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Home My WebLink About24149-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27710 Date: 05/23/01 THIS CERTIFIES that the building ALTERATION Location of Property: 1995 RYDER FARM LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 3 Lot 1.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 24149-Z dated 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 ALTERATION TO KITCHEN IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JANET T SWANSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-558612 05116101 PLUMBERS CERTIFICATION DATED 05/07/98 KING PLUMBING Aut rized Si nature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT MAY 2 2 2001 +p LL 7665- 1 02L ''tr''' OUT 7fJUV�d OF 60UTNOLU 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 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. 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. ;Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . .: /z 7/9.Y. . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . Y. . . . . . . . . . . . Location of Property. . . /9 ?.5. . . . . / . . . . . . . . . . qA f . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . . .? �' . �7' $'.w9 . N F.I?nl . County Tax Map No 1000, Section. . . . ./.f. . . . . .Block. . . .3. . . . . . . . . . .Lot. °. 1. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . .Z-.`.V' .� t.% . . .Date Of Permit. . . . . /? �.7.Applicant. . !!!��4!?O " C.`` !e`�``•` ✓� Health Dept. Approval. . . . . . . . . !�!� . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .C-1119. . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . Fee Submitted: $. . . . . .?.s: ." :2. . . . . . . . . . . . . . . fit-(/J �8� 'S55a� APPLICANT. C o X7 THE NEW YORK BOARD OF PRE, UNDERWRITERS ' 200773 BUREAU OF ELECTRICITY' 40 FULTON STREET, NEW YORK, NY 10038 Date HAY 16,,2001 Application No. on file - - .N 558612 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 JANLT SWANSON, 1.995 RYDER FARM LANE, 011I M, NY in the following location; ❑ Basement ® i,t Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on MAY 04 F 200:1 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. 7 1 3 T 7.2 1. 7.8 DRYERSFURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALRECT7.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMT. I H.P. NO.OF FEET � AMT. 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. 10 2WI1 0 3W 9 0 9W 30 dW PER 0 OF CC.COND. NO.OF HI-LEG Of HIIEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: G.F.C.I;-5 ARTHUR A. RUROEDE LIC.#23:34-1to ,,,. L L23865 MAIN ROA ORIENT, NY, 21.957 GENERAL MANAGER 1'1 NPer This cerlRicate must not be Meted In any manner;return to the office of the Board It Incorrect.Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. K ti� Gym Town Hall, 53095 Main Road in = I Fax (516) 765-1823 P. O. Box 1179 Telephone(516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: W 7 19 Building Permit No. —It Owner: (please print) Plumber: '(pleaseprint) I certify that the solder used in the water supply system contains less than 2/10 of 1t lead. (Plumbers Sign 117. e) _. Sworn to before me this day o 19�� NotPub County R08RTT. T.JR. Notary Public tate of Naw YmU Qualifi n Suffolk County N OISC472 Two May 31. o�OgUFFO(�-co Town Hall,53095 Main Road y Fax (516) 765-1823 P. O. Box 1179 Telephone (516)765-1802 Southold, New York 11971 �?, • �� dol � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 1, 1998 Macdonald Woodworking Corp. Orient, New York 11967 RE: Janet Swanson, 1995 Ryder Farm Lane, Orient 1000-15-3-1 . 1 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) C .� Q XX No Underwriters Certificate on filed The check is (not on file. ) $25.00 J No Health Department Approval on file. No final inspection has been made. f XX o Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24149-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. u III II II I:i UIII I tolt DID) --------------- Ul ry ------------------------ ---- ------------ (1'I'n I'I'. IAll:A(Cy r:01M ---------- - -------- --------- --------- ----—--- —— —--—-——-—— ——---n---------- —---——————————— 111 ------------—--——- —---—- AIMIT1011AL -------- ----------------------------- -------------------- ------ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Ole Ole DATE ! G /C INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO 11 ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY -- REMARKS: c DATE y INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 7/--2 /G' 8 INSPECTOR BOARD OF HEALTH FORM No. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CIIECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC CORN . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 r/ TEL.: 765-1802 1:OTIFY Examined . . "I" CALL . . . . . . . . . . . . . . . . . . . a� 97 MAIL T0 : Approved . . . . , 19 Permit No. �� . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . )PLICATION JV j u MAY - 51997 6 _' (Building Ins tor) BLDG.DEPT. FOR BUILDING PERMIT " 7WNOFSO,prrlptD J Date . . . S/?. . . . . . . . . .. 19 A .7 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ;wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit.authorized inspectors on premises and in building for necessary inspections._ . . . !Y,.9�-,O,or;i9�h wooO.wO.oK.i✓c.- a o.e.ra, (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ;tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . .. .17 n. 'e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jame of owner of premises . . . T9^ g. 7. . . !:, . . . :S -r o "✓ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tat roll or latest deed) f applicant is a corporation, signature of duly authorized officer. . .. —. . . . . � .-.: . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . ./. .g, , . , , , y � Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 4 g f. . . .00". �K . . fi'i s! 1. . . .4.!��!� . . . . . . . . . . . . . . . . . . . . . . X. !. r!.%. . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . .. . . . . . . Block . . .3. . . . . . . . . . . . . . Lot . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . :9:-./ . . .!C r. 1./. T. 4.-; A* b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vorm. . . . . . ."Id . . , (�Mmwn'4 3. Nature of work (check which plicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . . . Remoal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . f,; P, . . . . . . . . . . . . . . . . . . . . . . . .. Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. If dwelling,number of dwelling ul'i (to be paid on filing this application) nits . . . . /. . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . • . g i Ifgarage, number of cars r/.!? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed'occupancy, specify nature and extent of each type of use . . . !:'1f9. . . . . 7. Dimensions of existing structures;if any: Front . . . . . . . . . . . . . . • ' • Rear Depth . Height . . . . . . . . . . . . . . . Numb;erofStories . � � � � � • � • � � • • • � � • � � • � � � " " " " ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure wit�t alterations or additions: Front S°fi!/ . . . . . . . . . . . . . ie. . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . .}_ . . . . . . . . . .I. Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . p new construction: Front . . J Hyl G ' ' ' Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . 8. of Height . . . . . . . . . .erofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front t`re g Nurn. . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth 10. Date of Purchase . . . . • " . . . . . . • • • • • • • • • • • • • • • • • • • • . . • . . . NameofFormer Owner . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . .� <r r. ,— ' 12. Does proposed construction violate any zoning law, ordinance or regulation: . . ./I'9 . . . . 13. Will lot be regraded . . . . . . . .N/�, , , , e " " " " " " • • • • . . . . . . . Will excess fill be removed from premises: Yes No 14. premises erl r {N �.yrn ✓Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Owner of remises .T:s!'r Name of Architect Address . . . . . . . . . . . . . . . . . . . Phone No. . . Name of Contractor /Yl3.4P. . , s�r� r,gq pry oR!��ress . Phone No. . .?. . .?,�l S„ IS. Is this .. • . . . . y 0 feet of a tidal wetland? *yeS, , , , , , , , No. . . . . . . .. property within 30 *If es, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from ' property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Sof 'r 4' 7- 7-,9 eh Cry r<✓ri✓ — Irl TATE OF NE YOR 'OUNTY OF . . . . r` �—+? •'• �•V .!, . . . being duly sworn, deposes and t says (Name of individual signing contract) y that lie is the applicant Me named. cisthe . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, gent, corporate officer, etc.) said owner or owners, and is duly authorr perform or have performed the said work and to make and file this plication; that all statements contained lin this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. vorn to before me this . .day of. . . r . 19V )tary Public, County (Signature of a licant) t 1d3QjU , fish; — AVW )m i amp mwmnm OCCUPANCY OR USE IS UNLAWFULAFV E or 11 AS NOTE WITHOUT CERTIFICATE LLA.)r:��ay B.R tP OF OCCUPANCY rFF' _ f lf�OPO3>_p KITCHEN EENOVATION NOTIFY BUILDING DI J- AT 7E.F- 302 R 410 TO rt OR THE SWAN50N R SIDENGI; RYD�R i✓Ai�M GA, ' Of ENT N,Y. I. FO)i<'4NIDA INSPF.CTIOI"t I. FU'<P QED CRE REQUIRED FU Pi POURgp CONCRETE 2. ROUGH - FRArANG & PLUMBING . M. :NtiUIJCR7pl CONCT'RJCTION MJST RE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL' MEET 'rHF REOUiREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS PLUMBING ALL PLUMBING WASTE &WATER LINES NEED - TESTING BEFORE COVERING PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE If copper tubing is used CERTIFICATE OF OCCUPANCYSOLDER USED IN WATER for water distributing , system; piping shall be SUPPLY SYSTEM CANNOT Of types K or L only EXCEED 2/90 Of 1% LEAD, - An DI ft. , PQ Box 32g �. � W I'NJ2�vY1 T1C.�t� � At'P'CIAN'G�', ��l-t�DUI.'•� _� - _ �( mrrRox. tt Rli"f IDN SlNg 'MAWk NQ• Qlt , Z a• jC i/IA# 5 AM wwP--�w A r_�4A A,5, g � �xT�xtcxe �zc �Z"X �`-a" I�swlxq�t.�`�Iri�r�•�Srnur�isNs fKprk, toI'mm W16wrrP36a cKD vN•NtES IfW� W 6NR�K ®ixAss t� Rle jJltv' N5loN5 IBII ---- iC ICS Tafi G xyr Yww (;A 0 y38"p a6%W WtIGT ' ick MAKEt'Z, O U \5 Ov Tod D wdrR- T�" "y�la � rCce64oX�e/Q �t y �- _� i D15+I WA,3 K KtAy 174-5 +W 33 4114k y W N I C - KITGlf�l`UtID d.NITJj6ttWZ'�6Y61PF�� MIT>r srA�tv�ss�t K�zzl IH m I SINK �{ gy Galt y�yyw16D crtR>M •NoNknt➢59nAY. 10 f s. - n 36 3-9 --- — N 30 — - 0 3 0 I 5 5 _� 10 i - + 0 o O�� - - - - - - - ,� Com• O o N mw N GO � I . m ,�gcK,�tatc5-�.aat �-z �F �N�� de I - pAl, r � r I h •. a . _ . . .- : - a _ } '4 V3 ' et-( 1 h xl K:y6rr l •A 3-14 J?$ "y 7] _.Jl�•> . ... 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