HomeMy WebLinkAbout24350-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
$outhold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25764
Date: 06/08/98
THIS CERTIFIES that the building
ADDITION
Location of Propertyz 1335 CASES LA
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 109 Block 6
CUTCHOGUE
(HAMLET)
Lot 17.1
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 12, 1997 pursuant to which
Building Permit No. 24350-Z dated SEPTEMBER 12, 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 SCREENED PORCH ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN R & INEZ F DENNISON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/a
H 059826
N/A
g InspeCtor
05/12/98
Rev. 1/81
FOB, M NO. ·
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERJvtlT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 24350 Z
Permission is hereby granted to:
:~,~ ...... £.:....M~.i.~ ......................
to....~~:.: ............ ~ ......... .:.~.~....../~:~ ....... ../~.,~. ....... ~.~ .............
........... z~.~h~.....~., ................................................................................................................
pursuant to applicotion dated ............. ./.~.~.......Z,. .................. , 19.~../., and approved by the
Building Inspector.
Re,,,. 6130/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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
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 i% 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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 sig~ed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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 - = .25~.
~] Updated Certificate of Occupancy - $50.00
' Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existi~g Building .................
~oc~tion of property ............................................. , ....
House No. Street Hamlet
Onwer or Owners of Property ............ [ ..............................
County Tax Map No 1000, Section.. /0.~. .Block.. O~ .Lot ....
/
Subdivision ................. Filed Map Lot
Permit No ...... Date Of Permit ................ Applicant .............................
Health Dept. Approval ....................... .. . Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
................:.z...? . ":. ....
Ju, o4+¥ 5' z-
THE NE%// YORK BOARD OF FIRE UNDERWRITERS !
8~70912 BUREAU OF ELECTRICITY
r~ 40 FULTON STREET, NEW YORK, NY 10038
Date }~A¥ 12,1998 Application No. on file 15979698/9F3 H 059826
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
JOHN R, DENNISON, 1335 CY~E'S LANE, CUTCHOGUE, NY ~
in the following location; [] Basement [] 1st FI, [] 2nd FL OU? Section Block Lot ~
was examined on I~Y 07,1998 and found to be in compliance with the National Electrical Code. ~
FIXTURE
OUTLETS
~DRYERS
RECEPTACLES SWITCHES
FIXTURES RANGES COOKING DECKS DISH WASHERS EXHAUST FANS
OTHER APPARATUS:
PADDLE FAN- 1
JOHN R. DENNISON'
P. O. BOX 55
CUTCHOGUE, NY, 11935
OF CC. COND.
FEE PAID
AMOUNT
PI-EASE REMIT BY CHECK OR MONEY
ORDER TO THE ORDER OF THE NEW
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
June 3, 1998
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Mr. & Mrs. Dennison
P.O. Box 55
Cutchogue, New York
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 Occupanc~
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 # 24350-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ~'~NAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
IINSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]//~)UNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIREPI.ACE & CHIMNEY
REMARKS,~
DATE /~~
INSPECTOR
76S-1802
BUILDING DEPT.
INSPECTION
[~/~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[~]~FRAMING ~ [ ] FINAL
[ ] FIREPLACE & CHIMN_EY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 2ND [/~.~"'INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~ ~
DATE ~~ INSPECT~
THE NEW
Date ~%Y 12,1998
THIS CERTIFIES THAT
YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Application No. o. flle 15979698/98 H 059826
PAGE 1
only the electrical equipment as desc~bed below and introduced by the applicant named on the above applicatio, number is in the premises of
JOHN R. DENNISON, 1335 CASE'S LANE, CUTCHOGUE, NY
in the following location: [] Basement [] 1st Fl. [] 2nd Fl. OUT SecHon Block Lot
was examined on ~4AY 07,1998 and found to be in compliance with the National Electrleal Code.
RXIURE FIXTURES RANGES COOKING O;CKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES FLUORESCENT OTHER
! 13 2
DRYERS
OTHER APPARATUS:
PADDLE FAN- I
E R V I C
JOHN R. DENNISON
P. O. BOX 55
CUTCHOGUE, NY, 11935
This certificale musf nol be clterod in any manner; return to the office of fhe Board if incorrect. Inspectors may' be idenlified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY Of CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER.
i I!~IIL
FORH NO. I
TOI~/N OF SOUTI1OLD
BUILDING DEPARTNENT
TOWN IIALL
SOUTIIOLD, N.Y. 11971
TEL: 765-1S02
Disapproved a/c ..................................
APPLICATION FOR BUILDING PERHIT
INSTRUCTIONS
BOARD OF REALTll ...............
3 SETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
SEPTIC FOEH ...................
NOTIFY:
CALL ..................
,Ail.
a. 'Ibis application mJSt be conPletely filled in l~J tylxa~iter or in ink and anlraitted to tim Building Inspector w
~ sets of phms, accurate plot plan to scale. Fee according to acbedule.
b. PIot plan st~aing locatlan of tot and of Daitdings c~ premises, relatlormhip to adjoining pr~aises or pt/blic
streets or areas, and giving a detailed description of layout of propert~ mint be drawn on the diagran ~ich is Imrt of
'fl,is appl icatim.
c. "lhe work co,red by this: apphcat~on my not he commenced before issuance of Building Permit.
d. ~ approval of this'.applicatian, the Building Inspector wilt issue a Building Pemtr to the applicant. Such
permit shall be kept'on tlm In-~aises mrailable for inspection thronghout the turk.
e. NO building stroll be occupied or used in ~bole or in part for any Farpase ~hatever tmtil a Certificate of
Occupancy shall have been granted by the Building Inspector.
/WPLIOYrlC}I IS 1~ ~ to the Building Department for the issuance of a Building Permit pur.~amnt to the
Building Zone Ordinmmze of the To~n of 8outbold, Suffolk Count-y, ~ York, and other applicable l~s, Ordinances or
Regulations, for the construction of buildings, additions or alteraticms, or for removal or der~lltion,.as herein
described. 2t~ applicant agrees to ccmply with ail applicable la~, ordinances, building code, housing code, and
regulations, aed to admit authori*ed inspectors on praises and in building .for necessary inspections.
.... · SF&. - ...................
State ~nether applicant is o~er, lessee, agent, arddtect, engineer, general contractor, electrician, ploaber or hHlde
.................................. ...........................................................................
(as on the tax mi1 or latest deed)
If applicant is a corporation, signature of duly authorized officer.
and title of corporate officer)
Builders License leo ..........................
Pltntmrs License No ..........................
Electricians License No ......................
Otl~r Trede% Licenee No .....................
I. Locatian of land an ~dch proposed work will be done ..............................................................
......... ................... .....................
llouSO Ncml ~r Street [fatal et
Subdivision ...................................... Filed ~ No ................ Lot ...............
2. State existing use and occupancy of premises ~ i~tended use and occupancy of proposed construction:
/
a. gxisting use and ncc~n~ancy ............................................................................
..................................... ~6~ ~,;; %'~2:ff.=h;iV~ g:~,:,~' .....
3. t~tute of ~o~k (check M~ich npI)lieable): ~ Iklilding .......... ~zldltion ~ Alteration
I~l~i r ............ ~1 ............. I~1 ition ............ Other ~tk
d ~ri pt i~m)
6. Esl. in~t~l Cx>sL ......~........ ....... f~ ..............................................
(to 1~ ~id (m [ill.g this a~licati~0
5. 1[ ~k~lli~, a~t~r of ~lli~g units ............ tl~t~r o[ (kmlling ~mits (a~ ead~ flor ................
1[ garage, t~Imr o[ c~rs ......................................
6. If Ixmlncss, ~m~ercial or miml ~O~lmr~, s~cif~ ~mture ami extenC of each [y~ o[ u~ ......................
7. I)in~nsi~m of existing ~tnmture8, if any: ~r(mt ................ ~ar ............... ~pth .................
Ik~iI~t ......................... ~l~r o[ Stories ......................
l)in~nsi~m o~ 8am ~tt~mtxtre ~i[l~ alterati~m or mklltions: Front ............... ~ar ...............
l~pth .................... I~i~t .................... ~lmr of Storlea ...............
g. llin~nsio~ d? entire ~ cmstr[mt:ie~: Frm~t ................ I~ar ............... ~pth ..............
I~i0~t ......................... ~i~r of Stories .....................
9. Si~ of lot: I~rmt .................... ~nr .................... ~pth ....................
,,r ........ .. ................
II. 7xa~ or u~ district in ~idt p~oni~s nrc si~t~l ..............................................................
12. hms pro[~ml c~mtn~ti~ violate a~y m~ing 1~, o,lhmnce or re~latlnn: .... ~.~. ...............
13. ~ill lot Im regrm~ ....... ~. ........ ~ill excess fill ~ r~l fron
16. ~t~s of ~r of p~i~s ........................... ~lress .............................. 11~ ~ ............
~ of Ardtiteet .................................... &~ress .............................. ~ ~ ............
15. ls Ibis p~rty ~ithio ~ f~qt of n ti~al ~clm~l? * ~lLq .........
Pl,O'r DIAGRAH
lrx:at.e clearly m~l distinctly all Imildings, ~hetl}er existing or prolYosed, m'~l it~licate all ~t-lmk dlmnsions
pro~rt'y li~s. Oi~ strut mt bl~ a~i~r or t~seripti~ acco~ling to (~, n~ ~ oLreet m~ms aal i~licate
interior or co~r lot.
(I,L-~ ol- i~lividtml signing off,tract.)
(Gca~tractor, ngent~ corporate officer, etc.)
ol: ~mld cx,nx~r or {~mrs, m~l 18 duly m~thorlzc~l to lx~rfonn or have l~rfor.~l the mMd ~rk m~l to nnke taxi file Ibis
npplicntlon; that: all stat~mntn omtaimsl in this alq)licatiou are tn~ to the l~st: oE his k~x~l~lge
Ih;H. the ~);k ~ill I~ i~rfl~ml in lbo ,ru,~r Prat forth it* the nppl it:at:tim fil~ tlmr~ith.
~)rn 1o t~fme n~ thls ~ '
....... ........... .....