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HomeMy WebLinkAbout22617-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24501 Date JULY 16, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 640 HARVEST LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 120 Block 3 Lot 8.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 23, 1995 pursuant to which Building Permit No. 22617-Z dated MARCH 8, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to FARMVEU ASSOCIATES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0070-JULY 10, 1996 ELECTRICAL INSPECTION CERT. #9533 - DECEMBER 1, 1995 PLUMBERS CERTIFICATION DATED AUGUST 16, 1995-DEACY PLUMBING & HEATING Glit~~ A ui ding 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 AUTHORIZED) Date 19.. /..v N2 22617 Z Permission Is hereby granted to: t... ...C.. Aa.... ......6s4s . SS~ti .y ..-..../.x,9.. ..7 r / e ~f.......xt.........'04 0C# C"Ok . ~s....J~°.....- .....................A .d."o..... . fa/,/ at premises located at .......................W.. /.......L~!J........ .Q/.................. County Tax Map No. 1000 Sectlon Block Q~............ Lot No. /L...... s pursuant to application dated 19.... and approved by the Building Inspector. Fee .~.Q.,.'...... Building Inspector Rev. 6/30/80 Form No. 6 ; yff- V13 L~ 0.1 'I TOWN OF SOUTHOLD AEG 1 19444 y D (I BUILDING DEPARTMENT 3 ~E~rfF 1.1ef ~U{ TOWN HALL JUL +,5 ~M 765-1802 ~a „q.vl A t k N'y -ft BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN FSOUTHDLD 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 sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. w 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. 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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........uri( ...I 14111.6 New Construction...k tl Old Or Pre-existing Building........... Location of Property... S? T.~........... T/fl!2 ~/f !i!7.!/.e ............!7! !.4!C k............ House No. Street Hamlet Onwer or Owners of Property County Tax Map No 1000, Section /.?:0...... Block 0.........Lot.. Subdivision. •A• 1?w1V fU ............'......11. Filed Map............ //Lrrot..[[.l. Permit No ................Date Of Permit..3/.~ ~a .....Applicant.. A,!. C '!...r....R P i Health Dept. Approval ..........................Underwriters Approval .1. r Planning Board Approval Request for: Temporary Certificate........... Final Certicate.. a~ Fee Submitted: ~a C~~c.5/6,2`x- . Nd~...... CoR!'. ~7 . APPLICANT cod 9~5rA =~o~~SpFFOLK~OGy~ Town Hall, 53095 Main Road °y x Fax (516) 765-1823 177 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Auaust 16.1995 Building Permit No. 22617Z Owner: North Ray Corp. (please print) Plumber: Deacy Plumbing & Heating, Inc. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Plumbers Sig ure) Sworn to before men this day of a± , 19 Notary Public, / L ~lli'iott County 1,21 ~Ai~ JE 1FEp L 801TEG0 Notary Public, State of New York No.01804989348 Qualified in Suffolk gorunty9 Commission Expires (Q e o e o e o o e o 0 0 o e o 0 o e e e o e c a (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE < EAST PATCHOGUE, NEW YORK 11772 > 9533 c APPLICATION NO. ON FILE ° c DATE: 12-1-95 c ° ADDRESS: Lot#10 Harvest Lane VILLAGE: Mattituck TOWN: Southold ISSUED TO: Ray Hartman INTRODUCED BY: De Lane Electric LIC.NO. 4354-e c ° AREAS LISTED WERE INSPECTED ON: 12-1-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRICAL CODE. LOCATION: -22L BASE XXIST 2ND 3RD ATTIC POOL c° OUTSIDE, RES. > 28 SWITCHES 1 SMOKE DETECTOR DETACHED GARAGE c° 45 RECEPTACLES 1-BELL 23 FIXTURE/OUTLETS 1-RANGE 3#8 ~fJ 2 EXHAUSTS 1-DISHWASHER 2#12 3 GFI 1-HOOD 2#14 1-20AMP WASHER/1-30AMP DRYER" OIL BURNER c SERVICE DISCONNECT METERS AMPS PHASE 1 200 U.G. oS ~Sund,c~ c ° THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. T- HUGO S. SURDI c INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. PRESIDENT t v3 v v o~Og~yFFO(,yc0 Gym H T Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. 0. Box 91971 y?!pl ~.a~! Telephone (516) 765-1802 Southold, NewYork 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 17, 1996 North Ray Corp. Box 655 Shirley, NY 11967 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 xx 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 # 22617 Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD-INSPECTION =REPORT =====_=====1>p TE COMMENTS=====___ - :10 A It 00. It /I m II II ~^L~ /~F _ H v FOUNDATION O ST) _ _ - II girvr P'- q. u n n I FOUNDATION -ND)------- n~~ ? ' n n ii II ~2 c ~ lid 9 ROUGH FRAME fi n o PLUMBING II II / ..r II II II II II It e INSULATION PER N. Y. - STATE ENERGY II it CODE ii II ii :kx it II II II II FINAL II ADDITIONAL COMMENTS: NX, 0 o x c' + > r y V 0 o~OS'aFF0j/r Gym N Z. Town Hall, 53095 Main Road p Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. ewYork 9 11971 Southold, OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 17, 1996 James C. Barry Investment Co. 3 Rensselaer Drive Commack, NY 11725 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 xx 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 # 22617 Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. y~~r17 2!! 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY -fy REMARKS : _ CAM rco, ' 0 DATE S l INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) RO GH PLBG. [ ) FOUNDATION 2ND [ INSULATION [ J FRAMING [ ] FINAL [ ] FIREPLACE &CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ : ] INSULATION [ ~RAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE J INSPECTOR 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST ] ROUGH PLBG. [ ] FOU TION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE HIM EY RE RKS: /PA 2 u~ DATE J INSPECTO r M-1802 BUILDING DEPT. INSPECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~n du0 !1~2 9t ~y~ DATE J/ INSPECTOR /7 M-1802 BUILDING DEPT. NSPECTION [/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: C% v DAT/ INSPECTOR gg11 LO U BOARD OF HEALTH 0 V 15 ~'q r FORM NO. 1 - . pq J SETS OF PLANS 41T pp in q TOWN OF SOUTHOLD SURVEY , , , . FfiW A in BUILDING DEPARTMENT CIICCK ~ ~ , TOWN HALL SEPTIC FORt1-: ^*cv2 3 BLpG.DEPT SOUTHOLD, N.Y. 11971 T t TOWN OFSOUTHOLD p TEL.: 765-1802 NDTIFY: CALL 93 9zss Examined 19n MAIL TO Approved J/`...... , 1977~Permit No. ' Z?To/~ Disapproved a/c _ . (B 'di nspector) 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 skits 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. I 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 the Building 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 inspections. /(Signature of applicant, or name, if a corporation) 4.5_IrA- - .//SA19... (Mailing address of applicant) State whether applicant ' owner, essee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................rr..^...................................................................... Name of owner of premises . /V t! , (as on the tax roll or latest deed) If applicant~J4 corporation, signature of duly zed officer. (Nara and title of corporate officer) Builder's License No . Plumber's'License No . . Electrician's License No Other Trade's License No . 1. Location of land'on which proposed work will be done. Ga ,ti a~L...... c.,e.. . House Number Street " ' " " " " Hamlet County Tax Map No. 1000 Section Block .....:3............ Lot .~Z Subdivision.., , . , , Filed Map No. , , , , Lot (((~~J (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .t!?v!t.. b. Intended use and occupancy l .C + 3. Nature of w. . .ork (check which applicable): New Building Addition Alteration Repair Demolition Other Work 4. Estimated Cost Q 8 (Description) Fee / (to be paid on filing this application) 5. If dwelling, number of dwelling units , , • , , , If Number of dwelling units on each floor garage,numberofcars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of S if any: Front Rear Dep[h............... Height Number of Stories . Dimensions of same Numb structure with alterations or additions: Front • • . F..Stori Rear .th i....;......... Depth , Height i......... Nytube of Stories . De . Height . . . . . . . N-traction: Front , Rear ~a 8. Dimensions of entire new consber of Stories I . 9. Size of lot: Front Rear /o? 4''40........ D pth . 5 Z D . . 10. Date of Purchase . ,3O • • • • • • • r Name of Former Owner . . Propose emisesaresituated . 12. Does 1. Zone or use district inl constructwhich i n violate any zoning law, ordinance or regulation: W.0 13, Wi)l lot be regraded . y~ Y " " premises: • • l ~ 14. Name of Owner of premises Willddress excess fill be la1 !removedrG.f/6 tl premises: Yes N C'A . d Name of Architect tPhone No f5' , , . • , Name of Contractor .S ? ~q'r • ' . • Address Phone No............... . yAddress Phone No............... 15. Is this property pewith Southold 1300 feet of a tidal wetland? *Yes • „ No., *l Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all 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. STATE OF NEW YORK, COUNTY } .S ~J . ' ' ' ' ' ' ' • , being duly sworn, deposes and says that he is the applicant (Na'm'dividual signing contract) above named. y He is the (-~~~6 (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. Sworn to before me this ....day of...... 19. Notary Public, County N ' JOYCE M. VO LKINS r/ a of Now York 0a Public, SSuJun;e t2, 7g~ Term ExpiteoTfotkC oun (Signature of applicant) :y) N.19~40 3 320,0 1 ari o St~ME., w ' ~ it Q9 r~ E. !"h i E Eff ;v .11 # fa 61 n B„ ' i3. 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Doors 110 mum rass/oor Arco: 5, 000 sP, fries - 9 p ~ cowgra e; inc~cs,o-r~}opo i J--- - r - (DKCI)I glaz,ng shall no}eX eccd 1,7 oFc~ross WZ7 area , Includes skyl)3hfs- gkgllgbl-s shp)I hje.fzo, ra-e khan 17' of fa}o) rooF area. ® RcQd cl-,&h: ?4 incl7es below grodc, or bcloiti }op of ab, n chevrr ,s grea`er• or ~ror fop oFuln~ }o bolfort of slog ~17Crr a horror,}a) dls)g17tP. of 24 inchc= This u2j1 Jdirrg:- ~al~Eizu5s 9r~a: I , I70 v,F; Y~/1 ~j/ ~.flreo: 190 st, `r° %w I(o N COrtsfruC><ron of fhis b/d r-~~~~~__~O SF~..~ .0 0 J 5J70// COq/orl7t /0 all prr~t,7etr/ Secr`.arls o Pcr/ 5 0 s ecified in F /hc oGove-clen~i ted Co XUUSC For: /yoTZT& -199L ' ' 1PS~ OF ryEq, 1.O y ~,ns e. T 4~ i ~f r APPROVED AS NOTED DO NOT PROCEED DATE: ~ILPA a-a I l~ UNTIL 2nd SURVEY OF PLUMBER CERTIFICATION FEe. 610 0- BY. FOUNDATION LOCATION HAS BEEN APPROVED ON LEAD CONTENT BEFORE NOTIFYBUILDING DEPARTMENT AT 765.1802 9 AM TO 4 PM FOR THE CERTIFICATE OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION -TWO REQUIRED OCCUPANCY OR SOLDER USED IN WATER stopper tubing is used p Is used FOR POURED CONCRETE PROVIDE OPENINGS FOR SUPPLY SYSTEM CANNOT for water distributing ~ributing I shall be 4 system, piping shall be 2. ROUGH - FRAMING V PLUMBING USE IS UNLAWFUL EMERGENCY ESCAPE AS EXCEED 2f10 of 1 % LEAD. . INSULATION WITHOUT CERTIFICATE. REQUIRED BY PART. 714 OF of types K or only r only p 4. FINAL - CONSTRUCTION MUST N.Y. STATE BUILDING CODE. 13E COMPLETE FOR .O. of ALL ONSTRUCTIONCSHALL MEET OF OCCUPANCY - UNnERwRIEQ~~ RcArE EERTIRCATE D THE REQUIREMENTS OF THE N.Y. PLUMBING STATE CONSTRUCTION & ENERGY ALL PLUMBING WASTE CODES. NOT RESPONSIBLE FOR & WATER LINES NEED DESIGN OR CONSTRUCTION ERRORS TESTING BEPORE COVERING t I - - } 1 7 I I ( I . x° 9 ` S1 fi f3 ' Ezra h I f va .j 1 i 7/" -V- - -I /2if.r' X54 ~~'l i - - ~ b S o, i i o III IN o tx, it ~°l II Jar/ { I ~ ----IG, f is lfv' i { 5 : I h Il{d a, 70 _i Q , LOl j d. 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