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HomeMy WebLinkAbout24729-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. CERTIFICATE OF OCCUPANCY No: Z-25769 Date: 06/10/98 THIS CERTIFIES that the building ADDITIONS Location of Property: 250 KENNYS RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 3 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 13, 1998 pursuant to which Building Permit No. 24729-Z dated FEBRUARY 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 GARAGE AND FAMILY ROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS & NOREEN HAMLIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 20857 05/27/98 PLUMBERS CERTIFICATION DATED N/A - -",4 -/w Bu' ding 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. 24729 Z Date FEBRUARY 27, 1998 Permission is hereby granted to: THOMAS & NOREEN HAMLIN 250 KENNYS RD SOUTHOLD,NY 11971 for CONSTRUCT A GARAGE AND FAMILY ROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING. at premises located at 250 KENNYS RD SOUTHOLD County Tax Map No. 473889 Section 059 Block 0003 Lot No. 018 pursuant to application dated FEBRUARY 13 1998 and approved by the Building Inspector. Fee $ 75 .00 Building inspattor ORIGINAL Rev. 2/19/98 ELECTRICAL INSPECTION`SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-15642 26857 DATE' 5127/98 APPLICATTONNo.ONFILE •" vrcLnGE: Southold TOWN.., Southold ADDRESS: 250 Kanr;y�c Roll _ ISSUED TO: Thomas Hamlin INTRODUCED BY: Lademann Electriclnc. - Llcio: .."'14141E-,_ was examined on S/27198� andfound to be to compliance with the Nahonal Electrmal Code LOCATION. Base.. Ist XX .2nd - .3rd Attic - Det.Garage Hot Tub Pool " SWITCHES RECEPTACLES I FIXTURES I HEATERS I FANS I G.F.L . AIR COND., 11 13 12 1-paddle 2 DISHWASHER DRYER CLOTHES WASH. -GAR,DISK RANGE OVEN SMOKEDETECTOR " FURNACE OIL GAS CIR. MOTORS BELLTRAN SERVICEDISCONNECT McTSR AMPS PRAS6 . OTHER - EQUIPMENT .. " HUGO S. SURDI ' PRESIDENT BUILDING PERMIT No. This oea fioatemnatnotbe altered m anymenna - Wptt mmaybeidmn fiedbytheGaal¢mala 'BLUE _ ORIGINAL YELLOW COPYPINK COPY OFFICE ' ,,, '._. .Ke.��.. s�E'..�:�'.ax"-.�-�'�* "st��.�€. Form No. 6 �9al-0Yf�n2� S' O TOWN OF SOUTHOLD � 9&�— 6. JUN ... g BUILDING DEPARTMENT C 1 W Qa. CA4 TOWN HALL 765-1802 8L06.DEPT �? NUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY k. 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. 3. 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. 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . �. �71.7�• . . . . . . . . . . . . . . . . . . . . lew Construction... . . .. . Old Or Pre-existing Building... . .. .. . . . . . . . . . ni . . . . . . . .. . .. ..1Location of Property. ... . . . . . . . . . . .. . . . �9JL. .zd. . . . . . . . O House No. Street Hamlet 3nwer or Owners of Property.. . . P./C^QQa5. .:� ��. . ���en . . 1�� ltn. . . . . . . . . . . . . . . . . . . . . ounty Tax Map No 1000, Sect ion. ... 1L. . . . . . ..Block. . . . .3' . . . . . . . . .Lot. . . . & . . . . . . . . . . . . . Subdivision. .t{. .. .. . .�.}. . . . . . . . . . . . . .. .. .. . . .. . .. . . .Fgiled Map.. . . . . . . . . . ..Lot. . . . . . . . . . . . . . . . . . . .L. . n Permit No. .L .(.�. !. . . . . .Date Of Permit. . . . .Applicant. . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . . . . . . . . . . . \ , Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . ✓ .\. . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ta'5I(P q . . . . . . /�.�� . Y. 6G4!. . . . . . . . . . . r GAPPLICANT i M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: y DATE Cl INSPECTOR � L I.J:LV . .ON I�U AT I) vOMMLNTS 1 . 3rti t I- FOUNDATION ( 15t ) © Ci� c� FOUNDATION ( 2nd ) 2 . .. ID, z 0 ROUGH FRAME & PLUMBING y 3 . m -� r U1 INSULATION PER N . Y. S- STATE ENERGY / j/ CODE y . 4 FINAL 6.01 o z 3� n ADDITIONAL COMMENTS : n N Z � a r a- i 7 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ( U INSPECTOR J'" , M-1802 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ P FINAL [ j FIREPLACES CHIMNEY REMARKS: � �`'L f� 3 DATE / D INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] OUCH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: _��� J k sa(A?,o c 7-6 /D�d DATE '�� �/ INSPECTOR - "7 Z 765-1802 BUILDING DEPT. INSPECTION [ ] F96NDATION IST [ ] ROUGH PLBG. [ (FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &CHIMNEY REMARKS: /2� � �f DA TE INSPECTOR 3 �f u 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY /J REMARKS: L : . DATE INSPECTOR �� HOARD OF HEALTH ... . . .. . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALI. . . . . . . . . . . . . . . . . . . Enranined... �� .. MAIL. TO: . . . . . . . . . . . . . . . . . . . . Approved... P 19.... Permit No. ................ .................................... Disapproved a/c .................... ........... .................................... ......................................... . ......... (,kuilding Tnspector FEB 173 ��� 4 A L1CA1'ION FOR BUILDING PERMIT 1 if Date. . P.�.1 �. _ . . . . . _ , 14.!O. f11.DG.DEPT. INSTRUCTIONS TOWN OF SOUfHOID a. 'this application oust be canpletely filled in by typewriter or in ink and submitted to the Building Inspector witl 3 sets of plans, accurate plot plan to scale. Fee according to schedule. h. VIOL plan shoring 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.w'lhe work covered by this application may not be commenced before issuance of Building Permit. d. 'Upon apIwoval of this application, the Building Inspector will issue a Ikuilding Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e..�"Pku building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Ikuilding Inspector. APPC1-1CArm Is IEWRY WE to the Wilding Deparunent for the issuance of. a Building Permit pursuabt to the [luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, ordinances or Regulations, for Lhe construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tie 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 lNecessary inspecti ms. TTm,)l[ca cewp&ff�Zj Ii � a, ( . .... ......... ................... (Signatu................ ... re of applicant, or name, if a corporation) r»y5 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. �. ��✓F� . CvrJT }C To dL............................................... .................................. Name of owner of premises45. (� .............................. (as on Lime tax roll or latest deed) If applicant is a corporation, sipature of duly authorized officer. (Nano add title of corporate offfi r) JJJ Ikuilders License No. .. J.Q. .(?. .Ci I. Plumbers License No. J.J... .j.�.......... Electricians License No. .. .�•��.�....... OtherTrade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. aS............I...........�L n� 2.(j� �S ...�ra�........................................................... Ibuse Number Street / mm Ha m�m >let County Tax Map Na. 1000 Section ....��ll...... Block ......V.�...... Lot ....j?5,........ Subdivision ...................................... Filed Map No. ............... Int ............... (Name) 2. State existing use and occupancy o'fI premises and intended use and occupancy of proposed construction: a. Eadsting use and occupancy ...}��N.^. :.......................... ...................................... b. Intended use and occupancy ...�.ov J.t!N.Y(ba7a .....�..66.4 W�..:.............................. i i 3. Nature of work (check whidi applical)le): New Ikbilding .......... Ackliticn ..X..... Alteration .......... Repair ............ Raiwal ..... Dennolition ............ other Work ...... .......................... C ....... (Description) i. ©®...L.... Fee ...................... .............. 4. rstimaLed Cost ... . (to be paid on filing this application) i 5, if dwelling, txnber of dwelling units ............ tkjdvr of duelling units on each floor ................ Ifgnrage, cxiber of cars ..,.....i ........................ G. If Ixnsiness, connercial or mixed akcupancy, specify naturea((u-�re and extent of eac�hJ//type of use...................... 7. Dimensions of existing structures, if any: Front....7P......... Rear ....46 ...... Depth zY ......... Ileiglrt Nmnber of Stories ......Y............... / Dimensions i� zet rture with illteratiois or additions: Front ....lo 2:...... Rear .... :...... Deptdb ..q�. '.D 7 ... Ileiglbt ................:pp..JUmber of Stories .,,.//.)�.... ) Uu R. Diunensiobs of fire new construcOoi: Front ..:.d C......... Rear ...� 1........ Depth .... ,.!J / lleilinC j(w.-C,C'5...s'Se " . ,tuber of Stories ......L.,,........... �Q CC�� Uu 9. Size of lotm .. 0: Flo .CC.47..1. �..... Rear J!:zg?.Y`(........ Depth 10. Mite of Purchase ................ I.I.... Narc: of. Fonrnr purer ........................................ 11. Zone or use district in wtbiclb praises are situated ..i I any zoning law, ordinance or regulation:.....•aa.•''•..•........•..•. ............. 13. Will lot lie regraded e ..1 premises: ............... IZ. ]knee proposed constructia'nJviolat� g j. 'IQ•• .......�tQ�-oil excess fill lie ralnved from premises: 1 YtwS 14. Nares of Lkrner of premises /V /' .: 1+ ;�}�!�!�. Atklreas .A :�?..��??^!')!?-`P d ..... Rion No. .���.�?. Name of ArclritecC5�,n...t ?5 ::... (l Cf�A,,A ..................... .. Plxxle No. .,.4!:...... /" grlo& Tc. Q q Ct+J�yy GGG Name of Contractor / �lU. C�I!/1?/ly. Aklres p�.:3d .7��,. Mone [b. .V.(t `t7l. t /l9� 15. is this property within 300 feet 'if a tidal wetland? * YES .......... 90 ...."A. 7 ` *II? YES, SM11KID 'ICll49IMlSl)I:S PRIdNt•1' MAY ME 1t/4(itllRM. PLOT DIAGRAM locate clearly and distinctly all buildings, ubether existing or proposed, and indicate all set-back dimensions fYrm property lines. Give street and Mock number or description according to deed, and show, street nares aril indicate iAwtber interior or corner lot. i I I I i e y � SIA71: (A' Nld Y(AW Q1./H.............lneing duly sworn, deposes and says that he is the applicant (Nome of individual signing ccntra�ctt--)i Ikx it (lie�''.........Q� ......1.,f.` 1...................................................................... C �ra c � ((kntracLor, agent, corporate officer, eLe.) of said owner or owners, and is dulyieuthorized to perform or have performed the said work and to urine nix] file this appiication; that: all Atal.ements contained in this application are true to (ire hest of tits knowledge mxllxil.ief; and That the work will lie perrorned in Ili�e Innner Set forth in the applicacion filed therMth. Ikaorn to before se this .............clay of �J'7ltlY./K.19..��'. Notary P(dblic P�YPaRfPAf?€P3117 9.@A91 (Signal-ore of ApplicanC) Glu xbiN.n�V z:?°(=�oik fsgniy C-TM. NO. AOOO-59 -3-lB uRv�yEO FOR 71-10A7.49 Or AlOREEA/ ,�IOMI/N �C7/Po�lERTy '4'ocl07-,!5,0 Ar $ouT/-1oL0 7OyWAI OF SOUTNOL D - ,,5'UFFOLK COUNTY NEW j�ORK \ DIRER=38,5��} sF 353 �b � D 0 Unauthorized aheration or additwn w thn survey is a violationfe0P of Sta eon]2t3of the New York Stare Educalionfaw. I 1't kIN espies of 4a Wmy map na bewi�sg the undsurvr ',,,ked tie pNp !d!F pNd- seal or ernbossed seal shah rwt be considered to be a vand true G G.nwees or Certifications i sated hereonshall run otty to the person for whtwn the survey is prepared,and on his behalf to 0 o QZ o the the company,governmental agency and lending institution m a listed he?e?o,and a the assignees of the lending inui[ Uon. `fib f•a Z / Guarantees-o^r.ceno"imm are nor transferable lgaddawnai - "d[6t\(WUF158F......aynClll OvnleR. 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Lei d t{ 7 �,F TdRt DECD let' z `�•��?,� I �f� z ,.K• yes n � � „ C_ y i Q NL'W F (,00Ai Lj i wu I ro 3C CPEMING ° I' i H9 f � � �xP ' � � I I.,• dal � T _— __ � j '' K c E i I e".. �LEVATE HEAT, � � w � �S�Eh � f CPE 7L GYPSuh j. i -; a APPLIANGESi18 'A gniq I REQUIRED BY PART - �� o�� C511-11,16 aW 717.3(e)(4)OF Wta GnAnaE wnL s 1 { 1 - 4f3f 5 3k.`P 61Fit'r q e k" 5FPAPAI 1 N.Y. STATE BUILDING . RE'MOV a, - _ j — � - ' (=1 fN (loax,� ffl t i i I � _ .-,, I 1 a i - _ J7 1�-- - -1 i x f K 4 _ a y � 4a ., i - o � � �- p; I uCD �i v' N' _ I I . ' Ia � ' I (U 74, At, - - - Q0PROVIDE% NR. FIE a e RATED SEPARATION TO I PART.'? 17.3 M(1)Of ff ! I f 1� N.Y. STATE BUILDING CODE. I . -- 2-, 2. N� AIM) I (A _ Uj1 ERNIRITERS CERIIFIGTE REQUIRED —J- - -- QCCUPANCY OR APPROVED AS NOTED USE IS UNLAWFUL DATE: �' B.RNyl WITHOUT CERTIFICATE "FEE._2ev OF OCCUPANCY NOTIFY BUILDING DE M AT __, .._._____. __�.—____ 765-1802 9 AM TO 4 FM FOR THE FOLLOWING INSPtCTTWO w� 1. FOUNDATION CRETE UIRED ' FOR POUREDC NCRETE 2.. ROUGH - FRA ING & PLUMBING 3.A. FINALA- COSTRUCTION MUST BE CO PL •CAN&TAETE OQR C.O. MEET � 'YhIE "REQUIRE T6"DF THE N.Y. �y CTI - , ""', . - _. - . . - - . . ^ '�T'ATE CONSTR ESON & ENEFOR W 1 - Ci+L'�ES. OT ESPONSIBLE FOR CON RUCTION ERRORS E 6 41 Z r � N 1 I i V z i col NEW nooRww FOR � Ormm�n ,.}.I - LFN4114.16 1! PT�O4 E ELEVATE HEATING '; APPLIANCES 18"AS ------_-1— — - fi N QU 3(e)1 RED By PART. k' N. STATE BUILDING CODE. e i \ " c -CLI-AK o a o «; 2 7 l5 2-Is MRY 3 W fD se —Il -• I �alsr �' , - Zxb-•I�'ot - �� C. - LL �p - z �3t; av, I o 0 k 19 R CuAL y 1 � CrlLAR veRl ( l a a bion r N SrDl.I S !Lp ` N r 1i ������iii...---....��..``` F onarr r-R n�n� .t ri oaR 4 P I _ I To WNT �— --- _ �..., GABLE c fi•(Psu ha I R I - - !� 7prpiG 9 _. - - " ` ' �•'�' �` ,Nin ,. 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