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Home My WebLink About23120-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24063 Date DECEMBER 6, 1995 THIS CERTIFIES that the buildin~ Location of Property 630 ORIOLE DRI~E House No. County Tax Map No. 1000 Section 55 Subdivision ALTEI~ATION SOUTHOLD, N.Y. Street Block 6 Filed Map No. Hamlet Lot 15.8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NO%~4BER 2~ 1995 pursuant to which Building Permit No. 23120-E dated NOVEMBER 19, 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 FINISH 2ND FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HEP~ERT MANDEL & ANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL M/a UNDERWRITERS CERTIFICATE NO. PENDING - NOV. 28, 1995 PLUMBERS CERTIFICATION DATED NOV. 28, 1995-K&K PLUMBING & HEATING CU. FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT '[OWN HALL SOUTHOLD, N.Y. N~O BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEtiON OF THE WORK AUTHORIZED) /~'¢ Date....~...;../..,.'2.~ .......................................... 23~.20 Z / Permission Is hereby granted to: ~,...~...~..,. ............................................................. .... ~..,.~....~...,... ~.~ ................................... ,o ...~,.~ ,~.~..: .~. ~..~...~?~.... ~~.,.;.....~:... ~-.~ ~....~~.....~.~~.~ ......... ~......~/~..~....~., .......................... CountyTax Map No. 1000 Section ........ ~. Block ....... ~. ............. Lot No....../..~,,..~.. ........ pursuant to application dated ........,(./..~/(;.~. ................................... 1 ......... Building Inspector. Fee $.... ,,?~,,,~.,.~ and approved by the Inspector Rev. 6/30/80 ~ 8LDG.~DEpT. ~ ~I'J'I,J.(,A~ION fOR CEIITJFIGATE gF OCCUPANCY 1. Fiual. sUCvey o[ P~ope~Ly t~Lkh ncctt';~Le .l~c;~l_t. on ~[ ;~l.J_ buJ-Jdil~S, properl-y 5. Co,.,e~cj.a~ bu~Zd.tol;, J. nduskrtaJ, bui.bl.bqT, m~ll~lpla restdence, and slmtl, ar ~ t e-ext st:trig lnnd uses: ' 1[ a Ce[L.l[JceL.e o[ ()(:cul)nn(:y .is denf. etl~ I_he BuZLd.ln8 [llspeetor slmJJ ql~l'l'e the C. FPeS S~IIIIIIIJI18 pool $25.0g, Accessory bu.tldtu[~ 2, (ert~[.icnte of O(:cupa ey on lh'e'-exl~tll~a ~ il(lln~ - SlOg,go ~, 'l'empornry Ce~tJ[[cfll:(~ o[ Occupaocy - lleslde~ I;~l 1 $15.0(1, Comment(aZ lieu Con~t~ucl:t. on ........... OLd O[ Pl'e-exj. stteg ff~]JJ, dJ.e[~ .... ~. .......... .............. ~ ...... ~ .~. Ilouse Ho, ' ................. , ........ St[est Ilamlet (:,,u,ey Tax Unl, I,Io lO00, Sect:,to,...~5~. ..... lltuck...& ........... noe...'./~.~. ........... ............................. F,llcd H:q~ ............ Lot. %~ q¢'nl.t:h Dept. Approval. .......... ................ Untlet-~rl.~er~ App~ov;l[ ........ ................. . ,.. ........ .. .... ........, TOWN OF 50UT[IOLD O~FI~E O~ UUILDIHc~ INSPECI'Op. P.O. BOX 728 · TOWH IIALL ~OUTIIOLD, N.Y. ! 1971 ~ E R T [_F I C h T Z 0 N Data eontaAn~ lem~ ~ha~ 2/10 of I~ lead. 8wo~.~ t:o be£oc,~ ma thi * ....' ~day oE s . ..: . .., ' ~ o ~ ~ ..... ; ' ;' ~ NOTARY PUBLIC, State of New York ~" No. 4882799 " Q~allfied in Suffolk County Commission Expires Jan. 20, I K & K PLUMBING AND HEATING 565 Pine Neck Road SOUTHOLD, NEW YORK 1197! (516) 765-1582 K & K PLUMBING AND HEATING 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 November 29, 1995 Mr. Richard Israel P.O. Box 2130 Greenport, NY 11944 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 (outdated/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 # 23120-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ** - NEED PLUMBERS VERIFICATION ON ANTI-SCALD DEVICE. FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION ( FOUNDATION (2ND) ROUGH FRAME & PLUMBING INSULATION PER N.Y. II STATE ENERGY CODE ~DITIONAL CO~S~ = THE NEW YORK BOARD OF FIRE UNDERWRITERS 1195099 BUREAU OF ELECTRICITY ~- $5 JOHN STREET. NEW YORK, NEW YORK 10038 D~CF,~R 01~ 1995 1e712495/95 R 371789 Oete ~pplication No. on file THI~ CE~IFIES THAT o~y ~he electrical eqaipment ~ ~scdb~ be~w a~ lnt~uced DBM CO., 630 ORIOLE DRIP, SOUTHO~, u~s examined on fl~V~D~ Z~tI~D and found to be in compl~nce with the Na~on~ Elect~cal Code, ~ 16 9 - 5 '-- -- 1 F -- - . OTHER APPARATUS: SHO~ DETEC~R: -~ JIM SAGE ELEC. INC. 356 HARI~ PLACE GREENPORT, NY, 11944 LIC.#3635E OENrd~At MANAGER Per~ ~-' certificote m~t not be altered in any manner; return to the office of the Board if incorrect. ~nstoectors ma)' be identified by their credentials. COPY FOR BUILDING:; DEPARTMENT. THIS COPY· OF CERTIFICATE MUST, ~OT'BE. ALTERED. IN ANY MANNER BUILDING DEPARTMENT TOWN iIALL · qOUTIIOLD. N.Y. 1197J TEL.: 705-1803 APPLICATION FOR BUiLDiNG INSTRUCTIONS ' ' a.o T, his application must be completely filled in by tvuewdter or I. J.~. ;,n,t ..h.~,l.,,.i ·. sel~ pmns. accufate plot plan to ~cale. Fee accotdin~l~cbedul~.- ~. Plot plan showing location of lot and of buildings on premises, teJaHonsbl¢ ~o adjginJng ptemlse~ or pubic ~tteets gt ~tea~, and gJv~g a de[~led description of lhyout of propertg must be draw~ ~, the diagram ~hlcl~ 1~ pall of tlfl~ flppB- ' ca~o~. c. The work eove~ed ~ tlfi~ ?~pl~c~tlon m,~ hot be contmence~ 5e~or~ lssHaMc~ Of d. Upon approval or mis nppncahon, the Bt..lding inspector will issued a Building Permit to the ~ppBc~t. Such pemHt droll be kept on the premises available fur I ~spectmn throughout the work. e. No bnild~g shall be occupled or used in whole or {n part 'for any purpose whatever until shall have been grauled by the Building inspector. ' APPLICAIIoN lS IlEREBY MADE o ~' ' t the Build ng Department for the is, uance of a Mail'" Slate whether applicant is ow.er, lessee, ngeut, architect, engineer, general contmctoh electriciah~ pJ~mber or builder. (as on the tax roil or lalest deed) 'if applicant is a corporation, signature of duly authorized officer. (Name and t.lle of corporate officer) ...... Builder's License No ........................... Plumber's License No ......................... Electrician's License No ....................... Olher Trade's Llce,se No ...................... i. Location of land on whlcll proposed work will be done: , ,,, Ilouse Number Street, lla,.Ict ,,, , CoUn Tax Map No. 0 Section ............ ~. . Block ., ..... ,,,, ,,,, Su~d v sm~ [lied Map (N:,,,,e) ",,.,~,,,,~,, Lot ,,,~,.,.,,,,., ~ St~tc existing ' ' " USC alld occupancy of premises and {nlcmJcd usc and occupancy or proposed A. Existing Use and oceupnncy... ~,. ~ ~ I ~ ~ ~ J. N~tUte of Wor~ (check whic ~ applicable}: New Uuildlng ..., .... ,, Addillo, ,, ,,, ,..,' AJler~tlo, ,, ,,.,,, . 4 Estimated Cos[ Fee I (Io be paid on ~h ~¢ ibis application) S lrdwelhn~ ~u nber ofdwcllinc ~nits I Nnmberordwutll,g~ltson each floor 6. lfbusmuss.' commercml' orhflxed' occupancy, specifynatt~reandextmffore~chtypeoruse,,,.,,,,,',,,,..,, 7. Dimensm.sof~xis{In~stmcture~s, lrany: Front...~ ...... Rear ; .~.~ ~,~ Depth ,,.,~. Si ( M r Depth ~ ~ ' ' tleight Number of Stories ~ ~ 8. Dlttenslonsofen re~ewcons ictlon:Front .......... ..,,. Rear ,..,,,.,,,,,.,, e ,,,, .,,,,, igl mb ' Ii~ ~t ............... Nu etof ' . ...... ,. ~ ~ / ~/ pti ,~' g. Sizeo~lot:Fmnt .......... '..... ...... Rca~ .............. .... De 1 ... ........ 10 Date of ~urclmse ' Name of Fenner Owner I d'ti 'hp i d I . ZOIle O~ ~Se IS [ ct Iff WblC t Ill ~e~ afc situate ..,,,. ~..,.,, ~.., ~.,, s.,,..,,,,. ~,,,,. l,,. .,.... 12, Does proposed construction vio~ale ~ny zoMng law ordhmnc~ or tegulatJo~ ,,, ~, 9,,,,,.., · ?/,. ...... 13. Will lot be regtaded ..., ,. ~. ~ .................. WAi excess fill be removed ~rom premises: '~, . Yes, I,t.Nmne or Owner or premises .~ ~. ~; ..... ~ .... Address , ........... ...,... Phone No..~,~ ~.;~. Name of Architect ' Address Phone N0 ~ N~II8 of Contractor ........ t, ....... ; ........ Address ..... ,,,. ~ ~ ~ ~,,, ~ ~ ~ Htone NO.,'t ~* ~ s ~ ~ ~ * · ! P LOT DI AG RAM . Loeat~ clearly ~d dl~llnetly al~ buildings, whelher existing or proposed, and. indicate all set-back dM~e~ston~ property ~nes. Give street ~d blockl ilumber or description according to deeds ~d ~how ~tteet h~] ~ Mdteata whether interior or comet lot. ~ ,-'Fo STATE OF NEW YORK, . COUNTY OF. (Name of individual si~ning contract) above nam'ed. ! bei,g duty SWOrn, deposes and say~ that be Is the applican- ou~ " He is lite .................. .'~ (Contractoh aBent, corporate officer, of sam owner or owners, ami i~i d~:J~ atflhotized {o perform or have peLrormed tile said work ahd 1o m~e amd ri6 fill applicatiotu that all statements Col~{aumd n (his application are trite to the best of IdS knowledge and belleh and that tim Work will be performed i, the maturer set forlh in the application ~led therewith. Sworn to before nm this i ' .. ., ......... ............ d? ...... ,193 . ., Coon~9~ ~