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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.