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