HomeMy WebLinkAbout16597-zFORM NO. 4
TON OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26153
Date: 12/09/98
THIS CERTIFIES that the building
ADDITION
Location of Property: OCEAN VIEW AVE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 9 Block 11
FISHERS ISLAND
(HAMLET)
Lot 2.6
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 8, 1987 pursuant to which
Building Permit No. 16597-Z dated NOVEMBER 5, 1987
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 AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to ASHCOL INC
of the aforesaid building.
( OWNER )
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 036384 09/14/88
PLUMBERS CERTIFICATION DATED 12/04/98
THOMAS SHILLO
Rev. 1/81
lrORl~ NO. B
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)
No- 16~97 Z
Permission is hereby granted to:
.Z......~
....
tO ' ~ ~ ~ ~
.~....~~~ .................................................................................................................
at premises I~ated at .....~.~~.~~...r.....~..~...~~ ..........
County Tax Map No. I000 Section ....... .~...~. ......... Block ....... ~! ............ Lot No ..... ~.~..~ ...........
pursuant to application dated .....¢~....~...~i~.....~ ........................ , 19.~..~.., and approved by the
Building Inspector.
Rev. 6/30/80
12/04/1998 69:28 516-78855:L9
ROBERT E WALL
/~ ~"? ?~-'
BUILDING
INSPECTION
PAGE
]FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
] FRAMING ~I~NAL
REMARKS
DATE ~INSPECTOR/~~//~
86/84/1994 17:10 516-788-5608
Z & S CONTRACTING
PAGE 85
3 014 §
OZ · S SAVINGS BANK
CONTRACTING, INC. NEW LONDON, CT
WORLD HEADQUARTERS 51-7011)~111 . 9210
"THE GOOD GUYS'
P.o. cox z0z ] 2/4/98
F)SHERS ISLAND, NY 06390
PAV'r0TUt Town of Southold, Building Depariment J $ **25.00
(', ri, [1 [.' H OF
Twenty Five and ******************************************************************** OOLLARS
Town of Southold, Building Department i~l
BrinckerhoffCO, Bid. Permit # 16597
,'OtO &hDl'
CONTRACTING, INC,
Tow~ of Southold, Building Department
BrinckerhoffCO
12/4198
30145
25.00
Citizens Checking A BrinckerhoffCO, Bid. Permit # 16597
Z & $ CONTRACTING,
Town of Southold, Building Department
Brinckerhoff CO
12/4/98
25.00
30~,4 5
25.00
Citizens Checking A Brinckerhoff CO, Bid. Permit # 16597
25.00
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~-- 40 FULTON STREET, NEW YORK~ NY 10038
Date NO%~I'IBER 30,3.998 Application No. onfile 17223398/98 It 472698
THIS CERTiFiES THAT
only the electrical equipment as desc~bed below and ittirodt~ced by the applicant named on the above 4zpplicalion number is in the premises of
PETER BRINC.~P, HOFF ~ PRIVATE ROAD, FISHERS ISLAND ~ NY
in the following location; [] Baseme,t [] 1st Fl. [] 2nd Fl. Section Block Lot
was examined on and found to be in compliance with the National Electrical Code.
OUTLETsFIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOl(lNG DECKS OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
NO. OF FEET
S E R V I C
pER 0
OFCC COND.
OF HI-LEG
NO. OF NEUTRALS
Z & S CONTRS. INC.
P,O. BOX 2~2
FISHERS tSL~\~D, NY,
GENERAL MANAGER
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY ~'~
100065~
85 JOHN STREET, NEW YORK, NEW YORK 10038
~pplic~tton No, on file
~IS CE~IFIE~ THAT
m examin~ ~ andf~nd to be in com~l~n~ with the r~uimment~ of th~ B~,
FIXTUIIS RANGES OVENS EXHAUST FANS
FURNACE MOTORS KJTURI AF~UANC~ ~ TIMECIOCKS UNITHEATEIIS MULTI-OUTLET
SYSTIMS
SIERVICI INSCONHECT S E R V I C
NO' %wC~COt4D' C){: A. W, G.CC. COWID. NO, OF ~-LEO
O.F.C.]:-~I r ·
T}~ACK I £GflT. N(,.-4
{, l', HER
P.O. BOX 202
I~'1~ Y()Rg, NY.- J6V')O
L](.EN,.t,, NO. 92,,4 E
certificate must not be altered in any manner; return to the offk:e of the Board if incorrect, inspectors may be identified byVtheir credentials.
C:Of~ FQR BUII. D~HG D~PARTMIEHT. THIS COPY OF ¢IIR~!E UT ~ BE ALTERED
06/04/1994 17:10
516-788-5600
S CONTRACTING
TOWN OF $OUTHOLD.
OFFICE OF BUILDING INSP£CTOK , .
P.O. BOX 728 ' ' '
· . TOWN HALL "' "
80UTIIOLD, N,Y. 119'~ 1
'_C E.R T I F.'I_C ~'.T I'O N
.Ii
X certify that the' solder,~Ged.in the w~ter supply system' ' '
: contains'l~ss than 2/10 of 1% lead.
06/04/~994
17:10
516-788-5600
Z ~ S CONTRACTING
Eorm N~. §
PAGE
TOWN OF SOUTIIOLO
BUILDZNG DEPARTMEl~
s- ao2.
: APPLICATION FOR CERTIFZCATE OF OCCUPANCY
!ii'
This application must be filled in by typewriter OR ink and submitted to cha building
inspector wi~h the following: for new building or new use:
1. Fina~ survey of property with accurate location o~ ell b2ildings~ proper~y lines,
streets, and. unusual natural or topoSraphlc features.
Final ApPIoval from Heal~hDept; of water supply and saweraEe-disposal(S-9 forln).
ApFroval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifyin§ tha~ the solder used in system contains
less than 2/~0 of 1~ lead.
5. Commercial .buildin~, industrial building, multiple residences and eimilaz buildinss'
and installations, a certificate of code Compliance from archi=eec or engineer
responsible for the buildinE.
~.. Submit Plauning Board Approval of completed site pl&n.~uirementa.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
','pre-existing" land uses:
1. Aacurate survey o£ property show,nE sl'l property lines~ streets, building and
unusual natural or topo§raphic ~eatutea.
2. A properly comple~e~ appli~ation and a consent to inspect ei&n~d by the applicant.
1£ a.¢e~Cificace o£ Occupancy ~s den~ed, the Bu~ng Inspector sha~ ~cace the
reasons :hereior ~n ~r~:ing to the applicant.
Fees
~. Certificate of Occupancy - New dwell/nE $25.00, Additio~s ~o dwelling $25.00,
AlteratiOns Co dwelling $25.00, 5~i~ing pool $25.00. Accessory building $25.00~
Add2~ions to accezso~ bu~ding $25,00. Businesses $50.00.
Cervi~ica~e o~ 0ccupaucy on Prg-exis~ing Bu~ld~n~ - $100,00
Ccp[ of Ceruifica~e o~ Occupancy - $~,00 over ~ years - $10.00
Updated Cerui~ica~e al Occupancy - $~0,00
Temporary Ce~ti~c~te o[ Occupancy - Ees~den~ial $I~.00, Co,er:iai $1~.00
utlon of Pro~er~y~ .................................. . .... *....r ...........................
House No. Scree~ Ha~eC
d' N Loc
l£visicn .................................... File ap ...........................
[th Dept. Approval~ ........................ - Under~riter$ Approval ..................... ....
.ming Board Approval ........ ' '
~es~ for: Temporary Certificate ........... Final Cerctca2e ......... ..
0G/04/1994 1T:10 516-?$8-SG00 Z & S OONTRAOTING PAGE
Time sending
Fax # sent to
From ~ ~'~,'/~/~
Phone #
Number of pages transmitted
including this page
Message · ~. ~
Confirmation required
Special instructions
If you do not receive all of the pages as indicated above, please call us as
soon as possible. (516) 788-7857 Fax (516)788-5600
Dec-04-98 09:06A
P.02
THE NEW YORK BOARD OF FIRE UNDERWRITERS
ELECTRICAL DEPARTMENT
A.J. REED, GENERAL MANAGER
RESPOND TO:
[_] 85 John Street J [J 41 State Street I~-] 570 Delaware Avenu® IL~ 217 Lake Avenue ~ ] 202 Arterml Road
NEW YORK, NY 10038 ALBANY, NY 12207 BUFFALO, NY 14202 ROCHESTER, NY 14SOB ' ' SYRACUSE, NY 13206
(212) 227-3700 (518) 463-2122 (716) 884-1155 (716) 254°0141 (315) 463-8552
THIS IS A REPORT OF(sEE SOX CHECKED HEREUNDER)
A. [] NON-INSPECT/ON B. [] INSPECT/ON
^P,L,c^T,o,,o.: /./e.7.J
c. t= ELECTRICAL SU' V ¥
PERMIT NO.: .,~ .
oW.ER,
TENANT
A.NON-INSPECTION: We have received your application for an inspection of the electrical inst=liation made by you at the
premises named ~ereln but we have been unable to make ~e inspection for the following reason:
~ Floor location and name of tenant not furnished ~ Premises locked, no entry possible.
~ Floor location of building not furnished ~ Other.
Inspector's Signature Date
Please provide the necessary info~mation o~ suggest arrangements for our access to the premise= on the green form
attached and return it to this office.
Applicant's Signature Date.
B. C.
INSPECTION OR ELECTRICAL SURVEY: We have attended at the premJees named herein to inspect the electrical
installation and regret that we can not issue a certificate of compliance for the reason(s) listed hereunder;
~ Concealed work not exposed sufficiently [] Additional electrical work found for which no application
for inspection, for inspection has been received.
~] Installation not completed sufficiently ~.F=.lectrical installation does not comply with National
for Inspection. Electrical Code for reasons listed hereunder.
(see reverse side for explanation of coding)
KEY TO FORM: Code number prtnted under SLACK column listed below combined with code number printed under RED cotumn listed below
{ridicules condition. EXAMPLE: ?.~_A~.K..RE_p = Serv ce Conductor not of proper capacity.
7'6 45 ~
RLA~;K ~ RE[~" ' FLOOR BLAC!( RED FLOOR BLACK I RED FLOOR BLACK RED FLOOR
Inspector'sSignalture',
NOTICE TO APPLICANT: Please sign, date and return green copy of this '
form to request re-inspection when modifications have been mada.
'"~'--'~-- DATE
NOTE: IF THIS iS A REPO~ oF ELECTRICAL SURVEY, A* NEVV APPLICATION MU~T BE MADE FOR RE'INSPECT~ON.
APPLICANT'S (~v
Dec-04-98 09:06A ?.01
15
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR'
P.O. BOX 728 '
· ~ TOWN HALL "'
$OUTI1OLD, N.Y. 11.97 i
C E,R T I F 'I C ~'T I"O N
· (please prln~)
(pleaseWprlnt)
,TEL. 765-180
I certify that tile solder used in the w,ater supp,ly system
con%ains lass than 2/10 of ~% lead.
~-"' day of~9~4. . , ,
Notary bloc '
'~le~rs/~ublje gt~te of Naw VO~
No. 4806559
Ou~ilflea in Sutfolk Co[~ty
eq IleqS Bu~chd
6U}lnqlltslp ~z~leM jOt
SUPPLY SYSTEM CANNOT
~PLUMBER CERTIFICATION
LEAD CONTENT BEFORE
'E OF OCCUPANCY
,OCCUPANCY OR
USE: IS UNLAWFUL
'~linUu/IAtlTUnl IT- '
CERTIFICATE
ocCUpANCY
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t
PLAN
FIRST FLOOR
SCALE' I/4"=1'~0''
PLAN
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SOUTH E,LEYATION
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