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HomeMy WebLinkAbout23155-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26627 Date: 08/12/99 THIS CERTIFIES that the building ALTERATION Location of Property: 2545 COX NECK RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 7 Lot 9 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 1995 pursuant to which Building Permit No. 23155-Z dated DECEMBER 4, 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 ALTER AN EXISTING GARAGE TO A KITCHEN ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY C HINDERLITER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 061777 10/15/98 PLUMBERS CERTIFICATION DATED 04/25/99 WILLIAM H. HINDERLITER ui~ing I~spector Rev. 1/81 FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK A.,U,,~,.H~RIZED) °ate ......... ........................ 23155 Z Counly Tax Map No. lO00 Section ....... ./...../..~.,.. Block .......... ~ ..........LotNo...~.., ..................... pursuant to application dated ......................... ~/~..~...~.., 19..~..~and approved bythe Building Inspector, Fee $.....,~.,..~,..,,%.. Rev. 6/30/80 Building Inspe/q,t~Sr II [~[,IJHB l NG [NSHI.ATTO~'i PF~R N. Y. STATF, ENI~I~,CY COI)I': fi, ' b i,, ' - 7 1999 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 mo 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 ail 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. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: 1. Accurate survey of property showing ail 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-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~er;J.._.~£1~.£~£ ................ · .. · · · New Construction ........... Old Or Pre-existing Building....~ ............ Location of Propert,..P .............. ~ouse No. - Street Hamle~ County Tax Map No 1000, Section ..... /.(b ..... Block ...... .Q.7 ...... Lot ...... .~.~. ............ Subdivision .................................... Filed Map ............ Lot ............. Permit No ...... Date Of Permit ...... cant ................ Health Dept. Approval ...................... Underwriters roval.. .1.~.' ............. Planning Board Approval ..................... . .. Request for: Temporary Certificate ........... Final Certicate...~ ...... Fee S.ubmit t ed: $... ~.~.~ ,~? .................... APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS/ULATION [ ] FRAMING [ h,~ FINAL [ ] FIREPLACE&CHIMNEY Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: l~p~a print) ' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this ~,~"~ day of Notary Public, iQ {~I)NA[D S. PARSES ~ ~StJC, Sta~ of ~w I~ 4602964, ~uf~ot~ ~u~ ~m ~ February County " " THE NEW YORK BOARD OF FIRE UNDERWRITERS P~GE 1 BUREAU OF ELECTRICITY ~-- 40 FULTON ETREET, NEW YORK, NY 10038 Date OCTOBER 15,1998 Ap#fleatlo, No. o, Jfle 11764096/96 H 061777 THIS CERTIFIE~ THAT only the el~ct~al ~qutpment as desk,bed below and tnWoduced by the applicant named on the above appl~afion number ~s in the prem~es of ~I~/CAT~ HI~ERLITER, 2475 COX ~CK RO~, ~TTITUCK, ~ tn th~ followlng locano,; ~ Basement ~ ls, FI. ~ 2nd FI. was examined on OCTOBER ~6, ~998 Secaon Block and found to b~ tn compl~nce with th~ Na~onal Electrical Code. OUTLETS RECE~ACLE~ 8WI~CHES ~ ~, 16 16 10 ' ' ' kM~. ~.W. H.P. OTHER &PPARMUS: PADDLE FAN-! TRASH COMPACTOR- 1 G.P.C.I,-2 WILLIAH/CATHYHINDERLITER P. O. BOX 184 MATTITUCK, NY, 11952 GENERAL MANAGER 11 this certificate must not be altered In clp~y manrter; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 30, 1999 Mary C. Ltndsay Box 184 Mattituck, N.Y. 11952 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 XX XX No Underwriters Certificate on file. 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 23155-Z * Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. *NOTE: BEFORE CO CAN BE ISSUED, SWIMMING POOL TO BE ENCLOSED TO CODE AND REINSPECTED. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF sOUTHOLD March 30, 1999 Mary C. Lindsay Box 184 Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX XX XX XX 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. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23155-Z * Please contact our office on this matter. cooperation. *NOTE: BEFORE CO CAN BE TO CODE AND REINSPECTED. Thank you for SOUTHOLD TOWN BUILDING DEPT. ISSUED, SWIMMING POOL TO BE ENCLOSED 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~LATION FRAMING ['~NAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ [ ~.*2~/"INSULATI ON [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~~-~ DATE 765-1802 BUILDING DEPT. INSPECTION I~FO,.,,,.~','.o. '.~T I ~"O'.'O" [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ~SU LATION [ ] FINAL FIREPLACE & CHIMNEY REMARKS:. ~o/ P'd- ?/-. ~s~llu~lotlns / n~s~N Ul Pell~eno 'ON '~d /u'e~N ~lO~J. Vd · pomuu oAoq (lomluoa ~u!u;~[s ienp~^tpm Jo/OmeN) luua!Iddu oql s.t oq ;~q; s.~,s puu gosodap 'mo~s Xlnp gu.toq ......;~.L-TZ'? ~ '~(7','2'/~-~'" 0 ~'b'f/.ZZ ...... .~ :-~,'~" :.qo ,kJ_NflO: ~ ~ ..... ';-~[~;,T"f~¥, ~ SOUTHOLD N Y 11971 ~ 'rt~:..,:: -', .. ~ TEL.. 765-1802 . Exam_ned ..... 19 , Disapproved. a/c .............. , .................... , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT: TOWN HALL //, (Building Inspector) Ap c^? oN Fo. BUiLDiNG' INSTRUCTIONS Date .... /./'/~? .......... 19 9'g~'... a. Tiffs application must be corn )let¢ly filled in by typewriter or in ink and submitted to the Building luspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ; b. Plot plan showing location et4 lot and of buildings on premises, relationsliip to adjoining premises or public s6'eets o~r areas, and giving a detailed descrit~tioh of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tkis application may not be commenced before issuance of Building Permit. . d. Upon approval of this applica!ion, the Building Insp6ctor will issued a Building Permit to tho applicant. Such permit shall be kept on the premises availabld 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 shai1 have been granted by the Buildin~ Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pemdt pursuant to the Building Zone Ordinance of the Tow~ o.f Southold, Suffolk County, New York, and other appli.cable Laws, O. rdinm~ces or Regulations, for the construction of buddings, additions or alterations, or for removal or demohtion, as hereto describbd. The applicant agrees to comply withi all applicable laws, ordinances, building code, housing code, and regulations, and to admit autliofized inspectors on premises and in buildMg for necessary inspectious. (Signatur~of applicant, or name if a corporation) State whether applicant is owner, leOsee, 'agent, architect, engineer, generai 'contractor, electrician ' l~ary Hinderliter Name of owner of premises I ' (as on the tax roll or latest deed) If applicant ~s a corporatmn, signatureiof duly authorized officer. ; (Name and title of corporale officer) Builder's License No ..... ' ' Plu nber s L~cense No ......... i ....... .......... Electrician's License No ....... i ......... . ....... Other Trade's License No ' work will be done. (Mailing address of applicant) plumber or builder. ~a.t,~ituck ' House Nmnber [ Street Hamlet Subdivisidn ....I ' Filed Map No Lot (Nalme) Stat4 existing use and occupancy o~ premises and intended use and occupancy of proposed constructioni a. Existing Use and occupancy .~lA'lg.l.e..f. gIIki..3,7..cl.w..o. 1. ~.[.n.g .......... ,' same make garage into kitchen b Intended use and occupancy 1. Location of land. . on which proposei ..... 2.0,7.5. Co.x..lxte. Ck..lq;o d ...............