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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