Loading...
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. •