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Home My WebLink About24535-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25817 Date: 07/10/98 THIS CERTIFIES that the building ADDITION Location of Property: 8440 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 7 Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1997 pursuant to which Building Permit No. 24535-Z dated DECEMBER 5, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN D. WHITEHEAD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N457222 06/26/98 N/A Building I~~ FORM TOWN OF ;OUTHOLO BUILOING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLEtiON OF THE WORK AUTHORIZED) 24535 Z Dat~ DECEMBER 5 ] 9...,9...7..... Permission Is hereby granted to: C.THOMPSON (WHITEHEAD) PO BOX 71 PECONIC,NY 11958 to CgNST~UCT A~ ~DDITION TO AN EXISTING SING~ FAMILY DWELLING AS APPLIED FOR EAST MARION at premises located at ................. .8..4., .4..C)..,... ,.M..A,..I..N.,,., ,R, .D, .............................................................................. CountyTaxMap No ...... .4..7. ,~.,8,.,8..9,..... Section ....Q,8,,.1, ............ Block ..... ,.0.,0.,0...7. ........ Lot No...O_O,.,G,. .............. pursuant to application dated ....,O,..C..T.,.O...B.,E.,.R, ....... ,.2..8, ........................ 19 ...... .9..7. ..... and approved bythe Building Inspector, 75.00 Fee $ ......................... / / /uJldingldspector Rev, 6/30/80 This application must be filled in by typewriter OR ink and submitted to the buildi~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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 statsment 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 build~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings 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 applica~ If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees i. 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 Buiidinm - $100.00 3. Copy of Certificate of Occupancy - , 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction...~..~.~. .... Old Or Pre-existing Building ................. Location of Property../F~..~. ...... ~..~,a. ~.~2 .... ~.~/~..~;a~/(~6~., .~..~:/./.~.$~.... }{ouse No. Street Hamlet Onwer or Owners of ....................... County Tax Map No 1000, Section .............. Block ................ Lot .................. Subdivision .................................... Filed Map ............ Lot ......... Permit No.~.. ..Date Of Permit. ~ ...Applicant ......................... Health Dept. Approval ............ .. ............Underwriters Approval ........ ............ . Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... THE NEW YORK BOARD* OF FIRE UNDERWRITERS PAGe, 1 1195e99 .UREAU OF ELECT.'C'TY --- 40 FULTON STREET, NEW YORK, NY 10038 Date ~ 26,1998 Application No. on.file 16276398/98 N 457222 THIS GERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application nttmber ls in the premises of JOHN WHITELKAD, RR. 25, EAST MARION, NY tn the foliav4ng tocatio.; [] Basement [~ 1st Ft. [] 2nd Ft. OUT Section Block Lot was examined on JUNE 16,1998 and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS 2 H FIXTURES , RECEPTACLES SWITC ES INCANDESCENT FLUORESCENT OTHER 2 3 2 RANGES MT. K,W, SPECIAL EEC'PT AMT AMPS TRANE IAMT, I H,R, NO OF FEET J."YE"L O,L ,u,.,.y,,2o,s..R. U2UT"."APP";o CEPS2S."eE' SERVICE DISCONNECT OTHER A~PARATUS: NO. OFt 8 V EXHAUST FANS AMT. H.P, DIMMERS AMT. WA115 C E A. W.G. NO, OF NEUTRA~ A, W. G. PADDLE FAN- G.F.C.I.'-i JIM SAGE ELEC. INC. BO BOX 38 GREENPORT, NY, 11944-~(~38 Per 1;ENERAL MANAGER This cediflcate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may be dentlfled by their credentials Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 May 19, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD John Whitehead, Sr. P.O. Box 512 East Marion, New York 11939 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) /" XX No Underwriters Certificate on file 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 ~ 24535-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F/~J~DATION2ND [ ]INSULATION [,~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS~~ DATE //'~/~' ~7. INSPECTOR ~/~~ ~~~ 765-1802 BUILDING DEPT. ,INSPECTION [~FOUNDATION ¶ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [] REMARKS: FIREPLACE & CHIMNEY - DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION / [ ] FRAMING [~'FINAL [ ] FIREPLACE & C.IMN~ t~_ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: R~GH PLBG. INSULATION ] FINAL INSPECTOR Iq)RH NO. TOI~N OF SOUTIIOM) BIJ ]LD1N(~ D FA~ A I~.Tl. ll,: H T 'I'ONN llAI,L SOUTtlOLI), N.Y. ! 197 I TEl.: 765-1807 1 N WI'I~;UCT lON,q IlO^RI), ()lr IIEAI.T!,I .............. 3 Sl':l'S o~,~s .'...,~. ........... SIIR¥12Y . .l,~. ..................... C.EOI~ . d:{~.. .................... [;l,~Pl I(, FORH ................... HOTIFY: 7.1. ....... lqA'l 1, TO: .................... a. 'lhis applicatic~ hi,st be ec~l)lerely filled i,s by tylx~.~riter or iu ink m~l ~hnitt~l lo thc Adldi[~ hm~ctor wilh 3 ~l.s of plans, ~curate plot plan to scale. F~ accorili~ Io schedule. b. PIoL plan d~i~ l(~ati~] of lo1' a[~l of ladldiw~s ~ pr~ni~a, relationship to ~Lioining pr~i~s or lxd)lic ntr~t~ or areas, arzl givi(~ a (~tnil~l &scriptitm of this alq)l icat i~. c. 'lhe ~)rk c(~I~l by this al~)licaLi(a~ i,ay ~t I~ c(]ln~m~l Imfore iss~m[~:e of lklildi~ Pennlt. d. II[xm nH*~al of this application, the Ik~ildlng ]asl~etor will isstm a IMildlng Pemit to the aH)licanl:. ~]ch lmxmit ~mll I~ kept: ~ tim proni~n available for insl~ctim~ thr(~l~m~t the ~)rk. e. ~) Ix~il(li~ Mmll Im ~(aq)i~l or u~ in M~)le or in l~lr[ for any i~lrlmse ~mtever to~til a (~rtifJcate of (k:(aq~[~:y Mmll have I~i~ granted IW tim I~dhling hml~ctor. Mqq,l(Z'l'I~ IS I~;I~IIY ~1; to tl~e Ik~il(li~ I~l~artn~nL for the ismtm<e of a Ikiihling Pennit ~rmmnt te the lkdhlhg 7x~m ()~li[m~e of tim Ton} of &roLl.hi, ~lfl'olk (~a~ty, ~0 York, arwl other appllcal~le l.~a, Ordima~es or ~gulal:i(n~s, for tim ~stnK:ti~ of Ix~ildil~s, ~kliti(ms or alreratlons, or for ro~al or do~lltion, as Imrein (bscril~l. '[lin applicant agrees to ('a~ly with all al~)licM)le 1~, [egulati(nm, at~l Lo ~hdt m~tl~)riz~l inslmctora (~t prouises a[~l in I~dl(ling for tmcessary insl~ti~s. (~ili~ ~klre~a of al~llcant) Stale *dmlher applicar~l is c~er, lessee, age~t, architect', engltmer, general contraclor, electrician, ph~{~r or la~llder. .... .................................................................................................... ~a~ of (~r of pr~ni~s ........ .~ .... j. ~ .~ ..................................................... (as ~ II~ tax roll or Iai:esl: de~l) If ai~)licant is a coq~ralL{~, signal:tn~ of duly auLlK)riz~{ officer. (l%,,e atxl LiLle of corporaLe efl~icer) Ph~tmrs 1,icense Ho .......................... Electricians License Ho ...................... Olher 'limb's 1,icen~ K~ ..................... I. l~ati~m of la~ ~ ~i~ p~q~l ~rk ~ill le &~{e .............................................................. ......................... M ......... ..................................... (~,,,,~y ~',, mo ~. ~(xx) ~ti~, .... 3.~ ........ ,,,~:k ..... .~:~ ..... ~,,t .... ~.& ...... a~lxlivlsi(m ...................................... Filal tt~l~ ~ ................ l~t ............... (~e) 2. State exiat:i~ ur~ a~l ~:caq~a~<y of pr~ni~a m~l inte~kM use a~l ~:ctqm~y of proix)~l c~stn~ction: a. Exlstln8 u~ mai ~culw]~y ..... ~ .. ~. ..~. ~ ..... .' E~I il.~lt e(l .r ~,, . , , / · ~l,~ oF A~chhect ,. I npI)l Jqntion; Lhnl. ,Il ,L~]tt~neulfl (:ont~h~!d Tit Ihi[t nppl,i(mt loT[ m'e t,)t~ Io the I~zd: I lulL th~ ~)~ uill Im I~rl'on~l Jl~ Ih~ II~llllg]l' ~(~t' J'o[lll ill lira npl)l i(:,t:lo, l iled Ih~r~Jl. Jl. .... ~ ............. d~y of ~)b~ry Ihihl lc ' ... H~LENE D, HORNE (Uilliml ute of Appl ii:nm, No[~ry Ptlblic, State of NewYork No. 4951364~ Quefffied in Suffolk ~oun~ ~ Commission Expires Ma, ~22, 19 ~ CERTIFIED TO. . ESTATE of MILDRED DIESERUD BA~ARA HOISING TON COMMONWEAL TH LAND TITLE INSURANCE COMPANY PRUDENTIAL HOME MORTGAGE SURVE'Y OF PR O PER T Y AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY_, N. oY'-3 1000 - 31 - 07 - Scale 1" = 30' Oct. 25, 1990 AREA = 25,820 sq. ft. Prepared in accordance w/th the minimum standards for title surveys as established by the U.A.L.S. and approved and adopted for such use. b)~ The New York State Land Title Association. (516) 765 - 5020 P. 0: BOX 909 MAIN ROAD $_OUTHOLD, N. Y. IV.Y.S. LIC. NO. 49618 /; (P .:,Z ........... xy ,is.