HomeMy WebLinkAbout24399-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25414 Date: 12/12/97
THIS CERTIFIES that the building ADDITION
Location of Property: 1270 CEDAR DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 8 Lot 19
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 5, 1997 pursuant to which
Building Permit No. 24399-Z dated OCTOBER 6, 1997
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 FRONT PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PETER & SUSAN YOUNG
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 18527 11/15/97
PLUMBERS CERTIFICATION DATED N/A
4
B lding Inspector
Rev. 1/81
FORK NO. f
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)
N° 24399 Z Date ............... � ........................... 19.. ..�
Permission is hereby granted to:
S:Y:z.... ,. :..... � :... .g .
,��:..At....7-:�..... ..............................
ir. �.. . .... �. ..�.....Ile.
to .............: ..! 1..-..... .....�.. ........ ........ eW' ............ le.4✓
0001
:lhl... .fi,..�r ....... ,�.°. .. ..�... ...... .fG/.:.. .. .a[QF+�r.
... ... .. .. .. ... . ... .... ..
............................................................... .......... ............. ..................... ....................................
at premises located at
.... 7, ...... 1 ....... ., ,...........�. �..................
County Tax Map No. 1000 Section .....f ............ Block ..... ...... Lot No. ...�1.... ...........
pursuant to application dated ...........`.F........ .....`.fr�................ .. 19.?/, and approved by the
Building Inspector.
Fee $...7�..": ...
110/
.'". .............................
•uild.. Inspector
Rev. 6/30/80
Form No. 6
D TOWN OF SOUTHOLD
u BUILDING DEPARTMENT
DEC I TOWN HALL
765-1802
ttlOti.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final 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 17 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-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.
C. 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.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3 . Copy of Certificate of Occupancy - .25e,.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $155.00, Commercial $15.00
Date . . .I.o.?:P. . .9.7. . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . .. . . . . Old Or Pre-exiists g Building. . . . . . . . . . '.
Location of Property. . . .��. 70 . . . . . -
. .4 evZ p f.��. . . . . . . . . . . C?.�D` . . . . . . . . . . . . . .
House No. ll Street Hamlet
Onwer or Owners of Property.. .� ��. . .,lP V�G. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. .. .fM. . . . .Block. . . . . . . . . . . .Lot. . . . .1. 1. . . . . . . . . . . . . .
Subdivision. . .. .. . . .�.j.... . . . . . . . . . . . . . . . . . . .. . . .. .Fiilvve��d Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. 1. ./. .,!. . . .Date Of Permit./Q..�. J. ./. . . .Applicant.--.f+;?. ! �:��! :� • • • • • • • • • •
Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . .�. . . . . . . . . . . . . . . . . .
Planning Board Approval. . . .. . . . . .. . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .< . . . .
�� 00
Fee Submitted: $. . !• • • • . . . . . . . . . . . . • • • • •
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(�
C p� 5 �j� �� APPLICANT
c6 � �
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EAST PATCHOGUE,NEW YORK 11772
(516)286-6642
18527
DATE: 11115197 APPLICATIONNo.ONFILE
VILLAGE: Southold TOS' Southold
ADDRESS: 1270 Cedar Drives
ISSUED TO: Peter Young
INTRODUCEDBY.- Lademann Electric,Inc. LICNo: 4141E
was examined on 11115197 and found to be in compliance with the National Electrical Code
LOCATION: Base.. 1st xx 2nd 3rd Attic
Det.Garage Hot Tub Pool
SWITCHES RECEPTACLES I FIXTURES HEATERS FANS G.F.I. AIR.COND.
4 7 1 3 1
DISHWASHER DRYER CLOTHES WASH, GAR.DISP. RANGE OVEN SMOKE DETECTOR
FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICEDISCONNECT
AMTER AAVS PHASE
1 1000H
OTHER
EQUIPMENT
Outside,Res.
Service Change
HUGO S. SURDI
PRESIDENT
BUILDING PERMIT No. This certificate must not be altered in any manner
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE Inspectors may be identified by their credentials
O
Town Hall, 53095 Main Road y Fax(516)765-1823
P. O. Box 1179 W Telephone(516)765-1802
Southold, New York 11971 �1, • ��
hod � Sao
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 1, 1997
S&Z Builders
P.O. Box 722
Cutchogue,N.Y. 11935
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)
XX No Underwriters Certificate on file.
XX 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.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 24399-Z (P. YOUNG)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
M-1102
BUILDING DEPT.
INSPECTION
[ j FOUNDATION IST [ j RO BG.
( ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC CHIMNEY
REMARKS:
17
DATE d a/ INSPECT'OI
BUILDING DEPT.
NSPECTION
[ FOUNDATION ST [ ] ROUGH PLBG.
FOU710N 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE oYJ INSPECTO
assAso2
suauiNa DE".
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLB6.
[ ] FOUNDATION 2ND [ ] 71NAL
U ION
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS•
DATE ! ` /r/7 7 INSPECTOR
1 1-DF i1" ',:C;i 0 N JJDATF 11 C(Otil•1fHTf
x �
FOUIJDATION ( 1st ) SCh
c �
FOUNDATIO14 ( d ) m
2 .
z
o �
ROUGH FRAME & O
PLUMBING
ev3 .
c�
INSULATION PER N . Y .
STATE ENERGY
CODE
x
a
n
�I H
FIJJAL \A
ADDITIONAL COMMENTS :
c�
-n\
H
O
z
•• x
c�
a
a
v BOARD Olt III:A1.111 . . . . . . . . . . . . . . .
Folm No. 1 3 SIDS OF PIANS . . . . . . . . . . . . . . .
_ 5 1997 TOWN OF soirmol.l) :ilIRV1:Y . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING IMPARTMENT CIIRCK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN ilAIA. SEPTIC FORM . . . . . . . . . . . . . . . . . . .
Soll•r11ol.1), N.Y. 1 197 1
'Fist.: 705-1002 NO•rim
19.f MAi1.oTUtlJnlGl��/f'eLL.v�/ � '. . .
Apprrnecl....l.tf/ �...... 19 1'ecmit )Jci. .P <.l •• .�//1``•$/�7..`�clj,vf (�LQNq, �la.3�. .
Disapproved a/c .................................. ..L.,�! :�JPy44...
..................................................)_ _
(I ilh tor)
APPI.ICATION TOR ltU1l.1)ING riu mrr
19�� 7.
INSTRUCTiONS
ri. This application mist lie d6mpletely filled in by typewriter or in ink.aijd sulxn fitted to the )kniWhig inspect.or wit
J reLn of plans, accurate plot plan to scale. Tee according to scliedule.
b: . Plot plan tAxxaing location of lot six] of liuildinga on premises, relatiotsliipi••Lo adjoining premises or public
stre(As or areas, and giving a detailed description of lnyait of property must lie drawn on Lire dingrrrn whlch is part: of
1_hin nliplicaLion. ,,•
C. lire work covered by tltig application nrry riot be ccyniienced before isstuince of Wilding Permit.
d. Ulxxi approval of thld-al-4)licatioo, the Building Inspector will issue a Wilding Permit to Lite al-4)licnnt- Mich
permit shall 1)e kept on the premises available for inspection Chrcxupftxjt the work.
e. Nn Wilding sliall be occupied or used in whole or in part for airy pxirpx)se wiiatever tmtil a CerLific:nte of
Occulxmcy shall have been granted by Cite TkAlding inspector.
A111'[.U:Arum is tElTuIY MIS to LHe Wilding f)epartmtent for Lite ismkiince of it Wilding Permit pxirstiant (t) the
ikiildinp, 7.00e Ordituince of Lite 7kxin of Sotidnolcl, Suffolk Carty, New York, and other applicable Laws, Ordihnnces or
Regulations, for the construction of Ix).ildingn, additions or alterations, or for removal or deirolition,•as lierein
descrilx-d. 'Ilse applicant agrees to cuitply willt al.l applicable laws, ordinances, Wilding code, Housing code, nix)
regulations, and to acltoit aulHorized )nspxc:Lori; or pritnises and in Wilding.for necessary inspections.
. ..Z.. .................
(Signature of applicant, or ramie, if it corpxn-ation)
.X�P ..........
(Palling tAiress of applicant)
rital.e whether applicant is owner, lessee, agent, architect, engineer, general contractor, elecLricinn, pilrnix?r or- Wilde
G � .....�e ��� ��....................... ........................... ...... .... ...
Nine of anxerof•pre)ai ses .�. .��-. .. `f ... ..C7 .................................. ...
(as on the Lax roll or IntesL deed)
11` :ippl icanL is a c:orporaLioci, signature of: duly miLhorized officer.
..................................................:......
(Nonk,. atxl title of corporate officer)
Ikiilders license No. .........................
Pltrtiiers License No. .........................
filectri(-iann i.pcenne No. .....................
Other Trix.le's Lpcense No. :...................
1<x-nt.icxi of lmxl of which propx)ned work will. IK! tknte.�.G?(�ct!� dC...0 t'i� � v�..0( I l� Ali' ••••_..
...•................................ . .......................................... /. ..........................
Ikxise Tirriier Street
y� limnlet
CcxinLy Tax Kip M. 1(XX) section .!-l.•%.p.QQ .......• itlock ....A p.......... int .../.? ........
Stilxlivision ...................................... Tiled DL•tp Nn. ............... Lot ...
(Name)
2. Mate exist.inp, ose ntxl ocetil-kincy of pro .ops atxl interxxiied use nixl occtilwux-y of proposed constrtxaion
n. Ex i,Ling tine VIAcx:ctip><Incy .......7�Vrl lis�� ll ....................................................
h. Intetxpcxl orae nix) ocempatx_y .......seenf�..........................................................
f - ITUO? .1 TS P'??A
i1wY Y.�sN i4 eti lc .xlc;u`?Yit+tdM
YswoJ A101.:2 ni beibleu0
,,...—idtw.t6Tit�+p a�►�wx�""df
I. R11111e of VA) k (CIMCIC tafic:I alg►llcnble): New Ikllldlnl. ..... ..... AddItlot I . ......... AtCeral'ion . . ...
...... Itctinovnl ..... :...... Iknril 11.hon ............ Other Woo k ......... ........ . ... . .'...
(Dcac:r ipt io1►)
4. I:nl.imal etl t ost: ..�lJr.. ��.' ........ . fee ............................................ . .
(to Ix>. Iu1id on filinil thin nppl.ic:nticxt)
'i, If shmI l ing, Outlier of ckaell ing uni I:n ............ tkither of AKO l hill unito ext encil floor .... . ......... ..
Ifhnrnlle, lxnlx!r of caro ....... ................... ............
6. if Ixinlrwnn, cca euc:in) or a11►t(!tl cx:t:tiixux^:y, nlweify onitirn nlxl ext-cmc of ouch type of tine......................
7. Ili-malixul of existing nl'rt►c:ttir•en, if tiny: Prow................. Item .. ............. Ik!p111 .................
Ik:i1,11C
........................... Usiber of Storien ......................
1)inrnuicxls of.uune sLrtx:Ltire with nllernHoon or txklil:ionn: front ....... ........ Item ...............
Ik!pllt IleII)iL" .................... Nt,ttimr of Stories► ...............
It. Dillcoulot ey di, cot.ire ►x!w c0ontrictiom Frool: ................ hear ...... ......... 1>Eplh ..............
Ik il;)1l' ......................... Unixlr of Storien .....................
9. Size (if lol:. t"Y0x1L ....... ,Item .................... Dep(It ....................
10. Date of 11►rcl►ntu! ..................... Nfirtm of Fortier (Iwocr ..........................................
I. 7cxx! or tine district io %tach.premit.en nre nituated ....................... .................... . . ... .
12. ile)(la prolxtncicl coosLutwLioo violate nay ulting law, ordloame or relluludon: ........................
17. Will lot be regrtxkld ... ............. Will �e/xretc/s fill. be resimetl fran presnises: // Y6S NO JJ
14. Million of Otawr of Immilsc+s .r(iC2..4 S'.k�N.Y �/�. Atklreas ..ClrokZ'."Vtl4..:�:iLYJl.4j1. 11101x: Nu7....l.S 4.AA� .
tlair! of Arch l(ccl' ..... .. /......�. f .... ., klresa .. /J . /.. / ` )1tcxle No. /
Manx! of Csxitracl:or .!C!``�E'le��l�,(.tr4C .. '�.�; ��:/lkklreas�/ �.�!G t /9tl..G..��:`1 :K..,,,one
No
in Ods proix:rty within 300 fee L• of.1n tidal wat'la►xl? * YhS .......... M) ..........
*1F YItS, 9milm') lam .11-dislum 1'L'ItP11'1' my 111; lur glllu.m. f
1'1.01' DIAGRAM
icx:nle clearly nlxl dist'inct'ly all Ixtildings, w1lel.lfer existing or proposed, nrx) h-wileete all set-back dinensiona
frim proi►clrty lines. Give street and I)Imk rxnb►er or descriptloo according to deed, and show street rutins mxl Irxllenle
%kether hnlerior or'corner lot.
11
r
•,4:1:
WWII'. (A' 1!I-V Y(NU(
�k�- w,11111P(IY lA' ......... ........
...... zc�v>`1` ...... ..... ... .... ... ..Ixlinil duly rawc►rn, dc!ix►nen mxl attys that be in (l►e nppi lt:nnl.
(Flair: of ilKlivhdu.11. nillning C.cnllrac:L)
nlxrve nanactd, ,
Ik! i11 1111: .... ....... ... ...............................................................................
((:cnllrncUlr nlleot, corlxmiLe officer, etc.)
Of nfiid Of- 4A4%K!rn, 1110 In tkrly t1►tbor•im.41 to ix:rfti►m nc- 11IM! Ixu"forn(ltl the ttaid w004L 4111I to 1whe uixl file 11111
fipplicall.hc►n; i.lu►I: fill ntatc- r`nLu cr1►tnil)(A in Illin npplic:utian mcs t►tKmb to life Ix!nt of I►in'klx►wiedilr nlKl IxlLief; nlxl
dual. (lie 1+0)11( Will be Ix!rfonned 111 IIx! na x!r• 1eL forllf ill lite nppiicau:Ion filc!(l (ttere-WiU1.
:I<rnn Its Ixtfoll! ar_ 1.11in
.. . . .. . '`... ...day of ... / t .Q ..
Fktl my 11111 is .. .... . ..`.
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3uff.--fk Courthl Tax Mafia LesigrC+ion:
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MAP OF LAND
5URVEYED
PES , W, 5USAW C. YOUNG
AT �
BA-eV IZW
TOWN OF SoW"'rNt7LD, N.Y. Guaronieaci +o the p
O verhacia Savings bank atici 4a-Hte x t
Scat 5C�' 1" CHicacio Tilde tuts wumce Cor+,pariLj `
Cis 5urvle4o l Dec. 5 , 19719 , -
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UNDERWRITERS CERTIFICATE APPRIMI ASNO .
UUt REQUIRED d OOlni,yR Ml bi w(R)A 1 Mr TM*Nki,tb*bM iY01W>'
. FEEy _ 4a 'A, pMrt lglir�blarll#l!11gCNnd W,iM 1p*WMMlM4' IwekaMll?RAp'
NOTIFY WILDING D@NGIMW AT -
7as.lw2 f AM TO 4 PM 11011711N _
- FOLLOW ING1 OMlwIlOIM•
OCCUPANCY OR HI
USE IS
UNLAWFUL 4. FINAL • COOTION MUST a
WITHOUT CERTIFICATE BEeoMEFOR FGRco.
L CONSTRUCTION SMALL MEET
ALn .
OF
n THE REQUIREMENTS OF THE N.Y.
OF OCCUPANCY STATE CONSTRUCTION S ENERGY 4. FoltlDtiF y4IiWllk aIpAl�j�
CODES. NOT RESPONSIBLE FOR i
DESIGN OR CONSTRUCTION ERRORS „e'I Mifdlllllrjlp4Mi1N41F'�IYIRIIbilEl-
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