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HomeMy WebLinkAbout24757-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26877 Date: 01/07/00 THIS CERTIFIES that the building REPAIR ACCESSORIES SOUTH/PEC Location of Property: 1375 PECONIC LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 75 Block 5 Lot 1 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 1998 pursuant to which Building Permit No. 24757-Z dated MARCH 9, 1998 was issued, and conforms to all of t~e requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is REPAIR ROOF ON EXISTING ACCESSORY BUILDING AND REPLACE ATTACHED SHED ON AN EXISTING GARAGE AS ApPT.TRD FOR. The certificate is issued to REYNOLD BLUM of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H 066699 12/29/99 N/A ure 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. 24757 Z Date MARCH 9 98 Permission is hereby granted to: JOHN WILLIAM NIERODZIK PO BOX 363 PECONIC~NY 11958 for : REPAIR ROOF ON EXISTING ACCESSORY BUILDING AS APPLIED FOR. NOTE: REPAIR NOT TO EXCEED 50% OF FAIR MARKET VALUE UNLESS IT CONFOEMS TO 100-242 at premises located at 1375 County Tax Map No. 473889 Section 075 pursuant to application dated MARCH Building Inspector. PECONIC LA SOUTH/PEC Block 0005 Lot No. 001 3 98 and approved by the Fee $ 127.00 Building ~specto~ ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF O~ This application must be filled in by typewriter OR uild inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lim streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fort 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil, 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 9pre-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 applic. If a Certificate of Occupancy is denied, the Building Inspector shall state th~ reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelli~$25.~0?j[ Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buil'd~.0 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Qccupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate Of Occupancy - Residential $15.00, Commercial $15.00 Date .... L [~.~/. ~. ................... New Construction ........... Old Or Pre-existing Building ................. Location of Property ...... ~ .................................... ~ ..... ~ ............ House No. Street Hamlet Onwer or Owners of Property ............................................................. County Tax No 1000, Section.. ... .Block .... Lot .... Subdivision Filed Map Lot .... .... Permit No. .~ ..... Date Of Permit ........ ~pp~cann .... ? ................ Health Dept Approval .~./~. ......... ...................... Underwriters Approval .......... Planning Board Approval...~..~........ ........ . . Request for: Temporary Certificate ........... Final Certicate....~.. ..... w- ..... T ............... PO Box 709 Cu~hogue, NYl1935 December 14,1999 631 765-6861 Town of Southold Building Department Town Hall Southold, NY 11971 631 765-1802 Budding Permit #24757 1375 PeconicLane, Peconk, NYl1958 Tax Map #1000-075-0005-001 Please amend the above building permit to cover replacement of existing shed. Attached is a construction plan drawing. Sincerely, Ray Blum THE NEW YORK BOARD OF FIRE UNDERWRITERS P~l 8078234 BUREAU OF ELECTRICITY ,- : 40 FULTON STREET, NEW YORK; NY 10038 ~ V DECEMBER 29,1999 19593299/99 H e66699 THI~ CERTIFIES THAT , , ~' only the elect~cal equipment as described be~w and in~oduced by the applicant nambd, on the~above 'applica~on number ~ in the premises of BLUM, 1375 PECONIC ~, PECONIC, NY ,~ G~ 2nd Fl. Section B~ck was examined on~ and found to be in compl~nce with the Na~onal Elec~ical Code.. FIGURE I,ECE~ACLESI SW TCHES I FIXTURES RANGES [coo~,.= =.c~.l ov~Ns IDISH WASHERS EXHAUST FANS OUTLETS INCANDE~ENT FLUORESCEN~ OTHER ~MT. K,W. AMT, K,W. AMT. K.W. %MT. K.W. AMT. H.P. 1 1 I 1 . , _ AMT. ~,W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP, AM~ AMPS. TRANS.'J ~T~' J ~. NO. OF FEET I I / SERV CE DISCONNECT to. OF] S E R ' V I C E OTHER A~ARATU$: P O BO X 151 PECONIC, NY, 11958 1GENERAL MANAGE, R Per I ; ..... ~, 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 ML)ST NOT BE ALTERED IN ANY MANNER. FIELD INSPECTION NEPORT - DATg : ~ COI~I~NTS I ADDITIONAL C01~IENTS: ./ BLDG.,,DEPT. PO Box 709 Cu~hogue, NYl1935 December 14,1999 631 765-6861 Town of Southold Building Department Town Hall Southold, NY 11971 631 765-1802 Building Permit #24757 1375 Peconic Lane, Peconic, NY 11958 Tax Map #1000-075-0005-001 Please amend the above building permit to cover replacement of existing shed. Attached is a construction plan drawing. Sincerely, Ray Blum 7G5.~1802 BUILDING DEPT. .INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~NDATION2ND [ ]INSULATION [ ~'~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~,~ ~ DATE I NSPECTO ~"R~~~'/ THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E1 8078234 BUREAU OF ELECTRICITY ~- 40 FULTON STREET, NEW YORK, NY 10038 THIS CERTIFIES THAT only the elect~ca{ equipment as described ~.low and introduced by the applicant .amed o. the above applica.o, number is in the premises of BL~,~ 1375 PECONIC ~, PECONIC, ~ ~ ' ~ r . . DgC~gR 2e, 1999 anUfo~d t~ ~ COmpronce with the Na~onal ~t~tricat Code: I I I ~OTHER APPARATUS: RAY BLUM P O BO X 151 FEE PAID · AMOUNT PLEASE REMIT BY CHECK OR MONEY ORDERTOTHEORDEROFTHENEW YORK EOARD OF FIRE UNDERWRITERS AS CASH SENT BY MAIL WILLEE AT RISK OF SENDER. THIS IS YOUR StLL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF CO~4P/IgNCE. THI~ BILL PAYABLE AT THE NEW YORK OFFICE, 40 FULTON STREET, NEW YORK, N.Y, 10038 Box 709 Main Road Cutchogue, NY 11935 March 6, 1998 516 734-7361 Michael Verity Town of Southold Building Department Town Hall Southold, NY 11971 1375 Peconic Lane, Peconic, NY Tax Map #1000-075-0005-001 Current Owner: John Nierodzik I am requesting.~uilding Permit to repair the existing 'out building~/~m~.:~-The nature of work being: 1. "Sister" existing roof beams with like material 2. Replace damaged sheathing 3. Tar paper and re-shingle roof 4. "Sister" any damaged wall studs 5. Reside/replace any damaged wall siding with T-11 or equivalent material Sincerely, y um (New Owner) FORH NO. ] TOWN OF SOUTIIOLD BUll. DING DEPARTNENT TOWN I1ALL SOUTI101.D, N.Y. Jl971 TEl,: 765- 1B02 Di~apln-6ved a/c .... BOARD OF IlEAL'H1 ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... ~OTIFY: CALL .................. HAIl. TO: .................... (lldHding ln~,~eetor ) " . ~1~ ~ APPLICATION FOR BUII.DING PERHIT i___=, ........ ' , .... i B~DG. DEPT. / INSTRIICTIONS a. ~ds ~lleati~ mst I~ c~letely fill~ in ~ ~.~iter or in ink a~ ~itt~ to the ~dldlng lns~tor ~ith 3 ~ts off plans~ aeo~ate plot plan to scale. Fee acco~li~ to sch~de. b. Plot plan ~i~ l~atlm of lot nM of I~dldbgs m ~i~s, mlati~shlp to ~joln[ng ~i~s or ~bllc at--ts or arena, mffi givi~ a ~btailal {br<rlptlm oF l~fl: of p~rl.y mint 1~ drmm m the dia~ ~HcJ~ 18 ~art of this aris icatlm. c. llm ~k e~ by fl~is ~lieati~ ~ ~)t Im c(~m~l lmfore ismmme of ~dldi~ Pemit. d. U~ a~a[ of Ud$ n~lieati~, Ihe l~fildisB 'lns~ctor will [s~ a hdtdhg ~mit to the o~limnt. ~<h ~mlt ~mll ~ kept ~ tl~ ~i~a ~ailnlfle for ins~ctlm I:hr{a~a:t tim ~rk. e. ~ Imildi~ ~mll ~ ~i~l or uml in ~ole or in [}art for a~ ~r~ ~mt~r tmtll a C~rtlficate of ~ ~all h~ I~ ~t~l ~ fl~ ~ildi~ Inserat. ~l~'r[~ IS I~l~ ~E to fl~ I~ildi~ ~¢artmnt for O~e ismm~e of a ~fildi~ Pemit p~r~nt to the ~ildi~ ~ ~im~e of tim ~ of ~tlmld, ~fffolk ~ty, ~ York, ~ DO,er a~lieable l~$, ~i~es or ~latlms, for tl~ ~$t~tim of ~ildi~s, akht~ms or alteratims, or f~ ~ ral or~tion, a~ t~in re~latlms, md to ~it m~fl~rl*~ in~t~s m pr~s md m I~nld~ .... . .............. (Si~re 9ff~ Le~t. or n~, ir a ~ra~)~ ................ (~ili~ ~lmss of ~lie~t~ State *tlett~r al~lleaat is ?r~rf les.q~, agent, ~ddLe% ep~J, ~mral cmtractor~ electrician, pl~r ~ I~il<~r. .......................... ...................................... (aS m tim t~ mil or latest d~) If amlicant is a m~ratim, si~tnre of ~,ty ~tl~rlz~ offflcer. ~ ~ ~MENT AT REQUIRED l~ilders License No .......................... t Plumbers License NO .......................... 4. FINAL ~ CONSVRU~TION 'MUST Electrmmns L~cense No ...................... ALL CONSTRUCTION SHALL MEET Other Trade's License No ..................... THE REQUIREMENTS OF 'i'HE N,Y, STATE CONSTRUCTION & ENERGY lx~c~tic~ of lmxt ~ ~hi~ch proposed work will be done ...... · Pecoat c Lm.2g, ltouse ~r Strut (~) (Lo ~ fid (,I filing Lhi~ al~lJcarJ¢~) aLe,:Lure lwith alteraticsia or l~klitionn: Front: ......... l~ar . i~ilO~r I KJdmr of 81'oriea ...... ~ .............. : · }lr~ ef lot: Fr{~r ................... }~nr .................... IMpth .................... I I. 12. l~ma pre[~l c~mtnmLi~ v~o[aLe any ~dnfi 1~, erdit~me or regularly,: ........................ ~n of C~rracter ......... ~ ......................... ~klress ............................... [~1oi~ ~ ............. PI.OT DIAGRAM I~:ale clearly al~ dtatllmtl~ fill Indldit~s, d~ethe~ existing or pro~m~l, ar~l ilxlicare all set-l~k dlmnaions fro. prol~rty lt~ea. Oi~ at~t hrgl bl~k nel~r er {~acriptit~ acce~ling to ~ed, taxi M~ $tree~ ~s mgl I~lieate ~d~ether lntet'ior or eonmr tot.~I ) ((~)IILI-iIC~Or~ ~l[~l)t:) (:orlx)rme ()fl:it:er, ele..) (ff ~mi(I (~r or (~l~;, mM ia th:dy ntitiR)[ ize(I to ixtr.l'();u~ ()t have i~rl()in~,(I Iix( mhd ~)tk ulKI t() ll~l[{e iiixl f{Je (hi~; alq)licntio,; that all. ntatoi~nl.a (()l)tah~N ii) t[l{$ applit:at:ion ~lt'e t ii~ Lo the I~m; ol: hi8 IJJJlJ III(T ~)Tk will J~ i~rl'ont~l in tlx~ II~llll~r Bat forth iu ilia iqqdieation filed tl~rc~ilh. ~l ~.,d~'CE¥ Ot= SITUATE: F~ECONIC TO~N OF= SOUTHOL~ DETAIL GRAPHIC SCALE 0 ~00 t"= ~00' 200 300 55~ °24~0~,1,,,I 150.00~ FEE: -- 0'- _ BY: ~ NOTIFY BUILDING DEPA~E~ AT 765-1802 9 AM TO 4 PM FOR THE FOLLO~NG INSPE~IONS: 1, FOUNDATION * ~0 REQUIRE~ FOR ~UREO CONCR='~ = 2. ROUGH - F~MING & ~UMBtNG 3~ INSU~ON 4. F~NA~ -CONSTRUCTtON MUST BE COMPL~E FOR C~O~ ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUe;ON ERRORS OGCUPAI~CY OR USE iS UNLAWFUL WITHOUT CERIff~CAIE OF OCCUPANCY