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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) ,, r [ [ F §005 VET~RAN~ ~E~OR][A'r, HOLBROOK, NEW YORK, 11741 II--h--! / / / /-t~ FOUR SEASONS SUNR OOMS HOLBROOK, INC r *.1 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~ ZC ~ ,? z FOUR SEASONS SOLAR Pt{0DUCTS CORP. ~,~ ~s ~ ~ §00~ ¥~rt~.NS tgEMORIAL IIIGHWAY ,~ ~ .- ~ ~ ~ ~ HO~RO0~ N~ YO~ lt?4t ~ ~ ~ D~G~ ~ ~A~ O~ ~ ~0~ S~o0~ m x L X FOUR SEASONS SOLAR PRODUCTS CORP, FOUR SEASONS SOLAR PRODUCTS CORP. §00~ ~S M~OR~ HI~AY HO~RO0~ N~ YOR~ tt~4t