The URL can be used to link to this page

Home My WebLink About23911-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25272 Date SEPTEMBER 22, 1997 THIS CERTIFIES that the building ADDITION Location of Property 750 MONSELL PLACE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 8 Lot 22.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 15, 1997 pursuant to which Building Permit No. 23911-Z dated FEBRUARY 7, 1997 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 ROOF ADDITION TO EXISTING ONE FAMILY DWELLING OVER AN EXISTING DECK AS APPLIED FOR. The certificate is issued to DALE M. & HOLLY BUTLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Build ng Inspe for Rev. 1/81 FORK NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23911 Z Date ......I . /..,..................................... 19.....� Permission is hereby grante to: . . ............. ............................ .. ..... . s'................................... 70 ta .( :f� ......... ......�o'? ....... 1..%7 ?/...... .., .......... ..Xl �" . .... . ............................................................. ..................... ..... . .... ... premises ......................................................... ......................................................... ..................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .. ....... . Block ....ap....... Lot No. ........................ pursuant to application dated .... I"--,I1. .. ......1 ............ 19.,,4,and approved by the Building Inspector. Fee $... �.��. ...... . .... ..5� . .............................. uil..ng Inspector Rev. 6/30/80 1 V Lul YV• V . TOWN OF SOUTHOLD -- •� BUILDING DEPARTMENT . TOWN HALL l- - --_ 765-1802 SEP 1 81997 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the"bu ld-irig=- '. 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. 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 - .25,C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .. . . .f f:� . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . :. . . Old Or Pre-existing Building. . . . . . . . . . . . . . . Location of Property. . 6-6 .. . . . . . . . . . . . . .. . . . . . "4 . . ... . . . . . . . . . . ..Le. . .- �. . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .7 . . .. . . . .Block. . . . . . . . . . . . .Lot. . . . .'. . . . . . . . . . . . . Subdivision. . . ... . . . . . . . . . . . . . . . . . .. . . . . . . . . . .Filled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . Z� .//: :.Date Of Permit. .`3/?/*" . .Applicant. . Y! . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . .. . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . Request for: Temporary ). --Certificate. . . . . . . . . . . Final Certicate. . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .: . . . . . . . . . . . .. . . . . . . . . . . . . . . APPLICANT Town Hall,53095 Main Road y Z Fax(516)765-1823 P. 0. Box 1179 �y • Telephone (516)765-1802 Southold, New York 11971 �Ol � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 5, 1997 Dale M. Butler P.O. Box 235 Cutchogue, N.Y. 11935 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) 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 # 23911-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1 1 UN 1W..11OR I- DATE. cOrlrlrrft;; II Fl1111JI1A-I•I()N ( I.`i'l') I _it FOUNDATLON RID) if II R011CIF FRAME --_-------__-------------- ---------III•---�--�------=--------------- ---- --------- I Ir f'I.Ilhl14 f Nf: II II I N;III.A•T•I ON PER N. Y . ,I S'1•A•)•F RNF.11GY 1:OnF. I - r I F I HAI. I! ADD I•I•I i)NAr. COhR1rCN 1.';: c� H O ^1 t�1 i a I n �o Q i J I _tilt�.. .. � _. . � I e gvlAsr �� ST�trS OCCUPANCY OR - - -p�Ir- - - USE IS UNLAWFUL WITHOUT CERTIFICATE, i -- OF OCCUPANCY �I wd Gild C 14 Pe i'.o/7-- I� rd Wa ycW 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] J14SULATI0N [ ] FRAMING [��] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 91v- DATE �12' � � /7 INSPECTOR�2G�� ors-seo2 BUILDING DEFT. INSPECTION [ ] FOUNDATION 7ST [ ] ROUGH PLBG. [ ] �UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Lo G6 S DATE INSPECTO T65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ 7FRAMING NDATION 2ND [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: fj��Xlj�s ��/ CJ�C Ole Z!!�- DATE � I % / INSPECTOR PpU' zeReski _ rmerly pow Or f 0 - 143 64 ' 1.3 ' . N•76 5 64 `\�� ed `he F- col, d. 73- yr e` •� �P 291 { 0 �' a•r� F i! 60 ,•�� a , . `' ,.. � q� % cis j % e . o � , NO TE a =MONUMENT \. 0 IV W,6DIVIS/ONMAPF/LED/N THE OFFICE OF THE CLERK OF-WFFOLK COMrYGV MAR./3,/939 AS FILE MO./275 00' 4 b. �} 04 '� � �o% A� `;' �� ✓� REVISIONS YOUNG & YOUNG 10' DEC. /,/975 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ✓AN. 5, /976 ALDEN W. YOUNG HOWARD W.YOUNG AUG. 29,1986 PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N.Y.S. LIC. NO. 12845 N.Y.S. LIC. No.45693 � t SURVEY FOR: THIS SURVEY ALTE VIOLATION ADDITION TO DALEM.BUTLER 8 HOLLY A. BUTLER •(E OF tv Corlrsc I THIS SURVEY IS 4 VIOLATION OF SECTION T209 OF THE NEW YORK STSTE EDUCATION SZP 4 LAW. LOT N0.2/ B PART OFLO T N0. 20• o� Rp W ro.0 COPIES OF THIS SURVEY MAP NOT BEARING //MAP OF NORWOLD�� IL THE LAND SURVEYORS INKED SEAL DR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY AT GUARA TE D TO O GUARANTEES INDICATED HEREON SHALL RUN CUTCHOGUE LONG /SL ND OR7 _ /��• I 1�1 f� CT ONLY TO THE PERSON FOR-WHOM THE TOWN OF ' /''� DALE N AL Y'A. ER SURVEY IS PREPARED,AND ON HIS BEHALF SOUTHOLD TC THE TITLE COMPANY,GOVERNMENTAL A.CPGS AGENCY AND LENDING INSTITUTION LISTED BY �• HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y. LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL SCALE: q , '. DATE. NO. .. INSTITUTIONS OR SUBSEQUENT OWNERS, =40 ; ✓ULY8, /975 75- 420 K&E 17 5153 B-79 40671• i IIOARU UP HEALTH . . . . . . . . . . . . . . . 1-oRM No. 1 --3 SrTS OF PLANS . . . . . . . . . . . . . . TOWN OF SOUTi OLD -SURVEY . . . . . . . . . . . . . . . . . . . BUILDING UPPAR'1711?NI' Climu . . . . . . . . . . . . . . . . . . . . . . . . . TOWN ilAi,i, S1iPTLC FORM . . . . . . . . . . . . . . . . . . . Jim ! 5 1- Solf-1101.1), N.X. 1 197 1 TEL- 705-1802 NOTIFY: CALL �.73,V 7J` �J'— im7xtlincd... /l........ 19.�� C�1 MAIL TO: . . . . . . . . . . . . . . . . . Al,<rrrnect.... ..., 19./..7 Permit ..!......... ...: ............... Uirnp rrovcd a/c .................................. ...... ..............................................'........ ......... �`".yl........ (Ikui. i ln.l,ecfor) APPLICATION FOR iIUIL.DING PF,RMIT Date. . . . . . . . . INSTRUCTIONS 1. 'lh;s appl.icaticn rrust lie c(npl.etel.y filled in liy typewriter or in ink and suhrn;.tted to the )kuilding Inspector wills ^.eLs of plans, accurate plot pinn to scale. Fee according, to schedule. r b. Plot plan !'.rowing Iox:ntion of lot aril of ixu.lclingn on premises, irelaticnship to a(ljolnihig premises or 1x,bl.ic reefs or areas, aril f.,ivitig a detailed description of layrxlf of property Inlst lie clrmwn on the diagram which is lkhrt of °lis :,hhli.rat.icm. c. 'file work covered try this application Truly not lie c(>in encr-d before ismiance of: Ikril.ding Pettnit. d. Ulx),rl apprtr:al. of Lhis application, the Duil.ding Inspector twill, issue a iluilding Permit to the applicant. Sucll ern11L shall. be kept on the preml.sen available for inspection thrcrlgh(mt the work. e. No building Mml.l. be iiccupied or used in wllol.e or in part for W p(irpose whatever rrotil a Certificate of r-t�,l>arx:y Omit have been grantc-d-by Ure Tkuilding Tnspector. • y APP1ACNIJ(V IF, IAilUsliY 11A1)Ii to Live IAriltling i)eixartment for the issliance of a Iklilding Permit- pursuant to the alilding 7 ine Ordinarx:e of the 'I•own of ScAiLhold, Suffolk C inty, Nmv York, and other applicable laaws, Ordinances or el;ulntims, for the ainntrtrction of lxlildingn, a(klitions or alLeratimm, or for rotvval or clernulition, as he-rem escr.il"]. 'file applicant agrees to crnrpl.y with M. appl.icnbl.e laws, ordinances, lxuilding code, halsing axle, atxl ef;ulatior,s, cl,xl to 141lit atldxirl7.ed inspectors on premises and in lrlil.tl.ing for necessary inspections. .�7 �......... . ................ . (Signature of: applicant, or riart,e, if: a corl)OraLicn) (Mailing :.xWess of• applicant:) tale whether applicant in owner, .lessee, agent, architect, ehg1twer, general contractor, el.ecLricinn, plrrrl,er or lxrilder. � r ................. ........................................................................................ ,rime o f owner o f. jirFrr,l se. .......... !.(�U—Kt it s ........`.!R l j ...................................... (as on the tax roll'or latest (feed) .r. applicant in a corlxrrati(n,, fiignaLure of (hlly miLhorixed officer. . .. ................ ...A.... ............ OCCUPANCY OR (Nr.,r,e a(xl title of OrlxiraCe officer' ) USE Ic UNLAWFUL ik1;i(,ern l,icens(? Nn. ...13.-. . .......... WITHOUT CERTIFICATE,' Plumbers T..icerise No. ......................... OF OCCUPANCY Rlectricinnn T.irense No. ..................... Other 'Trade's i.icer,re No. .................... I. ),ocaLi(xr of. larxl on which proposed work will lie (kme............................................................... .......sv.=....................... .......................... J. ikxlse Kxrber. Street / Ilmdet Gxunty Tax Map No. �I(rx�XM) SPctiou/.�. .�.1 ?.... Block ....�.( ..�. a1.Ici�t �... :...`�1.. �• f/ 5ulxlivir;icx, ....... ................... File.O Kip tb. r' " .. Lot .... �!.. (N.7rle) GZ�� 7.. Ralc existilig u:,e alxl occttp am7y of 17mill.ses aril ;nLended use aril oc.mparxy of proposed cor1, tttrctitin: a. F.xistinr line itxl occupar.xy .........p vv,( :wyo ............................................... b. interxkxi use arxl occupancy --.....�.. LALk.hoh-'e................................................ ele�+grfafsll ill}dlY..�`i�itr':$' 1. It IIuIQ Of %A►►It (ChUCk %,All(Jl nl,l►11c:cil►le): I•k_tit IWIlling . .... ..... AckliLioo ..�.. .. . Allc:,uLion . . . . . .. . . . It.:l,►i . . .... .. . ...... . Donn 11cIoc► .......... . . Other Wmk . . ..... ... .. .. ... . ... . . . .. . . . .. ... 4. I'll I.lu4,l ed (bsl`Y o (�................ fee .�...! ...... . ....... ....... .. .......... . . . . . . (to be p:►i.l on fl l inl; llc'ts nppl icavloo) :i. I f cha!I l iol;, (x,ilu:r of ckx 11ln1, untl'e . ...I.. ._. .. t1u1>er of chx l l lnl; uuiLs oil es(:Ir fl(xrr ... . . .. .. .. . . . .. I f 1pir-age, cx■dwr of cars ....... . .. . . .� ... .. ... .. .. ... . . . G. if: Ixcsloefis, rrrruercifil or miw.-d (x:culk,ncy, slk:clfy nr►I:ure ncxl exteuL of each lylka of title... ..... . . .. .. .. ... .... .. 1. 1)lux nn s l(r, of exisl:lnl; sIA t ,ceur•es, If s 1Fr r,y: c !ur kn:.. ..3.1. . . . . f'.... ..... Ik:p tll► .. �. . . .. . . .. ................. Pi,■,l,er Of SL(►rtes ..... .. .. .. . ... ..... .. ( i r I)inr:rlc►I(x18 of swce aLrtxal►re VAL11 u1Lerc,Licxls or ►xldil:ion:►: hranl . ... �.. . sr . f2. . . . . . .. .. I)t!l,t I, ... . ....... Li .... . I... . . . . .. _ .. . . ..7.... .... ..:??�.. lk!i tc .��. 1J,nlx!r of licorie:► r ' 0. 1)l1l■!nsi(>IIn of eot1lre nw e mliflurlk:l:iro. IFrrx,L3�.. .. 3y. . . .... .. . Ikpll) .... ................ ..... tJ■clx!r of litorlec► . ....... . . ... ....... `)- liize of lilt.. hrrx,L' .. !.�.... .... . .. . y3'. . .. . .. .,. . .. .. .... . . .. IO. I1,1 c of 11►nau,:►e ..w< �,..._....._ Nrxcx of hoinx!r Owner _ �t <.�r. ... ....... . . . .. . I I. 7c,cx: or use dislrlct: In r.l►lcil prr�nlc►es fire siLue►l:ed .h.L�.d4 (% 7 . ... ..... ...... . . . .... ... .... ... ... . .... . .� 12. Ikx!n prolxuulcl c(x,:rr.risUi(xl vlolnre nrcy vooll% law, ordlncn,c:e or rel;ultiLloo: .. ....... ...... .. 17. Ili l l lot: Ik! relli-mled ......✓.w.......... Will excefis fill be res,x'rved fro,n precuisei►: YEs tJU Ill. Ha■„en of (an►er of pre,►clses r.. .... &klress ..... ......... . ,. .. luxx tk►.73y76-zT 14:11r! of: Architect: ................. ................. A(lclr•esc► 11101x! lk). . .. . .. . . .. ll:■„c! of Contrncror ....Q.1,Y)"eA .................. .... me . ........... . .....11(cxx! tki. . . .. .. . . .. 7 I'i. In Oda prolxlrty within W) feel of n 1:1(Ifil ix Olin? YIl.3 .. .. ..`. NU . ......... Air, YI'fi, llxxlilKMI) 11"m 'IT6111S E"s t'?.R1•111' 11AY IAs PLOT 1)1AG11At•I I(x:i►l'e clearly ocxl disllo-cly ►ill Imildings, %A►etber exisl:ins or proposed. mul IIwIIC(lLe fill sel--bsck disx:nsions 1`►(nI propecl'y Illicit. Give sl:neet scwl block limber or deacription uccoldinl, to deed, tu)(l tjI(xa sl.reet naives mid i(xlicsl'e %AleIIwr iulcrior or cortxlr loc.' APPROVED AS NOTED DATE: R.F.# :3 1 FEE NOTIFY SUII_CI,,'(; 1�EPAc'T 3E AT 765-1802 9 R,,1, TO t PIA FOR THE FOLLOVVING iNSPEECT1ONS+ , 1. FOUNDATION - TWO RErdU1 ?ED FOR POURED,CONCRETE 2. ROUGH - FRAMING & RLUNISING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR SI'A'Il' (A Ntl:W Y(Ntl�t DESIGN OR CONSTRUCTION ERRORS 'i:i J/✓'�•�.�. . w�:.. !'.��`�y . ..... . . . . . . . .... . ..i_.Ix:l,y, duly [t-A►rn, dc!lxmes scwl mlys ll,ul: Ile In lilt! lipid is alli (Itln■! ul` icxlivldul,l. signic(l; colwracL) r,lx,ve oI■„c:d, Ih! lc, lilt! . ... ... .. . . . . . ...... ....cx ?WE'!�.. . . . . ..... ... . ..... . . .. .. . . .. . . ... ... ... . . ... ... .... ....... . ((:cnclrncrur, r,Irecrt, corlwinle officer, eft:.) of :Iuid (r<.nx!►- or owntwu, find is duly aul.l,orixed Lo lx!rfo►nI or I,Icve lx!rl'onued [.lit' sfi.id Wr,rl( ncxl to n,rd(c! acxl file II►is appl icnriou; Ilml. ill I nl'ntcscr:nts conffiilxld in Illin uppl icaviou ore LIAR! to lilt' Ix:nl: of hill l(l)(mledge Ind 1xil ief; nl,cl llml. 11le. VA)Ik will Ik! lx:rfornxld In the u4un it,r set I"orIII in Il,e applicnLion filed 1.1 it!re."rILlc. :AMill cu Ix!fu►(1. ur ll►in. . . . .. .. . ..`.J`.. .day of tk,t Icry 11,1,t is ... .... . .. ` � . ./..... ... .. . (:iil;iaLure of Appl icanL) R08ERT 1. OTT,JR. Notary Public.State of New Yor�t Qualified in Suffolk Cotes No.o1SC47250890 Term Expires May 31,