HomeMy WebLinkAbout25430-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hail
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26493
Date: 06/07/99
THiS CERTIFIES that the building NEW DWELLING
Location of Property: 505 KAYLEIGH'S CT
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 31 Block 4
EAST MARION
(HAMLET)
Lot 16.9
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 10, 1998 pursuant to which
Building Permit No. 25430-Z dated DECEMBER 21, 1998
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 ONE FAMILY DWELLING (UNFINISHED 2ND FLOOR) WITH ATTACHED TWO CAR
GA~R~,ATTA~D DECK & 5 X 5 FRONT ENTRY STEPS AS APPLIED FOR.
The certificate is issued to MARION WOODS ASSOCIATES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0168
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
.06/03/99
PENDING .05/11/99
p5/26/99 K&K PLUMBING & HEATING
uild~ng Inspe~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. 25430 Z Date DECEMBER 21, 1998
Permission is hereby granted to:
MARION WOODS ASSOCIATES
PO BOX 2100
GREENPORT,NY 11944
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING (UNFINISHED 2ND FLOOR)
WITH ATTACHED 2 CAR GARAGE & 5 X 5 FRONT ENTRY STEPS.
at premises located at 505
County Tax Map No. 473889 Section 031
pursuant to application dated DECEMBER
Building Inspector.
KAYLEIGH'S CT EAST MARION
Block 0004 Lot No. 016.009
10 1998 and approved by the
Fee $ 627.80
Author/zed Signa~cure
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO N HALL
APPLICATION FOR CERTIFICATE OF OCCUPANCY
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, p~~nes,//~/
or
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9~m)
3. Approval of electrical installation from Board of Fire Underwriters7 . .
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, 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
"pre-existing" land uses:
i. 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. 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 - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4/. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction ........... Old Or Pre-existing Building .................
Location of Property ..... .~ ?..~ ............. ~./~ll..~...~...c~..~.~-. .......
House No. w Street Hamlet
Onwer or Owners of Propgrty .... ~ :.~..'...~'....~?.'. .............................................
County Tax Map No 1000, Section .... ~..~ ....... Block....~.?. ......... Lot ..... ./.~. :?.' ...........
Subdivision...'~.L.~.~.~..o.~ .~.~.....~)..~.o.~..~. .......... Filed Map.. ~.~?..3..~..Lot .... .~. ...............
Permit No...~f~. ....... Date Of Permit ................ pp . ...~.?.~?..~..
- 1
Health Dept. Approval ........................ Underwriters Approva .........................
Planning Board Approval ........................ ~
Request for: Temporary Certificate. . "Final Certicate ...........
Fee Submitted: $~.~. ................... ii iliill!, ~ ~0 ~7~_~ APPLICANT '
CERTZF ICAT iOM
THE NEW YORK BOARD OF FIRE UNDERWRITERS
r_~_r,~;i290 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK~ NY 10038
Date t'~[ 19,1999 Applicaaon No. on~tie 17850699/99 N 488995
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
T/~{Y HARNED, I<AY LEICH ROAD, EAST MARION, NY
in the following location; [] Basement [] ]st FI. [] 2nd Fl. GAR/ATTIC/OUT Section Block
was examined on ~AY 11,1999 and found to be in compliance with the National Electrical Code.~.~___..~../
FIXTURES RANGES cooK;Ne ORC~;S OVENS DISH WASHERS
FIXTUSE
OUTLETS RECEPTACLES SWITCHES FLUORESCENT OTHER
37 48 34 2
DRYERS
OTHER APPARATUS:
PADDLE FAN-- 1
G.F.C.I:-6
SHOKE DETECTOR:-4
E R I C
PER ffi OF CC. COND OF HI-LEG NO, OF NEUTRAL OF N~UTRAL
1 2/9 1 2/e
TED CHESHIRE JR. CO.
P.O. BOX 255A
928~ SOUND AVE.
M~TTITUCK, NY, 11951-3138
GENERAL MANAGER
Per 11 ~
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
[ ] FRAMING [ ]FINAL
[ ] FIREPL,~GE~& CHIMNEY
REMARKS~'
DATE~
INSPE~/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ]/R/OUGH PLBG.
[ ~]/INSULATION
] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
~.I~A/~S: ~-~,~ /./~//~ ~
DATE · INSPE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE &CHIMNEY
DATE ¢4~'iNsPE~'~ '
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION l ST [ ] ROUGH PLBG.
[ ] F~DATION2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE ~'/'~~ ,**PECTO~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUN/DA*~ON 1ST [ ] ROUGH PLBG.
[~,/FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLA~&'~HIMNEY
REMARKS: ~ ~~
765-J.802
BUILDING DEPT.
iPECTION
[ N 15T [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
/
INSPEC~
765-1.802
BUILDING DEPT.
NSPEC
[ ] FOUNDATION 1ST ~" PLBG.'",~:)~'~.:r /
[ ] FO,~DATION 2ND [ ] INSULATION ~'~'""~-..~/
[//,]/'FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
3UNDATION (2nd)
JJDAT~
~O~£NT£
OUGH FRAME &
.PLUMBING'
:~SULATION PER N.
STATE ENERGY
CODE
'FINAL
ADDITIONAL
~TS:
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
June 1, 1999
Richard Israel (DBM Co.)
P.O. Box 2100
Greenport, NY 11944
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (not on file.)$25.00
XX No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25430-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] ROUGH PLBG,
] INSULATION
] FINAL
DAT[~~ INSPEC~~
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
RE, MARKS: ~/~./-~ .~-~
IT IS A VIOLA'nON OF THE
LAW ~R ANY pERSON,
UNLEoS ACTING U~DER THE
DIRECTION OF A LICENSED
ARCHITECT, TO ALTER ANY
WITH THE LAW,
~"~'~.. KAYLEtO.,-H'$ COURT
/
/
1~0.03o ~
FAIRWEATHER-BROWN
DESIGN ASSOCIATES, INC.
P.O. Box 521
413 Main Street
Greenport, N.Y. 11944
516-477-9752 (fax) 516-477-0973
February 1, 1999
John Boufis, Building Inspector
Southold Town Building Department
Southold Town Hall
Main Road
Southold, New York
Re: Building Permit # 25430 Z
DearMr. Boufi~
To the best of my knowledge, belief and professional judgment, the pier indicated on the
plans for the above referenced project on the north foundation wall, is unnecessary, and
has no effect on structural integrity of this house.
If you have any further questions regarding this please do not hesitate to call me.
Thank you for your attention to this matter.
Sincerely,
Robert I. Brown, A.I.A.
-~vith Robert I. Brown, Architect, P.C.
FORH NO. I
TOWNOF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, N.Y. {1971
TEL: 765-1802
Ui~ppr0ved a/c ........................... ... . ...
............................. : ...... _ .... :i l
(Building legator) ~
APPLICATION FOR BUILDING PERHIT
INSTRUCTIONS
BOARI) OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK ...................... ~..
SEPTIC FORH ...................
.NOTIFY:
CALL .......... ~ .......
HAIL TO: ....................
3 sets of plans, aconrate plot pIan to scale. Fee aseording to schedule.
b. Plot plan ~l~a~iug location of lot and of buildings co prem{ses, relationship to ~djolnlng prendses or public
stx~ets or areas, ~ giving a detailed description of laycmt of prol~rty ~mst be drawn on the diagram whldl is part of
this application.
c. 7be work covered by this application ~ay r~lt he ccrmmnced before ismmoce of Building Permit.
d. Upen approval of this application, the Building Inspector will issue a Building Pemit to tile applicant. Sud~
permit shall be kept on the in'emises available for inspection thronOloat tim work.
e. No building shall be occupied or used in viaole or in part for any purpose whateVer until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATIO~I IS l~ll~lflt ttIBE to the Building Department fi)r the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Toan of Suutt~ld, Suffolk Celmty, l~v York, and other applicable Laws, Ordinances or
Regulations, 'for the construction of buildings, mklitions or alteratlons, or for removal or demolition, as herein
described, lhe applicant ~ees to ccmply with all applicable lmm, ordionsces, building code, b<msing code, and
regulations, and to admlt authorized inspectors on pr.iaea and in__ag f~ nece~o~
Nki'~ ~ df~~zz~ Xa- ..... _ ..... _ ................ .~..6..~.%
(Signature of apphcant, or atone, xf a corpuratxon)
3his application murat be conp]etely filled in by typewriter or in ink and submitted to the Ikdldiug, Ianpector with
State whether, applicant is owner, lansee, agent, arddtect, engineer, general contractor, electrician, plt~ber or builder.
~ of ~r of ~ses ~1.0.?...~ .o...~. .io...o. ~.~.~. ~..~. 0c_ ................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly sutberir~-,d officer.
(Nane ar~t title of corporate officer)
Builders License No ..........................
Plt~bere License No ..........................
Electricians License No ......................
Otber Trade's License No .....................
............... '. ............... ]~.o.?.~.~.~.%.~.'..P....~./:.:: .... ::...: .... &Z....~/.n.~ ...............
l~m ~r Strut ~et
~ T~m. ~ ~ ...~.{ ........ ~ .... .~ ......... ~ .... Z&,.?....
(~)
2. State ~iati~ u~ ~ ~ of ~i~a a~ inte~ u~ ~1 m~ of ~ ~st~tlm:
a. E~st t~ ~ ~ ........................................................ ' ....................
b. Int~ u~ ~ m~ ..............
3.
I0.
11.
13,
14.
15.
Nat.re ok work (cl~ck ~dch al~Aicable): ~ I~ihlinl~ ~ ~kliti~ Alteration
(~rip~ i~)
Esl inu~l C~SC ............ ~ ............ f~ ..............................................
(to Im ~id ~t filing Udfl a~licack~;)
If garage, it~l~r of car~ .......................... , ............
If I~mi~a, ~mrcial or mi~l ~qm~y, ~ct~ ~l.ure a~l ex~en~ of ea~x ry~ of u~ ......................
I~i~l~ ......................... ~,d~r of ~[ories ......................
l)inensl~a of ame a~n~;re with alrera~l{xm or ~kliriona: Fron~ ............... ~ar . ..............
I)inenai~ of entire ~ ~a~n~t:i~: lq'~r ................ I~ar ............... ~pth ..............
Ibild~l: ......................... R;d~r o~ ~t:oriea .....................
~i~ of lot: t~mr ..... Z~.~ ~ar [~J... ~pth ~ ~0 ~
I~lt:e of l~srdm~ ..................... E~ of Foruer ~r ........................................
?z~ or u~ district in ~tic~ proni~s are sit~t~l ..............................................................
I~ propel c{~atnttl~ violate any ~sdng 1~, onll~s~e or regulat:i~l~ .... ~. R ...............
~111 lot I~ refir~l .................... ~ill e~ess fill I~ r~l fran prani~a~ YE8
Is lids pm~rty within ~ f~t of a ti{~t x~tla,~l? * YIL~ .......... ~ ..;~ .....
PI.OT I)fA(}RAH
lc, cate clearly a[~l disl:inetly all Ixdldings, ~ether existing or proposed, and itxlicare all ~et:-I)ack dimensions
I:r(~ss proport:y lines. (~ive st:feet: atxl block ritual)er er descript:i{w; acco~lin§ ro deed, and shew street: r~r~s ar~l indicat:e
sd)ether interior or corner lot.
~ t ~ 1~ ~ ~ % ~ ~ ~ ~ ...l~[tq~ duly ~)rth depots as~l m~y~; tl~a~ he i~; the appl. it~nt:
(~-s~ of il~lividual. ~ignlng contract)
of mtld ~,' or <~rn, a~l i~ duly aulhoriziM to ixtr.iolUl Or IlilVn Ix~rlorsmd the I;aid ~}rk at~l lo n~ll<l~ nsxl file Ihitl
appl icaLion; tirol: al I. atata,~nts conLahx~l in Ihi. appl i(:ot:ion ace t. Ix~ Lo the I~ml: off his k,x~l~ll~e a,M I~1 iefj a[KI
that lite ~)rk will I~ ler~on~l in Ih~ n~S;l~r ~ I~)rth in Ihe appllcal:ion filed tl~rc~iLh.
f~)rn lo I~fore nx~ this
...... ...... .....
~tary
-m~s~.O \oo~O_$ ~3
· -hi II,<