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HomeMy WebLinkAbout29351-ZFORM NO. % TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29719 Date: 09/18/03 T~IS C~RTIFIHS that the building ALTERATION Location of Property: 52325 CR 48 UNIT 10 SOUTBOLD (HOUSE NO.) (STREET) (HAMLET) Coualty Tax Map NO. 473889 Section 135,1 Block 1 Lot 10 Subdivision Piled Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 2, 2003 pursuant to which Building permit No. 29351 Z dated MAY 2, 2003 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 INSTALLATION OF A KITCHEN SINK IN AN EXISTING CONDOMINIUM (UNIT 10) AS APPLIED FOR. The certificate is issued to JANET C RAHEB of the aforesaid building. ( OWNER ) ~3FFOI~K COLS~TY DEPARTMENT OF ~]~%LTH APPROVAL ELECTRICAL CERTIFICATE NO. pLUMB~S C~TIFICATION DATED Rev. 1/81 N/A N/A 09/08/03 GREENPORT PLUMBING A~t~orized Slnature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 29351 Z Date MAY 2, 2003 Permission is hereby granted to: JANET C RAHEB 358 OLD BRIDGE ROAD EAST NORTHPORT,NY 11731 for : INSTALLATION OF A NEW KITCHEN SINK IN UNIT 10 AS APPLIED FOR. THIS PERMIT REPLACES BP#26616. at premises located at 52325 CR 48 UNIT 10 SOUTHOLD County Tax Map No. 473889 Section 135.001 Block 0001 Lot No. 010 pursuant to application dated MAY 2, 2003 and approved by the Building Inspector to expire on NOVEMBER 2, 2004. Fee $ 200.00 iz ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 26616 Z Date JUNE 26g 2000 Permission is hereby granted to: JANET C RAHEB 358 OLD BRIDGE ROAD EAST NORTNPORT~NY 11731 for : INSTALLATION OF A NEW KITCHEN SINK IN UNIT 10 AS APPLIED FOR. at premises located at 52325 CR 48 UNIT 10 SOUTHOLD County Tax Map No. 473889 Section 135.001 Block 0001 Lot No. 010 pursuant to application dated APRIL 27~ 2000 and approved by the Building Inspector. Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 - 9 2OO3 APPLICATION FOR CERTIFICATE OF OCCUPANC/Y [-----. . .d ., This application must be filled in by typewriter or ink and submitted to the Building Dep~rtment with the £ollow~ng! 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. Swom statement from plumber certifying that the solder used in system contains less than 2/I 0 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) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and mmsual 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 h~spector shall state the reasons therefor in writing to the applicant. C. Fees -"-- 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwellin~ $25.00, Ajtcrations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to acccs~'y--bu~ing $25.00, Businesses $50.00. 3. 4. 5. New Construction: Location of Property: 5. . use No. Owner or Owners of Prop. erty: Suflblk County Tax Map No 1000,~Section Subdivision Permit No. ~..~q:~ ~ ] Health Dept. Approval: Planning Board Approval: Request tbr: Temporary Certificate Fee Submitted: $ ~ ~,a~__ w'c- c . Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary C/ertificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pre-existing Building: (check one) ~1~ Hamlet Date of Permit. OO ~ Block O0 0 [ Lot I0] 0 Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) A~!fant Signat6re Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. c~t~ -~ ~/[ Owner: '~t~ Id ~ ~" (Please print) Plnmber: ~~b[2 ~ (Please print) I certify that the solder used in the water supply system contains less than 2/10 of i% lead. Sworn to before me this [ day of~k~.~ , 20 O ?> N Public, ~ 4' Count ~o~rt_. sc~...._ ~a~ Pubtic. Sta? ~f OuM~i~ in Su~otK No, 01SC4725~9~ ~rm ~pireS May 31, .... -(PlumlJers Signatt~) - BUILDING PERMIT REVIEW CHECK LIST Applicant/ Architect/ Engineer: SCTM #: District: 1,00Q Section:~'-]~ ) Block: _~ Lot: tO Date Reviewed: Date Submitted: l.ocalion: ~ ~ ~ ~ ~ ~([ ¢8 (~,..~'JF ! O~) SubdivisiOnName: Single & separate Required certification: X/es/No) Al+ ~"~,~,S. 7-/~- [Front Yard --Pr°p°sed: [ [Side Yard Proposed: j [Rear Yard -- Proposed:__ Project Description: ~t '~q ~,~rl C__~ r~ k AGENCY PERMITS REQUIRED FOR REVIEW Permit N.A, NO YES Number Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board ~tpproval: Flood Plane Elevation e?? Flood Zone: Notes: BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU~PLBG. [ ] FOUNDATION2ND [ ] ~ULATION [ ] FRAMING ~]/FINAL [ ] FIREPLACE&CHIMNEY /a ~ REMARKS: ~~- ~,,~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~] ~L~TION [ ] FRAMING [/--j~FINAL [RE] FIREP~ACE & CHIMNEY // DATE ~/~:~ FIEL5 INSPECTION REPORT DATE FOUNDATION (IST) FOUNDATION ( 2ND ) ROUGH FRAME. & PLUMBING STATE ENERGY FINAL ADDITIONAL CO~4ENTS: FORIq NO. TOIJN OF SOUTIIOLD BUILDING DEPARTHENT TOIdN ItALL SOUTHOLD, N.Y. 1197 TEL: 765-1802 Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... NOTIFY CALL HAIL TO: .................... (]~ilding i imI~ctor ) APPLICATION FOR BUILDING PERHIT INSTRUCTIONS DaCe ................ ,20 .... a. 'Ibis application mst be caupleCely filled in by rypc-ariter or in ink and mitred to the Building Inspector 3 sets of plats, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoaing location of lot and of buildings on premises, relationship to adjoining pranises or public streets or areas, and giving a detailed description of layout of property mint be dr~an on the diagram dnich is part of this application. c. ll~ mit onvered by this application my not be crrarenced before issuance of Building Pemit. d. Dlxm approval of this application, the Building Inspector ~*ill issue a Building Permit co the applicant. pemit shall be kept on the premises available for inspection throughout the x~ork. e. No building slmll be occupied or used in dnole or in parc for any purpose ~aatever until a Certificate of Occupancy shall have been granted by the Building Inspector. API~ICATItlq IS l~q~¥ ~ £o the Building Department for the issua~e of a Building Permit Farsamnr tO the ltuilding Zone Ordinance of the To~a of Southold, Suffolk Camry, Ne~ York, and other applicable La~s, Ordimaanes or Regulations, for the construction of buildings, additions or al£eraCions, or for r~mvval or damlicion, as herein described. The applicant ngr~es to c~ply with all ,applic~able laws, ordinance.~ b,ildJng .~, bc'-:c!ng z..dz, rcgclati¢t~s. ~i co ~c auu~orized ~nspectors m premises mc~i in bei~ing fo~ n~/ce~ry~in~ections. g/ cure of ................. ii( ................ applicant, or name, - a corporation). ~ 35g oc0 .6~,0he ~d ........ · ~ (~i~ ~ress of a~lic~t) '~ta'~~les~, ~ant, ~it~c engi~r, ~ral cmtr~tor, eI~tridim, pl~r or Pl~rs Lice~ ~ .......................... . f · . ~og Po r~ ~ ~r St~t (~) ~;~ture ut ~ork [ct~*ck ~,id~ applicable): ~ Building .......... Addition .... ./.... Alteration .......... Repair ............ Rercova I ............. Demolition ............ Other Work ......................... . ......... ~Deacription) Estimated Cost ...~JP. O0~~. .............. fee .............................................. (Lo be paid on filing this application) If g~rage, nmi)er of cars ...................................... Il: Nmir~ss, ctmmercial or mi~ eeca~pancy, specify nature trod extent of each typ~ of use ...................... Dimensions of existing stn*ctures, if any: Front ................ l~ar ............... Depth ................. Ileight ......................... Ixlanber of Stories ...................... Dimensions of sam structure with alterations or additions: Front ............... Rear ............... Depth .................... Itelght .................... lxlmtmr of Stories ............... Oimensic~m of entire new construction: Front ................ Rear ............... Depth .............. Ileight ......................... lxkn~r of Stories ..................... Siz~e of lot: Prrmt .................... Pear .................... Depth .................... flare of 15~rdmse ....... .O..Lq'] ...... l~.i~ ~rne of Former Darter ........................................ Zooe or use district in ~hich pr~nlees are situated ...~Q~..~.I-~ ................................................ Does proposed co~mtructlon violate any zoning l~a, ordinance or regulation: ........................ }/ill lot be regraded .................... }/ill excess fill be removed fram pr~niees: YES Raa~ of ArdHtect .................................... Ntdress .............................. ll~nc LtD ............... Ra~e of Contractor ................................... /~klress ............................... Plume ~ ............... Is this proF~rty within 300 feet of a tidal rutland? ~ ~ .......... NO .......... PLOT DIAGRAH I~cate clearly and distinctly all lmildings, ~bether existing or proposed, and indicate all set-hack dir~nSiees an property lines. Give street and block m~ber or deseriptiee according to deed, and aho~ street nanes and i~ticate ~tber interior or corner lot. ~TION EFORE IPANCY 'A TE R NNOT LEAD. PLUMBER CERTIFfi 9N LEAD CONTEN? ~ERTIFICATE OF O0 SOLDER USED IN SUPPLY SYSTEM EXCEED 2/10 of 1~ RED ff copper tubing is used PLUMBING for water distributing AU. PtUMnING WASi e '[1C G~ l'i,:W ~ ~em; pipi~ shall ~ a WA~R LINES NEED ~ of i~ivi~] si~i.g c~tract) 4. IIILeL - {~OIIfflIIUC/10N MUST ~ {~"[l~J~flON SHALL MEET ~ ~REMENTS OF iTHE N.Y. fill ~OIIIT~UCTION &[ ENERGY CODEL NO1: nES~ORS~SL.~ FO~ (Cm~tractor, ,agent, corporate officer, etc.) said c~roer or e~nors, arKI is ~h~ly ~tl~ri~md to perform or h~ ~rfo~ O~ ~id ~ ~ to ~ ~ file this ,iicati~; that: all star--nfs c~ta[~ in this a~licati~ are t~ to the ~st of bis ~1~ arfl [~lief~ a~ ,t the ~rk will 1~ ~rfon~l in It~ ~mmr mt forth in O~e aiwticatim fil~ t~. ,m Lo befq,re rm this 7z'm"'" ;~ f '; 20 .... .......... ..... .... DAL~ MOR~NNA RC)q:~.~Y PUBLIC ,..i06004309 QUAI,:,, .O L: oUFFOLK COUNTY COMMISSION E~IRES MAR, 23, 20~ ~i/gnature of Applmantl