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Home My WebLink About22541-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~uumANCY No Z-24450 Date JUNE 20, 1996 THIS CERTIFIES that the buildin~ Location of Property 26350 MAIN ROAD House No. County Tax Map No. 1000 Section 109 Subdivision ALTERATION UuTCHOGUE, NEW YORK Street Block 4 Lot Filed Map No. Lot No. Hamlet 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 8, 1994 pursuant to which Building Permit No. 22541-Z dated DE~EMBER 27, 1994 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 ALTER AN EXISTING CLOSET TO A MA'r~KOOM ON 2ND FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS J. MONAHAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-047758 - NOVEHBER 14~ 1995 a 13~ 1996-THOHAS Jo NONAHAN Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. N.o 22541 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby gronted~: ../~,~.~.....~....~~~ ........ to...../....4~.~...... ~..... ~~~. .......... ~C~ ~.-........ *~....~ .............. ~~ ........ ~...~..~......~. ........ ~~ .......... ~......~... at premises located at ............ ~ ......................................... co~'~o~,Mop,'~o. ~ooo se¢,,on.,./~.~ ........... ~,oo,, ....... ~:.....,. Lot,'~o....~ ........... pursuant to application dated .......... ('~,~.,......~....~...~..~. ................. 19....~..~. ...:, and approved by the Building inspector. Eee ~....~... Rev. 6/30/80 I BLDG. DEPT. [ TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 '!pre-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 shall state the reasons therefor in writing to the applicant. C. Fees 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-existing Buildin~ - $100.00 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 ................. Loeation of Property ~.~.~. Z~?Z~.~.~ C%.*.~... ... House No, Street Hamlet Onwer or Owners of Property...~.~.~..~Z..~...~..z..../~.~z~ County ~ ~ap ~o 1000, Seetion...,.:.~. ..... Bloe~ .... ~.,~.. ....... ~ot .................. Subdivisi i,~ Filed Map Lot ..... Permit No. ~..O~f/..Z...Date Of Permit..z~.~. ~.~/~..~.., .Applicant..~?.~....~'...~.~..~.~.~.~.. Health Dept. Approval.................. ..... .o. Underwriters Approval ......................... Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..~..~..~.~ ................ ... i ~.~. ~....~..~.~.' ............. ~. ~ I ~? ~PL~C~T -% CODE Fi[;;AL '. BLDG. DEPT. _~.WN OF SOUTHOL9 Town Hall, 53095 Main Roed F. O. Box 1179 $outhold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Owner: (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~-4~- day of ~k]~ , 19q~ No. 4725089. Suffolk Cou~ . Term ~resMav 31, 19~e BLDG. DEPT. 765-180,2 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] F/~OUNDATION 2ND [ FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION DATE /0 ~' ~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [~' [ ] FIREPLACE & CHIMNEY THE NEW YORK BOARD OF' FiRE UNDERWRITERS P~S 1 ,~ 8052207 BUREAU OF ELECTRICITY ~- IBB JOHN BTREET, NEW YORK, NEV4 YORK 10038 ' .... ' ; ~. 758 ' '" "~/~r ~,,"' ~t~TM'' :% ~, >NO~ER~ '~4~ 1~95' ' ' THIS CE~IFIE~ THAT O~y the e~etrlc~ ~uipment ~ ~scri~ ~e~ a~in~ced by t~ apphc~nt ~med on the e~e ~pRcat~n ~mber ~n the ~e~ of THO~'MON~, 3635e ~IN'RO~,. C~CHOG~, ~.Y, /.... ~>. .. . '.- ~s .xa)nine4 0. : NO~R ~8,1~9 5 and found to b~ in co~pliancs ~i~h the Naaonal Elect~cal Code: FIXTURE i SWITCHES OUTLETS DRYERS RJRNACE MOTORS FUTURE APPLIANCE FEEDERS OTHER APPARATUS: G.F.C.I~-2 THOHJ~ MON~4J~t~ ,: 26350 MAIN ROAD iRT, 25 CUTCHOGU~, NY, 1~935 'FORM NO, I ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,¥. 11971 TEL.: 765-1803 Bb,;~RD'OF HEALTH · -'3 $'ETs OF PLANS SURVEY -'CIIECK INSTRUCTIONS CALL . HAIL TO: a. Tkis application must be 0mpletely filled in by typewriter or ih ink an'd submitted to the Building Inspector, with · sets of plans, accurate plot plan to ~cale. Fee according to schedule. b. Plot plan showing location!of lot and of buildings on premises, relationship to adjoining premises or public sti'eet: ~or areas, and giving a detailed desdription of layout of property must be drawn on the diagram which is part of this appli. cation. , . c. The work covered y this apphcahon may not be commenced before issuance of Building Permit. . d. Upoh approval of this application, the Building Inspector will iksued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose Whatever until a Certificate'of Occupancy shall have been granted by the Building Inspector. A PLICATION IS HEREBY M~DE to the Building Department for the issuance · · · Building Zone. Ordinance of the TOwn of South&la .c,~r~,,. ,-, ....... of a Bmld. mg Perm,t pursuant to the . . ~ . . -. ...... ,,~,~. ,..oumy, mew xor~, aha other applicable Laws, Ordinances or TR~egU2;~ncaSh?[grtehees ct°on:torUm;~i;%~fhba~lildam~?,caab~ed,~;ownss' or .a. lterat,ons, .o.r for removal or demolition, as herein described. PP , ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and iri buildin~ [~r necessa ' . ' . . . [~13W]~ ,)'~H ~ [J (Signature of ap i~ca~t, or name, ,fa corporanon ~at whether applicant is owner, ! see,'age architect, engineer, generai contractor electric' ~ ! .~ . , ~an, plumber or buxlder N~me of owner of premises .~,.~... . . (as onthe tax roll or latest deed) ....... If applicant is a corporation, signature ~'f duly ~uthoriied officer.' ' (N dtitl f it~' ffi )" ...... flmean eo comoa o cer Builder's License No ........ Plumber s hcense No ....... Electrician's L cense No. Other Trade's License No. ~ ' ' 1. Location oflahd on which propo: ed W~Ork will be'done ........................ House Number i Street Hamlet ou'nty ' , C TaxMapNo. 1000 Secti n .... .,,~ Block C:) ~ ' Subdivision ........ ... ................... ' ......... '. Filed Map No. (Name) ............... Lot ............... State existing use and occupancy bf premises .... , .. :,dad .. occupancy of proposed construction! a. Existing use and occupancy .. [.. . b. Intended use and occupancy i ./~.4'~ ,-~'~.-(? ........ -3. Nature ofwork (check which applicable): New Building . ~ ........ Addition ........ A/teration .. ; .... Repair .............. Removal .............. ' Demolition ...... : ..... Other Wok ... · '"" '. ' .... ' .......... .... . - S. Ir dwelling, number of el in s ... ~ ...... Number of dwelling units o~ ~]c~ . If garage, number ofc~s .. ' ........ 6 If business · ' ........................ · , *om,n~¢,~t o~ ~x~d oi¢~;~n~y~ ~p~c~y ............. ~j ............... 7 Dimensions of existing structures if any: Front nature and extent of.each type of uge Height Number of Stories .... : .......... Rear ............... Depth Dimensions of shme structure with alterations ' ' ' ' ....................................... Depth ' or additions: Front Rear Height ................................... ' Number of Stories · Dimensions of entire new construction: Front ...................... Height Number of Stories .............. : Rear ........ Depth 9 Size of lot: Front - ' ....................... , ..................... ; .......... 10' Date of Purchase ......... ' ........ Rear ...................... Depth ...................... ' ' ................... ' ......... Name of Fomer Owner 1 I. Zone or use district in which premises are situated ...... ' ............... : ...... 12. ' .............. ' . Does proposed construction violate any zoning law, ordinance or regulation: .... ~ .................... 13 ............... . . . Will 16t be regraded ....... : '" ................... Will excess fill be removed from premises: Yes ' ................... Address ...... ' .~q~ ~ ..... Phone No ....... . '. Nme of Contractor .......................... Address ...-; ........ : ...... Phone No ........ ' ~5.' I.s th~s property w~thSn 300 feet of a tSdal wetZand? *Yes ........ No.~. ' ........ · If yes, Southold Town Trustees Permit may be requSred. ' ... PLOT DIAG~ Locate clearly ~d distinctly ~l bulldogs, whether existing or proposed, ~d, indicate fll set-back d~ensions from prope~y hnes. Give street and block number or desc~ption accord~g to deed, and show street nines and indicate whether Mtefior or corner lot. -- APPROVED AS NOTED DA'm: NOTIFY BUILDING DEPARTMENT AT 765:1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. 'FINAL o CONSTRUCTION Must BE COMPLETE FOR'C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE' N~Y. S'YATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR ;DESIGN OR CONSTRUCTION ERROI~ OCCUPANCY OR USE IS UNLAWFUL ,' WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFI~I-~ R£QBIRF. D STATE OF NEW)FORK.~/-h /, ~ _ co, · ~' '~ ................ being duly Sworn, deposes and says that he is the applicant (Name of individual signing cqntract) above named. teis the..~.... ........ ~.~" (Co or, ag ffi .............................. ntract tnt, corporate o cer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~,'ork will be performed in the manner set forth in the application filed therewith. ' . ,worn to before me t~F~.~ ' ..... ~ ........ ~.' ..... ~day of.. .... . '.1 ~:~,~.:~... ~_: .~... '., 19..C~ ' NotarlPublio, State~fNewYork ~ ~ ~'~ No. 4879505 /~ .-,£ , './'5ff'.- Qualified in Suffolk County ~'/'-/' /-~ 'Si-n k g amre ora plicant) Commission Expires December. 8,19...~/ ' .. P ". ?..::'.:, ' ' ,. ' ';: . I