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Home My WebLink About23911-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-25272 Date SEPTEMBER 22, 1997 THIS CERTIFIES that the building ADDITION Location of Propert~ 750 MONSELL PLACE ~UTCHOGCE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 8 Lot 22.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARy 15, 1997 ~ursuant to which Building Permit No. 23911-Z dated FEBRUARY 7, 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 ROOF ADDITION TO EXISTING ONE FAMILY DNELLINO OVER AN EXISTING DE~K AS APPLIED FOR. The certificate is issued to DALE M. & HOLLY BU'~'A~R (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Build~g InspeCt Rev. 1/81 IvORM 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) N? 23911 Z Permission is hereby granteR to: . .~.z~.......~z.~ .......................................... ~ /~;~......~..~..~.~ .......... ~......~......~~.....~..~.~..~..~ ...... ...................................................... County Tax Map No. 1000 Section ................~92Block .... ~...~... ....... Lot No. ........................ ~Z, / pursuant to application dated .... ~'-'-~....../..~ ........... , i 9..~..~, and approved by the Building Inspector. Rev. 6/30/80 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 submztted to the~]Suzldm~g 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. 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: 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 B~ilding 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~xisting Buildin~ ~ $i00.00 ~3. Copy of Certificate of Occupancy - , .255~ :4. Updated Certificate of Occupancy - $50.00 .5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........ Or Pre-existing Building ................. Location of Property ........................... ~. ~ .~..~,~z . House No. Street H~ml et County T~x No i000, Section.. .Block .... Lot .......... Subdivision....* ................... Filed Map ............ Lot ................. .---. " ~.... App Health Dept. Approval ................... Underwriters royal ...................... Planning Board Approval.. ~'. .................. · · Request for: Temporary Certificate ........... Final Certicate ........ Fee Submitted: $ ...... .~. 5; ................. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 5, 1997 Fax (516) 765-1823 Telephone (516) 765-1802 Dale M. Butler P.O. Box 235 Cutchogue, N.Y. 11935 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 # 23911-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~~*~' - -%~¥--- ] USE IS UNLAWFUL ,,~,..,_ s,~.s . -WITHOUT CERTIFICATE ~. OF OCCUPANCY 765-180;~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]/INSULATION FRAMING [~] FINAL FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] ~UNDATION 2ND [ ]INSULATION / FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY INSPECTO~~_~/~ 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F,F,F~NDATION 2ND [ ] INSULATION / [~J/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY C Z FOP, fl II/). ToI, rN OF ~OUTHOLI] BU H, II[N(; I)E 1~^ RTtlI~,NT TOWN II^IA, · qOtH'llOl,l], R.Y. 1197 I TEl, ~' 765- 1)~ ~Ol)prtmcd n/c APPLICATION FI)it BUll.DING, INSTRIIGT1Oll9 BOAIHI OF IlEfiI,TII ............... ~3 gET,9 OF PLAF19 ............... .~URVgY ..... .~ ~ ................. NOTIFY: GAl,I, . . HAll, TO '. .................... g~.~ ~ ~37.- .............. ...... ~:. r¥/C<.<?~..~.<.~..<~. ??/.: ~tm~L' ~lm].] I~ kept (~1 tim pron[~en nvgilnl)le rot Ingl~ct' "1~1 th~q~ti~lt the AIt[~.I(~'I'I(~ l~ I~lfl~lgY ~I1~ I:o LI~ Ik~ihli.g l~Imrtn~nl; For the ism~.~e t)~ a l~dldlng Pennit lX~t~mnt to the ~dlding 7x~m Otdinm~:e or the '1'~ o[ ~z~tbohl~ afffollt (~m~y, ~q York, m~l other al~tlcabte I~, ................. ' OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ,,,~,,,,~,,,,, ,,~ ~,,.~,,~ ,,,,,~,.,,,.~,,. ~ ,,,,~, ,,-,~,, .3~..~.~,,,,,....~ ....... ,~,,,, ...~.~ ..... ,,,,,:,,,., ................. ,.,,,,., .... ., ................. , ,~, ... , ........... ~.. . ¢/~ ................. , , ,,l~, 1~..~. ,~ . ~ ~,. I , II, IlL II. I',~, I'l. 14, APP~OV.E~ AS ,765'1802 9 A~4 ',0 4 PM FO~ FOLLOWING ~N SP~C'I 1. FOUNDATION - FOR POURED CONCRETE 2. ROUGH - FRAMING & ~LUMBING 3. INSU~TION 4. FINAL - CONS1RUCTION MUST BE COMPLETE,~OR ALL CON~TRUCTI'ON SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS