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HomeMy WebLinkAbout25577-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26753 Date: 10/21/99 THIS CERTIFIES that the building ALTERATIONS Location of Property: 355 CEDAR DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 7 Lot 42 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 11, 1999 pursuant to which Building Permit No. 25577-Z dated MARCH 3, 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 ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARILYNN SCHADE & JOSEPH W. STEWART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N 503278 10/07/99 99 PECONIC PLUMBING & HEAT. Building ~ 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. 25577 Z Date MARCH 31 1999 Permission is hereby granted to: MARILYNN SCHADE STEWART 36 COLUMBIA PLACE MT VERNON~NY 10552 for : CONSTRUCTION OF AN ADDITION & ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 355 CEDAR DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0007 Lot No. 042 pursuant to application dated FEBRUARY 11 1999 and approved by the Building Inspector. Fee $ 509.80 Au~horiz~d .~ignature Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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 ail 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 the~e_j~o~z-rt~m~__writing to the applicant. C.. ~li[~Cgrtificate ~_~f O~ncy- New dwelling $25.00, Additions to dwelling $25.00, I 'Altc~ctio~s~d~ib'~ng $25.00, Swimming pool $25.00, Accessory building $25.00, I Add~t%n-s t~¥cce~so~ building $25.00. Businesses $50.00. 2. Certificag~-~L~cupaDcy on Pre-existinl Buildin~ - $i00.00 3. C~ df ds~,~{{~i~_~Z~ Occupancy - ~ .25~. 4. UpJg~e~C~r~'~f{~te of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Con~nercial $15.00 .. · House No. Street Hadet ........ ............................. ,,_ .. Onwer or Ome[s of Property ...... ~. ~ ~ ~ar~ County T~ Map No 1000, Section.../~.~ ...... Block .... ]{... ........ Lot .... .~ ..... '.' .... Subdivision Filed Map Lot ........... Permit No..~f~..~..~.~.Date Of Permit. ~/~/.~. ~. ..... mpplicant.~O. ~.~.~i: ~..~. · .~-~.. Health Dept Approval ..... Planning Board Approval . . Underwriters Approval . · Request for: Temporary Certificate Final Certicate .... Fee~/_l~su~mitted :~ ~$ ........................ ~' ~ . .~..~.~¢~ ~ ~~- Town Hall, 53095 Main Road P, O, Box 1179 Southold, New Yofl~ 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit NO. c~u59P ~ Owner: U~',o~ ~, ,Bo~,l~ ~'~ (please prin~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( P lu~be~s S i gnat, ire ) Sworn to before me this .otary Public, , ~9 ?? County ~DA~TION (,lsd),, NDATION ( FRAME & .PLUMBI.NG' SULATION PER N. Y. STATE ENERGY CODE TS: S A M U E --~ May 25, 1999 John Boufis, Building Inspector Southold Town Hall Main Road Southold, NY 11971 Rez PERMIT #25577 Z STEWART RESIDENCE Dear John, Please revise the current permit as per the enclosed drawings. The second floor is shown altered to meet the requirements of the Code, as per your inspection and our subsequent conversations. Please call with any questions. Thomas C. Samuels ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (5! 6) 734-6405 FAX (5 ? 6) 734~6407 FEB. 9.1999 l:52PM SAMUEL~ STEELM~N ARC 014 PO~ HO. 004~ ' P. 2/~; ~o LETTER OF AUTHORIZATION Joseph and Marilyn,Stewart 36 Columbia Place Mount Vernon, NY 10552 Tel #212 26t 4043 February 4, 1999 We hereby authorize Thomas C. Samuels of SAMUELS & 8TEELMAN ARCHITECTS to act as our agent in obtaining all permits required by SOUTHOLD TOWN for the renovatien of our residence at 255 Cedar Drive, Southold, NY. · Mafil~yn S~art await Date 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO/~3H PLBG. [[ ]]~OR~NMiDNAGTION 2ND i ~FiNAU7TM [ ] FIREPLA~CE ~,~~MNc~. ~_-~ ,-~o~,~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU/GHPLBG. [ ] FOUNDATION 2ND ~ INSULATION [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY INSPECT~ 765-Z.802 BUILDING DEPT. INSPECTION [ ] FOUNDATI~tST~f'~~ [ ] ROUGH PLBG. [ ]/~ ~qDA'TION 2ND [ ] INSULATION [ ~"FRAMING [ ] FINAL [RE]MFIREPLAC~CHIMNEY / DATE ~~~~~ ~:~~~~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROUGH PLBG. [ ] FO~..UNDATION 2ND [ ] INSULATION [/."]'FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]INSULATION /~,~FINAL [ ] FIREPLACE & CHIMNEY REMARKS~/~~ ~._.~ ~ ~ DATE ~/~ff INSPE~ THE NEW YORK BOARD OF FIRE,UNDERWRITERS z ~ 40 FULTON STREET~ NEW YORK NY 10038 Date OCTOBER 07,1999 A lication No on file 18396899/99. N 503278 THIS CERTIFIES THAT ' ~ ~ only the elect~cal equ~ment as described be~w and introduced by the applicant n~ed on th~ above. ~pplicaHon number is in the premises of JOSEPH S~EW~, 255 CED~ DRIP, SOUTHO~, ~ ~ "~/ in the following locaaon; ~ Basement ~ 1st Fl. ~ 2,d Fl. G~/6U~ ~ Section Block ~t w~ examined on 8EPT~ER 3~, 1999 and found to be in compl~nce wiih the NaHonal Elec~ical Code.. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES OUTLETS FLUORESCENT OTHER 31 43 3 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: WELL PUMP PADDLE G.F.C.I:-$ SHOKE DETECTOR: -6 PER ~ NO, OF NEUTRALS OF NEUTRAL 1 2/0 · G & S CONTRACTOR LIC.#578 E ~- SOUTHOLD, NY, 11971 ~ ~ GENERAL MANAGER .~ This certificate must not be altered In any manner; return to the o ce of the Board ,i co ec. spe o s'~ay be 'de t'f'od y o'r c eden 'a s. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MOSy NOT BE ALiERED N ANY MANNER. FORH It{). I T(FdN OF SOUTIIOLD IIU I IAIIHG DEPAWI'HENT · tomb IIALI. SOUI'IIOI.I), ff.Y. 11971 TEL: 765-1802 HAIL TO: .................... 1 NSTRUCT 10NS a. 'lids applleatic~ amt be ca~letely filled ia by typewriter or in ink taxi m~l~nltt~ to the Ikdlding lnsleetor will 3 mrs oF plans, accurate plot plml to ~ale. b. Plot plan ~i~ l~ati~ o~ lot ~1 struts or areas, m~l givi~l a (~tailal {~rlpt i~l o~ laym;t of I>ro~rty ~alat Im dram ~ the dla~ ddch is l~rt of this alaA icat i¢m. 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