HomeMy WebLinkAbout16626-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. z- 16763
Date March 30, 1988
THIS CERTIFIES that the building CONSTRUCT ADDITION
Location of Property 705 Koke Drive Southold, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section ...0.8.7 ....... Block ....0.5 .......... Lot 015
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
November 12, 1987 pursuant to which Building Permit No. 16626 Z
dated ..... .N.oy.e.m.b.e.r..1.67..1.9.8.7 ....... 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 .........
ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to EUGENE & HELEN McPARTLAND
of the aforesaid building.
Suffolk County Department of Health Approval ............. N./.A. ..........................
UNDERWRITERS CERTIFICATE NO ..................... .qqT.5.4.3.z 23, 1988
PLUMBERS CERTIFICATION DATED: February 26, 1988 - Mattituck Plumbing & Heating Corp.
Building Inspector
Rev. 1/81
FOB~ NO. B
TOWN OF SOUTHOLD
I~UILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING FERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
16626 z
Permission is hereby granted to:
~, premise/s located at _"]..~...~.'.....!...~.,..~.~......~.~1~,.....~~ .........................
County Tax Map No. 1000 Section ..... .~...~.."). ....... Block ....... .~..'.'.~. ...... Lot No...~.1,..~."~.. ...........
pursuant to application dated ...... ~...~....~....~. ......... ~,, Jg.~..~.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
765-
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions, ~'
A. 'This application must bo filled in typewriter OR ink, and submitted elm to the Eluild~
tbr with the follow'ng; for new buildings or new use:
1. Final survey of property with accurate location of all b~ildings, property lines, s~reets, and UrlUaU~t
' natural or topographic features.
2. Final approval of Health Dept, of water supply and sewerage dlsposal-(S.9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
i '
4. Commercial buildings, Industrial buildings, Multiple Residences end similar bu Idmgs and Installs?
tions, a certificate of Code compliance from the Architect or Engineer responsible for [he I
§, Submit P arming Board approval of completed site plan requirements where applii~abje,
B! For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-exlstmg/~
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural
topographic features. ' i '
2, Sworn'statement of owner or previous owner as to use, occupancy and condition of build ngs.
3. Date of any housing code or safety inspection of buildings or premises, or other pert nent nfprm~,
* . tion required to prepare a certificate.
C. Fees: . ,,
1. Cerfificate of occupancy New DwellMt~.$25.O0, Accessory ,.$10.00 Business -~50.00,
2. Certificate of ocoupancy on pre.existing dwelling $ 50. O0
3. Copy of cartif cate of o~cupancy $.5.00, ovec 5 yeats ~10.00 '
4.Vacant: Land C.O. $ 20.00
5.Uudated C.O, $ 50.00 Data ?.e.b.~.u..a.~.y...a~.?~.~ ........
NewCon~ ~ ,ding ...... . ... Vacant Land ......... . ....,
~'bc.t, ion ...... Old or Pro.existing But . .
..
·
Location of Property . .7.05 · ~:~l~a. Da~.£~ ~.. ..................... :3.,~u t h~],d )..,~Ig-. ,l~.9.71 ·.,
Hou~a No. Street Ham/at
· Owner or Ownersof Property
County Tax Map No. 1000 section o87 o~ o~
............ Block ....... Lot .........
Subdiwsion .................................. Filed Map No ........... Lot NO ................
Approval~/<.A.' Labor Dept Approval
< Health Dept
Underwriters Approval Planning Board Approval ~.A
Request for Temporary Cart ficate ~ .................... Final Certificate ..................... ..
Construction on above described buiidi s and rag la'tions.
k~~~ast, Ino. for Owner
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
?.O. BOX 728
TOWN HALL
$OUTItOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date
Building Permit No.
Owner CQ , %I
'~ ~ [please print)
Plumber
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber's signa~
Sworn to before me this
_~d~ day of ~ roar-/ ~,
19 ~%
Notary Public, ~%~2~ County
Notary Public
K~I~ A~ HARTY
II0'f/n~¥ P,~J~kl(:, $~te of ~e~ Y~
Environment East, Inc.
R. R. No. 3 -- 3075 Indian Neck Lane
Peconic, New York 11958
516-734-7474
Mai'ch 28, 1988
Southold Town Building Dept
Town Hall
P. O. Box 1179
Southold, NY 11971
Re: Permit # 16626Z
Dear Sirs,
~nclosed is the Underwriters Certificate covering
the work done under the above permit for Mr. and
Mrs. E. McPartland at Koke Drive Southold, NY.
This should eomplet
issuance of the
applied for on
;rmation ~eeded for
Occupancy already
29, 1988.
Thank you
Sincerely,
Peter R. 0
President
E ~viro~ East, Inc.
TOWN OF $OUTtIOLD
OFFICE OF BUILDING INSPECTOR
ILO. BOX 1179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
March 1, 1988
TEL. 765-1802
Environment East, Inc.
Indian Neck Lane
Pecon.ic, N.Y. ~1958
Re: BP #16626 Z
McPartland
To Whom This May Concern,
Ple are unable to complete your Certificate
of Occupancy because ,of the following reasons.
/_~/ An application for Certificate of Occupancy
is not on file. (ENCLOSED)
/_~/ No Underwriters Certificnte on file.
/.~/ The check i'.;(~,~.~/not on file.) $25.00
/_-/ No Heal. th Dept. Approval on file.
/~/ No final inspection has been made.
P]ca:;c contact ()ur office on this matter.
Thank you for your cooperation.
lh~.ildir-.g Permit # I 6 '6 2 6 Z
Duild lng Dept.
Ho Plumber Uolder Certificate on file.
all permits involving plumbing being
issued after April 1,1984 )
F OU__N t
FOUNDATION (2nd)
ROUGH
FRAME &
.FLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FI'NA~
ADDIT!ONA'L COMMENTS.'
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
J /~OUNDATION 2ND [ ] INSULATION
FRAMING ,r. ] FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
/
FOUNDATION 2ND [~/~NSULATION
FRAMING
[ ] FINAL
REMARKS:
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ J YFOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
DATE / INSPECTOR /', / , , /
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
/
[ ] FRAMING [/FINAL
REMARKS:
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] I/N/SULATION
/
FRAMING [//]' FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ]/NSULATIO~N
FRAMING [~ FINAL
INSPECTOR~
THE N W"YOi K BOARD OF FIRE UNDERWRITERS
1000121
~ BUREAU OF ELECTRICITY
~--- PtA~CtI 2] ~ ~ 85 JOHN STREET. NEW YORK. NEW YORK 10038
~36745~8/8~ N 007543
~e ~icati~ No. on file
THIS CE~IFIES THgT
EUG~E NC~A~TI,AND, P~T.ROAD NEAR CEDAR LAN~, SOUT~OLD~
in
~ examin~ ~ a~f~nd to be in compllan~ with the r~ui~ments ofth~ ~.
RXTU~I RXTUf~S f~4elS OVENS EXHAUST
5 14 7 5
2/0
ELEC. ROOM HEATERS:l-2.0 K.W.,2-,1,25 K.~,~1-.75 K,W.
I
1
PAUL R. BURNS
275 TOWN RARBOR SANg
SOUT~OLD, NY, 11971
fwh,~. ~o 'lhe offlc~ of ~ n
DEPARTMENT. THIS COPY OF CERTIFICATE
' I =MONUMENT
0 · PIP~
EUGENE J, ~ HELEN A.
$OUTHOLD ' .
TOWN OF SOUTHO~D
SUFFOCK COUNT Y, N. ~
. GUARANTEED TO:
HOME TITL~ DIVISION,
tNSURANCE COMP~N~
SCALE: I"~0' EUGENE aHELEN MCPART[AN~.
JUNE 16 ~ 19~ 6
LAND SURVEYOR
' N. YS. LIC. NO, 2872~
' FORM NO. 1
TOWN OF SOUTHOLD
'., BUILDING DEPARTMENT
~ TOWN HALL
~OUTHOLD, N.Y. 11971
', TEL,: 765-1802
~xamined . gP.. q~. '.'-:~ ~:..~..Lt~., 19 .~?.
approved . .A).o'3-?'~..L~'...l.~., 19~.?. Permit No. ] .it .G..~.~..~..
)isapproved a/c .,. · ~ · - ~)
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ...~py.e. mtp~m .2,..., 19 8.7.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ts 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
r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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
hall be kept on the premises available for inspection throughout }lie work.
e. No building shall be occupied or used in whole or ia part foi' }lily })0It)OhO whatever until a Certificate of Occupancy
hall 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
luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~egulations, for the construction of buildings, additions or alte.rations, or for removal or demolition, as herein described·
'he applicant agrees to comply with all applicable laws, ordim/[tces, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessary inspections.
Fas..~ ~.n.c
EnvirotlmerU6 ~. ~.. ., .................
(Signature of applicant, or name, if a corporation)
307J Indian i~leck Lane
· .P.e c.oni¢.,. -N2'..~.~.9~8 ............ · ............
(Mailing address of applicant)
grate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........... CCngmactom .........................................................................
Xlmne of owner of premises .Eu~o.na .. &..Hs ].e.n .~4c..BaF ~;.l.a ad ..........................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
............................ P. re nzLd ma t; ........
(Name and title of corporate officer)
Builder's License No .... J.~61tI ...............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
}louse Number Street Hamlet ~:' -
County Tax Ma~ No. I000 Section .... 0.~..7 ........... Block ...... .0~. ......... Lot ..... Q~5 ...........
· ' Filed Map No Lot
Subdivision ...................................................................
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . .0.n?.. ?.a.m.~. 3r' ~-!~.~ .1.3_.~..ng .............................................
b. Intended use and oc.cupancy .077..~.af3~.l. 3r' fi.w?. ~.l.~.n.g..~45,. ~.[3..~4c1$.~o.~ ........................ · ....
3. Nature OfW0f~ (~H~k v~ich
4.
a~plicable): New Building .......... Addition., X. .... ;, Alteration ..........
Repair ...... [. ~.~. ,!.~Removal .............. Demolition .............. Other Work ...............
.t~. ~f tg.O..O.~'"-- (Descriptio,n)
Estimated Cost ............ ; .............. Fcc , ....................................
~ ~" ppli )
i (to be paid on filing this a cation
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 naturg~and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front .... ; :~.~ .. ;:., Rear ..... .~...~.. :.. Depth .,. :~,,.~./~. .......
Height ...... ./. ,E-.. ..... Nutuber o f Stories ........ ~. .............. ~ ..............................
Dimensions of same structure With alterations or additi°~: Front .... .~, .~ .......... Rear ..... ~/.~ ,. i .....
Depth ......... a.~.d.~, ......!... Height ....... /..~ ............ Number of Stories ..... ,/.
8. Dimensions of ept.~o new cons!ruction: Front ........ ~ ~. ..... Rear ...../~. ........ Depth ..... ..... £7~,. '~'~ .....
~iegho~ lot: F~;~t'...... ] ?.N. ;.~?~ ?f. ~[??~s. R'ear ~'. ...... .~./..~ .... '.: ..... Depth....~.. ~ 3.~.. [:. ].. ].:
Date of Purchase .......... i ................... Name of Former Owner ...'7. ..... .--77..;; ...............
Zone or use district in which premises are situated.. Re. ~ ~ clt~.~ [ a2. .....................................
Does proposed construction vi~lat~.e any zoning law, ordinance or regulation: ........ ~ ......................
Will lot be regraded ........- i~o~ .................... Will excess fill be removed from premises: Yes No
NameName of°f ContractorArChitect ,~..~vz~o ~me ~¢': ' ' '~ .................. Eas~, InO.AddressAddress .30f~. ' ~ ....... X ~d a.a ~' ........ ~e ¢ ~bh~,~Ph°ne No ...............,. ~$.....7~ -7~7~ , ..
;' ..........
P~T DIAG~
L,ooato ~l~ly ~d dist~etly fll bufld~gs, whothor oxist~g or proposed, ~d, indieato fll sot-bao~ d~nsion~ from
: numbor or doscfiption according to d~ed, ~d show str~ot n~os and tndioato whoth~r
10,
12.
13.
14.
property lines. Give street and blocl
interior or corner lot,
;TATE OF NEW YORK,
:OUNTY OF .................
(Name of ~ndiwdual s~gmng ,contract)
bove named.
being,duly sworn, deposes and says that he is the applioant
i ~ent, corporate officm', etc.)
~f said owner or owners, and is duly auth'Gfi~ed to per[erin or have performed the said work and to m~e and fiW]~s-
pplication; that ~1 statements contained ~ this application are true to the best of his knowledge and belief; and that the
~ork will be perfomed in ,the m~n~r set forth in the application filed therewith.
,worn to before me this
~ota~ Public ......... , ......... ~ · . · Co
HE~N K ~ ~E
~k~ PUBLIC, ~ ~ New Y~ · ·
No. 4707878
E NEP, G¥ CODE CALCOL_ATIOI"
,~ ~ d, t,~Z~'~,. ~°/~./°°~
~ X7'£.~/A~. \VAL/-6
/9
0.33
0 ,07~
"r~-r~z.
1) PLEATING EQUIPMENT TO MEET 7813.23 - 75% EFF.
2) HEATING CONTROLS TO MEET 7813.13
BANGE 45 TO 75 DEGREES FAHRENHEIT.
3) WATER HEATING PER 7813.31 THRU .38.
4) PIPE INSULATION 7813.19
5 ) WINDOWS - DOUBLE GLASS.
6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE.
o. o_~
o.$~
0 '03
O. OS
~5 'T 0 44
qTd
z/ O
480
L dzo
SSPo
TO TEE BEST OF MY KWOWLEDGE,
BELIEF, AND PROFESSIONAL
JUDGEMENT THESE PLANS AP~
IN COMPLIANCE WITH THE CODE.
,,>,/,, ·
~/ ..... Wz" COX
,I
't
}L .... J
APPROVED AS ~TED
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
SILL.
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Ex/3TiN G-
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