HomeMy WebLinkAbout24930-zFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25989
Date: 09/23/98
THIS CERTIFIES that the building
ADDITION
Location of Property: 1405 WUNNEWETA RD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section lll Block 4 Lot 29
CUTCHOGUE
subdivision Filed Map No. Lot NO. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 5, 1998 pursuant to which
Building Permit No. 24930-Z dated JUNE 10, 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 PATIO ROOM ADDITION ON EXISTING DECK OF A ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to GRACE GOLDEN
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-461738 08/11/98
PLUMBERS CERTIFICATION DATED N/A
Building/Inspector W
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 24930 Z Date JUNE 10, 1998
Permission is hereby granted to:
GRACE GOLDEN
PO BOX 442
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A PATIO ROOM ON AN EXISTING DECK OF A SINGLE
FAMILY DWELLING AS APPLfED FOR.
at premises located at 1405
County Tax Map No. 473889 Section 111
pursuant to application dated MAY
Building Inspector.
WUNNEWETA RD CUTCHOGUE
Block 0004 Lot No. 029
5 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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-~isting Buildinm - $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
Date . .
New Construction ........... Old Or Pre-exist~n~l~)~
Location of Pronertv..~-f-... ~~-~-~%~'''~'?~)~g~. ~/ ~;! ~o ·
~ouse No. Street Hamlet
Onwer or Owners of Property ............. ~ . ..
County Tax Map No 1000, Section.. ; ~ { .Block ...... Lot .......
Subdivision .................................. · - Filed Map ............ Lot ........... L. .......
Permit No ...... Date Of Permit. /O-
..... · .............. Applicant ............ .... ... ~., ..... .
Health Dept. Approval ..................... ..... Underwriters Approval ........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate .........
6fl , 5 ;f3 .....................................
TOW q X
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY k~ /[~53
A. This application must be filled in by typewriter OR ink and submitted to the buildin~
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 fo~).
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. Co~ercial building, industrial building, multiple residences and similar buildin
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.
B. For existing buildings (prior to April 9, 1957) non-confo~ing uses, or ~uildings an
'3pre-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 si~ed by the applicant
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in ~iting to the applicant.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax(516) 765-1823
Telephone(516)765-1802
August 21, 1998
Grace Golden
P.O. Box 442
Cutchogue, New York
11935
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)
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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 24930-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
THE NEW YORK BOARD OF FIRE JNiDERWRITERS PAGSl
1001093 BUREAU OF ELECTRICITY . '~
~ 40 FULTON STREET, NEW YORK, NY 10038
Datg AUGUST 11,1998 Application No. on file 1655289~/98 N 461738
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
HRS GOLDEN, 1405 WUNNEWTA ROAD, 2A, CUTCHOGUE, NY
in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block
was examined on AUGUST 04,1998 and found to be in compliance with the National Electrical Code.
Lot
.(~UX.~LU~ RECEPTACLES SWITCHES INCANDESCENT F~Xo~EUsRc~T OTHER
10 4 FU!N;CE MOT!R: !UTURE APPLIANCE FEEDERS
RYERS
AMT. K.W, OIL H.P. GAS H,P, AMT. NO. A W.O.
RANGES
SPECIAL REC'PT.
AMT. AMP.
SERV CE DISCONNEC'1 NO. Or S E
AMT. AMP. TYPE ~V~l~ , , 2W 1 ~ 3W 3, 3W $ ~ 4W NO. OFpECRC~COND.
OTHER APPARATUS:
PADDLE FAN-t
R
TiME CLOCKS BELL UNIT HEATERS MULTI~OUTLET
SYSTEMS
AMT AMPS. TRANS. NO. OF FEET
V I C E
EXHAUST FANS
AMT H.P.
DIMMERS
AMT, WATTS
AW.G,
OF CC. COND. NO OF HI-LEG
A. W.G. NO. O; NEUI'RALS A W, G.
OF HI-LEG OF NEUTRAL
DOROSKI ELEC. INC.
425 MONSELL LANE
CUTCHOGUE, NY, 11935
LIC.:
GENERAL MANAGER
FIELD
FOUNDATION
(1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONA'L COMMENT~:
' APPI~OVEDAS NOTED
'
~1~: BUILDIN6 DE~ AT
15-1~2 9 AM TO ~PM FOR
)~NG INS~oNs:
FOUNDATION -~O REQUIRED
FOR ~URED CONCR~i~
ROUGH: F~MING '& PL~BING
IN~N~ .
~NAC - CONS,;UCT~ON
~L CONSTrUCTiON SHALe ~ET
~E REQUIREMENTS OF THE N.Y,
rATE- ~CONSTRUCTION & * ENERGY
~DES. NOT RESPONSIBLE
~IG~ OR;~CONSTRUCTION~ER RORS
NOT~Y
78S-180~ e AMTO
I
4. FINAL - CON$'~UCllON
BE~'~II C.O.'
ALt.~CON6TRUC]]O~I
THE REQUIREMENTS OF
STATE CONSTRUCTION
CODES,, NOT IESPC
Lo/'
~0~
,/
GUARANTEI:;D
BLDG. D~?I. J
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] R~U/GHPLBG,
[ ] FOUNDATION2ND [,/~/INSULATION
[ ] FRAMING ["~ ] FINAL
[ ] FIREPLA~ CHIMNEY
REMARKS: / (/~ ~
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [/-,~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ [ ] ROUGH PLBG.
[ [ ~.~JLATION
[ [ ~] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: .~.c~, ~..~ ~
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
BOARD OF DBAI;I'il .....
~'~,~ ~. ~,~ _ PORN HO. I 3 ~ET8 OF PLANS ...............
1~ ffi ~ ~ ~ ~ r TO~. O~ SOUT.OLO SUeVSV ........................
lUUl '~r-~ ~ ~11,o,,~.,,o,.,...~. ,,9~,
· ~ //~/~z ~ m ' HAIL TO .....................
'~"'~"~//~ ~ ~ ...... .
'.... .................................
~ , o,t, .... ~ .......... ~ ....
INSTRUCTIONS
8. 'H~ta a~li~tim =: ~ ~letely fiil~ in by LT~ri:eg
3 ~cs o~ p]~, ac~=aLe plot p]an tO ~ale. F~ acco~d}~ to
.trots o~ areaa, n~ ~ivt~ a ~tail~ ~ripc{~ oi layout oE pm~rty
chis a~l icaCi~t.
d. U~ a~al oE ~la a~]icaCio~, tie l~ild{~ ]us~cto~ ~{]l {s~ a ~tld{~ Peru{: to C}~ applicant. ~h
~H,I~TI~ IS I~ ~ Co tim {h~lldi~ ~rt~nt for Om issue
~la:i~s, for tl~ ~:~ti~ o~ hdldi~, ~iti~a or alterati~, or for ~al or ~liti~, ~ ~retn
.~~~ ........
(~ilt~
SLate dm~r a~l{csnC {s ~er, le~, ~ent, Mchi~:, engi~r,'gmeral c~tr~tor, el~tricJsn, p]~r or {R~i{de
~ ~ ~ ~ ,~/~ ~ .......................................
.................. ........ ;j? ...... ,..
,..~ .... ~.<~ ......................... .......................
~ og ~r of pr~i~s ...... ~/.; ....... .
(~ m tie tax mil or latest ~ .
1~ ~~~aC~~~ri~l °~icer'
'~~~at~" ' ' ~' ~"~'~ ...................
l,lce~ ........... ~.~ ..
el~ I ice~ ~ -- ....
gl~c~ici~a I,i~ ~ ......................
Douse Nunber Street
Country Tax flap No. 1000 Section, ..... /.Il. ...... Bl.ock ............. lot ,..~...-~
Sulxlivlsion ...................................... Filed Nap Mo ......... 2, ..... I~o~ ...............
State existing use and occupancy og premises and inC,e~, use and jW:cupancy of proposed co~stn~ctioot
· . . ..~,.~.<~.E...n~.../.~.~.. .........................................
a. F~ds~ng ~me aha occupancy ....
~ ~ ~- /-~/~ ~ ....... ~....~ ..................
b. ~'~ ~e ,,l occ,~,~ ......... ~..~..1 ·
· ..~.A .................
10,
II.
12,
13.
14,
PI.OT D]f AOItAH ~
locate clearly end dlerlnetly all L, uildlnse, ~hetlmr exlaring or proposed, end tndienLe nil ~et-I)8~k dimgnstone
property ].Ieee. Give ntree~ ami block razd)er or description flecordiag to deed. aml ~ho~ street nme~ arxl ir~lieate
~d~etlmr h*£erior or corner Joe.
~x~.~ ~, ~ ~..~..~ .~... r
......
(~ <)~ i,xlivid~ml, signing c(xltrac~)
~.-~
t~iff the ~,tra~nt.~ cat.rate o,~ieer, etc.)
...... ..... ~..: .............. : .........................................................
o~ enid (~mr or ~rn, and 18 (h~ty ~tl~rl~ to i~rfonfl nc h;~e I~rPor.~l the ~t(I ~rk and to nnke ami file thin
ti*aL tim ~rk will i~ ~rfon~l Jrt tim nm[emr ~e forth in the nppl,[ce~ion fil~
~)~ LO i~ft~re ~ Ods / ~ ~ ~
duly a~<)rn, delx)aefl and maya that he ia the appLJ(mn.