Loading...
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 ~ ' ....... ........... .....