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Home My WebLink About37465-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 11/2/2012 No: 36026 Date: 11/2/2012 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building PORCH 1240 LONGVIEW LANE SOUTHOLD, Sec/Block/Lot: 88.-4-45 Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/1/1900 pursuant to which Building Permit No. Lot No. filed in this ofilced dated 37465 dated 8/23/2012 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: screened porch and deck addition to an existing one family dwelling as applied for. The certificate is issued to MICHELE MOFFITT, (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ' Autltbrized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37465 Date: 8/23/2012 Permission is hereby granted to: MICHELE MOFFITT, 191 THIMBLEBERRY ROAD MALTA, NY 12020 To: CONSTRUCT SCREENPORCH & SUNDECK ADDITION TO EXISTING ONE FAMILY DWELLING. REPLACES EXPIRED B.P. # 9885 At premises located at: 1240 LONGVlEW LANE SOUTHOLD SCTM # 473889 Sec/Block/Lot # 88.-4-45 Pursuant to application dated To expire on 2/23/2014. Fees: 1/1/1900 and approved by the Building Inspector, PERMIT RENEWAL CO - ADDITION TO DWELLING Total: $7.50 $50.00 $57.50 Building Inspector FORN[ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9885 Z Date ...~.~-~'.....~ .............. , 19..~..~.. / Permission is Hereby ~]ronted to: at premises located· at~/~7~,.,~,.,.__.,/,~,,~/,~./~/~.,~/~ ......... d ' ~. ~ 197/ d d by th ~t i~p~.catlon date .. , ,an approve e Form No. 6 TOWN OF SOD'THOLD 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 Department with the following: A. For new building or new use: 1. Final survey of property with accurate'location of all buildings, property lines, streets, and unusual natura} 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. Sw. om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, mUltiple residenex~ and simila~ 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." I. Aecorate survey of property showing all property lines, streets, building and unusual naturai or topographic features. 2. A properly completed application and con~ent 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. Certificai:e of Occupancy - New dwelling 5;50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmir~g pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $l 5.00 New Construction: Old or Pre-existing Building: ' ' LocationofProperty: ) ~ ') "~t~'.x..', House No. · owner or Owners of Property: /~,tC · Suffolk County Tax Map No 1000, Section ~ ~ Block Subdivision ~"' ~' (~..t~ .x~.-.~ ' Filed Map. V mitNo. q 'q b DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted:$ ~-~ Street · C -z (check one) Applicant: Underwriters Approval: Final Certificate: Hamlet Applicant Signature (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INS~ULATION [ ]FRAMING/STRAPPING [,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE /~~h~ INSPECTOR ~ h TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION ~]~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL |FINAL) [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ [ ]ELECTRICAL (ROUGH) [ REMARKS: DATE ;/~ / -- / ~____.__INSPECTOR ~ FO~M ~qO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. . , ..... ~'sop. roved a/c~ ................... ~~~~ ............ {ghil~ Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 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 giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application 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 permit shall be kept on the premises available for inspection throughout the work. shalle' haveN° buildingbeen grantedShall bybe the°CCupiedBuilding°r usedlnspector.in whole or in part for any purpose whatever until a Certificate of Occupancy 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 cede, housing cede, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ...... ............. ......... State whether applicant~ "~,~,~is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of oWner of premises If applicant is a corporate, signature of duly authorized officer. Builder's License No ...... ~....~... ......................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No,:..~....~...~.. l.-,.~.~..~ ..~/L'~ot N"~o. Street and Number ...-~.~./~..~/..~.....~....~J~-~!~....~.. ............................................. Municipality 2. State existing use and occupancy of premises and in'.ended Use and occupancy~of proposed construction: a. Exisiting use and occupancy .......... l......~.../z~.......~.........~.....~./../.~.....~. b. Intended use and occupancy ............... ..~...:~........~....~.o....~...~,~ ~..~)~..t '.~/~.'~ Nature of work Repair 4. Estimated Cost ....... ~ ....... ~.. .................................... Fee '~/~' (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ....................... . ............... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ........~..~. ............ Rear ..... ~.~. .................... Depth ...~...~...: ........ Dimensions of same structure with alterations or additions: Front .~'..~. .......................... Rear ~...~..,~ ............... 8. Dimensions of entire new construction: Front ....~r..~........................ Rear .~.~....../. ............... Depth ..../...O...~ ............ Height ../ .............. Number of Stories ..... ~...~,~. ............................................................................................... 10. Date of Purchase ........ ~ ........................................ Name of Former Owner ..... :: ................................................. 11. Zone or use d~stnct in which premises are situated ............ ;~:~...~. 12. Does proposed construction violate any zoning law, ordinance or regulation: ............. .~...: ..................................... 13. Will lot be regraded . .......... ~ ........ Will excess fill be removed from premises: ( ) Yes (/No No Name of Architect ............................................................. Address .........................Phone No ....................... Locate clearly and distinctly oll buildings, whether existing or proposed, and indicate aH set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW~.YORK, ~ S S cou Y o ...................... .C ....... ~ - ......................... ........ ~...~.~.~.~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing contracf) above named. He is the ................................. ~.~.~.~_~ ............................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in t~is application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ............. ...... o, ........ ........... . 0 ................ ~.~~ ........... Coun~ ....... ~~~..:~ ................ Nota~ Public,. (S'gn~e o~licant) '~OTARY : -- ~ch ~0, 19 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR 1'.O. BOX 728 TOWN IIALL SOUTtlOLD, N.Y. 11971 TEL. 765-18o2 'thin ia to advise you that tho job under building perrnJ ~ no. 9885Z issued to Bruce Loucka on .... ~832Z.7_8 ..... for Addition is completed and ;: flr*at Jn~;pectlon has ( ) has not ( X '~--been done. AnPlease supply Underwriters Certificate if necessary [. ordc. r to complete this file, {t is necessary that ;, Certificate of Ot'cupancy be issued. Please fill out the enclosed form, ret,rs ,'lame to the above office with a cheek for $25.00 payable to the Town of Sou(hold. Please indicate to Uhom the Certificate of Occupancy ia to be mailed, and arrange with this office for nn inspection (late Occul)anc¥ or uae in unlawful wlthont a Certif{cnte of Occupancy. I'tenne help .~ to clear up chin matter so that legal ecL{on does eot have [o be Lakes. Thnnk you for yo,r prompt attenclon. Very truly _~, Victor Lessard Executive Administrator eric I . J T Jd~ EED& SqS'I: "[OOB OmB'l: W,,.,.,~ J. J~co~s CUTCHOGUE. NEW YORK ~" DATE: - ~' I'IOTIFY BUILDING "NT AT 765-2660 9AM to 4PM FOP, REQUIR- ED INSPECTIONS: 1. BEFORE BACKFILLING FOUND.~.., TION OD, START F~AMING 2. F~AM~NG INSPE~TION/,T~ 3. BEFORE COV~ING~PES.__'~_ ANY KIND 4. FINAL WHEN J~ COMPLEIE~