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Home My WebLink About23582-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24971 Date APRIL 10, 1997 THIS CERTIFIES that the buildin~ Location of Property 8985 ROUTE 25 House No. County Tax Map No. 1000 Section 31 Subdivision ALTERATION Street Block 3 Lot 17 Filed Map No. Lot No. EAST MARION, N.Y. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1996 pursuant to which Building Permit No. 23582-Z dated JULY 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 ALTERATION TO EXISTING OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SYLVIA DALEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N--398413 -- SEPTEMBER 27, 1996 SEPT. 20, 1996-PECONIC PLUMBING & HEATING ilding ~ nspec~ FORM NO. t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23582 Z Dote ...:~..~..~. ....................................... , 19..~. Permission is hereby g~anted to: / / ~ /~ · /~ ......................................... et premises located at ...~...~.~...~...~~.......~.~ ........ ..~....~/_/_/_~......~... County Tox Map No. 1000 Section ..... ~.,.Z ......... Block ....~ ............. Lot No.... ,/.,~.. ............. Building Inspector. Fee $....~ ,~../~,. and approved by the Rev. 6/30/80 Form No. 6 TOWN 0F SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mu~t be filled in by type~qriter 0K 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-disposa!(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 loss than 2/i0 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: 1. 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 , r~aso~s therefor in writing to the applicant. Fees 2. 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-existing Buildinm - $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 .... ........................... / New Construction ........... O1Dl~ Or Pre-existing Building ...... ~ ....... / ~Location of Property .................................................................. Rouse No. Street ;Onwer or Owners of Property ................................................. $ iCounty Tax Map No i000, Section....C~..~.! ...... Block... .Lot. Subdivision ................................... ~ Filed Map ............ Lot .................. .~ · . .Z. . . . . ... :Health De~t. ApproVal ...... :.].~ :f .............. '--:Under,ri,e~s Approval Temporary Certificate ........... Final~erticat e ........... Fee Subm~ea: $ ............................. ~ ......_~r .............. Town Hall, 53095 Ivtain Road P.O. Box 1179 Soulhold, New York 11971 Fax (516) 765-1823 '[elephone (516) 765.1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Owner: Plumber: Permit No, '(please print) (please print) I certify that the contains less than 2/10 solder used in the water supply system of 1% lead. Sworn to before me this Public, State of New Yod[ No. O1 ST4844752 Qualilled in Suffolk County Cornmissk~ Expires Sept, 30, 19_~7 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 23, 1996 Jason C. Leonard P~O.-,.Bo~ 55 .... J Peconic, N.Y. 11958 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 23582Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 lOOO12~ -u.E^u oF E'~CTR,Ci~ ~ 85 JOHN STREET, NEW YORK, NY 10038 Dar*, ~ SEPTEMBER 27,1996 .Applic. r;onMo, o, ftl~' 12537396/96' N 398413~ THiS CE~IFIES. THAT * ~ : o~y t~ e~tr~ ~uipment ~ ~d~ be~w a~ ~nt~uc~ by t~ ap~t ~d on the o~ ap~t~ numar in ,t~ p~m~s of EA. DAVIS, 12910 ROUTE 25, EAST ~ION, N.Y. in t~ followlng hwatlon; ~ Bmement ~ lzr ri. ~ 2~ FL OUT .~io, Bilk ~ u~ exami~ea o. SEPTE~ER 24,1996 and found to be in compl~nce with the N~on~ ~e~t~c~ Code. HXTURE OUTLETS SWITCHES 2 6 FIXTURES RANGES OVENS EXHAUST FANS 2 DRYERS PEEDERS OTHER APPARATUS: PADDLE FAN-1 MOTORS: 1-F H.P. G.F.C.I:-I SMOKE DETECTOR: -1 E V I C OF NEUI[IRA~. P.O.BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. F[EI.D INSPECTIONI REPORT DATE CONIqENTS FOIJNDATION ('ST) mi --," INSULATION PER N. Y. STATE ENERGY CODE 765-1802 BUILDING DEPT. INSPECTION I ] FOUNDATION IST [ ] ROUG~PLBG. [ ] FOUNDATION2ND [ ] ~SOLATION [ ] FRAMING [ ~/FINAL [ ] FIREPLACE & CHIMNEY/ .~ 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ,ST [ c~//~UG. PLBG. i ] F~U~ION2No [ ]~AU:ATION [ ] FIREPLACE~CHIMNEY DATE ~//~-~////~ ,INSPECTOR FORH Il(). l 'l'Ol4lt OF $OUTIIOLI) IIU1LI)J lIG DEPARTHEtrl' TOI,/H IIALI. ,$OUTIIOI,D, N.Y. I 197 I TEl,: 7fi5-1802 (Buil BOAIU) OF IIE^I,TII ............... 3 SETS OF PLANS ............... SI[IRYEY ........................ CIIECK ........ SEPTIC FORH ................... so'ri FY: (tt HAH. TO: .................... APPI.ICATION FOR BUILDING PERHI'I' Date ........ '~.~/.~.~.~. , 19 ~ INSTRUCT IOHS a. 'lhis alii icati~t .amt Im c¢ml)letely filial in I~ tylx~,~riter or in ink a~l mdxnitt~ to O~e Ikdldi~ lns~etor with 3 ~;s of plmm, acc~rate plo~ plan to ~ale. F~ according to sch~hde. b. Plot plan ~ir~ l~ti~ of lot ar~ of Isdhli~s ~ pr~i~s, ~lationship to Mjoinlng praises or ~a)tic str~ta or areas, as~l givi~ a ¢~tail~ ~scripti~ o~ la~*t of pm~rty .~st Im dr~ ~ the diagr~ ~dcJ~ is Dart this al~l c. lira ~}rk ~r~l I~ thin aM}lica~i~ ,ny ~x~l. Im cou~m:~l Imfore ismm~e of lhHIding Permit. d. Illn~ all~al of this a~licatia;, tim I~dhling lns~ctor will iaae a I~dldlng l~mit to the applicant. Immit ~;a[l Im kept ~t tim pmi~s ~ailable for ins~cti~ tho~; tim ~rk. e. ~} ImihHng Mmll Im ~a~pial or u~l in ~mle or in lmrt for any I~r~ ~mt~er until a ~rtificaCe of ~qm~:y Mmll have I~n graatol by tim Ikdlding hm~tor. ~PI~LI(~'I'I~ lS II~IIY }~ tO tim ~dhli~ l~Drt.ent for the iam~a~e of a l;il{lit~ Pemit Dff~ant to the ~ildit~ ~m Oalilm~e of tim 'l~m of ~al~ld, ~lffolk ~mty, ~* York, a~ other a~licable l~s, O~li~m~ea or ~lati~s, for tie ~st~ti~ of I~dldh~s, ~ktiri~s or altera¢iam, or for romal or {~mlition, as Imrein {~ri~l. '11~ applicant agr~ to cmply with all al~flicable 1~ onli~m~es, Imilding c~, Ioming c~, ......... ;~'; .............. ......... .......... ............ State vi~etber a[qfllcant ia (x~mr, lessee., agent, architect, engi~r, ge~ral c(mtractor, electrician, plmtmr or Imihler. ~'1~ Of c~r O[ ,r~.i.s ...~.~O .............................................................................. (as ~m the ta~ roll or latest (leal) If' al~d h:ant ia a COrl~ratla~, M~ture of &fly matl~riz~l officer. (~ m~l title of corlncate officer) 2.6 t~':~ Buihlera License 14o ......... .' .............. Ph~mr~ l,lce..'m I'to .......................... El~trlcimm l,lcen~ ~ ...................... Otlmr Tr~s l.icen~ ~ ..................... I. l~a~i~ of lm~l ~ ~dd~ ~1 ~rk ~il I I~ ~br~ .............................................................. ....... ................... ........... '. ....................... .... M. od. ........... I~m a~imr Strut I~flet (~) 2. State exlsl:i og .. ~,~ ,,~ .~ ~,~,~..~ ~ ..... ~ ..... ~~ ......................... I'I.OT I)i AJ}IIAH .I. ..... .'.~..S.~.~J ..... C,....¢~.'-.~&¢¢¢ .............. ~:i,,~ ,~,,~ ,~,,,,, ,~,,,~,, ,,,.~ ,,,,~, ,,,, j,~ ~,, ,,~ ,,,¢ ~,..,,,,t (Nm~ ()f iixlJvi(Eml IlJllnilqt ~, ~,, .,,, ..~m~.~.! .......................................................................... ((~)lJl.r~letor~ nljelll:~, corlxJt~JLe o[rh,..r, ()f mhd (~r or ~,~l'H~ m~l i~ (1~1~ m~lh(~rl~d h) ix~rf()nu ()r llnv(~ I~l'l[)~.~(I Ih~ m]i(I ~rk m~l Io n~dm m~l lllo Ihi~ Ilmt. (l~e ~)H~ ~ill I~ I~r~()~led i. I.m .wuiK~r riel fo[Lb l~ ~ll~ ~ll)l)li~mtion Filed Iher~lll~. ....... 7.~ ..... ~,~ .. ~... Apl,ll/: NO. 472508O~uffolk Cou~ J / Term Ex~ires May 31, 19~ ~