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Home My WebLink About16335-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Z-16193 Date September 23, 1987 THIS CERTIFIES that the building . .A..L.T.E.R.A..T.~.O.N.. ,a. 9y.A.r.! 9p ................... nmo~t;~nn~Prm~o~txz 1435 Smith Road Peconic, New York House No. Street ................. I:l~r~/e~ County Tax Map No. 1000 Section ...0.9.8. ...... Block ...0.4 ........... Lot .. ! .5... 1.. §..1.6.: .1.. Subdivision M/o Indian Neck Park ·Filed Map No. 551 .Lot No. 31 & 32 conforms substantially to the Application for Building Permit heretofore filed in this office dated August 6, 1987 pursuant to which Building Permit No. 16335.z dated ...A.u.g .u.s .t. ! .4 :. ! .9 .8 .7 ........... 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 ......... ALTERATION & RENOVATION OF 1st FLOOR & 2nd STORY BATHROOMS ON EXISTING ONE FAMILY DWELLING' AS' APPLIED' FOR: ......................................................... The certificate is issued to MICHAEL & HARRIET GREENBERG ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval N/A N827150 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: September I, 1987 Rev. 1/81 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) N~ 16335 Z Permission is hereby granted to: ........ ...... ...'7~...~a.....~.:.~..,....u.t~.-...~ ............ ....... ~ ~L.~....~. 4......~"-" .............. County Tax Map No. 1000 Secti~..~..~...~. ....... Block ....... ..~...~. ....... Lot No. ~...~.:.~..~...).k:..~... purSuon, to application doted ...~~.~........~. .............. , 10.~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 765- ;1802 APPLICATION FOR CERTIFICATE OF' OCCUPANCY Instructions ! , , , ':' : ., , · ,.,..,;" This application must be filled in typewriter OR 'tnk, and submitted "" l~.a~aaa tO th.e Building. lnspe.c;' tar with tho followJpg; for new buildings or new use: 1. Final survey of pr~)perty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features .... ,:.,, 2. Final approval of Health, Dept. of water supply and sewerage disposal-(S-9 ~orm 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre.existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwelling,$25.O0, Accessory ,.$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over '5 years $10.00 4.Vacant Land C.O. $ 20.00 $ 50. O0 Date ..... .S.e.P.~.m.~.e. r3.~..%~.~.?.. 5. uodated C.O, 6. ~%lteration~ $25.00 NewCohs ~,r'uc t, ion ...... Old or Pre existing Building x Vacant La~d Location of Property .. ~)&~.... ~,m.~. ~; b..E.q ~] ........ .P.~ ~ p.~i~ ............................. House No. Street Ham/et Owner or Owners of Property .M.i.c ~.~e..] ,~. I;I.~ ~3~e. ~ .G.r.e. ,e.n.b.~ ~ County Tax Map No. 1000 Section 09~ Block 0.~L ~,,, 1_%001 & 16,001 · .. ;~.~?, ,o? Indian Neck Park .... Filed Map No. ,~,~,::L. ..... Lot No. .$.~. &.~.2.. Subdtws~on ............................ Permit No..1.~.3..3..~.Z... Date of Permit...8 . \..A~_? oDlicant E qv.i. ronm~ nt;. ...........,..~ Health Dept Approval N/~_ Labor Dept Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ...... X. ................ Fee Submitted $ 2~o00 Construction on above described building apd~it me.~ ~tl/~pli~7~abJe codes and regulations, .............. Rev. 10-10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. ! 1971 TEL. 765-1802 CERTIFICATION Building Permit No.''-~"~{ ~),'~)~, (please print) ~ '' '(please prin~) ~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ,~ day of / 19 . Notary Public, ~--~ (plumber s s~j~r~ County NOTARY pUBLIC, Stale of N~w York No. 4732613 Quahfied in SuffoJk County ~ommlssion Exptres /V~ ~¢~r~f~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Aug'u~J'L: 14, 1987 as JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT in the followlng location; ~* Basement ~ I st FI. ~s examined on Augu~ lO, 1987 ~ 2nd FL Section Block at,d found to be in cots pliance with the reqt ire.tents qf this Board. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCEt4T DRYERS FURNACE MOTORS APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C NO, OF CC COND, PER ~ A, WG OF CC COND NO OF HI-LEG [435 ~it~% ~oa~ GENERAL MANAGER Per __ ~1 cerfifice*e must not be el~ered in an~ menner; re~vm ~o the office of the Boerd if incOrmd. Inspectors me~ be identified b~ ~helr credenfi~t~. COPY FOR BUiLDiNG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 TO Whom This May C~ncern, We are unable~to complete your Certificate of Occupancy because .of the following reasons. /~ An application for Certificate of Occupancy is not on file. ~~ /2/ No Underwriters Certificate on file. /2/ The check is(outdated/not on file.) ~ ~O~ /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ { ~ 3 ~ ~ Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) UNDATION UNDATION UGH FRAM&~/ PLUMBING SULATION PER STATE ENERGY CODE (lstl (2nd) FINAL ADDITIONAL COMMENTS: ~ Packaged Sewage Ejector ALLIED PU/dP ~CC)R~o BULLETIN NO. 100 DIM]~LqlONS- INCI{]CS SINGLE DUPLEX STEEL eAST IRON STEEL CAST IRON 21 21 21 21 ~'- 58 58 58 8 8 8 8 ALLIED PUMP ). 24-44 HOPE ST., JERSEY CITY, N.J. Ta. EP.ONE The ALLIED "EJECTO" is an efficient, economi- cal packaged sewage pump designed primarily for "that extra set of fixtures" which are locat- ed such that gravity drainage is not possible or practical. The entire unit will pass through a standard 30" doorway. EQUIPMENT FEATURES PUMP: Non-clog sewage pump with full 3" dis- charge. Has bronze lower sleeve bearing and ball thrust bearing in cast iron motor pedestal perfectly aligned to eliminate all vibration. 2- vane back shrouded impeller with pump-out- vanes is designed to pass all sewage and stringy material and eliminate binding at the back. Pump and motor are connected with a flexible coupling which insures quiet operation.. MOTOR: Standard NEMA frame of a major manufacturer 3/4 H.P.,1750 RPM. All single phase, 60 cycle, 115/230 volt motors have built in thermal overload and are of the capacitor type. Three phase motors, when furnished, in- clude magnetic starters for overload protection. BASIN: A heavy duty steel basin is furnished as standard. The basin is treated with a corrosion resistant coating. Cast iron basins can be fur- nished and are recommended only in installa- tions wilh severe sub-surface water conditions. Basins are provided with a 4" caulk inlet, 3" vent, and a large removable handhole to per- mit access, as a standard. The pump and mo- tor can be removed without disturbing the basin cover. SHAFT:The pump shaft is made of a high grade stainless steel,ground and polished, and is of a large diameter designed for high torque. CONTROL: An integral float switch assembly is furnished. The float switch assembly is com- plete with a large diameter copper float, brass float rod and adiustable float stops. The duplex "EJECTO" can be furnished with an alternating float switch assembly which will al- ternate the operation of the two pumps and permit simultaneous operation of both pumps during a peak period of inflow. 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST INSPECTION ~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL, DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~LATION FRAMING [/,,~ FINAL FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . .L~.~g,4~W.!~., 19'3. Permit No ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received .......... ,19... Date .. Augua~ .Ss ..... , 19..87 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 accosding 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 thin, 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 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 regu!ations, and to admit authorized inspectors on premises and in building for necessary inspections. ..... ~3nv. iroame gal:. F,a~ %..12 ne ................ (Signat~e ofopplicagt, o.r na~me, if a corporation) 3075Inazan ~ec~ ~ane ..... .1,p.qo. 7.~.e.,.. ~.~r...~.1. ? .5.8 ............. ' ........ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... a. 1.. 9.q 97 ....................................................................... Name of owner of premises . Mt c-bo al- ~ .H az'".~ie 't:;. G..~.e e nb. erg ......................................... (as on the tax roll or latest deed) o' signature of duly authorized officer. ............ f corporate officer) Builder's License No..I.~.I. 5~.56. ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. 1435 Smith Road Peconic House Number Street Hamlet : County Tax Map No. 1000 Section 098.00 Block 0400 - . 015.001 ~' 016.001 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... Q n.o...~.~ .17..d.~/o..1J..i Og .............................. :,. .......... 2 b. Intended use and occupancy One £amil7 dwelling with new .bat~s '. ' ,~ 3. Nature of work (check which a~plicable): New Building .......... Addition ~ Alteration Repair .............. Rqm?ai .............. Demolition .............. Other W9{~ .............. .x:-g5 ~(De~fiption) 4. Estimated Cost ..4~--9..U~.. ............ Fee ........... (to be paid on filing this application) 5. If dwelling number of dwellinglunits ...... Jtl. ....... Number of dwelling units on each floor ............... If garage, number of cars ...................................................................... 6. If business, ' ' commercial or rmxe,d occupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............. ~.. Height Num her of Stories Dimensions of same structure With alterations or additions: Front ................. Rear ................ Depth ......... ~ Height Number of Stories 8. Dimensions of entire new constVUction: Front ......... ., ..... Rear ............... Depth ............. Height ............... NurOber of Stories ...................................................... 9. Size of lot: Front .......... ~] ........... Rear ...................... Depth ...................... 10 Date of Purchase ~ Name of Former Owner ........................... · 't' 'hp' ' ' 1 I'.Zone or use dlstric in whlc r~m~ses are situated .... Re ~ gdo rag;ia3, .................................... 12. Does proposed construction vio:late any zoning law, ordinance or regulation: .Iffo. 13. Will lot be regraded ...Nco... ~ .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premisesM. & ;FI. f~.aO rlb~.v..g... Address .~rO;t.t.h .l~l.,.P..e. 9gB.l, CPhone No. 73.b~7.6.~.9. ..... Name of Architect ......... [ ...... ; .......... Address ........ .W$...~.. c~.. Phone No ....... Name of Contractor t3.rlv. :I. ~.o.tlrgo. [1.~..~. 0.~.~.~.. ~ 09..Address ~.0. ~/~..I.n..d .i.a. tl....i~ .e.k, ffa0ne No. 7~.~'7. Peconic, J~Y 1195U PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockl number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sigl ting contract) above named. He is the ................................................................................ ~ ....... (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 confained in this application am true to the best of his knowledge and belief; a~/d that the work Will be performed in the manner set forth in the application filed therewith. Sworn to before me this I Notary Public ........... I~. 4707878, Suffolk county~ Term Expires March 30, C ounty~~ ~ignature of applicant) OCCUPANCY OR USE IS UNLAWFUL WF[HOUI' CER"[~RCATE O~ OCCUPANCY PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER L/bED/iV :,'v~ ,'., . SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. If copper tubing is used for water distributing system; p ping shall be __ of types K or L only p-