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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