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Home My WebLink About25573-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26425 Date: 05/06/99 THIS CERTIFIES that the building Location of Property: 16105 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 115 ADDITIONS & ALTERATIONS MATTITUCK (STREET) (HAMLET) Block .1 Lot 8 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 1, 1999 pursuant to which Building Permit No. 25573-Z dated MARCH 2, 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 BATHROOM ADDITION & ALTERATIONS, MASTER BEDROOM ALTERATION 2ND FLOOR & ALTERATION TO FRONT & REAR PORCH TO LIVING SPACE "AS BUILT" AS APPLIED FOR. The certificate is issued to JOHN M . & JANET V. STEWART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H-063404 03/08/99 02/26/99 PERFECTION PLUMBING Rev. 1/81 FORM NO. 3 TOWN OF $OUTHOLD 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. 25573 Z Date MARCH 2~ 1999 Permission is hereby granted to: JOHN M . & JANET V. STEWART PO BOX 521 MATTITUCK~NY 11952 for : BATHROOM ADDITION~ BATHROOM ALTERATIONS~ MASTER BEDROOM ALTERATION 2ND FLOOR & ALTERATION TO FRONT & REAR PORCH TO LIVING SPACE "AS BUILT" at premises located at 16105 County Tax Map No. 473889 Section 115 pursuant to application dated MARCH Building Inspector. MAIN RD MATTITUCK Block 0001 Lot No. 008 1 1999 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo 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) 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, Swim~ing pool $25.00, Accessory building $25.00, ' Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinK Buildinm - $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 ~. ~./. ff ............ New Construction ........... Old Or Pre-existing Building...~. ........... Location of property ........................ House No. Street Hamlet Onwer or O ers of County Tax Map No 1000, Section ......... Block ................ Lot ................ Subdivision .... ......... Filed Map Lot~ ...... of ..... ppli ........... Permit No ................Date Permit ........... cant ..... Health Dept. Approval..........................Underwriters Approval ......................... Planning Board Approval .. y tifi ....... Request for: Temporar Cer cate ...... Final Certicate ......... F,e~ e Submitted: $ ...... ~ .................. ~ ~. ~., /~1~I~'~ ~,~ ~ ~ I% ....... ..... ...................... ROBERT H. WHELAN, P.E. P.O. Box 590 ~' 160 Bungalow Lane, Mattitttck, NY 11952 TelelJhone 516-298-5770 ~ Facsimile 516-298-9585 May 4, 1999 Town of Southold Building Department Main Road Southold, New York 11971 Att: Mr. Gary Fish Re~ Stewart Residence 16105 Main Road Mattituck, New York 11952 Dear Sir: Pursuant to your request, the above referenced residence was inspected on May 4, 1999. The purpose of the inspection was to verify the existence of any insulating materials contained within the enclosed from porch area and to determine the thermal resistance of same. Insulation provided in the exterior walls and ceiling for the referenced area was confirmed and consists of fiberglass batt with a thermal resistance rating of R-19. Insulation for the floor system consists of rigid foam, for a total thermal resistance rating of R-20. It is my professional opinion that the as-built construction provides adequate thermal resistance to the area in question and is in conformance with the general intent of the New York State Energy Conservation Construction Code. Thank you for your time and cooperation on this matter. If there are any questions relative to the above please do not hesitate to call. cc: Mrs. Janet V. Stewart TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No... ~ ~'~7~ (please print ) (please pr~.nt) I certify that the solder used contains less than 2/1,0 of l%'lead. in the water supply system SWOrn to before me this _~_day of }'L"'~ ~ ¢o~ ,-,., ,. rlOtary Public, ~ U0~[ ~ County (plumber' s signaturei" NDA~ION (1st) NDATION (2nd) FRAME & .PLUMBING' SULATION PER N. STATE ENERGY CODE 'FINAL ?S: jif ~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INACTION [ ] FRAMING [ ~] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS "UREAU OF ELEC,R,C,TY ~'-- 40 FULTON STREET, NEW YORK, NY 10038 Dat~ [rL.'~qC}{ OS, 1999 ApPlication No. on file 17779899/99 H 063404 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 J~NET STEW~Wf, 16105 ~'~IN ROAD, HATTITUCK, I~-5' in the fotiowing location; [] Basement [] 1st FI. [] 2nd FI. OUT Section Block was examined on [,II.CH ¢32,1~c39 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES OVENS DISH WASHERS FIXTURE RECEPTACLES SWITCHES OUTLETS DRYERS SYSTEMS NO. OF FEET E R NO OF CC COND PER ffi A. WG OF CC. COND C NO. OFHI-LEG AWG OF HI-LEG NO, OF NEUTRALS OF NEUTRAL ~NO VISU.~L DEFECTS: ".:~ electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. J,~NET STEWART P. O. BOX 521 HAIN RO,%D Per llGENERAL MANAGER~ t.[~T'I'ITUCK, N~, 11952 ' /' ~ This certificate must not be altered In any mannefi return to the office of the Board If Incormck Inspectors may be Identified by their credentlaJs. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. .POIlI~N0. ! TOI, IN OF SOUTBOLD BUILDING DEFAETI'~z:-NT TOUNItALL SOUTHOLD~ N.Y. 11971 TEL: 765-1802 Di~ed a/c ............................ (~ildi~' Inspector~ BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ' ...... SURVEY ........................ SEPTIC FOI~I ................... NOTIFY: CALL..>~. :..X:.¢~ ..... ItAIL TO: .................... APPLICATION FOR BUILDING PI~EItlT Date ...... , · - · INSTRUCTIONS a. This application -,mt be c~pletely filled in by t-ype~riter or in ink and submitted to the ltuilding Inspector wi ] sets of phms, accurate plot plan to scale. Fee eccording to schedule. b. Plot .pla m*x~ring location of lot and of buildings on premises, relation~ip to adjoining premises or public strsets or areas, and giving a deteiled description of layout of propert~ must be dra~n on Lhe die. an whid~ is part of "~his application. , c. The ~rk covered by zhis applicatian my not be cc~eoced before isaneoce of Building Pemit. ~ d. Upa~ alaproval of t~is application, ~ l~ailding Inspector will issee a Dailding Pe~oit to the applicant. Such pamit ~tmll be kept an t~e premises available for inspection threngheut the ~ork. e. No building shall be occupied or used in Oanle or in part for any purpose sffnatever tmtil a Certificate of Occupancy aball have been granted by ~ Building hurpactor. , t /~PLICATI/It IS l~te~ ~ ~o the lhilding IIepa.~t for the ism of a lhilding Permit pursuant to the lkfilding Zane Ordln~nce of ~he To~n of Southold, Suffolk Carney, ~ Yo~k. and other applicable La~s, Ordir~a~ces'or l~ulatio~, for the constmctian of beildings, additioas or iterations, or for ~=~al or ~nlitice. as herein described. ~be appli~mt agrees to coapl~ vith all applicable l~s, ordinm~-as, building code, honsi~g code, and regulations, and ~o achlt authorized inspectors b~ pre.leas and in building for necessary ,inspoction~ I! oopp~r tubing is used .......... · .......... : .... for water distributing (Si~mre of applicant, or na~, ~ a corporatice) ~ UNDERWRITERS CERTIFICATE system; piping shall be R~ B)iff ~ / /~42~/~(~ --/~.<~/- ' REQUIREO of types K or L onl~L ................................................ ~" (t4ailing address of appllcant) UNDERWRITERS CERTIFICATE Stere ~r ~li~t i~ ~'m, ~e.see, t[~llPjRt~t~im:t, engim~r,'g~eral ~o~mctor, el~trieian, pl~i~er or b~ilde, ............ ~.~ .~..~..A. ........................................................................................... ~ z: .~..E~f~...~ ..... ..~..~ ................. ~ of o.ner of premises ......... .)~.~. .... ' .......... (as on the tax re11 or latest deed) ~ If applicant is a corporation, si~natore of duly antberized officer. USE IS UNLAWFUL , ~,~lde~..~ ~:...,,:.W ITHeUT'OERTI Fi CATE ' OF O~,~P/~NCY Ph~bers ~ ~ .... m~c~~ U~.~. , ........... ~ ...... ~ ~'~ ~ ~ ..................... "' APPIt0¥ED AS NOTED BY:' NOTIFY BUILDING t I~UII~ATION - TWO REQUIRED ~. ~ o ~ & PLUMBING 4. FINAL - CONS'rR~TION MUST lie COMPLETE,FOR C,O. I. ideation 'of laed on ~ffaich propased vo~ will be ~ ....................... ~ e THE REQUIREMENTS OF THE N.Y. .......... ,.... ..................- ................................................ ~E .CQN~T~UCT~ .&. ~G~... ' COD~T RES~gNSI~k~~ FOR ~ ~ s~t _ ~lb~ ~R~S ~~. ,~ ~i~ ..~.l~,.~ .... s~ .~ ............. ~ · ' Filed ~ I~ ........... h)t ............ Subdivi i ........ State exlatln~ use and occupancy of p~c~ises and inter~ed use ~~t~tl~. .................................... ................ 3. Hature of ~or~ (check ~hidJ al~licable)-' Ne~ ~ildi~ .......... ~lti~ .......... ~era~i~ ..... ~ir ..... ~I 4, Est imt~ ~s ............... ~ ......... f~ .............................................. ~i~ ' ~r of Stories ..................... ' ~p~ ...................... ~ of Four ~r ........................................ 13. ~ill loc ~ ~ ......... , ........... ~ill ~ss fill ~ ' PLOT ~aether interior or comer lot. ~ ~S,O~6t~iI~W~ ' .... ......... :..7.~?lr:~.t,~fl[.tl~i~i~i,l.lr~ ................. being duly sworn, deposes ~ ~s ~t ~ is fl~ a~l.i~t ~ ~,~'~:.~.~o~ ~J~ ~ PLUMBER CERTIFICATION '? ,:, :.: ~ o~~ .~ C ~ ~~ ON LEAD CONTENT BEFORE , m ~(~o~o~ o~a=a~, ~.) CERHFICATE OF OCCUPANCY , ,'~,., , '-'~ ~cuz/tuofl%LEAD.° .................. ~; ............. ~:' "_ '~ 'F// ~t~ ~1~ E~ A · ~,~v ~UBLIC. 8M~ of N~ ~ - - 10'4.1'7 1) O