Loading...
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 ,