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HomeMy WebLinkAbout23463-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-24969 Date APRIL 10, 1997 THIS CERTIFIES that the building RENOVATION Location of Property 2600 OREGON ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 100 Block 4 Lot 5.1 Subdivision Filed 'Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6, 1996 pursuant to which Building Permit No. 23463-Z dated MAY 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 RENOVATE EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES SMITHEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-414966 - MARCH 25, 1997 PLUMBERS CERTIFICATION DATED MARCH 27, 1997-MATTITUCK PLUMBING & HEAT. Bui ing In ctor Rev. 1/81 k FORM NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..Z 1Vb 23463 Z ........... . ..�.......................,........., 19.�.� Permission is hereby granted to: :. .x..:....rf ....................................... to ..�. .✓..!...�..`........... .....��'G�`........ ,.�.t.�.tr .�.....�-X1.1.. . .....1 !�' .......4o ...... ............................................................................. ......................... at premises located at ......e�.4 ........ ! 7r. .....A .................................................... .......................................................... ?71 .................................................................. .................................................................................................................................................. ............. County Tax Map No. 1000 Section /0t�.7.............. Block ..6; ....... Lot No. s `!........... pursuant to application dated .............. - ��..................... ......, 19,, .,., and approved by the Building Inspector. Fee $....`. ....`............ ,J ............................ �n Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD MAR 2 8 1997 i BUILDING DEPARTMENT �" TOWN HALL amL "v 765-1802 BG®.D_P7r_. 11, j y "OWN OF L,-FiOL.. a J APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 sewer age-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. B. 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 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. Cn Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, F 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .3/ . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .. . . . . Old Or Pre-existing Building. . . . Location of Property.. %"('.Ge7.. . . . . . 0/1�L700 r2b. . . � . .. . . . . /n"?9 ? :et�� . . . . . .. . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . .ah Ar/t L� . . .�rl! l F . . . . . . . . . . . . . . . . . . . . . . . I. . . . . . . . . . . . County Tax Map No 1000, Section. .I.��. .. . . . .Block. . . . .0.*4. . . .. . .Lot. . . . . s . 4. 1 . . . . . . . . . . . Subdivision. . . ...jj. . . . .. .. ... .... . . . . .. . . . . . . . ...Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .2!3ZG?' . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant Health Dept. Approval. . . . . . . Nb .� . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .. Planning Board Approval. . . . . e�114. . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . Fee Submitted: $. . . . . .. . . . . . . . . . . . . . . a4r, ,�p� �pa APPLICANT Coi THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 • BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date HARCH 2 5,1997 Application No.on file 13510t97/97 N 414966 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises'of CHAS. SMITTEN, 2600 OREGON ROAD, CUTCHOGUE, N.Y. in thefollowing location; ❑ Basement ® Ise Ft. ❑ 2nd Fl. .Section Block Lot was examined on MARCH 18,1997 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCFNiI AMT K,W. AMT. K.W. AMT. I K.W. AMT, K.W. AMT, H.P. 24 25 12 2.4 1 1.2 1 P DRYERS FURNACE MOTORS FUIURE APPLIANCE FEEDERS ISPSCIAL RIC-PT TIME CLOCKS I BELL UNIT HEATERS MULTI.OUTLET DIMMERS i AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP WT. AMPS. TRANS. AMT H P. NO.OF.-MSH. AMT. WATTS 4 I B 600 SERVICE DISCONNECT NO.OF S E R V I C E METER NAT. AMO TTPE MUW. 192W 103W 303W 304W NO.OPERr COND. OF CC COND. �'Of Ie1FG OF M LEG NO.Of NEVTRAlS OF NEUTRAL i OTHER APPARATUS: r 1 PADDLE FAM-1 MOTORS:1-F 1LP, G.PX.Ti-2 I TRACK LIGHTING.-12 G & S CONTRACTOR LIC.#578-E ( L BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER 11 'Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by 1 eir credentials. I COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST'NOT BE ALTERED IN ANY MANNER. - 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [V FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 02 0 DATE 3 9 INSPECTOR vow M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU H PLBG. ( ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR I II�L11 IICII;I;I;l IU11 ,I��:PU111 Unlb t.uut nCllt;i `7-� ru ulunl lull ( I:iTI ----------------------------- ...............I! I {g uuucll runup R rl.uunlnr --- n,•-•. ,,m,.,, �..o...„ ----------------- - � _ - III!illl,n'1'1011 I'hll 11 , Y . � •' CCC..��i .i I'n I'li Itllli UUI11160 ..._-..... ._. - - - nuurllounl. couulsuls : ' �n ..., .•,.e. ..., .... -- ------------—---- ze -------------- r. . . .. . .... . _ �:1 , A > lbv {�---- 7urC .- -- i Fl _Ir ---- Zzl m 70 ---- I N t3 h' I - w 00 9 ,' iI ——--- �/�dyes ----------- -- 00 m4y, z >u T Le 4-T --, =sum— ----- ------- -- -------- -MAX--6 ---- ---- I -- 7 _____ _ -- - - -- --Bare,OUPI - y` TOWN OFSOUTHOLA ! i AV---- MAR 2 8 p97 Gym I &-- y 2 �., _TQWNOF50..; r' Town Hall, 53095 Main Road p g Faz(59E)'7t39�hi3i9- - 9y�O! � Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1997 Scaramucci Construction P.O. Box 1403 Mattituck, N.Y. 11952 Re: CHAS. SMITHEN To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) y� / J XX No Underwriters Certificate on file.--� f XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 23463-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. c� Gym N x Town Hall,53095 Main Road p • ,� Fax (516)765-1823 New 9y�Q! �.��� Telephone (516)765-1802 Southold, Nw York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1997 Scaramucci Construction P.O. Box 1403 Mattituck, N.Y. 11952 Re: CHAS . SMITHEN To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23463-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i + , q Fax (546) 765-1823 Town Nall,53095 Main Raad ;� :� P. 0. Box 1179 mrd Telbphone(516)765.1602 Southold,New Yolk 14974 • fry, + '. '�''t , OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C C R T I F I C h T 1 0 N DATE i 9/27/9 7 Sui.lding Permit No. �3t/f> z Owner: � Q„ � (please .print) Plumber: l�v< v �cpTr (please print) i I certify that the solder used in the Water supply system contains less than 2/10 of 1% lead, umbers ign / li Sworn to before me this a7. clay of � , 1917 Notary Public, _ County IIMIMry297wNak fQualified in Suffolk County Term F. {{{ xvy—,J'—"3 194.8... i b Y V N1n �. zz I b " I rt f ---- -- ---------- - ------------�--- -�'-"-------------- ,.;,� -NtA`f �g 1996-- -'=-r',-- rye BLDG.DEPT. TOWN OF SOUTHOLD _" i � i ! l BOARD OF HEALTH . . . . . . . . .. . . . . . FORM NO. 1 �/3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTnOLD /SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT �/CHECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL- 7615-1802 NOTIFY: �1 CALL . . . . . . . . . . . . . . Examined...... �'....., 19.� MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.........l/2 ... 19/..J(! Permit No. 3c loll L�.. .................................... Disapproveda/c .................................. .................................... ...................................................... ®r;(Buii In. ct APPLICATION FOR BUILDING PERMIT Date. . . INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building, Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property most be drawn on the diagram which is part of this application. c. The work covered by this application may not be cmvenced before issuance of Building Permit. i ( . Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building sball be occupied or used in wlole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICNrION IS 11EREBY MAD- to the Building Department for the issuance of. a Building Permit pursuant to the Building 7xone Ordinance of the Tam of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and gu pec prem' ld'ng for necessary inspections. regulations, and to admit auUxxizel inspectors on promises and in Signature of applicant, or nam, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........l................C......./.................................................................. Now of owner of premises ..`.�('1!l 5.....,J/??l.� "!e.!)......................................I................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... II Mme and title of corporate officer) MAY - 61996 1 Builders License No. .... 3 ��. ...... TOWN OF SOU HOLD Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of: land on which proposed work will be done.............................................................. 2�OO.............!sZ .!l "J... !�......................... ` ' 7��je/�............................ House Number Street llanlet Canty Tax Map No. 1000 Section .....lb.U..... Block ...... T........ Lot .....5.%J...... Sabxdivisiun ...................................... Filed Kip No. ............... bot ............... (lune) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Occupancy a. Existing use andG , .�!k':E..C!`J.�/C/� ...................................... b. Intended use and occupancy �� .. !.�. _. °�a 1� UJ!J�°l° w• 1r .......... NV —i.11 ,it Y0-A�21Ega d MIA A 3. Riture of wcxk (dieck ndaich a Ijlnl(cable): tJL1J loilding ......... . ncklition .......... Alt eraC ion Ikelwir ............ ltcatrrval .!........... Iknnlit!oil ............ Other eerie '...•'.• .... ..... r . �- C1GD , (I)e to(:r i pt-ion) INS i 1'ssl;bnne«I (:oaC .... .�.................. fee ....... ........................... ........... . (to Ile I)aId on filing (ilia application) 'i. If: tkaellinp, nknber of tkaellLy; units ..... �..... ti.nber of clwelling units on each floor ... . .......... .. Ifgarage, Ixrdter of cars ...���...... ........................... . G. If Ixasilaess, ecnnnercial or mix"'I a:tnlxax:y, specify nature sol extent- of each type of use....... ... .......... .. 7. Dillensions of lglres, if any: lrrcxn .. .. -::.... Rear .... .ZZ4: :.. . Depth ....Sz-?....... I nt L� ikeIB ............ I.. Mniaer of Stories .....Z:..... ... . Disenstos of sce lslrucui ewith alterations or acklit-ions: Front .. ....A.Z-r... [tear ..`.��. -....... Iktplh .....5.. .......... leflllat ..... !?..:........ tknixer of Stories ....?.:....... ll. Dissensions Of: enLie new coosyrx:Pion: Front ....Av/i'.7. .... Itear ............... Will 11 .............. Ileigllt ....................... Nudler of Stories . .......... J. Sias of lot: Front, ....A .. Rear ..... Depth � 10. Dene of 1\crrha.,e .............,........ Nam of Fonmr Owner .............. ..... ........ ............. II. Zone or use district in wDaich 'ipremises are situated ....................................................... .... ... 12. Does proponent const.nx;lion vio laLe any zcxning law, ordinance or regulation: _V-0 ..... ........... 13. Will lot be regraded ...N./rv..../. .... WIi/ll� excess fill lie reicived frolic pccraises: YV.S 14. Names of Owner of rem]sea S! ('irr r.�.,�Ml.�":?� ... . Acklress/(o3 �•.�� s7'N. .� / / Fl ?f, ..�+�P �• /. ...i... .../...... Phonee.. ...... Wase of Ard i1tecC I�O�A L �,.. Ci Le- fPo 6eE zy'ule Lnl. A,-g.W_ ... ................ Arklress .6 Pleone No. L Nen■ of (oorractor h �e �??!1`"'��.C.C�..... Atkiress ..:!! .! •................ ...Moet No.�� `63 e (.. .6. 15. la this property within 300 fGef of a Lidal wetland? * YES .......... Ix) ,. . *1F Ylug, SYllt111tm1) '1DIVN '11�11SDos miml.l' itAY lv3 ltG(iIIIRF.D. li PLOT DIAGRAM locate clearly aaxl distinctly all txaildings, ubether ex]st]og or proposed, six] folicaLe all set-back dimensions frau property lines. Give street anil block nuldaer or description according to deed, and allow atreet names aril indicate w1cether Inlorior or corner lot. 411...�, ... ...,'Y,11- '.�, ; 51'A'Ili DI' NIs1J Y(N2K, SS (X my (NSI ...... . (V•.. G.... ... . ..... ,... ..... . .......... . . .luting duly sworn, delwses aunt] says that. be is the applican(: t t,7?"—U Ccs.. ...' (Nance of hxlividual signing contract) alxwo aallvd, Ikeit; file ..... ... ....... .. .n,etnt .. .............. .... .i................ ... ............ ............... .... (Contector t, corlxnraleofficer, etc.) Of* said Owner or cavo:rs, acxl in duly! aufhorizecl to lxerfoun or have lxerfonised lice said cork aaxl to slake auxl file this application; that. all statecsents containecl in this application ate true Lo (he Iaesl. of his knowlet1ge aol Ixa ief; aol Ilial the wknik will Ix, perlbnned in (fie asanxer set forth in like application filed therewith. tkdcnrn Lo/Ix.foa. nr this ........�......day n' . .... c ).. . ... IJ ,olary Rablic ..C .. (\_. ... Signature of Applicant) ROBERT 1. SCOTT,JR. NOTARY PUBLIC,State of N . No.4725089, Suffolk Cou Term Expires May 31, 196 H copper tubing Is used for water distributing PLUMBER CERTIFICATION system; piping shall be of types K or L only ON LEAD CONTENT BEFORE UNDERWRITERS CERTIFICATE CFRTIFIC�iTE Of OCCUPANCY REQUIRED SOLDER USED IN WATER SUPPLY .SY,3�'7FM CANNOT EXCELL) 2110 of 1% LEAD. PLUMBING ALL PLUMBING WASTE &WATER LINES NEED TESTING BE00RE COVERING I � 51/4 x q '/z fwSH Y.n� ITGN ��rl I (� >= N I �I ISI I NCS I I 'I u 1,-4OLL5 (70 E�1= rwFrnwEo 31/2 x ai'(Z M16Ro�M 5'/4 x 10/6 M L - 3'Ja x 117/8 ML toF - - 4 xl i pos7 -- JJI �ROt`{T Pa l�L.O'IZ, � I II OCCUPANCY OR APPROVED AS NOTED USE IS UNLAWFUL DATE: s. « B.P.N 13s�G3� WITHOUT CERTIFICATE FEE:NOTV 8� UILDING BY DEPART OF OCCUPANCY 765-1802 9 AM TO 4 PM FOR THE j � 7,0 F, I _— /— 1-4 FOLLOWING INSPECTIONS: 1---C./C.�� I,� [� I �'2 0 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE I/^n rz2 2. ROUGH - FRAMING & PLUMBING `T 3. INSULATION UNDERWRITERS CERTIFICATE 4 FINAL - CONSTRUCTION MUST REQUIRED 6E Co PLETE FOR C.O ALL COW.TP,UCTION SHALL MEET Tf'2 ":111;L^r,_NTS OF THE N.Y. �S' L� ""TF.LECTION & ENERGY NOT RESPONSIBLE FOR OR CONSTRUCTION ERRORS P �D I �IT�Ri OP �,E�I�ATIoNs T� l�"E P�S61CIYu'k, my 4'995?' m ISIF", 2�PC:0 C�R�aDN �D, NIA I1uGK,� N `� 5�2( 91�.