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HomeMy WebLinkAbout25620-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27687 Date: pS/lS/01 T~IS CERTIFIES that the building Location of Property: 1060 NAVY ST (HOUSE NO.) County Tax Map No. 473889 Section 25 Subdivision Filed Map No. __ ADDITION ORIENT (STREET) (HAMLET) Block 4 Lot 3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4, 1999 pursuant to which Building Permit No. ~25620-Z dated MARCH 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 SECOND FLOOR DORMER ADDITION & INTERIOR RENOVATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN H & MA~THA TUTHILL (OWNER) of the aforesaid building. SUFFOLK COUNTCf DEPARTMENT OF ~LT[{ APPROVA/~ ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 H-070669 02/22/0~1 12/11/00 JOHN H. TUTHILL Authorized Sig/ure 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. 25620 Z Date MARCH 18~ 1999 Permission is hereby granted to: JOHN H & MARTHA TUTHILL 544 EAST FULTON ST LONG BEACH~NY 11561 for : CONSTRUCTION OF A SECOND FLOOR DORMER ADDITION AND INTERIOR RENOVATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1060 NAVY ST ORIENT County Tax Map No. 473889 Section 025 Block 0004 Lot No. 003 pursuant to application dated MARCH 4 1999 and approved by the Building Inspector. Fee $ 75.00 ~Aut~orized ~nature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ ' TOXIN HALL . 765-1802 ~PLICATION 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 o~ Fire Underwriters. 4, Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Co~ercial building, industrial building, ~ltiple 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, 19~7) 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 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 0 Date ........................................ New Construction ........... Old Or Pre-existing Building.[.....~.. ....... ~ ~' Location of Property .... ¢.~. ....... ,~,,/?~.,l~.,.. ,~"7-- ~)I/~/e~J%/ I House No. Ha~et Street Onwer or Owners of Property ........... '.;.- .................................... .. ....... County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot .................... . . Permit No.~..~..~ .~..Date Of Permit .... ,..., ....... Applicant Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ ~// Request for: Temporary Certificate ........... Final Certicate ........... ................... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 October 23, 2000 Mr. & Mrs. John Tuthill P.O. Box 538 Orient, NY 11957 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 ~'x'~..~ XX No Underwriters Certificate on file. 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 25620-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE,UNDERWRITERS 8082955 BUREAU OF ELECTRICITY - L . . J-~ 40~FULTON STREEt] NEW YORK,NY 10038 ": · 'D~te FEBRUARY 22,2~1 ~ Applic<~.. No. o.~ic Ii~357~i~i/~; H 070669 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by t~te applicant named on the above application number is in the premises of JOHN & ~ARTHA TUTHILL, 950 NAVY STREET, ORIENT~ NY in the following location; [] Basement [] 1st FL [] 2nd FI. Section Block Lot was examined on FEBRUARY 14,2001 and found to be in compliance with the National Electrical Code.. ~UTLfX1~E~T~ RECEPTACLES SWITCHES I,CANDESCENTFLUORESCENTPIX~URES OTHER ' DRYERS FURNACE MOTORS ] FUTURE APPLIANCE FEEDERS AMT. AMP, WPE EeUIP. I e2W le3W 3e3W 3e4W NO.O~OND. RANGES SPECIAL REC'PT AMT. AMP, R TIME CLOCKS BELL ' AMT. AMPS. TRANS. I AW.G, OF CC, COND. NO. OF HI-LEG UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET OF HI-LEG EXHAUST BANS AMT. H,P. DIMMERS AMT. WATI~ E NO OF NEUTRAL~ A.W.G. OF NEUTRAL OTHER APPARATUS: SECOND FLOOR EXTENSION-1 ~NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactor~ condition was Eound. JOHN H. TUTHILL P. O. BOX 538 ORIENT, i*~, 11957 Per GE\NER~IL 'MANAGER This certificate must not be altered In any manner; return to the office of the Board if Incorrect. inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER Town Hall, 53095 Main Road P. O. Box 1179 Southo~d, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION nr,'rs: /1- Building Permit No. ~ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Plumbers S[gnatu-re ) Sworn to before me this CLAIRE L, GLEW Notary Public. State of New York No. 01GL4879505 Qualified in Suffolk Couo~¥,~..~ ~. Commission F_~pir es Dec. ~, ~ ENI~I~GY CODS CALCUbATIONS (For Non-Electric lleat) Design Criteria O.A. PElt: 6,000 Degree' Days 10aF i.A. 7U~F DESIGN , TIlE ihMEL REMARKS SUDSYSTEM AREA "U" RATING z~terlo,: walls (opaque) ~0 ~ ~ 0~7 ~ ~ skylights % Floor Pou~da tion Walls Slab Insulation [ TOTAL e / / No res: 13uilding Envelope Systems to'meet requirements of 7815.2 HVAC Equipement bo meek requirements of 7815.11 [IVAC Systems bo meek requireme~ts of 7815.r2 Duck Systems to meek requirements o~ 7815.13 Ventilations Systems to meet requirements of 7815.14 Insulation of Piping Systems to meek requirements of 7~15.15 Service Water Heating Systems & Equlp~ent to meet requirements of 7~15.21 Electrical & Lighting Systems & Equipment to meet regulre~euts of 7815.31 To the best of my 'knowledge, belief, & professional judgement, thepe plans are in compliance with the code. NJ F REEVE Rod - ' /V 89~47 O0 ~ \ 235 40~ GAPAGE I ~Z STORY woo0 trRA Mg. RE 51DENCE :?32 S [ff~K FENC~ GEN'LY SOU1H O N/F SMITH CM Fd : C:.'ocrele Mor.um¢(,I Found ~lendi~ g ~t~;n, if ~,, ',' , teen, and MAP OF DESCRIBED PROPERTY SITUATE ORIENT, TOWN OF SO'JTHOLD SUFFOLK COUNTY, ?' cr('r ,~s o,u , tf~.~sl, l';I..' to SURVEYED FOR ANN LA'iHAM GUARANTE£D TO ANN LAThAM ~,t()OR TITLE GUARANTEE CORP 'IOWN OF SOUFHOLO ~w~y ts a Vloldi,>n of S~¢tion 7209 of C'd~ie~ o~ th;~ svrve'l mup not 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ! , I~ATION [ ~VFINAL [ ] FOUNDATION 1ST [,~' ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY DATE ~///~~ ,NSPECTO~ 7G5-180~' BUILDING DEPT. INSPECTION / [ ] FOUNDATION 1ST [~] ROUGH/PLBG. [ ] FOUNDATION2ND [~/./~iNSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLA~E&~fllMNEY I BUILDING DEPT. INSPECTI?N~' FOU~ATION 1ST [~ ROUGH PLBG. [~,~OUNDATION2ND [ ] INSULATION FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~ ~~--~ DATE INSPECTO~~~'~ 765-1802 BUILDING DEPT. INSPECTIO/N/ [-, ~OUNDATION 2N9 [ ] INSULATION ~.~ [~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS. ~ ~ ,~ 7~ ~/~ DATE INSPECT ~LI) INSPECTION Po~PORT DATE )U~I FRAI4E & PLUI4BING ~qSULATION PER N.Y. ~ L STATE ENERGY II ADDITIONAL CO}~'4ENTS: B ' LDG, DEPT. TOWN OF SOUTHOI FORt/ NO. I TOI/N OF SOUTHOLD BUILDING DI/.PARTHENT TOION HALL SOUTHOLD, N.Y. ] 197 I TBL: 765-1802 SUR~EY ................. ¢ltEC~ ......................... SEPTIC FORH ................... NOTIFY: Oisepproved a/c ........ ......................................... ..... t~IqPLICATION FOR BUILDING PERHIT INSTRUCTIONS HAIL TO:. Date ............. ,19.. a. This application must be a~pletely filled in by type~iter or in ink and sul~altted to ~be Building Inspector vi 3 sets of phms, accurate plot plan to scale. Fee according to schedule. b. Plot plan daoidng location of lot and of hildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mast be drann o~ the dingr~ ~hich is parr of this apptlcation. c. llm ~ork covered by ~hls application my nor be camenced before issoance of Building Permit. d. Upon approval of thia applica£ion, the Building Inspector will issue a lluilding Penait to the applicant. /k~ch pemit shall be kept on hhe p/eedses available for inspection thmughont the ~ork. e. NO building shall be occupied or used in ~aole or in part for any pm'pose ~aatever tmtil a Certificate of Occupancy ahall have been granted by the Building Inspector. ~ APPLICATI~I IS ~ ~ to the lluilding Departmant for the isseanca of a Buildin§ Pemit I~rseant to the Building Z~e Ordinance of ~he TO~ Of Sontbold, ~uffolk COunt'y, ~ York, and oflaer applicable La~a, Ordinances or .P, egmlations, for the construction of buildings, additions or altoratioas, or for re,trial or &~alitioa, as herein described. ~ applicant agrees to c~ply vith all applicable 1~, ordinances, building code, housing code, and rngulatious, and to admit asthorized i~spsetors on premises and in building .~f~ nacesse~ insl~iona. ............... (Signature of applicant, ot- m, if a corporation) ................... ~. .... ~. ...... ~ (Hailing ad~lres~ of t~pplicant) State ~hether applicast ia~r, lessee, agent, archltact, engineer,'geseral co~tractor, electrician, plt~nber or Imilde~ (Name and title of corpora£e officer) Ph~bers License No ............ I/lactriciass License No ...................... Other Trede~s License No Location of land on ~hlch proposed ~ork will be aoee .............................................................. ................. .... ........................ ..... ..... z ............ z. ......... ~ li~er/ Street P~nl et County Tax Ilap No. 1000 Section .... .(}.,g..~.. .... Bleck ...~..~. ........ Lot .,.~.J. ........ S~lxlivision ...................................... Filed ~ No ................ l~t ............... State existing uae and oconranrT of pr~i~s and inten~d use and occupancy of proposed construction: a. ~a,Ung ~ ~a ac~ ........ ..~.: ~.~...~..~. ¢.-'.Z.~....F...~.a.Z.%..~.~.¢ ........................ 3. I~ature of ~ork (check vhich applicable): ~ Building .......... tsidition ..... Alteratmn ........ . l~ep~ir ............ R~,0o~al ............ l~mol itlun ............ Other l~ork ti ' fee Es m~ted Cost ................... , ....................................... : (to be paid on filing thls application) If ~elling, nt~ber of dselling unlits / tlu~ber of d~elling units un esch floor .... /. .... If garage, m~ber of cars ....... .~. ............................. If business, ~mercial or mi~,d Occupancy, specify nature and extent of each type of use ...................... ' .al' ~.// l)in~nsims of exlativ~ structures,: if any; Frunt ............ P~ar ............ Depth ~ / ,~i~t .......... %. ............ ~ of Stories....~... ~ ........... lteil~ht i,,.fZ.~,.~ .......... It~ber of Stories ,,~. .......... ~Pth ..... ~ Di~eseions of entire m~ construction: Front ............. .. . I~ar ............ . . . l)ep~ ......... .... . ......................... limber of Stories ..................... ~0. Oate o~ t~rd,ase ..,j;~J~?J.?.~ .... ~ of Fomer O~er ..J~, ...... ~.d~.~. ................. ! I. ~ or use distric~ i= ktlich Premises are situated ................................................... , ............ ~2. Does proposed constrne~iun violat~ an~ zeni~ 1~, ordinaace or regulation: ..... ,/~.,0 .............. '.. ~.~s o O~er of ~,~, ....~.. ......... e. 77~ ..... ~r~se .q~...~ ..... ,.~.'....~ .. ~ ~o .......... Nme of architect .......................... Nldress ................ Phone ~ of ~tr~tor ........ e~m~ff~ ............ . .... ~ress ...... .S.',.~.~...d~.~ ...... ~ so............... 15. Is this property within B00 feet,b~ a tidal ~etland? ~ ~ .......... I~0 ...... PLOT DIAl;RAId locate clearly and dlstiactly al! 10uildings, s~hether existing or proposed, and indicate all set-back dimensions · £,,~. proper~y lines. Give street ~nd ~lock nmber or descieiptio~ according to deed, and sho~ street m~ee ~ indicate ~hether interior or corner lot. OF ~'Z~l ~, SS !' the ............................ . ............................................... (~tractor, ~nt, ~o~rate offlcer, e~c.) 8~lication; ~st ell stat~ntS c~tai~ in ~is s~li~ti~ are t~ to ~e ~st of his ~1~ s~ ~lie[i s~ ,9~orn to before me this l~otary l~lbhc ..., 2<f<. . TXi.,~. l~ . No, 4952245, lluflolk Term Exoirss June 12, 1,9..~ (SlBnaCure o[ Applicant) Y£ .z.'<V~ $/..J oC 7"/0,/-/,_,c' __ _ ............. SCALE; V~* PROVIDE ~ENIN~S FOB EMERGENGT ESCAPE A~ RE~UIRED BY PART. 7~4 OF ILY. STATI. BUILDING COD& UNDERWRITERS CERTIFICATE REQUIRED PLUMBING AU. PLUMBING WASTE & WATER UNES NEED IES'~I, NG BEFORE COVERING if ~ tubino r~ usecl of tlq~_K or L only APPROVED AS NOTED DATE- ~'/<~'q '~ B.R # ,=.~..~--(=,=D.O FEE:' ~ BY: J. ~,c,H NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTR_UCTION MUST. BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE ..... CGNGTRUCTION & ENERGY,. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS occUPANCY OR USE iS UNLAWFUL WITHOUT CERTiFiCATE OF OCCUPANCY PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE E-C-E-~7/F/CATE OF occu~i-~C-~' sOZ~ER USED/N WATER EXCEED 2/10 OF I% ~AD.- 3o -'-?// ...... SC:ALE ~/~.'