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HomeMy WebLinkAbout23376-zFOBM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~NC"~ NO Z-24530 Date JULY 30, 1996 THIS CERTIFIES that the building Location of Property 1725 VIIJ~AGE I~ House No. Street County Tax Map No. 1000 Section 25 Block 3 Subdivision Filed Map No. ADDITION ORIENT, NEW YORK Hamlet Lot 8 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1996 pursuant to which Building Permit No. 23376-Z dated APRIL 19, 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 STOP. GE SMD ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. MARY LEE SHANAHAN (owner) SUFFOLK COUNTY DEP~RTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOLCON HAU. SOU'[HOt. O, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23376 Z ~ Permission is hereby granted t.o: __ ,~/ .- , ./...~...M......./.~ ~......:..:...~~ .................. ~_~,~ - .c J 7 .............. :x..~...~,'-/... ....... /./..~ .................. .... ~. ..................... ~....~..~. ~ _ ~ ....................... CounlyTax Map No. 1000 Section ...... ,,-,~'"'"~" ....... Block ....... ~ ............... LotNo ............................. pursuant to application dated_, .............. ~~ .~... ............. ' g....~.~. ..... and approved bythe TOW~ OF SOUTHO~.D T0~J OF SOUTHOLD BUILDING O EP :aJ.~TY.E.NT 785-i802 This application ~ust be fi%ied in by cyp. ewrizer OR ink and submitzsd c~ the bu!!Ring inspector wi~h the following: for new building or ~ew use: i. Final su~ey of property with accurate location of ail buildings, property lines, s~reets, and unusual ~aTura! or ~opographic features. 2. Final A~prova! from Ee~!~h Dept. of wa:er supply and sewerage-disposal(S-9 form)~ B. Approval of electrical ~sza!lation from Board of Fire UnderwriTers. &. Sworn s~at~menT from pi,umber c~rtifying ~hat the solder used in syst~-m oon~ains less ~han 2/I0 of i% lead. 5. Commercial building, industrial building, muitipie residences and .similar buildings and ins~al!aTions, a certificate of Code Comp-iiance from architect or engimeer responsible for The budding. Bubmi= ~!anning Board Approval of completed size plan requirements. For e.~ris~ing buildings (prior to kpri! 9, 1957) ~on-conforming uses, Or buildings and "pre-~xlstin~" land uses: i. Accurate su~zey of property show~ng ail properr7 Lines, streets, building and unusual ua~ura! or ~opographic features. 2. A properly compiened application and a consent ~o ~nspecT slg~ed by the applicant. If a CertificaTe of Occupancy is denied~ the Building lnspec%or shall ~ara the reasons therefor in w~iting ~o the appiicant. !. Ce~!flcana of Occupancy - New dwelling ~25.00, Additions co Alterations ~o dwelling S25.00, S~imming pool $25.00, tccessory bu~--lding $25.00, Additions co acaesso~z building $25.00. Busimesses 2. Carcifiaaua of Occupancy on Pre-~xisuing Bui!~inz - SI00.00 3. Copy of Certificate of Occupancy - ~.25~. .' £. Updated Certificate of Occupancy ~30.00 5. Temporary Car=!ficate of Occupancy - Residenbial $!5.00, Commercial $15.00 New ConsUrucuiou ........... Old Or Pre-e.xisuing Bui,ding.~-fq.~ ........................ ~=~ ~ ~ ~o ~oo~, ~o~~ .... ~o~ .... .~ ......... ~o~ ..... ~... ............ 15aD .... Loc.. Subdivision ................................... . ........ Planning Board ipprova! ........................ 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 Mary Lee Shanahan 1725 Village Lane Orient, I~Y 11957 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. The check is (~a~cda~=~/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 # 23376z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. F I II^l. ......................... ^IH)I'II()II^I. (.I I~ I'~I~ ................................................... ;..~.;; - 'ii` . 765-1802 BUILDING DEPT. INSPECTION [/~/~OUNDATION 1ST [ ] ROUGH PLBG. ./ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY i-~~ INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. VI.OT ~~~ ~ ' UNDERWRI ERS CERTIFICATE / AP~OyEO AS NOTED ~ REQUIRED ~ OATE: -~~.e ~ ~, [~ ~ ....... ,~ FOLLOWING ~ ~%[P~ ~ ~ ~[~ ~ ~ I. FOUNDATION ~OREQUIRED ~,~ ~:~.~-,'~ ~, 2, ROUGH ~ FRAMING & PLUMBING ~ co~ ~o~ c.c. ~'~?~ ~ ~ ALL CONSTRUCTION SHA~ ~,,F~/:~,~ ~ THE REQUIREME~ OF ~E N.~ STATE 'CONS~U~ION & ENERGY COOLS. N~ RE8PONSIg~ FOR [[~'*'11~ (x~ ll.~ ~(xt~, DESIGN OR CONS~U~ON ~ROR8 ................................................. ~ ........ i~ti.l[ duly ~.., delX),~l m.I m,y. IIm~ he J~ the ~1~1~1 ~,~ i. ,,, ................ ,..... .......... ~.~ .......... . ................................................. Ih~ll tllq ~)ih .ill I~ I~/~()lli~(I ill Ih(! II[Ji)l~]l riel: I'()llll iii Ihe II[)[)li(:~l, ioll, [lied ........ ..... .... ~oa9. Su~lk Co~Y~ FOIIH I10. I TO'dH OF fiOIJTIlOl,I) IIU l IJ) ] I'1(~ I)F, I~^IUII'IF. HT T 0~,11,1 I1^1,1. !N)UTilOI',I), ti.Y. 11971 TEl.: 765- Itl)AlU} ()If IIF. AI.TII (,III.(,K :~ ......... :H~A"I' 1C I~()EH .... ~ .............. tl()'l' I FY: c^,.,. ~!~.B.-'..3.~5A :... I',A I I. TO: .................... , , 'l)nte'. ............... ~19 .... fit.re ~hetl~ar nl~,)llctml_ io {~n~r, leo.ce, ngent, otchilect, e.sh~er, go~r.I co.l.~netor, electrh:Jm~, ph,,Imr or I~,ihler ................................. . ............... Ihe I.~ ~'oll oe Intent ~(U,,,u j,,~l" t it Io <,f COrlg~rale of fi cer) ElecLric[~ o I,}cetme ~).. .... ,,, .... . ................. ........................... [~ I~hvl.h~ ................ ~ ..................... Fl le~ t~q, lb ................ ll)t ............... (~,~) ,. ~,~t~,~ ,,~ ,,,~, ~:,~,~,,~ r~ ~.. .........C¢~ ................... ,. .. . .{. :' ~ ~ . n. 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