HomeMy WebLinkAbout23905-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25824
Date: 07/14/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 730 BIGHT RD ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 14 Block 2 Lot 19
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 10, 1997 pursuant to which
Building Permit No. 23905-Z dated FEBRUARY 3, 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 ACCESSORY ABOVE GROUND SWIMMING POOL WITH DIVING PLATFORM AS APPLIED
FOR.
The certificate is issued to BRUNO J & FELICE SEMON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-060005 05/22/98
PLUMBERS CERTIFICATION DATED N/A
Building~-~spect or /
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25825
Date: 07/14/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 730 BIGHT RD ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 14 Block 2 Lot 19
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 10, 1997 pursuant to which
Building Permit No. 23905-Z dated FEBRUARY 3, 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 ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to BRUNO J & FELICE SEMON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-059265 03/27/98
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
lt'Ow.we NO. II
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 23905 Z
Permission is hereby granted to:
~,~..~.~.:=.. ....... ~~ ..............
,o . . ~. . . ~ ........ /z. . . . ..~. ..,~. . . . .~.~. . . . . ,~. . . . .~. . . . . . .~-z. . .~ ,~. . . z,~. . . . . . .~ ....... ~. .~.. .. :.. ,~
S,,,~.~ . . . . . ~. ~ . . . . . . ~,. ~ . . . . . ~. ~ ;.~ . . .£ .~.~. ~ . . . .~ ~ : . . . ~ .~L ~. . . ..............................
County Tax Map No. 1000 Section ........................ Block ...................... Lot No .........................
pursuant to application dated .................... ~.~.~..~4~ .~...~.... ............., 19.~..Zand approved by the
Building Inspector.
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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. F~nal 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 buildimg.
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:
I. Accurate survey of property showing all property lines, streets, building and
unusual natural 0r 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.
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.S25.00,
Additions to accessory building $25.00. Businesses $50.00.
2.. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
Copy of Cer.tificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...........................
0onst ction... ...... OldOrpr T/sting Building .... ii::::ii .....
tion of Froperty...7~.0...4~5~ L .f~....~...~v.~t ...............................
House Ho. Street Hamlet
r or Owners of Property..~,.~ ....................... . ......... · ......
ty Tax Map No 1000, Section ..... L.~. ...... Block .... --~. .......... Lot .... /~. .......... ; ....
· Filed Map Lot
lvision ....
it No... ~3f~g..:.z-....Dais of per, it. ~..~37/.7 ..... Applioan~....~..r~. ~ .~.~.ze...g~ .,,m..
Approval Underwriters Approval ...............
th Dept ............. ' .........
ning Board Approval .........................
est for: Temporary Oertificate .......... .. Final Cer~icate.~ ........
Submitted: $. J .~.'~. .....................
Form No. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1'802,
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to3 the builRing
inspector with the following: for new building or new use:
i. Final survey of ·property with accurate location of all buildings, propertylines,
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 build/rig, 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 buildinBs;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.
Fees
i., Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildim~ - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Ce~tificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..· .................---..--...
Const ction ......... or ·
atio. of roperty.. &Ct .........................
House Mo. Street Hamlet
er or Owners of Property ..........................................
/f .....
nty Tax Map No I000, Section ...... Block .......... Lot ...............
· Filed Map Lot · · ·
division
y.
mit No...~Jf.~);~."...., ~- .Date Of Permit.
lth Dept. Approval... .......... ... ....... ... Underwriters Approval ............... ,., ........
nning Board Approval ........................
uest for: Temporary Certificate ........... Final Certicate .........
Submitted: $. J~..'~. ....
APPLICANT
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
July 1, 1998
Bruno & Felice Semon
505 S. 10th St.
New Hyde Park, New York
11040
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
/Xx An application for Occupancy
Certificate
of
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 # 23905-Z
Thank you for
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ] I~JLATION
[ ] FRAMING [C/~FINAL
[ ] FIREPLACE & CHIMNEY
,~ ~/~/~.
DATE :~ INSPECTOR
765-~,802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] IN,~ULATION
[ ~FINAL
DATE ~//~/~/~
765-1802
BUILDING DEPT.
~~/[ ]~FOUNDATION 1ST
INSPECTION
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE &CHIMNEY
REMARKS: ~
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]~SULATION
[ ] FRAMING [ p~ FINAL
[ ] FIREPLACE&CHIMNEY
THE NEW YORK BOARD OF FIRE UNDERWRITERS 'AG=2
8`37~51¢) BUREAU OF ELECTRICITY
~ 40 FULTON STREET, NEW YORK, NY 10038
Date H~%Y 22,1998 Application No. on/itc 15757698/98 H
THIS CERTIFIES THAT
only the Olectrical equipment as described below and introduced by the applicant named on the above application number is in the premis'es of
BRUNO SEMON~ 73'3 BIGHT ROAD, ORIENT, NY
in the following location; [] Basement [] 1st FI. [] 2nd FL OUT SecHon Block
was examined on ~Y 18,1998 and found to be in compliance with the Natiortal Electrical Code.
Lot
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
FIXTURE SWITCHES
OUTLETS FLUORESCENT OTHER
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
E R V I C
NO OF CC COND
PER ffi
AW.G
OF CC, COND,
NO, OF HI-LEG
OF HI-LEG
NO, OF NEUTRALS
OF NEUTRAL
GENERAL MANAGER
11
This certlficote must not be oltered in ony monner; return fo the office of the Boord If Incorrect. Inspectors mc~y be Identified by their credenflols.
BRUNO SEHON
5'35 SOUTH 10TH STREET
NEW ?~DE PARK, NY, 11040
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
3
J,~H,~ :10 'ON
smNimlgA$
0 I
:1
gNaAO s~o~a MNIXO00 S~GN¥~ $~)~flLXId
· apoo lmOl~IOal~
uo!laa$
SBHOIIM$
SlglLflO
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~7(~3~(~ BUREAU OF ELECTRICITY
~ 40 FULTON STREET~ NEW YORK~ NY 10038
Date ~J~CH 27,1998 Application No. onfile 15703298/98 H 059265
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
BRUNO SEMON, 730 BIGTH ROAD, ORIENT, NY
in the following location; [] Baseme.t [] xst gl. [] 2nd Fl. GAR/OUT Secao, Block
was examined on MARCH 23,1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS FLUORESCENT OTHER
4 15 7
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
PANELBO;%RDB: 1-4 CIR. 50
S E " R V I ' C
NO, OF CC COND,
PER ffi
OF CC. COND.
NO, OF HI-LEG
OF HI-LEG
NO. OF NEUTRALS
OF NEUTRAL
GENERAL MANAGER
Per. 11
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,
BRUNO SEMON
505 SO. lOTH STREET
NEWHYDE PARK, NY, 11040
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF SOtH'IIOLI)
TOWN I1ALL
SOUTIIOI,D, N.Y. 11971
TEl.: 765-1802
BUAIq) t)l' II1',^1,'1 II ...............
,qlI1WF, Y ........................
CIIF, CK .........................
SF, PTI C FORM ...................
NO'FIF¥:
c^,.~. ;/~':b/F ~': ~
HA I I, TO:
Al'H.1 CAT I ON FOR lllJ 1 l,l)I big HCRH l T
INSTRUCTIONS
'iisi,, ;qqdlcatlm ,unt be c~}~qfletely Filled i, by lyl~m. Triter or in hilt ~,KI ~hultt~l to Lite lkdhll,8 I.~slmctor wit
Plot plnn nl~s~i~13
Uix~f'nlq~nl of tlli~ Mqdirt~ti~h the I~dld[.R hml~ct.or will i~mm a lkl{ldil~g l'emlt Io the Mq)lJcnnt. Such
~ Imlklli~ ~Jmll
(~Cml~a~K:y dmlJ have I~n 8fontal by tl~ l~dhlb~g
Alq~.l(~l'l~ IS IEI~I~ ~I~ to tl~ l~ihlln8 l~wt~nt for the i~m~n~e of ~ l~dldi,g P~nnit ~rma, t to the
7x,~ (k d i~a~e
I~l~ulnLi(m,, for I.l~ t~stn~'ti~m of Imihll,g,. ~kllti¢~ or aRer;~tkma, or For x~al or do~tJtlo,..~ herein
~r;crJl~l. 'It~ al;l}llc~t o~r~n 1o co,dy ~hh ~1~ ~aH~lh:able 1~$. oMbm~e~, i~Jildin~ c~le. l~l~in8 c~le~ n~xl
Slate ~hetber :q~pJicant i.q c~or. lenr. ee. agent, nrchlteet, e~gb~r, ge~ral c~)trnctor, etoctrlclnn, plud~r or Inlhler
..... ..............................................
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER'*
CERTIFICATE
RE~}UIRD
rf.,,,~?, r.;(:~,,~ ~,, ...... .?Z.~. ..............
Other 'I';;KIo'.~ I,Jcen.,;e. ~)... ~ .............
I. I~t{~ of In~l tm ~dch l~P~l ~rk ~{11 I~ tb~ ..............................................................
..... ...... ....... 4x ...............................................
Ikx~se ~silmr ^trot tL~td e t
(~)
i' I.OT I)[AGIIAH
APPROVEI~ AS NOTED
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING iNSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH ~ FRAMING & PLUMBING
3. INSU~TION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
Ik! 'i!J IJle. ...... -0 'O:.~-,-CtS- .... ~ ......................................................................
nplH Mm. Jo.i; Ihal..11 ~l, al~l~tllt~ conlaln(:d in thi~t ~lppl it:al ion m'e I~t~ Lo Ihe t~uJr of I)i~ Iq~lc~llle mKI I~[I i~!fj .tM
.................... day
HELENE D.
Nota~ Publi~, State of New York
~ualified
Oommission Expires May