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HomeMy WebLinkAbout23376-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall . Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24530 Date JULY 30, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1725 VILLAGE LANE ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1996 pursuant to which Building Permit No. 23376—Z dated APRIL 19, 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 STORAGE SHED ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY LEE SHANAHAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspec r Rev. 1/81 FORM NO.3 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) Date............. ..!............... .. 19.7.`F'. NP 23376 Z Permission Is hereby granted to; A . ....................................................... r .. /.......1/ '...!.............. .....c ...... .ter ....... . �. , ....................... .....�c........................ ........r-%✓.. ....... . . . ........ .. ............-..................................... .................................................................................................................................................................. ................................................................................... ... .............................................I....................... 77 . at premises located at.. �.. �?`. 9 f.:!.. f ................: ............................I...................... ..................... ...........I.................... � ............................................... ............ County Tax Map No. 1000 Section ......OS.gyp....... Block....... ............... Lot No. ��.................... pursuant to application dated ............... ... l............... 19... Cam?..... and approved by the Building`Inspector. Fee$../...�............. ...........?;�l /„ n Ins ec r Rev. 6/30/80 TOt�,T 0 SOUTE?OLD 3UTLDLNG DE?a1RT`�Eti"I' I JUL 2 619,% `' 7 65-1S02 BLDG.DEPT. -C,_-_ON =0R C:_.T_�' .� - 0_ OCCUPA CY TOWN OF SOUTHOLD A_ This aDpliCation ]lust be =-pled 1n by c7Tpewir-iter OR in{ and S'ubm_tted tb she build;Za v 1=hsDector With the follCWing: for new- building or new use: I . Final survey of property with accurate location of ail buildings, property lines, Streets, and unusual natural or topograDniC features. 2. ^inai Aourovai from Health Dept. of Water suDDly and sewerage-disposal(S-9 form) 3. AoDroval of electrical installation fro'. Board of Fire Underwriters. �. Sworn statement from plumber certi_7ing that the solder used in syscam contains less than 2/10 of 17. land_ J . COmmerC_a1 pu_lO;no*, =austr_al building, muitiple residences and s_m_iar bu�?d_ngs and h~'hscailations, a cart_f_cate of Code Co=-1_ance ==om architect or engineer responsible for the building. O.. Submit Manning 3card 3pprovai or comDleted site plan reQudrements. 3. For em-_sting buildings (prior to April 9, 1957) non-conforming uses, br buildings and "pre-iexiscing" land uses: L . Accurate survey of proDert7 Showing -=II proDert7 lines, ,Streets, buiidimg and unusual aaturai or tonoc-raph_c features. 2. A DroDerll comDlared aDnllcation and - Consent to �mspect signed by the aDDl=cant. If a Cart___Cata of Occupancy is denied, the Building laspeCtor shall stata the reasons therefor in v=amg to the applicant. C. Fees 1 . Certificate of Occ-upanc;T - Vew dwelling S25.00, Addicions to dwelii✓g 525.00, 111 rotations to dwelling S25.00, Sw illffiing pool S25.G0, Accessory building25.00, kdditions to accessory building S25.00. Businesses 550.00. 2_ Certificate of OccupanC7 on Pre-existing Buiid?.na - 5100.00 3 . Copy of Certificate of Occupancy !. Updated Certificate of Occupancy - �50.00 5. Temporary Certificate of Occupancy - 'Residential 515.00, Commercial 315.00 Data .J �.�Jq.b . . . . . . . . . . . . . . . . . . . . . New Construction. . . . .`.. . . . . Old Or Pra-exi1st-i_n_g 3uilding. . . . . . . . . . . . . . . . Location of Propert7.1� :�! . .�.L. . • Q.,. . . . . . . . . . . .. . . . . . . . . . . . . . _. .. House No. Street Hamlet Onwer or Owners of Propert7. . � . . . . . . . . . . . . . . . . . . . . . . .: . . . . . . .. . .. . . . . . . . County Tax Hap 'No 1000, Section. . . .3loc'_c. . . . .13 . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . :..:.. . . . . . . . .Piled Hap . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . _.. Permit Vol J•J�IO.� . .Date Of Per:- r.v Q.�. . . . .apD!icant`J1 i•�'�`!4�'�T•.� Heaicl Depc. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Undervritars A-pprovai. . . . . . . . . . . . . . . . . . . . . . . . . 3?.annizg 3card =pprovai. . . . . . . . . . . . . . . . . . . . . . . . Request for: Tempora-,7 Corti=icata. . . . . . . . . . . 74 __nal Car_icate. . . . . . . . . . . ^ee Submitted. 3 . . . . . . . . . . . . . . . . . . . . . a�PT 1C��TT O��g�FFO(,�coG o� y� N Z Town Hall, 53095 Main Road p • Fax (516)765-1823 P. 0. Box 1179 y� O� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Mary Lee Shanahan 1725 Village Lane Orient, NY 11957 To Whom This May Concern: We are unable to -complete your Certificate of Occupancy because of the following reasons : XK An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. %% The check is (;s�at-L=dtnot 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 # 23376z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 3 765-1802 BUILDING DEFT. INSPECTION [ NDATION 1ST [ ] ROUGH PLBG. [ ` FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA DATE _INSPECTOR -76 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMN Y REMARKS: DATE IN8PECT0 1x[MIT u^|I.- `13 om STATRI 1:()IlllllA'l'1011 ( Il/) 00, ---------------- - ADDFJAOIIAL � M Y j - G 3.zap /V J/�•#��"--�-- (b ti� N ' , ,(• yEa .A Ya it* O 01 N E W Y Suei✓EYt'oe•/ �O ACOFY'.L,c=C�y/litigh��IN .4r!Vn,L'wY /y L.G'w.4�VG��f.�i' LOG/�T/ONE dd�/F,�{/T ��,V/V off'/�;�1+�6.? /1/iY •�i�1�0 �!i!�!�}t'1Q �1lilX,tx�N y, 71 Gex '�9 Fay ra, ,rr� v,7 w O.V,ree4 . .3/yy� mom 0 I All 17 I I I I I I _I + + I I I + l l , I I I i _--�_�� 7 I ! I ! I��i - I LLI ! I I ! + 7Y1 I { i- 1 I _7117 1 I I I ! I I ! I-_�i_ I 111111ifi1lil ! II ! iliiiliilliil BOARD OF IIF.AI;I'll ��. . . . . . . . . . . 12 POI(M N0. I 3 Sli'l'S 1117 PLANS . . . . . . . . . . . . . . . F` SIIItv13Y e . . . ^! TOWN Ol SOII'I'1101.p a 1111ll;l)1IIC IMPARTHIM-1' Clll?ClL :�c M ... . . . . . . . . . . . . . . . . AlAl.l. SBPT1.0 CORM:' . . . .:.". . . . . . . . . . . . . . 8011'6Iofm N.Y. 11971 9LM.DEP TEL: 765-11102 HOT IFY. TowiNl ilQLD r''' CALL L -- hx.mirred.. �.�Z, 19/� MAIL TO: . . . . . . . . . . . . . . . . . . . . f 1976� l'enniL No. � Approved , .................................... . . bisal>frr(rve( (r/c: ........................... .. ................................ .. (Wilding; Inspector) ' P Li CATION FOR BUILDING PERMIT 1;)11le . . . . . . . . . . . . . . . 19. . . . ,I NS'l'itli(;'1'LONS' a. 'This application ntrsL Ire cargilel.ely filled in by Lylrc:cwriter orAo iok. arxl nobmiLLed to the Wilding inspector wit] 7 sets of plansr, accurate plot' plan to scale. lee according; to schedule. 1 . PIOL plan slxowirrg location of lot: arx] of lxnildiogs on premises, relat:ionshjip o adjoining; preanisea or lxrblic k 1I,ree s'or'aredrs, rnrxl giving; n detailed descripticnn 0 1`aycxit: of iirolrerfy 'rnust :1>e`(lr(Mi on Lire diagram wish] is part of lhict appl ical'ic„r. `'c. 'ihe work"covered by`Odu nplilication vny nxrt: Ire corrnreoce(1 before issuance of lkill.dini Permit. d: =lljxi+i ajrlieovirl. of lhirt"aptiprlic:aticxn, lire Ikrilclin�t' 1nsirecCcir will issue a Ndlcliirg l'eimil' to the applicant. :,(uh permiC slrnli be kept on the premises available fore inspection lhrarlirout the work. e. No Wilding alnall Ire occupied or used in "whole or ill ixirt for any lmrpose whatever until a Certificate of 0cmipancy shall. have beco granted by the ikrilding inspector. AMIACAHON iS I/iitl'sRY ME to t)re ikrilding Depr<artmeot for Ole iasonoce of a lkrlldhT, Petrnit ixnrnmaot to the I dIdinrg 7cnre Ordbuince of the '1'cxm of Southold, Scnffolk (:onrl:y, New York, aril other aplAlcable laws, Onlinances or itegulaticxrs, for the carstruction of lxrildings, a(kliLlmn or alL•eratioon, or for rennoval or (1011101kion, as herein described. 'fire applicant agrees to coillily with all ahlilicable laws, ordinances, Wilding code, I►ousing code, arrcl regulatioon, Dix) to .(Bait androrized inspectors ors prouises Dix] in Imilding fo necessary inspectlorrs. (Siprrnture ( olgrlicant, or nacre, if a corlrcrrnHon) ......... ........ ....... .... .... Wailily; mitivess of oiliticant) State whether upplicanL is owner, lessee, agent, architect•, engimer, geoeral cootracLor, elecLrician, planner .or Wilder. ...............::..._................ . ._................_..•:.................... ................_..................__.._ Nacre of (xwr)er of. premises N�a, '. C.Pi. Q►.�4t �►.�1............................... ........... ..... (as )4r the t:ax"roll or latest deed) if nij)lic:apiL. ,is.a corixrratior, signature of doily mnt.lxrrized officer. °(R-:21 ;:uxl;,Lifle.of corixrrate,offices) Ikrilders License No.�t —Tv5 Ploillrera License No. ....._. ............. ..... °, ',r .:q 6 •...``F lilectriciarns License W. Other '1'rade'a l.]ceose Nr). .................... \I " I. Location of: larxl or which proposed work will. be ckrrre.?�.d�.J....rt 11� ��!4�h�.......................... ...................................................................... ........... ��°�................... (louse tJrrrirer Street A ilanleL Gxnrty 'I'nx P1:yr Mi. I(XX) PiecC icxn L��.���.... Block ................ gal' ....,........... Sulxlivisi0o ...................... ................ Filed Map tb. Lot ............... (N le) 2. Stake existing use atxl occup>amy of premises arxi inl:erxled use and occupancy of: inrooppossedconstrucLiom `a. LxisCirrg; use ,r c nxl octgrarrcy;, ��'+�7 1. ........ ��QQi . 1! -S.Y.................. b. interxled use aril occupancy .............................. .. '{ ?"............_., _ ..y....._........... ffn,t0 7. 1jIIuI( of tx►11( (r:IK:cic t:AIIdI 111J)Hl:allln). fk:,j Mild* h Ai Id t! Il(: xll r Itrnlloval Ik�lnl i C lou (II her lhn l( �'•'°" l I.. . }� ('ik rti i l 4. Ial:lur•Iled Cosl: ......... fee'.. . .. ..... ......... . � ' . , HIM (to Ix: paid on fi1inll Ihis alrpitc,y��; c , •s:_.= .'! 5 4�l f (kx:l l Inll, Ix,tlJrer of (knell iI till ••..... 11 - IknJ>er of Ihx:lllnll uniln oil each "fi(xrrsd'�M .l� {�'�- II` llurulle, otsiber of cars ................. .. .. .. .. .... ..... ... . h. IP Ixlsltresa, cc mercial or mixed o(:cul►aocy, slx:cify oahire aIxl exlenl' of each lylx! of une...... ..�..`�.... .. ... tt ` �•+ 7. Ilinx!nai(xls of existing utrticturea, If uuy: 1�ra1C.1.�'L�, . .. .. . .. . hear Ik:iolL :12....... .......... Ikni►er of Slol-lea .. . .. .. . 0111hensi0lls of srr»e stit►rture will) alteraLions or additAons: Itear Ik:Pll► . ................... Ile iI)it tJtnher ril Stories II. Illnik!Ilti I(M18 of ent l t'e new Uxlat.rlxa: oo-. I!r(Kll. ✓✓�C, ... • •.. .•_, .... Dept II IkWIt: ........... ............... Pkrll►er of 91oriieeli .......... . . .. ..... . . 9. Size of lot: hronL ..........,... .. ..I. Rear 10. Nit ol` INII-clifine C7(^,.� 31�,aS•.. 11m1I: of I"ornler Wi ter 11. Z(xle or use distrit-L In ldddl preuisea the aftuate(I 12. lkien prolione(I coosl:I-IK:tI(xl violate any uxlinll ltlu,.ordinaiwe or relltllal:loo: 1........... H. Will lot he rellrailed ..m- ............. Nill excess fill he I-moved from prcaninea: Yl:u 0 Ill l4ulen of (knler of pronlseu ...... ......... .......... Haile! of Atchilecl: .............. ... ............... Arklrc:is 111o11r tk►. .. ... N;ale of Cont:racl'or 1 . ..... .d .......1 ., ►-. ''S'2. 15. is this property tilll►in 3W feel' of o tl(lal liet:lnlxl? * YI?S . , .. sari *1P YES, SUIIM1) 1114N 'IMIS-1115 tIAY HI3 REfIl111t1i1). PLOT IIIAGRAH lcx:al.e Clearly alxl distinctly all Ixllldinlls, t•Alelher exisl:lna or proli0sed, alxl Lxlicnt:e all set-back diuteoniona fr(ru prolrerty lines. CivekstrleeL' aril block IxnJxr ur (kscrl 1 l l:o deed, n(xl tlllcx+ al:reeL' nrrllea nlKl hxlicale tdu!ther iulerior or corsx:r lot. L!I ` UNDERWRITERS CERTIFICATE A P TOTED REQUIRED DAT .P# 2. FEE:I�OTIE T 755-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: • '5� It91i I. FOUNDATION - TWOREQUIRED F c;� jF; try FOR POURED CONCRETE € i s �e� `► A U 2. ROUGH - FRAMING 8l PLUMBING ����f ;.� t � 1 INSULATION , � � it €i �� 4. FINAL << ,: CONSTRUCTION MUST _ BE COMPLETE FOR C.O. I ,V ALL CONSTRUCTION SHALL MEET %L4#` THE REQUIREMENTS OF THE NX STATE •CONSTRUCTION & ENE COTES. NOT RESPONSIO RO MMIF IN W.14 YWK, q DESIGN OR CONSTRUICfiIQN�HOWR (XXIIIIY (R1. ..... being; dtlly sworn, delionea alxl nays that he its the appl icunl. (Ih•rlu of ilxlividoal. oiguinll colll:t•acl:) a1x►ve n;ur:tl, .. . ...... .. .... .......:......: :h¢Q ..... ...`. .. .. ..... . .. .. .. .... .. .... .................. (C)oL'rnclor, agent, corlx►rule of:flCer, of maid o%nmr ur (xdlxwl;,` nlKl in duly ru►ihorizc:d co lx!rfonu or halve (K!110rl►r:d the void ")dt alKl to ur•du: suxl file 111111 nppliroLion; Olill. n11. IlLatuileuta conlaim-d in thin appliraiion use LISK! to Ihe.•Ifeat: of hill ItIK"IetlII(! rllxl Ix!Iief; rIIKI III;IL the w()li( wi l l be perfornled In the s11i1111K!1' net forth ill the appl icliiAlfn, I'Lle I lherewrlth. AIlll 10 1)( fort! nw I.his .....day tkN.ury I'(Ihl is .. .... .--- ROBERT I. jCOTT,J (Sil;nacure f Appl icanL) NOTARY PUBLIC, t of N.Y. No.4725089.Su ik Couv Term Expires y 31 1, 19