HomeMy WebLinkAbout23395-zFORM NO. 4
TOWN OF MOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25482
Date: 01/12/98
THIS CERTIFIES that the building
Location of Property: 51015 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 51
Subdivision
ADDITION
SOUTHOLD
STREET) (HAMLET)
Block 3 Lot 23
Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 16, 1996 pursuant to which
Building Permit No. 23395-Z dated APRIL 30, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CHARLES & BARBARA BAUER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-418754 05/05/97
PLUMBERS CERTIFICATION DATED
Rev. 1/81
/30/97 VANETTEN PLUMB. & HEAT.
uflding I~spectoJ
FORM NO,$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
N£
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23395 'Z ~
Permission Is hereby granted to', .._. ..~ .. ~
.... ~.,,z.. ....... ~...~~.....~ .......
....... ........
Coun~yTax Map No. 1000 Section ........ ~../.. ...... Block ........... 3 ........... LotNo...~...~. ................
pursuant to application dated .................. ~/~,,..x~.... 19.../...~. ....
Building Inspector.
Fee s.....~..~......~-~..
Rev, 6/80/80
and approved by the
Building Inspect!~
TO~CN OF SOUTHOLD
BUILDING D EPXRTI~ENT
TO~a~ F_%LL
765-i~02
. ~ ~ ~%PPLICATION FOR CERT!YiCATE 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:
!. Final survey of property with accurate location of all buildings, property lines,
screens, and unusual natural or topographic features.
2. Final Approval from ~ealgh Dept. of wacer supply and sewerage-disposai(S-9 form).
3. Approval of electrical installation from Board of Fire Unde~rriters.
4. Sworn statement from plumber certifying that the solder used in syst=-~n contains
less than 2/10 of 1% lead.
5. Commercial building~ industrial building, multiple residences and similar buildings
and-installations, a cernificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For ex~stiKg 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 natural or ~opographic features..
2. A properly completed application and a consent to inspect si=~ned by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
r~aso~s therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling s25.00, Additions to .dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions ~o accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin-~ - $I00.00
3. Copy of Certificate of Occupancy - -..25¢.
4. Updated Certifi/ca~e of Occuoancy. - $50.00 ·
5. Tamoorarv. ~ CaTficate of Occupancy - Residential $15.00,~7/~/~C°mmercial $15 O0
New Construction ........... Old Or Pre-existing Building .................
Location of Property ..........................................................................
Rouse No. Street Ram. let
Onwer or Owner3 of Property....~..~-.../.~../~.'~......~..?.~-...~./.-...'~ ~ ...... '.3.-~-~
County 000, Section ..... .... gloc . 3 ...Lot.
Subdivision .................................... Filed Map ~ ........... Lot ......................
.............................
Health Dept. Approval ...... /~/.~ ............. Underwriters Approval ........
Planning Board Approval ........................
Reques~ for: Temporary Certificate ........... Final Car,!cate ...........
Fee Submitted: $ .... ~ .........................
.LPPLICA~
Co &,.o. 5
Town Haft, 53095 Msin Road
P. O. 8ox I~79
Southold, New York ~1971
,=sx (516) 7S5-182.3
Telepnone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
DATE:
(please print)
(please print)
5
ce_tl=y that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers Signature)
Sworn to before me this
Notary Public,
~ ,.
Commission
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1~[9~099 BUREAU OF ELECTRICITY
I--- 85 JOHN STREET, NEW YORK, NY 10038
Date ~¥ 02~1997 /JpplicationNo, onfile ~2~9~/~6 ~ ~1~75,~
THIS CERTIFIES THAT
o~y ~ elec~ric~ equipment ~ ~scri~ be~ a~ i~tr~c~ ~y t~ appltcan~ ~m~ On ~he a~ appl~at~n n~ber in ~he prem~es of
CI~LE$ BAUEr, 51015 ROUTE 48~ SOL~'HOLD~ I~LY.
in ~he follow~ng h,cation; [] Basement [] I z~ FI. [] 2nd FL 0~ ' Section Block
was e~amined on -/~P~L 29° 1997 and found to be in compliance with the National Electrical Code.
Lot
DRYERS FURNACE MOTORS I FUTURE APPLIANCE FEEDERS
SERVICE
DISCONNECT
S
RANGES,
SPECIAL REC'PT
E R
TIMECLOCKS BELL UNIT HEATERS' L -
V I C E
EXHAUST FANS
DIMMERS
AMT, WATTS
OF CC. COND.
PER ~'
A W,G. NO~ OF NEUTRALS A.W.G.
OF HI*LEG OF NEUTRAL
WHIRLPOOL BATH- 1
T~J{CK LIGHTING, -9
JIM SAGE ELEC. INC.
PO BOX 38
GREENPORT, NY, 11944-0038
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 DEPARTRENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY HANNERo
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
~=ax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 18, 1996
Joel M. Daly Home Improvement
52 Wilmarth Avenue
Greenport, N.Y. 11944
To Whom This May Concern:
We are unable to complete your Certificate of
because of the following reasons:
XXX
Occupancy
An application for Certificate of Occupancy
not on file. (Enclosed)
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 # BP#23395
Please contact our office on this matter.
cooperation.
is
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
F ! I1^1.
Alii) ITl OIIAI. (:(.)111:11~.1t I'S:
I.i'
12'-0"
28'-0"
12'-0"
28'-0"
765-Z802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ . ] R.?~GH~. PLBG.
FOUNDATION 2ND [~'] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIRE~)& CHIMNEY
REMARKS: ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] INSULATION
[ ] FINAL
765-1802
BUILDING DEPT.
INSPECTIO
'lO_.N
[ ] FOUNDATION 1ST [ '~] ROUGH PLBG.
[ ,~] FO/UNDATION/2ND [ ] INSULATION
[/-/] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPEC~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ /] ?NSULATION/
FRAMING [ ~ FINAL
FIREPLACE & CHIMNEY
DATE
INSPECT~~
765-1802
BUILDING DEPT.
N
INDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP~~~/.~M_~.EY .
REMARKS.
Ili~ ' TO141q OF SOUTEOLD SURVEY ........................
IVJl nUlLO~Ne UEP^.~.E.'r CnECK~.. 35~.tl ................
I . [ sou~onn, N.~. 1197 I
_ ~-~' " TEL: 765-1802 ~OTIFY:
~
:::::::::::::::::::::::::::::::::::::
APPliCATION FOR BUILDING PERHI~ ~ ~ ~ --
INSTRUCTIONS
a. Ibis ~li~ti~ ~m~ ~ ca.lately fill~ in hy t~iter or in ink ~ ~l~nitt~ to tim ~ildi~ Ins~ctor with
3 ~ts of pl~s, ~ate plot pl~ 'to ~ale. F~ acco~i~ to
h. Plot plan ~i~ l~ati~ of lot ~ of ~ildi~s ~ ~i~s, relatian~ip to Mjoini~ pr~s or ~lic
struts or areas, ~ givi~ a ~tail~ ~scripti~ of l~t of ~o~rty mst ~ dr~ ~ ~e di~ ~i~
tiffs a~licati~.
c. ~ ~ ~ ~ this a~lication ~ ~t I~ c~ ~fore isle of ~fildi~ Pemit.
d. U~ ~al of fl~is a~licati~, tl~ ~ildi~ Ins~etor will is~ a ~ildi~ Pemlt to the ~licant.
~mit ~mll ~ ~pt ~ fl~ ~i~s ~ilable for ins~ti~ thwart fl~e ~rk.
e. ~ ~ildi~ ~11 ~ ~pi~ or ~ in ~le or in ~rt for ~ ~ ~at~er ~til a ~rtificate
~ ~all h~e ~n ~t~ by tim ~ildi~ lne~tor.
~]~'~ IS l~ ~ to tl~ ~fildi~ ~rt~nt for fl~e issue of a ~ildi~ Pemit ~t to the
~ildi~ ~ O~i~e of ~ T~ of ~t~ld, ~fffolk ~ty, ~ York, ~ other a~lic~)le l~s, ~i~es or
~lati~s, for t~ ~st~ti~ of ~ildi~s, ~iti~s or alterati~s, or for ~al or ~liti~, ~ ~rein
~ri~. ~ a~li~t ~s to c~ly ~th all ~li~ble l~s, ordi~es, ~ildi~ c~e, ~si~ c~,
r~lati~s, ~ to ~t ~fl~ri~ in~tors ~ ~i~s ~ in hfildi~ for ~es~ in~ti~s.
....
State ~hether applicant is o~er, lessee, agent, ard~itect, engineer, general contractor, electrician, plmt)er or builder.
........ ~..m.~:.c~ ~. C~.M .~.~ ~C,.T~...~.: ............................................................................
~ o~ ,,~r of .~i~s CHh..~..~. .~/ggD/3. r~ta IZ,.~O~fL .............
......&' i'iTi;i:ii'a24; ......................... AS
................................................ }~,~;~.~.d.!~%~;~:i V ~? ,o~s~v ~u~cm,~ o~ ~T
(~ a~ title of ~rate officer) ~,, ,,o'~,~o g ~ ~ ~'~ 765-1802 9 AM TO ~ PM FOR THE
'i,,~a= [~L~'~'~ }~L 1. FOUNDATION - ~0 REQUIRED
~il~rs Lice~ ~ .... [ ~ ~.~. ~.. [~. J.. ~,, ~..~ ~ ~ ~ ~ FOR POURED CONCR~E
~%~* ~ ~ % ~ ~ ~ , 4. FINAL - CONSTRUCTION MUST
,~=i,lan~ ~i,,,, ~ .................. ~"¢~ f ~%] ~i~%%~PV ,~ ~0="~ ,0, C.O.
Oflmr ~s ~icen~ ~ ..................... ALL CONSTRUCTION SHALL ME~
THE REQUIREMENTS OF ~E N.Y.
I. I~ti~ of la~ ~ ~id, ~ ~ Mill tm ~B~F {~R~ i~-~ ....... 9TA~ 'CONS'T~C'~ION' '&' .EN~GY
w~ ,~ ~ for water distributing ~ CODES. _NOT RESPONSIBLE FOR
~ / ~/~ .... J%'J' '% % ........ ws~m: p~]~g-shaff b~-- ~ ~~' ~nu~l~ .ERRORS
f~ ~r St~t l~et '
CEffTTETCATE OF OCCU~4fFCY
~. ~.t~ =~ ~ ~ ~E-~ ~ ........ ~L ..........................
............................ ~ z]~eN USED/N WATER
PLUMBING
A~ PLUMffI~ASTE EUPPLY EYETEM CANNOT
& WATER LINES NEED EXCEED 2/I0 o/I% LEAD.
TESTING BEFORE COVERING
3, P~lture o1: ~o[k (check Md¢'h aplflicelHe): ~ I~lihling ......... ...~ Nklition [., . Alteration ..........
(t'o lm Imid ~m filing thi~ al~licati~)
If garnge, ~tsdmr of car8 ..... ~ ...............................
6. If I~mllms8~ ~m~rclal or ml~l ~mqml~y, 8~c1~ ~ture m~l extent of each ty~ of use .......
Din~,micms of sa~ stnmture with aheraricm~ or ~,Mitio,m: Front .~.~.~ ....... I~ar .~& ........
fl. l)i,~msi=s~ o~ entire ~ c,~stnmdcm: Fnmr. .... ~ ...... l~ar .... --~.~ ...... ~pth ..2.~ .......
12. Ikm~ pr~l c~mt.~:th~ ~iolate any ~ming lt~, ornhm~me or regmal:i~.] .................... . ....
PI.OT I)[AGRAH
l~ale clearly m~ disti~tly all Ndldit~a, ~lelher exist:lng or prolx~l, }uM itMicate all ~t-lmk
finn proimrry li~ma. Give nt~t alxl bilk ill]imf or {~scriptic~l acco~ling to i~l, m~ ~ street i~es aixl l~illC:ilte
whellmr inter[or or
............................... x~ .................... N.h~ll duly ~rn~ del~s m~l say8 thai he is the applicant
Ik: i.; the ...... ~ ........................... ' ......................... ; ...........................
(~Cx,nL rac~) '
nl~,ent ~ (:orlx)rntn of fl(:er, el'c .) i
of s~aicl (mtmr or ~ars, taxi la duly auLhoriz~l to I~rfotnt or have Imrl:ornnd Ilia ~aid ~)rk aixl Lo ~ike ar~l fila thia
applieationj Ihal. all. ~tatamnt, cc)or'alibi in this al~H Jcat ion are In~ to the Im~L of his ks*~l~ge n~ Imliaf~ al~J
Ihat: the ~)rk will Im imrl:otn~l in {lie u~lnter ~t forth in Ihe applical:ion fi l~l
{l~ere~t th.
,%x)rn Lo before~n~.~ thin
(Si
~Jj ~a~TSta~ of New York
4l No. 4879~05
~J ' '
December 8, 19