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Home My WebLink About24674-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26193 Date: 12/28/98 THIS CERTIFIES that the building Location of Property: 13250 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 114 Subdivision Filed Map No. -- STOVE MATTITUCK (STREET) (HAMLET) Block 11 Lot 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 1998 pursuant to which Building Permit No. 24674-Z dated FEBRUARY 13, 1998 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 SOLID FUEL BURNING APPLIANCE TO CODE AS APPLIED FOR. The certificate is issued to MICHAEL Z HERBERT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A i in~ ns~r Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLO BUILDING DEPARTMENT TOWN I'IALL $OUTHOLD, N.Y. 24674 BUILDING PERMIT (THIS PERMIT. MUST BE KEPT ON THE PREM{SES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ....... ,.M.I...C. ~ .A..E..~,,..% ..EE..~. ~.~. ........................................ ....... .~..,,.0..,... ~0. ~..,.l..l.,5..O. .................................................. ........ MA'~; ~.¢.K.,.f']'.Y,..,:L;~.~ ..................................... ~0 ,,,,, ,I.B~ALL, ,A,. ~QLIP,,, F.~gS.. ~II~,G,, ARP. LIAN.C,K, .T.O,,, ,G, OD,~,, A~..APPLI]~D., at premises located at .............. ~,~.O.....~AZ}[.,~D. ......... ...................................... ~,~[~ ........ County Tax Map No......~.7.;~.~.8,,~ ..... Section ...~.,4. ............ Block .....QO.i~I, ........ Lot No..O.OEI ............... ,~.~J~' ........ 22 ............. i .......... 19 ...... ~.~ ..... and approved bythe pursuant to application dated....JAi~ Building Inspector. Fee $ ........ ,~.~..,.QQ ..... Rev. 6/30/80 TOWN OF SOUTHOLD ........ ;~ BUILDING DEPARTMENT ~EC~'~[~A~P~rOA~O~ mR C~RTIF~CAT~ OF OCCUPA~C~ This app~gg~%~~ filled in by t~ewriter OR ink and submitted to the building ~s ~[~k~: for new building or new uae: 1. Final sumey 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 fom). 3. Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used ~ systm contains led~ than 2/10 of 1% lead. 5. Cmercial building, ~dustrial build.g, multiple residences and s~ilar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the buildi~. 6. Submit Plannit Board Approv~ of completed site plan requir~ents. For ~isting build,ts (prior to ~ril 9, 1957) non-confo~ing uses, or build~gs and Vpre-~ist~g" land uses: 1. Accurate su~ey of property sho~g ~1 property lines, streets, budding and uuusu~ ~tural or topographic features. 2. A properly co~leted application and a consent to ~spect s~ed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~iting to the applicant. I. 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-existinR Buildinm - $i00.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00 ate .. .Z. :.Ct.. ...................... .~ Consttniction ........... Old Or,.~re-existfng Building., ............ ?.. ~ ~zS-o 9~.! ....... ~ ...... ./.~ ....................... ~acton of Property.~ ............ ~-~-- .(~ ~_~' k--~O~.~.~ ... House No. Street Hamlet ~wer or Owners of Property..[~..%~v~ .~.~ ............... ~.~..~....~.. . ...................... 1000 Section Block Lot ..... ,nnty Tax Map No , ............................................... "~ tbdivision .................................... Filed Map ............ Lpt ...... ~ ............. ~ __7.- - ~.~.: .~ .~...Applicant..~,0~7.~..~. -'..~. · .~. · · ,mit .... ate of Approval Underwriters Approval . · ~lth Dept. ....... ...................................... --- - .arming Board Approval ........................ lquest for: Temporary Certificate ........... Final Certicate ........... le Submitted: $...~.I ................. GODIN Certificat de Garantie D~signation de I'appareil: ......... :~..~=..._...~__~....~ ................................. N° de S~rie N° de construction Couleur CEDRE ....................... PAYS DESTINATNRE : ........................................................................................... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone(516) 765-1802 December 18, 1998 Michael Herbert P.O. Box 1150 Mattituck, New York 11952 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 # 24674-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. · FOUNDATION ( 1 st) FOUNDATION (2nd) 2. ROUGH FRAME & ~PLUMBING' 3. INSULATION PER N. Y. STATE ENERGY CODE , /. ~ .~,..~.,.~ / ADD L COMMENTS 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND- [. ~iSULATION [ ] FRAMING [(/].F~ [ ] FIREPLACE & CHIMNEY-~'~- REMARKS: ~ DATE /~'//'/~'0~ / INSPECTOR //~ ~'~ 765-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE&CHIMNEY . REMARKS: ~~~~~iz~--~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [/~AL DATE INSPECTOR BLDG. BERT. FORH NO. I TOI~N OF SOUTIIOI.B BUll. DING DEPARTNENT TOI~IN IIALL SOUTIIOLD, N.Y. 1197 I TEl.: 765- 1802 19 Peta.i t No ................. Disapproved a/c .................................. .... ..... APPLICA"rlON FOR BUILDING PEIIHIT INSTRUCTIONS 8()ARU Off IlEAl/I'll ............... 3 SETS OP PLANS ............... SURVEY ........................ CIIIr..CK ......................... SEPTIC FORFI ................... NOTIFY: ~/'1~'1 /~ a. 'lhls application must be conpletely filled in by typearlter or in ink and m~mitted to tile Building Inspector witl' 3 .sets of plans, a~carate plot plan to scale. Fee according to sdledule. h. Plot plan sheging locatiee of lot and of buildings on premises, relationship to adjoining praises or pablie streets or areas, and 8iviv4l a detailed description of layout o[ property must be draun on tile diagram ~dlid~ is pert of this application. c. 'll~e work covered by ti)is application may oot be ccsamenced before issuance of Building Permit. d. Upon approval off this application, the Building Inspector ~ill isst~ a Building Permit to the applicant, aich pa~mit shall be kept on the premises a~ailable ~or inspection throughont tile work. e. No building ~lmll be oconpied or used in ~t~ole or ia part for any pux~pose sdaatever tmtil a Certificate of Occupancy shall have been granted by tim Building Inspector. AFPLICATICtt IS I1EEEBY I4AUE to the Building Department for ti~e issuance of a Building Permit l~ars'uant to the Buildlng Zone Ordisance of the Toan of ~outhold, Suffolk Ccsmty, New York, and other applieeble l~s, Ordil~m~es or Regulations~ for the construction of buildings, additions or alterations, or for removal or demolition, as t~ereln descrihed, lhe applicant agrees to comply with all applicable la~s, ordinances, Imilding c~le, Ix~sing cede, and regulations, ~1 to admit authorized inspectors on premises and in building for necessary inspections. Imm (Si§nature of applicant, or r~e, if a corporation) b. Intended ~se and occupancy ....................................... ~;:~--.~j~,$~ .................... 3. Rature of ~ork (d~*ck v&ich applicable): ~ l~dlding .......... ~kliti~ .... ~.~.~era~2~..~. I~lmir ............ ~al ..I~ ...... ..... l~liti~ ......,..... Other ~ .~Z~,~...~J.~ ....... 4. Est i.~t~l ~st (to ~ ~id ~ filing this a~licati~) 6. If Inmi~msn, ~ercial or mi~ ~ocy, s~ei~ ~ture a~ ~tent of each ty~ of u~. . 7. Di,ensi~s of ~iating atnmt~ea, if any: ~t ................ ~ar ............... ~pth Din~naines of ~ stricture ~]th alterati~m or ~ltlons: Front ............... ~ar ............... ~pth. ................... I~i~t ................ . ... ~imr of Stories ..... .......... 8. DJ,ensign I0. l~[e off I~wdta~ ............. I ........ ~ of Fon~r ~er I I. ~e or u~ district in Mlid~ ~r~a' an si~t~ 12. ~ms propel c~st~ti~ violate any ~ing 1~, o~i~me or regalati~: ........................ 16. ~s of ~r of p~i~s ~ ~lress ~ ~. · ~ of C~tractor I ........... ~ ....................... Mklress ............................... H~ ~ .............. 15. Is this p~rty within ~ f~t of a ti~MI ~tl~? * W3 .......... ~ .......... PI,OT DIACRA~ 2. 3. IN SUI,,ATION 4 FINAL , CONS?RUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y, STATE CONSTRUCTION & ENEROY CODES. NOT RESPONSIBLE FOR fnma prolmrty lines. Give stn~et and block tdmtlmr interior or corner lot. OCCUPANCY OR USE IS UNLAWFUl ' E WITHOUT CERTIFI, ,AT OF OCCUPANCY DESIGN OR CONSTRUCTION ERRORS (~an~e of i~xlividual signing cc~tract)i duly sx~on~, delx}ses mxl says Lhnt he is the sppl icant nlxave m~L~], , (Cxmtractor, agent,~:orporate officer, eLc.) of a?d (~r or ~mr8, a~xl i8 duty ;~ul.hori~ to i~rfonn or h;~e [~rFot~ the ~hl ~rk atxl Lo rake a~l file thin sppl tcati¢m; that ntt 8tatamnts c¢mbti~l in t ts nl~)~ tcat[~ are trim to the I~st of his kt~l~lge m~ Ix~l. ief; n[xl that the ~rk wit[ Im ~rron~l i. ti., ~mner ~t forth in ti e al~l tcn~zon r[l~l tlmr~ith. ~)rn to I~fore ~ thls ~4 ~ ~/ .............. ¢~ .... ~5.~~..~ ~ ............... : ......