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Home My WebLink About24234-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25468 Date: 01/07/98 THIS CERTIFIES that the building Location of Property: 38145 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 85 Subdivision Filed Map No. __ ALTERATION SOUTHOLD (STREET) (HAMLET) Block 2 Lot 16 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 1997 pursuant to which Building Permit No. 24234-Z dated JULY 8, 1997 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 ALTERATION AND REPAIR OF AN EXISTING PORCH OF AN EXISTING DWELLING AS APPLIED FOR. The certificate is issued to OTTO KEIL FLORISTS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A ding I~spectof FOB,I~ NO. ~' 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) Permission is hereby gran~p: ///-// · / /~.~ /.~,/ , ~..~.~...../.~ .................................... ....... ~.~..~...~..X.Zz.ff.Z~ . / ~o~~....~~...~~~:...~.~ ........ ...... ..... ............ ~t promi~ I~t~d ~t ........................ ~ ...................... co~ ,~ uo~ ~o. ~00o s~,o~ ...~i~__ .... ~,~ ....... ~ ....... ~°~ uo....~. ........... Building Inspector. ~, ,...~~ utlding Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo 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: I. 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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-e~istin~ Buildin~ - $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 Date I~ .-/.~.~.~ ........... New Construction ........... 01d Or Pre-existing Building... ~'- Location of Property ...................................................... .. · .. .- · --- House No. Street Hamlet Onwer or Owners of Property ..................... .... ..a.. ............ i ......... County Tax Map No I000, Section ........ Block .... Lot. · · Subdivision Filed Map Lot ............. Permit No..~..~..~2 .~. ...... Date Of Permit..~..: ~.?.7. ..... Applicant.CJ~.~.~...~k~-a~-. · .'~..~ Health Dept. Approval ..........................Underwriters Approval ......................... Planning Board Approval ..... ~// Request for: Temporary Certificate ........... Final Certicate ........... Pet Submitted.' $..;~.~.'....--i'T.. ................ ~ ~ .5 ~ ~f~/ ............ ~.v...~.., ................ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 5, 1997 Clement Charnews P.O. Box 1229 Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX XX An appli'cation 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24234-Z --~, Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I'1 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~ON [ ] FRAMING ~}~INAL [ ] FIREPLACE & CHIMNEY DATE ~~/~ '~ INSPECTO~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION2ND [ ] INSULATION [ ~"~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~.. DATE ~//~/~ ~ INSPECTOR ~'~~~ i PORN N(). I T()I4N OF SOUTIIOLD BUll,DING DEPAR'II'IENT TOI4N I1ALL SO1FI'IIO[.D, N.Y. I 1911 TEl.: 765-1802 Apprrrac4. Permit .......... ~!()R' BUILDING PERHIT '"' ' (lkfildi- INSTRUCTIONS BOARD OF IIE^LTII ............... 3 SETS OF PI.ARS ............... SIHIVEY ........................ CIIECK ......................... SEPTIC FORH ........ ; .......... a. 'Ibis application ratst be coal)letely filled in by typ~¢riter or in i,& sat mdnitteO to the 8uilding lns~ctor wi 3 ~ts o[ plans, saturate plot pl~ to scale. F~ acco~li~ to sd~alule. b. Plot plan M~ing l~atim o[ lot a~ o[ beildings ~ proni~a, relationship tO ~joining praises or ~fl)lic struts or areas~ ~ 8ivi~ a ~tailal (~scripti~ of l~t of pro~rty mst ~ dr~ on the diagr~ ~ticJt is lmrt of this a~licati~. c. lhe ~rk cmrM by this a~llcation ~ ~x)t be cmm~al ~fore issue of ~ildi~ Pemlt. d. ll~ a~al of this a~licati~, the hdldiog lnsl~cror will isam a ~dlding Pemit to the a~licant, aich ~mit ~ml[ be kept ~ the ~mi~s ~ailable for insl~ti~ three,mt the ;~rk. e. ~ beilding Mmll be ~i~ or ual in O~ole or ia lmrt for a~ ¢lq~ ~mt~er mtil a C~rtiflcate of ~m~u~ Mmll h~e'~n gr~tal ~ tlc ~dldi~ lnsl~ror. ~ICA'H~ IS IE~ ~ to tbe Ihilding l~ar~nt for dm ismia~e of a h~ilding Pemit ~lramnt to the ~filding 7~ ~di~e of tim T~ of ~mthold, ~f~olk Cxmnty, ~ York, a~ other a~licable I~s, O~in~es or ~lati~s, f~ tim ~stnmtion of Imildi~Bs, ~kli~ic~m or alterations, or for r~al or d~lition, as herein ~scril~. 11~ applicant a~s to c~fly with all a~llcable l~s, ordim~es~ lmilding c~e, Imsing c~le, a~l re~Hations, aml to ~it ~tlmriz~ ins~tors on proni~s m~l ia ladlding for i~cessary ins~cti~s. .................... (. 'p~ ture of al~licant, or n~m, if a co.ration) (~iliql ~dress of a~licant) Sta~e ~mther a~licant is ~r, les~, a~nt, ardHtect, engi~r, gemra[ contractor, electrician, vh~i~r or beihler, .... ................... ae a0 a 0;ta . ..................... ~a ' '~ .......................................... F~:''"~-~&' '~' t~e ~. · t s ~ t ~e tax roll or Iateat d~l) NOT}~ 'BOILDIN6 DEPOT AT ~f a~Hcant is a mr~rat~m, si~mre o~ &,ly ~~flcer~ 76~4~02 9 AM ~ 4 PM FOR ~E .............................................. 5 ou oa, m - (~m~ a~ title o~ co. rate officer)~ ~~ ....... ~ FOR POUREDCONCR~E ,- ~" ~ 2, ~OUG~ - F~AMING & 3, r.,ectrie a,,s ,.icen .o ...................... OF OCCUPANc? BE COMPLETE FOR C.O, ~LL .CONSTRUCTION SHALL f~EET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY OIher lYade's Licenae No ..................... , CODES, NOT RES~NSIBLE FOR P"~_ (-005 ( ~ DESIGN OR CONS~RU~ION ERRORS I. I~ati~ o~ lmx[ ~ ~id~ pm~l turk will be do~ .... t ................... .,. .......... Ca,aty 'l;3x ~]p ~. I(XB ~tion ~ 5~ lll~:k ~ l~t / ~ ..... ~]l~ivision ...................................... Fil~l ~hp ~ ................ l~t ............... (~m) 2. 8Care,~istJog u~ a~l ~y~f ~ani~ m~ inte~ u~ a~ ~cu~y of ~ consrmctlon: b. lnlemhl o~ aml (xt~qmmty .......................................................................... ' ~.~ ~'~ ,. ls IJlJB prol~rt'y ~JthJn ~) [~L ?~ a [Jdal ~[lm~l? ~ fILS .......... ~/ ..... VI.OT SS (~,lx~ of i~Mividual signing C:Ofll. l'¢lt't:) j 5. 40°. 0,~' I0'" E. 1,4 .~0" 0'7' ZO"W. L~D O, ,0 IKEIL