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HomeMy WebLinkAbout23305-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC:uu~AN~J"Z No Z-24449 Date JUNE 20, 1996 THIS CERTIFIES that the buildin~ Location of Property. 425 SKUNK LANE House No. County Tax Map No. 1000 Section 97 Subdivision ACCESSORY CUTCHO~UE, NEW YORK Street Block 4 Lot Filed Map No. Lot No. Hamlet 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAR~H 13, 1996 pursuant to which Building Permit No. 23305-Z dated MARCH 15, 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 AGRICULTURAL STORAGE BUILDING IN YEAR YARD OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. GREC~ & DOROTHY M. KONARSKI SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 'B~l~ng/Inspector FORM NO.3 TOWN OF SOUTHOLD BUILDIN~ DEp~I~I'MENI' BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLEtiON OF THE WORK AUTHORIZED) Date ................................................................. Ne 23305 Z Permission Is hereby granted to: ~,~..~.~.~.~~.~ ~.~...~......~,~ ......................................... ..... ~~~ ....... z~.~ ............... ..~...~..~.:... ~. ~..~~,~:~ ...................... .......... ~~....~....~,~:~......~,~:~./~...~,~...~. Counly Tax Map No, 1000 Section ........... ..~.....~,,,,, Biook .......... ~ ..........Lo . ../. ..................... Building Inspec,~j Fee $.....~.~.,.......~,, ...... ~_ ~'~/ ~._ ,,,,~~. Buildl Rev, 6/30/80 / TO~ OT SOUTHOLD 765-i802 - 0 C,-.,.,~ ~_,xT C":~ Tinis app!ica:ion mus= be filled in by r}~e~-ri:er OR ink and submi=:ad co --he building inspector ~,i:h :he fo!io~.-Lng: for ne*~ building or na~- usa: i. FLue! su.--~ey of property ~-i:h accura:s loom:ion of al! buildam-gs, property lines, 2. FLue! approval from Eea!=h Depu. of %-a:ar supply ~nd sa~ara~e-disposa!<$-9 3- kpprova! of a!ec:rlcal ~nsraiiau!on from Board of Firm Undez-~rirars. Sworn sua~ems~ ~rom plumber carolling ~ha~ ~he soidar used ~ sys~ contains i~ss ukgn 2/10 of !% iaad. C~ara%~ bu!Id~g~ ~dusuri~ buddha, ~!~!pia residences and s=~lgr and Lnsu~la:!ons, a car~tflcaua of Code Compliance from arahiuac~ or aug!near rasponsibia for :he bu~ding. :or ..... ~¢' ,;'~= ' -- ~pr:i :°37) ...... i. Accurate su-'-~ey of properr~ sho~-_~ al! property -. ~ - app ........ ~ ~. properly completed appl~aa~ion and a consan~ ro inspec~ si-~aed by _f a Car:ifzaa:e Ocaupancy is aenlec, :ne ~u~c~zg r~ =~-~- ' '~ :he ~. Fees '_. Carrlf£cazm of Occnoancy - Ne~: ~-ell!n~ $lJ.O0~ Addi:ions :o dw~iin~ S25.0C, '-~ S2~.00: S~'~ pOOL S25.00: Acaessorv ~uLLaLn~ S25.0u~ Additions :o acaasso~' bu~dlng S25.00. Businesses ~50.00. 2. Caruifiaa5a of Ocaupancy on Pr~xlsuLnZ 3uiidinm - Si00.00 ~. Copy of va .... ...... =~-~==.. cf Ocauoancv. . -. .~c &. Uoda=ad Caru%~tcaua of Occupancy - ~. /amporary Caruifica~a of Ocsupancy - RasLdenuLa! S!5.O0, Co~erclal ~.00 Rouse No. S tree: Ra~e: o: .... .................................... ,~:.~=:~ := ~ ~o ~ooo~ ~:~ .... .~:7 ..... ~o~ ..... ~. ........ ;o: ..... / ................ . ' 'i'd ~ .................................... ~il d :'-.. ........... : -- ..................... ~=: ~o..~33~..~:~- o~ ?~=:..~ch..I.r..g~==: ........................... lannln~- Board Approval ........................ IIt};III.^'I'IOII I'I~R II. ¥. ~'1'^'1'1~ COI)I~ Town Hall, 53095 Main Road P. O. Box 1179 Southeld, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 5, 1996 Mr. Gregg Konarski Main Road Cutchogue, NY 11935 *** THE FILE IS UNDER O. CAMPBELL*** 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 # 23305-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. © 1992 Morton Buildings, Inc. ~ I 3 lgg~ ~ o o w, ].El " TI ?-1 8,9. o o 765-1802 BUILDING DEPT, /INSPECTION FOUNDATION 1ST I ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ I FIREPLACE & CHIMNEY REMARKS: J~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FIREPLACE & CHIMNEY REMARKS ~ .~.~~_.~~~----~.~-' · DATE _ INSPECTOR FORN NO. I TOWN OF SODTIIOLD BU1LI)ING DEPAR'fHI~NT TOWN tIALL SOUTUOLD~ N.Y. 11971 'FEI.: 765- 1802 Disapproved ale .................................. APPLICATION FOR BUILDING PERHIT BOARD OF ltEALTll ............... 3 SETS OF PLANS ............... SURYEY ........................ CIIECK ......................... SEPTIC FORH NOTIFY: CALl ................... NAIL TO: .................... 'Date ................ ,lB .... INSTRUCTIONS 'a. lhis application must be completely fiIled in by typewriter or in ink and anlraitted to ~e ~dldlng 3 ~ts of plus, ec~rate plot pl~ to <ale. F~ ecco~ing to b. Plot pl~ ~i~ l~ti~ of lot ~ of ~dldi~s ~ ~s, ~tati~shlp to Mjolnlng ~.~s or ~bllc struts or areas, ~ 8ivi~ a ~btailM &<ripti~ of l~t of ~rty mst ~ dram ~ the di~ ~i~ is ~rt of this ~licati~. c. lie ~rk ~ ~ ~ds a~llcatian ~y ~t ~ c~ed ~f~e isle o~ ~ildlng Pe~it. d. ~ a~al of Otis ~llcati~, t~ ~ildi~ lns~etor will is~ a Adldlng Pe~ to the ~llcant. ~ch ~t ~atl ~ kept ~ tbe ~s ~ailable for ins~eti~ th~t the ~rk. e. ~ ~ildi~ Jmll he <~iM or ~ in ~ole or in ~rt f~ ~ ~ ~at~r ~tll a ~rtifleate of ~I~'rl~ IS I~ ~g to the ~ildi~ ~r~nt for O~e isle of a ~ildi~ Pemit ~man~ to the ~ildi~ ~ ~i~e of tbe T~ of ~ld, &lffolk ~ky, ~ Y~k, ~ other ~llcable I~, ~i~es or ~lati~s, for t~ ~st~ti~ of Mildizs, ~iti~s ~ Mterati~s, or f~ ~al or ~lltion, as ~reln ~ri~. '11~ ~llc~t ~s to c~ly with all a~li~ble 1~, o~im~es, ~ildi~ ~lati~s, a~ to ~it ~riz~ ins~tors an ~i~s ~ ;n ~nld~ ~or ~cess~ ~t~s. (~ili~ ~wss of ~licant) State ~tber a~li~nt is ¢~r, les~ archlt~t, engi~r, ~mral c~tractor, electrlci~, plier or (as ~ tbe t~ ~ll or latest If applicant is a cor~oratian, slg, atnre of duly anthori?~-°',l officer. (Name and title of corporate officer) ii r.. ,.ice.sa PluMbers Licanse Ilo .......................... Electricians License lo. ,. .................... Other Trade's I.ican~ No ..................... I. Location of tang on ~hlch propo.o~/work will be_ done .............................................................. ...... . .' ................ . . . IM. ......................... ..................... llanse l~nber Street.~ ~.~/ Nanlet County 'fax Hap No. ,000 .qectio~, ...~%:~ ......... Block ....~c~7~. ....... Lot ...~).l ........ Sulxllviaion ...................................... Filed . ¢. ............. Dot ~ 2. State existing ose ¢'rng ocaqxaocy o[pr~i.~es and intended o.~e ar~l occupancy o~o~o~ sed construction: frown prolmrt-y lines. {}lye street and I!lock n~sdmr ~dmlhar ieterior ar comer lot. i~iiture o1: ~lk (check v.iiJdl applilcal)le): itu ]kdhlinll .... ~klition .......... Mte[stioa .......... Ili.ensi~m of.~is~ing ~tn~tures'. if any: IR(a~t ........ ~ar ...... ~pth ....... , .......... this pmlmrty within ~ f~t !of a Lidal ~tlaal? * YI~ , P1.OT I)IAGRAH ll~al.e clearly aal disti~tl? alll l~dhlinga~ ~ether existing or propel, msl i~slicata all s~t-I~k or ~haeriptk~ according to ~h~l, a~ ~s~ street m~ea a~l i~licale ......... ~.: ............... I~,ing duly t~rn, (lelx)~s taxi say. that he ia the appl (Nme of i,.lividt.d sJgllhlg contract) I Ik* ~ the ............... ~ ...................................................................... , (Conrrnctor, age.t:, cobra)rate officer, etc.) apl)l ieation; that: al I atata~nts clmtait~l in this appl icat ion are tn~ to Ihe Impel: of hie k~lc~ge s~l I~H ieFi a~l that the ~)lk wltl I~ I~rfonl~l in the ~s~ln,~r scl: forth in the appl icatio, flied C~IRE L. GLEWI i c:,;,[) ..... ''"''"~ Nota~ Public. State of ~ew York No. 4879505 ] Qualified in Suff~? Coun~ ~mmission Expires December 8~ 19 ~ ¢ ,00'£01 '~ ~ou~O°Z 'N ~"~