HomeMy WebLinkAbout23731-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25391
Date: 11/26/97
THIS CERTIFIES that the building ADDITION
Location of Property: 550 ABORN LA -C~TCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 118 Block 5 Lot 6.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 20, 1996 pursuant to which
Building Permit No. 23721-Z dated OCTOBER 8, 1996
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 COVERED DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to BARRY J & JAMES H SMALL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
r //u/ing I~Pect°r
Rev. 1/81
IPOuM ~qO. 0
TO~VH 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.° 23731 Z
Permission is hereby granted to:
...................
,.~....Z~. ~.~.........~ .................
,o ........... ~......~,.....~ ........ ~ ............... ~ ........................................
~?~ ........ ~~.....~~ ........ ~z ........ ~:~....~
at premises I~ed at .......... ~..~.~~.~~ ......................................................
.................................................... ~~.~ .......................................................................
County Tax Map No. 1000 Section ..././.~... .......... Block ...t~., .~.... ..... Lot No ...... .~...:.../... ....
pursuant to application dated ............... r~../." ........ ~ ........... , 19.~..~., and approved by the
Building Inspector.
Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
?PLICATION 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 Heaith 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.
Submit Planning Board Approval of c6mpleted site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Upre-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 - : .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ ? '~ Date
New Construction ....... ,~. Old Or Pre-existing Building .................
Location of Property..~ ~. ~ ..... ~O~./V.. ~.~/>/.~ .... ~ ~ .~. ..
House No. Street ~et
Onwer or O=ers of Property..~ ~nr. ~ .~,~ ~. ~.~. J~/~.~rm~ l~ ......
Health Depr, Approval .......................... Hndarwr~er8 Approval ...................... ...
Planning Board Approval ........................
Request for: Temporary Certificat_~e.~ .......... Final Certicate ...........
Fee Submitted: $ ....... .~..J. .................. '~
Town HalF, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
BLDG. DEPT.
TOWN OF SOUTHO~ D
Fax (516) 765-1823
Telephone (516) 765-1802
)FFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 7, 1997
Howell & Fay Small
550 Aborn Lane
Cutchogue, N.Y. 11935
To Whom This May Concern:
We are unable to complete your CertiIicate 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.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23721-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
11
Alii) I T I ONAI. (:()Hl'll~.l,l'l'.q:
~0o
LANF_-
765-180Z
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
~~RS'MA S:
DATS. INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[]FIREPLACE&CHIMNEY
[ ] ROUGH PLBG.
[ ] INOCULATION
[ ~FINAL
DATE
INSPECTOR
FOSH HO.
'I'O~N OF SOU'HIO1,D
BIIl I,DII'IG D F, P A R'I'H P: ITl'
'I'OI~H Il^IA,
SOIITIIOI.I), 1'1.¥.
'1'~ I,: 765-1802
IJOARD OF III~AI.'HI ...............
/] Sl?,'r,¢J OF PI.^N,q ...............
,,/SIIRYLt¥ ........................
/'CII~CK .........................
SE~T1C FORH ...................
blOT 1 FY:
,:^,.,...
HAIL 3'0: ....................
APPI.ICA'I'ION FOR IIIJII.D1NG PI~,IIH['I'
Date ................ , 19 ....
11 NS'I'SIICTI ON$
a. 'this app]Jo'ltio~l nlml: i~ co]~)letely filial in by tylx~,~riler or in ink alii mfl~,itt~l to the ~lJldin~ ]ns~clor
b. lqoL plan Jd~JJ~ ltx:atitxl of lot at~l of Ixtildi~s ol pro,i~s, relationship to ~ljoining proMses or
Ods al~)licaLion.
c. 'lhe ~)rk cJ~r~l by this a[~flicati(~ ~y r~)l: Im c(~l~l Imfore ismmm:e of I~dldh~ Peri, it.
d. ilium a~n~al of rids alq~lication, Ihe I~ildin~ lnslmclor will ismm a I~dhling Pemit to the apl)HCanl:. ~ich
lm~filic ~mJ[ Im kepi: ~l lira pr~nJ~s available for insimcti(m thr~(xlL tl~e
AIWI.I(~'I'I(~ IS I~ll{~llY ~Uli Io the Ikdhli~ J~jmrln~nt: for the ismm~me of n l~dlding Pennit ~r.tmnt to
Ikdldii~ 7x~ Orditmm~e of tim 'l~m of ~thold, ~fffolk (~mty, ~,; Yod% nr.I olher applicahl~ l.~s~ Ordi~mlmes or
I~lpdati~m~b for t.lm ~xmstnml. i~t of Ixiihlit~s. mkliti(ms or alterations, or li)r t-o~nal or domlition, as herein
*~neril~l. 'llm applicant agr~s lo cmoly with all aHfl icnble I~s, ordlmnme., Indlding c~le, I~mlng c~le,
~egulati~nm, tll~l {o ~[ll[I, autlg~ri~l inSl~ctors tn~ In-Onlses ~nlxl in Ndhling for ~mcessary iUSl~ti~m.
-- -
~/~ (?!il i]q~ ~klress of applicant.) / / ~
State ~mtl~r tffff~licant is ~r. lense, agent, architect', m~gi~er, ~e~mral contraeror~ electric~m~plm~mr or NHhler.
...... 0 ~.g.~ ............................................ , ....................................................
<.~, ,,,~ ~,,~ dZ a~ ,.,~.,:'.,tZ~i ......................
If al~licaut is a COrl~raLia~, sig[ml:me of duly authorized officer.
(~]~ a~ title of corl~rate officer)
lk~ilders l,icen~e I~) ..........................
Plt]d~era License fro ..........................
Electricians License ~ ......................
Ikx~ E]d~r Street ~ / I~md et
(~)
2. Stat
a. Exiatlug u~ ami ~culm~y ........
~. ,
7. I)i,~n,h,m off existing nt~K:tur~,, iff rely: Ih(~ll ................ It~nr ............... I~l)Lh .................
PI.OT I) IACIJAH
APPROVED AS NOTED
3'
NOTIFY BUILDING DEPARI~MEN~ AT
766.~so2 9 AM TO 4 PM FO. TH~
FOLLOW, NG I.SPECT,O.S:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH ~ FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
.~H'A*IF. 1~ Hl',~ Y(JUff- t~, .
...........................................
chsly (,~)rn, delX~tm] m~l ,qye (h:~(: lie i;I tim oppI lB, md
!N~rlt t() I~H(2~(, ~.* thin
...... ,,,
C~IRE L. GL,~
Nota~ Public, State of New York
No, 487~505
Oualified in Suffo k Coun~
Commission Expires December 8;,