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Home My WebLink About25477-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26252 Date: 02/01/99 THIS CERTIFIES that the building ADDITION Location of Property: 1100 VILLAGE LA ORIENT (HOUSE NO.) (STREET) (HAMLET) Oounty Tax Map NO. 473889 Section 25 Block i Lot 19 Subdivision Filed Map No. __Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 17, 1998 pursuant to which Building Permit No. 25477-Z dated JANUARY 19, 1999 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 A GAS FIREPLACE AS APPLIED FOR. The certificate is issued to MARY LEE SHANAHAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building Ins~ctor FORM NO. 3 TOWN OF SOUTHOLD BUILDIN~ 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. 25477 Z Date JANUARY 19~ 1999 Permission is hereby granted to: TAZEWELL A SMITH (Shanahan) 3 WILLARD PLACE GLEN HEAD,NY 11545 for : INSTALLATION OF A GAS FIREPLACE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 025 pursuant to application dated DECEMBER Building Inspector. 1100 VILLAGE LA ORIENT Block 0001 Lot No. 019 17 1998 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 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 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. Subm/t Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '3pre-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 si~ned by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. · 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swarm{nc pool $25.00, Accessory building $25. O0, , Additions to accessory building $25.00. B~ainesees $50.00. 2. Certificate of Occupancy ou Pre-existing Butldin~ - $100.00 3. Copy of Certificate of Occupancy - '"' 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00 Date · D ................. ,~ ~)natruction ........... Old Or Pre-existing Building ................. ........ ~ation of Property.. · ' ............. H~ml et House No. Street ~ty T= ~p No 1000, S~ccion..~ ........ ~lock...% ............~ot. - .- . ~p .... ", lbdivision .................................... Filed ............ Lot ........... ~lth Dept. Approval .......................... Unde~iters Approval ......................... .arming Board Approval ........................ ...~... lquest for: Temporary Certificate ........... Final Certicate. --.- Submitted: ................... ~ APPLICANT FIELD INSPECTION EEPORT DATE COMME~S FOUNDATION (IST) ~ II FOm~ATION (2s~) ~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1807, January 27, 1999 Mary Lee Shanahan P.O. Box 88 Orient, New Yrk 11957 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$2§.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 # 25477-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 76S-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ l I~ATIo. [/~ FINAL [ ] FIREPLACE & CHIMNEY INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] FIREPLACE & CHIMNEY ,, INSPE~ RAY MURRAY INC. Gas Equipment Distributors UNIVERSAL VENT-FREE FIREBOXES Standard Features · Radiant or Circutating Firebox Models · Refractory Lk~er · 4" BIRck Hood Included · Approved for any rani-free logs VENT-FREE FIREBOXES ,~,,~,~, , Description.:~ ,:~,~:~:;' .. Weight UVBR33 33" Radiant Firebox w/4' Black Hood 105 "~ UVBC33 33" Circulaliag File?ox w/4" Black Hood tO5 UVBR3B 36" Radianl Firebnx w/4" Black Hood 111 UVBC36 36" Circulating Firebox W/4" Black Hood 111 UVaR42 42~ Radianl Rrebox w/4' 81ack Hood 128 ~V~042 42~ Circulalin~ ,Firebox w/4" 81ack ltood ~2~- OPTIONAL ACCESSORIES - UVB FIREBOXES EB1 ~B1 EB1 Electrical Box ~requi~ed ~o~ Fan installation) 1 UV33BH2 :UV36BH2 UV428H2 2" Giack Hood 3 UV33PH2 ~UV36PH~ ~- 2" Polished B~ss Hood 3 included ncfuded h~clu(led 4" Black Hoed --- UV33PH4 JV36PH4 UV42PII4 4"Polisfmed B~ass Hood 4 UV33BtHE 3V36BII4E UVd2BII4E 4" Exlended 81ack tlood ([or brick f~ci;~9) 4 UV33PII4E ~V36PH4E UV,12PtHE 4' Extended Polished ~tass Hood ~o~ brick ~ack~g) 4 MAJESTIC VENT-FREE FIREBOXES ? UVBC33/36/42 Circulating Firebox UNIVERSAL VENT-FREE SPECIALTY FIREBOXES TO~q OF SOUTHOLD BUILDING DEPARTHEIqT TOblN HALL SOUTHOLD, N,Y. ! !97 ! TEL: 765-1802 iUj [ ,., ~ c~._~u ........ ] !Iii (Building Insp/~tor) ~ ¢[¢ J 1 ~ APPLICATION FOR BUILDING PE~IT ~LDG. DEPT, TOW~ Q~SO~'H~ LD INSTRUCTIONS SURVEY ................... . .. .. CHECK ......................... SEPTIC FORt/ ................... NOTIFY: .... · , .. a. 'mis applicatico ntmt be canpletely filled in by type~iter or in ink and 8ubnitted to the lhilding Inspector ~ 3 sets of plans, accura~ plot plan to ~cale. Fee am~ordiag to e~hedule. b. Plot plan abo~ing location of lot and of buildings ea premiees, relatiomship to adjoining premises or public streets or areas, and giving a detailed descriptioa of layout of property m~st be dra~n oa ~ di~rm~ ~hich is part of this application. c. 1he ~ork couered by this application r~ay not be c~menced before issuance of Building Peru/t, d. Upon ~proual of this applicatic~, the Building Inspector ~ill issue a Building Pemit to' the applicant. Such ~emit shall be kept on ~he p~misee available for inspection throughout the ~ork, e. No buildiag shall be occupied or used in ~hole or in part for any paqoose ~aatever until a Certificate of Occupancy shall have been granted by the lhilding Inspector. APPLICATIC~ IS ~ ~ to the liuilding De~t for the issuance of a lk]ildlng Permit pursuant to the Building Zoae Ondinance of ~e To~ of Sou~hold, ~uffolk Ceeaty, ~ York, and o~her applicable La~s, Ordinances or l~ulatio~s, for the construction of building, additions or alterations, or for re~al or (t~alitiee, as herein de~c~l~bed. ~ke applicant agrees to cc~ply vith all appllcable la~s, ordinances, building code, bonsiag cede, and ragull~lorLs, and to $~l~;t authorized inspectors ~ premises and in building for necessary inspections. ; (Signature o~ apphcant, or m, if a corporation) Olaillng e~s of applicant) State ~/~ett~r applicant is o~er, lessee, agent, ~r~hite~t, engineer,'~eeeral ~ntr~to~, el~trieia, pl~r or ~i]~r ................................ ~ ........................ , ............................... ~-~ ~ED ..... :--. :.. (~ ~ ~11 or latest ~) ~ ~5~,~ ~~ If a~lic~t is a ~rat~, si~ of ~ly ~fl~ri~ officer. / ~ J OE~ME~ AT USE: IS UNLAWFUL Pl~rs Li~ ~ ................... ~'~' ~G~U F ~'~2C, J El~trici~ Li~ ~ ........... ~11,,~ t ~ ~1~ 4 J~1 FOR THE I, ~ ° ~ REOUIRED jJJ, J. ~ & ~UMBING 4, FINAL * CONSTRUCTION MUS~ ~ ~ FO~ c.c. A~L ~ON~TRUCTION SHAL.L MFET ~ NEQUIREMENTS OF T~~ ' Y. UNDERWRI'ERS CERTIFICATE [REQUIRED 3. P,a[ure o]~ ~ork (check ~hidl applicable): Ne~ l~filding .......... ~iti~ .......... AlteraCioo .......... ~ir ............ ~1 ............. ~liti~ Oiler ~ (Co ~ ~id ~ fili~ this a~li~ci~) 5. I~ ~11i~, ~r o~ ~11i~ Imi[s ............ ~r of ~lling ~ics ~ aa~ fl~r ................ 6. If ~i~ss, ~rcial or ~ ~, ~i~ m~e ~ ~[ent o~ each ~ of u~ ...................... 7. Di~nsi~s of ~sti~ st~s, if ~: ~t ................ ~ar ............... ~pth ..... , ........... t~i~ ....... ~r of Stories ~i~t~ of ~ st~ ~th al~eratims or ~itions: ~C .......... · . . .. ~ar. ...... .... . .. . ~pth ......... ~i~ .................. ~r of Stories .................. 8. Di~nsi~ of entire ~ ~st~t~: ~ ......... ~ar ........ ~p~ [hi~ ................ -- · . · · ... ~r of S~ories... ......... .. .. . .. .. 9. Si~ of lot: ~t · ............... · · . . ~ar ...... .. · .. .. ....... ~pth . .............. I0. ~e of ~dm~ ........... ~ of Four ~r ................ I L ~ or ~ distric~ in ~i~ ~i~s a~ si~td ............... 12. ~s ~ ~t~ti~ violate a~ ~ing 1~, o~i~e or ~la~t~: ........................ 13. ~ill lot ~ ~ .................... ~ill ~ fill ~ ~ bm ~s: 14. ~s of ~r of p~'~s ~ress ~ of ~it~t ........ , ........................... ~ress .............................. H~ ~ ............... ................................... -- .................... .... ...... t ...... [. 15. Is fids p~fldn ~ f~t ora ti~l~tl~ t~ .......... ~ ..~ ...... PLOT DIAGRAH l~ate clearly ~ dlsti~tly all Mildi~s, ~flmr ~isting or ~, ~ i~i~te all ~t-~ d~nsions ~ ~r~ li~s. Gi~ s~t ~ bl~ ~r or ~scripti~ ~co~ing ~o ~, a~ ~ s~t~t ~s ~ i~icate ~r interior or co~r lot. ~ of i~ivlal si~i.g c~ract) e ie U~e (Contractor, absent, corporate olilcer, etc.) ~ .said ~raer or ~rs, and is ~ly ~[~ri~ to ~rfom or h~ ~r~o~ ~m ~id ~ a~ to m~ a~ file this ~lica~im~; ~ac all s~a~n~s c~ai~ in ~is a~lica~i~ are hat the ~rk rill ~ ~rfo~ in tim m~r ~t forth in ~m to ~fom m fl~is ~ ...... ~ ~lic . ~LI~H A STAll8 NOT~Y PUBLIC, 8~te of N~Y~ (Si~mre~f ~.~STe~ef 73, S~k ~