Loading...
HomeMy WebLinkAbout25646-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26391 Date: 04/20/99 THIS CERTIFIES that the building ALTERATION Location of Property: . 3534 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 128 Block 6 Lot 5 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Suilding Permit heretofore filed in this office dated MARCH 11, 1999 pursuant to which Building Permit No. 25646-Z dated MARCH 24, 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 SC~RRNED ENCLOSURE "AS BUILT" FOR AN EXISTING UNHEATED CONCRETE PORCH FOR EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD R MILLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N485481 04/12/99 N/A 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. 25646 Z Date MARCH 24 99 Permission is hereby granted to: EDWARD R MILLER for : CONSTRUCTION OF A SCREENED ENCLOSURE "AS BUILT" FOR AN EXISTING CONCRETE PORCH(UNHEATED) FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 3534 County Tax Map No. 473889 Section 128 pursuant to application dated MARCH Building Inspector. GREAT PECONIC BAY BLVD LAUREL Block 0006 Lot No. 005 11 99 and approved by the Fee $ 75.00 uorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 ~ TOWN OF SOUTNOLD 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 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. 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 Building - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Location of Propert ...~..~. ................... · .......... House No. Street Hamlet Onwer o .Owners o ~roper=y ............................................ . ...................... County Tax Map No 1000, section..].l.. ....... Block .... ..... ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ...... Date Of Permit .... ,..--~ ................................... Health Dept Approval · Underwriters Approval .w~.. ............ Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate...~. ....... Fee Submitted: ,. ................... ,4 . S l l :z .i ..... .......................... APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~A~I ~175~o~ -u.,^u OF .,.=CTR,C,TY ~-* 40 FULTON STREET~ NEW YORK, NY 10038 Date APRIL 12,1999 Application No. on file 17998699/99 N 485481 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 ED HILLER, PECONIC BAY BLVD.. LAURELr~ NY in the following location; [] Basement [] ]st FL II 2nd Fl. Section ~ Block Lot was ~xamined o# ,~PRIL 07,1999 and found to be in compliance with the National E~lectrical Code. F XTURE ~=~'=a'^~'LES eW T~-uee FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS =' I " I I I I I I DRYERS I FURNACE MOTORS IFUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS [ BELL IUNIT HEATERS MULTI-OUTLET DIMMERS I I SERVICE DISCONNECT I NO. OF S E R V I C SIB] ROOH- 1 OD C. ~*LP, CTRIC T~C. P~O.BOX I~UREL, NY, 119~B*-~518 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, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE &CHI [ ] RO/~3H PLBG. [ ] II~ISULATION ~FINAL DATE /~///~//~ INSPECTOR ~'~'I~D INSI~C~ION REPORT ~~m~m~~m~'~ DI~DATION (]ST) UNDATION ( 2ND ) DATE ,UG'It FRAME & ISULATIONFER N. Y. STATE ENERGY CODE FORH NO. ] TO~N OF SOUTIIOLD BUILDING DEPARTHENT TOI~N UALL SOHTItOLD, N.~. 11971 ~L: 765-1802 SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL ..........~.~. ..... HAIL TO: .................... Date ................ ,19 .... a. ~pplicati~a mast be cc~fletely filled in by tyge~iter Or in i~ ~ ~tt~ to ~ ~ilding Ins~tor ~1 3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~co~i~ to ~le. b. Plot pl~ ~ l~ti~ of lot ~ of hildi~ ~ ~s, ~latio~ip to ~joini~ p~s or ~lic sit, ts or ~e~, ~ givi~ a ~tail~ ~ripCi~ of l~t of ~ ~t ~ ~ ~ ~ di~m ~i~ is ~rt of this ~liati~. e. ~ ~ ~ ~ ~is a~lieati~ ~ ~t ~ ~ ~foce isle of ~ildi~ Pe~t. d~ ~ ~1 of ~is ~liati~. ~ ~ildi~ I~ctor ~11 is~ a hildi~ ~t to the ~li~t. ~ ~t ,~11 ~.~ ~ ~ ~s ~il~le for i~tia that ~ x~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le ~ in ~ for ~ ~ ~at~er mtil a ~rtifieate of ~ ~all ~e ~n ~mt~ ~ ~ hildi~ ~tg. ~I~ I~ ~t ~ to t~ ~ildi~ ~nt for ~ isle of a hildi~ ~t ~t to the ~ildi~ ~ ~i~ of ~ ~ of ~ld. ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~s. ~i~es'or ~lati~, ~r ~ ~ti~ of ~ildi~s. ~iti~ or alterati~, or for ~al or ~llti~. ~ ~rein &~riM. ~ ~limt ~s to ~ly d~ dl ~li~le 1~, ofli~s, ~ildi~ ~, ~ing c~, ~ (Si~t~e of ~lic~t, or ~, if a co. ratio) (~ili~ e~s of ~lic~t) State ~be~er al~licant is o~er, lessee, agent, arahitect, eagincer, general contractor, electriciau, plumber or builder. .................... (as on the tax roll or latest deed) If applic~t is a corporation, sigeatur~ of d~ly authorized officer. (Name and title of corporate officer) l~ilders License No ....................... . .. Pl~bers License No ................... .. . . Electrici~as License No ...................... Other Tra~'s License No ..................... I. l~catien of laad on daich proposed york ~ill be dene .................... ................. ecg. nit.. ............. ...... . ................ ..................... Cowry Tax Nap No. lO00 Section ................ Block ................ l~t ................ ~ubdivision ...................................... Filed Nap No ................ Lot ............... (~) 2. State axlst~ng use and eompaney of premises and intended use and occupancy of proposed construction: a. ....................................... 3. ~ature of work (check ~id~ applicable): N~ B~ilding .......... Addition ....~. ..... Alteration .......... , l~e[~alr ....... .. .. . Removal o.. , l~olltion Other ~ork (Description) If [ s' · 6 ? . ~o I ~ of ~dt~t ......... ............ , ............... ~ress ~ ~ ~ of ~tr~tor .................................................... ~LOT DIAO~ ~m~r interior or co~r lot. ..being, duly sworn, deposes end ,says that he is tie applicant (liana of individual signit~ contract) above naned, i Ile is Lhe ........................... ~ ...................................................................... (Contractor, agent, c~rporate officer, etc.) of said miner or o~mers, and is duly aUthorlr~l to perform or have performed tim said work and to make and file this application; tbet all ntat~rents contained in this application are true to the best of his kon~tndgeaid behef,' ' ; and that the work will be perfonmd in tl~elmaoner sat forth in the application filnd thercadth. S~om to before ne this ..... ..... any ...... LINDA J. COOPER Notary Public, State of N. ew Yo~k No=4822563, Suffolk County_.-) Term ~p res December 31, tiF ,c~-~' (Signature of applicant) 3. INSULAllGN ~ 4. FINAL - CO~ MUST BE C~dPLETE FOa C.O. ALL CON~nWCIION ~iAII M~I' THE REOUIREMENT~ OF STATE CONSTRUCTION & ENEI~Y CODES., HOT RESPONSIBLE DESiGN/OR (~NSTRUCTION OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIRCATE OF OCCUPANCY CERTIFICATE RE®mEO THERMAL BREAK EXTRUSIONS NEW ONE PIECE E-GUTTER 3:12 GABLE RIDE BEAM ROOF PANEL CONNECTION FLAT TOP CAP FASCIA RECEIVING BASE CORNER POST DRC CHANNEL CHANNEL H-MULL CHANNEL HEADER (Support Wall Structure) We at ELITE Panel Products, believe that pictures~speak louder than words. With just one look the advantages of our THERMAL BREAK EXTRUSION SYSTEM can be seen. This system totally, thermally separates outside surfaces from inside. Our Thermal Break Extrusion System offers many benefits to an exterior application. One of the most important is its ability to deliver a consistant resistance to heat or cold value (R-Value) to the entire structure not only the panels. Furthermore, condensation which could occur on the inside of the structure, due to a difference in out side temperature, is literally eliminated. The ELITE Thermal Break Extrusion System separates outside surfaces from inside by means of a centrally located pocket filled with a non-thermal conductive material, urethane resin with hardener. This filled pocket does not have any diverse affects on the quality or strength of the structure. Full structural integrity is guaranteed and assured. The ELITE Thermal Break Extrusion System is now available as an option to our existing system and, as with all ELITE manufactured products, is covered by our FULL 10 YEAR WARRANTY. Consult the ELITE Price List & Estimating Guide and/or the General Specifications Sheet for more information. ELITE Panel Products Division of ELITE Aluminum Corp. 3126 John P. Curcl Drive · Pembroke Park, Florida 33009 (305) 966-1050 · (800) 421-0682 FL · (800) 5-ELITE-7 (535-4837) USA * FAX (305) 962-4172