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HomeMy WebLinkAbout24095-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26008 Date: 10/05/98 THIS CERTIFIES that the building DORMER ADDITION Location of Property: 1300 WESTPHALIA RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 7 Lot 14.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1997 pursuant to which Building Permit No. 24095-Z dated MAY 2, 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 DORMER ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SIDNEY W. & JOHANNA OLMSTED (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-060800 07/29/98 PLUMBERS CERTIFICATION DATED N/A Bui ing Inspector Rev. 1/81 FORM x0. 8 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) .............................................. 19.E N4 24095 Z Date .... Permission is hereby granted to: P:. ?....8 .... Z/..................................... to ......... ...... 1/.7e .....(..Gl... �..............:,...�........................... ................... / ....................................... ..................................................................................................... .............................................. .............. at premises located at..../A ?kv......L✓!! /rl't �� ....... �..y.......:.........�r�� County Tax Map No. 1000 Section .q.1(. ......... Block ....l.e..,7......... Lot No. ..��:�........ pursuant to application dated ....../.dP-L......lll.. .t!l............... 19.?/, and approved by the Building Inspector. Fee ;...� ..W— . ................... ildin nspector Rev. 6/30/80 WVorm IVU. U TOWN OF SOUTHOLD Cj BUILDING DEPARTMENT RR `/ TOWN HALL D t V�� 3 765-1802 n �, APPLICATION FOR CERTIFICATE OF OCCUPANCY ��I\ A. This application must be filled in by typewriter OR ink and submitted to the buildin; 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildir 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 an '-'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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .254�. 4. Updated .Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential /O.c.$�155� [..00,, me Commercial $15.00 / Date J o LI . — Q. . . . . . . . . .. . . . . . . . . . . . . New Construction... . ./. .... . Olds Or Pre-existing BuildingiJd.LTiy-4J P Location of Property./a) .Y.�k S ��Jl/.�jrJ.�. ... . . .. .. . . . . . .. A (A(. . . . . . . House No. Street Hamlet �+^ s-. Ouwer or Owners of Property..GZ,i 1J. . .xJ .. ��✓. .. �. . ,(.J. . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . /. !. ./. . . . . .Block. . . 0.`_7. . . . . . . .Lot. . l/.V': . . . . . . . Subdivision. . . /(. . . . . . . . . . . . . . ... .. . . . . . . .. . . . . .Filed Map.. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. .RC .. . . .J �01— �te Of Permit05. A.7:7. .? . .Applicant Health Dept. Approval. . . . . . . . . -. . .. . . . . . . . . .Underwriters Approval. . .�� f U . . . . . . o -7- Planning Board Approval. . . .. .4 . . .. . . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . l.\. . . . . Fee Submitted: $. .2 X� . ... . . . . . . . . . . . . . . . < � C (3"k'c> 5Sa I APPLICANT Coo (\�© ©� 4p ayocr5-z THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8069404 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 29,1998 Application No. on file 15287698/98 H 060800 THIS CERTIFIES THAT PERMIT NO. 240952 only the electrical equipment as described below and introduced by the applicanj named on the above application number is in the premises of SIDNEY & JOAN OLMSTED, 1300 WESTPHALIA ROAD, MATTITUCK, NY in the following location; ❑ Basement ❑ Ist Fl. R1 2nd Fl. GAR/OUT section 114 Block? Lot 14.3 was examined on JULY 21,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES I RANGES I COOKING DECKS I OVENS DISH WASHERS EXHAUST FANS OUTLETS I I INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. 11AMT. K.W. AMT. H.P. 11 14 7 7 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS Q, AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMI. H.P. NOF FEET AMT. WATTS SERVICE DISCONNECT NO,OF S E R V I C E METER ry0,OF CC COND. A.W.G A.W.G. A.W.G AMT, AMP. TYPE EQUIP. 1 0 2W 1 D 3W 3 0 3W 3 e dW PER 0 Of Co.GOND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: 2ND FLOOR DORMER-1 GARAGE & DOCK LIGHTS-1 REPLACE MAIN DIST. PANEL-1 PADDLE FAN-1 PANELBOARDS: 1-6 CTR. 100 G,F.C.I:-2 SMOKE DETECTOR:-1 <<< Continued on Page 2 >>> GENERAL MANAGER EPer 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 F BUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 29,1998 Application No. on file 15287698/98 H 060800 THIS CERTIFIES THAT PERMIT NO. 24095Z only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of SIDNEY & JOAN OLMSTED, 1300 WESTPHALIA ROAD, MATTITUCK, NY in the following location, ❑ Basement ❑ Ist Fl. ® 2nd Fl. GAR/OUT section 114B1ock7 Lot 14.3 was examined on JULY 21,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMi. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. qMT H.P. NO.OF FEET AMi. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W G A.W G AMT. AMP. TYPE EQUIP. 1 0 YW 1 0 9W 9 0 3W 3 0 4W PER 0 OF CC.COND. NO OF HI-LEG OF HI-LEG NO.Of NEUTRALS OF NEUTRAL OTHER APPARATUS: SINDY & JOAN OLMSTED L L 1300 WESTPHALIA ROAD MATTITUCK, NY, 11952 GENERAL MANAGER 11 EPer 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. O��gOFFO(,�co c� Gyp y Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 fig, • Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD -A September 28, 1998 Mr. & Mrs . Sidney Olmstead P.O. Box 731 Mattituck, NY 11952 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. 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 # 24095-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR -441 7W-180z BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ I., ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: . �� DATE A2 �� /�� INSPECTOR � X75 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA KS: � O t DATE l ) �� INSPECTOR - 765-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION IST [ ] GH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL & CHIMNEY REMARKS: GGL e94 4IZ4 DATE INSPECT ` • OCCUPANCY OR " USE IS UNLAWFUL APP 0 ED AS NOTED WITHOUT CERTIFICATE � B.P.# DAE: NOTIFY BUILDING DEPARTIUI RT OF OCCUPANCY 765-1802 9 AM TO 4 PM THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING :. 3. INSULATION 4. FINAL MiUST \ BE COMPLETE i-c" C ALL CONSTRUCTIO"l - `` t MEET i - THE REQUIREi:,Fi4TS I j STATE CONSTPUCT7` -RGY CODES. NOT gE=-" -.... FOR _. .. DESIGN OR CONSTR3 + s ON EnFORS a / I I PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS J j REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. I � I1 i •i UNDERWRITERS CERTIFICATE 1 1 REQUIRED a I V ,Q-F" I OIC IE209MER PLAN _ — --. 7 Ufa_ 7' l2. ii t ! 1 I I �� I i• I 2 El L\ V14 A -- IIOARI) Oil 11RA1.f11 . . . . . . . . . . . . . . . _..:_:!ti •�^'. �� "+'' VOiltl 11(1. I ) fIRTH OF PLAN!; . . . . . . . . . . . . . . . ro wfim At„r TOWN OP SOUTHOLD SUINRY . . . . . . . . . . . . . . . . . . . . . . . . 111111.111NO OI:t'All•1HEMT CHECK • • . . . Ij)fr� 8 IR(%� '1'01)N HALL 3111"I'M P01M . . . . . . . . . . . . . . . . . . . 3U11'I'NM, N.Y . 11911 ,nf TEL: '/65- IIIO2�" NOTIFY: GLDG.0` CAI . . . . . ... . . . . . . . . IIA 1AI1. TO: . . . . . . . . . . . . . . . . . . . . Appr(wed.... . ..... 19 Pe.uuil. flit. d` 7..� ..... ........... ................ .. . Oinnpprwcd n/r• ................. .... .. .... . .. .. ........... ....... ... . ... . . .. .... ..............:........ ............ . r i (Iprildl 1 1llwil n-) AI'I'LICAT1011 FOR III)Iid)INO 1'titi IT � Unte. S✓'/ �.�a. �. . . . . . . lil p/. .7 I Nlf'1'RUC I.1 UN3 a, Thin uppliaeticnl "tent be cugrletoly filled in by tylxaari Par or In ink nod n"hultted to the !%tilding lunper,lor n! :1 nein of pinnn, nccurnte plot pinn to ncnle. I'ee nticonling in nchedule. L. 11101: pier dan+ing location of: lot nrxl or Inlildiugn on prrmdoen, relnl'lonahip to adfolning prrndnen or fxl01c nlrcetn or nrenn, oat glving n delnlled dencription UI' tnpmL of properly nuul Ile drnnm on Lhe dingrnn which in twat: of thin npplicntion. r.. 'the work twered 11 thin nlgrlicution ray rxrl be rrrinrex:ed Iterate inounnmc of: IA:lldh% Permit. IL Upon opfrcwol of thin application, (fie. fttdidbilt 'hropeclor will lone n It,riiding Permit to the npplicne. Rucll permit 1,111111 tte kept on the prelnlnen ovniloble for lunpectlou lht'Al xrrl' lire retic. e. W ttallding 011111 lee occupied or Oiled lu "role or I0 pnrt for nny fxrrpose whntever with n Certlficnte of (k:rupntx:y nhn11 fine Ileen itrnnted by the lluliding Lrnpector. 1 AlIMI(i1'I'ION 13 1131tKIiY HMiE to the IAelldiilg Ocpnrlenot for tin Intnewlee of n ilullding permit• fxrrrnlmrt to the Ikrilding 7,one Ordinance of: Lhe 'Ibtm of WKWIC Mdfolk (kxnrty, Ncnr York, mxi other opplicnbfe lxnn, ordtrmrx:m or 14gullldwn, for Lie constnrctiar of 6dItlingn, altiU.irnnl or nllerntloun, or for removal or rlemolit:ion, no herein dencrilxd. 'lire applle:nnl' ngreen Lo calgrly w(Ih nil applicable l.mm, ordlnunrml, Ixrllding rale, Ixxmin cele., not tegulntitnro, mut Lo oink uulhor•Ized Innflectorn on proninrn mxi in bulls UIl for rte n ry Inopectiotrn. ..n�. '�'bA .... / (111toflOr . of opplicnnC, or Until , If n corixrrniIon) r o... 7 .10A./7w/c.k'lYt:... 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Illolw No. . . . ... . . . . 101110 of QNicrnrror ...... .I .... . . ....... . ........ . . ... fu1411'Yluu1 . . . . . .. . . . .. ..'1.. . ... .. . . . . . . . ..llmlw Ilk). . . . . . . . . . . A I t` Y P u I:Idnl I+ul.lulxl'f n YON . . . . . .. 1X1 i. .. . .. , . In IhI11 IraulrC vllldn 31X1 Puul' o ll' y1m, millillin ixm .11tlllill m I.'I(ICIPI' Ik1Y 14: IIIi1�lI11Ui11. o 11u:u10 c1clarly Jul dlul:l(u:ciy 011 Inllldlrylu, %A0111wr adill:11111 of pnlxl11n.(l, 41111)(11(:4ru, 4Wel' 11 -bard lc blwnulonu 111(nl plolwrl'y w 1110. (llvu uclwJIM h l: 11N:h 1xr1110r fit* d411rrlpl loll nrrnnling I'o duJ01x1 1111x1 Iliveel' ninu4 1110 Ilvllmlic! %Atolllot lullulur fir LU(11Lr lot, yo i I(IA'l IC (A' IP)! YINUC,p p �._, 1•�--'" MUM (v "'.4 .... ... . . .. . . . .. . ... Il Y 1 01x1 unyu llml: ho I4 Ihu uppllcunl' U4m1 ul 1lwllvlduld ulpnlull cuulrnLO . . . .. . . . .. . .... . . ' . .bolo dul mnn'n, duxlnuu IIIAIVII IIUIv;II, 1_' 1Ai111 Illu .. . . 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T L.O./—T _ x � PL _--, . _OOR__ S_V/'PtWIED, W I _ - --- --�- FOR W It 00 RA/t pIIN WOUO � yr-7reA d I I • j' $np,�st V I I UPPER P19R T OF LIVING ROOM l� A,4 I ' I ! I � _ _ _ 243rD SCOG•. cNOO - i — _ JMGvE 2434 rqG OF N 0- _ _- _-_- _ - -, MODEL 2 �� r C DE'ORAT/VE' * ,PTEs K08�os as BHLC6A/ y y � W n " 4 0 922° co/v/�/ F'L OOR. pL ,19Ai / APPR WED AAOFFss ��' %. 0 DATE: FEE. cro BY / NOTIFY BUILDING C �1 Q �✓ I yn �Q -� 765.2660 9AM TO 4F l rD INSPECTIONS: (-�' 1 BEFORE BACKFILI 1 I i ` 1 Film w I t � ❑ j i i I I - � z QBE u► La-Q - - -T 140 � •C d L E �¢} - I�-o` � .L -moi , MIIIIIAI loll ---------- Il A I W III I flo [!;III,Al loll llj'.jt o . !;TAIK IUlIr.Iojy fAllm ----------- --------------- AlloTT(OF(Al. ------------- 540 '- : 0 , -:_--- ----- -- -- •3 ' = - - _ — - ;mss ---� --- - n SHED ; � ( i 1 \ i ZTV.ZY ycC FaQ ;, L j IIISTEQ JQ , t ' -'4R7'7' t " Vic #C " 111. SCALE sp'- _._.....:. .K. . _e. _" - ��^srrrrSaS ore L0t r14. T - �� I ? '.r8 =; FrFR 2X6 13 EA A 71 =- - Y-" IPS_.-. c"ro � 'r ..�ru:� Cxxc,1-�J4 O.J y � by �LO•fL. - -� - ,.v'a�d 4d w�.v of s�ru ; r . 2 { � S?VDD cavr2 } S ice• ak �o •moi � � Sov U'C i �2 P�JUXDCD O tUO• FlC l S>O[>,ia •dCY' oaril411:4 S� /• - D� C�+ Q V IOL 9CaJ7 REV,V, ' 09 i 11 f .SES KOS40M 1� 2. ,9 °u q 6192•Z� .0