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Home My WebLink About23364-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24277 Date , APRIL 11, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 51680 MAIN ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 6 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 1996 pursuant to which Building Permit No. 23364-Z dated APRIL 11, 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 INSTALLATION OF WINDOW IN 2ND FLOOR BEDROOM OF BED & BREAKFAST AS APPLIED FOR. The certificate is issued to WM.F.QUIRK JR. & JOHN CZARTOSIESKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A n Building Inspector 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 ........Aril....'.>>................................... 19...96.... NE 23364 Z Permission Is hereby granted to: The Tern Inn Bed & Breakfast .......ski,.................................................. ""'�ohn Czartosie P.O. Bog 781 ....................................... ...............................................................I.......................... INSTALL WINDOW IN SECOND FLOOR BEDROOM OF B&B AS APPLIED FOR. to .............................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. at premises located at........51680 MAIN ROAD...............SOUTHOLD,. N.Y.............. ................................................................................................................................................................ County Tax Map No. 1000 Section ........63............. Block.....6.,................ Lot No. .......3................... pursuant to application dated ........,APri1...1.1.;.............................. 19...96........ and approved by the (Received 8/2/95) Building Inspector. Fee$.......75.00......... i G ..... ............................... .. .... Building Ins ctor Rev. 6/30/80 �+a 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 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. 3. 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. �. 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 - .25o',. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . .April. 11,. 1996. . . . . . . . . . . . . . . . . . . . . . �ew.Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . .ocation of Property. . . . . 51680 MAIN ROAD. . . . . . . . . . . . . . . . SOUTHOLD,,N,.Y.. . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet )nwer or Owners of Property. . . . . . . . !In'. F;, quIRK,. JR:. �. JOHAi. CZARTOSIESKI. . . . . . . . . . . . . . . . . . . . . ounty Tax Map No 1000, Section. . . 63. . . . . . . . .Block. . . 0. . . . . . . . . . . .Lot. . . 3. . . . . . . . . . . . . . . . . . subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . ?ermit No. 23364. =Z . . . . . . .Date Of Permit. April. 11, 1996, ,Applicant. . TERN. JN AN3. . . . . . . . . . . . . . . -lealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . "Tanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . <equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . lee Submitted: $. . . . 75.00. . . . . . . . . . . . . . . . . . . . 2 . . . .JOHN.CZARTOSIESKI. . . . . . . . . . . . . . . . . . . . . . . . . . . C o APPLICANT T'IisLD INSPECTION —REPORT----- DATE FOUNDATION ( I ST) FOUNDATION (2ND) II ------------------------- --__ ----- ---------------------------------------------- l �, --------------------------------------------------------- I I ROUGH FRAME. & PLUMBING --JI INSULATION PER N. X. � STATE ENERGY it I CODE FINAL n I H II ---II FINAL II ------------------------- -------- ------------------------------------------------------- ADDITIONAL COMMENTS: IH O z I Y I ec I n,o I i ►,, ka be c - o-- — - i i e