HomeMy WebLinkAbout24813-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25800
Date: 06/29/98
THIS CERTIFIES that the building ADDITION
Location of Property: 20 VINCENT ST ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 26 Block 1 Lot 6
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 24, 1998 pursuant to which
Building Permit No. 24813~Z dated APRIL 3, 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 SCREEN PORCH ADDITION & ENCLOSE AN EXISTING OPEN PORCH ON AN EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLIAM H & JOANN T. GESELL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
H060070 06/02/98
N/A
u~ld~ng Inspe~or
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. 24813 Z Date APRIL 3, 1998
Permission is hereby granted to:
WILLIAM H & WF GESELL
29 MEYER ROAD
EDISON,NJ 08817
for :
CONSTRUCT A SCREEN PORCH ADDITION AND CLOSE IN AN EXISTING OPEN
PORCH ON AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 20
County Tax Map No. 473889 Section 026
pursuant to application dated MARCH
Building Inspector.
VINCENT ST ORIENT
Block 0001 Lot No. 006
24 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
APPLTCATION FOR. CERTIFICATD OF OCCUPANCY
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
This application must he filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. F%nal 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
- Ppre-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.
~,.. 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
Construction Old Or Pre existing Building -
~ocat~on of Property ......................... p ...... ' .......................
House No. Street Hamlet
)nwer or Owners of Property... ~-%'~ '- ' ~ ...........
:ouuty Tax Map No lO00, section ........... I: ..~oc~ .............. Lot..
Filed Map Lot ......
;ubdivision -- - -- ....
,ermit ................. ,ate of
Underwriters Approval .......
Approval ..................
{ealth Dept ·''
~lanning Board Approval ................... .. ..
lequest for: Temporary Certificate ........... Final Certicate ...........
gee Submitted: $ ........................ ''' '' '
3% · .. .............
CO 60
THE NEW YORK BOARD OF FIRE UNDERWRITERS
807~8.~4 BUREAU OF ELECTRICITY
~-- 40 FULTON STREET, NEW YORK, NY 10038
Date JUNE 02 ~ 1998 Application No. on file 15950998/98 H 060070
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
WILLIAM H. GESSELL, 20 VINCENT STREET, ORIENT, NY
in the fottowtng location; [] Basement [] 1st FI. [] 2nd FI. Section Brock
was examined on ~A¥ 28 ~ 1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURE
OUTLETS
DRYERS
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT OTHER
SYSTEMS
NO, OF FEET
S E R V I C
PER ffi OF CC, COND NO OF HI-LEG OF HI-LEG NO* OF NE01'RAL$ OF NEUTRAL
OTHER APPARATUS:
29 MEYER ROAD
~DISON, NJ, 08817 GENERAL i~ANAGER
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.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] RO~H PLBG.
[ ~/~JSULATION
[ ~] FINAL
DATE INSPECT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ].~OUNDATION 2ND [ ]INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR ~*~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE. &/~ _NEY/~.._
DATE ~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE/~HI. MNEY .
REMARKS: ~~
DATE ~//~//~
INSPECTOR '~Y~
7GS-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ _] ~TION 2ND [ ] INSULATION
[ ,~'FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REM :
765-1802
BUILDING DEPT.
INSPECTION
[ ~OFOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
,INSPECTOR
FOUNDATION
{15t)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
124.18 '
FORH NO. I
TOWN OF $OU'HIOLD
BUILDING DEPARTMENT
TOWN IlALL
gOUTIIOI.D, N.Y. 1197
TEl.: 765-1802
BOARD OF HEALTll ...............
.~3 SETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
SEPTIC FORH ...................
] NSTRIIC'rIONS
NOTIFY.~
HAIL TO.'
a. 'lhls appl|eotio~ m~at he co~letely fill~l i. by tylx~rlter or in i~fl~ taxi md,nitt~ 1o the ~dhlinR hmlmClor
3 ~t~ of pleas, ae~Jrate plot plan to ~ale. F~ according to
b. Plot plan M~t~ l~a~t~ of lot n~ of Ixdldings ~ ~mi~8, relnti~Mdp to Mjoinlng pr~tseg or ~,blle
str~t~ or areas, o~l givi~ n ~tatl~l ~rlpti~ of ln~t of pro~rty ~mt Im dr~ ~ the dla~ma ~dch in l~qrt of
this appl icot
e. 'llm ~ e~rM I~ tiffs applicati~ my ~mt Im cm~t~l Imfore ismm~e of ~dldi~ Permit.
d. UI~ ~pp~al of this a~licotion, the l~dldi~ Ins~ctor wilt ismm a ~ildlng Pemlt to the oppllemst.
I~rmit ~mll ~ kept ~ O~ ~{~a available for t,,s~ctlm th~,~,t the ~rk.
e. ~ lmtldi~ droll I~ ~copi~l or ~1 in ~le or in ~rt for mV ~ ~mt~er ~mtil a C~rtiflcate
~t~y flmlt h~e I~n grant~ by Om I~dhli,g lns~tor.
I~ilding ~ ~di~ o~ t~ g~ of ~tl~ld, ~folk ~n~, ~ York, a~ other a~tteable l~a, (~dh~es or
~,la~i~s, for O~ ~at~t]~ of hdtdl~s, m~itt~ or alterations, or for r~al or ~lttton, as I~rein
¢~scri~. lira a~lleant ~a to c~ly wi~ ali a~lteable l~s, o~t~,mes, l~tlding c~, I~ing c~e, and
.. . .
're~ilat~s, and to ~t ~t~ ln~tora ~ p~i~a a~ ~n ~tldlng for ~ces~ lng
(glg~ture of a~lleant, or ~, if ~ cor~ratlon)
......
(~ili,~ ~l~ss of a~llcant)
SLate ~mtlmr applicant ia o~n~r, lessee, agent, archite~:t, engise~r,' geoeral contractor, electrician, pltmt~er or l~dhlet
..............................
(as ~ the tax x~ll or latest d~)
If applicant fa a co~rntt~, si~e of &~ly ~tt~rl~ offlcor.
(N~me znd title of corporate officer)
l~filders License ~ ........... · ............... V
I'lumb~ra License NO ..........................
Etectrlciana Liserme No ......................
Other Tracle'a License No .....................
I. location of land on ~idl proposed work will be (lone ..............................................................
2..0..
...... .... .... ......... .......................................................
I~ ~r Strut/ l~nlet
~n~ Tax mp ~. I~ ~t{~' ..... 'Z~ ...... Rl~k ..... ~ .......... l~t ... G. ..........
h~l~ivlsi~ · --- -- Fil~l ~qp ~ .......... , ..... lot ...............
(~)
2. State exiati~ u~ a~ ~y 6f l~oaisea a~ inte~ use a~ ~ of pro~ c~mtmct~on:
b. lnte~ u~ a~ ~ .... ~-P~Y-~-g ........................................................
Eat J.~ltal Coat .......
12. [~a propel ~mt~ttm vlolat~ any ~ing l~, ordi[~e or regulaci~ .... ~. ................
I~ate clearly md dlatl~tly ali II~il(hs~a.
~r~a, prOl~rt-y lh~a. Gt~ at~t aid I)~k ma~imr or (~acripti~) according to ~. a~ ds~ street ~[~a ami i~licat~.
s~etl~r interior or cor~r lot.
(mmv a, .~-~. y..i..y.t.'3...
fl,,. laP//
.............. .~ ...... ~i,,~t q~ . ~ ~
(~,m (ff i~x ivi(m~, s gning centract)
((~xltractor, agent~cor~)rate of Eicec, etc.)
said (~r or m~ra~ ,f~l ia duly aulhorl~ to I~rform or have lg~rl:onmt~l Ihs 8ai(I ~rk taxi to nags taxi file Ihia
~plicatmn; that all atata~nt8 c(mtah~l in this al)iH l(:atlen are In~ to Ihe I~at off his klx~l~ge a~ I~liefi t, gl
thaL th$ ~)rk will I~ ~rfom~l tn the ,al,mr ~t forth in the appl. icatlon rU~ tl~[ot.
i
........
(81111~1 :life {11: hi}IH ica.t)
L-.- zo'
i
I$~ 5"
U N D]EI~tVlJ_ITEP..~ .~!IFICATE
4. FINAL - CON~IC'~
BE COMPLETE ~'~,
ALL CO NSTRUCTIO~
THE R~gUIREMENTS ~ ~ #-'~,
STATE Sr~NgTRUCTION
r ..~' eESPONSIBI..E FOR
_~D~' --r---7~ '~ .'.,'*"~$T~UCTION ERRORS
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE,
OF OCCUPANCY
I I accord~.c~,,~it~,the minimum
~ '~)r rifle *ur~eys .as established %~
~ , ~. ,-$. a,d..-app~e~ and adopt~
NYS. LIC. NO 49618
--~-~,~RS 8 ENGINEERS RC.
(516) 765- 5OEO
R O. BOX 909
54655 M~IN RO~D
SOUTH~D, N.Y 11971
87- 197