl Lit le ot: coqx)rate officer) Ikfihlers I,icens, e Ho .......................... lqmt~ers 1,1cerise Ho .......................... Electricians Licens~ ~ ...................... Other 'IY~'~ License ~ ..................... I. Iz~ati~ off huff ~ ~dt:h pmlx)v~l ~tk will Im &~tm... ~ .................................................... / Td .... ,. .............................. Ikx~ae ~fl~ ~treeL Ik~nlet ~,,,,~y '~;~ ~,p a,..x~ ~,.i~, .... ~ ...... n~,~k ..... ~ ....... ~,- ..~ ....... (~) a. Existin8 u~ aM ~aq~u~y ...:.~A ~. .. ~ ..................... , , YI.OT DIM;RAH APP~O~D AS N~D 785 t802 9 AM TO 4 PM FOR THE FOL.LOW~NG ~NSPECTIONS: FO U ,N D/~.TIO N T~¥O RECJUIRED FOFt POURED CONCRETE ROUGH .. F~:~AM~NG & PLUM~ING F:~ N.~,L CONSTRUCTION MLJST ~. (X)~PLETE FOR ,~ ,x :{)UIREM~:NTS OF THE N,Y, ~ 'b'~;;'[: CONSTRUCTION L,:,,, NO'r RESPONSIBLE FO~ ((~)111 I ~i(:t.(ir ~ IIIT~ItL, Ihnt the ~[1~ '~i1[ I~ Imrfol.~.~l |u IlK! u~..~'~.r ncr I*orth ltl the nl~l~l il:hi loll flied lher~lth. ...... ~ .... ,,,,~,,~ ~ ..... ,,,.~aA.. CLAIRE L, GLEW Notmy Public, State of New York No. 4879505 Qualified in Suffelk County Comm ssion Expires December 8,