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HomeMy WebLinkAbout23097-zFORM NO.$ BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ N.Y. BUILDING PERMIT ITHJS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23097 Z Date .............. ,.~/,~,~ ,~., ............................... Permission Is hereby granted to: ~.~,~L,...~.~~.~,,.,~....~./..~. ~)/,,~ l,d~ , ~? .~:~....,~.: ....................... . .~. ~. ~j. a .~,,~ ....... ~ ~ ,. . . z /. . ~ ~ . .~. . . . ............... to . . . . . . ,C~. ~.~,~ .~.~. . . . .:. . .~ ......... '. ~ ~. ~. . . . . ..~~ ~. . . ..~'. .. . . . .~. . . .~. . .,,' ~' ~ ~.,../....~*,t .......... .x..~ .............. ~ ......... ~~..~.~ .......... ~....~ / at premises located at...../.4~-..~..~...........~....~¢'~...c~7..~. ¢.~ ........ ~ .............................................. CounlyTaxMapNo. 1OOO Sectlon./.~...~.. ............ Block ........ 4~.....~.........~.otNo ...... ,.~,..~.... ............ pursuant to application dated ...........~.....~'~ ...... .~..~.,. .................... 19...,~...~.~..:.., and approved by the Building Inspector. Fee $.....~...~...~..¢ /~,/ ~ullding Inspector Rev. 6130180 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24485 Date JULY 10, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 1555 FLEETWOOD RD. uuTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 4 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 18, 1995 pursuant to which Building Permit No. 23097-Z dated NOVEMBER 1, 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 NON-HABITABLE ACCESSORY STRUCTu~ IN FRONT YARD 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 WILLIAM & JANET WALSH N/A N-388566 - JUNE 13, 1996 JIILY 1, 1996 - MIKE JACOBI Rev. 1/81 ¢~1 0¢ /' BUILDING D EP ~TM~'~NT ~CATION FOR CERTIFICATE OF OCCUP.~YCY This application must be filled in by typewriter OR ink and submitted co the building inspector with the following: for new building or new usa: Final su~zey of property with accurate ioca:ion of all buildings, property lines, streets, and unusual uatural or topographic features. 2. Final Approval from ~ealck Dept. of water supply and sewerage-disposa!(S-9 fo~). 3. Approval of electrical installation from Board of Fire Unde~iCars. 4. Sworn statement from plumber certifying chat the solder used ~ system connains less than 2/10 of Z% lead. 5. Co:ercial building, ~duscriat building, multiple residences and .s~i!ar buildings and installations, a certificate of Code Comp'liance from architect or engineer responsible for the building. 6. Submi: Planning Board Approval of compleced site plan requirements. For ex-isting 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, .&iterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions co accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin_~ - $i00 O0 3. Copy of Certificate of Occupancy - ~ -25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 New Construction. ~/ Old Or Pre-existing Building ................. Eouse No. S ~reet County T~ ~p No i000, Section .............. Block ................ Lot ...................... Subdivision ......................... ~ ......... Filed Map ............ Loc ...................... Eeal:h Oep:. Approval .......................... Under, ri:ers .~_ - Planning Board gpprovai ........................ i Request for: Temporary Certificate ........... Final Certicate... ~ ~PLIC~NT TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 C E RTI F I CAT I O M TEL. 765-1802 Building Permit No. 2 ~ O ? ~-~,~.. Owner_ ~./;/l,o.,/v'( ~/~ 1,~' ~ (please priht)~ Plumber ~(~(~ ~ CO~I (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. SWorn to before me t~s 1~ . "?" " (plumb~s ~ignaturel CLAIRE L. GLEW Notary Publio, State of New York No. 4879505 ~ / Qualifiad in Suffolk County 7/,, Commission Expires December 8, 19~.~' F THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 85 JOHN STREET, NEW YORK, NY 10038 Date JUNM 13,1996 ~pplJcatlonNo, onfile 11836596/96 N 3~566 THIS CERTIFIES THAT " o~y the electrical ~uipme~t ~ ~scrib~ be~w a~ ing~uc~ by t~ appl~ant ~med on the a~ue applicagion number ~n the prem~s WILLI~[ W~SH, 1555 FLEETWOOD ROA~'3, CUTCHOGUE, N.Y. i~ thefollowlng locution~ ~ Basemen~ ~ Ist FI. ~ 2~d Fl. Section Bilk Lot ~ examined on JUNE 07,1996 and found w be in compl~nce with the NaMJn~ Elect~cal Code. 23 6 DRYERS OTHER APPARATUS: PADDLE FANS- 2 HOTORS:I-F H.P.,1-2 H.P.,2-F P~/~ELBOARDS:i-14 CIR. 100,1-1 C~L 60 ELEC. WATER HEATERS: :1-4.5 K.W. G.F.C.I:-2 SHOKE DETECTOR; -3 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 July 1, 1996 Samuels & Steelmen 25235 Main Road Cutchogue, NY 11935 Re: William Walsh - SCTM#1000-137-4-34 Prem: 1555 Fleetwood Road, Cutchogue 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) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23097-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. F 1 I'IAI, AI)I.~ I.T tONAl, COHHEI,TT$: THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~s 1 1~ ~uRE^U o~ E-ECTmCITY 85 JOHN STREET, NEW YORK, NY 10038 D, te JUNK 13,1996 AppllcatlonNo. onflle 1~836396/96 N 388566 o~y ~he electrical ~uipment ~ ~.crlb~ be~w a~ int~uc~ by t~ .p~ant ~d on ~he a~ appl~.~ number in the prem~s of WILLI~ WALSH, 1555 FLEETWOOD ROAD~ CGTCHO~UE, N.Y. i.,hefoll.,~.~l.c.,~o.; [] ~.,,.,...t [] ~ ri. ~ 2.~ wos exatnlned on ~ ~ ~1~ and found to b~ in comptitmce ~ith the N~O'on~l Electtical Cod~. FIXTURES RANGES COOKINO DECKS OVENS DISH WASHERS EXHAUST FANS 27 4 OTH6R MULTI.OUTLET SYSTEMS NO. OF ~ET OTHER APPARATUS: C INa. OF NEUTRALS OF NEUTRAL PADDL~ FANS-2 MOTORS: 1-F H.P. ,1-2 H.P. ,2-F PANELBOARDS, t-14 CIR. I~,1-1 CIR. 60 ELEC. WATER HEATERS: ~1-4.5 SMOKE DP. TECTOR ~ -3 RICHARD K~INFELDT LIC, 9665E ~14 C/~%LTO~ AVE ISLIP TERR., NY, 11752-2904 ~ This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be ' ntified by~ their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST~NO~:BE ALTERED IN ANY HAMMER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS/ULATION [ ~/]'~INAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR D! [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I~LATION [ ] FRAMING ~ FINAL [ ] FIREPLACE & CHIMNEY REMAR~ DATE ~//~/~ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~ULATION DATE INSPECTO 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]/~OUNDATION 2ND [//] FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~~~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOU/NDATION 1ST [ ] ROUGH PLBG, [ ~"FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ~/~~ ~/~ 765-1802 BUILDING DEPT. / ISPECTION [L,,]"FOUNDATION 1ST [ ] ROUGH PLBG, FRAMING FOUNDATION 2ND [ ] INSULATION [ ] FINAL INSPECTOR DATE //~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT: TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Disapproved a/c ..................................... . (Btflldfng Inspector) APPLICATION FOR BUILDING PERMIT B~RD OF HEALTH ......... 3 SE~S OF PLANS ......... SURVEY ................ .. CIIECK ........... ; ....... SEPTIC FORH ............. NOTIFY; CALL FLAIL TO: INSTRUCTIONS a. This apl~lieation 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 sti-eets or areas, and giving a detailed description of layout of property mu~t 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 i~sued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection througtmut 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 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 South01d, 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, housin~ and regulations, and to admit authorized inspectors on premises and in building for necessa~~ ~i . . o .. ,'~'~.X.~e)~v v.~. v r'.~r, , , : ........ -- .~'(Si~natur~ of applicant,"or-ffame, if a corporation! f a hcant' //'F'~5' (Mailing address o pp ' ) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. Name of pwner of premises ...~. · ./4..<~..,~...~.....'~.' .... ' ................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ~ Plumber's License No ....... .................. Electrician's License No ................ . ....... Other Trade's License No ...................... OCT 18 1995 Location of land on which proposed work will be done .................................................. .... .... ' .......... ......... · House Number Street Hamlet Cou'nty Tax Map No. lOOOSection ...:..i(.c3...~.. .... Block ..... ..~.... '.. Lot..c~.~. ........... Subdivislon.. ~ ..... . ............................ Filed Map No ............... Lot ............... (Name) State existing use and occuponcy of premises and intended use and o~cupancy of proposed construction: a. Existing use and occupancy ~.~...~..'.~.~..~.-~. · ........................__ ~,;.'v ~-,~l,f ,, ag,-~ :a~,,~q'~;,% ' .' ..... b. Intended use and occupancy . . ~r=~.;. ~...;,..:., 2,;~'~? '3. Nature of work (check which applicable): New Building . .~ .......... Alteration .... ;.. i. Repair .............. Remo al ............. emol,tmn ................ Other Work ............... 4. Estimated Cost ........................ Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwelling uhits .... 77 Number Of dwelling units on each floor. · If garage number of cars ~ -~- . ..... ......... If business, commercial or mi.xed ioccupancy, specify natnre and extent of.each type of use ~ 7. Dimensions of existin~ structures if any'Front ' Rear ...~...~..~..~7 Dept i.~..~..~..'.27'. Dimensions of same structure with alterations or additions: Front ................. Rear ............... L~imens~ons o~ emire new construction Front .... /.fig? t~.F.. ~ / ~:~ ~ ,, ., ' ' ' ' ~. · .................. ~um~ oi rormer uwner ~ 11. ~one or use district in which prem'ses are situated... ~(. - ..:,~...~ ................ ~: ....... 12. Does proposed construction violate any zoning law ordinance or regulation: ~.~. ............... 13.?.ill 16t ~be~regraded ....... ~ :.' ' :: win excess nil he removed from premises: Yes No Name of Contractor .......... i ............... Address ................... Phone No ................ 15. I.s t:h±s property wit:hin 300 feet: of a t:idai wet:land? ~Yes .... ~ No ......... ~llf yes, SouL:hold ToQn Trust:ecs Permit may be required. ' ! PLOT DIAGRAM Locate clearly and distinctly all b[lildings, Whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nulmber or description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW YORK, ;OUNTY OF .... ~%/.~.~.~.-.~... 'S.S! ......... '~9../~.~../~..~..~....~o~'/~. ~.~Tz.k~...' ......... being duly sworn, deposes and says that tie is the applicant' (Name of individual signing 9ontract) bore named. ' [e is the ' ~ (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly aulthorized to perform or have performed the said work and to make and file this ~plicat on; that a I statements containec~ in this'application are /rue to the best of his knowledge and belief; and that the ork will be performed in the retainer setlforth m the application fi ed therewith. worn to before me this ..... day of ......... , ' (Signature of applicant).