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Home My WebLink About24228-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33852 Date: 07/27/09 THIS CERTIFIES that the building DECK ADDITION Location of Property: 1680 HARBOR LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 1 Lot 24 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 1997 pursuant to which Building Permit No. 24228-Z dated JULY 2, 1997 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SALLY THOMPSON of the aforesaid building. ( OWNER ) SUFFOLK COI~TYDEPART~TOFHF~%LTHAPPRO~ EI~-r~ICA5 CERTIFICATH NO. pLDI'~ERS CERTIFIC3%TION DA'rMD N/A N/A N/A Rev. 1/81 ~- .' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 Undefwriters. 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. Bo 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-existing Buildin~ - $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 $15.00 / Date .................................... , ..... / New Construction .~. ........ O~ld Or Pre existi Bu'lding .... Location of ...... ..... P. }2...iiGi iiiiii.. House No. Street Hamlet Onwer or Owners of Property ............. (7' ......... ~ ........................................ County Tax Map No 1000, Section... ~ ...Block .... Lot. Subdivision ............................... .... . Filed Map ............ Lot .................... . . 7 Permit No ................ ate Of Permit ........ Applicant .............. Health Dept. Approval..~.~ .................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate .... ..~'~..... Final Certicate...~/... ..... Fee Submitted: , ........... " IPORM' NO. J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24228 Z Dote .................. ~. ....................... , ~.~...~. Permission is hereby granted to: ...~,~zz'.~.....~,,~.....-~.. .......................... .../..~....~....z~,~...~.. .............. .~,.~. ~. ~ ....~...~.~,~.: ~ ~ . ~ ....................... ~...~~ .... ~...~.~L~.....~~......~: ~......~:.~~~.....~....~~--- ..................................... at premise, located at ..../~..~.~......Z~~. .............................. ~oun~ Tax Map No. '000 ~ct,on ..... ~.~ ........ ~'~..~..Z ......... Lot ~o ..... ~ ...... pursuant to application doted ......... ~/,~/-'......./..~.....~... .......... , 19 .~..~., and approved by the Building Inspector. Rev. 6/30/80 APPROVED AS NOTED DATE: ~ B.P. # ,~ NOTIFY BUILDING DEPART'MENT AT 765-1802 9 AM TO 4 PM ~ FO~ ~ 3. 4 FINAL - CON$~RU{,"~ION MUS? 8E COM~ ~ C.O. ALL CONSTRUC~ON ~HA~ THE REQUIREMENT8 OF THE STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRU~ ER~RS OCCUPANCY OR USE iS UNLAWFUL ~¥ITHOUT CERTIFICATE L;? OCCUPANCY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~JLATION [ ] FRAMING [ ~ FINAL [ ] FIREPLAC~ CHIMNEY REM~t~KS: ~ ~ DATE INSPECT~ I) i .~pl~mVed a/c .................................. FORH NO. I TOWN OF SOUTIIOI.D BUILDING DEPARTMENT TO~fN IlAI.I, SOIJTIIOLD, N.Y. 1197 TEl.: BOARD OF IlEAl,TH ............... 3 SETS OF PLANS ............... SHRVEY ........................ GIIECK ......................... SEPTIC FORH ........ = .......... HAll, TO: .................... ( ' 'n?/~t/or) APPLICATION FOR BUILDING PERH1T INSTRUCTIONS Date ................ ,19 .... a. 'lhis application ramt be completely fillt~l i, by ty~.~iter or in ink o~1 ~al~itt~l to tlm ~tildlt~ Ins~clor x~ith 3 ~ts o[ pl~s, ~mrate plot pl~ to ~ale. F~ ~co~lis~ to 1). Plot pl~ ~i~ l~atim of lot ~ of ~fildi~s ~ ~i~n, ~lnti~ship to ~jolnlnE strmts or areas, al givi~ a ~tail~ i~riptlm oF l~t of ~rty ~st ~ drm~ m the dinar~ ~ich is ~nrt of this ~1 lentil. c. ~ ~rk ~1 I~ this ~llcatim ~ ~t ~ ~1 t~fore isle of ~ildi~ Pe~it. d. ~ ~al of this a~licatim, tl~ ~ildlna Ins~ct~r will iam~ xmlt ~mll ~ kept ~ tl~ ~i~s ~ilabl.e for in~tlm thr~t tl~ ~rk. e. ~ ~lildi~ ~al]. ~ ~o~i~ ~ u~l in ~le or in part for aM p~r~ ~mt~r ~mtll a C~rtificnte o~ a.lC~'H~ IS la~U ~ to tlw ~ildi~ l~rt~nt for tl~ i~a~e of a ~ildi~ ~mit p~r~mnt to the afildi~ 7~ ~li~e o[ t~ T~ of ~tl~ld, ~fffolk C~mty, ~ York, n~l other a~licable I~, ~li~es or l~dhtlms, for tl~ ~tn~ti~ o~ I~ildi~s, a~itims or alterations, or for ~al or ~wlltion, ns Iwmln ~scril~l. ~ appllc~t ~s to c~ly with ~11 a~llcnble 1~, onli~es, l~dldi~ c~, I~si~ c~b, ~1 ~n I~,1~ For ~ces~ lns~tim~. (l~ailinl~, ~klress of appl ic~nt) Slate ~l~tlwr al~licant is t'~tn~r, ]es.,,~e, a~nt, architect, engineer, ger~ral contractor, electrician, plt~nl~,r or Indlder. ........... ............................................................................................... N,~n~ o~ c~ner of premises ....... (as on the tax roll or latest deed) If appl ~cmat' ~' .~/~ ~..a corlpor~t ~9, s~gnatm-e' . ............... of ~)ly a)thori~ed officer. Pidlders License No .......................... Pl~nl)er.~ [.icon.ne No .......................... . Electricians I,icen.~e No ...................... Other Tr,-,/3e*a Licen.~e No. '/ - .............:. (~) J. l~;ttt.c ol xa.k (cl~eck tdsid~ al~}licable); ~s~ I~fildi.g .......... ~klition .~... Altt~ation .......... ' 1~1}1 h 14. ~l~es of (~er of ple. es ............... ~il e~s ................................ ~le of firdlitect .................................... Nilress .............................. Boe ~) .............. 15. ls Ihis prol~rt:y within ~ f~t of a ti~kl i~tlmil? * YI~$ .......... ~) .......... PI,OT I) I ^GllAFI '~oo-/6~-/-~/ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~/NER STREET / ~ <'~0 VILL~G£ DIST. SUB. LOT ACR. , I C~ K. ~,'q~l~ ~ S W , TYPE OF BUILDING ~0 S~S. VL FA~ COMM. CB. MISC. M~t. Value~/~ y~C~7 ~ NORMAL BELOW ABOVE ARM Acre Value Per Value Acre lable lable 2 lable 3 )odland ampland FRONTAGE ON WATER Jshland FRONTAGE ON ROAD /~ ~. 2 ~ ,use Plot DEPTH /~d ~/, BULKH~D tal ~ >OCK · Bldg. tension tens Jan ltension ~rch ,rch reezeway lrage Foundation r~. ~})'",~ C,**,I ,~ J Bath ~ ~inette Basement / ~C~. Fl~ors ~ ~ . ~ ~"" ~J ' '~'~'" ' JLR. Ext, Walls Heat Rooms 1st Floor Fire Place Rooms 2nd Floor Type Roof Recreation Room Dormer Driveway I DR. BR. FIN. B. z~O.o $. 0 ~;~;ALE: 30'= ["