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Home My WebLink About22438-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24071 Date DECEMBER 7, 1995 THIS CERTIFIES that the building Location of Property 340 PINE ROAD House No. County Tax Map No. Subdivision 1000 Section 54 Block Filed Map No. ALTERATION SOUTHOLD NY Street Hamlet 9 Lot 10 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 26, 1994 pursuant to which Building Permit No. 22438-Z dated NOVEMBER 2, 1994 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 ENCLOSE AN EXISTING PORCH ON A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD & SUSAN M. STEINMETZ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATED Rev. 1/81 DECEMBER 12, 1995 N/A FORM NO.$ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 22438 Z Permission is hereby granted,to~,, - ~ ~ t / ........ ....... ,2,..~.....d~.~...~.~.......~...~~ ,o.....~~ ...... ?~ ......... ~.~z.s/~.~ ....... ~~....,... ..... ~.~ ............ ~. .......... ~¢:/~......~~ ...... ~ ....... ~ ......... ~ ........ ,... ...... ~,~.~ ............. :...~...~ .......... ~.~ ....... ~ ......... ~......z~.~z~...~ ~ Building Inspect~:~ Rev, 6/30/80 / Building Inspeq~r , Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 that the solder used in system 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 Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ?pre-existing" land uses: t. 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, 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 Buildinz - $I00.00 3. Copy of Certificate of Occupancy - $201OO 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Constructioi~X/$~f:~d Or 1 Location of Property ~ ~?~ ~ ~d~ ........... House No. Street Ha~et 0nwer or O=ers of Property~ ~.~'f<~ ~/~ ......... County T= Map No 1000, Section .... ~ ..... Block ..... '. .......... Lot ...................... Subdivision Filed Map Lot · ·- ~Health DeEr Approval Underwriters Approval ......................... ~Planning Board Approval ........................ Request for: Tem ry Cerr~caro ....... FSnal ¢or~Scage ........ Fee Subm~e~ed: I~EO 3 fl !996 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 December 4, 1995 Mr. Donald Steinmetz 22 Lorraine Street Brentwood, NY 11717 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 (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 ~ 22438-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~DA.~flON .'.'-... ~;.~ . ... ¥1TT. O;! ' ' ' ' ~2nd} ;H FRAHE &.. : ;2' :~...,,~:PLUNRI~G .' ,,,.:,, CODE /%DDITION~'L CO!¥~EIlTS: 1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING [ g/] FINAL [ ] FIREPLACE & CHIMNEY 7LS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND (?J~SULATION FRAMING [ ] FINAL DATE ~/~//~/'~' NSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. MiFOUNDATION 2ND[ ] INSULATION NG [ ] FINAL DATE .~07~"~~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS RA~E ~, 8~5~888 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT ody the e~ctr~ equipmnt ~ &setiMd be~ aM intrMaeed by t~ eppl~ant ~med on the a~ve ap~[eatJon nu tuber in the prem~es of DONALD STEIN%~TZ, 340 PINE ROAD, SOUTHOLD, N. Y, i. the follow;ng location; [] B~sement [] Ist FI. [] 2ad FL Sect;on Black u~s examined on DECEIMB~R O1,1995 and found to be in compliance with the National Electrical Code. Lot FIXTURE ~ FIXTURES OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER i1 [ 11 2 IO DRYERS ' FURNACE MOTORS FUTURE APPLIANCE FEEDERS AAAT, K.W. OIL H.P. GA5 H, P AN~T NO A W, O. SERVICE DISCONNECT I NO. OF t S PER OTHER APPARATUS: RANGES EE:;T R R i cooj!No ?¢js. I WAS TS TIME~LOcKs BELL UNIT HEATERS ' T ~ SYSTEMS ~T AMp~ RANS. NO. OF FEET V ~ C EXHAUST FANS 1 F . DIMMERS NO, OF HI-LEI 22 LORRAINE STRP2~.T BRENTWOOD, NY, 11717 OEN~AL MANAGER 1i P~ This certificate must not be altered in any manner; return to the office of the Board i[ incgrrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY oF CERTIFICATE MUSTiNOT BE ALTERED IN ANY MANNER. FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOAKD OF HEALTH [/,CIIEcK ........... SEPTIC FORH .............. , - : , CODES,,', NO?.-RESPONSIBLE FOR Other Trade s License No ..... [ ................ -- , DESIGN OR ~,ONSTRUCTION ERRORS Location of land on 7hich proposed work will be done .~. ~//C) ;./~{ M.J'~ ~, ,C/, .'/, ...... , ......... .'t ..... .......... House Number Street ........ H~mlet County Tax ~ap No. ]000 Section ................. ~Jock ................ Lot ............... Subdivision ..................................... Filed ~ap No ............... Lot ............... (Name) State existing use and occupancy of premises anOintend~d nsc an~cupancy of proposed construction: b. Intended use and occupan'cy ~ F [ [ v': :':~ ',~ ........................................ z, ~ ' .'""*~! V?IO~ 1, FOUNDATION 1~/O REQUIRED FOR POURED CONCRETE 2. ROUGH .. F~:AMhNG 8{ PLUMBING 3. IN ¢~U L AT]OI~ 4, FINAL CONS)-R~JCTiON MUST ALL CONS'rRUCTION SHALL MEET TNE REqUIREMENtS ,OF THE N.~ STATE C~NSTRUCTtON & ENERGY (Name and title of corporate officer) Builder's License No. ~ ]j ,5-,.~ (9, -- ,,~/~7- Plumber's License No ........ ; ................ Electrician's License No...dO. ,K~..~...(~..t~...~..C.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the ~luilding Inspector, with 3 ~,ts 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 streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 issued a Building Permit to the applicant. Such permit .tall be kept on the premises available for knspection 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 ~all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit,purs~a. nt to the .uilding Zone O,~linance of the Town of Southold Suffolk County, New York, and other applicable Laws, Ordln~nces.or ',egulations, for the construction of buildings, additions or'alterations, or for removal or demolition, as herein d~scribe~d. 'he applicant aglees to comply with all applicable laws, ordina'nces, building code, housing code, and regulations, and tO :trait authorized inspectors on premises and in building for necessary i~pections._ -"/' (Signature of ap 'corporation) . .,4'..~.~..~..~...~..,~W.., .Y,~¢;~.. i .,'/~ z .z..7. ..... '71. (Mailing address of applicant) ;tate whether applicant is owner., lessee, agent, architegt, engineer,-gener~ contractor, electrici'an, plumber~r._&llililer. ...... o~e,'~ . , . ,,', ......... /~k~;"~ " me ct owner otprem,ses . M..-I .L. JM. .... ,,.2....% .I. tk) ........ f applicant is a corporation, signature of duly authorized officer. "'"" ~---' '~'"-'*--~''7(~5F1802 9 AM TO 4 PM FOR THE VOLLOWING INSPECT~ONS: 3. Nature of work (check which ' ' applicable): New Building ..... Addition .......... Alteration .. Repair .............. Removal .............. Demolition .............. Other Work ............... .... /1::~000 i '' ' (Description) 4. ~stima[ed Cost...,,-,; ....... i ....................... Fee ............. .. I (to be paid on filing this application) 5. If dwelling, number of dwellin~ units .... / .......... .. Number of dwelling units on each floor ................ . Ifgarage, numberofcars .... I '---.-.. .. 6 If business commercial ormixcd occupancy specify n~ture and exte;t o'fe'ach't;pe';fule .............. 7.Dimensions et existing structur~es, ffany: Front .............. Rear .............. Dep. th ............... Height ............... Number of Stories .................... Dimensions of same structure ~ylth alterations or additions: Front . .~.~-...v~.' Depth .... .~ (~t,29.? ....... I' · · Height .... ~. ~ .~..'~ ......... Number of Stories ..... ] ................ 8. Dimensions of entire new const;ruction: Front ..... .~.vS.v~..~'.. Rear ...~.fr.~. ¢. Depth Height .... vqPr .~. ...... Number of Stories ...... /. ..... . 9. Sizeoflot Front ./;~0 L' ~ Re-r /:-~o ~.-~;' .......... ;- ...... ;;4k'","; ......... 10.., te of Purchase ........ '<i ....../.~...'./. Z'..~?.~.. Name ofF.~rmer Ouaner ".~.&/./~l. 12. D.o. es proposed construction vici,arA any zoning law, ordinance or reeulation: ..,...AJ. o .~. ~ 'i. ' ......... 13. Will lot be regraded ....... _r~-d.?. '_' ~6..,-,..,'.....&~,~Will exces~fill 14. Name of Owner of premises . ./~.o.O.~./~..,rs3~.h~..m. ..r4.~dress .~.q.o. f~E ~/...~... Phone No .L~...P/'f~.. -q~,6 .--."-~.y,~ Name of Architect ~.p.~ .~ . . A~d .... ' ' '~' .... ..... , .......... on; m_O~_~. ~. 7. ~ ~'.. ,~-.. 15, Is this property w±th±n fl00 feet of a t±dal wetland? *Yes ........ No,, ,~, .... ~If yes, Southold ~own Trustees Perm±t may be requ±red, PLOT DIAGRAM Locate clearly and distinctly al property lines. Give street and block interior or corner lot. buildings, whether existing.or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether PLUMBER CERTtFtCAT ON ON LEA CONT£Nr Z £ ORE ¢£Rr/F/CArE OF OCCUP NCy SUPPLY SYSTEM C, EXC-K£O2/?O o! ........ ,:.; ' ' ': '2.. '~,::~ ?.....'>-::w~.[.\.: .......... being amy sworn, deposes and says that he is the applicant ' trqame o[ xndividual signing contyact) ~bove named. - ~ ~ / . leisthe '. ,O ¼n , , t~agent, corporate olficer, etc.) said owner or owners, ~d is dui i auth ' . . . MI orize~crform or have perfo~ed the ~,a ~,~ --~ ........ :pphcat~on; that all statements contaihed ~ this a-~licatio- -r~ +..~ ;~ ,.~ ~_, '~17"~" -~%auu to m~e ~a me rms york wm be perm~ed ~n the m~ner ~set forth in the application filed therewith, g chef, and that the ;worn to before me this i 'craw Pu~~~ff~~... County N~ Publlo, State of NM Y~ ..... . . . .o. ; ......... ._ ~uallfL~ in S~ff~k CounWi ~ (Si~ature of applicant) ~ . .o,.oLet.s ~ ........ o CONNOLL~/ /'~OAD I00.0 0 Z