HomeMy WebLinkAbout25697-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26483
Date: 05/26/99
THIS CERTIFIES that the building ALTERATION
CUTCHOGUE
Looation of Property: 7425 NASSAU POINT RD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 118 Block 4 Lot 2
Subdivision Filed Map No. -- Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 28, 1999 pursuant to which
Building Permit No. 25697-Z dated MAY 4, 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 PORCH WITH AN ADDITION AND HANDICAP RAMP "AS BUILT"
ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to THOMAS P LOSEE & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 05/24/99
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building ~
FORM NO. 3
·OWN OF ~OU~HOLD
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. 25697 Z
Date MAY 5 1999
Permission is hereby granted to:
THOMAS P LOSEE & WF.
1717 HOMEWOOD BLVD
DELRAY BEACH~FL 33445
for :
ENCLOSE AN EXISTING PORCH AREA WITH A SMALL BUMP OUT ADDITION
AND HANDICAP RAMP "AS BUILT."
at premises located at 7425 NASSAU POINT RD CUTCHOGUE
County Tax Map No. 473889 Section 118 Block 0004 Lot No. 002
pursuant to application dated APRIL 28 1999 and approved by the
Building Inspector.
Fee $ 75.00
- Aut5orlzed Si~ature
Rev. 2/19/98
ORIGINAL
TOWN OF SOUTHOLD
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 buildir
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 buiidi
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 a
Vpre-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 applican
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 Buildinm - $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
New Construction ........... Old Or Pre-existing Building .......
.......... ..... ..... ..
Location of Property ........................... - .........
ouse No. Street
Onwer or Owners of Property ..............................................................
County Tax Map No 1000, Section... j.l.~ .... Block.".~. ...Lot.. ~ ....
Subdivision .................................... Filed Map ............ Lot ..................
P.$1ki7?. Permit
Permit No Date . Applica ....
Health Dept. Approval .......................... Underwriters Approval .....................
Planning Board Approval ........................
Request for: Temporary Certificate ....... i''' Fi~
Fee Submitted: $ ..........................
?PLICANT
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 4, 1999
Paul Caminiti, Atty.
P.O. Box 846
Southold, New York 11971
RE: Thomas Losee, 7425 Nassau Point Rd.,
1000-118-4-2.
Cutchogue.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX
XX
An application for Certificate of Occupancy is not on file. (Enclosed>
No Underwriters Certificate on file. ~ ~l~__~
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.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25697-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
8~]75764 BUREAU OF ELECTRICITY
~ 40 FULTON STREET, NEW YORK, NY 10038
Date ~'[~Y 28,1999 Application No. on file ~274099/99 H 064474
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
LOSCE, 7425 NASSAU POINT ROAD, CUTCHOGUE, 14Y
in the following location; [] Basement [] 1st Fl. [] 2nd FI. Section Block
was examined on ~Y 24 ~ 1999 and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
RECEPTACLES
SWITCHES
FIXTURES
FLUORESCENT OTHER
DRYERS EURNACE MOTORS IFUTURE APPLIANCE FEEDERS
MT. K,W, aL H.P. GAS H.P. AMr. NO,
Lot
RANGES
SPECIALREC'FT
TIME CLOCKE I UNIT HEATERS MULTI-OUTLET
RELL
SYSTEMS
At~. At,PS. TRANS. IAMT. I H.P. NO. OF FEET
EXHAUST FANS
DIMMERS
AMT, WATTS
SERVICE DISCONNECt' { NO:OFI - S E . R
METER
AMT. AMP. TYPE EQUIP 1~ 2W 1~3W 3~3W 3~4W NO'OFp~CRCeCOND
OTHER APPARATUS:
*NO VISUAL D~FECTS~ "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
i c
CATHERINE MESIANO
12 MILL POND LANE
EAST HORIC!tES, NY, 11940
Per 11GENER~i!%~ANAGER
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.
BLDG. DEPT.
TOWN OF SOUTHOLD _.3
FOP~ NO~ I
TOM OF SOUTBOLD
BUILDING DEPARTMENT
TOi~ BALL
SOUTHOLD, N.Y. 11971
T~L: 765-t802
Disapproved a/c ...........
, ~t.~LI~TION ~OR BUILDINO PERHIT
'INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ......... '. .....
SURVEY ........................
CHECK .........................
SEPTIC FORN ...................
3 se~s of plans, accara~e plot plan to scale. Fee according to schedule.
b. Plot phm ~ing location of lot and of buildings tn prmises, relationship to adjoining pr~nises or l~blic
streets or area~, an~ 8ivin~ a detailed deacription of lay~ot of property mast be clre~n on the dingran ~/dch is part of
/,s~this applicetion.
c. lh~ work covered by this application my nor be comenced before issuance of Building Permit.
, d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such
permit shall be kept on ~ premises available for inspection thrc~gh~t the ~ork.
e. No building ~hall be occ~pled or treed in ~ahole or in part for any pm~ose ~tmtever until a Certificate of
Occupancy shaI1 have been grmt~l by ~ Building Inspector.
APPLICATIC[~ IS [to,mi 14ATE to the Building Departn~t for tim iast~mce of a Building Permit pormmnt to the
I~ildlng Zone Ordinance of the To~n of ~onthold, ~uffolk Count'y, N~ York, and other ~ .icable Ordina~es'or
gegulations, for the cons~r~tian of buildings, additlon~ or alteratiov~, or for iti~n, as herein
described. ~he applicator agrees to cc~ply with all applicable 1~, ordi~mces cede, and
rngulatio~, m~l to admit mthorized inspectors on premiaes and
~his application ntmt he completely filled iu by typewriter or in ink and suhnitted to the Building Inspector
~, or mine, a corporation)
(l~ailing applicant)
State v~eth~r
contractor, electrician, plunber or boilde~
(as on the tax roll or latest deed)
If applicant is a corporation, signatu~ i)f ~ly a~thorized officeir'
............................................. OCCUPdUIICY OR
(l',~e ara title of corporate officer),
USE IS UNLAWFUL
WITHOUT CERTIFICATE
Builder,, Lie , No .................... OF OCCUPANCY
Pl~nbers License NO ..........................
Electricians License No ........... ' .....
other ~'s ri~ No .....................
NOTIFY BUILDING AT
?$5-1502 9 AM TO 4 ,'THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING Ri PLUMBING
3. INSULATION
4, Flfi~AL CON~TRUCTI[ON MUST
BE CO~tPLETE FOR C.Oo
ALL CONf~TRUCT~ON SHALL
}~t~E ,qEOU~REMENTS OF THE
I. Location of land on ~aid~ p~opased ~rk will be duce .................... ,i~1'IQ'~i. CO~iT~aCTION. &..EN~I ......
_ ,I ~. ~ ~ ~ t CODES NOT RESPONSIBLE FOR
................... ......... . . [ ......................... i ..... nom auc o ......
~ivisi~ ffil~ ~ ~ ~t .........
(~)
a. ~ing ~ ~ ~ .......................................
3. {0.aCute o~ ~ork (check ~id~ spplicable): Ney }k~ilding .......... ~iri~ .......... AlteraCi~ ..........
~ir ~l ~ ~llti~ ............ OCl~r ~ ................. .......
~ ~ripti~)
(to
6. If I~l~SS, ~reial or ~ ~, ~i~ ~mre ~ ~tent o[ e~ ~ of ~ ......................
?. Bi.nails of ~isti~ st~mms~if ~: ~t ................ ~ar ............... ~pth .................
l~i~t ......................... ~r o~ Stories
Di~nsi~ of ~ st~e ~th alterati~s or ~itions: ~t ............... ~ar ...............
mpth ............. mi~t ] ....... i
. ................... ~r of Stor es ...... . ... ... . .
8. Di~nsi~ of entire ~ ~st~t~; ~ ................ ~ar ............... ~ ~ ..............
t~i~.....................,,.. ~r of Stories ...................
9. Si~of 1o~: ~r.........,....,......~ ~ar .................... ~p~h ............... . .....
10. ~e of ~a~ ' ~ o~ Four ~r ..................................
12. ~s ~o~1 ~e~ti~ vlalat~ a~ ~iq 1~, o~i~e or re.latin; ........................
14 ~s o~ ~r o~ ~s ' , ...... ~ress ............. ~ ~ ...............
~ of C~tr~tor ~
I PLOT DIAG~
~are el~rly ~ disti~tly all ~ildi~, ~r ~isci~ or pm~, ~ i~i~te all ~t-~ di~nsi~s
~ ~r~ liras, gi~ st~t ~ ~1~ ~r or ~scripti~ ~co~i~ to ~, aM ~ strut ~a ~ i~icare
~flmr inCerlor or ~r lot.
~FA'IE ~ ~i~ YORK, . ,, ,,
....V~.. b.: .... ~
~ ~. a,~ ....... ~. g ~ ~ ............. . ~ ~aa~ ...............
(~tractor~
hat ~e ~rk ~ill ~ ~r[o~ in tl~ ~r
.... ...... ......
JEANNETTE M COONS , (S~mre o~ ~t)
Note~ Pubhc, State of New Y~rk
No OICO6~5734
Ou Dried ~n Suffolk County
Qommiss~on E~p*res Apr I 20,:~
lmlllilLU tg~co~,c
I olhar t.. |{e~s~Lut,
®
® ~
S 4 °35 , 49,,~/
102,52 '
~)°38' 40"E
D°46,00,,E
NASSAU POINT
(so')
Ro', K ReJss*g, PF
Llcen';e N,.~ 063125
DIST
REVISIONS DATE
PROPOSED HOUSE LOCAl ION
401.16'