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Home My WebLink About23577-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~TIFICATE OF OCComANCY No Z-24978 Date APRIL 10~ 1997 THIS CERTIFIES that the building ADDITION Location of Propert~ 66225 COUNTY RD. #48 House No. Street County Tax Map No. 1000 Section 40 Block 2 Subdivision Filed Map No. Hamlet Lot 9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 24~ 1996 pursuant to which Building Permit No. 23577-E dated JULY 12~ 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE A. CCwl-£KAL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-398676 - OCTOBER 1~ 1996 APRIL 7~ 1997-ROBERT VANETTEN Rev. 1/81 FOu~ NO. · TOWN OF SOUTHOLD BUILDING D£PART,~ENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23577 Z Permission is hereby gr~n~d to: t~...:.~.....>...'.~...M~...._~..~. ~:,~/ .... Z~...~ ....... ~: .................. .... ~~:....~,....zz~ . , ......... ~ ...................... ~ ................................ ~ ................................... ,,,~,,,,,%,,.~, ........... .~.~.~.~.~.....~:~~~ ....... ~ ............................ .............................................................. ~/~: ................................................................ the Building Inspector. Rev. 6130/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEP ARTMY2~ TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by ~ypewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 Underw=itera. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fro~ architect or engineer responsible for the building. 6. S~bmit Planning Board Approval of c6mplete~ si~e plan requirements. For existing buildings (prior to April 9, I957) non-conforming uses, or b~ilRings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. k properly completed application an~ a consent to inspect sig~ed 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, Sw~m~ng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. %. Certificate of Occupancy on Pre-existi~g Buildi~m - $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 Location of ~ope;~i i i.i ~'~?~. f...7 ....... ~.~e~ ~ ~ ~.~ ~.~ ~ .~'~ n~.~.~.. ~ouse No. Street ~e~ o~= o= o~=~ o~ ~=o~=~ ...... /~~ ......... ~ ....... o .... ~.~. ........ ~o=~ ~= ~ ~o ~0oo, s~o~ ..... m. ..... ~o~ ...... ~ ....... ~o~ ...... M ............. Subdivision...~ ............................... Filed Map ............ Lot ...... , ......... ~ ....... - .... . . . . .... ........... Dat~. Of Permi~ ..... /. ......... Applicant. Health Dept. Approval .................... Underwriters Approval .................. / Planning Board Approval ........ .z~/..~. ........... Request for: Temporary Certificate ........... Final Certlcate ........... .Town Hall. 53095 Main Road P.O. do×1179 Southoid, New York 1197'; Fax (516) F65-~823 'Teleo~one (518) 765-i 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C '~. R T T F Z C A T Z O R m.,.ildlng ;~'e_--¢.i?. Mo. =2 3 5 7 ~ - ~ (please print) (please print) t certify that tke solder used in the water supply system contains less than 2/10 of 1% lead. ( Plu.tzd2ers Signature ) Sworn to before me this HELENE O. HORNE Notary Public, State of New York 1'~o. 4951364 Commission Expires May 22. 19 .... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1997 Dan Finne Carpentery 120 Center St. Greenport, N.Y. 11944 RE: GEORGE COTTRAL 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 # 23577-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. F [~L[) ' I I~SPECT ION REPORT DATI COMI°IENTS FO[JNDAT ION ( I FOUNDATION ROHGH FRAME & PLIIMB~NG INSULATION PER N. Y. STATE ENERGY II COmE FINAL ADDITIONAL COMMENTS: /6 0 .C. ,~L d ,L,,,P{ E 0 .5.~, i 765-1802 BUILDING DEPT. lin N [ ] FOUNDATION 1ST [ ,] R/OOGH./PLBG. [ ] FOUNDATION 2ND [ "'] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS'. ~ DAT, _./)~./~ ,c~4~ I NS ,,~O R ~~_ 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST INSPECTION [ ~'~ROUGH PLBG. [ ] FO.~JNDATION 2ND [ ] INSULATION [ "'*] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [],/BOUGH PLBG. [ ] FOUNDATION 2ND [///] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~.~ i 765-1802 BUILDING DEPT. /[ ~ FOUN~'TI, [ ] ROUGH PLBG. [ ~NDATION 2ND [ ] INSU~TION [ ] F~MING [ ] F,NAL [ ] FIREPL~CE & CHIMNEY . DATE INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [. ] I~LATION [ ] FRAMING [~ FIINAL [ ] FIREPLACE & CHIMNEY , DATE FOItH NO, ] TOWN OF SOUTIIOI.I) BUll,I) ING DEPARTHENT fiOII'FI1OT,I)~ N.Y. 1197 I TEl.: 765-1802 APPI.IC^T1ON FOR BUll.DING 1 blSTRIJCTI ONS I~()ARI) OF Ill[Al,TI! ............... 3 SETS ()F Pl.^NS ............... SURVEY ........................ CIIECK ......................... SF.P'f IC FORH ................... a. 'lhis npplicatic~ tn~at be co~letely filled i. by tyl~z~/riter or in i,k m~l m~h~dtl.~l to the I~dlding hm~ct:or 3 ~ts of plans, ~ct~raLe plo~ plan to ~ale. F~ nccor(li~ lo b. I'loL plan MK~{~ l<nti~: of lot nt~ of Ix~il(lir~ ~t pr~nises, relatio~M~ip to ~]joining pr~n{ses or [x~blic struts or area~, a~ givh~ a ¢~tnil~l ~scriptic~ of la~t of I.o~rty nust t~ (Ir~ (~ the diagran ~ich is ~his aH~l icati~. c. 'lhe ~)rk c~et~] by this n~licati(~ ~ny s~)t I~ c~s~etK:~t [~fo~e is~a~e of ~ilding Petmlt. d. tl[~ al~al of this al~llcati~, t~ ]~fildlng lnsl~ctor will is$~ a I~fi}(ll.g Pe~it to the o~]ieani;. l~nmiL shrill }~ kepi; ~ tl~ gr~ni~s a~ailnble for ins~cti~ Ihr(~{~:t the ~[k. e. ~) I~tildis~ Mmll Im (<cx~piM or u~d in ~ole or in lmrt for a~w D~rl~se ~atever ~u~Lil n C~rtlficate of (~(xq~an~ Mini I h~e I~n grant~l I~ 1.1~ ~dl<ling ]nalmetor. AI~q.I(Z'I'I(~ IS I~BY }~ to t~m I~xil(ling ~{mrt.~t~t for the isstm~<:e of n l~nil(li~ Pe~dt l~rmmnt to the lktilding r~ Orditmr~e of ~m a~l of ~Ll~ld~ ~lffolk (~mLy, ~ York, at~ olher alqal icable l~s, Ordinates (~s(:ril~. ql~ applicant nfir~s I;o c~ly ~ith nil al~lJcnble l~s, ordlnm~es, I~ttldi~ c~, t~xming c~le, (~ilit~ ~R[lreas of ni~licant) ~, //~ .(as cs} the tn~ t~)ll or late.st dee<J) If at~pl icnnt is a ~n'l~}z~tJ(~*, ni~tture of dtdy atltla)rir~l officer. ................. ................................ (N*n~ n~l title off cor$x)rate officer) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY I0. II, 13. 14. I'I.OT DI^{;IIAH clearly n,~l (lisl:hK:lly nit I~lihlinl~n, ~hethe~' exist, inB or i~rolx)seH, nlRl II~l'{:ftl:e nil sel.-l)m:k dh,*~tmiona Notary Public, State of New Yodl; No~ 4951364 Qualified in Suffolk County Commission Ex;pires May 2~, 19 (.qit~.ll.'sh, e of ^pill i'.'mll )