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Home My WebLink About23760-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24707 Date OCTOBER 29, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 2100 PINE STREET House No. County Tax Map No. 1000 Section 140 Subdivision ALTERATION MATTITUCK, N.Y. Street Block 3 Lot Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 3, 1996 pursuant to which Building Permit No. 237360-Z dated OCTOBER 21, 1996 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 ALTER EXISTING GARAGE TO HABITABLE SPACE & DECK ADDITION "AS BUILT" TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & THERESA ENDRIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A H-051870 -- SEPTNMBHR 17, 1996 Rev. 1/81 lding Inspector 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? 23760 Z Permission is hereby granted to: ..~...~... ~../..~....~.~. ~.~,.r ..- .............. :.. ~ ...... ~..~.~..~: ....... ~.~/.~... ,o ~...~ ....... ~..~/...~.....=,......~ .............. ~ ............................... .~..~/i....~J.~ ...... ~ ... ~ .~.~,./.-~ ~..y...,.,.~.~.~....~.;.:....~.~.,u at premises located ot ..... ~../.~.~). ........ ..~./...'~.~.~.........~..~'~.~...-~.. ........................................................ / County Tax Map No. 1000 Section ...../..~.~. .......... Block ...... ..~.~... ......... Lot No ..... .~..~.. ........... pursuant to application dated .......... ./....~/..~... .............................. , 19.~...~.., and approved by the Building Inspector. Rev. 6/30/80 BUiLDiNG 765-;-302 ..... ~,- ~'r OF OCCUFAIYCY 3_PPLrCATEON _--OR This zppiication must be filled zn by aypewr!ter OR znK and submi:tad zo the building inspector with the following: for new oui!ding or new usa: I. Final surve7 of property ~ith accurate location of all buildings, properly lines, screens, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of alectrica! insna!iation from 3card of Fire Underwrzters. Sworn statement from plumber car~i£ying that the solder used in system con~azns , less than 2/!0 of !% lead. Commercial building, industrmai building, mu!tipie residences and similar suiiaings and-installations, a certificate of Code Compliance from architect or engmneer responsible for the %ui!ding. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, !957) non-conformlag uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing al! property lines, streets, .building and '~ unusual natural or topographic features. {. A properly completed application and a consent to inspect signed by ~he appiican[. ~ If a Certificate of Occupancy is denied, the 3uilding Inspector shall state re'sons therefor in writing to the appimcant. Pees ~. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildln~ S25.00, Additions to accessory building S25.00. Businesses $50.00. 2. Cartificats of Occupancy on Pre-existin~ Buildinz - Sl00.00 3. Copy of Certificate of Occupancy - .25¢ i. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential Slb.00, Commercial New Construction ........... Old Or Pre-existing Building Location of Property..~¢?. .... ~.UC~...¢.(; ..... ~ ~TYq. tT. WCL< ............................ House No. Street Hamtec Sawer or Owners of Property r~tJH~ 'T-~a.~?g~ ~/%,.~'~ ........................... County Trax Map No 1000, Section.. J.~¢.,,t f .... Block .... 0.3.~ ~,~ .... Lot. ,~..0~ a ....... Subdivision .................................... Filed ~ap ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Oep6 A~orovai r~ s-~-~- Auorcvai... Planning Board Approval ........................ 7ce Submz:zed: ,S¢~7 ......................... THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~62~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NY 10038 O~¢e SEPTEHBER 17,1996 ~ppli~.,~o. ~o. o.fi~ 12449296/96 H 051~70 THIS CERTIFIES THAT o~y the e~ctrical equipment ~ ~scrlb~ be~w a~ int~uc~ by t~ applicant ~mzd on t~ a~ve ~at~ ~umber in the prem~es of JANET CEGLOWSKI, 21OO PIKE STREET, MATTITUCK, NoY. in the followlng t,catlon; ~ Bm, ement ~ Ist Fl. ~ 2nd FI. G~ Section Bilk ~s examined on ~PT~ 12,1996 and found to be in compliance with the Naffonal Elect~cal Code. Lot FIXTURE FIXTURES RANGES OVENS DISflWASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER DRYERS SYSTEMS FEET S E R OF CC. CONO~. C NO, OF NEUTRALS OF NEUTRAL OTHER AP~R~US: *NO VISUAL D~CTS, "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. 210~ PIKE STREET MATTITUCK, NY, 11952 11oENIRAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors mc~y be identified by their credentials. COPY FOR BUILDING DEPARTMENT;'THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY HANNER. FDIINDATtf)N (~.;'l') II IN,~HII.A'rlON PlO1 iq. ~'. STA*r F, V.N F.R G¥ COI)I?, P~GE 03.0O L~.~ 022,000 BETW~E~ 9a~ty o! d~ ~ ~ that t~e party of the tint ~. in c, msi~tt~ of T~ ~l~rs Ind ~her vguable ~i~ ~ ~ t~ ~y of (he ~ond ~, &~s ~reby gr~nt ~n~ rele3~ U~lo ~ ~ of t~ ~d ~, t~ hel~ ~ Yo~, ~ ~d ~c~ ~ ~G at a ~t ~ ~ s~rly si~ of ~e S~, ~t 1~ ~'le A~n~ wi~ ~ s~herly sl~ of ~e ~~ ~ 15" 03' {0" ~t, 225 ~; ~ ~u~ 74" 22' ~t, 100 ~t; ~ ~ 15" 03' 40" ~t, 225 ~ to ~ ~r~y si~ of Pike~ S~ ~d ~ ~ ~g ~ s~ly sf~ of ~ S~, ~ 74" 22' ~t, 1~ ~t to ~ ~t or pla~ of ~. ~ ~~ ~s~p~ ~~of ~ ~t ~ ~ ~ ~ 5/18/61, ~ 6/8/61 ~ ~r 4~7 ~ 433. ~lTn~ GUAFLA. HTGE- NEWYORK ,ZZZ.Z;~ ti. PIGC~, ~, ESQ. 928 ~ Stzaaet: ~ G_-*eeq:o~t:, NW ycr~. ].1.944. 09:49 516 594 0~ PAGE 01 TOWN OF $OUTHOLD TO~oN,~LERK'$ OFFICE uuI'HOLD, N, Y, CE~TIF'ICATE O~' OCCUPANCY No, 'Z .1.367 Dote ............ THIS CERTIFIES thor the bui~d~n9 I~t~ ................... ...................... el~k N~. ...................... Lot ~o ...... ~ ** conf0rmj substantlol~y to the APplication for Building Permit heretofore fined in this office d~te~ May 23 .................................................... , 19. ,,~.lpu~Su~nt tO w~ch 8uJ~dJng ~rmJ~ ~0. · ~ 14~3 dared ................ May 23 '9 61 ............. ~ ........... , , ........ , wn~ issued, oad conforms to a~l of the requirements of the aPpliCable provisions of the I~, ~e ~Cu~ncy for wh;ch t~Js cecil/cate i~ issued is ....... Thts'ce~if~c~fe Je issued to ......................... e of t~:e ofore~Jd bulJding. ('owner, lessee Or tenant) approval Dee.6~ 1962 by p. NaJkowsk~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INSU~.AT~~N [ ] FRAMING [ ~"-FINAL//~ [ ] FIREPLACE & CHIMNEY REMARKS: · ~ .~ ~ DATE _ /~,~ ~/~/~,~ INSPECTOR FORH NO. TOI4N OF SOUTIIOLD BIIILD] NO DEP^R'II'IENT 'I'OF/N I1AL1. SOWI'IIOI,D~ ~.l. I I~l I TEl,: 765-1802 Di sal~roved a/c BOARD OF IIf~^l:l'll ............... 3 SETS OF PI,ANS ............... SIJRVE¥ CIIECK ......................... SEPTIC FORH ................... NOT I FY: . c7.q. . . . H^I 1, TO: .................... ~PIq. IC^T1ON FOIl 111111,111 lig PIr. RHIT I tlWI'RUC'r f ONB a. 'lhls application ~mst be cx~.l)letely tilled in I)y type.zriter or in ink atxl mdanltted to tl~e Ikdlding lospector with 3 sela of plsns, accurate plot Iflan to scale. Fee according to schedule. b. Plot plan d~caqi~g l{ration o[ lot mvJ o[ lxdldi~k~s ma premises, relatlonshlp to mljoinlng pronlses or IXfl)lie slreets 9r areas, m~l giving a detailcM descripllca} o1: layca)l: of properl'y ,imf be drram on the dlagran ~hld~ is lmrt of this application. c. 'lhe x*ork c(~rered Dy this application v}ay ~)t I~ c~le,m~l I~fore is~atme of l~dlding Pemit. d. I]lxm air--al of this alq)licat:ion, the ~ilding lns~ctor will igmm a l~il(ling Pemit to the a~licant. ~rmit shall I~ kept cas the pr~lias available for inSleCtica~ thron~ont the x~rk. e. ~ lafilding droll lm ~:{aqli~l or om, d in ~ole or in fart for any g~rl~se ~dmk~er until a (~rtiflcal'e of {~CUlmm:y droll, have I~en grant~l by I:1~ ~dldlng lns~ctor. ~Plq,l(~Tl~ IS I]g~l~ ~ to the Ikfilding l~rt~nk for the ismm~e of a l~Hlding Pe~mlt l~tr~mnt to the lkdlt[ing 7a~ Onli~ml~e off O~e 'r~ of ~tlmld, ~fffolk Carol:y, ~ Yod% md other aH~licable l~s, O~li~a~mes I~guJati~m, for tl~ c~mrrt~tlon oF Ixfildi~s, ~itims or alterations, or for ~al or dc4mlitioo, as herein t~scril~, lhe aff~licant agr~s to c~ly with all a~llcable l~s, ordi~m~mes, laHlding c~, l~mi[~ c~le, a~l (i~h i 1 lng a~l{1 tess o f appl icaot) Stale whether applicant is o~er, lease% agent, architect, engi~eer, general c~ltractor, electrician, l)h~ler or ta~ilder. ~,~ ,,~: ,~ or p~,,,i~ . ~c~X3. .... ~,n~.0... ~.~t.s.'.' .............................................. (as a~ Ihe tax ~x)ll or latesl; de~l) If al~l leant is a corlx~ration, slWmtum of doly mitl.~riz~l officer. (~e m~l title of coq~orale officer) Electricians l,lcense I~...: .................. 011~ 'll-~lJs l,icen~ ~ ..................... I. l~al:i(m of la~ Im Idch p::l~l ~rk ~ill I~ dca~ .............................................................. .... ~Z9.~ ...... ~- 8~, ~rrzr ~c~ .................................. Ik~ g~t~r Street 1[~1 e k c~,,,~y 'r,,. ~,p ~. ~a~ ~ion .../.g~ ....... ~,~ ..... ~ ........ m ..... ~& ..... ~lxlivislon ...................................... Fil~l ~tl~ ~ ................ l~t ............... (~) a. ~,.~,~ ,,~ ~,,~ ~c,,,,,,~:~ .. ~.~ ~ ~ ..... ~....~ ~.c~.,.~.,.. ............................... I,. lot.eca~l ,,~ md ,~X,Zl~t~:y ...~.~.~. ~ ............................................. ' .................... (to I~ paid on f il lng thiq applical, ion) I)JllJ~lltiJ(lJ8 of tillle 8tJtR:luJo ~lJlh [li~larlit il)lit] or mldil, ions: Fichu ............... l~ar ............... AlchJt[]cl PI,OT I) IAGRAH DATE: ~ ~B.P.~ ~_ NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE ~, ~OU~OA~O~ . TWO ~o. Pou.~o CO~CR~T~ 2. BOUGH - FRAMING & PLUMBING PL~M~ 3. ~su~T~o. O~ LEAD CONTENT BEFORE 4'BEFINALcoMPLETE' CONSTRUCTIONFoR C.C. MU~T ' C~/~/C~ OF OCC~PA~C~ ALL CONSI~., ,,UCT ON SHALL MEET ~O~.D~ ~]~D [~ 8TATB CONSTRUCTION ~ ["ERGV SUPPLY SYSTEM CANNOT co~s. ~o~ ~s.o~sm~ .~ E)(CEE~ 2/10 of ~ LEAD. (Nm~. ol i~,lividual ~ij~nilJ/~ colJl la[;t ) ol ~Jaid (~' or I~, mil i~i duly aml~orlzed Lo i~]rlo~m or have i~rloo~l]d Hie .aid Jq~pl icJH iouI I Jllll all HI~II[~i[HIIii conlah~d in IhJ~ ~qqd i<ml ion m'o I~ Io Ihe I~ml' of hJ~] la~l(~ll~l~ nl~l I~1 leiI m~l i Iull Ihq ~nk will I~ lerl:ou~[]d Ju Iho ii[~lJl~]r Itel. ICl lit ill I JiB appl it:al:ion Ii Led IJJel'C~Jl, Jl,