HomeMy WebLinkAbout24179-zFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Ball
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25306 Date: 05/21/97
THIS CERTIFIES that the building ADDITION
Location of Property: 1000 BAYER RD MATTITUCK
(hOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 107 Block 9 Lot 29
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 21, 1997 pursuant to which
Building Permit No. 24179-Z dated JUNE 11, 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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to EDWARD & JUDITH LANNING
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N427275 07/31/97
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/8'1
I~OI~M NO. ~l
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, H. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 24179 Z
Permission is hereby granted to:
..~:~.~..,...~..~....~. ................
,o ....~~c... ~..........~,f~/~f.... ~ ~~ ....... ~... ~ ....
..~.~ ....~ ...... ~..~~......~ .~...~~.~
.~~ ........ ~......~/~......~.~.....~ ........................... ~ ......
~.~ ~ ~, ~. ,0o~ ~,~t,o~ .... z~"~ ...... ,,~ ..(.m~ ........ ~o, ~o....~Z ...........
Building Inspector.
Rev. 6/30/80
TOWN OF SOUTHOLD
~.~ ,,,~ BUILDING DEPARTMENT
I ~ ~3 [!~ lq ~ ~1 t' ~, i 765-1802
..~: AP ION~. .R CERTIFICATE OF OCCUPANCY
This applica :ion must be fil%~d~in bY typewriter OR ink and submitted to the building
inspector with the f011o~in~:, for ~ew building or new use:
1. Final su'~vey of property:~ith~-a~curate l~cation of ail buildings, p~operty lines,
streets, and unusual natural or topographic features.
2. Finai 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 c6mpleted 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 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,
,z 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~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ate ~gK ~ /~V ......
New Construction ........... Old Or Pre-existing Building ...............
Location of ..... ~" /~ 8~%~{2'' g ~' .. /~/~///~¢//'~'- · ''' .... '
House No. Street Hamlet
0=er or o=ers of roperty ........ '-' -- ' ....g .iM gfl ....
M~p 1~.~ .... 9. ....... .zJ .........
County Tax No 1000, Section .......... Block ...... Lot .......
Subdivision Filed Map Lot · ..
Permit No ........ Date Of Permit ................ app±zcan~ ............................
Health Dept Approval Underwriters Approval~. .....
Planning Board Approval ........................ /
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ .............................
APPLICA~NT
L)llllll~ I' l( II (~111~)
Pt',-~i~,as:~d Addition for
Extension to exist
]2'.
~ADING RIVER,
ng louse. I
PAuLIA REINCKENS
ATLANTIS HOME REMODELERS
8 HILL STREET
NEW YORK 11792
929-3923
May 19,
I 99'7
E. & J.. I,~mnlng
91,0 BaYer Rpad
Mattituck, i~gw York
! ,
S0uth, W~est ~rner in rear
of house
~ement footing 3' ~elow grade. Foundat!.onit:o be block to match
exlsting foundation. Footing for Brick Hearth for Chimney.
o, x 8" Treated for Plate with Aluminum:Te~lnite Shield.
,[
2" × 8" Floor Joists with 2' x 8" ledger to existing house with
Teko's. 16" O.C. 5/8 "CDX Plywood Floor.
~ 4" Walls, I/2 'CDx Plywood f_or Exterior Sheeting. R-J3 Ir:,~;ulation
with Foaln Illsulation & Vinyl Siding oil,Exterior ~z;,:~,ll:.}~
2" x 6" Roof Rafter 16" O,C,, 2' x 6" Cei
cr3X Plywood Sheeting on Roof, 201bs Felt Pape~~
Jng Rafters. 16 O.C, 1/2
25 yrs Black Roof Shingles.
!! '
i !
'l
~" '::' '"'~ ~: .... : -::~ APPROVED A~N~TED
....... ~::~::'-~'~¢~:~'Tg-:~M TO 4 PM FOR THE
USE IS UNLAWFUL . ~o~o~,.~
.~ITHOUT CERTIFICATE: ~'
~ ~ OCCUPANCY ~'
~T~
..... 2, IN~U~TION
~".~ ~ ~'~ ' , ; 4, qI~AL - CONSOliDaTiON MUS;T
. ................. ~+~ ~ -
Iv,
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONlST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ]INSULATION
[ ~FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
. INSPECTION
[ p,]/'FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]~jI~DATION 2ND [ ]INSULATION
[,/~ FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
REMARKS: ~,~..../-~.~ ~
/
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU~GN~LBG.
[ ] FOUNDATION 2ND [ ~'"INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPL~C~H~.M~E;~
REM~
DATE
INSPECTO~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1185077 BUREAU OF ELECTRICITY
--' 85 JOHN STREET, NEW YORK, NY 10038
' O.t~" ~Fu'LY 31,1997 Applic.tlo~ Mo. o.f,e 14295497/97 N 4272'75
THIS CERTIFIES THAT
on~' the e~ctrtc~ equipment as d~scri~ below an~ introduced by tl~ applicant narn~d on the above ~pplicatian number in the premises o~
EDWARD LANNING, 1000 BOYER ROAD, HATTITUCK, N.Y.
in the fotlowiag location' E] Btsement [~ Ist FI. [] 2nd fl. OUT Section Block Lot
u~s examined on ~LY28 ,1997 and found to be in compliance with the National Electrical Code.
FIXTURES
DRYERS I:URI, L&CE MOTORS FUTURE APPtlANCe FEEDERS
RANGES
PECIAL REC'P1
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET
EXHAUST FANS
DIMMERS
~RVIC~DIKONNKT I HO. OFI s E- R
~T. ~. ~E ~UIP 1~2w 1~3w 3~3w 3~4w Ho o~t~ OF AWG'cc. CONo J NOOF HI*LEG
V I~ C
LIC, g3677-!
'L ~J~J~J~,q~_dj~ltJ~. GENERAL MANAGER
~11~"~'4,~ Per ...........
~hk =eHifi=afe mua~ nor be altered in any m~nner~ re~orn to the oHice of the ~=rd if incorre~. Inspectors may be identified by ihek credenfiala.
ROSLAKELECTRIC
P.O.BOX 164
CUTCHOG[~, NY, 11935-2453
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST N0~ BE ALTERED 'IN ANY MANNER.
FORH NO. !
TOIqN OV SOUTtIOLI)
BDII,DIIqG DEPARTHEIIT
TO~q ti Il^lA.
SOUT[IOLD~ lq.'/. 1197 I
TEl.: 765- IgO2
APPI. ICNfION FO'R BUILI)IHG ]?F. RH1T
1 NSTRUCTIONS
IlO^Ri) OF IlEAl,TI1 ...............
?/~. SETS 0[" PI,I~N.q ...............
~-'~$URVEY ........................
~sIIgCK .........................
EPTIC FORH ........ ' ...........
HA 1 L TO: ....................
Date ................ ,19 ....
a. 'lifts applicati~ Inmt be c(~l)letely filled in by typm.ffiter or in ink mgl s~]~nitt~l to lite Ikfihling lns~etor with
3 ~[s ef plans, acmffate plot plan to scale. Fee a~x~rding to
b. Pint plan ~ing l~ati~ of lo~ a~l of Isdldlnas on prenlses, relationship to Mjolnlng praises or i~blic
str~ts or areas, a~ giving a ~tail~ de~ription of lay(~ o[ prol~rty n~s~ Im dr~ on the dia~ ~dch is ~rt of
this applica~:ion.
C. 'll~ s~rk c~er~l by this application my ~)t le c~l l~fore is~e of ~dlding Pemit.
d. Ol~ appeal off this a~lication, the hdlding lnsl~ctor will issue a lkdlding Pemi~ to the applicant.
~mit shall I~ kept ~ tl~ prani~s ~ailable for ins~ctlon thra~?~ia~e tt~ ~rk.
e. ~ ladldi~ ~mll lm ~m~pi~ or u~l in ~o1¢ or in Dar~ for any p~ ~mt~er until a C~rtlflcate of
~La;~a~y Mmll have I~n granted by tim hdlding lnSl~tor.
~PIAC~I'If~ lS I~1~ }~ to tl~ lkdldlng l~lmrt~nt for the issna~e of a hdlding Pemit l~ra~ant to the
I(dldin8 7x)s~ O~ima~e of the q~ off ~O~ld, ~fffolk C~mty, ~ York, a~ other a~flicable l~s, Ordinates ur
1~8nlati~ms, for tim camt~ti~ of Ndldings, aklici(ms or alteration% or for r~al or da~lition, as herein
¢~scril~l. 'Iht appl leant a~a to c~ly with .....
all al~l mable l~s,~mes, lanla~e, hammg c~le, a~xl
regulations, a,~l to t~t,,ic atitl~lrizM ins,~:tors ,~, t,rauh~s ar~l in I~g for~ces~ry~ion~
(SJ~lature of applicant, or hale, if aa co.ration)
..... ..............
(~lil lng Mdresst .of applicant)
State Mmtlmr avplicant is o~mer, lessee, agenL, architect, engineer, general contractor, electriqlan, plmiber or lalildar.
~a~ of (x~r of proni~s t ................ ' ........ ~ .................. ' ...... ~ .': .......... ' .........
(as ~l tim tax ~11 or lalest demi)
If applicant is a corl~rati~, sig~tare of &dy ~iOg)ri~l officer.
(Nme n~v3 title of corlxorate o[ficer)
lkdhlera License klo ..........................
Electricians License No ......................
I. lz)caticm of lar~l tm ~4fich propo.~,~l ;oork will Im d_Ol~. ...........................................................
........ .................... ...................... .........
lk~ K~r t~slet ~
~l~i~islon ...................................... Fil~ ~q~ ~ ................ 1~ ...............
(~)
2. State existing u~ aM ~qtx:y of ~'a.i~s alii b~e~lc~ alxl ~:ctl~y of proud camtruction:
,. g i ang ........... ..................................................
, .... '..:' ..................................
b. in~el~ ~ a~ ~:cn~my ...................
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