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Home My WebLink About28122-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28892 Date: 09/26/02 T~IS CERTIFIES that the l)uilding DECK ADDITION Location of Property: 1855 KENNYS RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) Coua~ty Tax Map No. 473889 Section 59 Block 7 Lot 12 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 26, 2002 pursuant to which Building Permit No. 28122-Z dated FEBRUARY 28, 2002 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. T~e certificate is issued to GLEN HOFFMAN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF I{F~%LT~ APPRO~-~J~ ELEt-rKICAL C~TIFICATE NO. PLI~BERS C~TIFICATION DA'£~3 Rev. 1/81 N/A N/A N/A Authori~ ~d-S~gn~re- 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. 28122 Z Date FEBRUARY 28, 2002 Permission is hereby granted to: GLEN HOFFMAN 333 EAST 34TH ST APT 8N NEW YORK,NY 10016 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR at premises located at 1855 KENNYS RD SOUTHOLD County Tax Map No. 473889 Section 059 Block 0007 Lot No. 012 pursuant to application dated FEBRUARY 26, 2002 and approved by the Building Inspector. Fee $ 150.00 ~ ~[utho'r~ Signature Rev. 2/19/98 COPY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r,~ F~ r~ ~ n ?? r!: ~ ~ ~PLICATION FOR CERTIFICATE OF OCCUPANCY A-?-''This ~Rp~tio.. ~_:.~=_ 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 su~ey 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 I% lead. 5. Commercial building, ~dustrial building, multiple residences and similar buildin 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~uildings (prior to April 9, 1957) non-conforming uses, or buildings an Vpre-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-existin~ Buildinz - $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 New Construction .... .~. ~d'Or Pre exist~ngD~l~;~/~'j/'p''~%'' ...................... "~.--.__ - . .. . ............. ,. of ropert ...................... ...... ....... .... House No. _ S(~hreet Ham_let O wer or O, ers of ............. ' ........................ County Tax Map No 1000, Section....O..~.~. ..... Block...(~..O..O...~ ..... Lot....~..~..~. ......... -Subdivision .................................... Filed Map ............ Lot ................... Permit No....~.f!.~...~....Date Of Permit. R/~..~/~.~-...mpplicant..~.~...~.l~'./~... Health Dept. Approval .......................... Underwriters Approval ...................... Planning Board Approval ........................ ~/ Request for: Temporary Certificate ........... Final Certicate ....... ,ee S~b~itted: , .... ~. ~;'00 ~~ ~: ~PLIC~ ~ 0~/17/~999 1~:47 53676~1~6 KDJIN ~ .d SWOlIgnno~d 3S~3r~3H ~aundH cue(] dD[ ~8I ~0 SO // ............. / i /\ BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME: ,'4ffo,,~aa DATE REVIF. WED: ~- /~-~/01L .DATE SUBMITTED: ~ /~./(IL SCTM# DISTRICT: 1,000 SECTION: STREET: PROJECT DES CRIPTION :~"'"'~-~,,. .:~? BLOCK: -? LOT: crry: __ - SUBDIV. NAME: ARCHITECT / ENGINEER: ~/~ FAST TRACK? SINGLE & SEPARATE CERTIFICATION~REQUIRED? NOTES: LOT8 40,000SF -100-24. Lot rec0gnition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any tim6 after 7/1, ZONING DISTRICT: ~-~/o CONFORMING? ,,to REQ. LOTSIZE: q,~,~,o~ ACT. LOTSIZE: REQ. LOTCOV.. cOo~ ACT. LOTCOV. REQ. FRONT ~ 15~ PROP. FRONT REQ. REAR q ff PROP. REAR WATER FRONT? r,~ o DESCRIPTION: FLOOD ZONE:~, AGENCY PERMITS REQUIRED FOR REVIEW R QU R .: SUFFOLK COUNTY HEALTH DEPT: YES(~D #): DTE: __ __ NEW YORK STATE DEC: vv.z-Dzcgnr~s YES ,~ SOUTHOLD TOWN TRUSTEES: YESorir~r~C 3 TOWN ZONING BOARD APPROVAL: YESor TOWNPL~. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES NYS ENERGY: YES OR~): tV/~ E~IRE~S (18 H rain_? 4 sq total) r~ArENT (SQ. FT. x 4%) HAVE PRE CO S: Y ORq~I.--'/ BP NOTES': / / PERMIT #:RI0- .__----- LIGHT (SQ. _,/.,.-/Z~ -Z / C/0 Z- - ~ .___ -Z / C/O Z- FEE STRUCTURe: FOUNDATION: SF FIRSTFLOOR : .w-xgO SF SECOND FLR: SF TOTAL: ~O~ SF INIT OTHER TOTAL FEE FEE FEE 'OT( ,~e~ SF)- ( SF)= SF X $__=$ +$ +$ = $ I~'"~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU~LBG, [ ] FOUNDATION 2ND [ /] ~JLATION [ ] FRAMING [ ~]~FINAL [ ] FIREPlAn&CHIMNEY REMARKS~~~~~/~/~ -- DATE~2~INS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUlATiON [ ] FRAMING [/,~I~iNAL [ ] FIREPL~ & CHI~MNE.Y REMARKS BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROU~4PLBG. i i ~ORAUMNiDNA~ION 2ND [[ ~ ] ~'~L~,],,I=iNA/TION FIREPLAC &~~MNEY ~, R£MARKS:~~ FOUNDATION (1ST) -- FOUNDATION (2ND) ~_~ ROUGH FRAMING & PLUMBING ~'~ ~S~ATION PER N. Y. STATE ENERGY CODE o F~ TOWN EL4J~L SOUT~OLD, Nt' 11971 TEL: 765-1802 · Disapproved ' .n s/ vcno s / ! s:s of p~s, ~cc:a:e plo: p~ ~ s~. F~ ~oor~g~ ~o, sh~:l be kept on ~e pr~i~¢~ a~ for~ ~n~ ~ w~ Bxhiders License No. Phxmhers License No. lBtect~cians :::sense No. Other Trade's License No. mad title of cort~,~t~ officer) Repair 'R~,moval D~aolifion 5. k~ dwellinF~ if garage, number of cars A&',;fion Alteration .Other Work D ~c~ (to be paid on 6ling this application) .Number of dwelling units on each floor IfbusmesS,'c°mmeTc4al or mJxed oocupan.cy, speeifyllature a~d exterrt.of each tYPe of use. Height . . Number of.S'torie~ ,, Dimensions of ~me s-tm~ wlth alt~-atiOr~ or additions; Front' , Number of Stodes Depth Hi~gJ~t Dknensiorrs of ~-¢ new e°m k aCfiom Front Rear Height 'Number of Stod~ ' ./J-o ' Date of Pm-ch~_qe ':~(ZIJD} ' Depth ' LYNDA M. BOHN NOTARY PUBLIC, State of New York No. 01BO6020932 ... · Qualified in. Suffolk Courtly. Term ,Expires March 8, 201~ CO~ 0 2.'