HomeMy WebLinkAbout23318-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No S-24256
Date APRIL 3, 1996
THIS CERTIFIES that the buildin~
Location of Propert~ 43385 ROUTE 25
House No.
County Tax Map No. 1000 Section 75
Subdivision
ALTERATION
PECONIC, NEW YORK
Street
Block 1
Filed Map No. Lot No.
Hamlet
Lot 16
conforms substantially to the Application for Building Permit heretofore
filed iR this office dated MARCH 10, 1996 pursuant to which
Building Permit No. 23318-Z dated MARCH 20, 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 RENOVATE EXISTINC RETAIL SPACE 'TO BEAUTY SALON AS APPLIED FOR.
The certificate is issued to LORRAINE DDNH~BER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
H-049205 - MARCH 22, 1996
N/A
/~ ~uilding Inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUll. DING DEPARTMENt'
TOWN HAL1.
SOUTHOI. D, N.Y.
N~ 23318 Z
BUiLDiNG PERMIT
JTHIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLEtiON OF THE WORK AUTHORIZED)
Permission Is hereby granted to:
..~,~:..~ ...... ~..~~. .............................
.........................................
.... ~,~,~...~.~,......~ ,~£ ............
,o....~,.~,~ ......... ~.'.....~~ ........ ~(. ........ ~ ........ ~: ...........
..... ,~.~/.~d......~..,c..~. ......................... .~ ..........................................
CountyTaxMapNo. 1000 Section ...... ,~.-,~....'~.. ........ Block ....... ...~../... .......... LotNo ...... ..,/..~... ..............
Building Inspector,
Fee*../.~:..~,.
Rev. 6/30/80
Form No. 6
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:
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.
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 nagural 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.
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 accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
3. Co~y of Certificate of Occupancy - $20~00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
date ...... ....................
Ne~ Construction ........... Old Or Pre-existing Building .............
Lo~ation of Property..~$~ .............. ~.:.~.~. ............. [.] .... i[..~.~i~f]2'.~7. ..........
House No. Street Hamlet
Onwer or Owners of Property .... O..~. ................................... ...
County Tax Map No i000, Section..~.a ........ Block ..... f .......... Lot.../~. ................
...Filed Map ............ Lot ......................
Permit No .............. .. Date Of Permit ........ . ......Applicant ........... . .. . ~. ......... .
Health Dept Approval . Underwriters Approval ..
Planning Board Approval ..................... ..
Request for: Temporary Certificate ........
Fee Submitted: $ ..........................
.. Final Certicate ...........
.........
THE NEW YORK BOARD OF FIRE UNDERWRITERS VAG~ 1
8059159 BUREAU OF ELECTRICITY
I~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date ~RCH 22,1996 ~pplicationNo. onfile 11311496/96 H ~49205
THIS CERTIFIES THAT
IRENE W. SMITH, 43385 ROUTE 25, PECONIC, N.Y.
~sexamlnedo. ~fL/~C I~ 18,1996 and found to be in compliance with the National El¢ct~¢al Cod¢.
Lot
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
5 2 2
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
EXIT SIGN- 1
S E R
C
NO, O t COND OF CC. COND. OF HI-LEG OF NEUTRAL
JOHN LOETCHER
EAST LOETCHI~R LANE
HAMPTON BAYS, NY, 11946 GENERAL
MANAGEII
Per ~'~, j
This certificate must not be altered in any manner; return td 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.
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
March 25, 1996
Ms. Irene W. Smith
P.O. Box 182
Peconic, NY 11958
Re: BP filed under Lorraine Dunhuber.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
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 # 23318-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INSULATION
[ ~AL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
FORH ti(). I
TO~,/R OF .qOIH'll01,1}
BUll,DING DI,t F AII'I'tIF.HT
'r()l/H IIAIA.
SOIITIIOI.D, N.Y. 11971
TEl.: 765-11102
D| sapproved aJc ..................................
IIOARD OF IIE^I.TII ...............
3 SETS OF PI.ARS ...............
SURVI~Y ........................
CIIECK .........................
SEPTIC FORH ...................
HO'fl FY:
'CAI,I ...................
HAll. TO: ....................
APPLICfi'flON FOR BUII.I) IHO I'EItHIT
1 NSTRIICT IONS
n. 'lhia npplicntt(xl .mint Im co~pletely filled in hy tyi~.~riter or in ink m~l ~slm~itt~l Lo the l~ildin~ lnnl~Ct, or
3 ~tn of plans, acne,rate plot plnu to ~cale. F~ nccordioR Io sch~lule.
b. Plot Idms va~l~ l~ati~ of lot m~ of lasildis~s em pronises, ~lationahip to ~ljoinlng praises or
atreeta o~ areas, taxi Bivh~ a ~tail~ t~scril,ti~ off la~,t o~ prolmrty ~st I~ dv~ ~ the diagr~ ~icJ~ is I~rt of
this al,4 icatitm.
c. 'lhe ~)rk c¢~r~l I,y thin nlq,1 icati<s~ ~,~y ~t le c(~mc~tal I~k)re i~mm~e of Ik, ilding Permit.
ql. II1~1 npp~nl al this al~dicatJ<xt, the Ihlilding Inslmctor w/ti Jns~ a Ik~ildin8 ~ttnlt to the .pplJcnlff:.
i~tmik ~amll Im kept ~ tl~ p~ai~s i~ailnble for i.Slectl~ th~t the
~Ca~l~.x:y sl~all have linen grmd~l Dy tim I~iildinll hmlmetor.
APH.I(~'I'I~ 18 II,laZIlY k~E, to tim Ik~Jldin8 I~l~lrtnent for the tasum~e al o Ikdldi~ Permit p~rmmnL to tl~e
Ikdldi,~ ?~m Ordilm~me of the '1~ o~ ~stl~l¢l~ ~sffolk {~a~ty, ~ York, m~ other al~llcable I~a, Oali~mt~ea or
~gulathma, for II~ ~mt~mtt~ o~ Ixdldi~a, ~kllti~m or alteratlam, or for re~al or ¢~1 ition, as Imrein
¢~ncril~l. 'lira applicant agr~ to co,lily with all al~dicable l~s, ~rd~tm~ea, Ixdlding ~, I~ming c~,
.............. : '
.qtal:e whetlm~ applicant is {~er, le.see, n§enL, orrJ~il:ect~ engitx~er, ge~ra[ conLracl.or, electrician, pludmr or Ixlihler.
......................................................... ~..~ ............................ _ ~.. ~/~aee~aYtaasa°~'e ..........
/ ~ ~ .
FEE , : ~
(a~ (m the ta~ ~oll or latent de~l) NotIFY BUILDING'DEP~
If alMd leant is a COrl×)rati~, sil~mtu~ of duly matl~)rized officer.
(~,,~ ;,,xl title of co,'l~rate officer) REQUIRED
OCCUPANCY OR
DtJil~r9 Lice,se ~ ..............
..,,,.to ,.,,:e,,,~ ,", .......... ][I]Si£ ]~. UNLAWFUL
F.,ee,~r,e'a,,a ,.',:.,,~ ~, ....... WI;HO.U; CERTIFICATE
o,,.~.,....,.,.,~,,~ ~ ...... OF-OC~PANCY · -
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2.ROUGH - FRAMING & PLUMSING
3.INSULATION
FINAL - CONSTRUCTION MUST
B[~ COMPLETE FOR C.O.
ALL CONS'fRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT ~SrONSmLE
,'¢~[JSIGN~ A2R.. CON,S~RU. CTIO[~ EBRORS
..¢.?.' ~ ...... (7.C'..q'..°..~//. ~ .
llouse lieder Strut I~nlet
<~,,,,,~ ',',, ~,,, a,. ,ixx) r~.~, ..... .'7. f: ..... ,t~:k ...... / ........ ,~t .../~. .........
~ Filed ~al
~dxllvislcs~ ........... . ....................................
(~m)
State exial:i,., t,r~ arxl ~<a]l~a~y of litanies taxi inl.etx~l use taxi (moq~rx:y al 1~ cqmt[uc[ion:
,,. ,. ., ...........
(10 I~} ImJd orb fi l init Ih Jo alqJl lcal'i(~l)
I~ jjarnl;~~ itlJdEr o[ c8[~ ......................................
PI.OT I) IA(~RAH
a,M .ayfl IA.il he hi the Ul)l)l h:md.