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HomeMy WebLinkAbout23569-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office cf the Euilding Inspector Town Hall Southold, N.Y. CERTIFICATE OF No Z-24695 Date OCTOBER 24~ 1996 THIS CERTIFIES that the building Location of Propert~ 45400 MAIN ROAD House No. County Tax Map No. 1000 Section 75 Subdivision ACCESSORY 8Ou'£~OLD, N.Y. Street Block 6 Lot Filed Map No. Lot No. Hamlet 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated ~I]NE 18~ 1996 pursuant to which Building Permit No. 23569-Z dated JlILY 10~ 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 ACCESSORY GARAGE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to EDWARD McKENNA (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. RENDING - OCTOBER 10~ 1996 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 / Building t~nsp~to/ of the aforesaid building. FO~M NO. ~ TOWN OF SOUTHOLD ~UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23569 Z Dote ...... ..~....Z.~... ........... 'Jg.~..~. C~n,,,, To,, Mop No. ,000 S,,ct,on ......... ~.... B,~k .... .~... ............ Lot No...../..~ .............. ~ur,uo,',t to o~,~,,,cot,on dot~ ................ ...'~..~..../K .......... , ,9.2~, o,',,~ opp,ove~ ~,~, Building Inspector. Fee $.....~...¢~....~.. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE 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 ali 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................ New Construction ........... 01~ Or Pre-existing Building ........ Location o Property .......... ~. ......................... [~.']~i;;[ ....... ..~.,: .1¥./?~..//.~. ..... House No. Street Hamlet Onwer or Owners of Property .... ........................... County Tax Map No 1000, Section....Z .~.. .... Block ....... ~ ....... Lot ....... ./..~. ........... Subdivision .................................. .. Filed Map ............ Lot .................... . . · .~.~ .......... Dat.~ Permit...~../.~/~. ~...applicant.. ~//~.. =/~f~ ~ ~ Permit No 5~ ~Z,- ~ Of Health Dept. Approval ...................... .... Underwriters Approval ........................ . Planning Board Approval .................... ... . Request for: Temporary Certificate ........... Final Certicate .... ~..;.. Fee Submitted: $(~,~. ~al~ ...... ~., .................... ~/' '~/~ ~. '~ OC~'L ~/~f: p_., 9,q .... ......... ................... 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 October 9, 1996 A.W.J. CONSTRUCTION CORP. 550 DEPOT LANE CUTCHOGUE, N.Y. 11935 To Whom This ~4ay Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. 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 # 23569-Z (McKENNA) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT DATE COk~IENTS ROUGII F~ & Pt,~BING INSU~TION PER N.Y. ~ STATE E~RGY II m CODE ADDITIONAl. COI414ENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOU~T. ION IST [ ] ROUGH PLBG. [ ! ~,JNDATION2ND [ ] INSULATION [~RAMING [ ] FINAL DATE 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. i ]]:ORAU.iMIDNAGTION2ND [[ ]~N [ ] FIREPLACE&CHI.~ //~O DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUPJDATION 1ST [ ] ROUGH PLBG. [ ] FOUHDATION2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE ~HIMNEY REMARKS'- DATE INSP _ . 765-1802 DF..I~r. SPECTION [ 1ST FOUHDATION 2ND [ ] ROUGH PLBG. [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE &~ IMNEY REMARKS: _?/~ ~ ~ ~ ~ ~// ~ ~" ,,o,,~ ~o., ~ ~ o~ ~,.~ ............... ~C ~ '~. 'ro~ o~ so.T.o,.,,su.v,;v ........................ JUN 18 1~ [~" ¢ Tow. ,,~,.,. s,w~,c ~o,. ................... BLD~EPT ' ~ TEL: 765-1802 ~O'Fl FY: TOWN ~S0UTR~D ~ C~ .................... APP~I~ATIOR FOR BUII.DIRG I'ERHIT INSTRUCTIONS a. 'mhis applicatlc~ ram, be c(jn~flelely filled in hy lyl~n:iter or in ink a~l mflxnitt~l to tim ~dlding Inset,or 3'~ts of plmm. actuate plot pl~ to ~ale. F~ acconli~ to ' b. Plo~ pl~ M~i~ l~aki~ of lo~ m~l oE ~ildi~s ~ pr~i~s, relati~fip to Mjoini~ pr~i~s struts or areas. ~ glui~ a ~tail~ *~scriptia~ oE last of ~rty .,mt I~ dr~ ~ the dia{V~ ~dch is {mr, o~ this a~l icati~. c. lhe ~rk c~ I~ this a~llcatitm ~ ~)t I~ c~gm~l Imfore isa~e of ~,ildi~ Pemit. d. U~ a~al of this aH*licatiu~, tl~ 5dltllng lns~ctor will is~ a hild{~g Petmit to the a~'licant. ~mit Mmll I~ ~pt ~ tim ~i~s ~ilable For ins~ctic.~ thrtx~t the turk. e. ~ I~dldi~ dmlt lm ~{~1 or u~l in ~le or in ~rt for ~ D,~se ~}at~r ~n~til a C~rtificate of ~ca~mry droll h~ l~n gr~t~ 1~' O~ hfilding lns~tor. A~ff.I(~TI~ lS l~t~l{~ ~E to tie ~ildi[B ~,,C for fl~e issue of a ~dldi~ Pemlt ~r~t to ti~e lkdldi~ 7~ O~lim~ of Om T~ of ~tlmld. ~fffolk Corn,y. ~ York. a~ other a~llcable l~s, Or. Jmes or l~datlms, for tim ~mtn~tim of t~ildings, aklltia~s or alteraCio,m, or For r~al or {~llti~, as Imreln 1' {~mril~. ~m applic~t ~s to c~ly with all a~ ~cable l~s, ordi~mes, t~dldi~ c~h, Imsi~ c~, a~l re~flati~m, aal to shit ~tl~riz~l imq~lors m prmi~s a~l in t~ildi~ for [~cessaw ins~ti~s. (~,~t,:'~'' :'" ;;; T~;;~';;'~;'; (~MI i~ ~Mre~s of State M~tt~r applicant is ex.mar, lessee, agent, arci~itect, engi,~er, general contractor, electrician, pht~i~r or Isdlde ................................ .................................................................... (as tm tim tax roll or lal:e~t deed) If al~l~icant is a corporatic~m, sip~at~r~ of Ch,ly m,tla)riz~ed officer. ({q~n~ a~I title~co~rate officer) · ,,~. i.ice~ ~. :.~.,.~z..:.'.:.~. ...... I. lmatim of la~l m Odd{ ~ml turk will I~ ........... .................. ........................ ................. ...... I~ ~r Strut l~let (~) 2. .State existi~ ~ m~ ~t~y of prani~s a~l intm~l . ~ · -, ,, ~ o ~ ~ ~ G~ , ' . ..................... ........................ ,,. ~,,t~=~ ~ ~ ~. ~..~. ~... ~~Jm~).]JJ:: :..>~ .................... I0. II. )2. 13. 16. ............ I~l~al ............. I~d i t ion ~ ~ ~ Ot her~ t4~ik .................................. Esti,,,,te~l (k~at: ........ ~ 0 ......0 ~ ........ ... fee ............................................ ;. (lo I~ fid ~s~ f:il Jl~l~ Ihi~ al~l it:at i~) If ~ka~llins, *~,d~r of tk~llit~g ~n*ita ............ tanimr of t~lllnlg tn~ita tat eacl~ ~lcx~r ................ lli,~,miam of exiati.g at,,,:tm'es, if a.y: F.~,t..~ ......... I~ar .&~ ......... I~pth ~.].~ ~ ,~,i~,t . .~.~ ~ ,.,,~ ,,~ ~,,,,.~. ...................... lk, plh .................... Ik~i~l~: .................... tlnt~r of BIol isa ............... 2ksm o t.m district i ~idt I a '~s ate sitt~te~l ...~ ............. ~ ........... ~;~ ......................... / ~.,~ ,~ ~ o~ .,-~,,~. &'.~.. ~.~.~ ....... a~,~.. .......... 8~: ~r~,~'~ a~ .......... PI.t)T I) i ACI[AH I~x:ate clearly stol dist:ir~tly all |a~ildlngs, ~mther existin~ or proi~l, taxi i~licaLe all ~t-I~:k dinetiaio~s fl(,,{ In'Ot~ty lites. Give street a,xt bl<x:k t~xti~r or (~scripti(a].. according I:o ~1r m~l ~ street ,u,tes m~l ir~licat; ;d~ether inteslor or corl~r ~ ( ljI. RIIh' ....................... .& , the .................................................................................... ....... ~..~...... ~ ~ ~ · lltat y I~lbl ic .................. ,, ~ ........ NOTA~ ~BUC~ M N~, No. 472~9~ffoik ~u~ Term ~s May 31, {~u~ OCCUPANCY OR USE IS UNLAWFUL , t,.,PP~.OW~ AS NOTED ;:,~-,~-~ ,.,.~*~ANITHOUT. ,~ ~.,, CERtiFICATE Ai.L CON'3TRUCT!ON SHALL ~.!E~ -~u~ THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY C(",I;~S, NOT PESPONSIBLE FOR DES!GN ©R CONETRUCTtON ERRORS re,vi: J PO?O b4~-r'~