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HomeMy WebLinkAbout26675-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27228 Date: 08/02/00 THIS CERTIFIES that the building ADDITION Location of Property: 490 NORTHFIELD LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 3 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26, 2000 pursuant to which Building Permit No. 26675-Z dated JULY 26, 2000 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 ROOF OVER EXISTING ATTACHED DECK AS APPLIED FOR. The certificate is issued to WILLIAM D & PINA MECABE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 08/01/00 PLUMBERS CERTIFICATION DATED N/A Authorized Signa t re 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. 26675 Z Date JULY 26, 2000 Permission is hereby granted to: WILLIAM D & PINA MECABE 490 NORTHFIELD LANE SOUTHOLD,NY 11971 for CONSTRUCT A ROOF OVER EXISTING ATTACHED DECK AS APPLIED FOR. THIS PERMIT REPLACES BP#20482Z . at premises located at 490 NORTHFIELD LA SOUTHOLD County Tax Map No. 473889 Section 079 Block 0003 Lot No. 004 . 002 pursuant to application dated JULY 26, 2000 and approved by the Building Inspector. Fee $ 75. 00 th rized Signature ORIGINAL Rev. 2/19/98 Q TOWN OF SO HO n / /f BUILDING DEPAR TOWN HALL 4 765-1802 APPLICATION FOR CERTIFICAT OF El-DG.DEPT. F S1 UTHOLD A. This application must be filled in by typewriter n su mitted to the bui inspector with the following: for new building or new use: 1. Final survey of -property with accurate location of all buildings, property 1 streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 f, 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system conta less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bu and installations, a certificate of Code Compliance from architect or engine, responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. tti B. For existing buildings (prior to April 9, 1957) non-conforming uses, or building '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building an( unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the appli If a Certificate of Occupancy is denied, the Building Inspector shall state t 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. 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 - - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . New Construction. . . . . .. . . . Old Or Pre-existing Building. q Location of Property 4 lq0.Ade ), House �N�o�. Street Hamlet Onwer or Owners of Property:�:I& !� . 2q: 9. .. ... .� ,C l�.!gE. . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ®. . . .. . . ..Block. ©© . . . . . . . .Lot. . . ./. . . . . . . . . Subdivision. . . . . .. .(... . . . . . . . . . .. . . .. . . . . . . . . . .. .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . Permit No. .` ^' . , . . . .Date Of Permit. . .�.�`*. . . . . .Applicant Health Dept. Approval. . . .. . . ... . .. . . . . . . . . . . . . .Underwriters Approval. . ../. d 0. . . . . . . Planning Board Approval. . . .. . .. . ... . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . . Fee Submitted: $. . . . . .. ��.. . . . . . . . . . . . . . ._ ljca I . . . . . . . . . . . . . . .We4� AP CANT C0 ��7�� THE NEW' YORK BOARD OF FIRE UNDERWRITERS PAGE 1 X868 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date AUGUST 09,20M Application No. on file 10626600/00 H 068818 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 WILLIAM & PINA HECABE, 490 NORTHFIELD LANE, SOUTHOLD, NY in the following location; ❑ Basement ® lst FL ❑ 2nd FL OUT Section Block Lot was examined on AUGUST 01,20M and found to be in compliance with the National Electrical Code., FIXTURE FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCOM FLUORESCENT 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 UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.O. AMT. AMP. TYPE EQUIP. 1•2W If SW 3•JW 30 IW PER i OF CC.GOND. NO.OF HI-LEG OF RIAEG NO.OF NEURALS OF NEUTRAL OTHER APPARATUS: REAR DECK-1 *NO VISUAL DEFECTS: "Ali electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. l L WILLIAM D. HECABE 490 NORTH FIELD LANE GENER�LMANAGER SOUTHOLD, NY, 11971 \_ � Per-4.1 This certtilcate must not be altered In any manner;return to the office of the Board If Incorrect.Inspectors may be identified by"Ir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORD[ NO. 2 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) Nvaz Date ...34.#.................................... 19..ea 20482 Permission is hereby granted to: ..`......�:°:"...?..... ....... .....�Ar,l�.. 90.....�..�! 7.. ...... ..ter..... . .................... to ... .....lel... ....441*. .. ...... ..��.... ..li�/ ...... .�....................... ...................... ....:............................................................................... at premises located at ....�..��.Q... :42rrr• ••..... ............................................................ ........................................... .......... ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ........7.2........ Block .......: ........... Lot No. .....5`.t..��........... pursuant to application dated ... ....................................1 19.2) and approved by the Building Inspector. Fee S.`-.��.�• . r�r.>r.r.................. uil� �g Inspector Rev. 6/30/80 Town Hall,53095 Main Road c '� Fax(516)765-1823 P.O.Box 1179 � Telephone(516)765-1802 Southold,New York 11971-0959 Oy BUILDING DEPARTMENT TOWN OF SOUTHOLD July 31, 2000 William McCabe 490 Northfield Lane Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. );25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26675-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING FINAL [ ] FIREPLACE 8 CRIMNEY REMARKS• 16v, a _ J � DATE �I �" � INSPECTO ass-iso2 BUILDING DEPT. INSPECTION [ J FOUNDATION 18T [ ] ROUGH PLBG. [ I FOUNDATION 2ND [ ] INSULATION [�MING [ ] FINAL REMARKS: Avl_i//7�k��� DATE INSPECTOR �"5G suiwINa DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ j 73MDATION 2ND [ ] INSULATION [ F'RAMINfi [ ] FINAL DATE � INSPECTOR .,i::`'1t•tLWEf 1 . .0 m a r 7OU11DATION ( 1st ) c ?OUNDATION (2nd ) o 30UGH FRAME & I 4 •PLUMBING 3 . I y m INSULATION PER N . Y. I n • y STATE ENERGY CODE 771 - Z- ---------- FINAL FINAL Io ti ADDITIONAL COMMENTS : m f� O C , H - m -c y ff BO,IRO OF HEALTH . . FORM NO. 1 3 SETS OF PL.XNS . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . _ . . . . . . . . . . . M 3 19g� BUILDING DEPARTMENT CIIECK . . . . . . _ _ _ . . . . . . , . _ , t�}`k TOWN HALL SEPTIC FORtt _ . . . . . . _ . . . . . SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL.: 765-1802 r:I>—, Ex i n c /�. . . . . yam, " CALL HA I L TO \PProved . . 19 . . . . . . . . . . . . . . . . . . .. . •� Permit No. � �� Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .; (B 2" Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. TWs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part o this appli- ition. 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 issued a Building Permit to the applicant. Such permit ,all 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 whatever until a Certificate of Occupancy ,all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ,e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to :mit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) • (Mailing address of applicant) I :ate whether applicant is owner, lessee, agent, architect en^ineer, , general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . cu/1✓die • . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . ame of owner of premises E[-�9�v� . . . . . . . . . . . . . . . . . . . . . (as on t11e tarx roll or latest deed) applicant is a corporation, signature of duly authorized officer. . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Location of laan/d on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ilouse Number • • r' y•• • • . . . . . . . . Street Hamlet County Tax 4lap No. 1000 Section . . . �• . . . . • • • Block . . . . .";j. . , �•�/ • . . • • . • . . . . . . . . Lot . . . . Subdivision . . . . . . . . . . . . . . . Filed Map No. (Name) . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . .� E/. . . . • • • • • • • ••• • • • , b. Intended use and Occupancy . . . . . . . . . . it/c�ff�.�1 • . • . • • • • • • • . . . • . . • . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable e_� Repair . . . . . . . , , , . • ) New Building . . . . . . . . . . Addition . . . . . . . . . . .Mteration Removal Dern _ �` Demolition . . 0ther.Work 4. Estimated Cost 7 � © • . • • • • . (Descr-itio. • . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S. If dwelling, number of dwelling units . , , , •/ (to be paid on filing this application) If garage, numberof cars ' ' ' ' ' ' • • • Number of dwelling units on each floor. 6. If business, commercial or mixed Occupancy*n • • " " " ' • - • • • . 7. Dimensions of existing s specify nature andextent of each ype of use . . g tructures, if any: Front . Height . . . . . . . . Nunr . . . . . . .`. . Rear . . . . T. . Depth . . . . . . . . . . . Dimensions of sag bcr of Stories . . . . , , • • • • . • • • • • • . . . . . . . same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . Heir . . . . . . . . . . . . . . . . . Rear • . . . . . . . . . . . . . 8. Dimensions of entire new const • . . . . . ' ' ' ' ' ' ' ' . • • • • • Number of Stories . . . . . . . . . . • . . . • construction: Front Rear Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depth • . . . . . . . . . . . . 9. Size of lot: Front . . . , . . . . . . . . . . 10. Date of Purchase Rear . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in whichpremises• ' ' ' ' ' . • • • • Name of Fonner Owner _ . . . . . . are situated . ' ' ' ' ' ' ' ' ' 12. Does proposed construction violate any zoning law, ordinance 13. Will lot be regraded . . • , or re-rrlation: 14. Name of Owner of premises . : , • , , • • • ' ' ' ' ' ' ' • • Will excess fill be removed from premises: Yes • No Name of Architect . . . • . • � " ' • ' • • • Address . . . . . . . . . . . . . . . . • - Phone No. Name of Contractor . . . , • • • • • • • ' ' ' ' ' ' • • • • Address . . . . . . . . . . . . . . . . . . . Phone No. • • 15. Is this property within 300 feet* of • ' ' ' ' Address . . . . . . . . . . . . . . . . . . . Phone No. • . • • • • • , • • • • • • . • . • . • . • . . • . . . • tidy wetland? *If yes, Southold Town Trustees Permita may be re*Yes . . . . . . . . No. . . • . . " ' ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APP0 D AS NOTED DATE: �� 9� B.P.# 0 174 o� — FEE: BY:.I NOTIFY BUI G DEPART AT 765-1802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 9. FOUNDATION - T'„VO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST 13E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE QEQUIREMENTS OF THE N.Y. STATE CONSTRUCTION 8r ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ATE OF NEW Y R )LINTY OF . . . . . r10���. . , S.S • • ' ' ' ' ' ' • • • • • . . . . . . . being duly sworn, deposes and says that lie is the applicant we named (Name of individual signing contract) is the (Contractor, agent, corporate officer, etc.) • • • • • ' ' ' ' ' ' ' ' ' ' ' ,aid owner or owners, and is duly authorized to perform or have perfonned the said work and to make and file this lication; that all statements contained in this application are true to the best of his knowled?e and belief;and that th k will be performed in the manner set forth in the application filed therewith. e )m to before me this . . . . . . . . . . . . .� . . . .day of. . . . . . . .�,a:rct' ary Public, . . . . � �u • • • .o��: . . . . ., 19 ��,?- ROBERT 1.SCO11,JR. .�. . . ounty n l NOTARY PUBLIC,State of N.Y. �/ l No.4725089,Suffolk County! _ 1r • • . . . . . . . . . . . . . . . . . . . . c. 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