HomeMy WebLinkAbout23450-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25629
Date: 04/06/98
THIS CERTIFIES that the building FOUNDATION
Location of Property: 1545 OAKLAWN AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 3 Lot 5
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 3, 1996 pursuant to which
Building Permit No. 23450-Z dated MAY 16, 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 FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EDWARD J & JEAN A MUNSON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N436353 10/31/97
N/A
ilding InspectoJ
FORM NO.$
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
ToWN HALL
$OUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23450 Z Date ............. ~.. ................................ 19....~.~...
Permission Is hereby granted to:
...~.~,.~. ...... ~.~.~.~ ................
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t ...... ~..~ ............. ~ ...... ~ ~"~ ~'~-'~
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................................... ............................ ...........................
.............................. ~,~.~..~.~. ..........................
CountyTaxMapNo. 1000 Section ...... ..~..~... ......... Block..,,,.~.~,. ........... LotNo ...... ..~...~ .........
pursuant to application dated ....~?~.....,~....,,...~. ....................
/
Building Inspector,
Fee ~....~.~..'..':~ .....
19...~...~...., and approved by the
Rev, 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION 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 Health 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.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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 shaii state the
reasons therefor in writing to the applicant.
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-existinR Buildin~ - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building .................
....
Location of Property...~.~.~.~.. ....... .............
House No. Street Hamlet
Onwer or Owners of Property....~..~..~..~..~. ~...~.'..,~. ~..~.~<./~ ~. ................................
County Tax Map No 1000 Section Block ..... Lot
Subdivision .................................. .. Filed Map ......... . .. Lot ......................
Permit No.~.~..~.'.~.~..~-~..Date Of Permit..~.~.~. .... Applicant.~.~.Cq.~...~.~/?,~..~-~-..
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $. ~.~..~.: .~.~ .................... ...
> AFPLICANT .
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E 1
lee~e93 su.~^u or =-ECT.,C,TY
F 85 JOHN STREE'T, NEW YORK, NY 10038
Dat~ OCTOBER 31,1997 .4pplication Mo. onI~le 14937397/97 N 436353
THIS CE~IFIES THAT
o~y t~ e~tric~ ~uipment ~ ~scd~ be~w a~ int~uc~ by t~ ap~icant ~m~ on the a~ve appl~ati~ nu m~r in the prem~s of
MONSON, 1545 OAKLAWN AVENUE, SOUTHOLD, NY
ex.mined on OCTOBER 22,1997 and found to be in compliance with the National Electrical Code.
HXTUI~E / RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
/
I
~RYERS' ' RJR'NACE MOTORS ~UTtJRE AIh~tliNCE F~E~ES SI~CIALRK',T. TIMECL~KS "LL ~ M~&~,T DIMME~
1 100 CB 1 X 1 4 1 4
OTHER APPARATUS:
DOROSKI ELEC. INC. LIC.#2941-E
425 MONSELL LANE GENERAL MANAGER
CUTCHOGUE, NY, 11935
11
~i$ certi{icote must not be o~t~ed in any m~nne~; return to) ~he o~ice of the ?)oard i{ i~co~rect I~specto~s may be identified their credentials.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 1, 1998
Fax (516) 765-1823
Telephone (516) 765-1802
Edward J. Munson
1545 Oaklawn Ave.
Southold, N.Y. 11971
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)
XX 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 # 23450-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] IN~SULATION
[ ] FRAMING [ '~FINAL
[ ] FIREPLACE & CHIMNEY
INSPE~
765-1802
BUILDING DEPT.
// INSPECTION
[/)//FOUNDATION/ 1ST [ ] ROUGH PLBG.
[//1 FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPL~E & CHIMNEY
INSPECT~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONIST [ I ROUGHPLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECT~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ~/SULATION
[ /..,]/FINAL
[ ] FIREPLACE & CHIMNEY
-/
DATE
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