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HomeMy WebLinkAbout24015-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25289 Date SEPTEMBER 30, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 1750 PLATT ROAD ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 1 Lot 10.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 1997 pursuant to which Building Permit No. 24015-Z dated MARCH 28, 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JANE rLEWELLYN SMITH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #H2517 - SEPTEMBER 10, 1997 PLUMBERS CERTIFICATION DATED N/A i Idind Inspector Rev. 1/81 FORM NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 24015 Z Date ............. ilm............................ 19.E 7 Permission is hereby prayed to: �.!' .... .w.. l .✓... 1.C7 .......... is...... ..,......... to .... L. x, ....� ....... `............: .......................... � J �� . .. ........... .................................... .. ....................... ................................................................................ . .............................................................. ............... ................... .......,............................................. at premises located at...� ......?4;.�..... .- R :..... . C1.1.!`T�P. . ............................... County Tax Map No. 1000 Section .... .......... Block ....V1........ Lot No. .. � pursuant to application doted ..•.'/. 1/—il.....t1 ................... 191z, and approved by the Building Inspector. e! Fee $.... : ....:.. .. .... ........ ....... ............................ ildi Inspector Rev. 6/30/80 corm No. b TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings 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. r 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 accessary building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,, Commercial $15.00 Date . . . . . . . . . .`.��1o25/q.� . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . .. . . Old Or Pre-existing Buii ding. . .>a. . . . . . . Location of Property. . . .425v.. . . . . . . . . .. .Y, �? 1�.� . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . . 2L�� I . . . .. . .^^. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ./. . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ...�: . 1.. . . .Block. . . .. .G. .1. . . . . .Lot. . .i .�.C. . . . . . . . . . . . Subdivision ... .4. . . . . .//. . ... . . . . . ... . .. . . . . . . . . . Filed Map. . . . . . . . . . . .Lot. . . . . . . . .�.n. . .. ... .. . . . . . . . Permit No. !!'. 1.O. /. .Z@ate Of Permit .Applicant. . . �.c�.k:�: .�.':Y1 .t.l.':1-• }�( jj�&C�� �v,c�oS�c1 Health Dept. Approval. . . .. . .N )) . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval.. . .. . . .1.��(:`. . . . .. . . . .. uu Request for: Temporary Certificate. . . . . . . . . . . Final icate. . .!`. . . . . . Fee Submitted: $ . .a J. r U 0. . . . . . . . . . . . . . . U ) J e 7J I �I . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT ELECTRICAL INSPEC77ON SERVICE INC. 375 DU1'TONAGE'NUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 H2517 DATE: glia97 APPLICATIONNo.ONFILE PB,L4GE: Orient 1109N.- Southold ADDRESS.' 175(1 Platt Rnad ISSUED TO: Mr. Smith INTRODUCEDBY: Above L/C No: was examined on 9110,97 and found to be in compliance with the National Eleca•ical Code LOCATION: Base.. Ist XX 2nd 3rd Attic Det,Garage Hot Tub Pool SRTTCHES RECEPTACLES FIXTURES I HEATERS FANS G.F.L AIR.COND. 2 DISHWASHER DRYER CLOTHES WASH I GAR.DIS-. RANGE OPEN SMOKEDETEC7OR FURNACE OIL GAS CIR MOTORS BEi..L TRAN. SERPICEDISCONNECT AffiTEA AADS PNASB OTHER EQUIPMENT ATI ELECTRICAL SURVEY NAS BEEN MADE OF THE EXPOSED ELECTRICAL EQUIPMENT IN THE PREMM VISUAL DEFECTS FOUND UGO S. SURDI PRESIDENT BUILDING PERMIT No. Thio catficam mut not be auered h any ms m MTe:tars may beW bAW by d.ael.0 BLUE ORIGINAL YELLDW COPY PINK COPY OFFICE ��gUFFO(,I-�O Town Hall, 53095 Main Road y x Fax(516)765-1823 P. O. Box 1179 �y • Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 5, 1997 Jane Llewellyn Smith 321 Maitland Ave. Teaneck, N.J. 07666 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 # 24015-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. rIEL INSPCTION REPORT DATE COMMENTS ----------------------------- II II - II II - t � II p C p I'�ITNDATION ( IST) ;i it , II p 11 -0IINDATION (2ND) ii--- p II II I Z R II ROUG3 FRAME & u u V � II FLULffiING ;I II II ij II F INSULATION PER N. Y. o i; STATE ENERGY it CODE u w -p II p I n p I n n I II II V — --- --- ---- --------- ---- — — ; II I > --- I 3 It / ii ZZ it I; II I II C —JI FINAL ADDITIONAL COMMENTS: n I - u >\ C A ,cry eP o• ��#4 a 1 r �� ell C'0� rAr � b SURVEY FOR JANE LLEWELLYN SMITH AT ORIENT z��' 5• TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 55101P 7000-27-01-105 scale: r'=60' Aug 24 1998 Y 7� ,y CERTARED TO, �0 JANE LLEWELLYN SAWTH ! COA04ONW£AL TH LAAV ME MSA?ANCE COMPANY �. t4�E04 NEW., h5 a. S Nc+urra 'it �, ANr At nxn TrA o'Amnaw ro nes sLmtr none ilw +°'•.-.;,. � CF.4TTAV 7209 G''ItE nEW YPV[STALE EDUG TA:N GKI� } 5' EXCEPT AS RE iEn BECICM T2045LHJNSDN 2 ALG CERTFICA7NX3S 1 fL .S LIC.M1. 496/8 ,Oe:QV AvALD FOR IHS WP ALD CQ°ES nEAEQ�OKY F .n• :T y SAD I!N'ORCp�'S d`AF of ePAE55m SEAL OF n,E SUPVEYCIP amu• i r SSE S�DNATIIiE APFEARS rEAEdt VEY P.G aAtvTXwLLr ro cmGtr WIM SAD Gr ne rcm,:v.T ar :X A >r,T W�s.s i-Eraes. �s AS a� AM l2 STREET WA ` •.� AREA _21356 Acre 3 •eRarwr-To-ogre•sE NOT w cartNN elrr ne LAW. _ sour , r R97i ' 96-222 MAR 2 41997 4;:� OA5 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL,AC & CHIMNEY REMARKS: �• /<< DATE c- INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [�RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK'S: a C DATE J INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: _ DATE I� INSPECTOR ' t,5 O V'•� PIIINI NO. 1 ) SET'S OR PLANS . . . . . . . . . . . . . . . r, TOWN OF SOUTHOI.11 SURVKY . . . . . . . . . . . . . . . . . . . . . . . . 2 Q 1997 TOWN DKPAIt'1'MEMP CHECK . . . . . . . . . . . . . . . . . . . . . "MR . . . TOWN HALL SEPTIC ORM . . . . . _ . . . . . . rr --------------- � :iO11'1'I10(.U, N.Y . 11971 L �+� '(' �1Ck4(p ��L�'dSy BLDG. DEPT. TEL: 76VIR02 ' NOTIFY: T0111N OF SOi"�r01 n C4't?yr014P CALL 17.xannitnetl—. .41A0P.... .. 19ir.; �T/©j NA I1. I'O• . . . . . . . �J. . .�. I. Aper rived... I�... .... (9Y7 1'rrmil Tk>. J. ..1 .�.. .......... ... ....... ..... . . . . . .. Diraptnovel nn/c ....... ... .. . .....I........ ......... ... ... ... .............. .. ..... ....... ......................;.................... ... . (Ikri di Iu px'cl ur) APPLICATION FOR K(IILIIING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . INSTRUCTIONS a. This application sunt Ix! cugrletcly Pilled in Ly lylxo-rrtlor ur to tilt anixl rolanitted to the lkrilding lonpector J sets of plana, accurate plot plan to scale. Pee occluding to schedule. h. Plot plan shr lung location of lot sol of buildings on premise, reintioaship to aljnining premises or padtlic Meet" or nrens, and giving a iktallal clencriptirnt of: Inyod. of properly ausL be drawn on the dlagrnn which is Part c this application. c. The walk covered by this applIestion ray lot he coureo:ed before issuance of Building Permit. d. Rion approval of thin applicntpon, the lkrilding Inspector will issue a Building Permit to the applicant. Stu preunit rdlall be kept in the pretnines available for inspection thivulilronC the work. e. No building shall be occupied or user! in nAmle or in part for any purpose whatever until a Certificate of (kctgmtwy shell have been granteil by the iknliding Inspector. APPLICATION Is UrREtY I•WXS to the Building Depulsent for the issuance of a lkrilding Permit prmmnt to the Building Zone Ordinance of the Tu;0I of S00thOld, Suffolk lixmty, Not York, nrxl other applicable Taws, Ordinances or Regulations, for the construction of buildings, axklpliors or alterations, or for renival or demolition, an herein decribed. 'the applicant agrees to cunply with nil applicable lawn, ordinances, building code, Ixxatng axle, anal regulation, not to Ixlnit authorized inspectors on prey{men all in building for necessary inspection. . .' rgnnt ore oP app!icnnt, or mor., if n corporal ion 3.aC..Mod-.1''md..f�.Jf�; eaRvA .,.IN (Knit icy; rxkiress of applicant) 0 7 (66 6 State whether rgrpl icnnt in owner, lessee, ngent , snchitect, eal,inxrer, general contractor, electrician, phxd> r or bui Q --..................... .. ... pp ..... ........... ................................................ Ran,Nanof runner of prelines .,...-s^ •G L............................... ......................................... (as on the lox loll or Intent, (leo!) If agqdpaant In a corlxxatlan, algrunUae of duly nuthorizad officer. ....... .................. ................................ (Manx: mill title of corporate officer) Bulldets license Mer. ............ ... ..... ..... Ph.dners license No. .......... ... .. . .. ....... Electricians license No. ............... .. .... Other Traxle's License No. ...... ... ........... I. Ixx:atior of lanxt on 012ch prop red rink will Ire .. <k)oe..... . . .. ... ..... . .. ........ ............................... .................P�a .j.:...................... ........................... Douse Nolimer SUM Haniet Qxmty Tax Map Ikr. 1010 Section .R!.. ......... 1{lo:k .. .....Y I...., lot ....4145. Std ill iv I a t on ... ........•....... ...... ..... ......... Pt led tLgn Do. . . ... .. ........ int .........1..... (Haae) . 2. Stnte existing use mxl ix:cuparwy or prt'anises moi tnleoled use (nol o oe ix:y of propored contruction: a. Existing use aril o:cup;q y ... ..... Qwe-... a Vin 1 ll!�. ... . .................... ... ... .. .. .... b. Intenxkxl use mill oxtagwnrx:y © �4.. . (-)�''1!1.�.�. . . .. . ...w.G,..1.,�. :':�.................... '1. 11.11 oil of tau It WK!t:k 1,411(It alg)i icub Iif Iknt NkI Idfill . . . . . .... . NMI ion . ... . ..... Allmal ion.'./`-.. :. .\. 11.:1x111 .. . ......... iIL1lKNal!lqq............. lkv¢It ll.loo ... .. .. . . .. . Illlllr Ikl(I( 8 lJ Q o . � v +(-�- (Ikocrlpt (rxi) 4. ICs!.iuwled (bac ...�......... ... . ... ... fur. . . .. .. �..(.�.�.�..... .. . ............... / (1w lx: paid nn (Ilton lhia appllcat {tx,) '.i. If Ikxlli loll, olmiier of 1W full gull ia . .. . .J... . .. Il.dil:r of IkntI in!! Au,it if oo euc{1 fIC,or .. .. . . ........ . . If gnnifte, If olxer of caro . ...... . ..... .... .. .. ........ ... ... .. . b. If lalnllwutt, anourclal or uilxcd (x:colutlf:y, u,.:cify oillole titin extent of each t I)a of title. .. ... .. ........ ... .. .. 7. Itin mil irx ui of rexQi nl'Ing aC nicl urcet, if eoy: Ift(x11 . . .�W.' s.(� . Meer . .�,�.: . ... Iluplb . �R.' J 11:1111 . ......1.!'./.............. Iknlur of ;ii uric+! . . . . . . . ../ . . .. .. . . 6�' . . .. .. . Ilinnnuloos of min nf:tora with alleialkry1!folor luklilionr,: I.toof. . .. . . .. .'..J,fl.. hear . . ... ..... .. .. . Mirth .....L9.�.:3....... Ikigllt . . . .. . .. .pk . . . . ./..../(/./,/jt&.1litr of lit or len . .. . . 57.. . it. III'miluloon pf cut w ire flew tat r1WA llxo F1(No . ... N/ 47... . 142111 ... . .. ......... Banti .. . ... .. ..... . lk!il)IL .... ................ ..... Rsll1er of ,;lot iuu . .. . . .. . . . . % a�.... .. . s6 J. t;ict: of lel:: 1`11111 ....1,53. 3„0Iteral: . .. .. .�3.. ..�. .�. ... .. Ik:plb . ... .3.�2.... ... . IU. IAlle til` 111namaa .....111 .!. .. .. hale of poniur Ouol s. . . .. . .u.�J.GVI . If. 2(..: or ofte Mail Ict In 1,411"1! pltnninca nlc ahmaud . . ... .. .... ... ............. . ......... ..... ..... . .. .. ... ... . . 11. Ikxls proix)ned c(flat'nf:tloo vlolole any Witiloll If". ordlimme or fegolalhxif . .. .. .10 ........ ..... fl. %Jill lot' lit r'eitrwietl .. ..... ;.-L�- .... .... liillll eRuLals fill Ix: uslkwull f,(i/un,p�r-eJ+nlnen: Yti£i ti Vl. IU1lK:n of <l.nflr of p1`Klul Tien ...11.��P-..�:..V)'Y117 N4henn P.L./.l. ll,cxuf Lkr'�0���3 *^S7� ........ rlu of Archltut:C ........ 07666 Ni ....... ..... . ...... ..... ... . N6lt clot . . .. . ..I......). ....... ... ..... Mone I1.). . . . . .. . . M.lrc: til` 1`1x,1141"1 or ..................... .... ....... ... NMI rsa .. ... ... . ....... ......... ... ...Phone 14). .. ... .. . Li. in Ihla prolillrty withlo YXI feet; of to tidal tmtlel.i'I A YL:; . . .. . . .. .. 0.. .... ... Ally YCfl, "milm) -Imv 'llawnili5 limit IVY III? 111tH i1111Ui1). H.OT UTAGRA1,1 Il%nlic clearly nlul (118fifx:t'ly all Ixlildlnl;s, 1A1e1her existing or proposed, tail itxlicni:e. all set-bank dln,anaiona 1`14111 poolxlrly lines. Give utreal: mNl Moll( !+miller or deacripl itxn orrofdigill to Heed, moll show street vanes nlxl ifflitall iAu;Uua iol(lrior or confer la. see 5�� \j Q-fill s1An': (X+ IYII last, lXdlttlY IX'' ... ... . .... . e ' . . . .. . . . . .. . .... .... ...... ... .. . . . . .. ... ... .... . .. .Ixti"ll Atily Iflxrilf, delx)lien al.l nay#$ thar bra ill the. npplicunt (Il: 1 , mit ilflividtial 01plinit coni uu:l) olxlve oull!d, /'� lk! in file ..,...,..Q. .K.\� )................................. . .. ..... ..... ......... ........... .. ... .... ((bnl raclor, n14eol , col lx)ral a of f icel , 0c.) of Inlflt (AnWr of I1lJif!1'a, alfl In dilly Illlt hflflZ(xl it, lxaiolill til IIIIVe Ixll Ie111Y111 file 1111th Nark aotl to null(e alfl file (loin oppio'nlio)l; fluff. fill Btill PlL'lll tl vootaimll in Ihltl i,l!)llivotioll art! Jim it) file IxIIII: of Ilk Itotmiedge lit Kl ifllittf� ILLfI Ilial the tnok will Iia l)erfoiac-d Ili Iho ufsuxlr net. fotih in the uppli(an iuu filed therfs+Ith. !kmlo to lgil"14! er, !bin . . ,.��.. .. .. ....diry of 1�:,�'•)� Iguil(wc ill iviou). ........... J � / 1 t [� --n+�--�--n .�.il+,.i.urr�....-......r.r:n.«resin•....��w•r�r��.+r.....�w-. `^vr..ire..:r+ni.......r.,�rr+rr-.._....r-.u..r .«. . .. - . . - 9 R's ur: ' ovt u1{eS� l u lol B -(- ,k � �cr jail nd C, t4Vc. ✓)n„ xnC{ � u � '<•fV ,agyp. la \l Ell � ^ o i d ~ V.1 ! s— UNDERWRITERS 3 UNDERWRITERSCERTIFICATE ' REQUIRED 5 . U'.G.IWr AP ROVED AS NOTED wog lc(t�F ,,:¢ „ V '' : =Q: .:� I . OCCUPANCY OR DATE: kl'y' `-��e•`�' �•'sr USE IS UNLAWFUL NOTIFY BUILDINGDEPARTMENT AT 5 WITHOUT CERTIFICATE 765-1802 �itN PECAM OTIONS:M FOR THE � Job No. OF OCCUPANCY ' FOUNDATION - TWO FOR POURED CONCRETE REQUIRED ._s (Ak� t ,ace. �r: �i�r� l {{ 1 ,},,_ / p. ROUGH - FRAMING & PLUMBING 8 Drawing No. �G N {-U, A l.. ' -'v: t r 3. INSULATION �. 4. FINAL - CONSTRUCTION MUST 5 3BE COMPLETE FOR C.O. PROVIDE OPENINGS FOR ALL CONSTRUCTION SHALL MEET EMERGENCY ESCAPE AS THE REQUIREMENTS OF THE NY. 0 Drawn B REQUIRED BY PART-714 OF STATE CONSTRUCTION SPIE CODES. NOT RESPONSI FORRGY FGR 8 Checked By Date N.Y. STATE BUILDING CODE. DESIGN OR CONSTRUCTION ERRORS �a scale ' " a Revision No. Sheat of NIC OrYMee tl 9 . �� .C,N.S,Y�'� 1t•, `�"'t,9't' 'v24�?t 'r � o ( { s .,i' � r,�- i��fai r,/Y" y.,. ; 7�:",a:. ),rr+•; s � I •v � ;_ ��- ! i .a T241 t7�Y` C'9 C,'22 i�,• 'Y". �,1C:r'kit� �"o� G ,� y� i7LJI, �—cevi 1 14, --4-347 7 j ! s <__, k1 r.,'C r 1t:.�•a ;gym r.�r. i ✓x° s.:t io��_..,-.r-�----- ---- �' :� / ii;'f .J'�C u.t _. •�J^4b ._ �?. C'. 7;.tj?� CI`".C•.J w Job No. Drawing No. 1 n L Drawn B Date, - _ 8 Checketl By Date 3 � F Scale � Y $ q SS o Revision Na. Sheet of .� MC oenrwce (sle)�124n IS d 41 co"I 4 al K' n �_ _..- .� . ._ t P Y 1tv NatrU eft , a E nk, - P' •.,,,;'tin .` � _ — __ `. , - i - ; - s � S E m ; 1 -10 n ia, 4 i..�3le1 - � E Job No. Drawing No. ' v Drawn By Date" t Checked Byvv Date Scale - o Revision No. ' Sheet l of eecOMFnICS Isie��zarxa