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HomeMy WebLinkAbout24621-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26466 Date: 05/19/99 THIS CERTIFIES that the building ALTERATION-RENOVATION Location of Property: 180 SOUTH LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 6 Lot 1.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1997 pursuant to which Building Permit No. 24621-Z dated JANUARY 29, 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 ALTERATION & RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK S.& PAULA C. THORP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-485860 04/16/99 PLUMBERS CERTIFICATION DATED N/A Buildinginspec,40r 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) JANUARY 29 98 24621 Date.............................................................. 19........... Z Permission is hereby granted to: C.FRANK A/C F.THORP .��......................1............................................................... PO BOX 177 ......... ... .. ....................................................................... EAST MARION,NY 11939 ..............I.......1. .................................•... .............. CONSTRUCT AN ALTERATION, RENOVATION TO AN EXISTING SINGLE FAMILY to . . ..................................... ................... ............................................................................................... DWELLING AS APPLIED FOR. .................................................................................................................................................................. ....................................................... . .................................................. ...........................................I....... .................................................................................................................................................................. .... .. ....... . ......................................................................... ............... 180 SOUTH LA EAST MARION atpremises located at............................................................................................................................... ..................................... ......................................................................................... 473889 037 0006 001 .001 County Tax Map No. .......................... Section ........................ Block Lot No. ........................ OCTOBER 28 97 pursuant to application dated ........................... 19................ and approved by the Building Inspescto. Fee$. ....................... P7 .. . . .... ........... ........................ Buildin9Inspe or Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled 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 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 syst contains less than 2/10 of 1% lead. ( , 5. Commercial building, industrial building, multiple residences and s {iJar, b#,,il s and installations, a certificate of Code Compliance from architect o' nginee 4S �& responsible for the building. 6. Submit Planning Board Approval of completed site plan requirement B. For existing buildings (prior to April 9, 1957) non-conforming uses, s and pre-existing" land uses: IV fiS�FpT, 1. Accurate survey of property showing all property lines, streets, building a frNp<D 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 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-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential //$1115.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . Location of Property. . . .. ..SoAL ,L,�. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. .�rk S . 9` Pa.ol� C.. . .­4,q cYr. // County Tax Map No 1000, Section. . . . . .7. . . . .Block. . . . G . . . . . . . . . .Lot. . /,./. . . . . . . . . . . . . . . . Subdivision. . . . . . . .//. . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot* . ., . . . . . . . . . . . . . . . . . . Permit No. °L�6. '2( . . . .Date Of Permit. . . . . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . :_� . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . F,ee Submitted: $. . .�s �. . . . . . . . . . . . . . . . . . . . p cam . s6as� . . . . .5., : . . . . . . . . . . . . . . . . . . . . . . . APPLICANT co z- O��gOFFO�,�cQ o� Gyp Town Hall,53095 Main Road W Fax(516)765-1823 P.O.Box 1179 Oy • O�� Telephone(516)765-1802 Southold,New York 11971 BUILDING�DEPARTMENT TOWN OF SOUTHOLD March 16, 1999 Frank & Barbara Thorp P.O. Box 5 East Marion, NY 11939 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) XX 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 # 24621-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. �� r-ira im;rt:crtuu nr.run•r � `un re __ r _( . T.� t n It lllrl:ll NtAIIC b t'1.111It1 I fM \ Q3 ---------- -« { 1 II!;tit.A'I'i 1111 I4t It If• Y . (•� �.1 !;'I'A'1'l( 1'MRItt!Y C! DIt ------------- ------------------- -------- /--------------------«__,_-- ........--......r---------------�—.....,_.---._....------.---l'--------- itli,:..t.t•:.i----------....«,._-------- t - n I �I o hI V -• 1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO FLOG. [ ] F NDATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE S CHIMNEY REMARKS:�'.� 9` DATE INSPECT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1195099 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 16,1999 Application No. on file 17888899/99 N 485860 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 FRANK THORP, 130 SOUTH LANE, EAST MARION, NY in the following location; ❑ Basement ® Ist Fl. ❑ 2nd Fl. Section Block Lot was examined on APRIL 12,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. I K.W. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT AMP. AMT. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OFS E R V I C E METER NO.Oi CC GOND. A W G. A.W.G. A.W.O. AMT, AMP. TYPE EQUIP. 10 2W11 0 3W13 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS; JIM SAGE ELEC. INC. LIC.#3635 EtD.. l,_, LPO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �J. IJ BOARD'OF, HEALTH . .. . . . . . . . . . . . . DFORM NO. 1 3, SETS-,OF .PLANS . . . . . . . . . . . . . . . Lo 2 810(1'7 TOWN „ OF SOUTHOLD SURVEY - ... . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK : . : : . .. . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC. FORM . . . . . . . . . . . . . . . . . . . EwU. OEPT. SOUTHOLD, N.Y. 11971 TOWN'UF SO T TEL: 765-1802 NOTIFXe CALL'. C ' r?y . . . . Examined....... 1MAIL TO t L� 0. . l?.7 . . . . . !21 cin, /�?." ..... Approved....././. �..., 19., 0 Permnit No. / Disapproved arc ..... .......................✓.l 7.�J.... Building Inspector) A ICATION FOR BUILDING PERMIT Date. . . INSTRUCTIONS a. 'chis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wilt 3 sets of plans, accurate plot plan to scale. Fee according to selnedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. Tlne work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be,kept on the premises available for inspection thromg)nout the work. e. No building shall be occupied or used in whole or in part for airy purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS IL+M= MARL to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Ilia applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or nam, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engimTCeneraIcontractor, ectrician, plurber or builder. ......................................................................................................................... Name of saner of premises ..la�;`^::"!!�....f.!.Y���..< :5 ..:�:� �:............................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ' Electricians License No. Other Trade's License No. .................... 1. Location of land on which proposed work will be done....'...........................:.............................. / ?................ '.. ....................... :. :::............................ House Number Street Hamlet County Tax Map No. 1000 Section ...... 5.7 7...... Block Int .... p , ........ Filed Ma No. .... .... Lot SubdivSubdivision ........:.............. . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed :00ostruction:` a. Existing use and occupancy ... .............................. .................. b. Intended use and occupancy ... .....,.... �? ".........10L.'Yl'Cr:'1�.#.'Cf,�RBC$11:•.••...:... ..... . ..... *6V V""to wale iodu`1 yrsNaq yteno3 nitoHuE Ai boolisu{3, EHOdSfi3C tO.Ryt+i ,PC yam A01*3 Hirer I 3, Mature of work (check which app icable): 'New iluilding .......... Addition .......... Alteration .. Repair l ... ........, Denolition, Other Work ,...... rW... h. Estimated � �.. atenl Cost l description) horn a fee .......�,�-. .i.......................... (co be paid on filing thiJNJ a --.._._ ., 5. if niaelling, nnier of'dwellingIunits ............ tinier of niael,ling units on each floor ................ Ifgarage, umber of,cars .,'...6. ................................ ifbusiness, commercial m structures,occupancy, specify nature,and extent of. each type'of use................ 7, Dimensions :..... existing turn's, if any: Front...../ .... Rear ....1.A%...... Depth ....1.�.......• lleiglht ,........................� Runner of Stories ....................:.. Dimensions of saw structure with alterations or additions: Front ............... Rear ............... Depth DeP ..-'..................;IleiGI it .................... timber of Stories ............... S. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height .... timber of Stories ...../............... 9. Size of lot: Front .......... Rear ...........•........ Depth ..............:..... r 10. Dale of Purchase ...........:'...;...... Nam of Forrer Owner L•OJS• 7-tor'h .......,gp................. II. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction viol'to any zoning law, ordinance or regulation: ........................ 13. , Will lot be regraded ...,.'!J'i:t?......... Will excess fill be renoved from premises: YES 14. Names of Owner of premises A.q!--....... Address � ,r—.................. Phone No. Il77`�.392. &•nue of Architect ... ...1.• .................... Address .............................. Phone No. ........ Nam of Contractor ...„G',: Q!'�..YY2^�' ........ Address d?D )'>7 !�awa+ N�/ �/3` No. L(771?r 1 15. Is this property within 300 feet of a tidal wetland? * YFS .......... NO .......... J *17 YES, SUM]” TOWN IMSIFliS Fgd4IIT MAY W. =)[YIRIRI. o'T� PLOT DIAGRAM r?3 Locate clearly and dirt] tly all buildings, whetter existing or proposed, and indicate all set-back dimensions from property lines. Give at t;and block n ober or description according to deed, and show street nares and indicate u ether interior or corner loth'. h 7/- Z d r 5'orelA4A- �F./ltiauo, sfnui tx= rawORK1 ss I UXINly •••.••• J...................being duly bmoro, deposes and says Lha L he is Live applicant (Nam of individual signing contract) above named, Ilein Lhe .......... ............................................................................... .onLractor, gent, cgrporate officer., etc.) of said amer or ,•ofd is duly anlLhorized to perform or have performed the said work and to make and flle Lhis application; that: all statements contained in this application are true to the lest of his knowledge and belief; and that Lhe work will be performed in the llnan er set forth'in the application filed Llerewith. Sworn to before me this .....Z.... .......day of: , ... ;.. . 19 7... Notary Public ,,... rtoNO�i1�, -., .nt. ($ignal:ure of Applicant•) .." 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