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Home My WebLink About23485-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24472 Date JUNE 28, 1996 THIS CERTIFIES that the building ADDITION Location of Property 515 WINDY POINT RD. (PVT. RD. #12) SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 6 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 1996 pursuant to which Building Permit No. 23485—Z dated DUNE 7, 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 TO EXISTING SEASONAL DWELLING AS APPLIED FOR. The certificate is issued to DANIEL STEGNER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "241 Build ng Inspector Rev. 1/81 FORK xo. 2 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) N? 23485 Z Date . .. :. ........................................... )9. Permission is hereby granted to: to .. .:�� ................. � ...��.. ..... . ti ............. . ..�.. .. ..... . ....... ... ... .. ..... .. ...................... at premises located at ... ... f .. ..... .r r.... ., .. ...� .... ...... ................................................................................................................................................................. County Tax Map No. 1000 Section .......... Block .......... Lot No. ../ .... ............ .......... ......... pursuant to application dated .. ........................................., 19. �, and approved by the Building Inspector. Fee $... �../�- . 1. 1 Rev. 6/30/80 r y Form No. 6 4 U TOWN OF SOUTHOLD f; i• BUILDING DEPARTMENT or JUN TOWN HALL 765-1802 BLDG.DEPT. j L____ TOWN OF SOUTHOLAPPLICATION 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. 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 - _ .251�. - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . 61 . . .'Z2.'. (1P. . . . . . . . . . . . . . . . . . . . New Construction. '--* . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . ST.4 . . . . . . . . . . . . . . . .�_Iwj? #-er.t/.1 gC. . . . . . . . . . .. . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . ?e-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . 7.8 . . . . . .Block. . . . .. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . ':. . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .:2: 4' . .Date Of Permit. . .6-77.1�. . . . .Applicant. . . �A Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary ^Certificate. . . . . . . . . . . Final Certicate. . .� Q. . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . . . . . a-`-u �. . . . . . . . . . . . . . . . . . . 6kllejL.51-5` / APPLICANT o��S�FFO�,�coG a� y� o � ca a Town Hall,53095 Main Road p • Fax(516)765-1823 P. O. Box 1179 y� �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 26, 1996 Mr. Daniel Stegner 470 Windy Point Lane 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 # 23485-Z Please contact our office on this matter. Thank you. for cooperation. SOUTHOLD TOWN BUILDING DEPT. FITGT.D TNSPEC'CION REPORT DATE COMMENTS ______------____________________ H FOUNDATION ( 1ST) II n-- --ii- -- — tr- FOUNDATION (2ND)______II-- II �I II ROUGH FRAME & PLUMBINGir- -II cn INSULATION PER N. Y. STATE ENERGY II CODE II ---------------- - •`' II II H FINAL. III II ADDITIONAL COMMENTS: — \ r� H� V a ------- — - --- d ro H 3�'.� +rn".', � GAF �'1'tiir, •'"��+.P •` � ,. _._... `f? .A ;y�R� .. .. • J �.T'a a .e.� a"!"' •' �•�r �).� !�`1`Y�,,fin "+'�:t�►Y��'.. - ",:.-. u•Z S .�"�; "F'" C,„y,""�1 �( `:e k..f". .n,.�-;+ejaq, _ s=f:•. r"�"`r 'a'�%Y 4 zi M a'a+awvww AI a wOMwr.aY Rn»"'^ "J1•t d dfs Myar Yarlt!ice -W ws�.waap b�� r // +„_�... �. ai ri.V be rn�ib�/ r �. .,.. G"'.'^s"n r'i�n�"A�ere+w+�1W�+,qr v q. - -'"• � , r� �a ,� " aaar tsti ._ _.. �irsnan��ery►rn E�imtlwwv�`... _. ._ .__. __.. .._.__-�^_ .�_ �.._. .: n y �'e _ tYp-oon�+.q,lMMa�Rabfpwl Lowy mid �W nwMfNOp,Mww Mar novel s�`�aM o . I.A,Pi05 M tM a0A1�MY w lard{w0 MoN- dtflNec*,QuWan'MK aro.may •M1c.aMA ^^M' ^ ti.y .�• s ;T3 5(-'Cyl-2 ,65_1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE alP INSPECTO � C ' L ' .r) � � ? •` '� �(� � ¢' �� a .. .. I ! I ip^ w� T OCCUPANCY OR USE-IS UN WTHOUT CERTIFICATE { , F OCCUPANCY ��-�� ED AS NOTED DATE: # PE E: BY: 'I 3G D EPA 9 A`4-Wlqr —AT 765-�80,2 cv, ANA -,() 4 prV, FOR THE hSPECTION!s: 1. FROUNIDA.Th[W,. - 'PA10 REQUIRED FOR" POU'RED CONICRETE 2. ROUGH - FRAMING 8: PLUMBING 4. FiINL L -- CONSTRUCTION MUST BE 9COMPLETIEFOR C.O. ALL CONSTRIUCTION SHALL MEET HE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. N(ry RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 ,/3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD /SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT _, CIIECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N_Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined. .... ....... 19 MAIL TO . . . . . . . . . . . . . . . . . . . . Approved... . . ........ 199?4v/ Permit Naz.lq-�e/n!5 .................................... Disapproved a/c .................................. F�4 ...................................................... 0i�i1. . .. ... ..... LI MAY 1019Xc (Bui.ldin In. tor) 1 BLD .DEPT. TOWN OFG SOUTHOLD APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . I 971� INSTRUCTIONS a. This application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. 1). 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 of property mist be drawn an the diagram which is part of this application- c. The work covered by this application my not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector i-7ill issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall. be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy,shall have been granted by the Building Inspector. 1 4 APPLICATION IS IERM- MW to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tcgm of Southold, Suffolk County, No; York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. lbe 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 of applicant, or name, if a corporation) _.+7& ...V-/ .,14 T>�j ..... .... ... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. t.4....e4d- ................................................................................................ Nam of owner of premises .... ............. U ... ....................................................... ..... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ...................... Other Trade's License No. .................... I. Location of land on which proposed work will be done..... ................. 4=4-cr ................................................... ....... r........... ..... ......F House Number Street Hamlet CA3unLy Tax Map No. 1000 Section ..I? ......_. Block ............ lot .1.0j.I......... 'Subdivision ...................................... Filed Map No. ............... Lot ............... (RIM) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...5 u,-%e.i�..... ............................................. b. Intended use and occupancy ��W/Nv .....�V................ ......... 3. Nature of work (cfieck widd► aijAicable): New IArildinl; .......... Acklicior► .......... All:erat:ioil .......... Itepair ............ ltesmoval ............. Demol ition ............ Ot lie r 1•R)rk .................... (Ik sc:ription) 4. Est im►:►ted Cost .. oQ v ............. fee ............................................... (to be paid on filing this application) 5. If chrel l ing, cxvdxer of dwell icy; units ............ Ujd)er of chx-I l ing units on eacl► floor ................ If. garage, ►xnber of cars ...................................... G. If Ix►siness, canc►ercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions pE:e t5E�1rr "�Sf ircLures, if any: Front................ Rear ............... DepLh ................. �71lk igl►t.`; •I'r 't..`e €1l �' .. Umber of S ..................... .,.,.,;,�,,.-�,.._...;,>,..;��.;,,=„6,a.. Cones � Dimensions of sane structure wide alterations or acklitions: front ...3Z. ....... Rear ......... Dept.l► t"y..i..°' lLeig►�t .................... Rxiber of Stories ... .......... G c 1; . . 8. Diu►ensio►s of entire new construction: Front . .�Q.x.I`-- Rear ............... Depth .............. ........... Unber of Stories ..................... J. Size of lot: front ...;E .7.4......... (tear .....5j•........... I)ept:l► ...�Z l............ 10. DaVe of hircliase Name of Former Mier ....,(2.L1- T j`1...................... 11. Zone or use district in wl►id► premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ......t4 R......... Will excess fill be removed from premises: YES 14. Names of Owner of premises arcs-� ...51�F ! ..... Ackiress .4,7v-12 lviuvy �FL_,4 ..... lfione No Naue of ArdiitecL .................................... Address .............................. 11►one No. .............. None of Contractor ................................... Acklress ................................Plume No. ............. 15. Is Lhis property within 300 feet of a tidal wetland? * YES .......... NO .✓....... *1F YES, S0071Y11D 'IUIM '11A)SWT-S WlMrr MAY 1i13 RE(XIIREI). PLOT DIAGRAM Nx:a'te clearly and distinctly all buildings, wl►etl►er existing or proposed, and indicate all set-back dimensions from properly lines. Give stree- a )ck nczd)er or description according to deed, and slxxa street naves and indicate iAiether interior or corner lot. Gv 0 IZ` Sln'lL M N�..� MINlY Oi ......•. •---•-zF�l duly sworn, deposes aril says that he is Lhe appl icant (Nsnt� of i►xlivsign ing contract) alx)ve naiiied, Ikeis Llie ................. VV C.4 K_. ................._........................-...................... (Contractor, agent, corporate officer, eLc.) of said cxzc►er or owi)ers, acKI is duly authorized to perform or have performed the said work and to nrrke and file Lhis application; that all sCalenenCs contai►x-d in Lhis application are Lrue to the hest of his kcx)wledge aril bnl.ief; and that Lhe work will be performed in the nkrrner set ford► in Lhe application filed therewith. Sta)rn to befor, ► this . ..........(. ...... •ly of ... ... .. ....... 19. . . Notary h Aic ...... ... . ... ...... /'14............ CLAIREL.GLIEVV Signature of Applicant) Notary Public,State of Now York No.4879545 Qualified in Suffolk County Commission Expires December 8,19