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. 'lhi. nl~plicnth)s~ .~mt I~ ciJ,q~ielely Filled l,I by I'yl~.~,trlter or in lids msl mflx.h:ted to Lhe {kdhlh*B hml~clor
3 netn of pln,l~, nc~n~r~t~ plot phm] to ~eule. Fe~ necordin{~ I.o llchedule. ~' ~ '
IL I'lot plm~ Olr~is~ l<~othmlor lol. ~.~1 oF I~lhhpB. ~.] pie.i.e., ~lnl. lo]mhlp to mljol.l.g prmdne, or i~lhlh.
~ ~lre~e~.'or .re,m..,.I Blvh~l n ~ktu{il~l ~scrlll'h~ oF. t~a t '~ E 1 r~)l~rty ,~.t Im dr{~ (~ ~ ~Br~n ~,l~l~
, ' d. IIl~ ypl,~?l oF thl~ .l~)ih:.l.~.h the Ik,lhll,slI {..Im~tot ~dll Jnn~ . IkslhlluB I~,,.lt Io the .ppll~:nut.
(k:inllmix:y ~hall hove ~ell {~rm~te~ iyt ~e Ik~lh }nil hml~Clor.
AI'I5.1(~'I'I~ 19 IEI~IIY [~ll~ roi Im IklildinB Ikl~ltt.unl. I'or the {nfllml~e o[ a Ikllldil~ Pelmlt l~lrliilnlll, to the
Ikl{hl{l~ ~n~ Ordil..me of the '12~ of ~dlg)ld, Fuffolk (~.Hy. ~v Yorl% m~l or{mr .iR~tJeul){e 1~.. O~l[I..~en
(lenerllmd. 'lira oppllcm~t iIBree{I I.~ c~l,~ly .lth .11 nlq~lleal)le I~., ordl,m,~:en, I~lhli.g c~}e, l~mll,8 c(xle, nl~l
~e .h~tJ(nm nlgl to ,~.it m,tl~)rl~ Jlm~elorn ~l ,m,,h,~. n,~l h, I~,lhlh,fi [o~ i~een.nr
(tL*i I hql mkh'eu. OE ~l~)l Icmd:) --