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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