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Home My WebLink About19362-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22860 Date FEBRUARY 2~ 1994 THIS CERTIFIES that the building. Location of Property 830 MONSELL PLACE House No. County Tax Map No. 1000 Section 97 Subdivision ACCESSORY CUTCHOGUE, N.Y. Street Hamlet Block 8 Lot 23 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 1990 pursuant towhich Building Permit No. 19362-Z dated AUGUST 3t~ 1990 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 ACCESSORY STORAGE SHED WITH GREEN HOUSE ADDITION AS APPLIED FOR The certificate is issued to GEORGE W. VERITY of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 i~0~.~ NO. ~ TOWN OF $OUTHOLD ~UILDING DI~PART.~ENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ';93~ Z ., ........ (..~........~. ~..~...~,/.,../zl...~...~.... , ,o ot premises located at ....~Z~~-~ ........................................................ Coun~ Tax Mop No. 1000 Section ...... .~.,2 ....... Bilk ..... ~ ........... Lot No...~..~ ............ pursuant to application dated .... ~,~'~... Building Inspector. Fee $....~..~.e..~ 19.~.., and approved by the Rev. 6130180 Form No. 6 - '" BUILDING DEPARTMENT - TOWN HALL /~~ q~' 765-1802 '" APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 feathres. 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. B. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction..~.f.$ ..... Old Or Pre-existing Building ................. Location of Property .... ~SP ...... ~t~.~.~ House No. Street Hamlet County Tax ~ap No 1000, Section ........ ~2..Block ..... Subdivision .................................... Filed Hap ............ Lot ...................... Bealth Dept. ApproTal .......................... Underwriters Approval ...................... Planning Board Approval ........................ Request ~r: Temporary Certificate ........... F~nal Certicate .... Fee Submitted: ~ ............................. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 January 25, 1994 Mr. George W. Verity 830 Mensell Lane Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xxx 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 9 BP# 19362Z Please contact our office on this matter. your co-operation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (lst) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS BLDG. DEPT. , TOWN OF SOUTHOLD FORM NO. ~J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORH ................ Examined ·. f.~.~,/ ........ 19~., . TEL.: 765-1802 Disapproved a/c ................... ............. ' APPLICATION FOR BUILDING PERMIT NOTIFY~ CALL ..................... HAIL TO: Date ..' ..,19.~. INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building i~spector, with sets of plan'i, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ving location of lot and of buildings on premises, relationship to adjoining premises o~ public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pan of this appl/- cation, r c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit p~muant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or Regulations, for the construction of buildings, additions or alterations, oi' for removal or demolition, as herein described. aTdhe .applican.t agrees to comply with ali applicab~'e laws, ordinances, building code, housin~ code, and re~tions and to mit anthonzed inspectors on premises and in building for necessary inspections. ($,gnattlre or aPl~mant, · .. . .... .... '. -'~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~ ¢-t7C q ?_ (as on the tax rbll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No .................... Plumber's License No El ' ' 's L'e N ctnc,an lcensc o ..................... Other Trade License No ' 1. Location of land on which proposed work will be done: [lOuse Number Street, ' ' ' · CountyTax Map Nol 1000 Section "' : Block /~ ' Subdivision Eiled Map No " ..................................... · .............. Lot ............... (Name) !. State existing use and occupancy of premises and intended nsc and OcCnpancy of proposed construction: Ex,sting Use and occupancy ... b. Intended Use and occupancy ... . 3. Nature of work (check which appli~ableL New Building . · ..~. ..... Addition .......... Aiteratton '~'~?i ...... Ren:ur ...... Removal .............. Demo,litJon ............ Swlr~t~jJ~.. 4 ~t ........ 4. ~f Est,mated Cost...~.~. .... i ....................... Fee ........................ ~. ;~,;.. · ~, ....' I (to be paid on filifig this apPlies, tierS) of dwelling unilts ~" Number of dwelling units on each floor $. If dwelling, number , ............................... If garaee number of cars i ' 6. If business, commercial or mixed o~cupancy, specify natore and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front.., ........... ~ Rear ................ Depth .............. Height...............Numbed'of Stories ............. . .. ................................... .. · - .... or additions: Front Rear . Dtmensmns of same structure wlth~alteratlons ......... Depth ...................... [Height ............. ~,~ ..... '. Number o f~t..9,,ries ................ ~.~. .... ~..q ....... R~a~, .&~ ........ P · .7-.,z.. ...... ~8. Dimev. sions of entire ne~ constmclion: Front ~ ,, · r- ~. De th .. ~'V Heiel:t .... t?'/..F. ~.... Numbelr'of Stories ~ / ~ ~ ' 9.)~Siz~oflot: Front ...... ]~'D...(~.~ ....... I~ea ...... ~.C~ ............. Depth .., 6~,~..~/~/~. .... 10~ Date of Purchase ............................... Name of Former C)wner ............................. 1 ~')~ Zone or use district m whicll premises arc situated 12. Does proposed const.~uct~on violat8 any zoning law, ordinance or regulation: ............................... 13~Will lot be regmded ........... i' ........ ~ ......... Will excess fill be removed from premises: . .Yes .... 14. Name o f Owner o f premises .~.~. t:~.,~. ~ ~a,~'.~(.. Address ·/Wt~dV~'-e/. -~m.~.'~- · Phone N°' %~ ~' · ~'"5~ F~] · , .xl.x.~. .. Address .......... .,C~c' ..... Phone No ......... ~y ....... ~, Name of Architect ................. .]. ~ Name of Contractor .................... Address ....... :. ,,~ ...... Phone No ...... [05.Is this property locate/d within lO0 feet of a txffal Oetland? ~YES...;HO~- · If yes Souchold Town ~ruscees PermlC may be required. · i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ndmber or description accord',mg to deed, and show street names and indicate whether +¥% intedor orscorner lot. STAT~F NEW' YORK, COUNTY OF .... ,! (Name of individual signihg contract) above na~ed. He is the ...................... of said oxvner or owners, and is dui! application; that all state~nents conta being duly that he is the applicant (Contractor, agent, corporate officer, etc.) authorized to pegform or have performed the said work and to make and file this :ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in thc application Qlcd thcrc~vith. ' ~ ./., Sworn to before me this ·. I . . . 19~..~. ~.~..].. ~.....day_~o f? 'r~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [_ FRAMING [~=INAL DATE /~~'~ INSPE~~ , 765-1802 ' BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FouNDATION 2ND FRAMING REMARKS: '~'~ /~--~ ~--~ / ~' ._~ DATE ~/~//~?/ '*SPECTO~ _~