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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: ...~.~,.~. ...... ~.~.~.~ ................ .../~... ~..~: ~.......~ ......... .~....~,~..~...~. ............ ~ ................. ~ , , ..... ~ ........... ~ ............................... t ...... ~..~ ............. ~ ...... ~ ~"~ ~'~-'~ ..~~, ........ ~~. ...... ~.~ .......... /~~ ......... ~ ..... ................................... ............................ ........................... .............................. ~,~.~..~.~. .......................... 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. 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