HomeMy WebLinkAbout25618-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26338
Date: 03/19/99
THIS CERTIFIES that the building
Location of Property: 660 KING ST
(HOUSE NO.)
County Tax Map No. 473889 Section 26
Subdivision Filed Map No.
ALTERATION
ORIENT
(STREET) (F~%MLET)
Block 2 Lot 36
Lot NO.
conforms eubetantially to the Application for Building Permit heretofore
filed in this office dated MARCH 12~ 1999 pursuant to which
Building Permit No. 25618-Z dated F~RCH 18, 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 ENCLOSE EXISTING GLASS AND SCREEN PORCH INTO LIVING SPACE "AS BUILT"
FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL BOGDEN
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
PENDING 03/03/99
N/A
Build~ng~nspect or
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. 25618 Z Date MARCH 18~ 1999
Permission is hereby granted to:
MICHAEL BOGDEN
PO BOX 233
ORIENT,NY 11957
for :
ENCLOSE AN EXISTING GLASS AND SCREEN PORCH INTO LIVING SPACE~
HEATED AND INSULATED TO CODE "AS BUILT."
at premises located at 660
County Tax Map No. 473889 Section 026
pursuant to application dated MARCH
Building Inspector.
KING ST
Block
12 1999
ORIENT
0002 Lot No. 036
and approved by the
Fee $ 75.00
thorized S~nature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMEI~T
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
Thi's 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 ali 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
Vpre-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. ~~~cu?~c~__~dwellimg $25.00, Additions to dwelling $25.00,
~._Alterations to dwel!i__n_ng $~5.00~,Swimming pool $25.00, Accessory building $25.00,
Additions to accessory ~u~lding $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existinR 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
~Hcr~f.,.~c~n × Date ............ .~..!?~?~ ........... .......
~ooation of Property...CoOO....~.a q...,~.~.¢-.C-:¢ ..... .O~i.¢n.'-'t:- .............
House No. ~J Street Hamlet
Onwer or Owners of Property.. .Q-~-~J.. .... ... .~ ........
County T~ ~ap No 1000, Section ..... .~..Lo....Bloc~ ..... .~ ........ ~ot...~.~. ..............
Health Dept. Approval .......................... Underwriters Approval ........................ .
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate. v'/
Fe~ Submitted: $...~.$T ....................... ~.~.~' ,~ .,~.
R~e~~q~, .............
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGHPLBG.
[ ] FOUNDATION 2ND [
[ ] FRAMING [
] INSULATION
] FINAL
FIREPLACE & CHIMNEY
- INSPECTO~__~
PROFESSIONAL ENGINEER
HOBART ROAD / PO Box 616 SOUTHOLD~ NEWYORK 1197!
51§-765-2954
Building Inspector
Town of Southold
Main Road
Southold, NY 11971
Date:
Reference:
March 10, 1999
600 King Street, Orient
Dear Sir,
I have inspected the rear 12' x 15' addition to the rear of the dwelling located at 600 King
Street, Orient ( SCTM # 26-02-36). The addition as constructed meets the NY State Building
Code & NY State Energy code. The slab as constructed is a floating slab and is free of visible
cracks and has no apparent settlement.
Joseph Fischetti, PE
KING
NB4'48'OO"E
,.59. 69'
581' 17'50"W
61.80'
~NO NOW OR FORMERLY OF
NANCY R. DOU~5S
SOUTH BAY ABSTRACL TITLE NO, S3717
lAWYERS tiTLE INSURANC£ CORP.
HOWARD SCHAFFER
THE CHASE MANHATTAN BANK'
~o~ ~s~, ,,
SURVEY OF
PROPERTY
SITUATE AT
ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNT)';, NEW YORK
SCALE I' ~- JO' FEBRUARY I, 1999
~.C.T.M. DIS'I; I000 $EC. 26 BIX. 02 LO1' 36
~i~i~ ~E~T ~ ~c.~ .........................
TOI~I ItALL SEPTIC FORlt ....
SOUTItOLB, N.Y. 11971
TEL: 765-1802 ~OTIFY:
Disapproved a/c ...........................
OWN OF ~OUT~o[ ~ ; INSTRUC
a. ~is ~liatim ~t ~ ~letely fill~ in ~ ~i~er or in il ~ ~ittM to ~ ~ildi~ I~:or ~
3 ~ts of pl~, ~a~ plot pl~ to ~e. F~ ~i~ to ~le.
b. PloC-pl~ ~ l~tim of lot ~ of ~ildi~ ~ p~s, ~lati~ip to Mjoini~ p~s or ~lic
struts or ~, ~ gi~ a &tail~ &~ip~i~ of l~t of ~ ~t ~ ~ ~ ~ diem ~i~ is ~rt of
:~is ~liatim.
c. ~ ~ ~ ~ ~is a~li~ti~ ~ mt ~ ~ ~bm is~ of ~ildi~ Pe~t.
d. ~ ~ of ~is ~li~ci~, ~ ~ildi~ ~tor ~11 i~ a ~ldi~ ~ to ~ ~li~t.
~ ~1 ~.~p~ ~ ~ ~s ~il~le ~r i~ti~ ~$c ~ ~i.
e. ~ ~ldi~ ~1 ~ ~iM or ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~rtifi~ce of
~ldi~ ~ ~ of ~ ~ of ~ld, ~f~olk ~, ~ Yo~, ~ o~ ~li~le ~, ~i~s' or
~ati~, ~ ~ ~ti~ of ~ildi~, ~i~i~ or ~terati~, or f~ ~ ~ ~liti~, ~ ~in
~ri~. ~ ~limt ~s ~ ~ly da il ~li~le 1~, ~i~s, ~ildi~ ~, ~i~ ~, ~
~lati~, ~ Co ~t ~ri~ i~tors ~ ~s ~ ~n ~ildi~ ~r ~s~ ~t~ _ F~
..... : ~...a...
. (Si~ of ~li~, or ~, ~ a co~rac~
(I/are a~l title of corporate officer)
Buil~rsLicemsel~..~.zt.~,..~3-.a-d,.i-.omP letted b~t f~'~ I~
Pl~rs ~ ~. "' ' ~
~ci~ Lira ~ ..................
~r '~s ~ ~ .....................
I. ~.im of 1~.~ ~ ~ ~ ~ .............................................
~,~ X~ ~, S~. ......... ~.c.i.cu~. ........................................
~ t= ~ ~. ~ ~,i~ ...... ~.k... ~ ....... .Z ...... ~, ...... ~.~. ....
Fil~ ~ ~ ............. l~t .........
~i~sim ...................................
(~)
2. S~te ~sti~ ~ ~ ~ o ~s nt~ ~ io
a. ~ti~ ~ ~ ~ ..... l-~.i-Jk{'--'f~'~'L~EG~ ..................................
~m~ ............
b. ~[~ ~ ~ ~ ...................................................
3. Nature of ~ork (check ~hict~ applicable): ~ Building .......... Nldition .......... Alteratio~ .....
Pepair P~,~val .: . Demlition Other l~ork .....................
~ 0 ~ ,(Description)
Estimated Cost .... ~ ........... i .......................................................
i (Co be paid o~ filing this application)
If d~elling, m~ber of d~11i~ onits .... J ....... ~r of d~elling traits on each floor '. ...............
If garage, ~tl~ber of cars ...........
If business, o~ercial or mim/d occupancy, specify nature and extent oF each type of use .......... .~. .........
Dimensions of existing structures, if any: Front ................ Pear ............... Depth ...... , ..........
: J
....................... ,. Number of Stories .....................
Dimensions oE s~e structure with alteratioos or additions: Front ............... Pear ...............
llepth. ......... .... . . .. . . Beight ........... .. .... . . . Nard)er of Stories .............. .
' · Depth
8. Dimensions of entire ne~ cnastruct]o~: Front ................ llear .............................
tleight limber of Stories .....................
~. si~ o~ ~ot. ~t ...~.~,~.S ....... Pear ...~.I,~.O ....... ~th ..... ,.. ...... .E ....
,o. ~teo~,~ne ....... I.%~. ..... ~ o~o~r~ ........ ~ "~- ' ~~.C~..~.~..~J.~?. ....
I I. Zooe or use district in daich premises am situated .../.~2 ~ i ~ ........................................
12. ll~es proposed construction violate any zoning la~, ordinance or rngulatioo: ...i..~..~. ..............
.
,~ of ,~,it,~t ........ .a..l~ ...................... ,~-se .............................. ~'~ ~~o ..............
tlane of Contractor .............................. tkkirese ............................... l'hone 1~o ..............
1.5. Is this property within ~ f~t o1~ a t~d~l mtl~i? ~ ~ .......... !10 .~,~ ......
i PLOT DIAGRt~
I~cate clearly and distinctly all buildings, daether existing or propased~ and indicate ali set-t~ck di~naions
frc~ proper~nes. Give street and block r~ber or descriptio~ according to deed, and ~ street nares and iedicate
~hether~er_~ or corner lot.
CyakI ¢_.,ncloWoP__d J'k &nd c~dde_cTb,,4, nd~'80q uoindOcO,5,
~':naoor/Ou,,4door :C p ~_~ /p ~ .. +'~
NOTIFY BUILDING DEI/'~//I~IE~T AT
765-1802 9 AM TO 4 ~ FOR THE
.............................. ~ ................. lng uy
(I/me of individuat signing contractY
FOLLOWING INIIPECTION$:
FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
IN,C3ULATION
above named, 4. FINAL CONSTRUCTION MUST
I~._.. ~.1 j ~.._.~., _g. _~' d J /q.. /~ ~ ~_:Mj~.. ~F.~O~?~O~,[ , E MP E FOB C.O, E
(~tr~tor, ~nC,i co.raCe oEEicar, etc.) THE REQUIRE~ ~ ~ ~,~
, . . . STATE .CONS~U~ION & ~ERGY
a~hcat~on; ~at all star--ts c~tat~ ~, ~xs a~h~t~ are t~ to ~~~~
that ~ ~ will ~ ~rfo~ in t~ ~r ~t for~ in ~e a~li~ti~ fil~ ~.
,9~om to before ne this :
KATHY M, KLIN~E
NOT~Y PUBLIC, ~at~ o~, New Yo~
No. 5246575~2, ~ffog C~un~ ~
Commi~ion ~pires November 30, ~9~
(Slg~ahwe of ^pptic~t~.J