HomeMy WebLinkAbout25169-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-26487
Date: 06/02/99
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 14990 OREGON RD CUTCHOGUE
(HOUSE NO.) (STREET) (F~%MLET)
County Tax Map No. 473889 Section 84 Block i Lot 4.4
Subdivision Filed Map No. ~ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 23, 1998 pursuant to which
Building Permit No. 25169-Z dated SEPTEMBER 10, 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 ALTERATIONS & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to LIEB VINEYARD LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-480947 02/25/99
PLUMBERS CERTIFICATION DATED N/A
id/ 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. 25169 Z Date SEPTEMBER 10, 1998
Permission is hereby granted to:
LIEB VINEYARD LLC
PO BOX 907
CUTCHOGUE,NY 11935
for :
CONSTRUCT ADDITIONS TO AND ALTER AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 084
pursuant to application dated JULY
Building Inspector.
14990 OREGON RD
CUTCHOGUE
Block 0001 Lot No. 004.004
23 1998 and approved by the
Fee $ 75.00
~u~'~in~ ~/ns~ect or
ORIGINAL
Rev. 2/19/98
Form No. 6 ~.- ~
TOWN OF SOUTHOLD 'Vq/r~-'~~lr
765-1802 ' ' .... ~[~
o
APPLICATION F R CERTIFICATE OF'O CO~Am~ ..... ____
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 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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. , 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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Location of Pr°perty'[[[]/'q'~'~'~'House No. ................ '?~t~3Y~' ..........
Onwer or O~ers of Property ............................ [ .....................................
County T~ Map No 1000, Section ..... Block .LOC.. ~ ....
Subdivision· Filed Map ~ Lot .................
Permit No..~.~.~..~..Date Of Pemit ................ Applicant.~~.~.
~ Approval
Health Dept. Approval....................---.-.Unde~riters .' ....................... ·
Planning Board Approval ....
Request for: Temporary Certificate ........... Final Certicate...~. .....
Fee Submitted: $...~ ........................
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax(516) 765-1823
Telephone(516) 765-1802
May 20., 1999
John Bertani Builder Inc.
1380 Oakwood Dr.
Southold, NY 11971
RE: Lieb Vineyard, 14990 Oregon Rd.,
Cutchogue.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25169-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
~OU~DA'TtON (~
FOUNDATION
ROUGH FRAME &
.PLUMBING
Z
INSULATION PER N.
STATE ENERUY
CODE
FINAL
ADDITIONAL COMMENTS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1195099 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 100~8
Dat~ ~'~,BRUARY 25,1999 AppLication No, onflle 17120698/98 N 48~947
only th~ =l~ctKCal ~nlpm~nt as d~crlb=d b~low and introduced by th~ applicant named on th~ abov~ appNcatton number L~ In th= ~r~ml=~$ of
~ L~B, OREGON ~0~, CUTCHOG~,
was examlntd on FEBRU~Y 19,1999 and/ound to b~ tn compttance with th~ NaEt~nal Electrical Code.
OUTLETS RECE~ACLES SWITCHES INCAHOE~CEN' FLUORESCENT q~,En A~T, K,W, AMT, K..W. ,,,~MT. K.W. AMT, g,W,
14 9 12 14
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEE6ER~ SFECIAL EEC'PT TIMECLOCK~ BELL UNiT HEA~ER~ MU~Ti-O'UTLEI DIMMERS
~THER APPARATUS;
PO BOX 38
GRE~NPORT, ~, 11944-~38 G~N~RAL ~ANAGER
This cefllficate must not be altered In any man,et; return to lhe office of the Boord II Inootmaf, InspeCtors may b9 Identified by
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] RO~JGH PLBG.
[ ] FOUNDATION 2ND [/.~INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR ~~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING ~/~~NAL
[ ] FIREPLACE & CHIMNEY
REMARKS:~.~~*~'~
INSPE~//~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [~'~'INAL
[ ] FIREPLACE & CHIMNEY
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] F/OUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~/~
,
DATE
INSPECTOR
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[/~//FI NAL
[]FIREPLACE&CHIMNEY
REMARKS: /~O ~~~
DATE
INSPECTO~~ ~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOF
BUILDING DEPT.
INSPECTION
[. ] FOU. ND~ATION 1ST [ ] ROUGH PLBG.
[~I~OUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [ ] RO~K~HPLBG,
] FOUNDATION 2ND [/,,/]/INSULATION
] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~--~,`
DATE
INSPECTOR/~/~7"~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ c~'I~L
[ ] FIREPLACE & CHIMNEY
REMARKS:
PORH NO. I
TOWN OF SOU'FIIOI,I)
BUll,DING I)EPARTHENT
TOUN IIALL
,qOUTI1OLI), N.Y. 1197 I
TIrA,: 7fi5- 11[~O2
/~pprovc~l .... 1~. .... , 19 I ennl L No
I)[ $mFq~r~,ed o/c ................... ~ ..............
l;~,2~,; U~' !!L~AI.TII ...............
~ SBTS OF PLANS ...............
SUR~/EY ........................
CIIECK .........................
SEPTIC FORH ...................
NOTIFY:
3~~ ocmrote plot plan to scale.
~'lot plm~ ~[n8 }~ot[m o~ tot m~l
streets or areas, m~l givil~ a detailed descr{pt{c~ of layover of pro~rty .~mt I~ dr~ (m the dinRr~n ~dch' {. l~nrt or
c. 1he m~k c~r~ {~ Ual. Ol~Hicnti~m ~y ~t I~ cm,m~l I~fore is~e of IkJildln0 Permit.
d. Ui~ ol~)~nl of thin nl~>Iicut{~, the Iklihli~l ]nsl~ctor ~dll {.s~ u ~fild{.g Pennit to the .l)Plico.t. ~ch
I~dt ~dll I~,kept m O~ ~i~..v.ilnble for i.s~ctiu~ thro~t tlm:~rk.
"~ e. ~> I~{Id{~ droll I~ ~o~p{~l or u~l in d~)le or in l~rt For o~ lX~J~ ~otever until o C~rt{ficnte of
~C~.~y ~lt here I~n grnnted by O~ tkdhllng Insl~ctor.
l~}ldit,g ~ Ord{~t~ of O~ '1~ o~ ~tl~l<l. ~[fo{k ~m~, ~ York, a,fl other ~licable Ires. Ordhmme. or
(~flh~ ~lress o~ ~lic~nl:)
S~te ~t{~r ~licm~t is ~r, le.~. nge.t.~hit~n~il~r.'~e~ral c~tr~ctor, electrician, l){mt~r er
him
14~e olJ o~er of preml.e~ ............................
if ~Pi)llcant is a corpor~tim. ~i{~ture of duly ~ul.l~)rlz~l officer.
(Na~ a~l title of corporate officer)
Id;iture o~ work (d~eek sddch ~l)l)lle~)ie): I'k.%~ lhJihlinl~ .......... ~ ....................
[ (l~ript i~O
· .le of Cxmtraeror ' . . I ............ &klresa ............................... ltm(~ ~ ...............
]PI.OT I)IAGIIAH
(~. i)rolmrL'y lhm~. Give nitre alxl I)ld~k ~Jdmr or (~seripLi(~) accordh~ to (~1, a[~ ~i~ otree~ s~leq taxi itxlicate
((~l]Lractor. nKeilt,-corl~)rnLe of liter, etc.)
izlL tll~ ~)[k ~itt I~ imrgo~l~l in Ihe .~ns~r ~t forth in the zippllc~)Lion filed