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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,