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Home My WebLink About12350-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22861 Date FEBRUARY 2~ 1994 THIS CERTIFIES that the building Location of Property 830 MONSELL PLACE House No. County Tax Map No. 1000 Section 97 Subdivision ADDITION CUTCHOGUE~ N.Y. Street Hamlet Block 8 Lot Filed Map No. ..Lot No. 23 conforms substantially to the Application for Building Permit heretofore filed in this office dated May 3, 1983 pursuant to which Building Permit No. 12350-Z dated MAY 26~ 1983 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 ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to GEORGE W. VERITY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 /~uil~ng Inspector 'tOWN 0I' soU'mOt BUILDING DtPARTMI N~ TowN HALL SOUTHOLD, N. Y. i BUILDING PERMIT (THIS PERMIT MUST BE KEpT ON THE PRE^ COMPLETION OF THE WORK AUTHORIZED) NLo ~12350 Z klS!S UNTIL ~ LJLL : , Date Permission is hereby granted to: · , ~, ? . ................ ~,:.~.....z~ ('~,) ............. (d~.~.~ , ~: ~ ~ .~ ,o .., ....... ~.~.~,.~z....~. z ~ ~.~....,,~~ ...... .......... ............................................... ~"~'"~? .............. "~} ......... t"~ .............. ~ .......... ~ ~,.~,~.~ ~ ...... ~'~ ...... ~~z..~...(~ ........... ~~.' ~ ~..~..~' Z~' ~. ~ ~ -~..~. ~ Cou~W Ta~ Map No. 1000 Section ......... Bilk ';i ...... ,}Lgt No., ......... purulent to ~ppflc~t~on dated ...... .............. ~:. ....... ~ 19. ond ~pprov~ b~ th~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 yith accurate location of all buildings, property lines, streets, and unusual natural or topographic feathres. 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, 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 Ppre-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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... j.%.2~.%, ~. ~ ................... New Construction...y.(~ .... Old Or Pre-existing Building ................ · Locatzon of Proper~y. ...... .............. ~f~/~Z .... ~.~ ~ ~ .... ' .... ~..c~.t~ ~ ~,. House No. Street Hamlet k.~ - County Tax Map No 1000, Section ........ ~Bloek ........... ~.'..Lot ..... Z~./:~. Subdivision .................................... Filed Map ............ Lot ...................... Permit No../~.~ .............. ~.-~..Date Of Permit .... Applicant...~.. ~ ~ -~.. ~4/. ~ ~'. .~..~ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ..... ..~..[. Fee Submitted: $ ............................. ~ ) ~_~, ' ' ~ ..... ~' ' '/';'~'; ' ~ .... ...... t", INSPECTORS Victor Lessard Principal Building Inspector Curtis Herren Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 1197l Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 25, 1994 Mr. George W. Verity 830 Mensell Lane Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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 9 BP# 12350Z Please contact our office on this matter. your co-operation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INS ION COMMENTS FOUNDATION F~OUNDATION 2. ~OUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: ~pJ~ROY~D AS 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ]. FOUNDATION "TWO REQUIRED FOR POURED CONCRETE ~_, ROUGH ~ FRAMING & PLUMBING INSULA7 ON ~ ~,~NSTRUCI'ION MuST ALE 'CONSTRUCTION s~ALL MEET THE REQUIREMENTS OF THE fT~qzE~..~C. ONS~EI~U~J~ON & ENERGY- //~'"C2 f~~, ~-ODE~. NOT RESPONSIBLE FOP, IESIGN OR CONSTRUCTION ERRORS. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1B02 Exar ined.. 19 . Approved .... Disapproved a/c .......................... :~ ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No,..~G~dff~. ....... Date ~ff~' ~ - '~ '5 19 .~ '.~. INSTRUCTIONS a. This application must 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. b. 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 must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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. APPLICATION IS HEREBY MADE 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 removal or demolition, as heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, hqusing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .../7 ~ .,R~..C. ~.~' ............................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~/.q.A{d.~ ........... Plumber's License No.../X/..0.~(~. ................. Electrician's License No..,4/(7.~..ff. ............... Other Trade's License No.. [q/?.x/..G' .............. 1. Location of land on which proposed work will be done..~fl.t.t/O:' fl..e:t:.. 7 .... .~....~?. ~..~.~.c...~....~fl.....~. ...... o ......... C. o. ....................................................... .x:.. House Number Street Hamlet County Tax Map No. 1000 Section ....... ?.'2. ........ Block ....... ~'. ......... Lot ..... ?...~. ....... ~.. Subdivision ....... ~'....~..O.K. ~ .(/./~. .... Filed Map No...[,~;,..'~. ~7 .... Lot ./'~. (Name) ~17/~ 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy . . . ~..alT. s.'(~.(.~G.°.' ......................... ~. ...... b. Intended use and occupancy ..... ~..G-.57 ?..~.~.C.°.~. .... .7.... O. qF..~ /P.G. :... ~3..~.c..~(q.&. ............... applicable): Y ...... 3. Nature of work (check which New Building .......... Addition ~i Alteration .......... Repair .............. RemQvai .............. Demolition ........ .~. ....O/the r Work ............... 4. Estimated Cost ...... /!..0...: ............................................................ ; (to be paid on filing this application) 5. If dwelling, number of dwelling Units .... ./ .......... Number of dwelling units on each floor ................ It' garage, number of cars ..... i ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure's, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... j.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front / ~ [ ....... Rear ...... c~.7 ............ Depth .I..7~..7.~.1.~ ......... .... ~' ,/q'~ 7' ' Name of Former Owner 10. Date of Purchase ........... t ............................................... 11. Zone or use district in which pr~mises are situated.. ~'..7 ............................................... 12. Does proposed construction ~iolate any zoning law, ordinance or regulation: . ./~. .......................... 13. 5ill lot be regraded .... · -~.~:i .....: ............. Will excess fill be remoyed from premises: Yes , 14, t~ame of Owner of premises /-~'d.~r.(r.~.~.~f.. Vcg,FY. Address~0., .8.~vr. 3.7.7... Ct).+.ck, f~ Phone No..7. Sc/ Name of Architect .... .M.o.,V.~.i ................. Address ................... Phone No .......... Name of Contractor .... /q0 Y..~.., ............... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. J STATE OF NE~JY,~ /.d :~ S COUNTY Ob~..,~ ~.//F~ .... ~" , .......... ., ~.~. ~.' i.~f~... ~..:.. V~'..F(% ...... being duly sworn, deposes and says that he is the applicant (Name of ind~idual signing contract) above name~. He is the ................. ~.F~;. t~J ~'~. .............................................................. , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith. Sworn to before me this ........ ~' 'P4' ......... day o[ ......... ~ ..... , 19 ~.. T~rm £xptro~ ~arch 30