The URL can be used to link to this page

Home My WebLink About24447-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29582 Date: 07/21/03 T~IS CERTIFIES that the building HEATING SYSTEM Location of Property: 1400 LIGHT HOUSE RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 50 Block 5 Lot 3 Subdivision Filed Map No. LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 1997 pursuant to which Building Permit No. 24447-Z dated OCTOBER 29, 1997 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 INSTALLJ~TION OF A HEATING SYSTEM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KAREN KARP & CHRISTIAAN F BATTEN ( OWNER ) of the aforesaid building. SL~FFOLK COU/qT"f DEP~T~NT OF ~L~J~{ ;%PPRO~-~J~ N/A ELRt-~ICAL CERTIFIC_%TE NO. 1148557 07/10/03 PLU~BERS CERTIFICATION DA'rmu N/A Rev. 1/81 AuthOrized' Signature ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter or ink and submitted to the Bmld~ng DepartmenffWittYffrff'~om,wi 9 .~--J A. 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 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: ~ q O 0 ~.~4'~ House No. Owner or Owners of Property: [~--~F~x ~-~r'F Suffolk County Tax Map No 1000, Section 5~ Subdivision Permit No. % ~, txl 4~2~.~ '"'} Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: Date. 7' 15 :~' ~'~ L''/' (check one) Street Hamlet Block ~' Lot Filed Map. Lot: _ Applicant: Underwriters Approval: Final Certificate: (check one) Applicar/SignaYure BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by KAREN KARP 1400 LIGHTHOUSE RD SOUTHOLD, NY 11971 KAREN KARP 1400 LIGHTHOUSE RD SOUTHOLD, NY 11971 Located at 1400 LIGHTHOUSE RD SOUTHOLD, NY 11971 Application Number: 1148557 Certificate Number: 1148557 Section: Block: Lot: Building Permit:24447 BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: BasemeN, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 10th Name QTY Rate Appliances and Accessories Furnace 1 0 Wiring and Devices Switch 2 0 Day of July, 2003. Rating Circuit Type Oil General Purpose Invoice Total $0.50 seal This certificate may not be altered in any wa}, and is validated onlylby t~hfe p~esence of a raised seal at the location indicated. BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]]:OR~UNMiD~ION 2ND [ ~ATION [ ] FIREPLACE & CHIMNE~Y DATE ~//~~~'~ I NSPE~~ FOU~4DAT!ON (1st FOUNDATION (2nd 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: PORN HO. I TOWN OF SOUTIIOI.D BI~II.1)ING DEPARI~ENT TOWN IIALL SOUTIIOI.I), N.Y~ 1197 I TEl.: 765- IS02 I)isappnr~ed a]e .................................. BOARD OF UEALTII ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... IIAI I. TO.' .................... APPLICATION FOR BUII.I)INC PEEHIT I NSTRIICT IONS a. 'Ibis application mint be conpletely fillc~l in by type~4riter or in i~ aM ~n[tt~ to tim ~filding lnslmetor 3 ~ts of plans, ~rate plot plan to ~ale. F~ acco~i~ to b. Hot plm~ ~i~ lmtim of lot ~ of ~dldi~s m ~mi~s, relati~Mdp to Mjoini~ pr~[~a or ¢al)lic struts or areas~ a~ givi~ n {btail~ ~rlpti~ of last of pro~r~ ~st ~ dr~ m the dla~ ~fich is ~art of this appl icati~, c. '11~ ~rk e~r~ ~ this aHfiicati~ ~y ~t Im c~ I~fore ism~e of ~]ilding Pe~it. d. Ui~ a~a] of fl~i9 nl~licnti~h tt~ ~ildi~ lns~ctor ~dll is~m a ~ildi~ Pe~it to the applicant. I~nnit Mmll I~ ~pt ~ Om ~i~s ~ail~le for ins~ti~ thin,mt the ~rk. e. ~) ladldi~ ~mll ~ ~pi~l or m~l in ~le or in Dart for mW ~n~ ~at~r tn~til a ~rtifleate of {~¢a;~qs~y ~mll I~ I~n gr~t~l by tl~ ~dldh~ Ins~ror. ~H.1C~'FI~ IS I~l~ ~ to {~ l~dhli~ ~Dart~nt for the is~q~e of a ~ilding Pemdt ~r~nt to the I~dhling 7~ O~ima~ of t~ 3~ of ~tlmld, ~fffolk ~nL~, ~ Yo~, a~ otl~r a~licnble l~s, ~dir~os or ~fiati~s, for tim ~st~ti~ of lafildi~s, ~liti~s or alterati~s, or for r~al or ~liti~, as herein State ~mO~r n~lieant i$ ~r, les~, ~e~~'~ ~trnetor, el~trician, ph~r or ....................................................... ~~O~ .......................................... ........................................ ~t. T~ .......................................... ............................................. ~ ~' ~T~U~T~O:~ -, (~ md title of co~rate officer) ROq ~9S~HOq~]'~ ~fih~rs l,lce~ ~ .......................... Pl~rs l,lcen~ ~ .......................... El~trlci~s Lice~ ~ ...................... OOmr ~s Licen~ ~) ..................... I. I~atim of la~ m ~dd~ ~ ~rk will ~ ~.. . ....... ....... .... .... ............................. l~m ~r Strut I~let ~mty T~ ~p ~. I~ ~ti~ ~0 Bl~k ...~ .......... lot ~tdlvi~i~ ...................................... Fil~l K,p ~ ................ l~t ............... (~) 2. State existi~ ~m ~ ~y of ~i~s a~ inte~ ~ nM ~ of ~ a. Fmisti~ tm ~ ~c~y ..... ~{~, ......................... ;r..? ..................... h. Intem~ u~ a~ ~ ........... ~ ................................................... ' .R~ ,~9~ .I 3. Pzllure of ~otk (cl~cn~k ~hich applicd~le): ~ lh~ihling .......... ~kliti~ .......... Alteration .......... I~l~ir ............ I~al ...... ~ ...... I~nl iti~ ............ Other I&~ f~ripti~) ~ 4. Esti,~t~l C~at ~ ~ O~O .DO f~ / I)in~.si~s o~ sa~ ~tnmture ~Jth alterati~x~s or ~iti~s: Fro~t ............... ~ar ............... ti. I)i.ensi~m of entire r~ ~st~tias: Fr¢mr ................ l~ar ............... ~plh .............. I~itO~t ......................... ~t~r of Stories ..................... 9. 8iz~ of lot: I~t .................... I~ar .................... Igplh .................... I0. I~,e of 15~rdm~ ..................... ~m off Fomer ~r ........................................ 12. 1~ prol~ml ~mtnmtim viblate any ~nli~ 1~, ordi~me or regulatim: ........................ ~te of ~rddteet .................................... ~lresa .............................. llm ~ ............... PI.OT DIAGRAH l~cate clearly and distim:£1y all [niihlinge, ~t~etl}er existing or pro~, tu~ it~licate all ~t-I~k dimensions APPROVED AS NOTED NOTIFY BUILDING D~II~ ~r 7e6-18o2 FC)LLOWgle INIPICTtOIdOc 1 FOUNOagt(O 2 3. INSUI.~I~ON 4. FINAL - ALL CONS~ THE REQUIREMENT8 STATE CONSTRUCTION CODES. NOT RESPON~Iffi.8 DESIGN OR CONSTRUCTION ERRORS ...... ....... ....................... ............ I i,,g (1~. of il~lividtml .signing co~tract) UND[p,w~,'' ~!S~TE b~n)rn, tlelx)scs a~KI .~iy$ that lie is the appl icanl~ (Omi:rector, agent, corlx~rate ol:ficer, etc.) of ~aid (~r or (~rs, arKI iS duly ~thori~ to I~rf(.m or have I~i'fo[~ the ~i(I ~rk alxl to imke a~xl file this al)l)l icati(a~; that all stat~*e.ta e(mtai~l in this al~)licati~ are tn~ ro the I~sc ()[ his kt~l~ge ~ P~ arm M ~