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HomeMy WebLinkAbout12305-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24144 Date JANUARY 30, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 6625 NASSAU POINT ROAD House No. Street County Tax Map No. 1000 Section 111 Block 15 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 7 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 1983 pursuant to which Building Permit No. 12305-E dated Ffl%Y 10, 1983 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 OWE FAMILY DWELLING. The certificate is issued to SANDNAH. EGGERS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-375871 - JANUARy 23, 1996 N/A Rev. 1/81 BUILDI"G SOuTHOLD, N. ¥; ? : i: BUILDING PERMITi (THIS PERMIT Mus'r BE KEPT ON THE PRE/~,IS S UNTIL ~ULL COMPLETION OF THE WORK AuTHORiZED) ~2305 Z Permission is hereby granted to: . . ~/~ ............ r"' ............ ,o ..,' ....... ~.~.~~ ~ .................... ~,~-~. ....... ..~.~. · ot p~mlse~ I~ated at .......... ........... ............ ,....., ~uA~ TeA Map No. 1000 Section .. .; .... Bilk 4-..: ........ ~ No. },..~ ......... put'ant tp applicaton dat~ ........... ~. ,.~....~;....; 19.. and ~pprov~ by the Building I~spector. - PERMIT iNCLUDES APPROVAL TO REMOVE 'EXCESS FILL F~OM ABOVE PREMISES BY REGR/~DING LOT ~/ DRiVE?VAY dONSTRUCTION CESSP(bOi~ ~ON$ ~ RUCTION C LuL.'LA~ CONSTRUCTION ~ OT~'el~ Rev. TOWN OF SOUTHOLD BUILDING DEPARTMENTTowN HALL 765-1802 APPLICATION FOR CERTIFICATE 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: 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 Underwriters.' 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, multipl~ 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...1.0~3~/~. .............................. New Construction ........... Old Or Pre-existing Building ................. Location of Property...~ .~q .P~q~ ~qa~ .qu~cA .oc.~t~,. ..N~. ................................. House No. Street Hamlet Onwer or Owners of Property S~q.c~.~..~ .. . County Tax Map No 1000, Section..~1 .......... Block .... 1.~ .......... Lot .... ~ ................ Subdivision ................................... . Filed Map ............ Lot ...................... 12305 5/1~! Appli Deborah Doty Permit No ................ Date Of Permit ......... cant ............................. Underwriters Approval Health Dept. Approval ................................................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certiqate ........... $ :q0. ' Fee Submitted: ........................ THE NEW YORK BOARD OF FIRE UNDERWRITERS lt~(~v"3:~4~ BUREAU OF ELECTRICITY T-- SS JOHN STREET, NEW YORK. NEW YORK 10038 Date J~'~ ~.~)~0 ~ppli~etlo.~o. on~le 1,~8996/96 N 375~71 THIS CE~IFIES THAT o~y ~he electrical equipmen~ ~ ~scribed below a~ intr~uce~ by t~ ap~icant ~med on the a~ve application number in the p~mises of 8T~W~ & SAEDY ~:,GGERo~ 6675 NAo,.~A1J PT. RO~, CUTCH~, in the followln~ locat~on~ ~ Basement ~ Ist Fl. ~ ~nd Ft. Section BI~ Lot ~sexaminedon JANUfQIY 17~ 1996 and found to be in compliance with the Na~.onal Elect~cal Code. F XTURE L I FIXTURES I RANGES IC~KING DECKS I OVENS DISH WASHERS EXHAUST FANS 24 ! 1512 23 ~SERVI~ GJ~ONNECT K.METER OF S E R V t ~ HI LEG OTHER APPARATUS: WHIRLPCXJL BATH-' 1 STEAM GENERATOR 9 gE FOR STEhM BATH'-'I SMOKE DETECTOR = -- % GOODALE ELEC~IC 7355 ~[A.[N ROAD LIC. #7836 OENEEAL MANAGER /)er This certificate must not be altered in any manner; return fo the office of the Board if.incbrrecf. Inspectors may be identified by their credentials. COPY FOR BUILDING ¥ OF t * 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 November 6, 1995 Deborah Doty, Esq. P.O. Box 1181 Cutchogue, NY 11935 Re: Prem: Sandra Eggers - SCTM#1000-111-15-7 6625 Nassau Point Road, Cutchogue To Whom This May 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 xx No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. BUILDING PERMIT # 12305-Z Please contact our office on this matter. cooperation. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). Thank you for SOUTHOLD TOWN BUILDING DEPT. FIE~D ~I~kBRECTION COMMEN~S ~ FOUNDATION (1st) F, OUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY q?Dm FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~_~ [ ] ROUGH PLBG. [ ] INSULATION [ '~INAL INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ~..c~.. ff.(~...., 19 d~'/ Approved .,~.~'~ . . .,5..C~..., 19~.~. Permit No. Disapproved a/c ....... 7'..~-~-~.. ............. r~ ....... (Building Inspector) APPLICAIION FOR BUILDING PERMIT Application No../.'~??..~.~ ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be co~nmenced 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 pursuant 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, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecting- (Signature of applicant, or nan~e, if a corporation) Garre~t ~. Stran~ .B.qx. ~ .4.1.21. $ O.u.t hO 1.d. ,.. N ...Y. .... .1.9.7. 8 ........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... .S.t.e.v..e.n..E. qg.e.r.s. ...................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~o.t. Plumber's License No. " " Electrician's License No. " " Other Trade's License No ...... 'J ...... '.'. ....... 1. Location of land on which proposed work will be done .................................................. ... D/O/.~..~.. ............ B.a. ~.a.u..P..o.int...Rg.a.d. ............... .C.u.t.c.h.o. qu..e ...................... House Number Street Hamlet County Tax Map No. 1000 Section ...... .1.1.1 ......... Block ...... .1.5 .......... Lot ..... 7. ............. Subdivision..N.a.s.s..a.u..P.Q .i.n.t..Q .1.u.b..P..rgp..' . .i.n.c..... Filed Map No .... 1. .5.6 ........ Lot ...4 ~ .......... (Name) ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ $ ~_.n..ql..e.F.a.m..i .ly. ,D..w.e.l.l.i.n. g ................................... b. Intended use and occupancy ............. S. ~e. .................................................. 3. Nature of work (check which applicable): New Building .......... Addition .... .X ..... Alteration:...x ...... Repair .............. Removal .............. Demolition .............. Other Work ......... .~ ..... ' (Description) 4; Estimated Cost ~25 ~QQO. 00 Fee : (to be paid on filing this application) 5. If dwelling, number of dwelling units.. 9.n.c. ......... Number of dwelling units on each floor ................ If garage, number of cars ..... ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front .... 75 J ........ Rear .... .7.5. '. ...... Depth.. 52 '. ......... Height ...2.3. [ ......... Number of Stories ...... .1 .% ................................................ Dimensions of same structure with alterations or additions: Front ... ~.a. r0¢ ......... Rear ...$~m.~ .......... Depth....S.a.m..e ............ .. Height ..... .S.a.r~.e ............ Number of Stories .... ,~.e~r~¢ ............. 8. Dimensions ofantire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front ....... 1.0.4..3.6.' ........ Rear .......... 1.5.$~ ........ Depth .... .3. Q2! ............. 10. Date of Purchase ........... i .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..... A-~Se~.J,cler~.t.~$x'A.g.c icn.[t;uc/a.1. ................ 12. Does proposed construction rio!ate any zoning law, ordinance or regulation: ...... ~19. ....................... 13; Will lot be regraded ......... .N.o. ................ Will excess fill be removed from premises: X Yes No 14.. Name of Owner of premises .S..t ~.v.e.r~. l~.g. ge¥ ~ .... Address~ ~.4.4. l~x ... ~.v.e...S¥¢'Phone No. 232.-.534 :-.8.484. Name Of Architect . .G.~.ri:.e.t.t.. 3.... S..t~.a.~ ..... Address .... $9p.t.l~9~.Cl ...... Phone No ...... Name of Contractor ....N.o.t...S.e.l.e.q .t .e .d. . Y. .e .t .... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-baak dimensions from property lines. Give street and block interior or corner lot. STATE OF NEW YORK, COUNTY OF..S.u..f.f.o.l.k.. ....... ............ .GA~r e.t.t..;5,. ~.~: aumber or description according to deed, and show street names and indicate whether Attached S.S ~r~.¢ ................ being duly sworn, deposes and says that he is the applicant (Name of individual sign lng contract) above named. He is the ...................... , .... A.r..c.h.i.t.e..c.t ..................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained 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 the application filed therewith. Sworn to before me this ........... / .~. · .~.'. ..... day of ....... ~-~...., 19 ..0~. JUDITHS~oT T[RRY NO.,52-0344963 Suffolk Count:~ COI~s on Expires M~rch 30, 19~M " · ' b f BCCU?AHCY OR OF OCCUPANCY I~ copper tubing is used for water distributing system; piping shall be oW types K or L only NOTIFY BUILDING DEPAI~-MENT Al 765-1802 9 AM TO 4 PM FOP, THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & pLUMBING 3. INSULATION 4. FINAL-CONSTRUCTI©N MUST BE COMPLETE FOR C, O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTB OF THE N.Y STATE CONSTRUCTION & ENEPGY CODES. NOT RESPONSIBLE FOg' DESIGN OR CONSTRUCTION ERRORS -FART JAL -F-oOLJP't..I>A--F I LAH Architect and Engineer's Seal and Signature only good for initial uso of drawing, Changes, alteratines or visions to or re-ese of drewings with- out Architec~ or Engin~t's Approval ~oids Seal and Signature on same. "Alteration of this Document except by an Architect or Licensed Profes- .atonal Engineer, is illegal". Section 7209, Subdivision 2, N,Y. State Education Law. GARRETT A. STRANG architect ' Main Road P.O. Box 1412 SoutHold N.Y. 119.71 516-765~5455 lit · /11 Archit~t a,d E,~in,er's Seal ~nd GARRETT A. STRANG S gnature on y goad for initial use of "Alteration of this Document except drawing,Changes, alterations or re- by an Architect or Licens~ Profes- a r c h i ~ e c ~ out Architect or Eng[n~r's Approval Section 7209, Subdivision 2~ Main Road EO. Box 1412 Southold N.Y. 11971 ~ids ~at and Signatbre on same. N, Y. State Education ~w~ 516 - 765 - 5455 GARRETT A. STRANG Amhlt~t and Engineer's Seal and "Alteration of this Document except S gnature on y 8o~ for nitial use of by an Architect or Licensed Profes' architect- visions b or re-use of drawings ~ith- Section 720~, Subdivision 2~ Main ~oad R O. Box 1412 Southold ~.~. 11071 out Architect or Engin~r's Approval N, Y. State Education ~w, 516 - 765 - 5455 voids Seal and Signature on sam~ I $~RRETT A. STRANG ~hitecf and Engineer', goal ;~d Altemt'on of this Document except Signature only good for initial, use of by an Architect or Licensed Profes. B r C h i t e c t visions to 0r re-use of drawings wit~ Section 7209, ~ubdMsion 2~ Main Road P,O. Box 1412 Southold N.Y. 11971 out grc~toct or ~ngia~r's Aporov~l N.Y. State Education ~ 516 - 765 - 5455 ~o~ds Seal and Signaturo oa samo. ,) copper tubing is used of types K or L only T ' J - a r-... - --- ~ ,..,... ........ I"-w'"~ "~ I J Main Road P.O. Box 1412. Southold N.Y. 11971 .... ~ - ~ , ~~ ~ ~ ~C~l O~ "~-~" TITLE Si~n~t~r~ on~ ~ood for ~niti~! ~s~ of ,,Alteration of this Document ~xcept ' drawing. Changes, alterations or r~ by an Architect or Licensed Profes. a r c h i t e c t visions to or r~use of drawings wit~ out Architect or Engin~r's ~provai Section 7209, Subdi~slon 2, Main Road P.O. Box 1412 Southold N,Y. 11971 voids S,al nM Si~ture on s~e. N.Y. 8tare Education ~w, 516 - 765 - 5455 , 0 0 ~i~t~e ~li t~d l~r i~ilial ~s~ of "~ller~lie~ ~f lhi~ Document except drawing. Ch3,ges, alterations o~ re. by an Architect or Licensed Profes- a ~ c h i ~ e c ~ ~pr0~at Section 7209, SubdMsion 2~ Main Road RO. Box 1412 Southold N.Y. 11971 Engineer's Architect voids Seal and Signature o~.same. N.Y. State Education ~w, 516 - 765 - 5455