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Home My WebLink About26543-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 0-27152 Date: 06/23/00 THIS CERTIFIES that the building ALTERATION Location of Property: 52325 CR 48 UNIT 14 SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 135.1 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 2, 2000 pursuant to which Building Permit No. 26543-Z dated JUNE 1, 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 INSTALL KITCHEN SINK & RELATED PLUMBING IN EXISTING CONDO UNIT AS APPLIED FOR. The certificate is issued to JOHN W & HELENA HALL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED 07/07/00 NORTH FORK PLUMB.& MAINT. Au orized Signature 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. 26543 Z Date JUNE 1, 2000 Permission is hereby granted to: JOHN W & HELENA HALL 1711 WEST END AVE NEW HYDE PARK,NY 11040 for INSTALL KITCHEN SINK AND RELATED PLUMBING AS APPLIED FOR. at premises located at 52325 CR 48 UNIT 14 SOUTHOLD County Tax Map No. 473889 Section 135.001 Block 0001 Lot No. 014 pursuant to application dated MAY 2, 2000 and approved by the Building Inspector. Fee $ 75. 00 Authoriz d Signature ORIGINAL Rev. 2/19/98 5 TOWN OF SOUT40)LD! BUILDING DEPARTMENT -� TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCYA. 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 1Z 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 Sire plan, renrtirPVertS. 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 consent 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 Buildine - $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 . . . . . . /�/� .f•nq. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . ... ..f. .22. Old 0 Pre-existing Buildin/g!.`. Y. . . . . . . Location of Property. id.✓ 5 . ::1. .1.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. jM.P. Street Hamlet Onwer or Owners of Property..�-! . {:T!.: . f. .'Y�. . . . . � . . . . . . . . . . . . . . . . . ... . County Tax Map No 1000, Sec . �/l�Block. .cl.��.� . . . . . . .Lot. . . . . . . . . . . . . . . Subdivision .J. .Jf. . . . . . . . . .,,.. . . . . .. . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . .. . .. . . . . .1. . . . . . Permit No. Cts: n��3.LS1ate Of Permit.a6IL2110 v / . .Applicant. L[1�hf.. .'. : •��{• . . . • • HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . . . . . . . . . . . / Request for: Temporary Cerrrt��ificate. . . . . . . . . . . Final Certicate. . . // �. C. . . . . . . Fee Submitted: $. pC :. fi.rJ. . . . . . . . . . . . . . . APPLICANT CU �.n2�152- �O�g�1FFtiC�-�o� Town Hall,53095 Main Road to = Fax (516)765.1823 P.O. Box 1179 - • Telephone (516) 765-1802 Southold, New York 11971 y�ol �a�t• OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD L C'.t}G. nEPT C E R T I F I C A T I O N F SUTHCLD DATE: Building Permit No. --;z Owner: 4-1,e�S, (please/print) Plumber: QGcrr+l�i%� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. nZ�4��z (Plumbers Signature) Sworn to before me is f— day of 19�C7oo Notary Public, County 61 JOYCE M.WIUUNS Notary Public.State of New Yo* Na 4952248,Suffolk County Twm FVhuJuns 12, aq�) ` � EDWARD FORRESTER ;p0 OCOQ Southold Town Hall Director of Code Enforcement 53095 Main Road ti 2 P.O. Box 1179 p Southold,New York 11971 y b� Fax (516) 765-1823 Telephone (516)765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD -S C, APPROVED AS NOTED PLUMBING DATE: G, - !)O a t# at'5ALL PLUMBING WASTE FEE: S�' BY: TESTING BEFORE COVERING NOTIFY BUILDING D 1 M 4T AT 766-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE PLUfWr,FR CERTIFICATION * ROUGN - FRAMING D PLUMBING ON L[� D C0,11TENT BEFORE . ION 4FC'ERTIFICAT,� C:r OCCUPANCY 4. FINAL NAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. vG fX >' (i 't:'!i I("1foATER ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. CANNOT �r{[p�J: _ )3 STATE CONSTRUCTION A ENERGY i f I r/ LEAD. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS UNDERWRITERS CERTIFICATE REQUIRED s� exec . thuD1 4 OCCUPANCY OR If copper tubing is used USE IS UNLAWFUL for water system; piping shell be p WITHOUT CERTIFICATE of types Kor L only OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED �� 4 -cL Va SBey st�Cly<-k� 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. 26543 Z Date JUNE 1, 2000 Permission is hereby granted to: JOHN W & HELENA HALL 1711 WEST END AVE NEW HYDE PARK,NY 11040 for INSTALL KITCHEN SINK AND RELATED PLUMBING AS APPLIED FOR. at premises located at 52325 CR 48 UNIT 14 SOUTHOLD County Tax Map No. 473889 Section 135 . 001 Block 0001 Lot No. 014 pursuant to application dated MAY 2, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authoriz Signature COPY Rev. 2/19/98 EDWARD FORRESTER O�pSUFFO(� coG Southold Town Hall Director of Code Enforcement �� y` 53095 Main Road CO2 z P.O. Box 1179 O Southold, New York 11971 Fax (5 16)765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD �AeLeF3A ScTrn"' 135 - l - i`� APPROVED AS NOTED PLUMBING DATE: B.P. # �3 ALL PLUMBING WASTE CCoo— te_ &WATER LINES NEED FEE: BY: TESTING BEFORE COVERING NOTIFY BUILDING 0 ARTM T AT 785-18W 9 AM 70 4 PM FCR THE FOLLOWING INSPECTIONS: 1 FOUNDATION REQUIRED PLUMBER CERTIFICATION 2. ROIgM - PRA MNG & PLUMBING ON LEAD CONTENT BEFORE 3. AAAM a. FIN�NAI - CONSTRUCTION MUST CERTIFICATE OF OCCUPANCY ALL CO ON $HALL MEET SOLDE,? USED IN WATER THE REQUIREMENTS OF THE N.Y. ` , "'.y , Y5'TEM CANNOT STATE CON$TRUCrION & ENERGY ; i t �f 1% LEAD. CODE& NOT RESPONSIBLE FOR ""` DESIGN OR CONSTRUCTION ERRORS INMERWRITFAS CERTIfiC11TE R6QUIR@ OCCUPANCY OR If copper tubing Is used USE IS UNLAWFUL for water distributing system; piping shall be WITHOUT CERTIFICATE Of types K or L only OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED nn 1 ✓` S �L, ��.�c.�A� S � � � G s e� � t�rr�e c�+ � � i�� r,� �,� 2*�, 8...� n��- iiov�- �as� � � i�, �oa � .� � ` wee �,�- �� #,� �� a �� ,��' ?,, .�/ BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD', N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined..... 1..........., 20.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved...�!.L�........?;c'U v. Permit No. .. ................................... Disapproveda/c .................................. ................................... ..................................... .. L67/6 hods (Building Iuuspec• .) 2 2a APPLICATION FOR BUILDING PERMIT Date. . . �. . . . . 20�. INSTRUCTIONS a. is application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plain 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 application. c. Time work covered by this application may not be cam enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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. APPLICATI(N IS HEREBY MAIL+ 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 buildin& for nece inspect' s. .. .................. (Si ture of applican o if a corporation) ..:ham%. . ..... . .. ...�..... ..�/!. .:yqp r (Holli. address of applican State whether appl' ant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ................ .. ........ ..... ... . ........ ..................•�.-...... ..... ... .. . ..... ep- p Name of owner of premises .. .......................................................................................... o r7 all- (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of iand on which proposed work will b 97done.. ... .................................................. �S�3. 9 zJ9............. .. ........... : .� ..:.�� .��......................... House Nu mer street Hamlet Com><m Tax y 7 County Map No. 1000 Section ................ Block ................ Lot ................ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and Occxupancy o Premises and 'nterded use occupancy of proposed construction: a. Existing use mad occupancy .. .....}::. .. ................................. b. Intended use and occupancy ............................................................................. Z..3. N�rture of work (dreck wlridh applicable): New Building .......... Addition „ ,Repair ......., Removal Alteratiofi .......... ............. Demolition ............ Other Work ........ (Description) 4. Est imated Cost �:.�......... fee , (to be paid on filing this application) 5. If ck� rx el l ung, ni�er of dwelling units .. ��,-,.. timber of dwelling units on each floorIf garage, number of cars ...................................... 6. If Ixtsiness, commercial. or mixed occupancy, specify nature and extent of each type of use. .....�X"r? 7. Dimensions of existing structures, if any: Dont,,,,,,,,,,,,,,,, Rear Depth ... Ibkmber of Stories . _ Dimensions of same structure with alterations or additions: Front •• .' Rear Depth .................. Height .................... Number of Stories............................... 8. Dimensions of entire r.w-w construction: Dont ................ Rear ............... Depth .............. Height ......................... NLzber of Stories ,................... 9. Size of lot: Front .................... Rear .......... -.: .......... Depth .......... 10. Date of Rirchase ..................... Name of Former Owner ..................................... II. Zone or use district in which premises are situated ................................... . 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................•• 13. Will lot be regraded .................... Will e�acesst"i i be removed tram premise YES W 14. Names of Owner of premises//e/e49.�A.:.1-JpAn P;11�Aidress p} WNo. Q Name of Architect ... ....... ...........�� . .........................Address Phone No. .............. Name of Contractor .. Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES ..., NO *IF YES, MM” MM-TR MMS PMUT MAY BE MQURED. .......... PLOT DIAGRAM i,ocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions From property lines. Give street and block amber or description according to deed, and show street names and indicate +nether interior or corner lot. Nn2Ty FaR,rvriB /lrA.nl� o o /5757 Xodn q.5 %✓✓y' /l 97/ Si 4Ri- �14f 376 9 Cl/ 740 Y- 1/G--'"A&-�S fntii Oi NSI YOi21C .�. ........... SS (111N1Y (A' Jif .....•.......being dol sworn deposes aril . y po says that lie is the applicant Name of individual signing contract) bove marred, e is the ....... .... . .••.•. .. (('.rnitractor, agent, corporate officer, etc.) F said saner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplicatiml; that all statements contained in this application are true to the gest of his knowledge and belief; and hat the work will. be performed in the manner set forth in the application filed therewith. worn to be fore m e this ......a�A.V/ .(lay of ......... Notary Rrblic Aotly.... ..... ... X.. .... MARY JEAN ROBINSON (Signature of Applicant) Notary Public,State of New York No.41-4721975 Qualified in Queens County Commission Expires May 31.2Q90 FIELD INSPECTION REPORT DATE COMMENTS II ij _ FOUNDATION OST) FOUNDATION (2ND) - i II � II ROUGH FRAME PLUMBING II ij �✓ ii INSULATION PER N. Y. H STATE ENERGY CODE II ii d _---___ ---------- ------------- IIr-too? - Ct! II t H I II FINAL II N xxxxxxxxxxxxxxssxxxoxxxxx�-sssssxx�:ax=xaxxxsxxxsxsssxsx=cxxxxxssxssss==xsx=x.axsxxxxxxxxx - 0 t — ADDITIONAL COMMENTS: c� H 0 x r Z ro H