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HomeMy WebLinkAbout23381-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-25241 Date SEPTEMBER 4, 1997 THIS CERTIFIES that the building ADDITIONS Location of Property. 650 CAPTAIN KIDD HR. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 2 Lot 51 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 1996 pursuant to which Building Permit No. 23381-Z dated APRIL 22, 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 FIREPLACE, & CHI~H~EY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. HELEN PHILIPPOU (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-056665 - AUGUST 22w 1997 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLD SUILDING DEPARTMENT TOWN HALL $OUT~OLO, N.Y. N_O BUILDING PERMIT co~o~ o~ ~ wo~ ^u~o~,z~l Dote ........ ~ ~I'A t9..~.~.. 23381 Z Counly Tax Map No. 1000 Seotlon.....Z..(~.....~... ..... Block ~" LotNo. ~'/ . pursuant to application dated .............. ~./.~. ............ 19,..~.~ .....and approved bythe Building Inspe~~ ROY. 6/,30/80 I 7 1,998 OF SOUTHOn 1~ ~ ~%tlt~ TOWN HALL 765- 8o2-' CERTIFICATE OF OCCUP~CY 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). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 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 complete~ site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-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. 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-existinR Buildinm - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction. . ..~.. Old Or P/=~-existin~ Buildi~g~ .... ..~. ~..., ........ ~ , ~ ,.ocation of. .... House No. Steer ~ Ha~et o~w~ o= O~r~ o~ ~=o~e=~ .... ~, ........ ~, ............................. County Tax Map No 1000, Section .............. Block ................ Lotl ..................... Subdivision ................................. ~... Filed Map ............ Lot ........ .~.....~ ....... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ .... THE ,NEW YORK BOARD OF FIRE UNDERWRITERS 80672.62 BUREAU OF ELECTRICITY r 85 JOHN STREET, NEW YORK, NY 10038 O.T~ AU~'~U~T 22,1997 ~PPI~.~io. ~o. o"f'~ ~4382~97/97 H ~56655 THIS CE~IFIES THAT ~I,~N PHILIPPOU, 65~ CAPTAIN KIDD ROAD~ ~TTITU~, N~Y~ i. ~h. fo~o~.~ :,,~.~io.~ ~ ~.~e.~ ~ ~ r:. ~ ~.d F~. OUT .~t~.. ~:~ ~ ~s e~amined on AUGUST 19,1997 and found to be in compl~nce with the NaMonal Elect~cal Code DRYERS I FURNACE MOTORS, FUTURE API)UANCE HEO, EES AMT. K. W OJL H. P,, GAS I FI* P AMT NO. A, W G SERVIC~ DISCONNECT NO. OF S OTHER APPARATUS: E~I'IRE PRE~[ISgS.~ ~ *NO VISUAL DEFECTS,~ "An electrical ,, survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found, ~RANGES K W. SPECIAL EEC'PT HELEN PHILIPPOU 650 CAIn. KIDD ROAD t~TTITUCK, NY, 11952 I C E AWG OF CC, COND EXHAUST FANS AMT, H P, DIMMERS NO OF HI-LEG A.W,G. NO OF NEUTRALS A.W G OF HFLEG Of NEUTRAL Per t I 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 O~ CERTIFICATE MUST N01T BE'ALTERED IN ANY MANNER. Town Hall, 53095 .Main Road P. O. Box 1179 Southoid, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 11, 1997 Fax (516) 765-1823 Telephone (516) 765-1802 Helen Phillippou 25-46 33rd Street Astoria, N.Y. 11102 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) XX No Underwriters Certificate on file. 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 # 23381-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I~IIIJGII FIIAIII~. I'1,111111 I MI:ET 3, DEPT, , 'I r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ t~EPLACE & CHIMNEY REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL DATE ~/l ~ INSPECTOR 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ '~FINAL [ ] FIREPLACE & CHIMNEY DATE .... TOWN.O.F SOUTHOLO .... Ab~F~.ICATI O~ lq}Il IIU ] I,D J HO Pt/Jllt!T FOlltl It0. I '1'0%~1~ 01~' ,qOIITIlOl,l) IIII11.I)1UG I)1~, l'^ll'l'tll: NT 'l'Ol~N ~OIITIIOI.D, H .Y. 1197 I 'I'Ei,: 765- 1802 I~O^RI) 01~' lIE^I/HI ............... 3 ,'~lT'J'~ OL~ PI.AH~ ............... 8UILYP',Y CIIECK ,~; E P'I'I C I~OITH ................... NOTIFY: ,:^,.,.. . . 4 . . ....... .............. ............ l)nLe ................ , 19 .... I IJSTItUCTiOH,q c. 'lhe ~1~ cc~er~l by Ihi~ a~l jcaLi(.I s,~ly IK~I qm c~m~l~:ed I~fore inmmt~:e of IkiihlinB I'euniL. e. I~) latlldhq~ ,droll I~ ~x:(:upJed or used in dmle or itl l~qrt for auy Islqx~ ~mLeve~ u~ltJl a (~rl.J~JcnLe of (~:CUlm~my ~mll have Imetl I:lnnted by tl~ I~dhlinB hm[~cLor. Agl'l,l(~'l'l(~ I~ II~l~:llY ~E Lo I1~ I~dhlJn8 I~l~tnenL t~)~ the J~mm~e o[ a Ik~ihlh~ Peml~ I~*r~mnL to I.be I~lihling g~ O[dhm~e o~ Lhe 'l'~Ral ol~ ~)tl~fl(I, ~,ffolk ~tnly, ~d Yolk, m~l otimr nHflleal)le I~, Ordhm[~el~ or I~Bulati~.m, for I1~ (x~mt~ti~l ()E I~,ihlit~9, ~klitl(~m or alteratlmm, or fo[ roix~al or (~,xfl ilion, a~ ImreJn . ...................... (~d I ing mklreo~ o[ aIq~l icant.) fitnl e dmther nlq)l icnnt is (~er. lesaee, I*l~enl., m dill eot, engi*mer, lcJnn, I~*i hler. I1: nl~dicnnt Jo n (otis)roll(,*, ai~mture..of duly ,ull~rized officer. (tb~,~ n,~l litle of COrlX~rale officer) , ,(). ,~,,. ,,,, ,,,,.,:,,,,,,,, ...~.~/~. .,,. ,,~ ,~,,,,,~ (~,,,,~. ~..~.~ ........... I)l~k I.II~r (ir (~aerJlitl()l) ilcc()r(IhsB Io dee(I, .~xl llls(~ fltl'ooL nlll~ll Itld Jl~lll~rll~ ...... x/..~.~v .... ,,,,~ ~ ~.~t ELI~B~H ANN NEVILL Nota~ Public, State of ~w York No~ 52-81258~0, ~uff~lk Cou~W ]~rm E~pir~s October 3~, 1