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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;,