Loading...
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 ~ ~-