HomeMy WebLinkAbout24544-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26644
Date: 08/24/99
THIS CERTIFIES that the building ADDITION
Location of Property: 625 TUTHILL RD EXT SOUTNOLD
(HOUSE NO.) (STREET) (H~/4LET)
County Tax Map No. 473889 Section 55 Block 6 Lot 15.18
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 31, 1997 pursuant to which
Building Permit No. 24544-Z dated DECEMBER 10, 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 SUNROOM~DITION TO AN EXISTING DECK AS APPLIED FOR.
The certificate is issued to GAIL B. RAST
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEP~RTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
23664 09/16/98
N/A
Rev. 1/81
FORM NO.3
TOWN OF $OUTHOLO
BUILDING DEPARTMENT
TOWN HAIL
$OUTHOLO, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZEDI
24544 Z
Permission Is hereby granted to:
........ ~.c.~.~..,.o.....c.g~.~.~..(..a..~.~.). ......................
........ ..%o...o..5....~..B...~.:...~ ........................
HOLBROOK, NY 11741
to ...... g.o..~pg%..A.. ~.q~.~p..o.~..h.~p! ~.! P.~....o.~..A~...~ ~.$.~.!.~.a... p~.C...K.....A.p~!~..O.~...O..~...6
.......... .B, ~.~.a..~... F.~B,.~,~_ .p~.~ ~.~.z.~ .a..,.h,.B...,~,~.z,~,~.,.~.o,,~ ............................................................
\
located at ...............................................................................................................................
at premises 625 TUTHI LL RD EXT SOUTHOLD
CountyTaxMap No ...... ~.7.3.,.8.,8...g.,.... Section .,...0..5.,.5. ............ Block ...... ,O...O.O_G.. ....... Lot No....0..~.5.,a..0..~..8...,.
pursuant to application dated ....,g.g~g~ ....... .~ ............. ~ ........... 19 ....... ~.?. ..... and approved bythe
Building Inspector.
F~ ~ '75. O0
Rev. 6/30/80
Form No. 6
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. 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, 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
'Tpre-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,
Additions to accessory building $25.00. Businesses $50.00. /~ ~,
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 a-~'f%[-*~';
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 ...... .~. ~. ~./.. ~.f.~. ....................
New Construction ........... 01d Or Pre-~xisting~B¢ilding ..... ~ ..... ~ ....
Location of Property ............ ~ ............. House No. , Street
Onwer or Owners of ~ .......................... ~. .......................
:.7. $ a.:.::
County Tax Map No 1000, Section ........ Block .............. Lot ............
Subdivision · Filed Map Lot ............
Permit No. .~. .... e Of Permit ................ Applicant ...................
Health Dept. Approval....... ................. . . Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $...~..~.i .: ....................
/_~ ~-(a~ ~? APPLICANT
ELECTRICAL INSPECTION SERVICE INC.
375,DUNTON AVENUE
EAST PATCHOGUE, NEW YORK II 772
(5169 286-6642
DATE: 9/16/98
23664
APPLICATION No. ON FII~
VILI~dGE: Southold TOWN: Southold
ADDRESS: 625 Tuthill Road
ISSUED TO: Fred Minor .,
INTRODUCED BY: Bill Ruis Electric MONo: 3217E
was examined en 9/16/98
andfound to be in compliance with the National Electriebi Code
LOCATION: Base..
1st xx 2nd
Det. Garage Hot Tub Pool
SWITCHES RECEPTACLES FIXTURES HF~TF.P~ FANS [' G.F.L AIR. COND.
2 1 1-paddle
DISHWASHER DRYER CLOTHES WASH. GAR. DI~P. RANGE OVEN SMOKE DETECTOR
/
FURNACE OIL ] GA~ CIR. MOTORS BELL TRA~, SERVICED1SCONNECT
I
OTtIER
EQU1PMRNT
1-4/1000 watt heater
BUILDING PERMIT No.
BLUE OP,/GINAL YELLOW COPY
PINK COPY OFFICE
HUGO ,~. SURDI
PRESIDENT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 19, 1998
Fax (516) 765-1823
Telephone (516) 765-1802
Four Seasons Sunroom
5005 Veterans Memorial Highway
Holbrook, N.Y. 11741
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)
XX 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 ~ 24544-Z (G. RAST)
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 19, 1998
Four Seasons Sunroom
5005 Veterans Memorial Highway
Holbrook, N.Y. 11741
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)
XX 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 # 24544-Z (G. RAST)
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Ir I II^l.
( 2rJl~
^111! I T I {ilIAI, I~'1'!1 t
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION2ND [ ] INSULATIO~
[ ]FRAMING [~
[]FIREPLACE&CHIMNEY
BLDG. DEPT,
TOWN OF SOUTHOLO
~PLIGAT~O~ FOR B~ILI)I~g PEI~[T
FORM NO. I
TO~/N OF SOUTI1OLD
BUII,DING DEPARTMENT
TOWN BALI,
SOUTHOLD, It .~/. ! 197
TEl,: 765- 1802
BOARD, OFHEALTH ...............
3 SETS,~OFqPLANS ........ '.
S~vEY~:':': ....... ...... ii~ ....
CI1ECK '~ ~; ......................
SEPTIC FORM ............. ~ .....
CA~L i ..... :. ~.: ....... '
MAIL TO: .... '.f ..............
INSTRUCTIONS
a. 'Ibis application n~st be'co~letely filled in by t3q~e~rlter or in ink a~ ~it~ to ~e ~dldln~ ~ns~cCor
3 ~ts of pl~, ac~ate ploC pl~ to ~ale. F~ acco~i~ to ~le.
b. Plot pl~ M~ l~tim of lot ~ of ~ildi~s m p~s, ~lationMdp,t0 Mjoini~ pr~s or ~lic.
str~ts or areas, ~ givi~ a ~tail~l &~ripri~ of laymt of p~rW ~t ~ dr~'m ~,e di~ ~lid~ is ~rt of
~lati~, for tim ~t~ti~ of ~ildi~s, ~iti~s or alterati~s, or for r~al or ~liti~, ~ ~rein
State ~m~r a~llmt i~ mr, les~ ~ent, ~it~t, engi~r,' ~mral ~tractor, ~lectrlci~ pl~r or ~ilder.
(a~ m fl~ ~ mi1 or late~t
If a~lic~t is a ~ratim, siam of ~ly mt~ri~ officer.
(~ ~ title of ~rate offxcer)
Ph~bers License Ilo .................. .. . ... ..
Electricimas License I% .................... ..
Other Trade's License No ................ ... ..
I. Locatiom of land on ~tdch proposed ~ork will b~ done ....................... ~ ....... , ...............................
...........................
tl0tme Number ' Street ~2~ ~ ll~lek ,
Subdivislo~.. ......... . . ..... . Filed lV~ap [~o ...................... . . .
(Saul) '
2. State existing use and occupancy of premises and intended use and occupancy of proposed co~{Stxoction:
a. F~xisting tree a~d occupancy .................... ' ....................
~. ~t,~a ~ a~ ~ .......... .~.~ .............................. , ....... ' ......
I~tere of ~ork (dmek ~bid~ app! cable): "~ i~Jildin~ .......... ~iti~ ....
l~i ' ~al ' l~liti~ OOm ~
,,.~,.. ..
.~8_m~. C~s~ . .. ~,. ~ ........ ~ ........ ~.~ ............................
; ~ (to ~ ~id on filing tbi~
garage, ~l~r Of ~r~..'. i ~ ·
If I~mivess, canmrcial or mi~edi occupancy, specify nature and extent o[ ead~ type of use ................ : .....
,~i~,t ...... ./.Z. ...... '.~'...:,':,| ~,~r of Storisa ...... ( .... : ..........
· ' '' alterations or mlditions: Front ..~.~.. Rear ...............
Dl~nslons o~ ~ strtmture ~.lt~l / ~ ~
Bepth ..... ~:~.o.: llargl ~ ..... ~ ..... Nuuber of Stories ...... t ........
. . . ,'1 ' ~t 12/'r /z/v . //, Y..
l)i,~nMons o~ entire new coont~t]on: ................ Rear ............... Depth
f ' I .........
mi¢,~ ....... L.~. ....... :...:.., ~r of Stories ~;~ ..... ./ ............
.~i, o~ lot, ~t ..m.~.::"--'. ....... ~,~ .... .~.Y. ........ ~oo, ..... ~R.~. .......
l~te of ~rdm~ ............... , ...... ~ o~ Fo~r ~r ....... ~ ................................
~ or u~ dist~ic~ in ~id~ '
pr~i~ ~ ~i~r~ . ........................................ , ....................
. .,, . ~.
~ill lot ~ ~ ..... ~0 ....
15. Is Ods p~r~ wltbin ~ f~6 of a ti(~l ~tla~? ~ ~ .......... ~ .... ~..
r' ~ PI,O~ BIAORAH
l~a~e clearly ~ disd~ly all ~ildi~a, ~m~r ~iati~ or pro~, a~ i~ieat~ att ~t-~ di~nMons
f~ p~r~ li~a. Oi~ at--E. ~ ~l~ ~r or ~acripti~ aeeo~ing ~o ~, ~ ~ strut ~s a~l i~iea~e
xdmtlmr interior or corner lot.
................................. : .... , ................... Imi~l duly s~m, ~l~a aal ~ys Llmt he {8 the app] i~nt
(g~m of itdivid~l, signing cmkract)
(~tractor, '~ent; ~or~rate officer, etc.)
of said ~mr or ~rs, ard ia duly ~thori~ to ~rfom or h~ Imr[o~ tim ~id ~ md to ~ke a~ file this
a~flicatico; that all statomats ~tat~ in this al~l. ication are t~ to fl~e treat of hia ~l~ a~ ~l. iefj a~l
Lbat the ~k
.'-horn tO before nn Olin~~' , i · 19.(~..~'
.......... :~ 'of ' ~ .....
Notary lA,lie
(Sil~'mt~re of ^pptieant) ,,
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§005 VET~RAN~ ~E~OR][A'r,
HOLBROOK, NEW YORK, 11741 II--h--! / / / /-t~
FOUR SEASONS SUNR OOMS
HOLBROOK, INC
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W-Il 7/16'
FOUR SEASONS SOLAR PRODUCTS CORP.
· 5005 v~-rt.;~.AN$ MEMORtM, HIi:I~fAy
Hol. MItooIf. NEW yOR~ 117~1
D~G~ ~D ~A~ OF ~ ~ON~ SUNROO~
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~,~ ~s ~ ~ §00~ ¥~rt~.NS tgEMORIAL IIIGHWAY
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~ ~ ~ D~G~ ~ ~A~ O~ ~ ~0~ S~o0~
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FOUR SEASONS SOLAR PRODUCTS CORP,
FOUR SEASONS SOLAR PRODUCTS CORP.
§00~ ~S M~OR~ HI~AY
HO~RO0~ N~ YOR~ tt~4t