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HomeMy WebLinkAbout25529-z • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23026 Date JUNE 2, 1994 THIS CERTIFIES that the building STRUCTURES Location of Property 400 SUMMER LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 9 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEE NOTE BELOW pursuant to which Building Permit No. SEE BELOW dated SEE NOTE BELOW 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 FAMILY DWELLING WITH ADDITION & ACCESSORY BUILDINGS The certificate is issued to JOHN S. RAGSDALE & SUSAN NEVERS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R. VILLA— JULY 1969 UNDERWRITERS CERTIFICATE NO.—N-748719 — JULY 30, 1969 PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS CO UPDATES CO Z-7141 DATED JULY 28, 1976 FOR BP # 4244Z — (DWELLING & ACCY BUILDING) BP #48912 — (ACCY BUILDING) — BP #69912 — (anaxxxoa aaocr a,an)_ auiis3l ng xnapaotor Rev. 1/01 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27106 Date: 05/22/00 THIS CERTIFIES that the building ADDITION Location of Property: 400 SUMMER LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 19, 1999 pursuant to which Building Permit No. 25529-Z dated FEBRUARY 9, 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 ROOF ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES Q. & CARA L. HALLOCK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 33933 01/05/00 PLUMBERS CERTIFICATION DATED N/A Authoriz d 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. 25529 Z Date FEBRUARY 9, 1999 Permission is hereby granted to: CHARLES Q HALLOCK MAIN ROAD PECONIC,NY 11958 for CONSTRUCTION OF A ROOF ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 400 SUMMER LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 022 pursuant to application dated JANUARY 19 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT _ [1 ' TOWN HALL 765-1802 ��� SLr✓1 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. For existing buildings (prior to April 9, 1957) nou-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 ed-b -xhe anulicant5 If a Certificate of Occupancy is denied, the Building Inspc r(sHdl sa h reasons therefor in writing to the applicant. ( P.'_." n Fees Li i 2 1. Certificate of Occupancy - New dwelling $25.00, Additions o dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Acc sort' iiiuiig $25 �0, Additions to accessory building $25.00. Businesses $50. T ''.i9sorSrii7;;0(.0 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - _ .?5r*. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . ... . .. . . . . . .. . . . . . . . . . . . . . . . . . :v Construction. . . Old Or Pre-existing Building.. - ,y� ... .��yy.... .. . .. .. . . .. . . J wcation of Property.. . Qn... . . ..... .....Sasmtl1P . cY?�. . . . .. . . . �nOl�.. .. . . . . . . House No. Street Hamlet Iver or owners of Property.Y.ha�le5 , ,?„ Coca F{qG . .. . . . . . . . . +unty Tax Map No 1000, Section. . . . . . . . .. ...Block. . . .G . . .. . .i.�. .. .Lot. . AZ 4 . . . . . . . . . . . . . . . ibdivision. . �@�Is^^idge 7G�rac % . . . . . . . . . . . . .. . . .Filed Map. . 20:37. ./. ..L�o�t(. 2�,3 . . . . .. . . .I. . ... . . . . . . ermit No. . G� .4 J. Date Of Permit. F . .%i��� -Applicant. .Vi ` `.22qq• • • �l�I7 `� :alth Dept. Approval. . . . • . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. 3- . l 3 . . . . . . . . . . . . . . . .anning Board Approval. . . .. . . . 4 . . . . . . .. . . . . . . . :quest for: Temporary Certificate. . . . . .. .. . . Final Certicate. . . . . • • ee Submitted: . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT CD 'COpFFO(/rCOGy Town Hall,53095 Main Road p Fax(516)765-1823 P.O.Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 Oy • �� BUILDING DEPARTMENT TOWN OF SOUTHOLD May 23, 2000 Mr. & Mrs . Charles Hallock P.O. Box 462 Peconic, NY 11958 RE: 400 Summer Lane, Southold. 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25529-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ELECTRICAL INSPECTION SERVICE INC. 375DUNTONAVENUE ': - EAST PATCHOGUE NEW YORK]]772 (516)286-6642 33933 DATE: 115100 - APPLICATIONNo.ONFILE VILLAGE: Southold - TOFF " Southold ADDRESS: 400Summer I ane ISSUED TO' Charles Hallock INTRODICEDBP EECOEIecirtCGOYp was examined on . 1-5-00 and found to be in compliance with the National Electrical Code LOCATION: Base.. 'Isl 2nd 3rd Attic Det.Garage Hot,Tub Pool. SWITCHES RECEPTACLES - FIXTURES I HEATERS1 FANS G.F.I. - "AIR.COND. ' DISHWASHER DRYER CLOTHES WASH GAR.DISP. RANGE OVEN SMOKE DETECTOR " FURNACE OIL GAS CIR. MOTORS BELL TRAM SERVICE DISCONNECT - METER AMPS PHASE ' 1 100 OH OTHER EQUIPMENT Outside Only i ------- - -- . - - ----- OGOS SURDI - PRESIDENT BUILDING PERMIT NO. This certificate must not be altered jn any ma ner Inspectors maybe identified by their credentials BLUE ORIGINAL: YELLOW COPY PINK COPY OFFICE. . M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG LBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING j FINAL [ ] FIREPLACES CHIMNEY RE RKS: � Y DATE ..SPEC M-1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [" FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: G DATE INSPECTOR FLBLD INSPECTION REPORT _ DATE COMMENTS xxasssaasxscccacsssssasss ssascacssscscssscscs=s==ccccscscss=sssccs=sssaccccsc==sacsccs=aa v If N H (�J FOUNDATION OST) N i b FOUNDATION (2ND) n � N O ROUGH FRAME & u PLUMBING n u u ssarcs=aaaaaaaaaaMsaaaaal��rasas-I-��ss- --- --a-----ss--aeeaa:smaa aasaaaaasa If CAI INSULATION PER N. Y. u a STATE ENERGY p if CODE u if U a -csaccssassaxaxaaaasse'� a ps--^- a-----as==�aaaa--aaaaaasaasaaaasacs FINAL Baa:aaasaaa�ax�----aataasasa--�----masa �- a----axaa� xaa==x�s O �� _ Q ADDITIONAL CONMENTS: saaasaaaaa--aassasssscsssssssassax --scsa a=aaaaassee�rac=aassssasasmaxaavcr-�aasaa � V 0 x Z as b H u.l 11U. wr✓tn n�v U TOWN OF SOUTHOLD SURVEY . . . . .. . . . . . . .. . . . . . . . . . . BUILDING DEPARTMENT CHECK Qd.3. . . . . . . . . . . . . . . . . RCi �C 9 ' IJ TOWN HALL SEPTIC FORM . . . . . . . . . . ... . .. . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: BLDGDEPT. 7 NN F SnLSTI IOLD CALL Surnm2l . ..U). . . . . Exmined.....?.9 ......, 19p MIL TO.: *n-1P,5 __ . . . . Approved. ... q00 ..:. ...... 19.00.? Permit No. ..... ................. . Disapproved a/c �cuold<.. y...1�.9.�1...... .................................. .... (Building Inspector) PLICATION FOR BUILDING PERMIT ..Date_ cJ1Ucti V. . . . . . . . . 19.M INSTRUCTIONS a. This 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 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 application. 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 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 Ocgnpancy shall have been granted by the Building Inspector. APPLICATION IS HERBY 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, Ordinancesor 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 promises and in building for necessary inspections. / am .............. .... .............................. .... (Signature of applicant, or name, if a corporation) +�v. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Qu 44! ........................................................................................................... Nam of owner of premises ..ulP.iLG.'$..�Y-.�. �CU'0. ..11Q04�............................... .... ................... (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. .......... .. 4...... . Electricians License No. ....... Other Trades License No. ........ ........... 1. Location of land on which proposed work will be done....................................:. . ........................ `IDD............................Sammi! kc!-m............................Svu j0.)c....................... House Number Street p Hamlet County Tax Map No. 1000 Section .... <f......... Block ....../.......... Lot ..a ......... Subdivision ....&XV Ad ... p frj e.............. Filed Map.No. .z,3.1....... Lot .. .......... /(Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: S' le .Fa m �es;o�enc- a. Existing use and occupancy ....!^�... !!r.! /.............I'............................................. b. Intended use and occupancyS in �C Fami� esm CnG �' fd Roo 3. Nature of work (dick which a }icable): New building .......... Addition ......:.': Alterationov �. 1 Repair ............ Ranoval ... I ......... Demolition Other Work X16 lZooF ............ �( u (Description) 4. Estimated Cost .JV 1,0 �o...{........ fee ... .kZ7 r ....................................... (to be paid on filing this application) 5. If dwelling, nutber of dwelling units .... ....... Nudher of dwelling units on each floor ................ Ifgarage. rnmher of cars ..... ................................ 6. If business, commercial or miXO occupancy, specify nature and extent of each type of use...................... 7. IlDimensions same sif any: Front.see,Syfue�.. Rear ............... Depth ................. e ........................tructure 4 Mniher of Stories ....I................. Di th alterations or additions: Front gllh4........ Rear ............... Dimensions of existing structure Depth llergt}C .................... .................... Number of Stories ..�........... 8. Dimensions of entire new const tion: Front .... 5.......... Rear ...1?•,......... Depth 20 ........ h I }eight ... ....................:, Nmnher of Stories 9. Size of lot: Front .m,......I'........ Rear .A0Q............... Depth .10...............1. 10. Date of Purchase ....�-30.q�y. Nae of Former Owner .3�r14.5:Rac�cjdA�e d sq�cfil ./Kgur f 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .N.Q................... 13. Will lot be regraded ....NQ,,,,I,,,,,,,,, Will excess fill be removed from premises: YES N3 14. Names of Owner of premises C u�sQ+ L. lialjq�A Address .4 , Summer it U Phone No. En en Cel' OQ �?....... .. Name of zrafk*ct .Sogg h Fi eheNi /�� ,,,,,,,,,, Address /72S filDb,11.. ..94 "76S-29S) ��__//111, ... ... ........... Phone No. .............. �1Name of Contractor .. ...................... Address ...............................Plhone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YRS .......... No „`. •• TEd *IF YRS, SwIlm TOM MM9 PMffT MW HE MVIRM. PLOT DIAGRAM Locate clearly and distinctly alL buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. fl$ Seg aAed �uouel� Plans rrn1R or raw WW OONIY Or .5 kQlk............ 54 oU�e 5.... .. g� ..........................being duly sworn, deposes and says that he is the applicant Name of individual signing contract') bove named, e is the ...K//�� . C1'n'ca..... (Contractor, agent, col�..................................................................... {porat'e officer., etc.) E-PRid - , and is duly authorized to perform or have performed the said work and to make and file this pplicatioh; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the �acmer set forth in the application filed therewith. worn to before this ......�..... y of Notary PublicJ HELENE 0.HORNE, (Signature of Applicant) Notary Public,State of NeW York doinffCQualifleSul ounCommissionPiea ttyy c' May 22} 19 ,�- TFaf:€ �- `_ _ MAP OF FCOPEZ7 Y suev. N; \ m [ LOT c)I /5/— P AT i W "yes /tCdpe —Yr4t \ 70wN of= _4:u "04 ts,N.Y Home Lor 23 ^' N N j Sca/r. : 40'=>" 2 5l.ed-r-7-9k. t7 r`av+es 6'a. �sf ,``. ^ :* mona,mertf• j N.64'54'30"N! - 109.88 gT l y Are 4:1,96,9 ' � :3'• X Nefe - Lot rru/rtber5 8lrown r<fer fn Guarantees! fv the "Mai of Saysid,& Jrrraca,"filed ty uy,>maeee,can«�a Ch/ca90 Titles (rr_,Up , ( in fYha 5uffafk CounirfG�++ s , os Ca ne off(4etwr2wof*'N"ratsw and fro �quif%j Abstract, /n�*cf.- I a5 A9a� Alo.Z034. awvoyrd Oct. -r x/974� I copies ofMosurveY nano besAnO i � °,, ft holda - ZOOE2tGaC t1AA(TLYI— PC. ,abeam _ �. Vel,J.... -f` f "t aiie„mobQh-Ato" LicanScd Lena' 'rnrad s . W A9Aff r /C OA L> taiecomp ab,,na Afew Yar& terwm as manse PROVIDE SMOKE-DETECTING OCCUPANCY OR Off L� SIE;T z=iz ,- RSDC-r& ALARM DEVICES APPROVED AS NOTED RDFAM d� vENr AS TO PART.721.1 USE IS UNLAWFUL DATE: 2"�-�� B.P.# N.Y.S BUILDING CODE, WITHOUT CERTIFICATE NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY 765-1802 9 AM TO 4 PM FOR THE FrB6RGLASS/ASPHALT .501W&LE OW i FOLLOWING INSPECTIONS: *15 FELT ON '/z" SOPATkIN6 ON i 1. FOUNDATION - TWO REQUIRED 2-10 D Rg" R A F TF RS IUNDERWRITERS CERTIFICATE FOR POURED CONCRETE 4' REQUIRED 2. ROUGH - FRAMIAIG & PLUMBING �2YIo RAFTERS 3. INSULATION >� ®Ito 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. n ALL CONSTRUCTION SHALL MEET RoOF PIrcH y DOUBLE 2- THE REQUIREMENTS OF THE N.Y. in COLLAR 17, STATE CONSTRUCTION & ENERGY. '/StAL '�O'V CODES. NOT RESPONSIBLE FOR" ✓�'.0 © G /! DESIGN OR CONSTRUCTION ERRORS !� Z 2x4 ToP PLATES g Q S:IscyFr��� _ FACIA * _ WlvurrER '° VE-ATILAT6D 0 VZNYL 50FFLT . 0525�� XT-5 1 R E S I lot, 1ZooF PLANS CFFARLES Q + CARR L NALtOGk 400 SUMMER LANG SOUT40MD, Nr 11971 TAX 111}P # loop SEC. 7g BLO4K9 LOT 2Z 3CALE I t ` t F+