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Home My WebLink About24643-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28850 Date: 09/06/02 THIS c~TIFIES that the building ADDITION Location of Property: 1150 LAUREL AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 2.28 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1997 pursuant to which Building Permit No. 24643-Z dated FEBRUARY 6, 1998 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 SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to JOSEPH & ALLISON CONWAY ( OWNER ) of the aforesaid building. SI/FFOLK COUNT%r DEPARTMENT OF HF2%LTHAPPROVAL ELEt-£tICAL CERTIFICATE NO. PLUMBERS CERTIFICATION N/A N/A N/A Rev. 1/81 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) Z Permission Is hereby granted to: ....... .~.p.~ ~..P.~J....~... ~.1. k.. ~. ~.~ hi... f~.~ I~1~ P,Y. ......................... ....... . .P. f~... I~.~,~....~.~ 2 .......................................................... ....... .~i O.~I.-[H 0.1, P.,. NY....,1, ,!..9. 7..1, ........................................ to ..... ~.q N.~.'[E~[J.C;.Z...~...DE~C.~../~ DD. I.T. ~.q N....ON../?IN...E].~, ~.~i.-[.Z N~...~ ~ N ~ E...E~ ~.I.~.~.. ~WE~ ~ ~G ......... ~.~.. ,~ .P,` ,P, ~.. I.l~..D,....F,~..R,...?.~.~....~.CLI.b.T. ~'. ........................................................................................... at premises located at ................ ,1...z...~..o. ..... .L..~.U...R,.E...L....~.V...E, ........................................ .S.,.O...U,.T...HO..L..D. ........... County Tax Map No ..... ,4,,.7,,.3,,.~,..~,~, ..... Section ..,,0..~,.6. ............. Block ..... .o. 9..o..$, ........ Lot No...0,,92,:,.0...2,,,e. .... pursuant to application dated .....S..E...P..T..E.~..B..E...R.....Z..6.. ........................ 19 ...... ~..7. ..... and approved bythe Building Inspector. Fee $ .........7....3..-..9. ,0. ..... Rev. 6/30/80 This Form No. 6 TOV,~ OF SOUTHOLD BUILDING DEPARTMENT TOWlN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY application must be filled in by typewriter or ink and submitted to the Building Department 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 topograptfic featnres. 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 certific. 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 us{ · 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. Ifa Certificate of Occupan~ is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Ce 1.. C. ertificate of Occupancy.- New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0( Swimming poo1'$25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0, 2. Certificate of Occupancy'on Pre-exi~dng Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Tempora~ Certificate of Occupancy - Residential $15.00, Commercial $15.00 House No. I S~o~ ~mty T~.Map No 1000, S~tion Subdivision Pe~t No. ~ ~ ~ ~ Date of Pe~t. Hmlth Dept. Approval: Plmlg Bo~d Approval: Request for: Tempora~ Ce~ificate DO Feb Submtted: $ _ ~ Date. (check one) Hamlet Filed Map. Lot: Unde~fiters Approval: Final Certificate: (check one) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] ROUGH PLBG. [ ] INS/UL-ATION [ ~FINAL ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. ] INSULATION [ ~FINAL~~)[ DATE -~//~//~ INSPECTOR FOUNDATION ( 1 st FOUNDATION (2nd ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORH NO. I TOWN OF SOUTIIOLD RUI LI)I NG I}EPAR'I~ENT TOWN DALIo SOOTIIOIoD, N.Y. 11971 TElo: 765-1802 INSTRUCTIONS (l~J,e a~l title of corlx)rate officer) BOARD OF IIEALTIi ............... 3 SETS OF DLANS ......... ...... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... NOT IFY -' ,;A,.,. ]. ¢-S'. 0 ..... HAll. TO: .................... ' Date ................ , 19 .... a. 'lhis application mint be coq~letely filled in by typewriter or in ii& ai~l m~lJaitted to ~e ~dlding Ins~ctor with 3 ~ts of plmm, ~cnJrate plot pl~ to ~ale. F~ accordip~ to sds~lule. slr~t-s or areas, ~ givi~ a ~tail~ ~ripti~ of layout of pro~rty namt ~ dr~ ~ the diagraa M~i~l is Imrt of this appl icati~i. c. 'lhe ~ c~r~ by Hals a~licati~ s~y s~t be catne~m~l Imfo~e is~me of l~dldi~ Permit. d. Uixm a~r~al of ~lia ai~licati~, tim l~fildi~ lnslmctor will ismm a l~dlding Pen, it to the applicant. ~mh I~imit Mlall ~pt ~ tim pr~i~s available for insl~ti~ thr~)~¢~t the ~rk. e. ~ Infildi~ Mmll ~ ~o~pi~l or u~l in M~le or in ~rt for any ~r~ ~satever tmtil a ~rtificate of {k:taq~u~y M~all h~e I~n gr~t~ by tim lkdhli~ lns~tor. M'Iq.IC~TI~ IS IE~BY ~ to tim IKaildi~ ~rtnent for the ia~a~e of a Ik~ildiog Pe~dt ~sraa~t to tim Ihfihli~ ~m Ordi~me of tlz 'l~ of ~tl~ld. ~tffolk C~mty, ~ York, at~ other a~licable I~a, (~dil~es or }~gulaticma, for tim camt~ti~ of l~lildi~a, mMiti{ma or alterati~a, or for r~al or ~lition, as herein If al~licant is a cor~ratim, si~ture of duly m~tl~rial officer. l~dlders I.ice~tse 1~) .......................... Plunl)ers I,icerme Ho .......................... Electricians I.icenae No ...................... Other 'lY,-~le*s l.icense No ..................... I. Izx:ation of land fyi td~idl prolx~sed work will be ..... //. ............... ..... ...... ' .... ; ::? ................... Ikxme I~ml~er Street l~.let (~,mty T~p ~. ,~) ~tia, ...~.~ ......... Bilk .... L .......... lot .~.'.~.~ ..... ~d~li~isi~ ...................................... Fi]~l ~p ~ ................ l~t ............... (~) 2. State existi~ e aM <a~y of pr~ai~s md intet~ u~ a~l <a~ of pro~ c~st~tion: a. Existi~ t~ ~ ~my . ~ b. Inte~l u~ aM ~ . 3. P:~h.e of ~rk (('J~zk wi;id* applicable): ~ I~;ildi~} .......... ~kliti~ ....... Alteration I~l~ir ............ I~al ....... ' ............ ...... l~z~l iti~ ............. Other l~rk ~ / (~ripti~) 6. Esti,mt~! ~sr /~0 f~ ....... ~. (to ~ ~id ~ filing this a~licati~) 5. If {K~lli~l' ~,~i~r of ~lli~ units ............ ll~d~r of {k~llleg ~its ~ ead~ ~r ................ If garage, a~;ier of car8 6. If I~mi~so, ~anmreial or miml ~o;~y, ~ci~ ~mture and extent of each ty~ of u~ ...................... 7. Di,~nsiom of ~iating ntnmtums, if any: Fr~t ................ ~ar ............... ~pth ................. I~ip~;r ......................... Kel~r of Stories ...................... l)i,~asi~m of sam atnmture with alterati,~s or ~litims: Fret ............... l~ar ............... I~pth .................... I~i~t ................... .. K,d~r of Stories ............ ......... '" ~' - ...................... mr nf Stories ..... ~ ............. 9. Siz~ of lot: Fr~n~t .................... ~ar .................... ~pth .................... I(}. I~tt'e of h~r{:l~a~ ..................... ~;m of Fo,.er ~r I I. 7z~m nr n~ district in ~id~ proni~s are sitmt~! 12. ~ms prol~}~l camtn~:tlm ~i01ate any r~ming 1~, onli~me or re~,lati¢m: ........................ I]. ~ill lot Im regr~l .................... ~ill e~tess fill Im r~l f~m ~i~,: ~ ~ 14. ~ms of (~r of pr~i~s ........................... ~lren~ .............................. ll~m ~ ............. Eec of Archlt<t .................................... ~klress .............................. H~a~ ~ ............. ~e of Cmtr~tor ................................... &klress ................... ~ ......... I~ ~ ............. 5. Is this p~rty within ~ f~t of a ti{hi x~tland? * ~Lg .......... ~ ..~... · IF ~q, ~II!!~ 1B~ '11~I~ II~l~l'l' ~Y Igg ~l~ll~. PI.OT I) IAGR^H Irs_ate clearly and distinctly all I~ihlings, wbetl~er existing or proposed, and indicate all set-lmck di~ensions fr~Ju prol~arty'lines. Give street mi block a,]i}er or descripti~ according to {Lced, and sho~ street n~tnes and indicate x,4}etlvar interior or corner lot. IVfE ~qLb,4. Zo f lie is the ..,~'.~.,,,~.~,~. ............................................ ({~mtractorl nBent, corl~rate officer, etc.) ......................................... o[ said {~r or ~rs, a~xl is thlly nulhorlz~l to Ix~rfonn or have l~rfom~ Ihe ~id ~rk mM Lo nuke arxl file thin alq}l lcati{a~; that nil sLat~mnL8 c~tai~l in Ihls nl~l icati¢a~ are tn~ to the Imst of his ka~l~lge that tim ~)rkwill I~ i~rfom~l in Ihe ~n*er mt forth in the appllcnti(m [fill tl~rmith. ~m~ lo I~rore n,t this ~ ~ .. Z II --~ ..... M~lN ....... PROPOSED WATER AVENUE THE REQUIR~F~ ~F ~E ~.Y. .................. I .... STA~'CONS~U~ON & ~ERGY