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HomeMy WebLinkAbout24180-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26976 Date: 03/10/00 THIS CERTIFIES that the building ADDITIONS Location of Property: 1975 CEDAR DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 77 Block 1 Lot 26 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 1997 pursuant to which Building Permit No. 24180-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 & FRONT ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRIAN & CATHY CAMPBELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-475472 12/28/98 N/A uthor~zed Sig~ture FO~ NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2i180 Z Dote ..................... ./../. .................... , ...... ~~ ...... ~.:..Y.'. ............... ..m~~~,;~.~v:..~.~..~.~~...~..~ .Z~,z..~/.....C..~-.L..~.~:~.~.~.~.....~.:~.......~~~........-. ............. ~, p~e~,,, ,=o,.d o, ....... /..fiZZY. .................................... cou,~, 'to× Mo~, ~o. ,ooo S.ct,on .......... ~:.F.. .... B,o,:k ......... ./ .......... ,or ~o...,Z~ ............. pursuant to opplicotion dated .............. ~.....~.~...~... ............. , I9.~)....~., and opproved by the Building Inspector. · ............. Rev, 6/30/80 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. Thi~ 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, muitiple residences anB similar buildi and installations, a certificate of Code Compliance from archite~r engineer responsible for the building. ~//~i,,~ 6. Submit Planning Board Approval of completed site plan requir~z'/~'~'%~/<z..-~ ~ B. For existing buildings (prior to ~ril 9, 1957) non-conforming ~u~s, or'l~u~ings a '!pre-existing" land uses: '~ ~. '.~J.- i '?"~ 1. Accurate survey of property showing all property lines,x- ~s~e~?f b~lding~ unusual natural or topographic features. ~<~J/~". C 2. A properly completed application and a consent to inspect si~'e~ by tl If a Certificate of Occupancy is denied, the Building Inspec~[~shall reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling Alterations to dwelling $25.00, Sw~r~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $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 Date ~ 1~ [q-~-~- .... New Construction ........... Old Or.Pre-existing Building. ~ ...... · ......... Location of Property. 1.~.~5 ..... ~.~...~.~. ~.: ..... [~. 0~.~ ~.~ ................... House No. Street Hamlet .................. Onwer or Owners of Property ........... . Subdivision . . Filed Map Lot ....... Permit No~.~lJ.~.~...~...Date Of Permit ................ Applicant ......................... Health Dept Approval Underwriters Approval ........ Planning Board Approval Request for: Temporary Certificate ........... Final ~rticate.~ ........ Fee Submitted: $. : .................... .'.'. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 22, 1999 Brian & Cathy Campbell 1975 Cedar Dr. Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate because of the following reasons: XX An application for Certificate not on file. (Enclosed) No Underwriters Certificate on 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)o BUILDING PERMIT # 24180-Z Please contact our office on this matter. cooperation. of Occupancy of Occupancy is file. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 MARCH 8, 2000 2ND NOTIFICATION BRIAN & CATHY CAMPBELL 1975 CEDAR DR. SOUTHOLD, N.Y. 11971 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. $25.00. No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24180-Z * Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. *THE ABOVE BUILDING PERMIT HAS EXPIRED.IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. TO AVOID A VIOLATION BEING ISSUED, PLEASE APPLY FOR THE C.O. SO THAT WE MAY CLEAR UP THIS MATTER. t~ ~J ALe_ GP~c-v~,~--e.~O "~ec~$ ~ct~fL L~ ,,K.~~'' DEPT. ,?"' ':" i~ooP / I~ TO. Ut, SOUTBOLD BUILDING DEPARTI4ENT TO. HALL /997 . s0o~0~, ~.~. ~ ~9~ ............................. . ... . ' ~u2t~R BUILDING PE~IT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......... , ................ SEPTIC FOE14 ................... ...................... ~IL TO~.~q2.5 .............. ....... ~.r...~.~...~.. ..... ..... .~.~ ~.c~ ~x,.. ~..~... · ilq91 a. Ibis application mst 1~ c~pletely filled in by typewriter or in ink and ~itt~ to ~e ldldi~ In~tor wi~ 3 ~ts of plus, ~ate plot pl~ to ~ale. F~ ~c~i~ to ~le. b. ~ot pla ~ l~atlm of lot ~ of ~ildi~ ~ ~s, mlati~shlp to ~jolni~ ~i~s or ~lic struts or ama, ~ givi~ a &tail~ &~ripti~ of l~t of ~r~ ~t ~ dr~ ~ ~ dia~m ~i~ is ~rt of ~is a~li~tim. c. ~ ~ ~ ~ ~is ~licati~ ~ mt ~ ~ ~fom is~ of ~ildi~ Pe~t. d. ~ a~al of ~is ~li~ti~, ~ ~ildi~ In~ctor x~ll is~ a ~ildi~ ~mit to t~ ~li~t. ~ ~ ~all ~ kept ~ ~ ~s ~ailable f~ in~ti~ ~t ~ ~rk. e. ~ ~ildi~ ~11 ~ ~i~ ~ ~ in &le ~ in ~rt ~r ~ ~ ~atmr mtil a ~ifi~te of ~ ~1 ~ ~n gmt~ ~ ~ ~ildi~ In~tor. ~I~ IS ~i ~ to t~ ~ildiE ~nt f~ ~e isle of a ~ildi~ Pe~t ~t to t~ ~ildi~ ~ ~i~e of ~ T~ of ~ld, ~folk ~, ~ Yo~, ~ o~er ~li~le ~, ~i~es',or ~lati~s, f~ t~ ~st~ti~ of ~ildi~s, ~iti~s ~ alterati~s, ~ for ~al or ~litim, ~ ~min ~ri~. ~ ~li~t ~s to ~ly ~th all ~li~ble 1~, ~di~es, ~ildi~ c~, ~i~ c~, ~ ~lati~s, ~ to ~t ~i~ i~tors ~ ~s ~ in ~ildi~or ~es~ i~ti~s. (Si~mof~cmt, or m, ifa~ ti~) (~ili~ ~ss of ~li~t) State ~a~ether applicant is ~ner, lessee, agent, architect, engineer, general contractor, eleetrici~, plt~ber or builder. ............ ~.oo..N..~.c_ ............................................... ;~ .................. ~ ....... , ........... .... .... .............. ...... cam.p!.. (.1 .......... (as on the tax roll or latest deed) AP~ROV£D l~ NOTE~ If applicant is a corporation, signature Of ~aly authori,~i o£fi~r. ~ATE:~----/'~ ------ ~,//~"/".~. #~ ......................................................... ' UNDERWRITERS CERIEICA,~.i~ DEPOT AT (Name and title of corporate officer) ~00]~) 765-1802 9 AM 1D 4 PM FOR TNE FOLLOWING INSPE~IONS: OCCUPANCY O~ ~. FOUNDATION ~0 REQUIRED ~H~=s ~[ce~ ~ .......................... FOR POURED CONCRETE ~ITHOUT CErTiFICATE ~. :~su~ON gl~t~ic~s L~ ~ ...................... 4. FINAL ,- CONSTRUCTION MUST ~ ~s L[c~ ~ .......... ALL CONSTRUCTION SHALL ..... I F~.. I..~ .... ~. ~.1. J.~. x .... ~ ~.~ ~ .~ ......... ~.~. ~. x. I. t~... ~5~t - -N~. - 8t~P~gtSL~ · -F~ ~ ~r Strut E~ O~ CONSTRUCTION ERRORS ~ ~ ~ m. ~ ~d~ ....~.'~ ...... sl~ ......... ~ ....... ~t .........~.~.. (~) 2.State ~st]~ ~ ~ ~ o~ ~s ~ inte~ ~ ~ ~ of ~ ...... ............................. ............ : .... Pz~h~re of ~oek (cl~ck ddch apl licable): -- 'I~pair ............ Ren~rcat .............. I~ l~filding .......... ~ldition ../.~.. .... Alteration .......... Dem~lit ion ............ Other ~/ork !Description) (to be paid tm filing this application) 5. If &~elling, rfl~tmr of d~ellin onits ............ l~tmr of &mlllng tmlts ~ ead~ fl~r ................ 6. 1~ Imai~msa, ~mrcial or mi~ ~pa~y, spaci~ mture a~ ~ten[ o[ each ty~ of u~ ..... ; ................ · ~ o~ Ar~dt~t ~reaa ~ ~ ~ of C~tractor ~klress ~ ~ PI.OT DIAGRAH f~ pretty li~s. gi~ st~t fl~ bl~k mmfmr or ~scripti~ flcco~ing Lo I~, a~ ~1~ street ~8 ami i~licate ~dmtber interior or eo~r lot. I ¢ (~m of i~id~t signing cont"ract~ ~1~ is the .......................... (C~Eractor, agent, ]cor~rate officer~ etc.) o~ said ~r or t~rs,' nr~l i8 duty i~thoriz~l to i~rfona or h~e l~r~k~rn~ tbe ~id ~rk m~l to rake ami file thi~ alq~ltcaEton; that ail 8EarphonEs contrail in this a[~l ~eat~<m are tn~ to the bent of his k~x~l~ m~ bel4ef; n~l time the ~rk ~ill I~ I~rFou~ tl~e ~mm~r ~t forth in the a~lieati~ fil~ tbe~i~. ...... ....... ~ta~' ~l)lic' z / ~' ' ~ ~ t~ / / ROBE~I.I~.~ (Sl.mla~e c~ Applicant) ~m ~r. M~ 31, ~ 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [_ ~JGH PLBG. FOUNDATION 2ND iv] INSULATION FRAMING REMARKS:, [ ] FINAL 765-3,802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG, ./ [ ~'] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ]FINAL ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ _] ~~LBG. [ ] FOUNDATION 2ND [~--]-INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA~.~& CHIMNEY REMARKS: ~ ~ ,__~~~:~_ INSPECT~~-~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~, DAT,~ ~/~/~//~ INSPECTO~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ .] RO~JGH/PLBG. [~"'INSULATION [~] ~U~NDATION 2ND [~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY INSPEC~ 765-1802 BUILDING DEPT. /~ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS~_ 765-1802 BUILDING DEPT. 1ST [ ] ROUGH PLBG. INDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE& CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~G~ [[ ]]:OR~NM~ION 2ND ~LATION [ ] FIREPLACE & CHIMNEY. DAT ,INSPE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDA~IST [ ] ROUGH PLBG. [ ! F~N~DATION 2ND [ ] INSULATION [ ,~]/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY , 765-1802 BUILDING DEPT. INSPECTION [ F~~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: /~,~~ ] INSULATION ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND/*) [ ]/~SULATION [ ] FRAMING ///_~j [~/~ FINAL [ ] FIREPLACE & CHIMNE_Y THE NEW YORK BOARD OF FIRE UNDERWRITERS P^G~ z lo~.~1 aU.EAU oF ELECTR,C,TY ., ~ 40 FULTON STREET, NEW YORK, NY 10038 ' Date '' DECEIVER 28,1998 Application No. on file 14984597/97 31 475472 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 BRIAN C.~BELL, I975 CEDAR DRIVE, SOUTHOLD~ ~ in the following location; [] Basement [] 1st FL was examtned on DECEI'~ER 21,1998 [] 2nd Fl. Section Block and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS OUTLETS FLUOREECENT OTHER 3 5 Lot DRYERS SYSTEMS E R V I C PER ffi NO, OF HI-LEG NO, OF NEUTRALS PAUL R. BURNS PO BOX iO61 SOUTHOI~, NY, 11971-0932 LIC,#3897 GENERAL MANAGER 11 Per. 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, i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER. LLZ]ZZ]