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. '
e. ~ Imttdb~ rl~att be momi~l or u~l in Omle or in ~rt for a~ ~ ~mt~er ~ltll a C~rtlflcate of
I~dldln8 7~ ~i~t~e off tl~ ~ o~ ~n~fl~hl, $fffolk Cxam~, ~ Yo~, a~l other a~tlcable l~n, (kdhkames or
l~dati~s, for tl~ cmstrmtim of ~dldi~s, agitlms or alterati~s, or for ~al or ~flttion, as berei,
(Sig~tu~e of a~lieant, or ~me, iff a co~ratlofl)
(~iling ~ress O[ alii icm~t)
StaLe wi}ether applicant l.q_o~r, lessee, age,t, architect, eng~r, get.rat cca~traetor~ electrm~ar, plmt~r or laiihler.
..... : ...... ~L~T ........................................................
~,, or m~ o~ ~ ............... :..~.. :~... ~ F~./ ........................................
(a~ ~ IIm Lax roll er latest
(Nane as~l t~tle oF corporate o[fleer)
Iklilders l,|cense lxb ..........................
l'lt~tx:rs I,icease Re ..........................
Otber 'IY~% l,icenm ~ ..................... ...
I. ' ltx:ati(n} of lat~l {~ ~16h Of(~xm~l ~rk will ~ t~ .......... ;: ....... ' ............................... ~:~'-'; ......
.... ~. ..................... ~&..~ ....................... ~q~.~A~ ................
,~.,,,,,.~..., ~,. m, ~,~, .... :l~ ........ ,,,~ .... .uz ....... ,.~ ...~ ........
').
(lo I~ ~id pn rillng.th
,,
sd~etlmr' ii~teri'or or cor~r lot. ' ..........
IhtaL the ~rk wil[ I~ lerfor,t~l in (lie n~lm~?r ~k I:t)rth h~ the nppllcm:iou fiI~l tlermith.
before n~ Ihi,q
Term Expires: / -~/
(.qil;,nl.t,e o1: ^ppi