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Home My WebLink About28565-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28631 Date: 07/26/02 I~{IS C~TIFIES that the building ADDITION Location of Property: 1555 BROADWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 11 Lot 4 Sulx~ivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in tb/s office dated DECEMBER 28, 1999 pursuant to which Building Permit No. 26228-Z dated DECEMBER 28, 1999 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 ACCESS RAMP TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LINDA HILDEBR3LNDT (OWNER) of the aforesaid building. SUFFOLK COUNTSf DEPART~4ENT OF ELRt-i'~ICAL U~TIFICATENO. PLUMBERS C~TIFICATION DA'I'~D Rev. 1/81 N/A N/A N/A /~~z~d S~i nature FORM NO. 3 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) PERMIT NO. 28565 Z Date JULY 16, 2002 Permission is hereby granted to: for : LINDA HILDEBRANDT 1555 BROADWATERS RD CUTCHOGUE,NY 11935 CONSTRUCTION OF AN ACCESS RAMP TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (replaces BP #26228-Z dated 12/28/99) at premises located at 1555 County Tax Map No. 473889 Section 104 pursuant to application dated JULY Building Inspector to expire on JANUARY BROADWATERS RD CUTCHOGUE Block 0011 Lot No. 004 16, 2002 and approved by the 16, 2004. Fee $ 150.00 Rev. 5/8/02 COPY FORM NO. 3 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) PERMIT NO. 26228 Z Date DECEMBER 28~ 1999 Permission is hereby granted to: LINDA HILDEBRANDT ~555 BROADWATERS RD CUTCHOGUE~NY 11935 for : CONSTRUCTION OF AN ACCESS RAMP TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1555 County Tax Map No. 473889 Section 104 pursuant to application dated DECEMBER Building Inspector. BROADWATERS RD CUTCHOGUE Block 0011 Lot No. 004 28 1999 and approved by the Fee $ 75.00 Auth6~ized Si~ature Rev. 2/19/98 ORIGINAL · l~ee Submitted: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink a~d 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 O{ Fire Underwriters. 4. Sworn statemenC 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 building~ and installations, a certificate of Code Complianoe from architect or engineer' responsible for the building. ' ' 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses, or buildings.and '3pre-existing" land uses: 1. Accucate 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 Occqpancy 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.O0.~ 2.Certificate of Occupancy on Pre~existing Buildinm - $100.O0 3.Copy of Certificate of OccuPancy - 4. Updated Certificate of Occupancy - $50.00 ~Temporary Certificate of Occupancy - Residential $15.00,-Co~ercial $15.00 New Construct/on .......... Old Or Pre-existing Buiiding ................. cation of Property ............ House No. · Street Hamlet Onwer Owners of Property ~ ~D~ or Ceumty Tax Map No 1000, Section ........ Block.., ~f~ ............ Lot ................... Mubdivision ............... ~'~! ............. Filed Map ............ LOt ...... '.. ............. Permit No ...... Date Of Permit .... · .Applicant ...................... Health Dept, Approval ............ e .... .....Underwrit rs Approval .................. Planning Board Approval... Request for: Temporary Certificate ........... Final Certicate ........... $ TOWN OF SOUTHOLD PROPERTY RECORD OWNER ~ STREE-r/6'-~_~ WLLAGE S W AR. TYPE OF CARD /~- ? LOT ~'~ ~ ;ES. ~.. / 0 SEAS. VI.. ~ FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE AGE BUiLDiNG CONDITION /~ t ~o N~ NOeL BELOW ABOVE ~ FA~ Acre Value Per Value ~re rillable 1 rilla~l~ 2 V~land ~wampl~d FRONTAGE ON WATER ~ru~lond FRONTAGE ON ROAD ~ouse Plot DEPTH 'oral DOCK SUFFOLK COUNTy DEPARTMENT OF HEALTH SERvJCES FOR APPROVAL OF CONSTRUCTION ONLy, ~TE __ HS REP NO__ APPROVED =, .,,, ~. ,.,o ,,..,,.?~ bA'~Jr~ APP ROX I t"t^'~r~ IN EXClaim. OF GUAR~,NTEED ONLy TO: JAROLO p TRANCHON JR N.Y.~ LIC. NO 04,~992 PENN.LIC. NO. 21115-E THE WATER SUPPLy ~ SEWAGE N~"'~-~' DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ADDRESS ARDS OF THE S4JFFOLK COUNTy DEPT· OF HEALTH SERVICES. ~TUATED AT, ~U SCAL~ I ' = ~' DATE ~K ~ el le PAGE HAR~D ~ TRANCHON L~D SUR VEy~R SUCCESsoR TO WiLLiA~G' MEIER NORTH COUNTR~ ROAD. WADING RIVER NEW YORK (51~) 929-4~g5 ALT, 473-3626 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~BG. [ ] FOUNDATION 2ND [ ]~J~ATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ,~..-FINAL DATE INSPECTOR FIELD.INSPECTION REPORT DATE =:--:~ .................... ~ ................................ COI~NTS . " FOUNDATION ( I ST) H fl ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE fl FINAL ADDITIONAL CO~fi~qTrS: · F01~ NO. I TO~q OP SOHTHOLD BUILDING DEPARTI. fENT TOWN HALL SOUTHOLD, N.Y. ! 197 I TEL: 765-1802 Disapproved a/c .................................. (Bu~ld~r~ IrCspector ) BOARD OF BBALTIt .. . · . 3 SETS OF PLANS SURVEY ............... Ch~CK S~TiC'~k~ .................... NOTIFY: CALL .................. NAIL TO: INSTRUCTIONS a. This application mst be oaupletely filled in by typewriter or in ink taxi su~itted to che Building Inspector wit 3 sets of plans, accurate plot plan Co scale. Fee __~x'ording to schedule. b. Plot plan lbouing locatio~ of lot and of buildi~s co premises, relatiomship to adjoining pranises or public s~teets or areas, and giving a detailed description of 1aTtar of p,-operty must be draun o~ the diagram ~hich is parc of chis applicatiom c. ~be ~ covered by this application may not 'be calL, riced before issuance o£ Building Permit. d. lllXm approval of this application, the Building Inspector ~ill issue a Building Pemit to the applicant. Such permit shall be kept on ~ praises available for inspactio~ threugheut the ~ork. e. No building droll be occupied or used in ~bole or in part for any purpose ~hatever until a Certificate of 0ccopaucy shall have been grau~d by the Building Inspector. ~t=LICa,TI(ll IS ~ ~ Co the Buildir~g Depaz'a~t for the issu~ce of a Buildiug Permit pursuant co the lluilding Zone Ordimmce of the To~ of Sauthold, Suffolk Cottony, Ne~ York, and other applicable La~s, Ordinanees or Rngulatior~s, [or the c~sCructioo of buildings, edditi~s or alterations, or for ii:=~val or demolition, a~ herein regulati°ns, and to ar~it authorized inspectors .mau. c.-e. s, building code, bo~?ing code, ar~ ~zzamg for necessary inspectiq~s~. (Signature of applicant, or naue, if a corporation) (Nailing address of applicant) State ~aecher applicant is o~ner, lee~, agent, ax~chit~ct, engineer, general contractor, electrician, phznber or b~ilder ................ ....... ( on the tax roll or latest deed) _':'_i"}~[~'i)a ....... ~"-'~'~_~ If ar~licant is ...... , DATE: ,,L - ~ l B.P.# -~n- ~ c~rporarxoo, s~gcature of duly authorized officer ' ___ ~7 L--z~_. ~ ' ~lt: /~ BY: · ............... ~/..~ ......... , ..... OTIFY BUILDING OEPAR~ENT~/ (Na~e ar~ title of corporate officer) 765-1802 B AM TO 4 PM FOR THE OCCUPANCY 'OL~,NG INs~c~o~s: OR ~ ~OUND^~ION - ~WO REOUmE. Builders Licease NO ................... .U..$.~. IS UNLAWFUL ,,~s Li~ ~ ...................I~I.T. HOUT CERTIFICATE ~r. OCCUPANCY Electricians License No ........... .... k.'*-. FOR POURED CONCRETE 2- ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.G. ALL CONSTRUCTION SHALL MEET Other Tr~'s License No ..................... THE REQUIREMENTS OF THE N.Y. I. Lneatic~ of lami on ~aich ~ ~ ~11 ~ ~. STATE CONSTRUCTION & ENERGY -COD~S: · N~T. · R~S PO~S~ ~E..FOR ................................... ' ........................ ~s~~.s~.uc~,o~ ~ ~, '[~ ........................................................................... ~et ~ T~ ~ ~. ~ ~i~ ..... /~.~ ....... m~ ..... <( ......... ~ . ~ ~ ........ ............................. ' ....... Fi~ ~ ~. (~) ............... ~c ............... State ~s~i~ ~ ~ ~ of ~i~s ~: .... ~ .... a. ~,ci~ ~ ~ ~ ...........5~ ~,~ ~ : '. ~- b. ~ ~ ~ ~ ................... ~.~ ~.r~ of ~o~ (d~c_k ~4~id~ applicable): ~ euilding . · · ~i~i~ ................. ~erarion .......... l~ir ............ ~al ............. ~li~i~ ............ O~r ~ .................................. ~ ~ ~rip~i~) Es~i~c~ ~s~ ......................... f~ .. (Co ~ ~id ~ fili~ ~his a~li~ti~) If &~lli~, ~r of ~lli~ traits . .~./~ .... I~r of ~l. ling ~its ~ e~ fl~r ................ If ~rage, ~r of ~rs .. ~ ................. If ~i~ss, ~rcial or ~ ~, s~i~ ~re ~ ~ten~ of e~ ~ of ~ ..... ~ ............... Di~i~s of ~isri~ sr~a, if ~: ~r .... ~ ........ ~ar ..... ~.~ ...... ~prh ...~ ......... I~i~r ......................... ~r o~ 8~orie~ ........ ~ ............. Oi~i~ og ~ sr~e ~rh alterari~s or ~itlona: ~pth ..~.9.~-. ...... ~i~t .~o~ ~r o~ Stories ~ ~ ............... Di~asi~ of entire ~ ~st~ti~: ~t ..... ~. ....... ~ar ..... I~iO~t ......................... ~r of Stories ..................... Si~ of lot: ~t ....... ~ ......... ~ar .................... ...... ....... or ... ........ or .... ............ ~ or ~ district in Mli~ p~i~s a~ si~t~ ........... .~ ................................................ ~ill lot ~ ~ ~ 6 ~ill ~ss fill ~ ............................... ~ss ....................... ~ ~ .............. ~ of ~r~or ..... ~o~ C .............................. ~ress ............................... H~ ~ .............. PLOT DIAGRAIq Locate clearly and distinctly all buildings, ,,ahether existing or propozed, and indicate ail zet-back di~_nsions ~ property lines, gi~ street and block r,,-~er or descriptioo according to deed, and sho~ street names ~nd indicate ether interior or corner lot. i ' - I$' ~' ' 1 io, ,:le ~ of ind~via~al st~i,g contract) : is the .............................. <;~..~.,.~. ................. (Contractor, agent, corl~rate officer, etc.) ......................................... said o~oer or ~rs, ~ is duly ~thori~ to ~rfom or h~ ~rfo~ ~m ~id ~ ~ to ~ a~ file this ,licati~,; ~at all stat~nts c~ta[~ in ~[s a~li~ti~ a~ t~ to ~e ~st of his ~1~ m~ ~lief~ a~ ,t ~e ~ will ~ ~rfo~ in tim ~m~r ~t forth in ~e a~li~ti~ fil~ ~.' ,m to ~fore ~ ~is ·