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Home My WebLink About23619-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25193 Date AUGUST 11, 1997 THIS CERTIFIES that the building ADDITION Location of Property 11065 SO.ND AVENUE House NO. Street County Tax Map No. 1000 Section 141 Block 3 Subdivision Filed Map No. MATTITUCE~ N.Y. Hamlet Lot 1.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 23, 1996 .pursuant to which Building Permit No. 23619-Z dated AUGUST 6, 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 FANILY DWELLING AS APPLIED FOR. The certificate is issued to PAT~ICIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A IPOWw NO. J TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISF_~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 23619 Z Permission is hereby granted to: / ~ . /~:._/____ , , ~ / .... at premises ocated at .......... Z~.......~...~~ ............................................... ~u~.o., ,o o,~,co.on do,ed ...... ..,~~...~..~. ......... ?.., ,9.~., o.d opp~ed by ~, Building Inspector. ~' ~' Rev. 6/30/80 Form No. 6 BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TO~NNOF$OUTHOLD 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, 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 completed si~e 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 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-existinK Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - _ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 47 New Construction~..~f.~..7~.... Old Or Pre-existing Building ................. Location of Property. /~.~..... ~/~O //tM~--- .K/?.../~.~.??~f.~... House No. Street Ha~et Onwer or O~ers of ~ .... r~,, /~/~ ~e~ County T= Map No i000, Section.~6.7~ ~ock ................ Lot ...................... Subdivision .................................... Filed ~ ~=av ............ Lot ...................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ..................... .. . Request for: Temporary Certificate ........... Final Certicate..~.. ....... Fee Submitted: $ ...... ~..'~ ........... APPLICANT 765-1802 BUILDING DEPT. ~ INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~~REMARKS: '~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~JNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY [ ] ROU~LBG. [ . ]~JLATION [/~ FINAL REMARKS: DATE INSPECT~~ BEAM LAYOUT CUSTOMER -- DATE 07/22/96 REF BOEHM RIVERHEAD, NY RIVERHEAD BUILDING SUPPLY 303 OSTRANDER AVENUE BEAM BEAM POST POST LABEL LENGTH COUNT SPAOING A I1' 9" 3 5' 8 3/4" B 13' 5 I/2" 3 6' 7" C 24' I" 5 5' II 3/8" D 38' 9" 7 6' 4 15/16" Post spacing is measured c~nter-to-center. 1' 11 1/~" Depth of post-in-concrete footers --- 36 inches. -I ]1 3 BLDG. DEPT. Iz()RH N(). I 'I'D~N OF SDUTIIOI.I} Illl I 1,1)I R(; I)F. P AR'I'flI~, N'I' 'I'O~N IIAI.I, · ~;OIITI1Ol.l), N.Y. 119? I TEl.: 765- 1802 IIOAIII) OF IIEAI,Tll ............... ~./'3 SETS ()F PI.ARS ............... .~ SURVII. Y ........................ ~-~ I[:IIECK ......................... SEPTIC POI1H ................... NO'I'I FY: a. 'lhl,q aFgllcatlc~ ~amL be c{J*~)lel:ely filled h~ 1~ tyl~miter or in ink m~l md~ultt~l to tl~ ~{hllng hml~ctor 3 ~ts off plnns, ~rate plot plan to ramie. F~ nccordi~ to ~;cl~hde. b. I'1ol; pIm] ~ing lcmati(~ oF lot mil of I~dhlisgs ~ i~r.ni~s, ~elat'ou~lp to ~ljoinh}8 prrs. i~n or d. UlXa~ a~al o[ this all)llcati.~, tl~ ltdhling Insl~cl:or uill i~m~ a hdhllng Pmmlt to the nOT;ih:md:. e. ~} I~dl(li~g droll I~ (rOSl)i~l or u~d in d~)le or in lmTt for m~ F~rl~se a~at~er ~n~t~l' a C~rtiflcnte l~gula~ja~s, for LI~ mmtt~rti~} o[ txdhlhgs, a~lltlm* or alterati~m~ or [or r~al or (~llti(w~, a, I~relu (Sil~mlm'e t~[ nlq~l h:ant', or na~, ir a (~Bi I lng ~klress of n~l icant) State ~tl~r ni~llcant is [~r. le~, *~genL, architect, eng[~r, ge~rnl rr~t~*mLor, electrleian, ph~t~r or I~dhl~r. (as (w~ II~ trix roll or Iate~t de*l) f. ti. if). II. I~. il. Ill . t&tt,i,u el: t.x)zk ((:lmt:k ',,Alit:h avI)lictd)le); l~",.' IIt~ihlin~[ .......... /~kliLioll'~.. ^lie,alien .......... I~il ii,~U ed (~)~t . ~. .~ .............. ~t~e ............................................... If t~l I ittl;, inlJl~ {if *k~ll i~l~ ..its ............ I~,[l~r of *~1 I lt~l~ t.kil ~ iai eat:h fl<x}r ................ ..Al. - ....... ' ~,~. ,,f ~,,,:,.,,,~ .... ~ ............. ~,,,, ,,r ~,,,,,~ ~,., ...~.~ .......................... ll~t~ of Il,ii;racier .~.~ ...................... ~kl~e~8 ............................... 1~,~ ~} .............. I, Ihi, I}t~l~ly wtlhi~ ;ill feel df u tidal t~lm~l'l ~ ili~ .......... ~l ...~. ..... Iq.IH' IIIAI;ll^lq clearly at~l (llst:i~:tly ,~11 IxHhlit~s. Mmther e. lm;i~g or prolx}Sed, m~l it~lica[e all se[-Imck tli.en~ions APPJiOYED AS NOTED DATE: ~B.I FEE: NOTIFY BUILDING DE 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REOUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST SE COMPIJ:;P FOR C.O. ALL CONSTRUCTION 8HALL MEET THE REQUIREMENT~ OF THE N.Y. STATE CONSTRUCTION & EMER~Y CODI~ NOT RESPON~BI~ FOR DESIGN OR ~ BmOl~ alJt,I Jc.l_i(,ii Ihill: Jill Btlll~lellt:ll c(Jt)laJlmd ill Illin i,IJI)l JCtll i(,I ll,e lite Ltl tile Ix~.l: of hi. k,x~ledlle tliKI Ix~l left alxJ I Jml the ~.)lk ~ill ix] IX~[J:ozu[.~i ill Ills jjl~JlllJ~-J' Set: I:(Jllil i. Ihs appli(ml:ion Ii led IJJ~re.~[Ih. Nota~ Publi~, State o~ New No. 4951364 Qualified in Sutfolk County Commission Expkss May 22, 19