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HomeMy WebLinkAbout25482-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26414 Date: 04/30/99 THIS CERTIFIES that the building ADDITION Location of Property: 1600 KING ST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 2 Lot 42.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2, 1998 pursuant to which Building Permit No. 25482-Z dated JANUARY 20, 1999 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DERRICK D CEPHAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/27/99 PLUMBERS CERTIFICATION DATED 04/28/99 PECONIC PLUMBING & HEAT. W'A�-4 — Building Ins ctor 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. 25482 Z Date JANUARY 20 99 Permission is hereby granted to: DERRICK D CEPHAS 27 WEST 44TH STREET NEW YORK,NY 10036 for CONSTRUCTION OF AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1600 KING ST ORIENT County Tax Map No. 473889 Section 026 Block 0002 Lot No. 042 . 002 pursuant to application dated DECEMBER 2 98 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD V BUILDING DEPARTMENT APR 2 $' J /1 TOWN HALL �� 765-1802 - BLOG. DEPT. T NJhdF S 'L 6' LD 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 17 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 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 - .251�, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .�qpC a�.,.1.(CI S. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . .//. Old Or Pre-existing Building. . . . FF-- . . . . . . . . (/fit� Location of Property. . . . �� o.. . .. . .. . . .. .... Ki c? �C. [. . . . . . . . . . . . .0(icat . . . . . .. . . . . House No. J� 6treet Hamlet Onwer or Owners of Property.. . . . . .. .Y c o.u,. . P: . ppt � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .q4 k . . . . ..Block... . . . . . .Lot. . . . a: • . . . . . Subdivision. . . . , . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . a5 o�� pp Permit No. . . . .Date Of Permit. . .Vjjoig9. . . . .App1icant t �e` 7f Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . �. . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . 9C e.• SG f SS v / APPLICANT co ��� �lly o�O��gpFFO�,�coG�� y Fax(516)765-1823 Town Hall,53095 Main Road T P.O.Box 1179 y `� Telephone(516)765-1802 Southold, New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 27, 1999 Samuels & Steelman 25235 Main Rd. Cutchogue, NY 11935 RE: Derrick Cephas, 1600 King Street, Orient. 1000-26-2-42 . 2 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25482-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. OgpFFO(,��09 Town Hall, 53095 Main Road y x Fax(516) 765-1823 P. O. Box 1179 • .tc Telephone(516)765-1802 Southold, New York 11971 y 0! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE• ®6 — 9 Building Permit No. Owner: oe-ec-\6. - e (please print) Plumber: lLlN4 T�HL' � (please print) — I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 4' - (Plum Sign(ature) Sworn to before me this n _ day of 19 Q9 0�4�nammI; ra "'^+ P�400w fdcStlaoftOw Notary Public, County Qua40-OIST434 C ® opltly OmmNebn Exptro Sepl.XX,1W _ 3p a5 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE'; 1001071 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY.10038 ' Date APRIL 30°1999 Application No. on file 17802299/99. N 487335 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 DERRICK CEPHAS, 1600 RING STREET, ORIENT, NY in the following location El B� emeennt LJ Ist Fl. ❑ 2nd Fl. Section Block Lot was examined on hIL °1995 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS I I INCANDESCEMI FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 8 12 7 7 1 1 6.8 1 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. I AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WAITS SERVICE DISCONNECT NO.OF S E R 'IV I C E METER NO OF CC COND. A.W G. A W.G. A W G. AMT. AMP. TYPE EQUIP. 10 YW 1 0 3W 3 0 3W 3 0 4W PER 0 OF CQ COND. NO OF NI-LEG OF HI-LEG NO.OF NEUTRAl3 OF NEUTRAL OTHER APPARATUS: KITCHEN REMODEL-1 G.P.C,I:-3 G & S CONTRACTOR LIC.#578 EI 11 Lw>Z BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER EPer 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. FxELD _NSPECTION REPORT DATE ________'____ COMMENTS ( � _ — -- ___------- FOUNDATION OST) H IIryI-- �f1 li —Ili q a FOUNDATION----(2ND)------,I-- ------------- -------------- --- --------- —n n � In ii— o G ROUGH FRAME 6 I u G PLUMBING n � INSULATION PER N. Y. I� STATE ENERGY CODE u — I _________ .S I l n ii 9� N- �I FINAL n II ADDITIONAL COMMENTS: Lq c� H O x ro H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ]1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR 15;2 5yj0 ' M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FO ATION 2ND [ INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• ���� DATE INSPECTO �Z � 765-1802 BUILDING DEPT. INSPECTION [ FO DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS-. ����� = Ohl, DATE �� INSPECTOR O�OSVFFO(�CQ Town Hall Albert J.Krupski,President y. G,y 53095 Main Road James King,Vice-President < P.O.Box 1179 Henry Smith Southold,New York 11971 Artie Foster p Ken Poliwoda Telephone(516) 765-18J2 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 24, 1998 Ural Taggat Samuels & Steelman Architects 25235 Main Road Cutchogue NY 11935 RE: DERRICK CEPHAS SCTM #26-2-42 . 2 Dear Mr. Taggat, The Southold Town Board of Trustees reviewed the survey dated and received in our office on November 23, 1998, and determined that your proposal to construct an addition to an existing house to be out of the Trustee Wetland jurisdiction. However, any activity within 75 ' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, a 9- /& 9 Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. ZONE X MR- x o a0 O V9 31y p � D AREA '� " -mn ZONE X LEGEND) ONE, X (EL 9 IVs' HARBOR COASTAL BASE FLOOD ELEVATIONS "' APPY ONLY LANDWARD OF 0 0 NGVD `x' E c� �a � k 3 ,.ssss� ��•r s�� f v, g w a a N Z P COASTAL BARRIER IDENTIFIED 11-15-9 ASTAL Q (SEE COEGENDBARRI � k `d Y 9 ���4I1 i tldlgyC�Yd `I� l t III iIl�i�k�( i�C .ONE yy A ME v � .ate s . . . . . . . . . . . . . . . ^--� FORM NO. 1 /i SETS OF PLANS . TOWN OF SOUTUOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . UCN rJa� BUILDING ORfARTMENT Cl1RCR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC CORM TQ iDEPf SOUTHOLD, N.Y. 11971 D TEL.- 7fr-5--1802---- �-- - NOTIFY:--- . - p CALL I;xanined......� ©...., 19.9.1 - - -- - " -MAIL" TO'• ... . . . . . . . . . . . . . . . . . . Approved........:20..., 19.9.7 Penni I. No. ...".l... .. ............................ ....... . Disapproved a/c ......................... .... . ..................... ............. ...... ........4_4 ... --- ••(Ikrildincl hmnpxaa or) APPLICATION FOR BUILDING rritMT'r ,�/��A � p� Date— !?�!� D. . . . . , 19. j/ 'INSTRUCTIONS -♦ n. 'phis alplicnCion mint Ire coapt eLely filled in try Lytxnuril:er or in Ink axl mdnnitt.eti to Lbe Ikmilding luslx•cl or avid 3 sets of plans, acarrale plot plan to scale. Fee according to scliethde. L. Plot plan slowing location of lot nail of buildings on premises, relationship to adjoining premises or ptdtiic streets or areas, nix[ giviryl a rietailetl description of layout of properly nrmst Ile drawn on the dimgran which is pxirt or this application. c. 'tile work covered by Lida application may not Ire crnlmnced before issiwnce of Ikrilding Permit. d. Upon apgrroval of this application, the Ikrilding Inspector will issue a Ikrilding Permit to the applicant-. - Suc(i � permit shall he kept on tine premises avnllnhle for inspection throurghout the work. e. No building shall be occupied or used in whole or in part for any pxmtlxise whatever tntil a Certificate of Ocarr><vx:y shall have been granted by lite Ikrilding Inspector. Arpacnim IS uEREBY MAUI to the Ikrilding Department for the issuance of a lkdlding Permit pursuant to the Building Zone Ordinance of the faun of Sartlold, Suffolk County, New York, and other applicable Laws, Ordhinmen or Regulations, for Bre construction of Ixrildings, additions or alterations, or'for removal or demolition, as herein _ tiescribed. lite applicant agrees to comply with all applicable laws, ordinances, building code, lousing code, nxl regulations,,amxi to sdnit authorized inspectors on premises aril in building for necessary Inspections. tv1,��1 S 1k� �l................... ... (Signature of applicant, or time, if a corporation) (Mailing address of applicant:) //93-5 Slate t•A nellner applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pludx:r or luildem •............................................... . ...................................... Name of rimer of premises .... .... .................... ............................ .... .... .... (as on time Lax rot I -or Intent deed) - - - - - If applicant is a corporation, signature of duly auLiorized orf:icer. ......................................................... (Name six] title of corporate officer) Ikrilders License No. ....... ................ Plumbers License No. ......: ................. -- Electricians License No. ....:7............... Otrer Trade'a License No. L Location of larxlon which prolosed work will be. tkxre.............................................................. ...................................... �i.n�.. ..::....t.:...............(DOER--L)O:y:................ (louse Naber Street yy 14znlet County Tax Map No. JOOO Section .._.,..z.,• . Block . ...... Int ...�f.. °.?a Sulxlivision ...................................... F11ed Map No. ............... Int ............... (Mame) 2. State.existing use amxl occupancy of lrrenises aixl intemled use amxl occupancy of proposed construction, (J a. Existing twe aril occupancy ...aQ.?oaX.. ..-.4 -y..r $E......: ............... ..._..._.._.. h. Intended use and occupancy ...�11! ... ��l.... .� y, Rdure of work (dieck witiclt aliplicable): M•w Ikkildini) .......... Add ILion ..! ..... AlLeration .......... Iteair . Removal DeaolILIoil OtherIJork -•'• tri l •=•f�l;....... t' Pd© liaFiutatcr► Coat•,;.,.. •. ,;. ............... fee ......... .......... ........................... (to be laid on filing this oliilication) If dwL1 1dng, nx91l)er of (1well11% units ... ...... dhrder of: dram IIng units on each Eloor .. .... .......... Ifgarage, oder of caro .......... .. ............. ........ ..... If losheae, nrnnhercial or mixed''occulancy, specify nature and extent of eaclh type of use.....................,. �®�y� >� bear-. ©¢��' Pe xh .;70 Dhn�ansinis of existing atnkclurea, IF airy i FnAnt......T. . [1 ...:.. 1 .: ......... - Iledgitt ......31p.r7.......1. Milner of Stories ..Z......,..•... .. Dinr:nalons of sane�-s.t/rtwture with alterations or akklitdons: Front .k�Q. ./G.r.. Rear Y. Depth ...4.15... .... IleiglnC . .�U.�.�......... . Mni:er of Stories ....::. Dimenalo s of entire new ctxatnncficn: Front ................ iWar ...... ......... Depth .............. Ikeight ............................ Maier of Storie s p..................... _ Size of lot: Front ..:?.'�.©.......... Ream..1.7 .... ....... Depth .. .......... i. Ikkle of Forelaae ..................... Nknxe of Former Owner .. .... .............................. 'Lone or use district In wlndclk premises are situated ...t�.'... .•............ ../I/.�............................. Ilben prolose.�d co nstruction violate any zexnIng law, ordinance or regulation: ...4r- 'D.............. WIII lot be regraded ..... ........ Will excess fill be reoveel from prrenises: YRS Mimes of Owner of pn3aises AQV�. ..S:;4F/ N..... /uklreae �?�.��iSa�/f✓ .'-Xeu-Y.. Flxxne No." `�3ZC9/ZZ Mike of: Arclnitec4 ........ Acklress No. 01Tp.'��.'©.. Nkrnhe,of Contractor + J,3<.��.. �� .-...... Acklress .,.../... ...................Phone lin. Is This prolherty within 300 feet,of a tidal 1vet)atd7 * US ... M) .......... *IF YI1S, ,xxrilxxl) 7C)m lim1Sf1'Les N?111•rr MAY 111: luplida). + PLOT DIAGRAM Imale clearly and dlatdnctly all buildings, wieder existing or proposed, and Indicate all "t-back dimensions ran property thea. Give Street and block nnier or deacription according to deed, and slow street vanes and inlicaLe iethur interior or corner lot. r 'KIR (x? "m Y(NU<, SS MINI (x' . .. .. ...... . - ..... . .. .... .. ..... .. .. . ... .. ..... .... .haiug duly exxnrn, deioses and says that be ie the npplicnnl. 491x: of inllVidlall. adgniug contract) ove nu imd, isthe .. ..... ....... ................ ............ Y.. d. •... ..... ..... .................... .......... ._ (CAmlraclor, agent,corloraLe officer, etc.) ` said owner or owners, Sold in duly authorized to perfoun or have Ix:rfunied the said work and to mike and file Thin gddahLiou; that. kill sLatemenLS contained in thin application are line to the hest of his ktxmledge and belief; mel tat. Lite wokk will ie ierfoned in ilia naner set forLh in the application filed therewith. orn Lo before me tIlia Q . ...a:.��......da/�y of ''Ntnn�e�te.19.��' . McLary ....... .................... . HELENED.FIDRNE (Signature of Applicant) Notary Public,Slnts of New York Ne.4951364 _ _ - Qualified in Suffolk County ..-- Comrnission Expires May 22, 19 L L fcING ur'(RVET ARG: 31 , Cc' 5 40' 00to"� +�yD, 23' TAi-1 : 14, 75 T PREF/•P� p-1D4E VENT UI I I 4" VERIFT - h-ooFeN4'io MATc r+ I N t. I,9T 11�Ci oN �yoa IP v - L ON ILDIN I'-Ptl ✓;rc I�TIN/-1 PCU GI lV Zoo 1-1 2✓<P+ R-Iv4E+ 'iz" ILfw.lo e.l-Ics halN�y £xle3'TINC.1 A TGNNIe � colJcL? 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I . � -p oR1ENT rlr.RgcR. a�; SITE PLAN rT Z PARTIAL BUILDING SECTION SCALE : 112" = 1'- 0" 11�� w -I • LLz_ 3f � LL - :r M = � w • _ ice\ J i j \\ MATH FL2 IN 1-Iou�E i 'b/ti'/5 gT L, LA LLY coLu6.LN oN \� I 2��2^ nl ' CoNG ovE1J 2. 1 2. co ' _ - _ JG '-rR' _ - �TNREO eo INP. 6L:1 P� At 2ECJLII KI".I� i S ca.6lnlET 4 - Co cArblr-+ET 4IMGe III - I L_ Hx A 46 — o>�LIL�1N oAiJL`' ,aT Ip ��� 1 11 GONG, FodTIr.I Ci W.TcI-+ - _ _ _ AS -#rte' 2+CtGAI�F's•4sT RoOvr at `✓ — — - - ,. ., a R.R. Js= ' +fo — — - - - �(° • R6©UIREt� NIGw Wu�v PLk. TO •D Fa' - Project No: _ -- A__a�`i'cl - S / t•+WYcI-+ F LR IN NOI..ISE x ml b'• r � '-: 9 61 (o I - Ir - UNDERWRITERS TI CER FICATE Drawn By: REQUIRED� JT N. o� Checked By: f2R _2� 2K8RR 1 G _ _._ OCCUPANCY OR T= USE IS UNLAWFUL Date: 1-2-1 1 /JR,' WITHOUT CERTIFICATE Scale: - N OF OCCUPANCY A N0TE ;l e T ti Sheet Title: 2 APPROVED AS NOTED FLOOR DATE. 8,P,r PLANS & E 1_ 11;` �1� mf g t� FEE: St. ELEVATIONS NOTIFY BUILDING DEPARTMENT R - �, �- d• o3 ♦ 0 ' h �o 795-1902 9 AM TO 4 P111 fOR TIEN FOLLOWING INSPECTIONM r T+ , 2rlo O 1 FOUNDATION • TING REQUIRED Z - - \� FOR POURED CONCRETE 2. ROUGH - FRAMING & NtrtwNEININ - - - --- -- —4- 3. INSULATION Sheet No: „ ,0„ 3 �I 441 FINAL - CONSTRUCTION MUST 3•� 5 EC�Wat- L_- -_ COMPLETE FOR C.O. T y'-(o" Z-(p" ALLL CONSTRUCTION SHALL MEET 4-- THE REQUIREMENTS OF THE N.Y. PARTIAL SOUTHWEST ELEVATION' PARTIAL BASEMENT PLAN PART PpJAL STATE CONSTRUCTION V ENERGY ---- � - -3�. -- --*- -- -- -- — CODES. NOT RESPONSIBLE FOR _ IAL' FIRST FLOOR PLAN DESIGN OR CONSTRUCTION ERRORS SCALE : 114" = 1'- 0" SCALE : 114" = 1'- 0" SCALE : 1 Z' = 1% 0" ���� � �' sur