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Home My WebLink About23505-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24957 Date MARCH 26, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 2275 PINE NECK ROAD House No. Street County Tax Map No. 1000 Section 70 Block 5 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 50 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1996 pursuant to which Building Permit No. 23505-Z dated JUNE 14, 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MANUEL & MANUELA MENENDEZ N/A H-050091 - MAY 21, 1996 N/A Bu~'lding ~ector Rev. 1/81 FORM NO. 4 TO,tN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24957 Date MARCH 26, 1997 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 2275 .pINE NECK ROAD House No. Street County Tax Map No. 1000 Section 70 Block. 5 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 50 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated M/%Y 16, 1996 pursuant to which Building Permit No. 23505-Z dated JUNE 14, 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION'DATED MANUEL & MANUELA MENENDEZ N/A H-050091 -- MAY 21, 1996 N/A Budding ~ector Rev. 1/81 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23505 Z Permission is hereby granted to: .... ~.~i~ ........ ..... : ......... ~.....././........~.. .............................. · . .~.-~.,~. ... ,,c,Yf~ //~ ~...~ ........ ~~..~ ......... ~ ......... ~....~.~...~.~... ......................... ...' ....~.x.~.~..~. ........ ~.,,~....~.~....../.~.//.,~.~......:~.x.. ......... ~../~a....../.~.. o,~re~s,o~o,eda, ............ ~...7..~ ....... ~./..'....P'..'~ ....... ....~..*.~......,d'~ ................ Coun,... To, Mop .o. ,0o0 Sec.on ..... 7..~ ........... ,~,o~,~ ..... ~,,.~..... ..... Lot No ...... ~ .......... pursuant to application doted ............ --~..../.~.. ................., 19...~'.~:~ond"~ approved by the Building Inspector. Fee $.......~/~.. Rev. 6/30/80 Form No. 6 ~OWN OF SOUTHOLD BUILDING DEPARTMENT ~OWN HALL ~65-~o2 APPLICATION POR CERTIFICATZ 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: 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). 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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. C. 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 Buitdin~ - $100.00 3. Copy of Certificate of Occupancy - . .25¢ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · Date .~ .... /.y ............................. New Construction ......... Ol~d Or Pre-existing Building...~....~ · ' ~x l~ ............ Loeation of Property .... ~?~./.'. .................................... ~..~.~ ..... . .......... House No. Street Hamlet Onwer or Owners of Property .... /~.~/~.~./J.~ .~. ~' ....... ..... Z~.~...~....z~,~. ~. ?. ........ County Tax Map No 1000, Section .... ~..~. ...... Block...~. ........... Lot...~.~.~. .............. Subdivision ........ Filed Map ....... Lot ...................... Permit No.~2~.'~. '~'-.~..~...Date Of Permit .... f.~....~.~ ..... Applicant. .. Health Dept. Approval .......................... Underwriters Approval~ ~ ....... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .......... Fee Submitted: $... ~.~.'../~.. ..... c~ ~ ~37 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: /~/~,Z/~/~g_~Z (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ' :fl~lumbers Si~gn'atj1re%kJ Sworn to before me this ~,~d]),.~ day of ~c~-~ , 19 c~T Notary, Public, ~ County LINDA J; COOPER ~ Notary Public, State of New Yor~/// No, 4822563, Suffolk, County '7'//' Tcrm Expi~'ea December 31, 19-.~~u 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ]ROUGH PLBG. [ ]~ULATION [ ~/~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: //'.~/~ ~ ~-~), DATE INSPE~I'OR ~//~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULatION [ ,~}--FINAL [ ] FIREPLACE & CHIMNEY "7~-I, 1. DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ~A~, 1 8060171 BUREAU OF ELECTRICITY [-- 85 JOHN STREET, NEW YORK, NY 10038 Oate ~%Y 21,1996 /lpptication Mo. o.fle 11694396/96 H 050091 THIS CERTIF:IES THAT ordy the electrical equipment as described below and introduced by th~ applicant named on the above application number in the premises of }~%NUEL M~NENDEZ, 2275 PINE N~CK ROAD, SOUTHOLD, N.Y. in the followlng location; [] Be~sement [] Ist FI. [] 2nd Fl. Section Block ~s exa,nl.ed on I~'~Y 15,1996 and found to be in compHan~e with the National Electrical Code. Lot DRYERS I FURNACE MOTORS FUTURE APPLIANCE FfED~RS AMT K,W. OI. H.P. GAS H.P. At'T, NO, A, W. O. SERVICE DISCONNECT NO. OF S A~4T. AMP. ~ OTHER APPARATUS: SMO~ DET~CTOR: - 1 *NO VISUAL DEFECTS: "~ electrical su~ey has been made of the exposed electrical e~lipment in the premises indicated." "No obvious unsatisfactory condition was found. MANUI~L MENENDEZ P,O. BOX 1209 CUTCHOGUE, NY, 11935 RANGES ;PECIAL REC'PT R COOKING DECKS OVENSDISH WASHERS "2 cL° 2:. ,ms. ,,,j,fu..Z, V I C E EXHAUST FANS AMT. H.P. DIMMEI~S AMT. WATTS NO. OF CC, COND, A W G NO, OF HI-LEG A W G NO+O~: NEUTRALS A+W-G, PER ,~ OF CC. COND OF HI-LEG OF NEUTRAL GENIAL MANAGER Per i1 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified b'y their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU~ST NO'["~E,ALTERED IN ANY MANNER. m no. oEPT. · BLDG. DEPT~022 a/c .................................. FORH NO. I 'rOaN OF SOUTHOLI) BUILDING UEPARTHENT TO~/N tIALL SOUTI1OLD, N.Y. 1197'1 TEl.: 765- 1S02 BOARD OF HEAL~I ............... /3 SETS OF PLANS ............... SURVEY ........................ ,CIIECK ......................... SEPTIC FORN ................... NOTI FY: APPLICATION FOR BUILDING PERHIT TNSTRUCTIOHS a. 'lhls application ~mt be cemp[etely filled in by typ~.~rlter or in ink ~1 ~l~itt~ to the ~dldi~ lns~ctor with ~ of pl~s~ ac~ate p]o~ pl~ to scale. F~ acco~lieg to sd~hfle. ,- b. ~lot pl~ d~ing l~ti~ o[ ,tot mt of Imilfliug~ ~ ~i~s, mlatimfl~ip to ~joiniug p~i~s or ~blic r~t8 or' areas~ ~ givi~ a ~tail~l ~scripti~ o[ l~t o[ ~rty mst'~ dr~ ~ the dia~.ddd} is ~rt or is a~hcat 1~. d. O~ a~al o[ thi~ a~licatlm, tie lhildlng ]ns~ctor x.dll is~ a ~ilding ~emit to the n~filcant. ~d~ mit ~al.T ~ kept m tl~ ~i~s ~ailable for ins~ctim e. ~ ~ildit~ ~mll be ~i~ or u~ Jn ~le or Jn ~qr[ for o~ ~r~ ~mt~r ~mtll a ~r~iflcnte of A~.I~'rI~ lS I~la~ff ~ ~o O~ ~dldi~ ~rt~n~ for the issue o[ a ~Hldi~ P~mit Wr~ to the ildi~ 7~ ~i~ of tl~ '~ of ~tl~ld, ~[[olk ~m~y, ~ York, a~l other a~li~ble l~s, ~db~e~ or ~[a~i~s, for tl~ ~stx~i~ o~ hdldJ~s, a~iti~s ~ al~erati~s~ or for ~al or ~li~i~, as I~reln ~ri~. ~ ~l. ic~t a~s to c~ly ~ith all a~llcable ~lati~s, a~ to ~it at~riz~ in~toru ~ ~i~a md in I~sHding Eot t~essa~ insurers. ': ...... '. (S~tu~ of ~lic~t, or (Hailing address of applicant) ~te ~d~tJ~er applicant is o~er, lessee, agent, arddtect, engineer, general contrhctor, electrician, plmtmr or l~dlder. ~ o[ ~r DE pto~s .................................................. (as ~ the t~ mit or latest ~) APPROVED AS NOTED a~lic~nt is a ~ati~, ai~m~ o~ (~ty ~tt~ri~l o~Hcer. DA~: ,~~~ OCCUPANCY OR '~f ~'~ · ...................................................... NOTIFY BUILDtNG DEPARTMENT AT ~ ~ ~,. o~ ~. o.,~ USE IS UNLAWFUL .,~.,,o~, ~ ' FOLLOWING WITHOUT CERTIFICATE.'. ~oo,.~,,o, - ~o ~,.*~. ~,~.~ ~ ..... ~-~ ............ n~ OCCUPANCY , ~o..o..~c~c.~ ~.~rs Lic~ RD ..... ~.~ ........... ~ 2, ROUGH - FRAMING & PLUMBING 3. INSU~TION , PROVIDE OPENINGS ~l~i~i~ Li~ ~..~.~ .......... FOR' 4.FINAL - CONeT~UCT~ON MUS~ EMERGENCY ESCAPE AS e~ COMPLE~E"~On C.O. ALL CONSTRUCTION SHALL MEET ot~r ~'s Lice.~ ~ .....................REQUIRED BY PART. 714 OF ~ ~mUm~Ma;~s ..... ~z~ ............ A~.. ~ .... ,~ ........................... ~.~ ,. t~ ~r St~t l~]et ~ T~ ~p ~. I~ ~ti~ ..... Z~ ...... Blink ~ ~t ~ U~ERWRITERS ~ERTIFICAIE .............................. RfQUIREO ~l~ivlsi~ ......... ~il~ ~p ~ ............... I~t ............ (~) ~ :~ ~. ~ o ~. ~L~Y . . a. F~istit~ u~ ~ ~ ....... /i. ~-1~-.-~. ............ ~ .... - ......................... ~. ~,,~ ,~ ~ ~ ................ ~.T/.~ ....................... !~ ............. e~.... (to I~ I~Jd (m filing this I0. / 15. 1~ lids pm~rLy within ~ ~eet of a tilex xmrlmgl'l * YI~i .......... ~ ........ hxmte clearly at~.l distir~tl ~mtlmr interior or comer loC. ((~ntractor, flSel~) corlx)rale Officer, el:c,) al: nald (~mr or (~rs) mKI i8' du~y aulhorizal Lo I~rl'otm or have i~rl:om~l Iha mhd ~rk a[~l to imke a,~l file Ihi~ al)iH' '(:aLton; thnl: oil .t'at~teittl) cmtal' '' ~l ill Ih[~ npplieat:ion are tt~ t'o the Imlll: of his k/x~lcMge that the ~)ik ~itr I~ I~rfonl~l tui he Ii~llll~r sec forth in the al)pllt:al:ion filed tl~r~tth, ~)tary Rd)Ii ... ......... NotaW Public, iState of E:w York No, 52-81258~0, Su~?k Term Expkes October 3~, 1~. t,~,x)rn, delx)~ea mKl aaya that he iS the al)plicant