HomeMy WebLinkAbout22623-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23810 Date AUGUST 9, 1995
THIS CERTIFIES that the building ADDITION
Location of Property 750 PARADISE POINT ROAD SOUTHOLD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 81 Block 3 Lot 26
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 28, 1995 pursuant to which
Building Permit No. 22623-Z dated MARCH 10, 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 INSTALL NEW HEATING SYSTEM IN AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to ROBERT STOTT JR. & HEIDI STOTT
(owner's)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL INSPECTION SERV. 7447 MARCH 21, 1995
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FORM NO.3
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 AUTHORIZE/D)
Date 19... 91 6r
N2 22623
Z
Permission Is hereby granted to:
o-.....r,...........
~d c. 714? .
40 0,
..6~.~7~r~.
to .r~~
Z2 l., I .7~4! ............G Mfr.!`....... .`//!-?0
~r°1rlJ.......v!
f
at premises located at ~~V..!® Ri~/j/lG
!i'.......I......
County Tax Map No. 1000 Section e1 Block .....0~ Lot No....
C-4
pursuant to application dated A0.•w w 19..... ..°5..., and approved by the
Building Inspector.
Fee $....12 t.:
uiB lding Inspector
Rev. 6/30/80
Form No. 6
TOwN OF SOUTHOLD
i BUILDING DI]PARTMCNT
_ TOUN HALL
765-1.802
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:
I. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from 9ealth Dept. of water supply and sewerage-disposal(S-(,' 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,1%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.
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 Building - $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 $15.00
Date
New Construction..........
Old Or Pre-ex:
st'ng Bui din
...L~l
Location of Property.../. ~ •
House No. -
S reet Hamlet
Onwer or owners :f Property./(. ~
County Tax Map No 1000, Section....
B1uck..... 3........Lot....... 1
Subdivision...........
....Lot....
Permit No..q_R6.g3.Date Of Permit. .•~L •
1 77// fij~R- _l-C/ ~
~ll . . . Applicant
•~y•
Health Dept. Approval ..........................Underwriters Approval .'lanning Board Approval
2equest for: Temporary Certificate........... Final erticate...........
=ee Submitte
d: .
0,1
w.,:..,..m.~,ri^~•..qda.,.~~*a5-+~,,?S°'°"c~mwtr~}'4•,'n.~: w~-x ..r~s;~r.::r e...nv^~-.~~e"~r+.mn.^pemrl!p~wigr:~.,q';-'e"T:.np+.,,.,
OIL BURNER
Certificate of Inspection
Name_ Robert Stott Jr. APP#7447
Location: 750 Paradise eoint Road, Southold, NY 11971 _
Applicant: Southampton Coal (Reliance 011 Associates)
Address: 77 South Street, Patchogue, NY 11772
Tel. No.y 475-4-4,700 Ucr Na 437-RE, Exgires:
" ELECfiRICAL'IN8PECTION 5EAVICE, INC:—~ '
775 OUNTON AVENUE
EAST PATCHOGUE, NEW YORK 11772
TEL: (516) 286-664
March 21 1995
....Inspector! {
Da
w
~ o~OgpFFO(kC0
c~ Gym
HJ x
Town Hall, 53095 Main Road p e Fax (516) 765-1823
P. 0. Box g1971 Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 1, 1995
Reliance Oil Associates
77 South Street
Patchogue, NY 11772
Re: Robert Stott Jr.
Prem: TM#1000-81-3-26 - 750 Paradise Point Road, Southold
SECOND NOTICE
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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 22623-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FOL/(
CA Fax (516) 765-1823
Town Hall, 53095 Main Road
P.O.l3oxl179 Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 2, 1995
Reliance Oil Associates
77 South Street
Patchogue, NY 11772
Re: Robert Stott Jr.
Prem: TM#1000-81-3-26 - 750 Paradise Point Road, Southold
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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 22623-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
r war
FIELD INSPECTION REPORT IIDATE 0 COMMENTS
-61
II ii
II1T H
FOUNDATION -
(IST) it
ii
I II
FOUNDATION _--(2ND)
l it
n u
it it
ROUGH FRAME 6
PLUMBING
it
ii
n 1
II II y
INSULATION PER N. Y.
STATE ENERGY
CODE 11
i l
it
n
li 0 H C]'
II II
II II
N II
FINAL II II
It ii1~1
ADDITIONAL COMMENTS:
y~
1
-40
H
Q
_ H
o ~O
z ~
d
r~
ro
H
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
S TION
[ ] FOUNDATION 2ND [ ;71NAL
[l
FRAMING [ L
REMARKS-,. `C
DATE INSPECTO
It•-., BOARD OF HEALTH
FORM NO.1 J SETS OF PLANS
ry TOWN OFSOUTHOLD SURVEY
B 1995 BUILDING DEPARTMENT cllecr -
i{p
FE 1
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
N D 'DER-' TEL.: 765-1802 NOTIFY,:
TOW
OF $OUTNOLD qq CALL . . .
Examined I~.. , 19.l.{ CIAIL TO-
Approved fU 19_,/J. Permit No.-°Za. 23- - -
Disapproved a/c .
n (iui2Ispector)
APPLICATION FOR BUILDING PERMIT
Date 19
INSTRUCTIONS
a. This application must 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 must be drawn on the diagram which is part of this appli-
cation-
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building, Inspector-will issued a Building Permit-to-the applicant.- Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by theBuilding Inspector. -
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town 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 regulations, and to
admit authorized inspectors on premises and in building for necessary in ct" ns.
Y
Y.-nature of applica t, or name if a corpo do )
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or uilder.
. .
APPROVED AS NOTEQ,
Name of owner of premises , .
(as on the tax roll or latest deeTB.P.Ii
If applica is a corporatio , si ttC ure of duly authorized officer. FEE: e.'o,
NOTIFY BUILDING DEPARTMENT AT
766-1802 9 AM TO 4 PM FOR THE
e
(Name and title of core rate officer) FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
- Builder's License No........... ;UNDER?NRITERS CERTIFIMIE 2. ROUGH "FRAMING & PLUMBING
J -
2I~~ 1 . . . . . . . . . . ] REQUIRED .3. INSULATION
Plumber's License No. 4.-FINAL - CONSTRUCTION MUST
° BE COMPLETE"FOR C.O.
Electrician's License No. I ALL CONSTRUCTION SHALL MEET
.THE REQUIREMENTS OF THE N.Y.'
Other Trade's License No . - STATE CONSTRUCTION & ENERGY
CODES, NOT R SFONSEBLE FOR
1. Location of land on which pro ~Ced work ill be done. • • DESIGN OR CO RuQTJON E ROBS
14 C/ .
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot ....14~1 . .
Subdivision Filed Map No. Lot...............
(Name)
1 State existing use and occupancy of premises and intended use and occupancy of proposed construction:
„ s
a. Existing use and occupancy ; . .
. •31t", Y.SA, .•fvI
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Altera 'r
FRO air . , Removal . Demolition Other Work~"~'~. (Description)
4. ated Cost ,
i, Fee
5. If dwelling, number of ' (to be paid on filing this application)
g, dwelling units Number of dwelling units on each floor
,
If garage, number of cars . .
6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use . .
7. Dimensions of existing structures, if any: Front . . Rear
Height . Number of Stories Depth , .
Dimensions of same structure
with alterations or additions: Front • . . • •
Depth Rear.................
, Height Number of Stories , .
8. Dimensions of entire new construction: Front . . Rear . , , , . , . , . , • • , Depth .
Height Number of Stories . ' ' ' ' ' ' '
9. Size of lot: Front Rear . Depth _
10. Date o Purchase Name of Former Owner
11. Zone p rropseosed distract in construction which violate are situated . . . . . . . . . . . . . . . . . . . . . • •
Does any zoning law, ordinance or regulation: " • • • • •
13. Will lot be regraded
• • • • • • • • ...Will excess fil be r ove r premises: Yes No
No
14. Name of Owner of premises
, Address7$Q, 4 hone No.7~1~
Name of Architect Address ...Phone No.
Name of Contractor eatsvG~(,~r Address one No.:1.7~: l?S! ,
15. Is this property within 300 feet of a tidal wetland? *Yes........ No.........
If yes' Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly ail buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW R
COUYY OF. $'S
• • • • • • • • • • being duly sworn, deposes and says that he is the applicant
in div ' ual sini;g contract)
above named (Nam. e of ' D
r
He is the .I. .~!4.. ,
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner 'set forth in the application filed therewith.
Swom to before me this
day of . ~ "I~°.... 19
Notary Public, (l ./Vtk,~ County
VrrO Ory Public.! Eli. tt~CC IAQG4 New
Comae on . di 8 NeW Yorlt .
~g} S No, n 8 noslkBCcunty g (Signature of applicant)
p rse March 30,18] ,
ryll~'~i..u n u1. •