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Home My WebLink About24261-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25268 Date SEPTEMBER 15, 1997 THIS CERTIFIES that the building Location of Propert~ 645 TEEPEE T~AIL House No. County Tax Map No. 1000 Section 87 Subdivision ACCESSORY SOUTHOLD, N. Y. Street Block 2 Filed Map No. Hamlet Lot 29 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 1997 pursuant to which Building Permit No. 24261-E dated JULY 22, 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 ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to RON~J~D T. CHIRCO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Building InspeCt Rev. 1/81 2~2&1 Z Fa~l~ NO.$ TOWN OF $OUTHOLD BUll,DING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ....... ~,~N~L~...T,..,I;t:I.IB~O .............................................. ....... ;~.~ ~... ,TJ~ E: ,P, E:F,,,, .T, E~,~ ,T J,, ........................................... ....... ~3.Q U.T ~I.Q L.~.. ~ .~... ,!,..1, .c?.Z ,,1,., ....................................... to.....C O~ S.T R.U G,T., ~EW .. ~ ,T. 1~I~(3E~, ..,~ED...~ ,.,~. P,L,I.E~ ,, E.0R .............................................. , .... at premises located at .................. (~..4. ,~......T. E:..P. E:.E;.,.T. fi~,.~ .~ .I,, ..................................... .~0J,.! .T. ITl(]b,~ ............ CountyTaxMap No. ,.,.~.~.;~.E~.E~.~. ...... Section ...O. B7. .............. BIooV, ....O.0.Q2 .........Lot No. 0:2.9. ................ pursuant to application da~ed .., ~I.I,JhI. E~ ............... ,'!,.~, ......................... 19..,...~.7. ...... and approved bY the Building Inspector. Fee $ ........ ~ ~).,..q.9. ..... Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 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: 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 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 Buildin~ - $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 ..... ./.>5. ?/:7 ........ .......... New Construction ........... 01d Or Pre-existing Building ................. Location of Property ............................................................. House No. Street Ha~et ........... Onwer or O~ers of Property ........................ ~ ...................... °~7 Ooo~ County T~ ~p No I000, Section ...... Block ....... Lot .......... Subdivision.............. .................. .. .. Filed Map .......... ., Lot ................... Health Dept Approval Underwriters ApproVal . . Planning Board Approval....... ........ .... .... · · j~ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ......... /. _ L;5 , ........................ / ',3 f(, FI Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 12, 1997 Ronald T. Chirco 350 Teepee Trail Southold, N.Y. 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.)$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 # 24261-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATIOH2ND [ ].~JLATION [ ] FRAMING [ ~*'FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~_~~_~. ~ ~ FORH NO. I TOWN OF SOUTIIOI'J) BUILDING DEPARTMENT TOWN HALL SOUTIIOLD, N.Y. 1197 TEl,: 765- Ig02 INSTRUCTIONS BOARI) OF lilt-AT.TH ............... 3 SETS OF PI.ANS ........ ~ ...... ,qURYEY ........................ CllECK ......................... SEPTIC FORH ................... NOTIFY: CAL,. 7~- ZSZO MAll, TO: .................... a. 'lhis aPPlication mtst be completely filled in by typewriter or in ink ami mfl~nitted to the ~fildiag Insl~ctor wi 3 ~ts of plus, at,ware plot plan to ~ale. F~ accordi~ to scb~de. b. Plot plan Mz~ir~ l~ati~ of lot a~ of Ixdldi~s ~ ~d~s, relationship to ~joining prmises or struts or areas, a~l giving a ¢~tail~l Cbscriptim of la, mt of l~o~rty ~mt ~ dr~a m the diagr~ ~fid~ is ~art of this a~l icatim. c. 'lira ~rk c~r~ by this a~licatlon ~ ~)t tm come~m~l ~fore ismm~e of I~ilding Pemlt. d. Ulm a~al of this a~lication, the I~ildi~B lnslmctor will iss~ a ~ildlng Permit to the al~llcant. ~ch ~mit shall le ~pt on tim pr~i~s ~aild~le for insi~ti~ thr~t fl~e turk. e. ~ lafildi~g Mmll ~ ~a~l>i~ or uml ia ~ole or in ~nrt for mV ~r~se ~mt~er ontil a {>rtificate of ~:o~q~my dtall h~e I~n grant~l by tl~ hdlditg lns~tor. ~ICA'I'I~ IS IEffi~l~ ~ to tim I~ildi~g l~ar~mnt for the ismmnce of a l~ilding Pemit ¢:rmmnt to the hfilding 7~ Onti~e of Om T~m of ~thold, ~fffolk C~mty, ~* York, aml other a~lleM>le I~s, Ordinates or ~Dflatims, for ttm ~st~tim of l~dldi~gs, mklltims or alterations, or for r~al or &~lltlon, as Imrein ~bscril~l. ll~ applic~t a~s to c~ly with all a~licable l.~s, ordim~es, lmilding c~e, Imsing c~le, re~latlons, a~ to Muir ~tt~riz~ JnMmtors cm pr~i~s ntw] in ladldi~ for t~ces~ inst~c~ions. .................... 01~ ~ O~ ( '~ature of al~licant, or ~m, if a co.ration) ~_ -:: { ' . ~{ (~kili~ ~dress of a~]icant) ~Stati~]~~~e,~ .~~ W41Y~ agent, architect, eagineer, ger~eral contractor, electrician, pluaber or lnilder. ~-~!ZC~the tax ~'~'l[)&~[li~:~}~;~:j[j:[[~' .............................................. [[ a~n~ ~ or ,h,ly autl~rlza] officer. .... *]]~ '~ ~0~- ~ .................. ~~'~o.a..O. ~ ........... PhaSers Licen~ No .......... ~ ~lectrlclans I,icen~ ~ ...................... Other lY~s Licon~ ~ ..... ~[~ ........... I. lmatir~ o[ lm~l m ddd~ F~ml turk ~ill I~ dom.. ~0 I~ ~mr Strut T,, mpm. ...... ..... ..... :g...: .... ...Z7... &fl~ivlslon ...................................... Fil~ ~hp ~). ~/Z~ IJ)t (~e) 2. State existing u~ a~ ~y of prt~ni~s a~l inte~l~l u~ a~l ~cnlm~y of pm~ cosstmction: a. gxisti~ u~ ami ~ ~$/D~MC~ I [ JxI~JI~B~, COIIIEI'RJJtl Or litJ~l (~HI~[~:~, sl~cJ [~ nnl.uJe ~iKI extent: of em:h I?1~ o[ u~ ...................... ..... ~ld~r c)r Storie~ · I I~lr I~l)th j PI,OT I)IAGIIAH USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UND~J~IVRITERS CERTIFICATE '//~r~ nEQUlRED · 4. FINAL, COIII~IUCYION MUST BE COIdtKETI I~t ~O~ ALI. CONITItUCTION IH.Id.L MEET THE IIIQUIItEMINTI OII THE N.Y. JTAll ~ONJTRW~TION A INEIICIY COOilo NOT ItESPONIIILI Kit ................ J~,[ul; duly t,~x)ll~,' dt-:lx)!;(!!t taxi ,'my!; theft' he i. Lh(~ ~q~l)l J('mll /