The URL can be used to link to this page

Home My WebLink About22590-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25706 Date: 05/05/98 THIS CERTIFIES that the building ADDITION Location of Property: 43715 CR 48 (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 59 Block 3 Filed Map No. __ Lot No. __ Subdivision SOUTHOLD Lot 30 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 26, 1995 pursuant to which Building Permit No. 22590-Z dated FEBRUARY 10, 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 EXTEND EXISTING DECK ADDITION ~ ADD CANOPY TO EXISTING RESTAURANT AS APPLIED FOR. The certificate is issued to DEBORAH EDSON of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H055830 06/25/97 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ~;~~ .././. 7~ 22590 Z .............. 7'"' ......................................... Permission is hereby granted to: ./..zf..~.~.~..../.~,,z... ~.,,'.,e..~.~.~ .................. ..~.~..2../.~...~....~ ................................. to .. ~~..~.. ........ ~'~" ....... ~~....~'¢~/~' '~" ' '~' ' ~ ....... '"'~'"' ......... ~ ........ j...~.~..;.~ ........... ~..~ ....... ~ ....... ~.x.'~.......~.c..? ................................ Counl¥'ToxMopNo. lO00 Sectlon......O'~..'~... ............ Block........~...'~.., ............ LotNo. ~ pursuant to application dated ............... ..//..~...4 ............................ 19...9~, and approved bythe Building Inspector. Fee $.,,,?,,,, .'~,, .?.. ~.. Rev. 6~30~80 Form No. 6 TOWN HALL /1t111 765-1802 . / T BLDG. DEPt. ' ~PLICATION FOR CERTIFICATE OF OCCUPANC~ 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. 4. Sworn statement from plumber certifying thJt 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 Upre-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 danied, 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 Buildinm - $100.00 ~ Copy of Certificate of Occupancy - ~ .25~ Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~.~.~. ?? .... New Construction ........... Old Or Pre-existing Building ................. ~..l~ 4~71~ OTar- 9'~ f ~eI/z'/~E-/D Z .z~..~.. ...................... Location of Property .............. ~P~ ....................... ~ House No. Street Hamlet Onwer Owners of Property ~.~./~ .~...g~.~/. · .. County Tax Map No 1000, Section ..... .~.~ ...... Block.'~':[i~i ........ Lot ..... ':~) .... ,.~ ....... Subdivision Filed Map Lot ...... Permit No.gg~O.'%~ .... Date Of Permit.. Health Dept. Approval...~f~...~z.~.... Planning Board Approval . .. Applicant ................. ..... Underwriters Approval...~/~..~.~..~.m~-.~.~.~,L~ Request for: Temporary Certificate ...... Fee Submitted: $... ~ ................ c-o 70¢ .... Final Certicate ......... .. APPLICANT -f L Town Hall, 53095 Main Road P, O, Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 THE NEW YORK BOARD OF FIRE UNDERWRITERS 806660~ BUREAU OF ELECTRICI,T,Y ~--- 85 JOHN STREET NEW,YORK NY, 10038 ' ' H ~55830 THIS CE~IFIES THAT o~y the,~l~tr~, ~ipme~t ~ ~sc~b~ be~w ~.int~u~ ,by t~ Op~ican~ ~med on the a~e app~atmn ~be~,m the p~m~es o~ . ~ 18,1997 and found to be ~n compliance with the N~onM Elect~cal Code. RXTURES RANGES OVENS FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS T ME CLOCKS MULTI.OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: PATI0-1 TRACK LIGHTING: -3 PER ff A. W, G NO, OF HI-LEG OF CC. COND. JOHN MILZ 43715 ROUT~, 48 SOUTHOLD, NY, 1197I · , ,' · AMOUNT PEg PAID , ,~P~.ASE REMITrDY O~CK OR 11 , ~ THIS IS YOUR B LL FOR $~,R~I~:E RENDERED AND IS NOT A CERTIfiCATE OF COMPLIANCE. THIS BILL PAYABLE AY THE NEW YORK OFRCE, 85 JOHN STREET, NEW YORK, N. Y. 100:38 SOUTHOLD TOWN BUILDING DEPT. LA.F.E. FROZEN DESSERT DAY YR. 18.490.9/91 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 January 29, 1998 Lewis Edson 43715 County Road 48 Southold, New York 11971 SECOND NOTICE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX' An application for C~rtificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$50.00 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 # 22590-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELd) I~S_~ECT~ON ~,~PORT ~_D__A__T~ FOUNDATION (IST) COI~ENTS FOUNDATION (2ND) ROUGH FRAME & PLI]I~ING INSULATION PER N. Y. STATg ENERGY CODE FINAL RUG 22 '96 14:44 FERRIGRN ENT 516 954 649~ TO: 516 ?65 1825 P01 REGISTERED APPLICATION iONCERN NO. Date work performed This is to certify that the materials described on the reverse side hereof h~ ~'e been flame- /efardant treated (or are inherently nonflammable). CITY Certification is hereby made that: (Check "a" or "b'? [ (s) The articles described on the reverse side of this Certificate nave been treated with a flame-retardant cheq'~ical approved and registered by the State Fire Marsha~ and that the application of said chemical waZ ~one in conformance with the laws of the State of California and the Rules and Regulations of the Sta~.e Fire Mamhal. Chem. Reg. No. -- Name of chemical used_ '" Methc, d of application (b) The 3,ticles described on the ~verse side hereof are made from a flame-~esistant fabric registered and appr~)ved by the State Fire M~,mhal for such use Tra. t~ name of flame-resistant fabr;c, used p~uS~.~ I" T.C..-'?~~eg No..F-.~ The Flame Retardant Process Used Be Removed By Washing The Flame Retardant Process Used ~j;,...~z. ,~Be Removed By Washing __ We hereby certify this to be a true copy of the original "CERTIFICATE OF FLAME RESISTANCE" issued to us, "origin*al copy" of which has been filed with the California State Fire Marshal. Signed By_ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING ~ISULATION FINAL [ ] FIREPLACE & CHIMNEY ~ , ~ YOU ARE HEREBY REQUESTED TO ~ :~;; INSPECTANDISSUECERTIFICATES ~ ' ' ' '~ ' · ~.~ FOR'THEFOLLOWING ELECTRICAL .,, , .~ ,: · · ~ ~ , · - EQUIPMENT TO,BE INSTALLED BY ,- . "' THE UNDERSIGNED >. :~OL ~, ~ORKIS :NEW~ ' ADDITIONAL~ ':-" ~ ':' ' ,~' EIST BE~oW'A~ EQUIPMENT WHI ;H YOU INSTALLED BRANCH - NUMBER OF OU~LETS ~ N~; ~f ,Fixtures:& 'MOTORS HEA~ERS .amp R~ e~ CIRCUITS Pond t ~c~et N~. Type Each Each Ge. g~, ~all¥ R~ep'~s ~ t No. o. Gauge OUT- , SIDE I THIS APF~J-ICATION IS INTEN BUT IF AT TIME OF INSPECTJON, THERE IS YOU ARE AUTHORIZED TO MAKE~rHE INSPECTION AND ADJUST THE FEE TO COVER THE ADD t ONAL EQU PMENT AS PR~)VIDED B'Y THE,APPLICANT - ,.. , ~ .- Applicant affirms tJ~at there is not an application for electrical C F'~ORK p~ ~'~J~XPOSED' ' ~ ~/~ ~.~' ~ ~ CONCEALED · inspection pending with a qualified electrical inspection ]~TE WOR~ TO BE STARTED D.~TE COMPLETED authority, for the installation listed herein· ,: This applicati0r~ is valid for a period not exceeding one year SERVIC~ ENTERS BUILDING from the date received by the Board. [] OVERHEAD . , [] UNDERGROU~ND PRINT NAME AND ADDRESS ' (212) 227.3¢00 ~ J '[hg~2~22~0 J (716) 027-1155 (716) 254-0141 I THE NEWYORK BOABD OF FISE UNDE W ITESS i .......... BLDG. DEPT. ~._ TOWN OF $OUTHOL.q. ........ . TEL.; E×anli,i~C~., ] 9 f.~ . 765-1802 Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DFPZ~RTM ENT _ . (l~a'iJ~4ig In~'pector) APPLICATION FOR BUILDING'PERMIT BOARD OF HEAI'TH 3 SETS OF PL.!,NS ......... SURVEY .................. CIIECK . . . CALL .... ' . ....... HA 1 L ,TO: INSTRUCTIONS Date ,/.~.~..~. a. This application must be completdy filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- c. The work covered by this application may not be commenced before issuance of Building Permit. ' ' Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit vt on the premises available for inspection throughout the work. ~ building shall be occupied or used in whole or in part for any purpose whatever until a Certificate' of Occupancy !hail ~?ej been granted by the Building Inspector · ~.~!2ICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit ursuant to th Buildi~ :Zone Ordinance of the Town of Sonthntd o_,*~- ............ ' P e ~e ~, , - ...... , .ouuu~c t, ounty l'~ew xoric, ana other applicable Laws, Ordinances or -/ gula~fi6ns, for the construction of buildings, additions or alterations, or for removal or demolition, as herein d ' . Tlie applicant agrees to comply w~th all applicable laws, ordinances, buildmg code housm c escnbed . · · ' ' ' , ' g ode, and regulations, and to admit authorized inspectors on premises and in b~ilding for necessary inspections_. . (Si,,natuffe of applicant,/6r name, if a corporation) · . (Mailing address gf State wl~ether applicant is owner, lessee, agent, architect, engineer, general contractor, 'electncmn, p}dmber or builder. Name of owner of premises T~.~.d, .2~. ......... ,AI"F-:,~~B.P.#' ~ If applicant is a corporation, signature of duly authorized officer. ?$$-180~ S AM TO 4 PM FOR THE amc and title of corporate officer) Builder's License No. . .--.,~..~. ....... Plumber s License No ......................... . Electrician's License No .................... Other Trade's License No. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQOIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST · SE COMPLETE F. OR C.O. ALL CONS~,R~UCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODI~S. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. [,ocatiou of land on wliich proposed work will be done ......... House Number ~' '~" ' Street Hamlet ....... Cotmty Tax Map No. 1000 Section ......... Block ....... :. ·. Lot.....~ ........... Subdiv s on .................. (Name) ................ Filed Map No ............... Lot ............... '. State existing use and occupancy of premises and in tended use and occupancy of proposed construction: a. Existing use and occupancy ... . ....... . · ~v, ~---, b. Intended use and occupancy , , ~'' . · 3. Nature fwork (check which ~Ppheable): New Building .......... Addition .... ation . . ::~;Repair .............. Removal .............. Demolition .. : .... .~.q.~.~. ~ i rDescription) 4. Estimated Cost . · . i .... Fee 5. I (to be paid on filing this application) If d ,welling, number of dwelling units ..... .: If.garage, number of cars ... ~ . . . . ......... . Number er dwelling units on each floor ............... 6...If business, c~,mmercial or mix,ed occupancy, specify nature and extent of each type of use .................... 7.~"~llnensions 6t existing structures, if any: Front., 2.~. ........ Rear . ~ .~... De,,th 2./---- .eight ....... ':'. ...... Nu!nber ofStories./... ' ........ : ..... "." · · D~mens~ons of same structure with n~,.; .... ... Depth . ~ ~ ............ ~raaumons: eront ..... Rear . . . ' : .............. ...Hei ht ..... . ' ". ................ 8. D~mens~onsofentir~newconsmcti-?- . ~t ........... '..NumberofStones .......... ~., ......... ~2x ~.Height .. , un: cronr . .. ,.q ......... Rear ........ Depth ...~ ...... ~ Nu~ .......... 9. si o ot: ...... . .. i ber of Stores ........ . ,..&.. ~, . .................. 10.-DateofPurchase ............ "~ ............. ~epm .... .. ....................... marne of Foyer Owner ............ ... ' ...... 11,,. Zoae or use district in which nJem~ ..... ;* 1 ~ ~ ~ I ......... ~ ~,,~area .... . ..... late any zoning law, ordinance or regulation: ........................ z., .~oes proposed construction vi~ ................. . · ... · ...... 13. t~Wfll lot be regraded · , · .~d ..... . ....... ~.. ........................... Will excess fill be removed from premises: Yes No 14. ~N~e of Owner of premises .. [ ................. Address ................... Phone No ............ ;'.,,. '*Nme of Architect ....... ~ ............. Address .... , · · Phone No ..... ~ . .. ' ~rNme ofContractor~ ~. ~)~ .. . ~ ~'~ .......... : . l~;.~;r Is thSs property w~th~n ~00 feet o~ ~ "' Address ~g~;~,.~ .~n~ ~ ~q-~/~' ~' ~ txdat wetland? ~Ye~ ~ ~"1 .......... ' .......... , ~""~ ~] *If yes,'Southold ~own Trustees Per. it may be requi~g~['["'' ~ i' PLOT DIAG~ ~bpe~y Hnes. Give street ~d block ~umber or description accord~g to deed, and show street n~e~ and indicate wh~thor ~tefior or coruer lot. ~ · TATE OF NEW.4eoRKt'3/"x I t, . I . ' ? .. (Name ofind~idual signin~ contract) rove named. is the . . ~ (Contractor agent 'porate offic0h etc ) ' said owner or owners, ~d fs duly ~uthohzed to perfo~ or have perfo~ed ire said work and to m~e and file this plieation; that all statements contain6d in this application are true to the best of his knowledge and belief;and that the ~rk ~flli.be ,perfomed in the manner s~t forth in the application filed therewith. ~om to before me this ' · ...... ' ~ ' .~.~ ........ ~y. taft Public, . . County - ' - .... Ng: ag~,0a ' / -~/ ........ -.~ .~ ,:'. ,.~ _ uua~l~ ~ n u~o k Cou~ /~ ~ ' }G~ 0,~