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HomeMy WebLinkAbout15533-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18794 Date FEBRUARY 13~ 1990 THIS CERTIFIES that the building Location of Propert~ 4400 OLD NORTH RD. House No. Street County Tax Map No. 1000 Section 055 Block 02 Subdivision Filed Map No. ALTERATIONS SOUTHOLD Hamlet Lot 05 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 28, 1986 pursuant to which Building Permit No. 15533Z dated NOV. 28, 1986 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 REMOVE BREEZEWAY & CONSTRUCT ADDITION TO EXISTING DWELLING. The certificate is issued to RICHARD & SUSAN WARD (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N826485 AUGUST 12, 1987 PLUMBERS CERTIFICATION DATED CONSTANTINOS ZERVOS JAN. 20~ 1989 Rev. 1/81 FO~ NO. 2 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) 15533, Z Permission is hereby County Tax Map No. 1000 Section ...... ..~....~...~.'~.... Block ......... .~...~ .... Lot No ....... .(~...~.'~... ..... pursuant to application dated .... .J~..~.....~d~......., 19...~..(9 and approved by the Building Inspector, Budding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTNOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ............. NEW CONSTRUCTION ..~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET Owner or Ow.ers o~ Propert,, ~.~@~'~'~',0 ..,~...o. ;~.~. ~,~:~ Ce.nty Tax .ap No. 1000 Section ..5..5. Blo~ ...~.... Lot ...5 ..... ................. Filed Hap ........ Lot. Permit No.I~ Z-Date of Permit L/.~.~,~'~.~. Applicant ~ ~.~ Health Dept. Approval .............. Underwriters Approval .............. Planning Board Approval ..~./.~. .......... Request for Temporary Certificate ....... Final Certificate .... .~ ........... Fee Submitted: APPLICANT. . ...... rev. 10/14/88 OUNDATION ( 1 st ) OUNDATION (2nd) OUGH FRAME & PLUMBING 'NSULATION PER N. Y. STATE ENERGY CODE Fi'NA ~//~ ADDITIOMA'L COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY B5 JOHN STREET, NEW YORK, NEW YORK 1OO3S Dick Ward~ Old ~orth Rd, S/S (I houae E, Of ~t, Beulah I~te~eetioB)Southold in the following toc. io; ~ Basement ~ Ist FI. ~ 2nd FL Section Hick Lot .~s examined on ~ ~y ~7 ~ ~9~ 7 and~ound to be in co.~plionce u'ith the require.~ents of this Board, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS, EXHAUST FANS TIME CLOCKS 'UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO OF HI-L~G AW.G. OF HI-LEO E AWG, OF NEUTRAl G & S Elec. GENERAL MANAGER Per_ 1~.__ ~' 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 ~UILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST ALTERED IN ANY MANNER, TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N,Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. 15552 Owner (please printl (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 20 day of ~, , Notary Public, ~~--C°unty 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~ULATION FRAMING ~r/,/~ FINAL BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [. ]~JNDATION 2ND [ ] INSULATION [~j FRAMING [ ] FINAL / // '" - £ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~ ]'~FINAL REMARKS: ~f~ '~-~ ~ DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 15T [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1 g02 FAX (516) 765-1823 Town Hal/, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 31, 1990 Richard & Susan Ward 4400 Old North Road Southold, N.Y. 11971 Dear Mr. & Mrs. Ward: On January 3, 1989 we sent you a notice of what was required to get your Certificate of Occupancy. To date we have not received the necessary papers. It is a violation of the Code of the Town of Southold to not get a C. O. for a Building Permit. I am enclosing the Plmnbers Certificate and another application for C. O. for you to fill out. Also a check for $25.00 is required. Thank you for your attention to this matter. Yours truly, Secretary VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 31, 1990 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Richard & Susan Ward 6600 Old North Road Southold, ~.Y. 11971 Dear ~r. & Mrs. Ward: On January 3, 1989 we seat you a notice of what was required to get your Certificate of Occupancy. To date we have not received the necessary papers. It is a violation of the Code of the Town of Southold to not get a C. O. for a Building Permit. I aa enclosing the Plumbers Certificate and another application for C. O. for you to fill out. Also a cheek for $25.00 is required. Thank you for your attention to this matter. Secretary TOWN OF SOUTtIOLD OFFICE OF [IUILDING INSPECTOR P.O, I30X 728 TOWN HALL SOU I'HOI,I), N.Y. 11971 To Whom This May Concern, TEL. 765-1802. We are unable to complete your Certificate of Occupancy because ,of the following reasons. /_~/ An application for Certificate of Occupancy is not on fil~,. ~~-- /--/ No Underwriters Certificate on file. /----///The check is (~a-~4~d/not on file. ) ~S,~re /-/ No Health Dept. Approval on file. /~_/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation.~ Duildinq Permit tl j_ ~ ~_ ,x~ ,, 3 Z Suildin~l Dept. ***/~No Plumber Solder Certificate on file. ( all permits involving plumbing being is~ued after April 1,1984 ) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL,; 765-180;3 · Permit No./.~...C. ~... Received ........... ~19... lpproved a/c ...................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT r ' INSTRUCTIONS a. This application must be completely filled irt by typewriter or ill ink and submitted to the Building Inspector, with 3 ; 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 treas, and giving a detailed description of layout of p~operty must be drawn on the diagram which is part of this appLi- ion. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Ih~spector will issued a Building Permit to the applicant. Such permit Il be kept on the premises available for inspection throughout lhe work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy 11 have been granted by the Building Inspector. APPLICATION 1S llEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or gulations, for the consWaction of buildings, additions or alterations, or for removal or demolition, as herein described. e applicant agrees to comply with all ap. pLi~ab!,e, laws., ordinances,.&~il~'.m.g code, housing code, an~regulaiions, and to ~nit authorized inspeeto~ on premises aua in ouilaing tor necessaW m~c.~j}?ns, v',, r'~x ~ u (Signature of applicant or name, if' a corporation) Okf5, aO, ............. .................. 3o,0.wt4ChL o (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, en~necr, general contractor, electrician, plumber or huilder. ................................................................................ . .¢.t4. ? ..... , ........... ........ (as on the tax roll or latest deed) amc of owner of premises · ~ ~ C'kk./~, .~. 0 ~4Y~. applicant is a corporation, signature of duly authorized officer. (Name and title of co~orate officer) Builder's License No .<~_C~- Plumber's License No ......................... Electrician's License No.. · Other Trade's Iicense No Lo ' n fl d ichp po d k will be done ....................................... · catlo o all on wh re se wot .......... . O0 CDt,C:> 1,,)©'(¢T14 l~2>a,,~'~ do } ................................... ............................... ~trect ltamlet llouse Nmn bet 1000 Section ~'~ Block .................................... County Tax Map No · · Map No Lot Subdivision ..................................... Filed .............................. (Name) L Slale existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~ ................................................... b Intended use and o~pase" ,~.~l£>~.~4cLt3_- ..... : ' .~,. Alteration 3~ Nature of work (check which applkable): New Building ' Addit Repair Removal '~' Other Work ................... , ........ DemohIlOn .......................... ' ' ~ (Description 4 Estim ted Cost Fe (to be paid on filing this application) 5 If dw lling b of dwelling nits oM'~ Numb r of dwelling units n each'fl . e ,hum er u ............... e o oor ............. If garage number of cars ' 6. If business, commercial or mixed Occupancy, specify nature auld extent of each type of use . Height .,. ~.Me ! ....... Number of Stories .... .~, ~.T.Q .~-I~. ....................................... ...... Frbnt Rear Damensmns of same structure with alterations or addxtlons: ............................... Depth ..................... ; lteight ............... ~ ...... Number of Stories. 8. Dimensions of entire new construCtion: Front ..... ..c-~Ac~.....;.. Rear ............... Height . .. ~."(r' ........ Number of Stones oq. ~T~"~ l 1. Zone or use district in which premises are situated., i..~. ~.~1.O..~.tg~l~ .~. ........................... 12. Does proposed construction violMe any zoning law, ordinancelor regulation: .. [q.O. ................. 13. Will lot be regraded ....... /qr> .................. Will ~xcess fill be removed fi'om premises: Yes PLOT DIAGRAM Locate clearly and distinctly all ~uildings, whether existing Or proposed, and. indicate all set-back dimensions fr I roperty lines, Give street and block number or description according ~o deed, and show street names and indicate whet interior or comer lot. ' : STATE OF NEW YORK, S.S COUNTY OF ................. ............................. : .................... being duly sworn, deposes and says that he is the applic~ (Name of individual signing contract) above named. lie is the ' ' (Contractor, agent, c, orporate officer, etc ) ' of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ti application; that all statements contained in this apphcatmn are true to the best ofh~s knowledge and belief; and that work will be performed in the manner set forth in the application filed therewith. · , Sworn to before me this ~ ' day of . i9... Notary Public., ................................ County (Signature of appllear HOt,TH '~_L2VAW 'Th'~ \VALL BA~T EL~-VATIO~. .. -.-'OCCUPANCY OR "' USE IS UNLAWFUL ,WITHOUT CERTIFICATE OF OCCIJPAN8¥ ' PLuMBER cERTIFICA TION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY TEn CANNOT , .. ; sUPPLY NOTIFY.BUILDING DEPARTMENT AT , 766-1802 9 AM TO 4 PM ¢OR THE , FOL[,.OWIBIG INSPECTIONS: FOUNDATION ~0 ~EQUlRED ' ", FOR POURED CO~CR~q'E & IN~ULATIO, [ : ~Cn-lOh4 EXCEED 2/i0 of I% LEAD. ti oo el' tubing Is used PP t distributing ®~H~AL HOT~ checked bY: (al'awing gambol': fief, no,,: 2,¸