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Home My WebLink About25812-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27036 Date: 04/13/00 THIS CERTIFIES that the building ADDITION Location of Property: 9715 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET} (HA~LET) County Tax Map Ho. 473889 Section 88 Block 3 Lot 22.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28~ 1999 pursuant to which Building Permit No. 25812-Z dated JUNE 21f 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 ONE STORY ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS F STORM & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N 510949 12/27/99 N/A A'ut'h~r iz~ure 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. 25812 Z Date JUNE 21~ 1999 Permission is hereby granted to: THOMAS F & WF STORM 9715 MAIN BAYVIEW RD $OUTHOLD~NY 11971 for : CONSTRUCTION OF A 16'X 22' ONE STORY ADDITION AND 10'X 16' DECK ADDITION AS APPLIED FOR. at premises located at 9715 County Tax Map No. 473889 Section 088 pursuant to application dated APRIL Building Inspector. MAIN BAYVIEW RD SOUTHOLD Block 0003 Lot No. 022.003 28 1999 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 ~ '~orm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 AP'PLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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 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. Bo 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 ~ccupancy on Pre-existing Buildin~ - $100.00 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-ex.._Ssting Build~ng ................. Location of Property ...... .~.~.....~..~.~T'....~.~ ..~... ..................................... House No. Street Hamlet Onwer or Owners of Property ....... ~ .... ~ ....................................... County Tax Map No 1000, Section .... .~.~.. .... Block ..... .~ ......... Lot~.~..K~ .............. Subdivision .................................... Filed Map ............ Lot ..................... Permit No ..... ~.~.~..Date Of Permit ................ Applicant ............................ HeRlth Dept. Approval. ................ . ........ Underwriters Approval ........................ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ..... .~ .... Fee Submitted: $ .......... ~.~...~? ............ ./~F~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 11B5077 BUREAU OF ELECTRICITY r 40 FULTON STREET, NEW YORK, NY 10038 DEC~.fB~.R 27,1999 18765199/99 N 510949 THIS CERTIFIES THAT only the electrical equipment as descriged below and introduced by the applicattt named: on the above application number is in the premises of TOH STORH, 9715 ILAIN BAYVIEW ROAD, SOUTHOLD, NY in the following locate'on; [] Basement ~ 1st FL [] 2nd Fl. OUT Section Block Lot DEC~ER 17,1999 was examined on and found to be in compliance with the Natfonal Electrical Code. FIXTURE [RECEPTACLES SWITCHES INC~NDES OUTLETS 7 15 ~ FIXTURES I RANGES COOKING DECKS OVENS DISH WASHERS FANS 1.2 E~X~.,.AUS, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT, TIMECLOCKS B~LL IUNIT HEATERSUNIT HEATERS / SERVICE DISCONNECT NO. OF S R V I C METER G.F.C.I:-3 MULTI 'OUTLET SYSTEMS NO, OF FEET ROSLAK ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 DIMMERS OF NEUTRAL Per ilGENERAL MANAGER This cefflflcate must not be altered in any manner; return to the office of the Board if Incorrect. Inspectors may be Idenltfied by their credentials. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765~1823 Telephone (516) 765-1802 March 29, 2000 Doug McGahon P.O. Box 602 Cutchogue, NY 11935 RE: Storm, 9715 Main Bayview Rd., Southold. 1000-88-3~.3.-. 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) No Underwriters Certificate on file. 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 ~ 25812-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST[] ROUGH PLBG. AT'°" F,R':P'.AC,~ ~ ~,.'=¥ ~, REM~I~KS ~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] /~)UNDATION 1ST [ [ L/'./]/ FOUNDATION 2ND [ ] ROUGH PLBG. ] INSULATION []FRAMING []FINAL [ ] FIREPI~AC~ CHIMNEY DATE INSPECT~ 765-1802 BUILDING DEPT. INSPECTION FOUNnATION 1ST [ ] RO~I,I PLBG. FOUNDATION 2ND [ / ]~ULATION FRAMIIMG [/.,/] FINAL ] FIREPLAC~E~.~ CHIMN~EY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ].~UGH PLBG. i i ~ORAUMNiDNAGTION 2ND [~] IFNiNSAU~ATION [ ] FIREPLA~I~ CHIMNEY ~ ARKS: ~ 765-~.802 BUILDING DEPT. ,/INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. iNSPECTION [ ] FOUNDATION 1ST [ ] ROUG~LBG. / [ ] FOUNDATION2ND [ ] INS/ULATION [ ] FRAMING [~q'NAL ] FIREPii. A~,I~ &,CHIMNEY REMARKS:~ ~ BAT~ ~0~IDAT ION ( )~ CC~qENTS ~0~IDAT ION ( 2RD ) FRAME & PLUMBING INSULATION PER N. Y. STATE ElqERG'f '~ CODE # ~ ADDITIONAL COI~tENTS: FORN NO. I TOWN OF SOUTIIOLD BUILDING DEPARTNENT TOWN HALl. SOUTHOLD, N.Y. 1197! TEl,: 765-1802 BOARD OF HEALTH ............... 3.SETS OF PLANS ......... ...... SURVgY ........................ CHECK ......................... SEPTIC ,FORN ................... '¢~ "8 t,~9 :i~ ! APPLICATION FOR BUILDING PEP, HIT ~L;L n ~ , ~,---"~ "Date...~;~..~ .... , 19~.~ ~ ' ~5','~,,~F S~ INSTRUCTIONS a. ~i~ a~li~i~ ~t~ ~ ~letely fill~ in by ~i~er or 3 ~ts of pl~, ~aCe plot pl~ to ~le. F~ ~i~ to ~le. b. Plo: plm ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, ~laCi~ip ~o ~joini~ p~i~s or ~lic s~ts or are~, ~ givi~ a ~Cail~ ~ripCi~ of 1~ of p~r~y ~C ~ dr~ ~ ~e di~ d~id~ is ~rE c ~his a~li~ci~. c. ~ ~ ~ ~ ~is a~licaEi~ ~ mC ~ ~ ~[ore isle o~ ~iidi~ Pemi[. ~mi: ~mll ~ ~pt ~ ~ ~i~s ~il~le for in~i~ rh~t ~e ~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for ~ IS l~sY ~ ~o t~ ~ildi~ ~r~n: for ~e is~ [~ildi~ ~ ~i~ of ~ Tc~ of ~ld, ~[folk ~, ~ Yo~, ~ o~r a~li~le ~s, ~di~es or ~ari~, f~ tt~ ~ti~ of ~ildi~, ~ici~ or alEeraEi~s, or for ~a[ or ~llti~, ~ ~in ~ri~. ~ a~li~C ~s to ~ly ~ all a~li~ble 1~, o~i~es, ~i~, ~ing ~e, r~HaCi~, ~ ~o ~C ~ri~ i~c~s ~ ~i~s ~ in ~ildi~ for ~~s. (Mailing address of applicant) State ~/~l~r applicant is oaner, lessee, agent, architect, eagineer,'general contractor, electrician, plmber or Imil (as on the tax roll or latest deed) If applicant is a corporation, signature of duly antt~rized officer. (Nam and title of corporate officer) Plu~bera License No ......... .~...~>~.~'. ........... Electricians License 1~...~L~. ~ Oflmr ~'s Li~ ~ ..................... 1. ~ti~ of 1~ ~ ~i~ ~ ~ ~11 ~ ~ .......... ~.. ~..~.. ~. .................. ......... ........... .......................... l~ ~r St~t ~let (~) 2. State ~isti~ ~ ~ ~ of ~i~s ~ inte~ m ~ ~ of ~ interim: a. F~stim ~ ~ m~ ........... fi~e.¢h2..~3F~...~ ....... ' ....................... b. ~t~ ~ ~ ~ .................. ~[ .............................. r.~...~_ 3. l°x~tnre of ~rk (clmck ~ttich al~licable): ;Ixl~ ~dldi~ .......... ~iti~ ..~ .... Mteration .......... l~ir ............ ~1 ............. ~titi~ ............ 0~Imr ~ ........................... ~ ...... ~ript i a. s~i,=~ ~,t .~.L%:+.~,; ........ ~ .............................................. . (to ~ ~id ~ filing this a~li~ci~) If ~r~e, ~r of ~rs ...................................... 6. If lxmi~ss, ~reial or ~ ~, s~ci~ ~ture ~ ~tent of ead~ t~ of ~ ...................... ~. Dimnsi~s of aisti~ atrium,s, if ~: ~t ................ ~ar ............... ~pth ................. I~i~t ........................ . ~r of Stories ...................... Di~i~ of ~ stature ~ith alterati~ or ~iti~s: ~t ............... ~ar ............... ~pth .................... ~i~t ~tmr of Stories 8. Di~m~i~ of entire ~ ~txti~: ~t .... 22. ....... ~ar ............... ~pth ...I.~. ........ l~i~t ....... .k.5~ ........ ~r of Stories ..................... 9. 5i~ of lot: ~t ...... I~ ........... ~ar .................................... X~ . ~pth 10. ~te of ~rd~a~ ..................... ~ of Fom~r ~r ........................................ I I. ~ or m district in ~i~ ha~i~s a~ si~t~ .............................................................. 12. ~s ~o~ ~t~ti~ vio'lhte any ~i~g 1~, o~i~e or re,latin: ...... ~.~ ............... 13. ~ill lot ~ ~ ...... ~ .......... ~ill ~ss fill ~ r~ ~ of l~it~t .................................... ~resa .............................. H~ ~ ............ ~ oe ~t~tor . .~... ~¢t ~ .......... au~ ~ :~.; .~W...%~..%~.w.n~ ~. ~..~., I$ this p~rty ~thin ~ f~t o[ a rial ztl~ t ~ .......... ~ ..~ ' PLOT DIAG~H I~ate clearly ~ disti~tly all ~ildi~, ~m~mr ~isti~ or pro~, ~ i~i~te all ~t-~ di~asions ~ p~rt~ llms. ¢i~ at~t ~ bl~ ~r or &~ripti~ ~coMi~ to ~, ~ a~ strut ms ~1 iMicate ~mtlmr interior or ~r lot. ...~. .... .~.,a~.~ ..................... I~i~, duly sw~m, delX~SeS and ~ys Lhat he ........ ~.. ~ (~ o~ indlvi~l signing c~tract) ,~ i, ~,,~ ............... ~...Z.~, .................................................... (~tractor, agent, cor~rate officer, etc.) of ~id ~mr or ~rs, a~ is &ly ~tl,ori~ co ~rfo~ or h~ lmrfo~ the ~id ~ ~ to ~ a~ file this a~lleaki~; d~at all stat~nts c~t:ai~ in Ods a~llca~i~ are t~ to d~e ~st o~ h~s k~l~ ~ ~[ie~i and dmt the ~k will ~ ~r[o~ in the ~mr ~c forth in d~e al~li~i~ fil~ gLIFF. CO, H~ALTH DEPT. APPROVAL. SU IfF. CO, DEPT. OF HF..ALTH IIF.,RV1C, i~I ,STAT~n~ ENT o? .,AT OCCUPANCY OR ~ ~pm~ As.~. USE IS UNLAWFUL ~~~;~ WITHOUT CERTtFtC~TE FO~ ~S~IONS: 1 ~D~ON - ~0 REQUIRED F~ f~.J~EO CONCRETE 2. ~ - FRAMING & PLUMBING 3. INIIU~ON 4. FINAL - CONS?RUCTION MuST B~ ~VlPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUInlEMENTS OF THE N.Y. STATE CO~':~qUCTtON & ENERGY CODES. NOT ~[SPONSIBLE FOR DE~ OR CONSTRUCTION ERRORS PRO, VIDE OPENINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. UNDERWRITERS CERTIFICATE REQUIRED PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART. 721.1 N.Y.S BUILDING CODE. BAY CREEK BUILDERS D. W, Mcgahafl P.O. Box 602 CUTCHOGUE, NEW YORK 11935 (5Z6) 734-6270 SHE~TNO. O\ CALCUt~ll~D BY CHECKED tPf BAY CREEK BUILDERS D. W. Mcgahan P.O. Box 602 CUTCHOGUE, NEW YORK 1].935 (516) 734.6270