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Home My WebLink About27365-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27749 Date: 06/14/01 THIS CERTIFIES that the building ALTERATION Location of Property: 265 JASMINE LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 1 Lot 6.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 15, 2001 pursuant to which Building Permit No. 27365-Z dated JUNE 7, 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 "AS BUILT" SECOND FLOOR ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH F & CAROL A BEST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 070558 02/05/01 PLUMBERS CERTIFICATION DATED /01 JOSEPH BEST i i Authorized S&nature 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. 27365 Z Date JUNE 7, 2001 Permission is hereby granted to: JOSEPH F & CAROL A BEST 265 JASMINE LA SOUTHOLD,NY 11971 for AS BUILT ALTERATION OF A SECOND FLOOR TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 265 JASMINE LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0001 Lot No. 006 . 002 pursuant to application dated FEBRUARY 15, 2001 and approved by the Building Inspector. Fee $ 80 . 00 Author zed Signature ORIGINAL Rev. 2/19/98 Form No. 6 ' TOWN OF SOUTHOLD j BUILDING DEPARTMENT TOWN HALL ___ _ n �._ rte- r� 765-1.802 APPLICATION FOR-CERTIFICATE OF OCCUPANCY.' : A. This application must be filled in by typewriter OR ink and submit"fea-'-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 Complianoe 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 '-' unusual natural or topographic features. 2. A properly completed application and a.conseut to inspect signed by the applicant. If .a Certificate of Occqpancy is denied, the Building Inspector shall state the reasons therefor in writing'to the applicant. C. Vges 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; Buildini? - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15. 00/. - Commercial $15.00 Date . . . . :ro�. .. . .. . . . . .. . ... . . . . . . . . . . New Construction. .:, . .. . ... Old Or Pre-existing 0 Building. . . .. . . .. . 41 � Location of Property. .. .`J. . .. .�4;�.�:�C\�. -F t. ... . • . • • . S0 . •• House No. Street Hamlet Onwer or. Owners of Property. ',Top .r :- n-C:� . ..'.V�.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . ... . . County Tax Map No 1000, Section. .O�7 b. . . . .Block. . . . . . . . .Lot. .Q��"::'S. . . . . . . . . . Subdivision. . .. . ...f. . . . . . . . . . . . . . . . . . . . . . . . . . .. .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . , Permit No. �`.�.��?�.4':. . .Date Of Permit. .... ��. .Applicant3X. � �. . . . . . . . Health Dept, Approval. . . . . . . . . . .. .. . . . . .Underwriters Approval. . . .`-� . . . . . . . . . . . . Planning Board Approval. . . .-. . . . . . . .. . . . . . Request for: Temporary C�ertificate. .. . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . �`. �. . . .: . . . . . . .. . . . . . . . . . . .. . . . . . : . . . . . . . . ... . . . . . . . . . . . . .. ApAT.T('AUT: o��S�FfOI�cOG y� Town Hall,53095 Main Road y 2C Fax(516)765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 y �! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: A Building Permit No. o(� 3 Owner: J-6 c�,r-iC11 Oc b f 16eS (please print) Plumber: Ae S (pleas print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. S 1� P r ure Sworn to before me this day of N ary Public, 9,"06j' County NOTARY PUBLIC,g�et of�yo No.01 ST6008173,Suffolk Cougty Term Expires June a.20.&7,v JAMES J DEERKOSKI P.E. 260 Deer Drive Mattituok, NY 11952 Re: Unfinished Second Floor Plan Best Residence- Southold, NY Sec 1000-70-01-6 .2 After inspection of_ above mentioned residence, all work was done as per plan, and meets all building codes, and NYS - energy codes . Sincerel , Jam J Dee oski P.E. 4 1 h 4 s� F F THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 80�37gS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK,-NY 10038 FEBRUARY 05,2001 2001 . i t H 070558 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JOSEPH BEST, 265 JASMINE LANE, SOUTHOLD NY in the following location; ❑ Basement ❑ Ist Fl. E3 2nd Fl. Section Block Lot was examined on JANUARY 29,2W1 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OWNS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWRCHES INCANDESCE FWORESCENT OTHER AMT. K.W. AMT. K.W. . AMT.` K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNH HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. EAS I N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS.I TRANS. AMT, N.P. NO.OF FEET AMT. WAITS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT• AMP. TYPE EQUIP. 1 f 2W 1 JW J/3W 3 4W PER• OF CC.COND. NO.OF HI-LEG OF NJ LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: iNO VISUAL DEFECTS, "Ars eleitricai survey has been made of the exposed electrical equipment in the Premises indicated. " "No obvious unsatisfactory condition was found. JOSEPH HEST L r.I.rL 265 JASMINE LANE SOUTHOLD, NY, 12971 GENERAL MANAGER 11 Per - ` This certificate must not be altered In any manner;return to the office of the Board if Incorrect.Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 'ULATION [ ] FRAMING /L [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: (1�f P,7 a ,DATE / � �/ INSPECTO 9726,1 6�i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL Qom'/34c� [ ] FIREPLACE & CHIMNEY REMARKS: J"�7 9L_/✓zGLf� ,DATE ///,0 INSPECTOR FIELD INSPECTION REPORT DATE - COMhiSNTS ______------ ------ -----------------_�_______________ iuVViv ur Oki uirivl. _ tSU1L1)INUPhKNllI AYYL1(:A1'10N (.;hEC;KL1S BUILDING DEPARTMENT' Do you have or need the following,before applying TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO... r2 73 6s Check Septic Form N.Y.S.D.E.C. ExamTrusteesined 6/ , 20� Contact:. Approved -cb , 20_ Z Mail to:-/ Disapproved a/c Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date —, 20 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 waterways. 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 a 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 what-so-ever until a Certificate of Occupar is issued 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 aFjpiicant 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 necessary inspections. (Signature of applicant or name, if a corporation) �?W Ja s M t)C, Lei S /Xt (Mailing address of applicant)Vl/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises A-f 0 .lase e s (as on the tax roll or latest dee If applicant is a corporation, signature of duly authorized officer 1M (Name and title of corporate officer) Builders License No. (NJIY `' Plumbers License No. ON - Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section [) Block / Lot Subdivision__ $()u4-h o Id V1 I JG S Filed Map No. 9:3 3 '7—Lot (Name) . ?. State existing use and occupancy of premises d intended use and occupan y of proposed construction: a. Existing use and occupancy S et M b. Intended use and occupancy rl e >. Nature of work (check which applicable): New Building—.Addition I Re airRemoval- Alteration eel P Removal_Demolition Other Work 1. Estimated Cost (Description - �'�� Fee ) If dwelling number of dwellingunits (to be paid on filing this application) Number of dwelling units on each floor If garage, number of cars ps If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front 35'.3 Rear 3,57, 3 ' Height Number of Stories Depth 19 Dimensions of same structure with alterations or additions: Front SQme-� aSeS' r� chan5 Depth - n o p Height Number of Stories_ Dimensions of entire new construction: Front Rear Height Number of Stories Depth Size of lot: Front_ 3 2-1,11L Rear ��—Depth 193 .S% ' 0. Date of Purchase_ /.a 19 A Name of Former Owner C C OT71 /" C/77P5 I. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: n 0 3. Will lot be re-graded (1 a Will excess fill be removed from premises: YES NO 4. Names of Owner of premises�,aio 1+-T s h be "Address Phone No. ivame of Architect o\ — Address Phone No Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES ` NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: 'OUNTY ----�a being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, --r- �)1-ie is the -'j O� �. L ow (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be z�rformed in the manner set forth in the application filed therewith. worn to before me this �Xd day of*44, _200t, Nota Public Si ature of Applicant LINDA J.COOPER Notary Public,State of New York No.4e22565,Suffolk Cniinty, Tares Prices December R OE a I CIJ LgNE - m I a' 2,r fy � 235 00. f h S / 3 CONSERV A T/ON pcy N p2, 0 CS O 7p � EASEMENT �O N N/O/F AyAR GI y �� ti aw YOUVG E O 4tPr) n!er• h�° - 0 /22p w A(/O/F FL BUWDWG OWER H/(L /6g 3s CORP / N/p� B(,Rj�TT W/LL/AA,o"GZAS l°E�GY CRAW'FORD & " n-�eY) AREA =37,798 sq.ft. CERMW TO= JOSEPH BEST CAROL BEST THE LONG ISLAND SAVINGS BANK FSB SUPERIOR ABSTRACT CORPORATION TRW-S-543938-1 SUR VEY OF LOT 1 MAP OF SOUTHOLD VALLA S" Prepared In accordance with the minimum FILED ARVE25, 1992MAPNO 9237 standards for title surveys as eslablIshed A T SOUTHOLD by the L.I. and approved and adopted TOWN OF SOUTHOLD for such usese by by The New York Stale Land Title Assoc/alion. SUFFOLK COUNTY, N. Y. The water suppply and sewage disposal 1000- 70- 01- 6.2 systems for th/s residence will conform to the standards of The Suffolk County Scale. 1"X40' Department of Health Services. March 11, 1992 The locations of wells and cesspools shown hereon are from field JUL Y 15, 1992(foundation) observations and or from data obtained from others. Oct. 23, 1992(final) SUFFOLK OR APPROVAL OF CONSTRUCTION HEALTH UT Nf wyO�� GATE REF. N0. 92 SO 38 N.Y.S. LIC. NO. 49618 �S. i' P _ S MORS, P.C. i5l - 0 APPROVED • 9 9 rev/se tax number 12/08/92 N.Y. 11971 q3 - 101 o �'LU "'�BI�R CERTIFICATOOf`J' � ,p el � � ,hrs;-�� 4 7"/�.��r�i� ON LFi4l� CONTENT BEFDR E .�.�y CERTIFICATE OF OCCUPANCY I SOLDER' USED IN 9MATER j SUPPLY SYSTEM EXCEED 2/10 OF 1%LEAD- 1 s { APP OVED AS NOTED PROVIDE OPENINGS FOR UNDERWRITERS CERTIFICATE DATE: B.p# 276-L2EMERGENCY ESCAPE AS REQUIRED FEE: BY: REQUIRED BY PART. 714 OFl NOTIFY BUILDING DEPARTMENT AT `N.Y. STATE BUILDING CODE. �00 - iou►00a7lV-9-1 Fruit iyr2. 199 P- 765-1802 9 AM TOA PM FOR THEFN FOLLOWING INSPECTIONS: y� /N(--O r-.r? '?tix 50 r,VI'( �?2 _56 -3 S - M,,4f{ 9e�,, , ' 4 1 FOUNDATION — TWO REQUIRED FOR POURED CONCRETE PROVIDE SMOKE-DETECTING ` 2, ROUGH — FRAMING & PLUMBING 3. INSULATION ALARM DEVICES 4. FINAL — CONSTRUCTION I'VEI,,:", AS TO PART 721.1 BE COMPLETE FOR C.O. N.Y.S BUILDING CODE. ALL CONSTRUCTION SHALL MEE7 THE REOIUME�sIENTS OF TFIE ��, ' i STATE COriS7FrU-a f),N= }n CODES. �� _ . �� ._ ��..r ��•.�DE DESIGN O r,... _ . �:..�� ,�;<'.k,, AMSCAW AND/ OR THERMAL SHOCK PREVENTING DEVICES AS t0 PART. 902.6(x) ; N.Y. STATE BUILDING CODE. i OCCUPANCY OR USE IS UNLAWFUL PLUA BiNG t r �` ITHOUT CERTIFICATE l41_WATERILINES NEEDOF a y� E OCCUPANCY TESTING BEFORE COVERING If copper tubing is used D • 0 for Water distributing - -----------.--__-._-- ..-._ system; piping shall be of types lC or L only �. .. t .4 A . xx W I eV D 6 t 0 S ILL \ S u TLA I f i LL 15 . - �\ �' d ' �•.____..,.,_...._.,_.._..`F�<.u. I �' r ._ra.`-�yn�M+�^4n+;"•11+"iq M'.11 y "krN�i,F.T'.^Y - :.� le 1 .;.... • R T �. .. -T—RE Z __ - . ,r"CA aw � 1 INtS-�llv� f��'t'�I"IA� k'�1�