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Home My WebLink About22665-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southotd, N.Y. CERTIFICATE OF OCCUPANCY NO Z-23769 Date JULY 14, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 5750 NEW SUFFOLK RD. House No. Street County Tax Map No. 1000 Section 117 Block 2 Subdivision Filed Map No. NEW SUFFOLK, N.Y. Hamlet Lot 19 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 1995 ~ursuant to which Building Permit No. 22665-Z dated APRIL 6, 1995 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 ACCESSORY TWO CAR GARAGE 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 SHERWOOD & BARBARA COOPER N/A H-046018 - JUNE 30, 1995 N/A Rev. 1/81 FO~M TOW~ OF BOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~5 z ~,e .......... ~..~ ................. Building Inspector. ~e*...~..~. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN }L~LL 765-[802 'irtv i'' ;' ~:'"',,' ,: APPLICATION FOR CERTIFICATE 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. 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 completed site plan requirements. 'B. 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-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.O0 ~ Date .... '?l ~/~ ............................ New Construction ....... L:'' Old Or Pre-existing Building ................. Location of Property...~.-. %.~--~... ~ .~...9~..~.~..{~-.C~.~..~.--.... ~., .... .~..~..~....~x~..~. ~.~.~ ...... House No. Street tlamlet Onwer or Owners of Property ............................................... County Tsx Map No 1000, Section..[!.~ ........ Block ..... .~. ......... Lot..~!.'~ ................. Subdivision .................................... FS.1 ed Map ............ Lot ...................... ~ ~-' e Permit..~.' .~..~. .Appl leant. Per,nit No ...... ~.~ .... ~at Of ..................................... Health Dept. Approval....~..~. ................... Underwriters Approval .......................... Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate .... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 23, 1995 Mr. Thomas MacLeod 2105 Camp Mineola Road Mattituck, NY 11952 Re: Prem: Sherwood & Barbara Cooper - TM#1000-117-2-19 5750 New Suffolk Road, New Suffolk NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx Application's for Certificate of Occupancies are not on file. (Enclosed) ** xx No Underwriters Certificate on file. xx The check's are not on file. $25.00 each. 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 # 22665-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ** - 2 CERTIFICATE OF OCCUPANCIES REQUIRED. FOUNDATION (2ND) II , ROUGH FRAME & PLUMBIN(i STATE ENERGY FINAL [I ADDITIONAL COI~,ffiNTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ]FRAMING [ ,~'~JC. ~ [ ] FIREPLACE & CHIMNEY REMARKS~' DATE ~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 805z[976 BUREAU OF ELECTRICITY V B5 JOHN STREET, NEW YORK, NEW YORK ]OO38 Date J~ 30,1995 ~ ~pplicationNo. onfilv 07337695/95 H 046018 THIS ~E~IFIES THAT P~IT N0, 226652 o~y the electrical ~uipment ~ ~scrlbed below a~ intr~ced by t~ ap~ica~t ~ed on the a~ve aPPli~tion n~ber in t~ p~m~es of S~RWOOD M.C~PBR, 5750 ~W SUFFO~ RO~, POLE~5i~ ~W ~UFFOLK.~ ~N,Y. in thefollowJng It,catlon; ~ B~sement ~ Ist Fl. ~ 2nd ~. ~ ~'/' Sectio~17 Bl~ Lot ~9 ~s examined on ~ 26 t 1995 and found to be in compliance with the Na~onal Elect~cal Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES NCANDESCENT OTHER 4 2 4 DRYERS E R V I C E NO OF CC, COND. A.W G, NO OF HI-LEG A.W.O. ~O, OF NEUTRALS A.W.G. P~R ~' OF CC. COND OF HI-~.EG OF NEUTRAL OTHER APPARATUS: G.F,C,I:-2 5750 NEW SUFFOLK ROAD NI]W SUFFOLK, NY, 11956 GENERAL MAHAGER Per 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 OF CERTIFICATE1M~T NOT BE ALTERED IN ANY MANNER COPY FOR BUILDING DEPARTMENT. THiS 'FORM NO. 1 ~ 2 0 IS TOWN OF SOUTHOLD ~U!LDI~O D.uPARTM ENT~ TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Examined . Approved ., it N - Disapproved' a/c ........ .... ' ~P~A~I~ FOR BUILDING'PERMIT B0\RD~OF HEALTH ] SETS OF PLANS ........ SURVEY ................. CllECK CALL Date · 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. '~ b. Plot plan showing location of lot and of l~uildings on premises, relationship to adjoining premises or public st~'eet oi' areas, and giving a detailed descriptioia of layout of property must be drawn on the diagram which is part of this appk c~ation. c. The work covered by this application may n~t be commenced before issuance of Building Permit.. d. Upon approval of this application, the Building Inspdctor will i~sued a Build/rig Permit to the applicant. Such permi shall be kept on the premises avaliable for inspection throughout the work. e. No building shall bd occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc' shall have been granted !,y the Building Inspector. - APPLICATION IS HEREBY MADE to the Building Departmer~t for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town .of South61d, .Suffolk County, New York, and other applicable Laws, Ordinances o 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 regulations, and t¢ admit authorized inspectors on premises and in building for necess~n~?~. .... - ' ..... . i (Si°nature of applic~_a~, or name,~ a corporation) (Mmling address of applicant) lessee, 'agent, j ' ' State whether applicant is owner, architect, engineer, genera contractor, electrician, plumber or builder. (as on the tax roll or latest deedb ..... If applicant is a corporation, signature of duiy authorized officer. ; ( amc and title of corporate office?) Builder's License No.. ~/~.~ - /?. / ' Plum b e r ~& _~i~.~'~: N ~F !~W~,~. ~) i~;¢j9~ . · ....... Electrician's License No. Other Trade's License No. 1. Location of land on which proposed work will be done ...... House Number Street Hamlet Couhty TaxMapNo. 1000 Section ...;..('. ..... . ..... Block ' ~ ' Lot ~ ............ Subdivision ..; ..... . ................... . ......... '. Filed Map No ............. Lot (Name) ................. 2: Stat~ ex/s[jj]g use ~nd occupancy of premises and intended use and occupancy of proposed construction: b. Intended us~ and occupancy . k ( ~ppli ) ' Additi ' ..3. Nature ofwor check ~vhich cable; New Building... .. . .. on ..... . ..,, Alteration ........ Repair ' Removal Demolition Other Work 4 Estimated . , .... ' ........ i .. ,.. Fee ..................................... , (to be paid on filing this application) If dwelling number of dwelling units'.. Number of dwelling units on each floor 5. If garage n'umber of cars az. ............. · ................. 6, If business, co.mmercial or mi.xed occupancy, specify nature and cxtent of.each type of use ............... , ..... 7. Dimensions of existing structures, if any: Front ....... ; ....... P. ear .......... ..... Depth ............... Height ............... Nu~.ber of Stories ..... i .............. ' .... ' ............................... Dimensions of shine structure with alterations or additions Front ....... Rear ...... '. De..+h . , .. . .... . .......... .. , .... Height ................... ~ Number of Stones ... ' 8, l~lmenmons of entire new const:ruction, Front ,~¢_. ~t ~',~ ,~Z ~ ~ - '"; '-'/': ...... He,oh~' >-- ~. ...... ,~ . Depth .. ,.~. ......... -~ ....... ,,.~ ........ ~umoer el ~tones ...... I .................. .; .... iii · ; . ' ' ' ......... 9. S e of lot. Front ...................... Rear, .......... ; m~,,,h 10. Da~e ~,~ ¢,,--h~-~ ' -. ' ....... ~' ........................ .......... °~ ....... '. · ·; .................. '. l~ame of Former Owner ........................ I 1. Zone or use district in which premises are situated . .' ' ' ' ' ' ' 12. proposed constructmn violate any zoning law, ordinance or regulation: ..................... Does ..... ' . . ........ Will 1Bt be re reded ; i ' · ' '13. ,, o .. g ~ · .. · · · ~;.~. ............... Will excess fill be removed from premises: Yes ~ 14. ,'qame oi uwner o~ premises . .'.-r?, ,l:',~,-~-,., ........ Address , .19.~..~!, ..%.qOy..O .t.ff-.,. Phone No '7.~..~. ,~..~.l,~'..'>~f Name of Architect ,' ' Address Phone No Nam fCo Add Ph No ' e o ntractor ........ i ................. ross ............ : ...... one ................ 15.' I~ this property within 300 feet of a tidal 'wetland? *Yes ........ No ......... ~ · If yes~'Southold ~ow~ Trustees Permit may, be required, .. I' PI~OT DIAGRAM : Locate clearly and distinctly alll buildings, ~heth~r existing or Proposed, and. indicate al1 set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether, interior or corner lot. ;~? ~! ~, . . .. .. ·,., .,. i.. 2 . _ ~'.w I0 4 PM FOR THE · , FOLLOWING INSPECTIONS.. I. FOUNDATION . TWO REOUIRED ' 3. ~SU~ON :':":":D?~[:'~F'~'~*"'4 FINAL "CONSTRU~IONMuST '.'THE REQUiREME~$ OF THE N.~ STATE CONS~U~ION & ENERGY CODEs, N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORs STATE OF'NEW~-:~RK, ~f'~ ///! cou ¥ ......... ', .s... (N~m~o'f'indivi~tual signi~ :g contract) ~bove named. ·. being duly sworn,, deposes, and says that he is the applicant lwom to before me,tills ....... .... .~gent, corporate officer, etc.) · said owner or owners, and is duly authonzed~to perform or have performed the said work and to make and file this ~pplication; that all statements contai ~ed in tills'application are t'rue to the best of his knowledge and belief; and that the york will' be performed in the manner ;et forth in the application filed therewith. NOTARY PUBLIC, ,State of New York ....................... No, 4879505 I (Signature of applicant) CO (}u,lified in Suffolk County mmisston Expires December 8, 1,4EDc ALIJNIINU ~tt~ SERVICE DOC THRESHOLD .T~, L E '~/~$11= I FOUNDATION 5r,:.,,,z:~_E I/4Ji-¢ ILo" I L3'I i I,.~ll !('T¥1~,) aL~Hc-ry~,) TOP E~'~= BOTTOM E P C~F__ ~LJ~ C-rYP, ) PLAN (formed concrete) ALTERNATE i,_~u ~l~ FLINCH PLATE BEAM DETAIL ~CALE '-:':5/4.1I ~ I I-0II RIGHT SIDE ~c.,*,L E. I / ~'"~ IJ-ofl ELEV. 2A REAR 5C~,LE ELEVATION I/ ~,u = ll-oII P-'Lc)oF( L. IN~ ~L~ID, C:O N sT, DOOR )LD DETAIL ~ I1= I1-011 : DETAIL 2B LEV. ~H, ~ ~l ~zlll ~1_4 Il iL4" D,_4,i * + +' t t' ~/ t GARAGE FLOOI~, --~ ~1/TUI~NED DONN O I/~tt ~ X 1~II -/ ~-~4 ~EI~o~QIN~ ~R~OVE FoRM ~OA~ CONDUIT No~E~ %HIM ~ SROUT ~ND~R ~ F~ONT N&~ A% A~ FO UN DATI ON ~CALP' 1/411= J I--O II PLAN (turned down slob) ds== s~.T~O~ 4,,,,) .,/R~OOF DESIGN LOAD ,~",~ ~J62'~F LIVE LOAD FRONT SCALE ELEVATION 114"= IL o'l 658 [ P-2011 4-15-8o ISHEET TOTAL _ 3A I)ET/NIL ~A ,'-OIl x '71-oII $~-F---.Tlot',l Al- df ¢4 ~-xx i F_. I., II ~II N(:~TE: IF ~D~ P__." II .~l_ ~11 ~'_OII '"' '% Z"~47 TOP . pLaTE = " II/ SEE PET, 114 Dll ':> ¢ L - iL ~ SECT