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Home My WebLink About30886-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30725 Date: 01/27/05 THIS CERTIFIES that the building DECK ADDITION Location of Property: 36980 CR 48 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 4 Lot 8.2 Subdivision Filed Map NO. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, 2005 pursuant to which Building Permit No. 30886-Z dated JAI~JARY 12, 2005 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", & AS PER CERTIFICATION OF JAMES J. DEERKOSKI, P.E. DATED 1/26/05. The certificate is issued to CHARLES & BERNADETTE TAPLIN (OWNER) of the aforesaid building. SUFFOLK COUNT"f DEPARTMENT OF HEALTHAP~ROVAL ELEt-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~r~u3 N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UlqTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30886 Z Date JANUARY 12, 2005 Permission is hereby granted to: CHARLES TAPLIN & WF. PO BOX 336 PECONIC,NY 11958 for : AN "AS BUILT" DECK TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 36980 CR 48 County Tax Map No. 473889 Section 069 pursuant to application dated JANUARY Building Inspector to expire on JULY SOUTH/PEC Block 0004 Lot No. 008.002 11, 2005 and approved by the 12, 2006. Fee $ 300.00 Author~-zed Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typexwiter 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 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 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ,~x/fing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimmmg pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 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. New Construction: Old or Pre-existing Building: b// (check one) Location oferoperty: 3(g~g0House No. ([~Ot4'h /~ O,'2~O/StreetlO~..OO,'C.- l lCtf£ OwnerorOvmersofProperty: CJ3/t~C~ 4' /~:~./'Oa~ '7-d(,9ol i./3 Suffolk County Tax Map No lOOO, Section ~'7:~g&/ ~q'~?oc~~'*}~' ' Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ o~, 0~ Filed Map. of Pemlit. ]/~_2 //t} ~ Applicant: Date Underwriters Approval: Hamlet Lot Final Certificate: Lot: (check one) o ?25 · Al~p]i~ant Signature J?dMES J. DEERKOSKI, P.E. 260 Deer Drive Matfituck, N.Y. 11952 (631) 298-5,506 To: Toma of Souflu)ld Compliance Certilication Charlie Taplin 36980 Rt. 48 Peconic, NY To Whom It May Concern: This letter certifies that fire construction of tiffs deck was done in compliance wifl~ all state m~d local building codes at the tixne of construction. Any questions please fee[ free to call. ely .|ax'h~i~kosh P.E. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND ROUGH PLBG. [ ] INS~JLATION I I FRAMING [ ~'~'~'NAL [ I FIREPLACE & CHIMNEY I ~] FIRE SAFETY INSPECTION REMARKS: ~ DATE ~//"'~//'~'~"-~ INSPECTOR~~'~ FO~DA~ON (1ST) FO~DATION (2~) ROUGH F~G & pL~G ~S~ATION PER N. Y. STATE ENERGY CODE TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765~1."02 FAX: (631) 765-9502 ~w,wv. northfork.net/Southold/ Examined ]/t,,~, ,20 O,y'"- Approved Disepproved ~'c Expiration ,20__ PERMIT NO. ; Bu{lding Inspector BUILDING PERMIT APPLIC~TIO. N CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT t/~N I [ Date _, 20 INSTRUCTIONS ar. T~s application MUSIJl~.lompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. fi Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector ma5' authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (l~ailthg addres~ ~f ~pplicant ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameo£ownerofpremises (O~t'~l~__ T ~4'T3~.t~/~_. '-J~l;t% (As on the tax roll or latest/deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street ' ' -'- (,J Hamlet County Tax Map No. 1000 Section ~~'~8~F~ ~0d}°--~-~°'O~' Block Subdivision Filed Map No. (Name) Lot Lot