HomeMy WebLinkAbout24819-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTFfENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25856
Date: 07/28/98
THIS CERTIFIES that the building ALTERATION
Location of Property: 24145 MAIN RD ORIENT
(HOUSE NO.} {STREET) (BA~LET)
County Tax Map No. 473889 Section 18 Block 2 Lot 29.1
Subdivision Filed Map No. __Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 7, 1998 pursuant to which
Building Permit No. 24819-Z dated APRIL 7, 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 NEW ROOF SYSTEM & ENCLOSE PORCH ON EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to LLOYD A & SANDRA KALIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
24819 Z Date APRIL 7 98
Permission is
hereby granted to:
LLOYD A & SANDRA KALIN
24145 MAIN RD
ORIENT,NY 11957
for :
CONSTRUCTION OF A NEW ROOF SYSTEM AND ENCLOSURE TO AN EXISTING
PORCH AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 018
pursuant to application dated MARCH
Building Inspector.
24145 MAIN RD
Block
7 98
ORIENT
0002 Lot No. 029.001
and approved by the
Fee $ 75.00
Bu i 1 difcfg Inspec~r
Rev. 2/19/98
ORIGINAL
' ' TOWN OF SOUTHOLD
~* , BUILDING DEPARTMENT
TOWN HALL
~PLICATION ~R CE~Tl~CAT~ OF OCC~P~CY
inspector with the following: for new building or new use: b
5. Co~ercial build~, ~dustrial build,g, multiple residences and s~ilar 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 build~gs (prior to ~ril 9, 1957) non-confo~ing uses, or build~gs and
Vpre-~ist~g" land uses:
1. Accurate su~ay of property sho~ng all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect si~ed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in ~iting to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw/~ming 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
Date ..................................
Construction ........... Old Or Pre-exist/ng Building .... ~..-.' ........
~ation of Property... ~Y./.~ ........ ~.~..~. ............... ~.~z~-..~.. .............
House No. Street Hamlet
]ounty Tax Map No 1000, Section ..Block. OC~O~-- Lo~ ..
!;ubdivision .................................... Filed Map ............ Lot ......................
..........
'ermit No .... Date Of Permit.. .Applicant ................. ''
{ealth Dept. Approval .......................... Underwriters Approval .........................
?lanntng Board Approval ........................
lequest for: Temporary Certificate ..........., Final Certicate.~... .....
~ee Submitted:
LICANT
(K~ $t~35
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New YorY, 11971
Fax (516) 765-1823
Telephone (516) 765-1802
June 19, 1998
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Lloyd & Sandra Kalin
24145 Main Rd.
Orient, New York 11957
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 24819-Z
this matter. Thank you for
cooperation.
Please contact our office on
SOUTHOLD TOWN BUILDING DEPT.
FIELD
1,
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.FLUMBING
!1
INSULATION FERN.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ~GH PLBG.
[ ~ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
RE,.A. KS:
_~__O~ ~ ~~.
DATE ~/~//~'~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[. ~.OUNDATION 2ND [ ] INSULATION
[ P~] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~/~
INSPECTOR
765-/.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGHPLBG.
[ ] FOUNDATION 2ND [. ~/~,~ISULATION
[ ] FRAMING [ ~] FINAL
[]FIREPLACE&CHIMNEY
REMARKS:
INSPECTOR
.0~,0~,.08 '$
UI and)roved s/c ...............
FORH HO. I
TO~/N OF SOUTIIOI,D
BUTLDING DEPAR'I~tENT
TONN IIAL1,
SOUTIIOLD, N.Y. 1197 I
TEl.: 765-1802
Penni t No .................
(Iknldmg lus[ector) x~
APPLICATION FOR I[IlII..I)TNG PERHTT
INSTRIlCTIO~S
BOhRD OF IIEhL'I'tl ....~...... .. ........
3 SETS OF~LANS ...........
SURVEY ............ ~'
CIIECK .........................
sir. pTI C FORH ...................
NOTIFY:
HAIl, TO..~ ..................
a. 'lhts application nest be o~pletely filled in by typex~rlter or in ink and md~m[tted to the P~dlding Inspector wi
3 ~ets of plans, accurate plot plan to scale. Fee according to sd~edule.
b. Plot plan ~ho~io8 locatio9 of lot a~ of ~lldi~s ~ ~t~s, relattou~dp to ~joining pr~t~, or pd)lie
struts or areas, ~1 Blv{~ a ~cill~ ~:riptt~ o~ lay~tC off pro~rty ~m~ I~ dr~ ~ tl~ dia~an ~lch
chis a~flicn~iee.
c. 'lhe ~rk c~r~ I~ this O~licati~ my ant I~ c~ed l~ore isam~e of ~ildt~ Pemi~.
d'. U~ a~al og fids a~]ica~ian, tim l~dldi~ lus~cCor will is~ a ~ildin8 Pe~tC to the applicant.
i~1~, droll I~ kep~ ~ Oe ~l~a avail~le for ina~t~ thr~ the ~rk.
~H.I~TI~ I9 }EZ~ }~ to~ tl~ Ikdldi~ ~rt~t~t for tl~ issue of a ~tldtu~ ~mit ~rmmnt
{~ilding ~ ~{~ of t~ l~ of ~ltl~ld, ~lffolk ~.ty, ~ York, ~ otlmr a~licable I~8, ~db~es ar
~]nci~s. for tl~ ~st~tt~ Sf hdldt~s, ~ltt~s or all.ratios, or for ~81 or ~ltti~,
~scril~. at~ nppl{~c ~s tO c~ly wt~ sll a~lleabl~ l~s, ordi~es, ~tlding e~, I~sing
in ~ilOi~ for ~ee~ insulins.
re~,laCi~s,,and to ~it .~ri~ in--tars ~, pr~i.s ~ ~~ ~ .
(~1t~ ~mss of a~lleant)
State d~U~r a~licsnt ts ~er lee~. ~ent, an:hit~t, en8t~r~ geusral c~trsctor, electrician, ph~r or
~ << ........... ,. ............................
(gS ~ tl~ tax mil ~r latest d~) ~~~~
(Nam and title of corporate offi&er)
Builders License I~. ' ..,
Pltmbers Licanse No ....... ~ ................
l
Electricians License No ..... ~ ................
Otlmr Trade's Licens~ NO.
I KIUNB/tlION - 1WO RsO. UIREO
~. ~. ~ &
4. FINAL - CONSTRUCTION MuST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
I. ~ati~ o~ la~ ~ ~id~ vrom~l ~ork .m ~ ,~ ....................... RI&TR t~H~/RU~I~..~, f~eR6Y....
' ~/~/to w -/ C~ES. NOT ~ESPONSIBLE FOe
I~ ~r I Strut I~et
lot
State existing ur~ and occupa
a. Fmistln8 ~ and
b. Tntergled tree and oeeulmne3
24
my of pr~nises and ieter~ied use and occupancy of pro~ cmmtnmti~:
...... ............................................................
.... ....................................................
I{aUa~ r ............ Pam~val ............. 1)a,ol i~io~ ..........
6. If I~lai~as, ~ercia] or mimi'~oqm~, s~ci~ imLure a[~ ex,eriC of eadt ty[~ of u~ ......................
7. I)i,,e~.imm of ~isring a~nmt~a, if any: ~(~ ................ ~ar ............... ~U~h .................
Iki~C ......................... a~,{~c of S[o~Jea ......................
I)Jnensi~ts o~ ~ 8inm~re with a]~era~i(~s oc ~i~ions; Fron~ ............... ~ar ...............
Ikpth .................... iki~ .................... ~mi~r of S~orie~ ...............
8. I)h,ensi~m of &e~ire ~ ~m~l:i~; l~ ................ }~ar ............... ~uth ..............
IRi~ ......................... ~dmr of S[oriea .....................
9. 9i~ of {o~: 15m~ .................... ~ar .................... ~Uth ....................
I0. I~lle of ~ffi~m~ ..................... ~ of Foru~r ~ ........................................
12. ~s propel ~m~E{~ violate any ~{ng I~, onli~me or re~da~{~: ........................
13. Wilt Io~
14. ~,us of ~r of p~i~s ........................... Nklress .................... .......... 1~ ~...~ ...........
~e of Ard~i~ .................................... ~lress .............................. ~ ~.. j, ...........
· ~e of C~[r~tor ................................... Nklress ............................... 1~ ~ .... ~ ...........
15. {s this pm~[y virldn ~ ~.o~ a ril~l ~CI~I * ~ .......... ~ ..~ .....
PI.OT DIAGRAM
locate clearly and distincEly all buildin~e, ~A~etber exiecin8 or pro~, m~ imlica~e alt ~t-I~ di~naions
xA~tlmr Jaterior or corer
............. I~.i~l;l <July st~)rl{, delx)ses a~xl says thai: lie is Lhe aUDI
(SitF~*l(:~ of ^UDI {cant)
(C~[ractor, a~el~t,-eor~)ra~e officer, e~c,)
said (~r or ~rs, a[[I {~ duly ~thouJ~ to I~rfonn or lithe i~rf()r~ I.he ~}(I ~[k at~l ~o .~ke taxi file I. iiis
Ihat the ~)rk wit[ {~ ~r~on~l in the n~ai[~r ~t forLh in the ,