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HomeMy WebLinkAbout16295-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17580 Date DECEMBER B, 1988 THIS CERTIFIES that the buildin~ Location of Property 3240 OREGON ROAD House No. County Tax Map No. 1000 Section 100 s~tbdivision RENOVATION MATTITUCK, NEW YORK Street Block 04 Filed Map No. Hamlet Lot 6.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 20, 1987 pursuant to which Building Permit No. 16295-Z dated JULY 31, 1987 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is RENOVATION TO EXISTING KITCHEN AS APPLIED FOR The certificate is issued to WILLIAM JR & STEPHANIE SPOONER (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - NOVEMBER 30, 1988 PLUMBERS CERTIFICATION DATED NOV. 28, 1988-THOMAS M. PREIATO ~~ u~il~ing Inspector Rev. 1/81 FO~ NO. ~ 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) N9 16295 Z Permission is hereby granted to: .~.~.~ ..... ~......~ .~... · ................. ~.~......~.. . ...... ~ ,....u...~.....~..?. ........ . ....... ................ at premises located at ......................... : .................................. County Tax Map No. 1000 Section .../.......O~... .......... Block ........ ..O...~. ...... Lot No ......,,~..:...~'.. ......... /J Building Inspector, Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S.9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. ~~l~rs~l~, illand uses: 1957~,~Non-eorr~om~-~.~u~bui~~' 1. Accurate survey of p~operty ~ lines, streets buildings and unusual natural or topographic featu res. 2. Sworn state~.e~t~eC~d~ner or previous owner as to use, occupancy and condition of buildings.  spect on of bud ngs or premises, or other pertinent informa- C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 ]. Certificete of occupancy New Dwelling. $25.Q0, Accessory ~$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ I00.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $ 50.00 Date .... 1. .1/.2.8. ~ .8.8. ............ New Cons tr uc t i on Old or Pre-ex isting Building Vacant Land Orego.n.R..o.a.d 3.2..4.0 location of Property ......................................................... . Housa No. Srreet Hamlet Owner or Owners of Property William E And Stephanie M. Spooner County Tax Map No. 1000Section 1QQ Block Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.1.6.2..9.5 ..... Date of Permit 7/31/88 .Applicant .~.~.~.liam EStephan[e Spooner Health Dept. Approval ................... · .. .. Labor Dept. Approval ...................... . . Underwriters Approval ........................ Planning Board Approval ........ Request for Temporary Certificate ..................... Final Certificate ................ Fee Submitted $ 25.00, . .~/..~.. Construction on above described building and permit meets~,al~L-appl~;able codes and regulations. Applicant~~ i ~'...~.. ..................-~ Rev, 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS g00860~ BUREAU OF ELECTRICITY r 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~ ~,( ,~,~ 0~ '~8 ~ppl~ationNo. onfil~ THI~ G~IPlES THAT in t~ f~lowlng ~ation; ~ ~e~nt ~ Ist FL ~ 2~ FI. {)lit .~tlon Bilk and found tO be in compliance with the requirements of th~s Board. FIXTU~ I ; FIXTUIIIS RANG~S COO~ING O~CKS OVENS EXHAUST FANS OUTLETS IIE~'EPTACIES SWITCHES DRYERS FURNACE MOTORS FUTURE APPUANC~ ~ TIMEC,~CKS UNITH~ATRES M~LTI-OUT~T 4)M4M~RS SYSTIMS SIRVICE DISCONNL~T S ! R V I C This certificate must not be altered in any manner; return to the office COPY FOR BUILDING DEPARTMB4T. THIS C:QPY OF identK'bd TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Date 11/28/88 Building Permit No. 16295 Owner William E. Sponer Jr. Plumber (please print) Thomas M. PreiATO (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this 197_~l_. Notary Public,__ ~.C.p.unty NFLL NOTARY PUBLIC, State of New York No. 4698774 Qualified in Suffolk County ,¢~,/'1 ~,omrnission Expires Februa~/28, ~u Notary Publ%c TOWN OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR I'.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. /_~/An application for Certificate of Occupancy ~S not on file. C~l~,~t~? /~/, o Underwriters Certificate on file. /.t~_/ qhe check i',;(~a;~/not ou file.)~%~3,~ /~/ No Health Dept. Approval on file. /-~/ No final inspection has beeu made. Please contact ()ur office on this matter. Thank you for your cooperation. Building Dept. ***/~k) Plumber Solder Certificate file. _ on ( all permits involving plumbing being issued after April 1,1984 UNDATION (1st) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINALj ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL,: 765-180:3 BOARD OF HEALTH .... SURVEY ..... CHECK SEPTIC P0RM . ............ Approved. .~AJ~ .;~el .., 19~ 2 Permit No. 1.6 ..~.~ .~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS NOTIFY CALL Date ................. , a. Tkis 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 ~ 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 cod}/jand regulations, and to admit authorized inspectors on premises and in building for necessary inspectigns, -- // // (gl{nature of applicant, or name, if a corpo ation) Y,../?..-C. (Mailing address of applicant) State whether applicant i~, lessee, agent, architect, engineer, general ~ontractor, electrician, plumber or builder. ;22 Z; ....... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No... ~ .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ~3 ~ 5/~ Location of land on which proposed work will be done~ ....................... ..'~. ............. House Number Street Haxnlet County Tax Map No. 1000 Section. · .~..~.. ........... Block...~ ............ Lot..~..~ ..,ff. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~4~. ~ b. Intended use and occupancy ....-- ~(.f', ~/~.4 ~ .........~Z~4 ~ :- ~ ................. 3. Nature of work (check which applicable): New Building · Addition .......... A~C< Alteration Y. ..... Repair .............. Removal .............. Demolition .............. Othor W~kll..l[ffi ........... . scriplion) 4 Estimated CostA,~?.~.. ~ · F ........... : ....................... ee .................................. ~ [ · (to be paid on filing this application) , f.. 5. If dwelling, number of dwelling units ........... Number of dwelling units on each floor .,.~... If garage; nhinber of cars ..... ! .................................................................. 6. Ifbhsiness, con~m~r~ial or mixed occupancy, spec',/dy nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front. ?.~':~/ ......... Rear . ~.? ........... Depth..,~.~.d. ........ Height . ~..-~. t. ......... Number of Stories . .~..~.. '..' .... '..' .......... ~ ......... : ..... :'..,, ............. Dimensions of same structure wlth alterations or additions: Front- ..~..'~..g/ ........... Rear .................. Depth .................... i.. Height .... ,~ ................ Number of Stories ...................... .... 8.Dimensipl~s o~entire new construction:l: Front ~.,~..,r.-~..~....' ..... Rear ............... Depth ............... 12. Does proposed construction violate any zoning law, ordinance or regulation: .,,~. ~. ............................ 13. Will lot be regraded . ~.. 'i ................... Will excess fill be removed from premises: Yes , No 14. Name of Owner of premises ~.,~4/~..R'..F.~F,,~,~. .... Address O,~?~.a.~..,~./.~/'~,~//.~.,~.. Phone No.~ ~.d~..J?..d'.2,. ..... Name of Architect ................... Address ................... Phone No ................ Name o Contractor ......... i ................. Address .... : .............. Ph ................ 15. Is this property located~within 300 feet of a tidal wetland? *Yes ..... (_~ ..... · If yes, Southold Town Trustees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly alii buildings, whether existing or proposed, and. indicate all set-hack dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. j-~.~ STATE OF NEW YORK, S.S COUNTY OF ................. ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ..................... ~ ................................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application; that all statements conl:ained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann+r set forth in the application filed therewith. Sworn to before me this ............. /.? .... :...day oi ..... ~ ........... 19.~.?· Notary Public,. .... ?~.. ~. ~..~'.. J.a~..... County/_~,~- ~/~ NI~AFIY PU~LIO, 8hlb~ 0f NOw Yolk / /( Signature of applicant ) No. 4707878, ~ SOLDER USED IN WA TER SUPPLY SYSTEM CANNOT EXCEED 2/'10 of I% LEAD. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE Zyv,¢ ~ /,~.fITIFICAI'E OF OCCUPANCY If copper tubing lm used for water distributing system; piping shall be of types ~ or L only OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ?50. 'A/IIE- tllK ~ IV, /5'~. O0 /50. O0 o"'17-[_I,4 7-&I~ .47' The existence of right of ways and or easements of record0 if any, not ~flown are no~ guaranteed. 7-17-L ~- /A/W, CO. /50.00 l'he existence of right of ways ~nd or easements of record, any, not shown ore not juaranteed.