HomeMy WebLinkAbout23601-zFoP. M NO. &
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF OCCUPANCY
No Z24544 Date August 5, 1996
THIS CERTIFIES that the building addition
Location of Property 2385 Henr~'s Lane, Peconic
House No. Street Hamlet
County Tax Map No. 1000 Section 74 Block i Lot 44.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated July i0, 1996 pursuant to which
Building Permit No. 23601Z dated July 23, 1996
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which thie certificate is
issued is a deck addition to existing one family dwellin~ as &~lied for.
The certificate is issued to
Kenneth & LouAnnRuthinoski
(owner, lessee or tenant)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
IvOEM NO. O
TOWH OF SO~I~IOLD
I~UILDING D£PARTMEHT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
No.
Permission is hereby granted ~: . x'~ /,~.~/
..... .......
Et premises located at ............... .~....r,~.~.,.,~. ,'~-~:'~.....~.~.....4,,~'~ ...........
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CC)MPLETION OF THE WORK AUTHORIZED)
pursuant to application doted .................. ~.~..~... ....... , 19.~.,~, and approved by the
Building Inspector./- /,/ -
Fee $.....~C~-~.,,~
Rev. 6/30/80
· ;ow. o~ sou~, o~~
Y0~ OF SO,TI{OLD
BUZLD!'-NG
TO~
765-i802
inspeczor w~h ~he foi!cw~ng: for new building or ne~ use:
Final su~ey of proper~y ~ accurate Loca~!om of ail buildings, propers? lines,
~zreecs, and unusual ~aEura! or topographic features.
2. Final A~provai from Heal ch Dept, of ~-&~er supply end sewerage-disposal(S-9 form),
3, Approval of e!eccr±cal inscal£a~iom fro~ Board of Fire Umde~ri~ars.
Swor~ s~a~emen~ from plumber cer~if?~n~ a~a~ the solder used in system contains
!ass than 2/I0 of ii land.
5, Commercial building, industrial building, ~ui~iple residences and.s~i!ar bui!d~gs
and ins[ailacions, a certificate of Code Comg'Lia~ce from architacz or en~eer
raspons/bia for ~he building.
6, Submi~ Planning Board Approval of completed si~e ~ig~ requirements.
For e.~,is=Lng buildings (prior ~o Apr,! 9, 1957) non-conforming ases, br buildings and
"pre-~xiscing" land uses:
[. Accurate su~zey of proper~/ showing al! proparcy limes, screens, building and
unusual ~acura! or copo§rapk!c features,
2. A proper!? completed app!ica~iom and a consen~ ~o ~lspecc si~ed by ~he applicant.
l~ a Car~iflca~a of Occupancy is denied, ~he Building 5nspeczor shall s~a~e
reasons ~herefor in w-~,i~ing co ~he applicant,
Fees
~. Ce_~_~-~uaca of 0ccupamc7 - ~e,~ dwelling $25.00~ Additions co d~e!!iug $25.00
,~sra~ions ~o dwelling $25.00, S~4~ing pool ~25.00~ gccessory
Additions ~o accesso~/ buildin~ $25.00. Businesses
2. Car~ificaca of Occupancy on Pre-~xis~in~ Sui!¢~ - SI00,00
3. Copy of Car~!fica~a of Occupancy - ~
~ Updated ~F~ = - S50,00 /
. Ca ..... cg¢~ of Occupancy
5. Temporary Carulficaua of Occupant7 - Resleenu-at S15.00 Co~ercial
0~: ~ . :ha~.~..~,. ~q ~ L ......................
ConsC~ac=ion.~q%.~... 0l~ 0r ~-~- ~ ~ = guilding..
House No. S ~rae5
s~a~o~.., c~:c. ~lb...5< ......... ,~d ~ ............ ~o~.~ ......... , .........
· ~eaich Oep c. Approval .......................... Under:~ricars Approval .........................
Planning 3oard Approval ........................
ta~ues~ for: Tamoor~r7 ~ ~-~=-~ -= Final Car~ica~a. .~.....
~,~,:, ~ ,' ~-~' S~ ~ ....................
~0 ~2 qb' YF
lrOllNl}A'r' ! (iN ( 15;T )
lNG
INSBLATION PElt N. ¥.
,q'l'A T I./. Ir, NER(;¥
COIJE
ADI) l'l'l OItAL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU.~/H-PLBG.,
[ ] FOUNDATION2ND [ ] ~JLATION
[ ] FRAMING [/_~I,/FINAL
[ ] FIREPLA..OE~HIMNEY ~'~("
REMARKS ~~~~~~.~
] H.BTRUCT 1 ()N~
BOAPd] OF IIE^I,TII ...............
""" 3 ,qF,'l',q OF PI,AIq.q ...............
'" SUIWE¥ ........................
~-. CIII~.CK .........................
.q F. I~T I C IrORtl ...................
1)ot.e .... )¢ ............
a. 'lids applical, lo,~ .,mi: I~ co~l~lelely filled in Dy lyl~,~xiler or h~ ink at~l mdxaitl~I to Hm IAdldlu8 hmi~ctor wilh
e. 'lhe ~)rk c(~ered by thin nll~lic~ti(a~ ~,~y ~I. I~ cmne~.'~l I~Fot-e ismm;~e o~ )Mildln8 t'etmlt. ,.
U[~ ~q~r~al or lids alff)licaLJon, the lhJildlng lnSl~cLor will ismm a lk~ihlh~g l'e~mlt to the al;[~llcank.
kX~tl~.~:y ~mll h~e I~en I;rnnt~l by II~ IkHl¢li~g lnSl~etor.
Mihli.8 ?x~m ()[di,u.~:e oE Ihe 'lkam of ~tl.)ld, Affrolk (k~mly, ~ Ymk, m~l other applicable 1.~s. O~xli~n~en
~l;ulaki~nm, for 1.1~ ~mstrt~tl(m of latlhling% ~kllti¢ms or alteral:io,m, or (k)r r~al or (~llt'ion, as hereh}
L
([;;Snatm'e of appllcan~ or tmon, iF a corl~rat-lon)
(~dlln8 akh'ess CE al~[icaut)
r'
(~;v,~ nf~l title oE corlx)rale o fleer)
W THOUT CERTFICATE
E[ectr{eimm l,lcelme ~ ......................
lksme ~.rt~x' Rtr¢mt Ik~nlet
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 - CONb'"TRUCTION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION 8HAM, MEET
THE REQUlREMENT~ OF
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
1.
5.
Architect .......... ~ ......................... ~kh em~ .............................. I~o~ Il) ............
I'I,OT I) IAGI{AH
NOTARY PUBb
No.
State of N.Y.
luffolk Cour~,
May 31, 19..~
(,,I & dUle of Applictlnl)
'.- ,;,. ., , ,,-.::; ...................................... beilU~