Loading...
HomeMy WebLinkAbout25729-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICAT~ OF OCCUPANCY No: Z-26495 Date: 06/07/99 THIS CERTIFIES that the building ALTERATION Location of Property: 360 JASMINE LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 1 Lot 6.10 Subdivision Filed Map No. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30, 1999 pursuant to which Building permit No. 25729-Z dated MAY 14~ 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 INTERIOR ALTERATION (FINISHING 2ND FLOOR-4 BEDROOM MAXIMUM) TO EXISTING ONE FAMILY DWELLING 'AS BUILT' AS APPLIED FOR. The certificate is issued to MICHAEL & ROSE ANASAGASTI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-063693 04/01/99 05/25/99 MICHAEL ANASAGASTI ilding Inspect~ 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. 25729 Z Date MAY 14~ 1999 Permission is hereby granted to: MICHAEL ANASAGASTI PO BOX 414 SOUTHOLD~NY 11971 for : INTERIOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR (FINISHING 2ND FLOOR) "AS BUILT"~ 4 BEDROOM MAXIMUM. at premises located at 360 County Tax Map No. 473889 Section 070 pursuant to application dated MARCH Building Inspector. JASMINE LA SOUTHOLD Block 0001 Lot No. 006.010 30 1999 and approved by the Fee $ 75.00 Authorize~S'ignatu~e ORIGINAL Rev. 2/19/98 .: . TOWN OF S00~H0~ ~ ~ BUILDING DEPARTMENT 54i~ TO~ ~L /~~ ,. 765-1802 ~ .. ~,~~ ~PLICATION ~R CERTIFICATE OF OCC~CY A. Th~E~on must be filled in by t~ewriter OR ink and submitted to the build: ~spector with the following: for new building or new use: i. Final su~ey of .property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2.Final Approval from He~th Dept. of water supply and sewerage-disposal(S-9 fo%u 3.Approval of electrical ~stalla[ion fr~ Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contaim less than 2/10 of 1% lead. 5. C~ercial building, ~dustriai build~g, multiple residences and s~ilar bull, and installations, a certifi~te of Code Compliance from architect or engineer responsible for the building. 6.Submit Plannit Board ~prov~ of completed site plan requir~ents. For existing bu. ildlngs (prior to April 9, 1957) non-conforming uses, or buildings '-'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 stg~ed by the appltc~ If a Certificate of Occupancy is denied, the Building Inspector shall state th= reasons therefor in writing to the applicant. C. Fees ~ 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling~ Alterations to dwelling $25.00, Sw~ming pool $25.00, Accessory building $25f0( Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 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...... ........................ . .. ... New Construction ........... Old Or Pre-existing Building .... .~. ........... Location of Property..~.~.9 .............. .~.~..~..~.~.~.~. House No. Street Hamlet Onwer or Owners of Property .................................. county T= 1000, section....V. -- ...... - ......... Lot .... ...... Subdivision ............................ .... . ... Filed Map ............ Lot ................. Permit ................ uate Of Permit..~.~L~..~ !?..Applicant..~(~.~ .d-'~-~.~-~; Health Dept. Approval .......................... Under~iters kpproval...~ ............. Fee Submitted: Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate...~ ..... c0- o% THE NEW YORK BOARD OF FIRE UNDERWRITERS ...... ~- BUREAU OF ELECTRICITY ~ 40 FULTON NEW NY 10038 STREET, YORK, Date APRIL G1,1999 Application No. on file 179125?9/99 H M63693 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premlses of HICHAEL AM/LSAGP~TI, 360 JAS}*LTN~ L~aNE, SOUTEOLD, NY in the following location; [] Basement [] ;st FL [] 2nd Fl. Section Block Lot was examined on ~*'~.g~CH 25,1999 and found To be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKIN~ DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORESCENT OTHER DRYERS D~MMERS SYSTEMS NO, OF FEET OTHER APPARATUS: PbDDLE Fb_NS -P - 2 G.F.C.I:-2 $HOKE DETECTOR: -4 S E R V I C NO. OF HI-LEG O, OF OF NEUTRAL HICHAEL A~ffi. S ..... T_ JASMINE LANE SOUTHOI~ NY, 11971 FEE PAID AMOUNT PLEASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE NEW YORK ROARD OF FIRE UNDERWRITERS AS CASH SENT BY MA~L WILL BE AT RISK OF SENDER, Per. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CER~ I ~ I CATION Building Permit No. ~b7~ Owner: ./~lCJ~/ ~~% (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. umbers Slgnature ~ Sworn to before me this ~ ~- day of Nota Publl , County 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ,......--- INSPECT~ PROVIDE OPENINGS FOR EME ,RI~EN~ESCAPE AS REqU ,I;j~Z)_ IAi,PART. 714 OF STATE BUILDING CODE. ~- t I .: ...,t __..,1' PRO~OE ANTi'SCALD AND/OR THEWMAL SH,~CK PREVENTING DEVICES AS TO PART. 902.$(K) N.Y. tl,"ATE BUILDING CODE. PRO IDES KE. DETECTING / ALARMDEVICES ~AS TO PiA.. 72u '~ N.Y.$ 8UlkDING CODE. c.I. os~T PLUMBER CERTIFICAT/OI~ ON LEAD CONTENT B~FOR ~ ~.CERTIFICATE OF OCCUPAN, SOLDER USED ~IV WATER SUPP!_Y SYSTEM CAN EXCEED 2/10 of 1% LEAD~I OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS ' FEE: 'w'7.~" ~') B~ ~ BUILDING DE! 765-1802 g AM TO 4; 1- FOUNDATION - TV , _ r-Dp I~OU~D CONe 'L ..... '" "~"llOI[~H ~ PLUMBii~.t~Ec..... o ~, ALL Pt.UMBING WASTE · It, WATER LINES NEED TESTING BEPORE COVERING /5 If copper tubing is used for water distributing ,^ ~ystem; piping shall be rv oftypes K or L only UNDERWRITERS CERTIFICATE REQUIRED 4. FINAL - CONS.rRUCTION M, S~ BEC'"OfffIP'cEI~ FOR ]~.0. ALL CONSTRUCTION SHALL MF ET THE REQUIREMENTS OF THE N Y STATE CONSTRUCTION & ENERCY CODES. NOT RESPONSIBLE ~oP DESIGN OR CONSTRUCTIOh EPROHS UNDERWRITERS CERTIFICATE REQUIRED REQUIRED RTE I-'LUMB!NG 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/NSULATION / [ ] FRAMING /~ [~ FINAL [ ] FIREPLACE & CHIMNEY REMARK-~: ~ DATE INSP ~E~ [ELD ]INSPECTION REPORT DAlE COI~IENTS OUNDATION (~ST) ~ 0UNDATION (2~D) OUGH FRAHE & PLUH~ING .NSULATION PER N. STA~E ENERGY CODE ADI)I~IONAL C~S: ~OBH NO. ! TORN OF SOUTHOLD BUILDING DEPAR'I'HENT SOUTHOLD, li.Y. ! 197 i TEL: 765-1802 3 SETS OF PLANS ............... SURVEY ....................... . CBECK SETTIC FOBH NOTIFY: c, L MAIL TO: .................. Data...~..: .......... ,I ... a. This aRplicatim ut be *~pletely filled in by typewriter or in ink and ~,~.tted to the Building Inspecto, ' ~ete of plmm, accurate plot plan to scale. Fee accordir~ to schedale. b. Flor plan ~ l~ca~ion of lot and of buil&i~ eo ~.~ises, relationship to adjoining premises or public a~reets or a~ese, aod 8tvi~J~ a detailed descrip~ioa of la~r~r of property mint be d~,~a oa the dingra~ ~hich is part, this appllcatie~. c. ~e ~ covezed by this applicatiee my ~ot be cc~e~ced before issu~ce of Building eez~:. d. ~ ~e~c, ml of thia a~licatiee, tie Building hu~ector ~11 issue a B~lding Pe~mlt to the applic~n/. ~k pemit shall be lmpt ee the ~dsea available for i~spectio~ thrc~&heut the ~rk. e. No Imildi~s ~lmll be occupied or used in ~hole or ia ~ for any l~pose dmtever u~til a Certificate of APPLICAT[I~i 1~ I~sux ~ to the l~ilding Depa~l~e~t for the isana~ce of a l~ildi~& Pemlt gorsuant to the Building Zcme O~dt~e of the Tam of Southold, Suffolk Cou~, ~ York, and other applicable L~m, Ordi~ces or il~ulatioos, for the c~n~ructi~ of Mldinga, ~itiona or alterscions, or for ~ or ~litica~, as herein described. The applicant agveea to ~.ly vith all applicable la~s, ordinances, l~ilding code, housing code, and .... (I~aili~ of appllc~t) State ii, ether applicant is mr,, lessee, agent, architect, engineer, ~ral contractor, electricim~, plmber or bui If applicant is a corpar~io?~ s~atore of duly auli~rired officer. ~ [~.[NN(] D~PARI~iENT AT lJ ! t AM TO 4 PM FOR THE ~ IIOU~IJ o ~ & IqJJMBING Builders Licanse No ........................... 4. ~INAL - CONSVRUCTION MUST ?l~bers L~ No .......................... ~E COMPL~Je FOR C.O. ElecL~ricians L~e No. ALL CONSTRUCTION SHALL ME~, ..................... THE RECIUJREMENTS OF THE N.Y. Other Tracle~a License No ..................... STATE CONSTRUCTION & ENERGY . . -o t oIJ RESPONSIBLE FOR ~ ~r 3. Itature o[ ~ork (check ~.tdctl applicable): ~ Building .......... klditic~ ......... Alteracioo .......... l~epair ............ V~val ............. Demolition ............ Other l~ork '. ~..'Y.~.~. ~ .... .~. i~..4'.TuR !..~.~... ~ 0)escript Jun) ... ..... .............................................. (to be paid tm filing this application) 5. If duelling, ntnber of d~elling units ............ N~ber of a~elling units ca each floor ................ If. garage, ntzaber of. Cars ...................................... 6. If business, c~...ercial or mixed occupancy, specify nature and extent ot: each type of. use ...................... 7. Dimensions of. existing structures, if any: Frout ................ Rear ............... Depth ................. Ilelgh~ ......................... Nt~ber o~ Stories ............... .. . .. Dir~nslons of same stnicttwe ~tth alteraticms or additions: Frout ............... Rear ............... Depth .................... Height .................. .. Number of. ~tories ........ . ...... 8. Dimensions of entire ne~construction:' Froot ............. ........ Rear ........... Depth ............. Height .................... . ... . Number of. ~orica. ......... . ........ .. 9. Size of. lot: Frout .................... Rear ................. Depth ....... I0. Da~e of. Pcwctmsa...............·..... Nme of Foorer Ouner ..................................... . . .. II. Z~e or une district in ~ich pmaines are situated .................................................. 12. Does piovoned c~ustruc~ioa viol. ate any zoning la~, ordinance or rngulatian: ........................ 13. I4111 lot be regrnded ..................... I~ill ~a~ss f.ill be remo~d from p,,~fia?s:,. YES bio ~ of. Architect ....... gAdress .................... Ph0~ No ............ ~ of Contractor .................................... /kldress ............................... Fnone No ............ 15. Is this pmpert~ wi~in 300 feet of. a tidal ~etland? t 1~5 .......... hi) .......... PLOT DIAGRAI4 I~cate clearly and distinctly all buildings, daether existing or proposed, and indicate all net-back dii~nsioo, s frc~ v, operty lines. Give street mad blook oo~ber or description eneording to deed, and sho~ street nares ~nd indicate dnether interior or Carnet lot. duly sworn, deposes and says tim~ be is the applicant ,9~rn to before me this ...... cX .... (Cootraetor, agent, oorporate offiCar, etc.) of said e~mer or owners, and is duly authorized to perform or have parf~nred tim said ~ork and to make a~d file this applicatlun; that all statements contained in this application are true to the best of his koo~ledge and b~liefl end timt the work will be performed in tim maoner net forth in the application filed there~th.