Loading...
HomeMy WebLinkAbout27977-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29210 Date: 07/09/03 THIS CERTIFIES that the building ALTERATIONS Location of Property: 660 KING ST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 26 Block 2 Lot 36 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 21, 2001 pursuant to which Building Permit No. 27977-Z dated DECEMBER 21, 2001 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 INTERIOR ALTERATIONS WITH NON-HABITABLE ATTIC TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HOWARD SCHAFFER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1127014 06/12/03 PLUMBERS CERTIFICATION DATED N/A Authorized Signatu Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27977 Z Date DECEMBER 21, 2001 Permission is hereby granted to: HOWARD SCHAFFER PO BOX 541 ORIENT,NY 11957 for CONSTRUCTION OF INTERIOR ALTERATIONS FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP# 25913 . at premises located at 660 KING ST ORIENT County Tax Map No. 473889 Section 026 Block 0002 Lot No. 036 pursuant to application dated DECEMBER 21, 2001 and approved by the Building Inspector. Fee $ 150 . 00 AuthorizedLZignaturev COPY Rev. 2/19/98 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT �{ Town Hall Southold, N.Y. /W� BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25913 Z Date AUGUST 3, 1999 Permission is hereby granted to: HOWARD SCHAFFER 49 PRINCE STREET NEW YORK,NY 10012 for CONSTRUCTION OF INTERIOR ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 660 KING ST ORIENT County Tax Map No. 473889 Section 026 Block 0002 Lot No. 036 pursuant to application dated JUNE 21 99 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ^^'' APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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. B. For existing buildings (prior to April 9, 1957) lion-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 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. C. 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial $15.00 Date. Q//e ref it Y.' / New Construction: ,t 6P Old or Pre-existing Building: ✓ (check one) Location of Property: 0 House No. / treet Hamlet Owner or Owners of Property: //O�^/cx ri/ �C�+u I .—_ Suffolk County Tax Map No 1000, Section A(f Block Lot Subdivision Filed Map. ,/ Lot: Permit No.0 �`"y Date of Permit. Applicant: {/ 1wet r-( X 4 eIV✓ Health Dept. Approval: 1p/4 Underwriters Approval: A Planning Board Approvah 1�k� Request for: Temporary Certificate Final Certificate: ✓ (che one) Fee Submitted: $ I ICA C �0 3a b C� Appcs&it Signature m rJ�rJ�rJ�rJ�rJcP�PrJ@PrJ�rJflJ�cPrJ�rJ�rJ�rJ�rJ00@Ir��1 RI 1r11 11 11rJLLCCJ�- 1: :: ::'-J�- PrJ�rJcPi: is P�PrJ�rJcPrJ�rJ�rJ�cl�cPrmurapmrJammem 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY e5 C5 40 FULTON STREET — NEW YORK, NY 10038 e5 CERTIFIES THAT Upon the application of upon premises owned by PAUL R. BURNS HOWARD SCHAFFER 5 5 5 P.O. BOX 1061 660 KING STREET 5 SOUTHOLD, NY 11971-0932, ORIENT, NY 11957 5 e5 Located at 660 KING STREET ORIENT, NY 11957 Application Number: 1127014 Certificate Number: 1127014 C� ,lc Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: �5 5 Second Floor, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was L5� 5 found to be in compliance therewith on the 12th Day of June,2003. [5 5 Name OTY Rate Rating Circuit Type 5 Miscellaneous f5'D FINAL 04-04-03 MR RICHERT 5 ROUGH 11-05-02 5 5 Alarm and Emergency Equipment 5 5 Sensor 1 Smoke 5 5 Appliances and Accessories 5 5 Electric Heater Baseboard 2 0 5 5 Wiring and Devices S 5 Outlet 3 Fixture 5 5 Receptacle 6 General Purpose 5 Switch 4 General Purpose 5 5 Fixture 2 Incandescent 5 5 Fixture 1 Fluorescent 5 5 seal 5 5 5 5 I of I 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. r5� 5 5 mrJ�rJ�rlr�cPrJr3r�tJOWN1rJ 11-illJ1 PUMIM1@PcPrJrJrJrJ�rJrJ�PrJ�c111 RPC 'cPcPrJrJ'iP21 :!1 rJEJrJrJ�rJrJrJ�rJ�rJrJr I rJMrJPLrJLrJ'r-3 Pr-PLr3rJ�rJ��P m "bo 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA & CHIMNEY REMARKS: l �� DATE INSPECTO 4.42z� as9 �3 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FO DATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE RKS: � - DATE O INSPECTOR �7 7.. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE&� CHHI�IMNEY REMARKS: DATE#e5� 3 INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS�YYDA-giz Z4��Z� 61 DATE ( INSPECTO COMMENTS ;..�` VECTION REPORT DATE e_—------------ ----------- N _ H NDATION ( IST) NDATION---_(2ND)______N __ 'N �_—_-- --------„ --___-- ____ ----—_----------__________________________ IGH FRAME S u n - PLUMBING p �� M JY p u a SULATION PER N. Y. P— aa H STATE ENERGY n u CODE u e G A u N n a n ” a � tC u n p FINAL a N N pn -------------- �_—�_____ --- `/• ADD ONAL COMMENTS: ------------ _ s - YTCRtoK 'PoRc�F tv H z -- -- BOARD OF HEALTH . . . :. . . . _._. FORM Nb. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTNOLD SURVEY � BUILDING ING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .� 1999 U TOWN HALL SEPTIC FORM 1 SOUTHOLD, N.Y. 11971 TOWN tOFS UT OL TEL: 765-1802 NOTIFYa)a q 0_d� W CALL Exomined............`...... 19...... l -7� �' MAIL TO:fti'l. Approved........I.......1 19:11. Permit ND . n/ ,�...,..5/�:./ a Disapproved a/c .................................. ....../': ./!!.{.�r/.o1�!'... ......................................... ............ (Building Inspector) . LIGATION FOR BUILDING PERMIT 2 Date. . . ./. .!� . . . . . .. 19�.�. INSTRUCTIONS a. 'Huis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing 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 mast be drawn on the diagrem which is part of this application. 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 issue 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 airy purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MATE 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 YorkNof and other applicable Lass, ordinancesor Regulations, for the construction of buildings, additions or alteratioor demolition, as herein described. The applicant agrees to comply with all applicable laws, ocode, housing code, and regulations, and to admit authorized inspectors on premises and in buiinspections. .... .............................. (Sit, or name, if a corporation) ................................................... (Mailing address of applicant) State wbether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde- ......¢.t!.2Y?............................................................................................................ Nameof owner of premises ............................................................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. .. 3.�.y: ..lt 5....... Plumbers License No. ......................... Electricians License No. ..................... Otber Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. k -f.:cIcl ................................Cir .r rA....................... House Number Street 22t Canty Tax Map No. 1000 Section ......!:. ...... Block .....�....... Int ..M7...... Subdivision ...................................... Filed Map No. ............... Intim.:....... (Nave) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....S. ::'.9. :?:. a:^^:.l7.... s.A `0- b. Intended use and occupancy ...... :............?,.........d<C n Sg............:,t.............. _ ,T fd-hhnre of wgrk (check which applicable): New Building .......... Addition .......... Alteration .......... 1/ ............. Demolition .......,.. Other.Work ................. Repair .. ......... Removal 9wi' IA5vo&w-+Aert�OCk30mt !&luto,WLIC� IC�grCli?`-II �((�aJcriMtty�p) Estimated Cost .u'KV..50.6.6 � ........................C�.�.......... rc .. .. . ......... fee .. .... .. (to be paid on filing this application) If dwelling, number of dwelling units .... .. timber of dwelling units on each floor ........! Ifgarage, number of cars ...D(.4................................ If business, eomnercial or mimed occupancy, specify nature and e��x�t,JJent of each type of use..N.�.:......:.':.. Dimensions of existing structures, if any: Front.N n G�4:.... `'"'ReDepth Height ......................... amber of Stories ..................... Dimensions of same structure with alterations or additions: Front '-........... Fear ............... Depth .................... Height .................... Number of Stories ........... Dimensions of entire new construction: Front o' e"he ."— .. ar ............... llepfth .............. Height .................:. ..q..//..aumber of Storr .................... / B Size of lot: Frontn.... ..... Fear ..�l! ./........ Depth .1 !t � .C! ....... Date of Purchase .!�.�......7...�.�f Name of Former Owner Ir/ ael.:V..�F1. . .............. Zone or use district in which premises are situated .X 0 Q..................................................... Does proposed construction violate any zoning law, ordinance or regulation: •N d................... Will lot be regraded .......KQ......... W11 ss fill be removed muses• Et10 Names of Owner of prises I�YY.cI�.Y.v✓4a 1... Address .:7.�1 .!.` se j':IC-s!'^/.. Pha ! .......... Name of Architect .....-..�.........,,...�................... Address .....................-......... Phare No. .............. Nape of Contractor ..-7:,4Q'!YlF!l ......... Address 38,)'d$ Qrn.�aet.�•._..Pthone Ncdl';.. �...-... Is this property within 300 feet of a tidal wetland? * YFS .......... G........ *IF YES, 9Di1HffiD TDIdi 7id1SHF-S FEla11T MAY DE ISQTIM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dinensions -om property lines. Give street and block ember or descriFtion acco 'ng to deed, and show street names rndfcate nether interior or corner lot. -C N S v X1+1 N O /'I � W q ,Ur Q e l 4 Ir l( ul J p N S USI o � "J t� � oVV1 (2 rAlr OP NZJ YOI`dC, JUNSS 1Y Or ............being duly sworn, deposes and says that he is the applicant ime of individual signing contract) hove owed, isChe .............................v....�./......................................................... (Contractor, agent, corporate officer, etc.) r said owner or owners, and is duly autborized to perform or have performed the said work and to make and file this pplicatioh; that all statements contained in this application are true to the best of his knowledge and belief; and uat the work will be performed in the manner set forth in the application filed therewith. wurn to before me this 1 Q, n ....0�I ........day of .V Uh.4.......19...!!�.. Notary PublidJ.1. .. .......... . . . . ............... ( goalure A is t) LYNDA M. BOH NOTARY PUBLIC, Staa of New York No.01806020932 Qualified In Suffolk County Term Expires March 8,20 � NNIS � ■ ■ ENS. • , � ,. . it3l�L N PAS NIS■■�'■N .!!!N/NNNN��NI/� -MENoW mom .A■�NN/�1~'i NN111111N1iiNNNN N ib 11►1�uN� NNNNNI NN NNNN Mill ■ Nr�,N�G7�!■ ,. , H ANN► _ N11 No 60111111 11/1? T� 1. NN 1111 N ®ldN NNN: IIN!■ � '�■■■■ 7Nl�d11111 NN■ N Nm . 122311N 0nN���Nn Nsmm11�t■ NN '' NNO 111/1�NNNNNNN �IS , SINN;N ■ . ,;: s fir= �, . , , r� M r7 4_41�' y f 1�7 AA 17 V4 lira p A ,-fA*I Ff Erk OJ7 olv 10 F4,f,*, )J4 ge ovd C-4 le A "/,P, 41 4 1 -TTT- IC / 21 NJ tT ` AMEN Dib �LANS uC C l ct Sf,-r APPROVED AS NOTED 9 7 DATE: 119.11.91 B.P.# F62112 B FEE: 8 - BY:11 '�L. NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE C 2 ROUGH - FRAMING & PLUMBING 6VCUPANCY 0 3, INSULATION � 4, FINAL - CONSTRUCTION MUST _SE IS UNLAWFUL BE COMPLETE FOR C.O. f i HOOT CERTIFICATE ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. - OCCUPANCY STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 4-06-1999 9:22AM FROM COOPERSMITH 212 349 1344 P.2 # w cam. S r% N G � (`N84'48'00"E E T 59.6 0 Z rs. 4 O trout 4 � 1 W e � 4. rs t ? ► tG .,��E• Oi r Q� A►x c�� M � 1 W_ 04 1� 8?'17S81477 0,50 '50"W 61.80 ERLY 00 AN()OW NC D� SQlJTH BAY ABSTRACT, T/TLF N0. S3717 ,$URt!EY OF LAWWRS IrTLE' INSURANCE CORP. PROPERTY HOWARD 'q TW' 0M4SE #gl"r<r*,,y SWK,,, S,,;. NATE AT �a arae. our ra rr�t �e SUFFOLK C�f/NTY," NEib''Yl9RK arvow a�E JLMfiY B Mao ON/M KI11t�ro AIS>fNt . JlIpN," AOIACY MO at7�aMar^ um ., :, ! . Aw>n ag Aats of UAB Wom wnl� Nora ro awstr a�aaow�pr « " p X4 E I" JO' FEBRb OY 1, t999 p p,�rN�aa+�aw�� �i r�� ' �o euioe.,,r a crs a�oa�rns BQT.A/ D&T. 1000=26. .-ax. a [Of 36 awoat, tiara. AM ao AorsrxwMiq,Wp roe.No. Frsas ?EWSiolvs: 0"Ac a.`s POW r. is !looms na agorg *d PAP4 LA t Gt o o >n G) � U��S�- -� No✓ W CA,\� S (AC Y'O(- k, G �.S f wwoo- R, w(A �I I � V �OS VOC)OM 6k C�A A��P__P��ROgqVg�ED AS NOTED DATE: B.P FEE: 75 BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE _ 10EIMITERS FOUNING DATION E TWO REQUIRED SND REQUIRED FICAh FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FI CAL - C COMPLETE C TION MUST OCCUPANCY OR O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. USE IS UNLAWFU STATE CONSTRUCTION & ENERGY WITHOUT CERTIFICATE CODES. NOT RESPONSIBLE FOR OF OCCUPANCY DESIGN OR CONSTRUCTION ERRORS