The URL can be used to link to this page

Home My WebLink About23990-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF OCCUPANCY No Z-25320 Date OCTOBER 17~ 1997 THIS CERTIFIES that the building ALTERATION Location of Property 46520 COUNTY ~D. ~48 - UNIT 3 House No. Street County Tax Map NO. 1000 Section 55 Block 5 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 7 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated M~RCH 10, 1997 ~ursuant to which Building Permit No. 23990-E dated MARCH 18, 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 ALTE. RATION TO CO~9~RCIAL VACANT STORE UNIT ~3 INTO A THERAPIST OFFICE AS APPLIED FOR. The certificate is issued to of the aforesaid building. THOMAS J. McCARTHY (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 430977 - SEPTEMBER 8r 1997 PLUMBERS CERTIFICATION DATED AUG. 28, 1997-PECONIC PLUMBING & HEATING Rev. 1/81 TOW~ OF SOUTHOLD BUILDING DEPART/~AENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPuVdT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLb-I'ION OF THE WoRK AUTHORIZED) N°. 23990 Z Permission is hereby granted to: ./" _.. ..~ /. ~~...~_Y/4~..Z~.~. .............. .~..r~....~......//.... ................................ ..... ........ Co. nV To× Mop No. '000 ~ct,o. ........ ~..~,,~.....,=k ...... ~ ......... Lot No...~ ................ pursuant to application dated ................. ~.~-_~1~...Z~.A~..., 19..~.~,., and approved by the Building Inspector. ~ee ,../.gA..~.~../.~ // Rev. 6~30/80 Form No. b 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: i. Final survey of property with accurate location of all buildings, property lines, streets, and nnusual 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 "pre-existing" land uses: 1. Accurate survey of pKoperty 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 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 Building - $I00.00 3. Copy of Certificate of Occupa6cy - $5.00 over 5 years - $I0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... ~.~ ................. ocation of Property...iii .0. ...... .............. ' .... ........ House No. Street Ha~et )nwer or Owners of Pronertv= ~. .......... . .,7...~... ~-...~.~..~./ .................................. ~ o~ .... ~o~ .... ~ ~ ........ ~o~ ................... v ]ounty T~ ~p No 1000, Sect:on~'= ..... ~/~'''~ .L0t.'.. ~...~.. · · ;ubdivision ...................... ~;/~ ~ · ........ Filed Map ..... ~7,, .. ............ loaieh Dept, ~pproval '~ann~ng Board ~pproyal {oquu~t f~r: Temporary (er~lftc* · ue ~ub uitted. ~: f ~ .~ ................. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516} 765- t 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERT~ ICATION Building Permit NO. ~-~JOZq~) Owner: ,). (please print) (please print) I certify that the solder used contains less than~2/10 of 1% in the water supply system Sworn to before me this BARBARA ,.,T.. ,',D,,~, ,I Notary Public. Elale of New Nc. C ~ ST4~44752 0u~ ia Su~fdk C0unty 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ c.~FINAL DATE /~/////~//~ 7 INSPECTOR 765-180:' BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]]~ORAUNMIDi~AGTION 2ND [[ ~iS~/] FiNAU~ATION [ ] FIREPLACE & C~HIMNEY DATE 765.1802 BUILDING DEPT. INSPECTION [ ] FOUN~DATION 1ST [ ] FOUN~DATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] IN~I~.ATION [ ~FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FIREPLACE & CHIMNEY INSPECTOR THE NE{N YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 THIS CE~IFIES THAT PECC,NIC T~E~tCS, 4652~ ROUTE 48 SUITE 3, SO~HC, I~ ~' ~S e~amln~ on SEFTF~ER 33. 1997 and found to be in compliance ~ith the Na~onal Elect~cal Code. TON AIR CC,~iTIO~R-:L D~DI~ FB~S'~ 2 t-{D~T~RS:I-4 H.P.,i-F H.P.~2'-F H.P. P~()~l'~: !-1 CIR. RANGES kMT [ KW' EXHAUST FANf DIMMERS COl B iAI{DER ELECTRIC PO BOX 526 ~OHEHIA~ ~ 11716 This certificate must not be altered in any manner; return to the office of the Board Jf incorrect. Inspectors may be identified by their credentials. FORH NO. I TOIdN OF SOUTHOLD BUILDING DEPARTHENT TOI4N UALL SOUTUOLD, N.Y. 1}97! TEL: 765-}802 ui~ a/c .................................. .................................... Ap//~uildln§ Ip~i~[ CATION E:~r:iNG pFd'/RE i T INSTRUCTIONS BOARD OF HEALTH :.~__ 3 SETS OF PLANS .% ............. CUECR .... ..~. ~ .0~ 6 f ........... SEPTIC FORH ................... NOTIFY: ~ -.. ....... .... HAIL TO: ................... a. This application mint be completely filled in by typewriter or in ink and suhraitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. . b. Plot plan sho~ing location o£ lot and of buildings on premises, relationship to edjoining premises or public streets or areas, and giving a detailed description of lay~t of property must be drama on the diagram ,~hich is pert of this application. c. ~ ~rk covered by this Itppl ication r,ay ant be ccemeoced before issuance of Building Pennlt. d. Upon opp,oval of this applAcation, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available [or inspection threngl~t the work. e. NO building shall be occupied or used in ~hole or in part for any purpose ~hatever until a Certificate o£ Occ~imn~ shall have been granted Ir] the Building Inspector. bI~LICA~tlq IS t~amx ~ to the Building Department for the issuance of a Building Pemit pursuant to the Building Zone Ordinance of the To~ o£ Soutbeld, Suffolk County, ~ York, and other applicable La~, Ordinances or ltegulatlans, for the construction of beildings, additions or alterations, or for re,oval or demolitlun, as herein described. ~ applic~t agrees to comply with all applleable laws, ordinasces .building code, housing cede/lasd rngulatiuns, and to admit authorized inspectors on pr~aises and in building~~ssary in ' ' , (l'~ailing address of mpplicant) ,,~ on a~ t= ~on or late~ a~')' ~ 7 ........................................... If applieast is a corporation, signature o[ duly authorized officer. (Na~e and title of corporate officer) Builders License No .......................... I~J~X A Pltm~ers License No .......................... Electricians License No .............. ..~ ............................. ...... .................... -- ..... ~ ~ fiLet ~et ~~. ,~ ~.~ ...... ~ .... ,,~ ...... ~ ..... ~ ...7 ........... ~ivisi~ ...................................... Fil~ ~p ~ ................ I~t ............... (~) 2. State ~sti~ ~ ~ ~ of pt'a~d~s ~~ ~ ~ of pto~ ~st~tim: a. ~sti~ ~~ .............. ~ ~k ~~ ................................................ ~. ~ ~ .......... ..... ............ 3. i%ture o~ wink (t:lmck ~4dch applic~d}le): i'L~ l~dldi~; .......... ~it[~ .......... Alteration .......... ,~,~ ............ ~...~ ............. ,~,.~ ............ 0.~,~ ..... ~~'~'~"'~ .......... 7 (to ~ ~id ~, filing this al~lic~i~) 5. If &~lli~, ~mtmr of ~llh~ tulits , .. K,dmr of ~k~lling t~its ~1 ead: fl~r .......... If garage, ~t~r of ~rs 7. I}i,~nai~m of existing stnmturea, if a.y: ............................................. I~i~lt ......................... K.~t~r of Stories .... [. ................ Dinensi~m of 8am stricture ~ith alteratiem8 or ~klitlons: front ............... ~ar ............... l~pth .................... I~i~,t .................... ~sd~r of Stories ............... ,~,~ .... ~ ........ ~ ...~ ........ ~,,~ ...~ ....... g. Di.en~i~ o~ entire~ ~0,~ ........... ¥ ............ ~.,,~ o~ ~o~o~ ..... 1 .............. 9. Si~ of lot: ~r .................... ~ar .................... ~pth I1. ~ or ~ district in ~id~ pr~i~8 a~ sit~r~ ........... ~ ................................................ 12. ~s pro.mi c*mt~tim violate any ruling 1~, ordit~me or reDdati~: ........................ 13. Nill lot I~ r~r~ ....... ~.~ ........ ~ill ~s Fill tm ~ Eton l~i~s: 15. 1, this p~rry withio ~ [~t of a ti{hi ~tl~l~ ~ ~ .......... ~ PI.OT 1)I AGRAH I~ac. ate clearly mid distinctly all Imildit~gs. x,t~ether existing or proposed, arid iixlicate all net-back dimensions fTml properly lines. Gi~e street and block ~.Imr or deneripti~ according to ek~od, and dla~ street m, nes and ir~licatc ~d~el. imr interior or corner lot. .... : ...... ._,.,. ,., ,., (N;~. of i,~livi(hml signing c~n~trnct) I~ ~,s the ........................... ~~ .......................................................... (Cxmtractor, ng;mt~ ~6rlmrate officer, etc.) of said t~r or (~rs, ~s~l is duly ~]thoriz~l to l~rfonn or ll~e i~rfor,~ tl~ ~id ~rk ami to rake m~l file this applit:ati{n~; Ilml. all stat.rants c¢mtalml in this all~llcatlon are [n~ to the I~st of his k~l~m that lite ~>rk will I~ ~rfont~ in thet~m~r ~t forth in the al~lication [il~ tlmr~iO~. //~ ~B~i.~J~ ( 1. Contractors work is to conform with all local ordinances, New York State building and energy conservation codes and Federal A.D.A. Legislation, latest editions. 2. Electrical, Plumbing and ~AC work shall be ~overned by all National, State a~d Local code~, la~e~t editio~,. 3. Contractors shall verify all field conditions & dimensions, and will be responsible for same. ~y discrepancies shall be reported to the ~chitect immediately. 4. Contractors will cooperate with all other trades & complete =heir work in accord~ce with the best standards and practices. 5. All dimensions are nominal and take precedence over scale. All abbreviations are standard. 6. Ail items of work on the drawings are new, unless otherwise noted. 7. Proprietary names identifying items of work are used solely prescribe standards of construction. Items of e~al ~ality may be submitted to the ~chitect for consideration. 8. Contractors are to follow all m~ufacturers' instructions, shop drawings, as well as installation manuals when installing any e~ipmeDt or prefabricated items. 9. All firestopping shall be of an approved non-co~ustible material and installed in accordance with all applicable codes. 10. All door hardware, butts, & door stops are to be of a style and finish mirrors, c~inets and toilet room accessories as sho~ on the drawings or as directed by o~er. 12. All new water supply lines are to be copper, waste and soil lines are to be copper or cast iron below slab and sized as required. Complete all connections of new pluming system to existing sanitary and water supply systems. 13, All aonnections of water supply lin~s are to be made with 95/5 solder as approved by Suffolk County Dept. of Health Services. with style and finish as selected by o~er. 15. Thel contractor is to remove all debris from the building and site and maintain neat and orderly conditions throughout the period of construction. 16. Contractor is to clean all door & window glass, as well as leave all floors, walls and ceilings free of debris immediately prior to final McCarthy Management, Inc. ' FIRE INSPECTION SUPPL 7 .~ ~ ....... ).,., ,. ,,,,,~ ~ UNDERWRITERS CERTIRCATE REQUIRED PLUMBING ALL PLUMBING WASTE ~t~, architect Box 1412 Southoid N.Y. 11971 "*?' ~ H"g. '~7 516- 765 ' 5455 ..~w..~/ k