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Home My WebLink About23299-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold-, N.Y. CERTIFICATE OF OCCUPANCY No 2-24253 Date APRIL 2, 1996 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2280 BOISSEAU AVE. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 14.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 1996 pursuant to which Building Permit No. ' 23299—Z 'dated MARCH 14, 1996 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 & ENCLOSE EXISTING PORCH FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARJORY MOFFAT STEVENS & ORS. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-291912 — OCTOBER 7, 1993 PLUMBERS CERTIFICATION DATED N/A Building fnBpector Rev. 1/81 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) Date ......... % '......L!=........... .............. . 19.94. 4. NR 23299 Z Permission Is hereby granted t ....J.a..<4, f..�.. .... ................ ..(r ?~ ......1V e '�. ..... . ............. .......................moo . . ,... to ........a. ... ............. ............�.��.. ..� ... .......................... ....... ��.... ......�- .... .. .................... .....: ... -........................................................... .................................................................................................................................................................. .................................................................................................................................................................. S at premises located at........ a R. ......... ..... ........ . ... ` , .......................................... ....................... ................................. 7Ci. �. . `:.` ........................... . ............ County Tax Map No. 1000 Section ....... ?.. ....... Block..........�.......... Lot No. ...........4............... pursuant to application dated ................... ........ 19.2 and approved by the Building Inspector. Fee$.... -5� ......... .. ... ...................... Building Inspe or Rev. 6/30/80 `J mot, 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 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 Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 -of M 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. B. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate. of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,, Commercial $15.00 Date . . . . . . . . . ! .�.[: . . . . . . . . . . . . . . . . . . . . . . . . New' Construction. . .K . . . . . Old Or Pr -existing Building . . . . QQ//�� Location of Property, . �1Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street •Hamlet , Q Onwer or Owners of Prop.erty.. . . .. . . . . . . . . . . . . . . . . ....d . . . . . . . . . . County Tax Map No 1000, -Section. , . . . . . . . . . . .Block. . . . . . . . 61. . . . . .Lot. . ..� :.'. . .. . . . . . . . . . . Subdivision. . . . . . . .. . . . . . . . . ... . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . ..... . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . .. . .Applicant. . . . . . . . . . . . . . . . . . . ... . . . . . . Health Dept. Approval. . .. . . . .. . . . . . . . .. . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . Planning- Board Approval. . . .. . ... . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . � . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . LICANT' co Z_a gl?15 3 a. o��SOfFO[�-cam co Gy1 Go Town Hall, 53095 Main Road p • Fax (516)765-1823 P. O. Box-1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1996 Ms . Marjory Moffat Stevens Pine Neck Road Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23299-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. DATE CullitlEtIT'S I it FMIUDAT I Oil 1.,;*I,) UOUNDATI Oil tm) MUCH FRAMP & 111.11MI I NC it 0 X INSULATIOtl FEll, if. Y . STAI I" I-.t I I I y ---------- F T HA 1. ------------- ----------- ADDITIOUAL C(*Ji-jl� ----------- ---------------------------- I 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG -PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & IMNEY REMARKS: zlr - � I DATE al !C✓ INSPECTO 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY Rle"ARKS: &64 ,gn4� (✓ �C DATE 9//, INSPECTOR \ BOARD OF HEALTH . . . . . . . . . . . . . . . :FORM NO. 1 3 SETS OF PLANS . . . . . . . - . - • - - - - TOWN OF SOUTIIOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . / TOWN ]]ALL SEPTIC FORM SOUTHOL.D, N.Y: 11971 TEL: 765-1802 NOTIFY: cALi, . . . . . Faxanined.. .�, 19.f. MAIL TO: - . . . . . . . . . . . . . . . . . . qi�4 Approm].. � � 19d. Permit No.,_P�3c�.... _ ............................. Disapproveda/c .................................. � _�t, • ....................... .......................................... .. ..... 4 MAR I 1996 - 1 -ilding Inspector) T - AP L ATION FOR BUILDING PERMIT ••Date. . February . - . _ 110q . INSTRUCTIONS a. 'this application must be cortletely filled in by tyMiriter or in ink and submitted to the Building Inspector wit 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 strT.ets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. *Ilia work covered pry 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 sliall be kept on the premises available for inspection througl.iout the work. e. No building sliall be occupied or used in whole or in part for any purpose whatever until a Certificate of. Occupancy sball have been granted by the ,Building Inspector. AFPLICN.UON IS HEREBY WE 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 retmvval or de mlition, as herein described. '[lie 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 o tics or nave, if a corporation) (No#) .Pine Neck Road, Southold, NY ................................................... (Mailing address of applicant) S6te'whethet applicant is owner, lessee, agent, archilect, engineer, general contractor, electrician, plumber or builder ...... Owner .......................................................... Name of owner'-of premises ....Marjory.Moffat.Stevens,-Jean,F,,&�arakyZi.11j-am,A..Maffa ................. ". .(as on the tax roll or latest deed) _:..I.1 applicant. is a corporation,,signature of duly authorized officer. Sry. �•. .•..5.•�"�s: •�_co _ (Nameaxltitle.;of,corporate.officer) 'Iduilder's License.. .. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be dooe...2280.Boisseau•Avenue..SQ t �i,Q� ,,�TX,;,,,,,,,,,,,,,,, .....................................................................................................................•- House Number Street hamlet Camty Tax Map No. 1000 Section ....55 ........ Block ...... 6........ Lot ..:14:.�........ Subdivision ...................................... Filed Map No. ............... Lot, .............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... One. family, dwelling............................................ One family g. b. Intended use and occurpancy ........I , ..dwellin .. ... ................................. EXISTING 7. Nalure of tx►rk Glwck whin► alrl►lirable): Nei++ lkrildinl; ........ Aklition .......... Alteration ...X.enclosed porch Itepair ............ I"oval .............. Dennlltion ............ Other Work .Dec1L.Pj1.bar-k................. (Ik�scripLion) , 4. EsLinoted Cost ........n�a:............ Fee $75:00 , . (to lie 1), on fili►ig this appl.icaticx►) 5. If ckxal inl+„ lx,uher of deaell ipq units n�a........ I&xri►er of A&A 1 ing mils on each floor ................ If. garage, n►nix:r of cars n/A............................. b- lf_kx►siness, comiercial or mixed•occupancy, specify nature and extent' of earl► type of use.,n ................ 7. Dimensions of existing structures, if any: Front....1B.Ap.4..... Rear PW (e�t. Depth llc:ight ........./41............ M,►i>er of Stories ...I.................. . Dinieiisions of sane stnrcture with alterations or additions: Front ....� tt..lie.'!... hear ...... Depth ......S410!......... ileigl►t .......IS!......... M,d)er of Stories ....a.......... !3 1 lI. Y1 . Dimensions of entire new cousin tia►: Front ...��.......... Bear ..... . Depth .. .... lleil;�►l ..... `t.:".15 It'...----77 Mni►er of Stories 1�` .......... 9_ Size of lot: Front ._.....1.�........ Rear ........�.�...... Depth .0A 0�............ 10. h:►t'e'�of Purchase .. ........ wrre of Dormer Omer .EvelyA.H:..MO£iat................... II. Zone or use district in wl►id► premises are siLuatecl ................................ 12. Does proposed construction violate any zoning law, ordinatice or regulation: ........none............ Ia. Will lot 1►e regraded .;n�a.............. Will excess fill lie renywed firon prcanises: YES NO 14. Names of Owier-of premises Marjory Moffat SteyeD klress . 1?irta.NE>rk.Raad,...:...... Mime of Arciiltect ..: n�a...:.. ............. Address ........ ................... 11tone No. .............. Nine of Contractor . n.a . .. ...... Aklress ..'.....Ilion No. .............. 15. Is this property within 300 feet of a tidal wetland? * Yls'S ....... MO X...... *IT YES, SOIIimD inm misiITS PERMCr MAY m liG(pmj). PLOT DIAGRAM Incat'e clearly and distinctly all Imildings, %AieLl►er existing or proposed, aril indicate all set-back dimensions Cron► property lines. Give street and block nni►er or description according to deed, and show street panes aril indicate whether interior or corner lot,; SEE ATTACHED SURVEY �= APPROV D AS DOTED LG� DATE: ` B.P.# 3 ' FEE:. ' .; BY NOTIFY BUILDING D AT 765-1802 9 AM TO 4 PM' FOR THE � �, } � FOLLOWING INSPECTIONS: 1 P1,-At "k �` " 1. FOUNDATION - TWO REOUIRED FOR POURED CONCRETE gIF-5 C 2. ROUGH -.FRAMING & PLUMBING lad ii � a� '*s 3. INSULATION �� 4. FINAL - CONSTRUCTION MUST zs, ' ty �, a."1 BE COMPLETE FOR C.O. I P a ice'ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. age ' STATE CONSTRUCTION & ENERaY CODES. NOT RESPONSIBLE FOR slnll. cIl ra�� YCNuc, SSDESIGN OR CONSTRUCTION ERRORS tl H417 01? _..._.....Suffolk.... Mar•or Moffat -•..............J...Y...........;t.?Yt'Aa._........._.....-Ix:iug duly swxrrn, delx>ses;aril says that he is the rippl.icanl: - (N:n,: of individual signing contract) alxrve iunx:d, Iktis l.lie ..Owner.. ........ .. .................................................... .............. (Contractor, :►gent:, corlx►rate officer, etc.) of ::aid cxmx--r or cmmers, and is thily aull►orized to lxirfonn or have lx?rfonned the said work aixl to ulake and file lhis application; that all. slaCerenls contained in this al>1►I ical:ion are t:n►e to (lie I►ec:L of his knowledge and lx:l.ieF; arxl lbat lie mak ►wi1.1 be l►erfonned in Ole ura nier set forth in (Ike appl ication filed therewi-th. f)wc�rn t before me Otis .,.�........•...clay of February'.. Notary 1'►drlie .. - BESS"IE L.AUSTIld (S ignature o ' ►p leant Notary Public,State of Now York Marj or o at Stevens No.52-3203050 Qualified in 5uffoll�County Commission Expires l ,19 � I; o 40ct Lndosea� Poet 1 .I; f " Imo'. ,11 r • :' ----. --- --- r- ----- '•4 t ' ! q