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HomeMy WebLinkAbout26703-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27874 Date: 08/14/01 THIS CERTIFIES that the building ADDITION Location of Property: 55 SOUTH VIEW DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 13 Block 3 Lot 12 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7, 2000 pursuant to which Building Permit No. 26703-Z dated AUGUST 7, 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 PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHERYL TORTORIELLO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 112020 01/26/90 PLUMBERS CERTIFICATION DATED N/A 1 Authorized Signa 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. 26703 Z Date AUGUST 7, 2000 Permission is hereby granted to: SUZANNE M EGAN 316 WEST 22ND ST NEW YORK,NY 10011 for CONSTRUCT OF PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#16105-Z . at premises located at 55 SOUTH VIEW DR ORIENT County Tax Map No. 473889 Section 013 Block 0003 Lot No. 012 . 001 pursuant to application dated AUGUST 7, 2000 and approved by the Building Inspector. Fee $ 75.00 u o iz Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1.802 APPLICATION FOR:CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted 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 buildinj 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 use or buildings an( •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 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 - i24%0 4. Updated Certificate of Occupancy - $50.00 5. Temporary 'Certificate of Occupancy - Residential $1 .00 Commercial $15.00 Date .....� /27.. .. . . . . . .. . .. . . . .. . ... . . . . . . . . New Construction. . ..... . Old Or Pre-exi ti -Building. . •/ 1 Location of Property. .. ...... S.`... 1 � �. • • ... . . . .. .. . .. . ...... .. ' House No. Street .Hamlet. . . . .. . . . Onwer or. Owners of Property. .... . . . . ... . ... . . ... . ... ... .. .. :.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . b..�. . . . . .Block. . , . . . .). .. .. . .Lot. . .�:�:' J . . . . . . . . . Subdivision. . .. . . .4 . . . . . . . . .. . . .4 . . . . . . . . . .Filed Map. . . . . . . . .I . . .Lot. . . . . . . . . . . . . . . . . . Permit No. . R�.� .�3. . .Date Of Permit. �. .. ... .Applicant. . . . : . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . 4. 4 . . .. Underwriters Approval. . ... . . . . . . . . . . . . . . . . . Planning Board Approval. .. . .. . . . . . . ... . . .. .. . . . .. Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . . . :: . . . . . iee Submitted: $. .. . . . . . .. . . . . . .. . . . . . : �y 0 : . . . . . . . . . . . . . . . .: . . . . . . :. . . . . . . . .•. . . . ... . . . . . RZ THE NEW YORK BOARD OF FIRE UNDERWRITERS' PAGE 1 1t3Ut�i.. i BUREAU OF ELECTRICITY F— 85 JOHN STREI�-#'. NEW YORK, NEW YORK 10038 Date JANUARY 26, 1.990 Apoication No.on file 49307287/87 R 112020 THIS CERTIFIES THAT 1 , , only the electrical equipment as described beb>iIend introduced by the applicant named on the above application number in the premises of SUSAN ELAN, SOUTH V[EW DRIVE, ORili*-r, N.Y. in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. t7t.t l' Section Block Lot was examined on '1ANff ARYL e 1 a°lC) and found to be in compliance with the requirerpents of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS I DISH WASHERS EX HAU ANS OUTLETS RECEPTACLES: SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. H:P. NO.Of-FESYSTEMS-- AMT. WATTS ET SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1-92 W �,3W 3 B 3W 3,B'IW NO.OF CC.COND. A.W.G. NO.OF HIAEG A•W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER% OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: WIRING FOR SCREENED PORCH ONIN-A, PAUL R. BURNT 775 TOWN HARBOR BANE SOUTHOLD, NY, 1.,19 71 G�ERAL AGER 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 MAWIER. BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL [ ] FOUNDATION 2ND [ ] INS U ION .. [ ] FRAMING FINAL [ ] FIREPLACE & IMNEY REMARKS: - Z DATEz � INSPECTOR C�6 �167) M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE CO INSPECTOR. � i - IL UNDATI0"7 ( 1st ) z UNDATION ( 2nd ) z 0 UGH FRAME & PLUMBING .y � 4 r� SULATION PER N . Y. -3 STATE ENERGY CODE x a to FINAL V ADDITIONZ COMMENTS : x rn a r') y O r z „G a y x d C�7 ro .. y 7 �y�� 3 1• IL i PEE -QUIRE t/Z G, EX- x #.L Ada 4 z u,; ` 'CNE a r G � k^—y FOR 57CA C7 c— t' P ! 171 t C .O;m '-T 'T �L o C � vr/G' . n UJAL.L�5�1N� ( [,S rzC- atJ� - 10 r �^ 13'l I c u�d�A tt�s A r�,Og6 5trv1� r'� SUPSril y FORK N0. s 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) N° 16105 z Date .......I-A... ..2: ............. .. 19.Ez Permission is hereby granted to. ..... 1-�?::�. ..... .-............................ ......0...... '�!- :'....t�.:`�.:...�.!.9.s:-1............... :: .. . s, ,.. ' . .. ...a-h.. :............ .0 • •�...ic at premises located at ..............®. .:y'.. �.5.. ..` .•..�� � County Tax Map No. 1000 Section ......V�.......... Block ....�.A ....... Lot No. .. pursuant to application dated .......... .Ji!!..`.`s4...�'.:..................... 1911, and approved by the Building Inspector. Fee $. :... ....... Y ............................................. Building Inspector Rev. 6/30/80 J ...w. FORM NO. 1 ^ COMWA wow*Wr TOWN OF SOUTHOLD Drpil BUILDING DEPARTMENT 2719 TOWN HALL J:M r�G SOUTHOLD, N.Y. 11971 `''s TEL.: 765-1802 TOWN OF SOUTHOLD Examined Examined . . ,R.+�!►�t.'?*�+ . ., AT Received . . . . . . . .. ..� 1 9 . . . Approved . . .1.4. 1 _;-X% 19 7 Permit No. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .2,1 i . . . . . . . . . . ., 190y 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 whatever until a Certificate of Occupancy shall 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 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 applicant 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 acorlporation) . . . . . . . . � . . . . . . . . . . . . . . . . . . . . (mailing address o� applicant) . . . . . . . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elect kian, plumber or builder. ��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(as on the tax roll or latest deed) If 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. . . . . . . . . . . . . . . . . . . . . . 1. Loc ion of land on which proposed work will1 be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �, , , So vTy ✓�l` ✓. . �P�.! d�'. . .'r 11.['�ti..�r ref. . '0<A50 . . .�.�- •— . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . .�7. . . . . . . . . . . Block . .3. . . . . . . . . . . . . . . Lot . . /.?-_ . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . .1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . .. . . . . . . . . . . . . . . . . . . . . . J__ PL I ice, � `r 4X4• fG6,DER iXwRi LE, y 2X4 YZAA C 71.iNG,*VA—L:! 1 4K4 f�1htT(kG c*t _ _Q ; _.. .:�,.QQ(2 ..Ia1.STS .. t7!{ .!�?� h! N� 1 I i a •i r ' ILff NALL twN - A 66"w. 3!�"+nr wf2 CkY Y2 S7�OR n caH�z tLolN iG t SCJ Q°r.' �G FO lit , �.— a o , `P>,y 023 up 8i Q�1 - c _ _ d4 INS it t .. (- - -ea • 0OW aim �wY re_-f T. . • ... . . . . i";� . . . 1 .1... ... .. > . . " . ._. . w.. 4i . . -.. t .... .. ii "t9 CEILING f2 :\ ry tVa uIN G SE �oN . pwQn� i�G ":u1Nl�r��I(w� `t `.moi ' rIKG MY 'p A44 oN 2 o. 1z4F'GVtS ' ' - QQ-- o �cc�' d.c . ` /NR v . 4x4- I C lir4Y4- A41NT1�tG ak �I , 'p [-Loofz JOISTS 04 _ ON Sot51S 1 Qxlo@t2 oc . �_ Li=i4F i VENT - 2�-.,r, =-- 'Lxto doiSTS '"�'� qtr u Ib�CL ;•,, - 4w �Btl~ � �. �• l' VVALL 113e W = w ; oNG ILcUND Ill . T , G o5E s `•sem 02 citvk op r ORAIII Mill G9 Rrk- A-1 (111) AS NOTED REV90N SCREENED PORCH, s'ECTI AS BUILT III ab 8pRh VIM OrM.WmvmNa 171'a HFouAh AVenn ffiW 241®6 M*'RDW - OriMM,NY 11067 1MwYp1c.NY 78003 CMiMM.liY 7'1957 'M.:6895233719 1a166ar.29'2 E777699 fa 96s 616=14M