HomeMy WebLinkAbout23063-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24849
Date JANUARY 13r 1997
THIS CERTIFIES that the building
Location of Property 2710 HYATT RD,
House No.
County Tax Map NO. 1000 Section 54
Subdivision
ADDITION
BO~3THOLD~ N.Y.
Street Hamlet
Block I Lot 14
Filed Map No. Lot No.
conforms substantially to the Application for Building Perr~it heretofore
filed in this office dated S~PTEMB~R 27, 1995 pursuant to which
Building Permit No. 23063-Z dated OCTOBER 13, 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 HILCO CELLAR ENTRANCE ADDITION & PARTIAL CELLAR TO EXISTING
OWE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to
MICHAEL & KATHLEEN SPICER
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HE~LTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-369652--11/9/95 & H--047935--11/29/199S
Building Inspect o~
r-~RM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLE~ON OF THE WORK AUTHORIZED)
~,~ ............ .~..~.~ ................... ~.~..,"'
23063 Z
................................................... ~~...,.....~.~,. ......................................
Counh/TaxMapNo. 1000 Section ...... ~..... B,Ook .......... / ............ LotNo..,~.,,..~... ................
pursuant to appllccrilon dated ............ ~......'~...~.. ....... 19....~..'.~ and approved by the
B~ilding Inspector.
Rev, 6/30/80
IOW~ OF SOUYHOLD
BUiLDiNG DEPARYMENT
TOWN I'IALL
765-[802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application mus~ be filled in by typewriter OR ink and submitsad 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-disposa!(S-9 form).
3. Approval of electrioa! installation from Board of Fire Underwriters.
g, Sworn s~atement from plumber certifying that the solder used in sysnem contains
less than 2/I0 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 goard Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
!. Accurate survey of property showing ail propert7 lines, streets, building and
unusual natural or topo§raphic features.
2. A prnperly 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.
Fees
!~ Certificate of Occupancy - New dwelling $25.00, Additions to dwelling
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-existin~ Buildin~ -
3. Copy of Car:ifica~a ef Occupancy - ~ .25n
4. Updated Certificate of Occupancy -
- Res~denn~a~ $t~.00, Comme.c~al $!5.00
Date
Construction... ~ .... Old Or Pre-~,is~g Buil~,ng .................
oea ion of ?roperty .... ............. ............ ........
;ubdi';ision .................................... Filed Mzp ............ Lot ......................
!ea!~h Desk. Approval ~ ~ .Underwriters Aoprovai.
Board ADoroval. :;.~.,..
~er~ca~e ........... Fioai Cer~_~a~e.
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. ~
(please print)
Plumber: ~, ~ Ff & ~.
(please print)
contains less than 2/10 of 1%
I certify that the solder used in the water supply system
le~_ ~ ,
(Plumber~/~
Sworn to before me this
~ day of q~.~? ~ 19~g
Notary Public, ~ County
LEON A. HARLA
Norm17 Public, State of New Yort~
No. 60-1676500
Qaallffed in Westcl~ester c ~unty O~
Commission Expires '/O~V-,30. 19__//
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
December 2, 1996
Michael & Kathleen Spicer
127 Bellmore Street
Floral Park, N.Y. 11001
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
XX No final inspection has been made.
**
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
(ENCLOSED)
BUILDING PERMIT ~ 23063-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
** SEE ATTACHED INSPECTION TICKET DATED 12/3/96. PLEASE CALL
FOR RE-INSPECTION WHEN ACCESS AVAILABLE TO INSPECTOR.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
]_ .~_%~A9~ BUREAU OF ELECTRICITY
exam in~ on NO'~[~ 06.1995 and found to be in compl~nce ~th the N~'onal Elect~c~ C~e.
FIXTURE ECEPTACLES SW TCHES FIXTURES
RANGES
~ ~
SPECIAL REC'PT
R
COOKING DECKS OVENS DISH WASHERS ~ ~ ~:
TMECLOCKS UL[IUNITHEa'ERSUNTHEATERS MULTI~UT~T DIMMERS
V I C
COPY FOR BUILDING DEPAR~EN'r. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN Ala¥ MANNFR
THE NEW YORK BOARD OF FIRE UNDERWRITERS
P'(~7!~('~'~' BUREAU OF ELECTRICITY
'-- 85 JOHN .~.TREET, NEW YORK, NEW YORK 10038
THIS CE~IFIES THAT PE~H[T N0 2~6 ~2
in the followlng location; [] Ba.se~ent [] Ist FI. [] 2nd Ft. Section Block
was examined on ~QXf~ 2 ~? , ~ ~9 ~ and found to be in compliance with the Na~onal Electrical Code.
Lot
FIXTURI~ FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANE
OUTLETS SWITCHES FLUO~,~CENT
DRYERS
B,~gE~-~]NT kAJNDRY R:.%:DH' i
$ E R V I
SYSTEMS
NO, OF FEET
C E
A.W.O I NO. OF NEUTRALS }
{~S AGENT FOR C,WNERi
'~[7 MAIN STREET GENERAL MAHAGER
GREENPQRT, ~, 11944
This cedificate m~t not be aJter~ in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials,
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
COIHC
FINAl.
S~nLa
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
STOP WORK ORDER
TO: Michael & Kathleen Spicer
127 Bellmore Street
Floral Park, N.Y. 11001
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
2710 HYA~I~P ROAD~ SOUTHOLD~ NEW YORK
TAX MAP NUMBER - 1000-54-1-14
Pursuant to Section 45-8 of the Code of the Town of Southold,
New York, you are notified to immediately suspend all work and
building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
CONSTRUCTION BEING DONE WITHOUT FIRST OBTAINING A
BUILDING PERMIT.
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
WHEN A BUILDING PERMIT IS ISSUED.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
d~gBOi UnsF~Se c t o r /
(Cert. Mail)
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [,-~NAL
[ ] FIREPLACE & CHIMNEY
REMARKS: .~
DATE
-/ I
INSPECTO~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ~FINAL
INSPECTOR~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] RO/~I PLBG.
[ / ]/~NSULATION
[ ~ FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECT
FORM NO. 1
BU _DING DEPARTMENT
SEP 2 7 ~i
' TOWN IIALL '
SOUTIIOLD, N,Y. 11971
~~~..~,BLDG. DEl:q:,'///~)~,~ &' "~'~,J 19 ~ TEL.: 765-1 BO2
I)isappmved afc '
A~ICATION FOil BUILDING PERMIT
BOAI~.I) O[-' IIEAI. Tll .,;/,,.
3 SETS O~ PL-A?iS ;~.. ,.
SURVEY ..... ~ ........
c,:c,: ~. ~.~ ~ .....
SEPTIC [:ORal .........
i'lA [ L TO:
iNSTRUCTIC) NS
~ a. 'l'his,alq)li~ation iiRlst I~ completely filled in by lypewliter or in ink and submitted to the Building Inspector,
sets of phms; accu~af~ plot ~lan to scale. Fee according to schedule. ..
b. I lot.'phm sh~wing~[ocation of lot and of buildings on premise~, rohdionship t6 adjoining premises or public
or areas, andvg}ving a detailed descxiption of layout of property mt~t ~e .;hawn on the diagram which is part of
c~tion,
d~ The wolk covered by this application may not be commenced before iss~}ance of Building Permit.
' 'd. Upon approval of tiffs apl)Jicallon, tile Building Inspector will issued .a I.!lt'?LJing Permit to the ilpplJcant. Such
shall be kept on the pi'emises auailable for inspection throughout the woJk.
e. No building simll be occopied or used in whole or in parl for any purpba~whatever.'ttntil a Cer.tificffie or Oct
shall have been granted by lhe Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursmm
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, anct oilier applicable Laws, Oldina
Regulations, for ihe construction of buildings, additions or alterations, or Cot removal o'r detnoli6Idn, as I[erein tle~
The applicant agrees to comply with all ~pplicable laws, ordinances, buildi~ code, housing code, and ieguhdious,
admit authorized inspectors on premises an~, in building for necessa~ inspections.
.BSE IlS UN WFUL
State whether apl~l , s · ~gineer, general contractor, electrician, plumber or [
~0 .~] ~ ...................................................
..... e85.0L U.PAaC?.
(as on the tax mil or latestJ 'deed)
Il' applicant is a corporation, s'ignatute or duly authoti/ed officer. BNBERWRJlER$ CERItF[~I[
' -' ns~ l~O ........ 'J'/' / ......... ~ ~5~UILDING O~"i
. . . . /// / .~ ~ ~ ~, m TO ~ ~ ~O,
I ~[ImDei S License I~o ...... ~ ~' ~ ' ~/~ ..... ~ FOLLOWING INSPE~ONS:
' ectrlcla s I e / ~ ~ 1 FOUNDATION - ~0 REOU
~ I I I ' ' 'iCC ] ~ ~HO ........ ~'/-./..' , .... FOR ~URED~CRe~E
OlJmr Trade s I icCnse No / ......... / 3
. [.oc dj m u[ kind on which pml)OSed work will be done .... ¢~/~ ............. BE.~QM~.~,~r .....
~ ~ ~/. ~L COnSTRUCtION SHALL~E
.; .................. .... .................. o,
(')lllll J ' ' · ~// COD~. NOT
¸2,
Subdivision ..................................... Filed Map No ............... Lot .......... (Name)
State existing t. lse and OCCl. lpllllCy Of premises and intended use and occtlpal'~cy o[' proposed construction:
a. I':xisling use and occup;mcy . /:"7 5..~.~''~y ~.../~...~. ...................... /~'~'~'/Z.~..~...~. ,'~. .'~'......~..S~. ~'..~!
h. ttdew, led use iu,,d occupar~cy .~..".'.'.'.'.'~g.. ........................................
N,dmc ol wmk (check w ~ c I :.XF, plicabl~); I'.lcw Building .......... Addition .......... Alteration ..........
ttcp;dl~ ..... R~
(to be paid on filing this t, pplicaticm)
If dwelling, I/ulBbcr of dwullin~ units ................ Ntllllbcf of dwelling traits on each floor ...............
Dhncnsion~ofs~mmsh-uctur~ with Mlm'alionsor additions: Fronl .............. ':~ ~ ~r ... '
Dcp[b ............... [lciBh~ .......... Ntlmbcr
l)hnel~s[ons of ~nti[~ n~w cgnstruction: Front ...............
t)at~ ot lhlrchas~ .... ~t .................... Nanm of FoHntr ()wn~[ ............... ' ..... Y, ......
Docs proposml construction violat~
WHL lot b~ ~cgraded ...... ~ .................. Will
Ls ~ltis grupet't:y ul~hln 300 feet. of a t~dal vmcland't ~Yes ........ tqo...~-~.,..~ :
P I<OT DIAG RAM
I.ocatc cleaHy anti distiactly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro~
:s at/d indicate whethc
according to deed, and show street ~lani: ,
L2,
t3,
15.
prt)pcriy lines, Give street alld block ntHtibcr or descriplion
interior c,r C()t'tler lot.
ST,.\ Il! OF t:\V \'ORI.~, S.S
'(HINT
Nil Jilt of individttal
'0
,=~: ..... being dtdy sworn, deposes ar, d says that be is the applica
(Contrach)r, agent, coH)otalc officer, etc.)
9plicatem; that ~tl[ statements conlaincd in Ibis agplicalion tee true to lite best of his knowledge and belief; and Ih;H t
will be l>Cll't)rlBcd il/ lira Illal]ller Set l'oltlt in thc al~plicalion filed tbm'cwith,
........ ....
HELENE D. HORNE .~. . .'.. . ,
Nota~ Public, State of New Yo~ ' '
No, ~95t 364 ~ca~
: ~ Qualified in Suffolk Coun~ ~
Cemmission Expires May 22, 19~/