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Home My WebLink About14056-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22884 Date MARCH 2, 1994 THIS CERTIFIES that the buildin~ Location of Property 485 SECOND STREET House No. County Tax Map No. 1000 Section 117 Subdivision ALTERATION NEW SUFFOLK, N.Y. Street Hamlet Block 9 Lot 24 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 1985 ~ursuant to which Building Permit No. 14056-Z dated JUNE 18, 1985 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 TO CONVERT SCREENED PORCH TO SUNROOM IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALD & PAMELA S. PICHER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H-039208 - JANUARY 25, 1994 N/A 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) No 14056 Z Permission is hereby granted to: o~~.~.,~..~~. ......... ~'"~,o..~..~ .................... , ...................................... ~..~......~.~~.....~...~...s...~..... ..... ~~....~~....(~.~. ~..~..~~...~..~.~~....~....~.~.~ ...................... at premises located at ...,~...~....~....~~.....~..~.......~.,:.~d~r~.... ............ 1'~ ............. County Tox Mop No. 1000 Sectior; ....... I.!...'7.......... mock.......... .~........ Lot No.....~..kJ. ............ ........ ~ 19..~ ...... and approved by the pursuant to appllcotion dated ....~..~. ..................... , Building Inspector. Fee $..~...,:~... Building Inspector Rev. 6/30/80 Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00- 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......... L~ .~. ~ f.~, New Construction ........... 01~ Or Pre-existing Building..;'~,,. .......... ~,~ ~,~, ~ ~/ ''' S .. Location of Property ........ .1¥.~. ........ ~.-~ .... ~i ........ ~4 .~'.~ .~ ...... . House No. Straet Hamlet Onwer or Owners of Property ................................. ......, 000, ...... fl.7 .... .......... ................ Subdivision ................................... · Filed Map .......... . . Lot ................... . . . Permit No.l.~Q.~..~.~ ..... Date Of Permit.'(g.~./. ~. ', Health Dept. Approval ......... ,~f/~'/"~' ~"~i .......... Underwriters Approval .... ~./~.. ............. Planning Board Approval ...... f.~./.~ .~.'? .......... Temporary Certificate ........... Final Certicate.~j ...... Reqsest for: 7 - ............ THE NEW YORK BOARD OF FIRE UNDERWRITERS 8045704 BUREAU OF ELECTRICITY V 85 JOHN STREET. NEW YORK, NEW YORK 10038 O.t. JANUARY 25,19~34 05512994/94 THIS CERTIFIES THAT the following t,,catlom ~ ".se.ertl ~ tst Ft. ~ ~nd Ft. 0~ Jfiff~ARY 17, [994 Section Bilk Lot FIXTURE OUTLETS ~ECEPTACLES SWITCHES ~NCAND~SC~.r FIXTURES FLUORESCENT OTHER RANGES SERVIC~ DISCONNECT NO. OF { S E OTHER APPARATUS: ~NO VIS~I~ DgF~C?~ "An electrical surve~ has been made of the e~po~d electrical equipme[~t Jn the pre~ise8 IHdicated." "No unsatisfactory co,trillion was foend~ OVENS [ DISH WA:I:,:R$ EXHAUST FANS UNIT HEATERS' tAUL~I-OUTLET DIMMERS ~)~E F~l~ AMT. WATTS c - -~d - - NY, 11952 GEN~IEAL MAN~;~R ( %- tl ,- I,:~g~. .......... ~-- ~, ...... , -~ ~,,,~ ~, me ooar~ ~ncorrect. InsR~9~ ~ay be identified by the r credentials, ~ ~ ~_~P~ FOR~ILDING DEPARTMENT. THiS COPY OF CE~TIFICATE'M~eT FIELD INSI~ECTION COMMENTS FOUNDATION (1st) FOUNDATION ( 2nd ) 2. ~ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS'. ~ FORN~ NO. 1 TOWN OF $OUTHOLD BUILDING DEPAFITMENT TOWN HALL DOUTHOLD, N,Y. 11971 TEL.: 765-1803 Examined . .~.~.1. ~..., 1935~ Approved ..... ~.~ .I. ~.., 19~g. Pe~it No. 1.~ ~. Disapproved a/c ..................................... .................................. (Building Inspector) APPLIGATION FOR BUILDING PERMIT Date ............... , 1 .. 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 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 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 regulations, and to admit authorized inspectors on premises and in building for ne~ssary in~sp.e, ctions. __~ r--, r~ (Signature of applicant, or name, if a o p ratio ) ' ... .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises ....~"..(~.../~ ~.~.-Q.~'.~ ............................. (as on the tax roll or latest deed) ~'s a corporation, signature of duly authorized officer. (Name and title of~6Fp~ ) Builder's License No .... ~f------~..~ ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ............ .q ................ House Number Street Hamlet County Tax Map No. 1000 Section ..... [.[.7 ......... Block ...... ~.. .......... Lot..4. ,~. ............ Subdi(,ision ................ (~l'a~) ................ Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ . .~...K.~..~,~..~--'" ~ .'..~..O.'~.~.~..~ .................................... b. Intended use and occupancy J~O.~-~-__& %~,5~k.~ ~ 10. 11. 12. 13. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ...... .... Repair .............. Remlovai .............. Demolition .............. Other Work ............... . .~..~ ~) (Description) timated Cost . ...... ?.. .......... .......................... (to be paid on filing this application) If dwelling, number of dwelling units ............... Number of dwelling units on each floor. If garage, hum bet of cars .... ~ .................................................................... If business, commercial or mix6d occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structm'es, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... i. · - Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............. N,,mber of Stories ............ Size of lot: Front .......... ] ............ Rear ...................... Depth! ...................... Date of Purchase ' Name of Former Owner Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded .......... ~, ................. Will excess ill[be remo~d~from premises. Yes No Name of Owner of premi?es ~,m}~.~.~,-.~.O~q~. .... Address .c~ .~.~.,..~.,. {o, .~.l.~Phone No ............... Name of Architec(-. Name of Contractor ...... ,--'~2 .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. STATE OF NEW YORK, COUI~W-OF ................. S.S · .. Y:'.. · .~..~..~....~..~ ............... being duly sworn, deposes and says that he is the applicant (Name of individual sigm~g~co~tract) above named. He is the of said owner or owners, and is d01y authorized to perform or have performed the said work and to make and file this application; that ail statements cohtained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Sworu to before me this ........ [.¢ ...... , .......day 9f ..... ....... C nty HELEN, K. I)E VOE NOTARY PUBLIC, S~ate oi Ne,v Vork Iem~ Expires March !0, 19~-~ ENTERPRISE CHIMNEY 16 Babylon Drive Sound Besch, New York 11789 (al6) B21.liaS * (~16) $4S.0148 CONDITION REPORT CHIMNEY 3. Crown / Wash .... 4. Brickwork / Mortar s. , 14. ~n~ Prot~ion 16. Stove Pi~ C~tion (wo~tove) ~,7. NFPA ~rov~ Flue Conn~ion (inset) 18. Instal~ion / Thimble / Cleamn~s O~ER SAF~ OON~DE~T~8 19. Fire E~i~uisher / Smoke Detectom ~. G~ Furna~ Flue Liner 21.~: Fire E~ Plan ~0 3~ct SN~IS/kS A~BN~ '~NOOId · 'lype of Fireplace: n Pre-f~ [] Masonry eNo. of'Stories; I 2 3 4 eNo, of Fimp~: e, WooC~tove: [] In~e~ [] Free Stlnding · Type of Wood Used: [] Soft [] Hard e Last Gleaned:. Year(s) Ago 0 Never · Number of cords burned per seat, on: · Flue Size: [] 8" x 8" [] 8" x 13" F113" x 13"~ e, [::] 13"~(17~ Vl~ Round r-t6" Round · Outside Chimney Dimensions: "x · Fireplace Opening Size:,.. "x. · How dt(i you hear about uS? [] Referral ~ Media-TV, Newspaper [] I::)treot Mall COMMENTS: CUSTOMER VERIFICATION ,? I have read this form and now understand which areas of my. w00dburning system at,ear to be sati~acmry and whlgh ~ ~' are not ~allsfactory. Signed . Date ~. NEXT SERYlCING RECOMMENDED ~ ~' ~replace and chimney should be ~oted yeerly tO~ e~-? ~ IPT / INVOICE