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Home My WebLink About25681-zFORM NO. 4 TOWN OF EOUTMOLD BUILDING DEP;tRT~NT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26678 Date: 09/10/99 THIS CERTIFIES that the building Location of Property: 22540 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 18 ALTERATION ORIENT (STREET) (HAMLET) Block 5 Lot 5 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1999 pursuant to which Building Permit No. 25681-Z dated APRIL 20, 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 ROOF REPAIR AND ALTER AN EXISTING BUILDING TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JONATHAN M MUDD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 499184 08/30/99 PLUMBERS CERTIFICATION DATED 08/27/99 HARDY PLUMBING & HEATING Rev. 1/81 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. 25681 Z Date APRIL 20 99 Permission is hereby granted to: JONATHAN M MUDD PO BOX 368 ORIENT~NY 11957 for : REPAIR OF FIRE DAMAGED ROOF SYSTEM & 2ND FLOOR CEILING JOISTS AS APPLIED FOR. (LESS THAN 50% DAMAGED). Nn ~n,z] ~]t,rat~ons w~thout approval. at premises located at 22540 MAIN RD ORIENT County Tax Map No. 473889 Section 018 Block 0005 Lot No. 005 pursuant to application dated APRIL 9 99 and approved by the Building Inspector. Fee $ 75.00 Authorized- Signatu~ 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. 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. 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~ - $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 New Construction ........... Old Or Pre-existing Building ................. Location of Property ~. .~.~.!~ {.~..~. · House No. Street Hamlet Onwer Owners of ~ ..... County Tax Map No 1000, Section ..... ~.~....... .Block .... ~.. ........ .Lot... ~..... .............. Subdivision . Filed Map Lot Permit No..J~.~..~..~...Date Of Permit..~..~. ?.?...Applicant..~.~~. f~l~4 Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Spbmitted: $ ............ ~CAN. T~ ~. .................. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 25, 1999 Jonathan Mudd P.O. Box 368 Orient, NY 11957 RE: 22540 Main Rd., Orient. 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 No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25681-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FiR'~'"ui~DERwRITERS PAGE ~ ~ 40 FULTON 8T"EET, NEW YO"K;~fl~4~0038j%: ~ ~?~'r ~ -- ~.,. ~u~us~ 30, ~ a.....,o. ~o o. ~,. %~i~,,~:~~ ~aa only the elec~cal equtpment as desc~bed be~w and tn~oduced by the app~cant no~e~ on (he ~ov~" dp~ca~on number ts m the premtses of in th* fot~wing lo*a~on;~ ~ Ba**m~nt ~ ~ ls~ FL~ ~ 2nd Ft. ~I . SkcHon Bloe~ ~t was examined on AUGUST 24,1999 and found to be in co~pl~ne~ with' th~ ~RHonal Elect~cal Code.. 29 50 51 DRYERS OTHER APPARATUS: PADDL~ FANS-9 G~F.C.I:-4 SMOKE DETECTOR: -7 JIM SAGE ELEc. INC. PO BOX 38 GREENPORT, NY, 11944-0038 LIC.#3635 R This certificate must not be altered In any manner; return to the office of the Board COPY ,FOR BUILDING' DEPARTMENT. THI~ COPy OF CE.R~IFICATE 1 GENERAL MANAGER Per ! be identified by their credentials. ANY MANNER,, . . TOWN OF $oUT~TOT.17 oFFIC~ OF DUILDIH,~ INSPEC~OI{ P.O. ~0;[ ~ 2~ ToWN [:.',LL SO97ItO2~. N.Y. 11971 TEL.?63-180g C ~ R T.! F ~ C A T I 0 t~_. Date 27 August 1999 25681Z Buildin9 Permit No. Owner_ John Mudd (p~ase Hardy Plumbing, Heating, & Air Conditioning, Inc. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] R~GH PLBG. [ .~INSULATION [ ~ FINAL~ [ ] FIREPLACE & CHIMNEY DATE/~/~//~:~J INSPECTOR~~' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROU/GR~PLBG. [ ]FOUNDATION2ND [ ]I/NSULATION [ ]FRAMING ~ FINAL [ ]FIREPLACE & CHIMNEY ~REMARKS: FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197 I TEL: 765-1802 Uisapproved a/c ................................. . (Building Insp~tor ) [ APPLICATIOI~I POR BDILDING PRRMIT BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ...................... .. CHECK ......................... SEPTIC FORM ................... CALL ................ MAIL TO: .................... INSTRUCTIONS filled in by type~iter or in ink and sul~itted to the Bliilding Inspector ~i 3' sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoalng location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layer of pro~rty mint he dr~an on the dingrm ~d~ich is parr of this application. c. The work covered by this application may not he canmneed hefore issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such penait shall he kept on the premises available for inspection throughout the work. e. No building shall he eeeupied or used in ~ahole or in part for any purpose ~taatever until a Certificate of Occupancy shall have been granted by the Building Inspector. -~ AFI~ICATI(I~ IS ~ ~ to the Building Ilepartmeat for the issuauee of a I~ilding Permit pursuant to the Building Zone Ordina~ca of & Toma of Sonthold, Suffolk County, ~ York, and other applicable La~s, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for raroval or demolition, as herein described. Tee applicant agr~s to ccmply ~ith all applicable lin, ordinances, building code, housing code, and regulations, and to ad,it authorized inspectors on premises and in building for necessary inspections. .............. (S~i/gnatore of applicant, or nam, if a corporation) (l~ailing address of applicant) State ~hether applicant is t~mer, lessee, agent, architect, engineer,'geeeral contractor, electrician, plrm~er or builder ............................................. ,~ of ~r of ~sea ....:I-ao. ai+~.~..~....v...~..~. :...~.. ..... .... ,~_~.,.,. ~~_. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. and title of corporate office~) OCCUPANCY OR H ~l(~Q Builders Lieer~ No ............... .{~).~.~.,~ UNLAWFUL ,. ~ Pier,, ............... JlHOUT CERTIFICAT[ 4. FINAL. CON~RU~ION %~UST ~ C~ ~ c.o. ~r~ ~ ~ .... ~gDCCHPANCY ALL CON~RU~ION5HALL ~EET ....... ~ ............ ~ME ~OUI~ENT5 OF T~. N Y . ~tim of 1~ ~ ~id] ~ ~rk ~11 ~ ~ .. CODES. NOT~;~ESPONSIBL~OR ~ -~----· ..................... ~N 'o,' cd~S~0c~ ~ ~c~ ~'- ................... ......................... : ..... ....... ~ ~r St~t ~et { ," aivislm Fil~ ~ ~ ............. l~t .. (~) 2. State ~sti~ m ~ ~ of ~s ~ inte~ m ~ ~ of pro~c~,~tion: ~. ~,,i~ ~ ~ ~ ~.,~.~.,...~.~,.~ .... ~.~:.~ ...... :.:~.~.....~ ........... b. ~t~ ~ ~ ~ .................................. Repair ......... P~maval , ' l)amlitlon ............ Other Work .................................. ,(Description) Ii ~r~e, ~r o[ ~rs ~. ~ o~ ~ o~ ~.~ ..E~ ................ ~ ...9.~ ....... .......... ~ m..~tl~ [ PLOT DIAG~ ~r in~erior or ~r lot. [ N~ 01G~9~5 ~alHI~ in Suffolk CounW~ ? 0~ ~"r ~ Kitchen Dining Living Room Bath Bedroom I Bedroom 24.0' 24.0' C~nlments: G~.I Firs*b FZoo~ 967.00 967.00 GLO2 -~eoond Floor, 904.00 904.00 TOTAL LIVABLE (rounded) 1871 Scale; / 3.0 x 8,0 24,00 16.0 x 16.0 256, O0 3.0 x 13.0 39.00 8.0 x 27.0 216.00 6 ~as Total (rounded) 1871 1=10 Pmperb/Addre~ SKETCH AREA/TABLE ADDENDA 22~0 Main Road CK~ Orient County Su~olk 8rate NY 8on*ea~r Mudd Lender/Client Appraiser Z~p C~de 11007 1ST FLOOR 16.0' Bath Kitchen Living Room 24.0' 2ND FLOOR 16.0' Bedroom Bath I B~droom B,droom 24.0' Comments: 967, O0 904.00 F:L~:at; 3.0 x 8.0 16.0 x 16.0 24.0 x 27.0 3.0 X 13,0 Second 16.0 x 43,0 8,0 :~ 27.0 Scale: 24,00 256.00 649.00 39.00 698.00 216,00