HomeMy WebLinkAbout25285-zFOP~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Nos Z-27099
Date: 03/25/00
THIS CERTIFIES that the building ADDITION
Location of Property: OFF AVE B
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 6 Block 2
FISHERS ISLAND
(~aMLET)
Lot 22.2
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 10, 1998 pursuant to which
Building Permit No. 25285-Z dated OCTOBER 27, 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 ADDITION AND pARTIAL RENOVATIONS TO EXISTING ONE F~-MILY DWELLING AS
APPLIED FOR.
The certificate is issued to PAUL F & CAROL J OILES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H067322 03/10/00
PLUMBERS CERTIFICATION DATED 03/14/00
MARIO ZANOHETTIf JR.
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. 25285 Z
Date OCTOBER 27, 1998
Permission is hereby granted to:
PAUL F & CAROL J GILES
PO BOX 714
FISHERS ISLAND,NY 06390
for :
CONSTRUCT AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AND
PARTIAL RENOVATION AS APPLIED FOR. (NOTE: UNDER 850 SQ.FT.)
at premises located at OFF AVE B
County Tax Map No. 473889 Section 006 Block
pursuant to application dated SEPTEMBER 10 1998
Building Inspector.
FISHERS ISLAND
0002 Lot No. 022.002
and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
THE NEW YORK BOARD OF FIRE UNDERWRITERS
WE ARE IN THE PROCESS OF ISSUING A
'C E FfI'IFICATE OF COMPLIANCE FOR THE
ELECTRICAL INSTALLATION AS COVERED
IN AN APPLICATION NOTED BELOW:
,
INSPECTOR DATE,'
~PLICATION FOR CERTIFICA~ OF 0CC~PA~C~I [DD(REVg~
This application must be ~ilted in by typewriter OR ink and submitted to the building
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 ~nusual 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 Underwritecs.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial buildiqg, 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:
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 signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
1. 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-existin~ Buildin~ - $100.00
3. Copy of Certificste of Occupancy - , .25C
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00~ Commercial $t5.00
Date ..... ~/~./~ ...........................
'~ew Construction ........... Old Or Pre-existing Building ..... ~ ........
,ocation of Property...7.Z .~. ................. .~..~..~. ..... ./~./.~..~.~.~:~21~1.~.~.~ .~.. ........
House No. Street RaCet
'
)nwer or Owners of Property... ~/.~..~'~ C~ '. ~
]ounty Tax Map No 1000, Section .............. Block ................ Lot ................ ~ ......
~ubdivision .................................... Filed Map ............ Lot ......................
2ermit No.~.~.ff~] .Date Of Permit ............... Applicant. ~.~./ ....... ~.~' ......
qealth Dept. Approval .... /~//~ ................. Underwriters Approval ..... ~ ................
'lanning Board Approval ..... ~./~. ..............
:equest for: Temporary Certificate ........... Final Certicate...~ ......
"ee Submitted: $ ....
e, o $ /0q ............... ...........
'{ .....
THE NEW YORK BOARD OF F!R,E, UNDERWRITERS
8~75092 BUREAU OF ELECTRIC:I~rY' ,'' ' ;~.'
40 FULTON STREET, NEW YoRK~:-~Y"{~038~ ' ·
}~ARCH lQ
H 067322
l'cation No. on He
THIS CERTIFIES THAT a~r~ NO. ~2a5
only the elec~al equipment as described be~w and in~oduced by the applicant named on the ~bve appl~ation number ~ in the premises of
PA~ & C~OL GTT.~S,~ P.O~ ~X~714, FIS~ IS~,~,~w~':/' '~ ,'
in th~ following ~ca~n; ~ Basement ~ 1st FL ~ 2nd Fl. ~uUi ', Sec~o. Block ~t
was examined on ~CH 03 ~ 2~0 and found to be in compline& wi~h th~ Na~onal Elec~ical Code..
FIXTURE I ~,~ ~A =~1 c,..~ c I FIXTURES I RANGES I COOKING DECKSI OVENS IDISHWA~SNERS EXHAUST FANS
14 15 14 10 I 4 I ) 1 I 6.3 I 1.2 l
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ;PECIA/RECPT. TJME CLOCKS .r,,; UNiT HEATERS MULTi-OUTLET D MMERS
SERVICE DISCONNECT ~ ~.~ S E E ~ ~V '' I' ,~'C ~
OTHE~ APPA~TUS:
P~0~S: 1-9 CIR.
G.F.C.I:-3
PAUL & CAROL GILES
P, O. BOX 714
FISHERS ISLAN, 1~', ~639~
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· i
COPY FOR BUILDING DEPARTMENT, THiS COPY OF CERTiFiCATE ,MU~T NOT B5 ALTERED IN ANY MANNEFL
BY THIS CERTIFICATE OF COMPLIANCE THE
NeW YORK BOARD Of FIRe UNDeRWRITeRS
BUREAU OF ELECTRICITY
40 FULTON StReet ~ NEW YORk, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
WALSH SERVICE
P.O. BOX 325
FISHERS ISLAND, NY 06390,
PaUL GILES
AVE B
FISHERS ISLAND, NY 06390
Located at
AVE b FISHERS ISLAND, NY 06390
Application Number: 2053921
Certificate Number: 2053921
Section: Block: Lot: Building Permit: BDC: ns11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
service, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the ]3th Day of March, 2006.
Name QTY Rate Rating Circuit Type
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: I 200 cb
Meters: I
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ~NAL
REMARKS:
VOILH ~lO. I
TO~H OF ,~OUTIIOIA)
BU 113) [ FI(; I)EP^WFHI~,FIT
TOT~i4 il^t.l.
,~OUTItOIJ), N.Y. ll07i
TEl,: 76~-I~()~'~
I~()MU) OF IH~,^I,TII ...............
30I~,T,~ OF PI,AHB ...............
SUiWF,¥ ........................
CtlECK .........................
,~1~, P'I' J (| F()I~H ...................
iqOT! FY:
CAI.i
HA I I. TO; ....................
a. 'lhl~ S)lq~lJc*~LJ~x~ iI!.1.q(~ I)~ c(~qdetely J:illed in by ty~,,rit'er or Jr~ ink ~.,I
3 ~etn o[ plmm, occt]rate' I)lo[ I)lan to ncale. Fee occovdh)}l Io ~chedllie.
thi~-' t~caLl~.
c.~e ~rk cc~l by thin alqdtcation ~'~y sx)t Im com~ed I~fo~e JnstJm~e of ~lldl~ Permit.
d. Ulxm a~al o[ tide appllcatl~h the I~sildinl~ Inel~etor g~ill isaue n l~dldlng Pem[t to the al~plicanl:. Such
[~smiC ~dm,l[ I~ kepi ~ the p~,ttmn ov~lJlable fo~ tn~l~ctlon th~sc the ~rk.
e. ~) I~dldlt~8 droll Im ~cupi~l or t.~d iu ~ole or i~ [m~ lot any ix~rl~e
(kctqm~y droll ha~ I~m~ 8trusted by tl~ I~dldht8
I~,il(lii~O ~x~m Onlitm,~e o[ Lira 'l'~m of ~x~tl~)ld, ~dfolk (kxmLy, ~e Y(nk. m~l oLher al~lJcal)le I~s, Or(li,~es or
I~lpdutj(ms) for tim c~mt[~tl~ ()[ I~lihlh~ss, ~kliti(mn or alterattous, or for ~m8[ or (~ul ition) o~ herein
de~cril~(I. 'lhe apl)l leant allr~o I:o co~)ly ~ith all aI)pllc~d)le ll~o., or(Ihmnce~. I~]il(Ih~ c~le,
rel~ul.~l(~m. m~l to m~dt mitl~rized hmlm(:tora (x) pro. iae~ o,YI h) I~.il(linl~ for ]~ce..~
(Silp~at ~lr
([~il i~ ~xldre.a of appl icfmt)
.~,~ ,,~ ,~ ,,~ i,,-~,,~,~, ~A.U..b...~...~.t.~.~...+..--b~,--v~.-.~--~:..-~- .t-b..~-~.- ~ ....................
(a~ ~x~ the t'n~ roll or h~tent deed)
If al~d lc:md: J8 o CO~lX)l~ol:to~l~ 8l~ttl~e of duly n~lLh()r|z~-d officer.
(N;~x? taxi tit. ie o1~ corlx)rate o[ficer)
lkJilders I,icen~e No ..........................
Ph.d)e.r, 1.|cen~e No ..........................
Ele~rJcJon~ I.i~en~ ~ ......................
Other 'lYm~*~ I,icen~ ~) .....................
I. I~:oLi~ oE lm~ ~ ~uJ~l ~o[~d ~1~ will I~ do,~ ..............................................................
Ikx~ ~.d~r Street' I~anleC
~l~llvJni(.~ ...... ~ ............................... Filed F~,p tb ................ lo~ ....... '.;~ .....
..: .~
,,. ,~,~,,,, ,,,~ ,,~, ~=,.,~ ....~.~...~..~...~., .... ~ht~ ...............
,,. ,,,~,~,~ ,,~ ,.~ ~,:,,~.~ ....... '..~'~1 ................
II.
r A r_.._~ P__.l::)
.... ~S .... [..¢,~l.~s.,~ .................
I~ [II Iht] .. ~ ....................................
.ppi h:~i.i~nl tirol, nil flLIILi~i~iklII
....... .......... ,,,,~ ,,~ ~ ~... ,~.~ .....
~y g, P~l~f, lr.V ~l&~ ~ .............................
82/81/1994 87:83
COVER PAGE -
TO:
FAX: 17651823
FROM:
FA)<:
TEL:
PEQUOT INN
6317885583
6317887246
COMMENT:
02/01/i994 0?:03 631788S5@3
PEQUOT INN
TOWN OF $OUTHOLD ,
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
,.~OUTNOLD, N.Y. 11971
CERTIFICATION
PAGE
TEL. 765-I 802
Date '3/14,/00
Building Permit NO,~.~.
O~ner. ~aul ~iles
' (please print)
Plumber Marfo Zan~hetti Jr.
{please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
02/01/1994 87:83 $3178~85583
~ry
PEQUOT INN
PAQE
TOWN OF $OUTItF~i'~
omc
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
C E R T I F I C A'T I, 0 N
Owner Paul Giles
(please print)
Plumber Hario Zan~hetti Jr.
(please print)
Date 3/14/00
i certify that the solder used in the water supply system
contains less than 2/10 of 1% ,lead.
, ' ~ (plu~r '~}gnat6re!
.Notary. Publ~c~ ~ county: .. -.~ ~
H0~ PobH~ ~t~t~ ~f ~-low York
T~m Expires 12/31~
81/03/1994 02;36
COVER PAGE
TO:
17651823
FROM: RFG CONSULTING
FAX: 5167885666
TEL: 5167885666
COMMENT:
0i/83/1894 82:36 5167885666 -PFG CONSULTING PAGE 01
I~E:
~*~,~11 IF~A~I~V (~D NOTIFY BUI~ING DE~NT AT
~U~/ ~S~ 76~1~2 9 AM ~ 4 ~ F~ THE
~oc io II~I/AIAI;II/ ~NGINSPE~ONS:
~2~.~?~ ~J ~2ZL', ~.~---~
,
Wi/HUU/CLR/I~IUAIE
2, R~GH- F~ING & ~"ING
3. INSU~ON
OCCUPANCY
8E COMPL~E FOR C.C.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
I l/~ CODES. NOT RESPONSIBLE FOR
~--,~~~' --~' ~ ~ DESIGN OR CONSTRU~ION ERRORS
I'
Ii
,3
,qdc,
FoLII, IDATIOH~
ToP.WALL
F,c,c, TII4~ WFI,~E VE4~:'TICAL
IzB-BAI~ I~ MII,III4AL
__ IF P-e~LII~E:D
GRAWL-~p^¢~. FCI,I!,4DATIOI4 WALL