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HomeMy WebLinkAbout22441-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23578 Date MARCH 30, 1995 THIS CERTIFIES that the building ADDITION Location of Property. 1625 yENNECOTT DRI~ SOu'rHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 4 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 27, 1994 .pursuant to which Building Permit No. 22441-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 A FAMILY ROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N346336 PLUMBERS CERTIFICATION DATED Rev. 1/81 RICHARD F. MULLEN III N/A MARCH 23, 1995 N/A lding Inspect~ FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N-° 22441 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ......... ~.~.,.., ~ ........ ~ ............. 19,,?....~., Permission Is hereby granted to;- ~ . .................... ~~.~..Z..~.....~.-...%. ,o ......... .d..~.~~....~..~~..,.:../..~ ...... ~~ ........................ .............. ~,~...'~/..~-~ ........ ~./..~ ......... .~./.,~:.Z~...t? ......................... .................... ~? ...... ~i'~L "7 .................................................................. ........................... ~p,,~..~.~ ........ ~..~....~ ............................................................ ~.~Z~::;~;~.Z................~.~..5~........~~..~~...Z..`................................... ............................................................. ~....~.. ....~.~...Z~.........~./..:...~:.,. ................. Co,ni!/Tax Map No. 1000 Section ........... ~...-~.. Block ............ .. ................ Lot No ............................. pursuant to application dated ...................... .(~....¢.~.....i, 19...~..~... ..... and approved bythe BuildJrl~l. Impecto~, Fee ......................... Rev. 6/30/80 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. Approt~] of electrical installation from Board qf Fire Underwriters. 4.~ Sworn~Jtatement 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~ r~sponsible 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: 1. Accurate survey of property showing all property lines, streets, building and unusual n%tural 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 Buildin~ - $100.00 .3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $i5%00 Date..~/~. f/f..~.. ........................... New Construction ........... Old Or Pre-existin~Building .... ./.. .......... · Dc .......... ..... Location of Property .... ~ ................ ~..~ ............ House No. Street Hamlet Dnwer or Owners of Property...~A..~.~.~..f...~.~l!~O.~. ............................... . ~ounty Tax Ma2o 1000, Section.....~..~.. ..... Block .... .~, .......... Lot...~...~. ............... ~ubdivision...~ ............... Fiied Map ...... Lot ..................... Permit No....~..~ ..... Date Of Permit ........ Applicant ......... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee~~Submitted: $ ..... ~.J.'~..~ .................. ~.C~~ ~ .................. . , . ' APPLiCANT~._~ ~ 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 March 20, 1995 Mr. William Conway P.O. Box 1902 Southold, NY 11971 Re: Prem: Richard Mullen III - BP#22441-Z 1625 Yennecott Drive, Southold 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 xx not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22441-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. LAT~O~ FER'N, y. ADDTTIONA'L CO,~.h~iE~iTS: · apoo ~q~ q~ aou~Tduloo II'~ISL ~o squomo~hbo~ qo~m o~ qu~m~d~nS~ D~AIt ~'~ISL ~o squomoa~nboi qoo~ oq s~oqsXS odoIoAU~ fiu~pI~nH ~o0l '~'I ~o0I '~'O (q~aH o.xlqOaTM-UON aodI) 'k 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ?~JI~TION []FRAMING ~/]~ FINAL REMARKS: ~//~, BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [J FOUNDATION :)ND [] IN$/~,~JON [ ] FRAMING [ ~=,IN~L RE:MARKS: ~_,?~,~' ~~ 765-1802 BUILDING DEPT. · INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. FOUNDATION ZND [ N~}~N~SU~TION [ ] FINAL [ ] FRAMING REMARKS: DATE INSPECTOR ,,/+2~/ 765-~802 BUILDING DEPT. INSPECTION FOUNDATION ZND [~] INSULATION FRAMING [ ] FINAL REMARKS:/'~/-//~ - DATE 765-1~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ]/F~UNDATION ;ZND [ ] INSULATION / FRAMING [ ] FINAL DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG 1 1195099 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 /)et. M~%RCH 23,1995 Apptie.tlo. Mo...f'e 87224495/95 N 346336 THIS CERTIFIES THAT on/y the electrical equipment as describmt below and introduced by the applica~t named on the abo~e application nu tuber in the premises of RICHARD MULLER III, 1625 YMNNMCOTT DRIVE, POLE, 13~ SOUTHOLD, N.Y. in the followlng locatio,~i~C' ~2~", ~t ~ 'st Fl. [] 2nd FL OU~ Section Block Lot oas examined on and found to be in compliance with the National Electrical Code. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. K.W. OIL · H.P. GAS H.P. AMT. NO, A W.G, RANGES ~PECIAL REC'PT TIME CLOCKS BELLIUNITHEATERSUNIT HEATERs MULTI-OUTLET NO. OF FEET EXHAUST FANS AMT, H P DIMMERS SERVICE DISCONNECT NO. OF S OTHER APPARATUS: 60 AMP.DOUBLE-THROW SAFETY SWITCH-1 MOTORS, 2-F H, P. PANELBOARDS ~ 1-6 CIR. NO. OF CC, COND pER ~' R ¥ I C E A, W, G. NO OF HI-LEG OF CC. COND. A W G NO OF NEUTRALS A, W G OF HI.LEG OF NEUTRAL JIM SAGE EL~C. INC. LIC.#3635 ~ 350 MARINE PLACE GENERAL MANAGER GREF, NPORT, NY, 11944. 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by~ tJ~i~r credentials. COPY'FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ~LTERED IN ANY MANNER. OCT 2 'f 1994 , Dt. DG. DEPT. TOWN OF SOUTHOI_[~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM.ENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1802 , BOARD OF HEALTH ......... 3 SETS OF PLANS .......... gURVEY ................... CI1ECK .................... SEPTIC FORH .............. (Building Inspector) ;ATION FOR BUILDING PERMIT Date .t ............ NO?I PY ~ CALL.. - ; .... HAIL TO: INSTRUCTIONS a.. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets o~f 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 or areas, and giving a detailed description of layout of property must 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available 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 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 Southold, 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, housing code, and regulations, and to admit authorized inspectors on. premises and in building for necesyry inspections. /3 ~ -. (Signature of applicant, (~ame, if a corporation) · ............... (Mailing address of applicant) · State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... 0 ................................ (as on the tax roll or latest deecl~PPR0~/£0.../_/~.~ ._-- ~ ~/~/AS NOTED .~ If applicant is a corporation, signature of duly authorized officer. D*T~: ~"'g~~~ ........................ . ...................... NOTI~ BUILDING DEP~ (Name and title of corporate officer) 785-1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPE~IONS: Builder's License No.. (3~..~ ............. ~. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE Plumber's License No ........ : ................ 2. ROUGH - FRAMING ~ PLUMBING ~. I~SU~TION Electrician's License No... ~.7. ~ ........ 4. RNAk CONSTRUCTION MUST BE COMPL~E FOR C.O. Other Trade's License No ...................... ALL CONSTRUCTION 8HAh UE~ THE REQUIREMENTS OF ~E N.~ Location of land on which proposed work will be done .......... STATE CONSTRUCTION · ENERGY h .~ ¢ .~ . ' ....... ~66b~; '~' h~¢~' '~"' ... I ................ Xe.n. e ..be ................. House Number Street .I Hamlet County Tax Ma No. 1000 Section ...~.~ ............ Block ..... ~ ........... Lot...~.~ .......... Subdivision..~.~.~..~¢~.[~ ............... Filed Map No. ~ Lot ~..' ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~;.~..~'.[7 ~e((,~ b. Intended use and occupancy ................................................................ property lines. Give street and block fiumber interior or corner lot. 3. Nature of work (check which applicable): New Building .......... Addition .. .. ,~f~. · .... Alteration .......... Repair .............. Removal .............. Demolition Other Work : '" (Description) 4. Estimated Cost....~...~(~./~¢~.. ........................ Fee ..................................... ~I (to be paid on filing this application) 5. If dwelling, number of dwelling 1Jnits . ... ]. Numb r of dwelling units each floor If garage, number of cars . 6. If business, commercial or mixed occupancy, specif~ nature and extent of each type of use ..................... 7. Dimensions of exist!rig structurels, if any: Front ..... . .~.,~ ......Rear . .'7~ ......... Depth .~,~.~ ........ Height ~ Numbe of Stories l~-. ' ' Dimensions of sa~me structure with alterations or ad. alit ons Front .~...~ .'.. . Rear .'7..~ Depth >.~ Hei-ht .,~..q ' ' ' -' ' - '; ;,-'" ~ ............... ....... i' ' ~', ...... : ........... l~umoer oi Drories .. t~ ...... 8, Dimensions of entire new construction: Front....cPc>.. k,'...... .....~o~r ..Dr,. 't" mep,h .... ,,).,., ,t .} ......... ......... Height .... ~. f~.: ....... N~umlber of Stories . .. ! ...... 6;' ............................................. 9. Size of lot: Front ..... /.~.. > . i~ .......... Rear ... Il ................. Depth ..../¢.~ ........... 10. Date of Purchase ..... ........ ' ......... Name of Former Owner . ,,~¢.g.~ .,f./, .~.u, I/ed..~.C.. ........ 11. Zone or use district in w rich prdmises are situated 12 Does proposed construction violhte'any zoning law ordinance or regulation: 13. Will lot be regraded ...... ~ ~..i ..... p.../~ ......... Will excess fill be removed from premises: ~ No 14. Name of Owner of premises .~fik~'~.. Yl'~,,J.e~. '2~.. Address ./.¢.4~:%~Ae.o.~.D.C .... ?hone No..7.~'>. :,/.S~.r... Name of Architect ........ ,.. ] ................. Address ................... Phone No .......... Name of Contractor . Lk,gt.l.{~-~,x ..~-~ .~..Y. ....... Address p.o. ~.o/<; l?q* ....... Phone No. 2~..f?,.~,',',7.&. Pr-..... 15. TS this property within 300 feat of a tidal wetland? *Yes ........ No...(.,-~..... : · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing.or proposed, and. indicate all set-back dimensions from or description according to deed, and show street names and indicate whether STATE OF NEWc~©]~ it COUNTY OF .~ .%.~..? .J./C-~... ...... 'i .................. (Name of individual[ signing contract) above named. eisthe, .'.C. ....... , ' (Contractor, agent, corporate officer, ate.) of said owner or owners, and is dhly luthorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application are true, to the best of his knowledge and belief; and that the work will be performed in the manner slat forth in the application filed therewith. Sworn to before me this ,n., =XP~res October 3'~. l:O>~-~. being duly sworn, deposes and says that he is the applicant