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:
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. . 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)
,
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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