HomeMy WebLinkAbout25284-zFORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26150
Date: 12/08/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1125 KENNYS RD SOUTHOLD
(HOUSE NO.) (STREET) (HA~ET)
County Tax Map No. 473889 Section 59 Block 7 Lot 21
subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 1998 pursuant to which
Building Permit No. 25284-Z dated OCTOBER 26, 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 ACCESSORY SHED "AS BUILT" AS APPLIED FOR.
The certificate is issued to LAWRENCE & MARIE FIUME
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
H4684 10/28/98
N/A
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26151 Date: 12/08/98
THIS CERTIFIES that the building ADDITION
Location of Property: 1125 KENNYS RD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 7 Lot 21
SOUTHOLD
Subdivision Filed Map No. __ Lot No. ~
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 1998 pursuant to which
Building Permit No. 25284-Z dated OCTOBER 26, 1998
was issued, and conforms to ell of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is DECK ADDITION "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to LAWRENCE & MARIE FIUME
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
uild~ InspeCt
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26152
Date: 12/08/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1125 KENN¥S RD 8OUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 7 Lot 21
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 1998 pursuant to which
Building Permit No. 25284-Z dated OCTOBER 26, 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 HOT TUB ON "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to LAWRENCE & MARIE FIUME
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
H4684 10/28/98
N/A
Buildin~nspector f
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. 25284 Z
Date OCTOBER 26~ 1.998
Permission is hereby granted to:
LAWRENCE & MARIE FIUME
1125 KENNEYS RD
SOUTHOLD~NY 11971
for :
CONSTRUCT A DECK ADDITION & ACCESSORY SHED AS APPLIED FOR AS BUILT
TW~Y/CO'S REQUIRED.
at premises located at
County Tax Map No. 473889 Section 059
pursuant to application dated SEPTEMBER
Building Inspector.
1125 KENNYS RD SOUTHOLD
Block 0007 Lot No. 021
9 1998 and approved by the
Fee $ 110.00
~u~~~ng~Ctor
Rev. 2/19/98
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-I802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
This application must be filled in by typewriter OR ink and submitted to the buildinl
inspector with the following: for new building or new use:
t. 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 i% lead.
5. Commercial building, industrial building, multiple residences and similar buildir
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, oK 'Buildings an
Vpre-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
i. 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
uate .......... ~/.~./.~.~. .................. ...
New Construction .... ~. ..... Old Or Pre-existing Building .................
~oeation of Property ..... IJ;g~.Ke..~.,~ ~...l?.a.... .~...~4~o/.~,
House No. ~ '' SI~';;; ................. Hal'{e;''' ........
Onwer or Owners of Property ............................. .
County T~ ~p No looo. Section .... ~ ....... ~loc~....? ........... Lot...a../ ...... .~ ........
Subdivision ....... ~ .......... ~) ~.. ............ ~iled ~ap...~ ..... Lot.
Permit No ................ Date Of Permit ......... Applicant .............
Health Dept. Approval ............ .... ..........Underwriters Approval........ ........... . . ..
Planning Board Approval ................... .... .
Request for: Temporary Certificate ........... Final Certicate ...........
.......................
DATE: 9/16/9~
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EAST PA TCHOGUE, NEW YORK 11772
(516) 286-6642
[I4457
APPLICATION No. ON FILE
riLLgGE: $outbold
ADDRESS: I 125 Kenne? Road
ISSUED TO: Marie Fiume
TO~: $outhold
INTRODUCED BE' Above
was examined on
9/16/98
LIC No :
and found to be in compliance wtth the Nattonal Electrtcal Code
LOCATION: Base.. 1st 2nd 3rd Altte
Det. Garage Hot Tub XX Pool
SWITCHES RECEPTACLES FIXTURES ] HEATEPffl FANS I G. FJ. AIR. COND.
I 50Amp.
DISHWASHJF-M DRYER CLOTHES WASH. ~ D1SP. RANGE OVEN SMOKE DETECTOR
FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT
OTHER
EQUIPMENT
Outdoor hot tub
1-disconnect w.p.
AN ELECTRICAl. SURVEY ',-lAS BEEN
MA[)E OF IHE EXPOSED EI_ECTRICAL
EQUIPMENT IN 'file PREMISES NO
VISUAL DEFECTS FOLIND
HUGO S. SURD1
PRESIDENT
B U1L DING PERMIT No. m~ c~llfioate mo~t not I~ alt~ecI let any manner
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE
ELECTRICAL INSPECTION SERVICE INC.
sz5 0U, V'rO, V.~CENUF.
,~aST PATCHOGUE, NEW YORK ! 1772
(516) 286-6642
DARE: 10/28/98
H4684
APPZJCATION No. ON FILE
VILLAOE: $outho~d
ADDRESS: 1125 Kenn~v~s Road
tSSDr~O ~o., Marie I~ume
TOWN: $outhold
.rlV~ODUCEO ar: At, ow
10/28/98
L[C No :
and found to be in complian~z with the NationaI Eleci~cal Code
LOCATION: Base.. 1st xx
Der. Garage Hot Tub
2nd 3rd Attic
Pool
SWITCHES P, ECEPTACLE$ FIXTUP, ES ] HEATERS F~S G.F.L AIR. COND.
I 1 2 1
DI~'I~/AEHER DI~YER CLOTHI~ I~A~I. GAR. DISP, P. thVGE OVEN ~ffOKEDETECTOR
FURNACE OIL GAS Cl~ MOTORS BELL TRA~ SERVICEDISCONNECT
OTHER
EQUIPMENT
Shed
/~ E[,EOTRIOAL SUR'VEY HAS BEEN
~MADE OF THE ~P~ED ELECTRICAL
~QUIPMENT IN THE PREM1S[S NO
VISUAL DEFECTS FOUND
HuGO,g. SURDI
pRE,~IDENT
B U1L DING PERM1 T No. T~ ,,~a,,~t~ ,~t ~,t be ,at~ ~ ~,y n,~
~s may beid~tff~d by ~ ~den~sl$
BLUE ORIOINAL YELLOW COPY PINK COPY OFFICE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS= ~/~ ~,.,
[ ] ROUGH PLBG.
[ ] INS/ULATION .~
[ L~INAL /~..~,-~o~
DATE,////~////~ ~
,, ,INSPECTOR ~~'//~
BUILDING DEPT. --
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [J~'J~NAL
[ ] FIREPLACE & CHIMNEY
'
DATE /~/,~: INSPECTOR
.!/.-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN.~ULATION
[~FINAL
[
REMARKS:
] FIREPLACE & CHIMNEY
~z6~8o2. ~
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ]INSULATION
FRAMING [J~J~NAL
[ ] FIREPLACE & CHIMNEY
DATE/k~ ,/~ INSPECTOR~
/ ~"~ ~--.~/~ /~
:OUNDA'TION (1st)
FOUNDATION
(2nd)
ROUGH FRAME &
·PLUMBING'
f
z
INSULATION PER N. Y.
STATE ENERGY
CODE
'FINAL
ADDITIONAL COMMENTS:
, uO~au o~ usl~t.3~] ...............
3 $1~T$ OF' ~IJ~IS', ....... ,' .......
SURVEY .............. "~':'" ' ''''"
CtlllCg; ' ' .....
~u. mol ...................
'Oa~e ................ ,19 ....
IH$'rRuu¥IOHS
' ....... ~ ti a co~raCi~O
.. ~ ................
If o~)tican: ia a co~ra~{~, si~re of duly ~l~)~i~l ogfice~,
and ~icle o1~ Coq~o¢oCe
(~u o¢ h~llvl<hmt Mgnh~ ~tract) {
(~Craetor, ~nt~r~te og~tcar, e~e.)
alqfl Icatl(m; th.~ att ~tate~ta ~ta[~ In thin nl~llca~l&~ ara Ina ~o a~e Iasc o~ his kt~t~ge utd l~tle~i t. xl
(8lgtmta~re of A~fl, lennt)
N/
-)
1%
USE ISU~!LAWFUL ,,~ /
..~O~ ,.'S 41 ° 57'50"E 100.0'
' 'l' KENN EY'S
..ROAD
UNDERWRITERS CERTIFICATE
REQL))T~ED
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON'COMPLETION
BEFORE"WATER"
- /3 f
APPROVED AS NOTED
NOTIFY BUILDING DEPAI~T~I'ENT
....... 76§-1802-~9-.AM-TO 4 .~,,;,,,,,"'~ ~u~,,,~
FOLLOWING INSPECTIONS:
_I_..~O_~J.ON._- l'WO RI~L''jlIIRKI~_
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3, INSULATION
4. FINAL - CONSTRUCTION MUST
BE CUn~PLE'i'E POR
ALL CONSTRUCTION SHALL MEET
TIlE ilEQU:~.MF, NT,~ C,F T~F. ~.'~.
STATE CONSTRUCTION & ENERGY
~' O~ONSTRU~ION ERRORS
UOE' I0 I IM! AtMDI II
WITI.4('II IT OFRTIFIP. ATF
OF OCCUPANCY
NOTIFY'
766-1802 9 AM TO 4 ~
FOR ~UR~ ~
4. FmAL- CONS~ONM~ ..................
THE REQUIREMENTS OF ~E N.Y.
STATE ~NSTRU~ION-& .ENERGY_
CODES. NOT RESPONSIBLE FOR