HomeMy WebLinkAbout23791-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF O~CUPANCY
No Z-24872 Date JANUARY 30, 1997
THIS CERTIFIES that the building. ALTERATION
Location of Property
960 GREENFIELD LA.
SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 63 Block 5 Lot 21
Subdivision Filed Map No. Lot No.
c.onforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 16, 1996 pursuant to which
Building Permit No. 23791-Z dated OCTOBER 31, 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 ENCLOSE EXISTING DECK ADDITION OF ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to
JOSEPH RADICH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - JANUARY 22, 1997
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
Building ~nspe/or ~
lvOl~g NO. ~
TO~N OF $O~JTHOLD
BUILDING DEPARTMENT
TOWN, HALL
$OUTHOL~,, ~Y.
BUILDING PEIU~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORI(AUTHORIZED)
N.° 23791 Z
Permission is hereby granted to:
....... ~.~...../...~~ ..................
..... ~ ...... ~.~.~../.,.~~..: ........
· ..~ ............ .x ............... T,~----..-.>,-~, ........... ~ ............... ~: .................................
at premises located at .................................. ; .......... .~..~.~...,-~-.~.~...~.~.~., .~...,.~,~-..-- ..........
County Tax Map No. I000 Section .................. Block ...................... Lot No ................
pursuant to application dated ............ ~...~i~. ................ , 19...~.,~, and approved by the
Building Inspector.
Fee $.....~ .~....~
Rev. 6130/80
TOWN 0F SOUTHOLD
BUILDING D EPART,XC_c._NT
TOWN F~LL
765-1802
APPLICATION FOR CERTIFICATE OF 0CCUP.~MCY
This application must be filled in by typewriter OR ink and submitted co the building
~nspector wi~h the following: for new building or new use:
!. Final survey of .property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Realth 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/I0 of i% 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.
Submit Planning Board Approval of completed site plan requirements.
Bi
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'3pre-~xisting" 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 ~he
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, Sw{mming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses S50.00.
2. Cer%ificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - = .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co~nercial $15.00
Data q.A~.~ 23, 1997
New Construction....x~. ...... 01d Or Pre-existing Building .................
Location of Property 960 Greenfield Lane Southold, N.Y.
~ouse No. Street Ramlet
JOSEPM RADICH
Onwer or Owners of Property ....................... ...... . . . . .. ~ ......................... ... --
County Taxx Map No i000, Section .... 6.3 ......... Block .... ~ ........... Lot .... ~J ................
Subdivision .................................... Filed ~Wzap ............ Loc ......................
Permit No.. ~]Tp.IT~ ....... Date Of Permit.~%~.~!,!~..Applicant..4gS~-P~-~$¢B ..............
Healch Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicata ...........
Fee Submitted: $ 25.-9.O. .....................
~/~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
85 JOHN STREET, NEW YORK, NY 10038
Dote ,t~(~
THiS CERTIFIES THAT P~,~IT ~0. 23791
o~y ~he electrical ~uipmen~ ~ ~scrib~ M~w a~ int~uc~ by ~ applicant ~d on ~he a~ application n~m~r in the prem~es of
JOSEFH ~01'Ctt~ 960 GREE~F:I:ELD
inthefoltowingbcation; ~ B~sement ~ IstFt. ~ 2nd 3~. OUT Section63 Bilk5 Lot 11
~s e~omlned on J~NIJI~Y 22 ~ 1997 and found to be in compliance with the Naaonal Elect~cal Code.
FIXTURE ~ECEPTACLES) SWITCHES I FIXTURES RANGES ICOOKINO DECKSI OVENS I DISH WASHERS EXHAUST FANS
or, ERS ( E~R.ACE ~TORS [ .U.~,R. A.U,,.¢E,...... ,.¢,.~RRC'PT T,~.O¢,~__ _, ,"~ ~ ~g;l?~., ~,~ _
OTHER APPARATUS:
P~DL~I F~" :L
~IO'I'OR8: 1~ ~ H ~ P.
?O~hD{ R3~DICH
960 GREENFI~ILD LANE
SOUTHOLI), NY~ 11971
Per 1]GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~c~ ~
~9~'~ eum,^u o~ ~c~.,c~
~ 85 JOHN STREET, NEW YORK, NY 10030
THIS CERTIFIES THAT
o~y the electrical ~uipment ~ ~scrlb~ be~w a~ int~c~ by ~ applicant ~med on the a~e ~p~n ~r i~ t~e preml$~ of
in the follo~ing hwation; ~ Basement ~ Ist FI. ~ 2nd Fl. G~/O~[~ Sectian Bilk
~s examined on J~J~ 20 t ~ ~7 and found to be in compliance with the Naffonal Elect~cal Code.
FIXTURE
OUTLETS ECEPTACLE$ SWITCHES
~2 28
FIXTURES RANGES
DRYERS I FURNACE MOTORS FUTURE APPLIANCE I~ED~RS PECIALREC'P!
SERVICE DISCONNECT I
HOTORS: 1-F H. P,
6,F,C,I~-4
SMOKE DETECTOR: -5
Lot
COOKING DECKS OVENS t DISH WASHERS
TIME CLOCK(ps~. ~EL~N~{ A~T.I Hp.UNIT HEAT[RS MULTI-OUTLETsYsTEMS
V I C
EXHAUST FANS
AMT, WATTS
1
350 MARINE PIECE
GREENPORT, NY', 119/',4 ii. GENERAL MANAGER
Per_
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their crec[~ntials.
COPY FOR BUILDING DEPARTNENT. THIS COPY OF CERTIFICATE MUST N~T BE ALTERED IN ANY NANNER.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 16, 1997
Mr. Joseph Radich
960 Greenfield La.
Southold, N.Y. 11971
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 9 23791-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
(:01)1~,
I)^Tt':
I~ I IIAI,
765-1802
BUILDING DEPT.
INSPECTION
[ ] FRAMING [ ] FINAL '
DATE.
765-1802
BUILDING DEPT.
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUND~ATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS~: ~ ,~
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
DATE
I;ORtt I',ll J.
TEL: ~65~-
1 H,qTRHCT I OH.C;
IH)^RI} OF IlEAl,Ill ...............
rIOT 1 F'Y:
CAI.I ...................
HA I I, TO: ....................
l)n I e ................ , 1 9 ....
d. Ulxal ;qqIr(~aJ of this nl~)licntiolh the I~ihli.g hmj~cloJ will
' (! ~t,,re
CLAIRE L. GL,EW
Notary Public, State of New York
No, 4879,Sx'35 ·
Qualified in Sufiolk (,ounty
Commission Exp'res December 8, 19