HomeMy WebLinkAbout25082-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26137
Date: 12/03/98
THIS CERTIFIES that the building ALTERATION
Location of Property: 965 SECOND ST NEW SUFFOLK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 8 Lot 6
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AL~. 4, , 1998 pursuant to which
Building Permit No. 25082-Z dated AUGUST 4, 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 WINDOW ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WALTER WERTHMULLER & ORS.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 24689 11/11/98
PLUMBERS CERTIFICATION DATED N/A
//B~ld~ng Inspector
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. 25082 Z Date AUGUST 4, 1998
Permission is hereby granted to:
for :
WALTER WERTHMULLER & ORS.
PO BOX 227
NEW SUFFOLK~NY 11956
CONSTRUCTION OF A WINDOW ALTERATION TO A SINGLE FAMILY DWELLING AS
APPLIED FOR.
at premises located at 965
County Tax Map No. 473889 Section
pursuant to application dated N/A
Building Inspector.
SECOND ST
117 Block
19
NEW SUFFOLK
0008 Lot No. 006
and approved by the
Fee $ 75.00
/-Building I nspec~or/
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY .~ t~~, 8
This application must be filled in by typewriter OR ink and submitted.
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 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 1% lead.
5. Commercial 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.
B. 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.
C. Kees
· %. 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-existinR Buildinm - $i00.00
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
Date .......................... ... ...
New Construction ...... ~. Old Or Pre-existi~ Building....~..
Lo a ion of prope=y, iilZ . ............. ......
House No. Street Hamlet
Onwer or Owners of Property ................................................................
County Tax Map No 1000, Section .......... Block ......... Lot ......................
Heaith Dept. Approval....... .............. .. ... Underwriters Approval ..............
Planning Board Approval · ·
Request for: Temporary Certificate ........... Final Certicate....~. ......
o o
e.o 7
24689
APPLICATION No. 031 FILE
ADDRESS: , 965 ,%cond Street , ,
~.~obz~ l'o' Liil U, Oldstetn
$outhoM
was examined on 11/I 1/98 a,id found to be in compliance with the Nahonal Electrtcal Code
LOCATION: Base.. Ist XX 2nd Srd A~e
Der. Garage Hot Tub Pool
swITCHES .RECEPTACLES --~H;Y£URES HEATERS; .FANS- G.F.L ~'6 COND.
3 11 2 1
DISI'IWA~HF2q DRTER ' CUO~HF.~ Fe~,gH. OAR. DI~ RAN(gE OFE~q ~'ECTOR :
FURNACE
OTHER
EQUIPMENT
1-motion detector
SERVICE DISCONNECT
~r~ ', ~s, [P;Zds~
BUILDING PERMIT No.
BLUE ORiGINAL YELLOW COPY
PINK COPY OFFICE
HUGO S. SURDI
PRES~ENT
JO~ DAL¥ ~=~°_~ ~ ~ ~
, -- S~ ~]LMARTH A~ · GREENpORTr ~ ii~4 · (51~) 4~
I,,
I
~ m ~CD m ~ ~. INSURED I
I
~'~ ~ ~ _
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F~DATION2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~~ ~/~.
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]./F/OU/NDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ]FRAMING
[ ] INS~JLATION
[~INAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
~OUNDATION ~ (?st)
FOUNDATION
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
'FINAL
ADDITIONAL COMMENTS:
PORN riO. I
TOWN OF SOUTIIOLD
BIIILI}ING DEPARTMENT
TOWN IIALI.
8OUTIIOLD ~ N.Y. 11971
TEL: ~6~- I~0~ ,
~LICATION FOR gUILI)ING PERHIT
BLO6, OE~.
~N QF S~ /NS'I'RUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CI1ECK .........................
SlePT'IfC PORN ...................
a. 'Ibis applieatioo ntmt be eonoletely filled in by t~pewriter or in ink aed mll~nitted to the lhdhling hmpector wi
3 ~eta of plarm, accurate plot plan to ~ale. F~ according to
atr~t~ or flrea~+ fl~ glyi~ a (~tailed ~:ripti~ of laycut o~ pro~rty ~)st 1~ ilr~ ~ ti~e dia~n ~icl, in Imrt of
d. II~ a~al of ~is a~llcatim~, tl~ Ik~ildi~ lns~ctor wilt is~ a ~ildiflg Pemit to the applicant. ~c1~
~.l~'rI~ IS }~ ~ to t~m {k~ildi~ ~rtn~nt for the issue o~ a ~filding ~mlt ~,rmmnt to the
~lati~s. for tbe ~st~ti~ of hdldi~s. ~iti~. or alterati~s, or for r~al or ~liti~, as berein
re~dati~s.laed to ~it ~ri~
............ l~.~ ................................... ~. ......... a ~': .~ ..~.. ~ ~. ~ ....
'If a~,licant lea co~rati~~of duly m, tl.,ri.~l o[flcer.
(~ a~ title of co.rate officer)
Pltn~bera l.icen~e ~o ..........................
Electrleiana License No ......................
[ (~o 1~ fid ~m filing th~a al~lica~l~)
If garage, t~admr o~ cars .... ~ J
I)inensiam oi .m stn~L~ire .ith alterations Or z.~iriona: Front .. ~/.,~ ....
12. ~a prolm~l mmrxtlm viol{are any talin& I~. onli~me or regularly;
~e of Ardtitecr ............. : ....................... ~lre~s .................. , ........... H~ ~ ...............
·sm of C~Cr~tor ............ [ ....................... ~klress .............................. li~ ~ ..........
PI.OT DIAGRAH-
I~ate dearly a~ dlatl~ly all ~ildl~a, defter ~taring or pro~, m~ it~ icare all ~t-I~ di~naiona
frm~ proierry ll~a. Oi~ ar~c taxi I)1~ ax~i~r or ~acripci~ according Lo ~, a~ ~ atreec ~ea aal ialicace
M~tl~r inLecior, or corer 1oc. il
/ i.' - / "t:'..
....... O.~ ..... ~...u(.' ~ i,, d,,l~ ~,,,
..... , ................... ~,, , delxmes arm ?,aya that he is the appl. i(mm.
of n~ltv~dlml, sHpm~g con~racC) J [
the ............. i~' . ................................ } ....................
(C~;tractor, I
asent,~ qorlx)raCe officer, etc.)
o1: ~aid t~a~r or ~mr8, tS~I 18 {hdy ~thor]~ to I~rfonn or Imve Iz~rfl)rn~l I.he ~id
apI)l icatto.; Lhat att sCaLe.nra c~lt~h~l m Lhm al~}llca~i<m are tn~ to the 1~st of h
thaL th~ ~}rk will I~ ~rfon~l tn th~ .~ml~r ~ forth in the appl. lca~R)n
. ~.~.,~,~,~ ...~..:..:. ~...~ ....
k m~l to n~ke taxi file Ihis
/la.ktx~led§e n,d t~1 iefj
765o1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING ~ [/..~FINAL
[ ] FIREPLACE & CHIMNEY
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU/GHPLBG.
[ ] FOUNDATION2ND [/.~~TION
[ ] FRAMING [~,']' FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: /
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG,
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INS~ULATION
[~'~NAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
I NSPECTOR .,,//~("',~ l ~ ~-