HomeMy WebLinkAbout12941-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19748
Date FEB. 21, 1991
THIS CERTIFIES that the building.
Location of Property 135 CASE ROAD
House No.
County Tax Map No. 1000 Section 116
ADDITION & ALTERATION
CUTCHOGUE
Street
Block 02 Lot 017
Hamlet
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEB. 27, 1984 pursuant to which
Building Permit No. 12941Z dated MARCH 27~ 1984
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 & ALTERATION TO EXISTING DWELLING.
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
The certificate is issued to SEAMUS LYNCH
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARII~ENT OF HEALTH APPROVAL N/A
N797206 MARCH 10~ 1987
Rev. 1/81
Inspector
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)
Permission is hereby granted to:
............ ....... ............
............ ..~.~..~....-. ....... L.,~..~......~...~...~ .........
........... ~&~~..~...~.~ ...... ~7~- ~
~o ..... ~Z~.,~...~.~,~.z.2.~.~..~Z.~&~..~~~. . ~_
~...~.~.....~.z~.~ ..................... ' .............. ~ ........................ ,, ...............................
at premises ,~ated at ...... ~.~ ...... ./.. ......~.....~~ ............. ~'~~.~ '
pursuant to application doted ....... ~/..'T~.~,~,'~ ....... ~.'.~.7~ .................... , 19-.~.../~ and approved by the
Building Inspector.
Fee $ .....................
Building Inspector
Rev. 6/30/80
IBLDG DEPT
~ '"r~ OF SOUTHOLDAPP~L.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
CATION FOR CERTIFICATE OF OCCUPANCY
This application'must be filled in by t~pewriter 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 all buildings, property l~nes,
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 ~lectrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system conta~a
~ less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and s~milar 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, 195_7) ~on-conforming useR, or buildings and
"pre-existing" land uses:
I. 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 o£ 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.Certi~icJte of Occupancy on Pre-existing Building - $100.00
3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4.Updatud CErtificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15..~0, Commercial $15.00
Location o ...... _.Old Or ~re-existing ~uilding..j...~.. ......... ·
· Street Hamlet ' ''
~ower or Owners of Proper . .
:ount 000. Seet on../. ..... .... ..... ..... .............
;ubdi is/on ............~ ..................... Filed Hap ............Lot ....
..................
ealth ~ P~ ..........
oept. Approval..
........................ Underwriters Approval ........................
tanning Board royal ......................... ~ ..
lquest for: Temporary Certificate ........... Final
~e Submitted: $ .....
looo~63 THE NEW YORK BOARD OF FiRE UNDERWRITERS
BUREAU OF ELECTRICITy ·
].0 ;.[~1785 JOHN STREET, NEW YORK, NE%~V YORK 1OO~b
March
.o,~ ~pp,,c.,,a. No.o.s,,? ~?~/~4 N 797206
THIS CERTIFIES THAT
only the electrical eqalpment as described below and ir~troduced by the applicant named on the abpve application nu tuber in the premises of
Dr. Serous I,ynch~ Case Rd~ (only house with Dr. yellow ranch)Cutchogue
N.Y.
in thefollowln~ location; [] Basement [] Ist FI. ~ 2nd FI. Section Block Lot
u~sexaminedon March 2,1987 andfoundtobelncoo~pllanceu, lth~he~eq, re,ne, tsofthlsBoard.
FIXTURE FIXTURES OVENS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
t0 19 16
DRYERS FURNACE MOTORS APPLIANCE FEEDERS 'IMEiCLOCKS UNIT HEATERS MULTI.OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE ~i~C, NNECi' S E R. ' V - - I ~ C
OTHER APPARATUS:
Elec, Room H~aters-3e -1,SKew.' ~
NO, OF CC COND
2-1.0E.W.
OF ~C~OGND NO OF HI-LEI
Motors-.1-3/4H.P., Paeelboards; t~-10 (cir.) 125amps.
2-GoF. I.~ Track Lighting- 6' ,.0'~- 3 lites
AWG
OF HI LEG
NO OF NEUTRA
A, WG
OF NEUTRAL
TOWN OF 50UTLIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUi"IIOLI), N.Y. 11971
September 13, 1990
SCARAHUCCI CONSTRUCTION
P.O. BOX 1403
HATTITUCK, N.Y. 11952
RE: SEAMUS LYNCH
TO Whom This May Concern, :
TEL. 765-1802
%qe are unable to complete your Certificate
of Occupancy because .of the following reasons.
/5/ An application for Certificate of Occupancy
is not on fil~.
,: ?Io Under~.;riters Certificate on ~zle.
/~/ The check is(:. oi1 file.)
/~/ I!o Health Dept. Approval on file.
/~/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.'
Buitdinq Permit tl I 2 9 '4 I Z
Buildinsr Dept.
,.,/_-1
No Plumber Solder Certificate on file.
( all permits involving plumbing being
is~lued after April 1,1984 )
..~?E~LD IN__~PECTION COMMENTS
FOUNDATION
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTHOLD, N.Y. i 1971
TEL. 765-! 802
This is to advise you chat the job under building
permit no. 1294kZ__ issued to Seamus Lynch
on -~3~22]~____ for Addition .& Alteration is completed aed
a fiasl inspection has ( ) has not ( x ) been done.
An Underwriters Certificate is needed
tn order tO complete this file, it is necessary ~hat
a Eertificate of Occupancy be i~sued. Please fill ou~ the
enclosed form, return same to the above office with a check
for $25.00 payable to tile Town of Sou(hold. Please indicate
to ~hom tile Certificate of Occupancy is to be mailed, and
arrange with ~his office for an inspection (late
Occupancy or use in unlawft, 1 without a Certificate of
Occtlpancy. Please help us to clear up th~,s matter so that
leRnl action doen eot have to be taken. .
Thank you for yo,r prompt attention.
Var! truly your~q,
Victor Lessard
Executive Administrator
VL:gar
enc!.
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION XST [;~ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
~ FRAMING [ ]FINAL
REMARKS:
INSPECTOR
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
E amined .....
Approved .... ~./.. )/ ..... , ......
Disapproved a/c ............... '.'....~7. .....'.../4.~ ....
............. :.
(Building Inspector)
APPLICATION FOR BUILDING PERMIT /-.-.~
Daie.. ~ .~. ·./..~. · .~...
Received
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 commenced 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 IqlADE 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,~aousing code, and regulations,4and to
admit authorized inspectors on premises and in building for necessary illspections, f/f~'--'~.~. ¢ .~/LO~'
(Signature of applicant, or nyhe, if a corporation)
. ?.¢. ....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.... .q. . . /). c To. k ..............................................
. .
Name of owner of premises
(as on the tax roi1 or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No...~. O. :~..~.-...'-~..~..~-.~m/NLL~
Plumber's License No...' ............ ~ ..........
Electrician's License No ........... .~.. ........
Other Trade's License No ......................
1. Location of lan, d on which proposed work will be done ............................... ; ..................
...... . ................ . ......C. .U. .ZC. U. ..........
House Number Street Hamlet
County Tax Map No. I000 Section ...--///,q~. .......... Block .... .~:~..~...'~.. ....... Lot ................... .O.~.~.
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... ! .... . .~./~.~..[.L. ~.. ..... ~..g..~..L..].~...~ ....................
b. Intended use and occupancy ...... 5~. ~ ..... ~/.T.~..../~.L.~..~..~. ~.Z/..~..~5: ...........
Nature of work (cheek ' ~ '
which apphcable): New Building .......... Addition ..... Alteration . ..
Repair .............. Removal .............. Demolition .............. Other Work ...............
4. F. stimated Cost ...... l ........... Fee ...............................
~ (to be paid on filing this application)
' /
5. If dwelling, number of dwelling units ............... 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. Dunenslons ofexlmng structur~s, ifany: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories.. .......................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth .................... !.. Height ...................... Number of Stories ......................
8, Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
9, Size of lot: Front ...........i ........... Rear ...................... Depth ......................
10, Date of Purchase ........... 1 .................. Name of Former Owner .............................
I I, Zone or use district in which premises are situated .....................................................
Does proposed construction vioiat.,e0anv zoning law, ordinance or regulation: ................................
14.13'12, Will lot be regraded ........ ,It/... ~..~ ............. .~ Will exc_e.,~s fill be r~r~oved from premises: Yes
Name of Owner ofp emis s.~.~/Y}.~..~.[/t~. ~. Address .~.~. ~..~.~..~{~f~'~.Phone No. YT~. ,~.~_,}..~...
PLOT DIAGRAM
Locate clearly and distinctly alii buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block !number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW~
COUNTY OF ~.
.... ;,,
(Name of individual sigr
S.S
./FI. '-'- ----' being duly sworn, deposes and says that he is the applicant
lng contract)
above named. '
He is the ............... i .............
(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 mann4r set forth in the application filed
therewith.
Sworn to before me this
....... · '~.: .~ ............. day of....~e~.C.t-~...r' '7 ...... 19
Notary Public, .~.~x~ ~.. ,~.~ ........ ,
LI~DA F.I KOWALSKI ' ,
I~0IAI~¥ PUB/JCi ~l~to of IV~w god{ , . .
. ~o. ~'4524771 ' / (Signature of applicant)
QUallhed mn Suffolk County d
i Commission Expi,ros March 30,