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HomeMy WebLinkAbout22473-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24033 Date NOVEMBER 17, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 400 EMORY ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 4 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 4, 1994 pursuant to which Building Permit No. 22473-Z dated NOVEMBER 16, 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 TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND DECK AS APPLIED FOR. The certificate is issued to GEORGE & TERRY SCHNEIDER (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0098 11/16/95 UNDERWRITERS CERTIFICATE NO. H046838 AUGUST 31, 1995 PLUMBERS CERTIFICATION DATED 11/3/95 NEW SUFFOLK PLUMBING & HEATING B ildin Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date 19.....t• • J• N2 22473 Z Permission Is hereby granted to: 4T/.=ti7 ...........T ......CIS~f1. .~1<.....X.....//1 s ` ......./.~+?Q............ ~ ~ 1~!W..x-&.i.A'4* ............MIX-,? f Al.....!0'.°~°. ..........~?re.! at premises located at i [s< .'~1.4......................... County Tax Map No. 1000 Section Block ....g..r Lot No. 3 pursuant to application dated ........../T~fry........ 19....and approved by the Building Inspector. Fee ..~,a~.; r... Build g Inspector Rev. 6/30/80 Form No. 6 rl3q- 2q co ~Y Y TOWN OF SOUTHOLD ~ ~4~v 1995 BUILDING DEPARTMENT 65,¢~' r TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY u~2otycr~21 A. 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 2/10 of 1% lead. 5. Commercial. building, industrial building, multiple residences and similar buildings r 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. B. 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 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 Buildine - $100.00 3. Copy of Certificate of occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residenti~a(l~ $15.00, Commercial $15.00 Date k.!6~!~~t .h 1.9~f New Construction ....r...... Old Or Pre-existing Building A A0 Location of Property ......1 MYhY ..tl.© ~TC(6~(( Fo House No. ~l /Street Hamlet Onwer or Owners of Property.. r~I~...L.~E.A~ County Tax Map No 1000, Section....( Block...:?........... Lot...'34 I....... Subdivision ....................................Filed Map............ Lot...................... Permit No.~s~ -Z. Date Of Permit ................Applicant.. ©w N Health Dept. Approval.. I .............Underwri.ters Approval Planning Board Approval Request for: Temporary Certificate........... Final. Certicate././///f....... Fee Submitted: APPLICAN,r TEL. 765-1802 0~0-v. CDC TOWN OF SOUTHOLD .e f r;;:~ T' ~c OFFICE OF BUILDING INSPECTOR ur, P.O. BOX 728 TOWN HALL NOV 13 1995 SOUTHOLD, N.Y. 11971 Ol ~ y, OF NFt1UH SMVICB C .E R T I F I C A T I O N Date Building Permit No cl V Owner (Te0 ! Fp S /jlyv~L~~e (pl ease print) ~ffl~~ 7 X991 Plumber ~h70 ple a se,,, rr-i in t) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. lumber's signature) Sworn to before me this day of 19 95 . N tar P, Notary public, ounty SU,JAN J.NAGY NO*Y POWIc, State M &W yj* baall~d jn SUNO& COMMtp)pt son A* f WARREN A. SAMBACH, SR. ( • 3i CONSULTING ENGINEERS-PLANNERS FEB 9 7 19, P,O. BOX 1033 7675 COX LANE CUTCHOQUE, NV 11935 (515) 734.7492 February 27 1995 Building Department Town of Southold 53095 Main Road Southold NY 11971 To Whom it may concern: This is to ascertain that the Microlam beams substituted fpr Flitch beams marked A, B, & C are more than adequate for the spans. The load that the beams can support is more than the actual load on the Microlams. Si erell(y~, LWarren A. Sambach Sr. P.E. was:s 4.oQPOF ESSIOA'4 W P~nCN A. Sq9 FLCA A R1R K` fo. k O~THE STA~EQ 10-7~ia ,Lai tn~ ._u.J CONMGNT° > 2DATIO,Y 15 t) ~ U yti A:• 17DATI011 (2nd) ti :.H FRAME ~ • `.PLUMBING - = f E ff m JL TIOJJ PER H. Y. VI STATE ENERGY CODE w OL q _ . FI:JAL ADDITIONAL C/OPJMUTS: Gib ~~S _ C7acE.~~raiu.o•,~ 8.~~ V's • j O~~gOFFOJ,(co Gym CM ti x Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765-1802 Southold, New York 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 10, 1995 Mr. George T. Schneider P.O. Box 1185 Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of thfollowing reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) / No Underwriters Certificate on file. xx ? The check is not on file. $25.00 xx /No Health Department Approval on file. )No No final inspection has been made. xx Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22473-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I t M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] OISULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: b DATE C~ } AINSPECTOR I 70.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS a - a DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR" ° ) M-1802 BUILDING DEPT. INSPECTION [m FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL j _ REMARKS:' G i r -z .f 1 i i f DATE INSPECTOR f M-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ /fFRAMING FINAL REMARKS: 6,/ - f y ;,J s DATE 7 INSPECTOR1 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE l r8052147 BUREAU OF ELECTRICITY 1 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~t pate AUGUST 31,1995 Application No. on file 87113195/95 H 046838 4 THIS CERTIFIES THAT PERMIT NO. 22473 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MR.& MRS,G.T.SCHNEIDER, 400 EMORY ROAD, CUTCHOGUE, N,Y. in thefollowing location; ? Basement ® 1st FL ® 2nd Fl. GAR/ATTIC Seetion103 Blond' Lot 34 was examined on AUGUST 28,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT. K.W AMT K.W AMT K.W AMT. H P. 26 36 32 26 l F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT AMPS TRANS. AMT H. P. SYSTEMS AMT. WATTS NO.OF FEET 2 F 4 - 2 600 SERVICE DISCONNECT NO.OF S E R V I C E MIT. AMP. TYPE METER l q 2W 1$ 3W S 9 3W 3 $ 4W NO. OF CC COND. A W G. NO. OF HIAEG A. W G. NO. OF NEUTRALS A. W G. EQUIP. PER a OF CC. COND. OF NIAEG OF NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 0714ER APPARATUS: I PADDLE FAN-1 WELL PUMP-1 MOTORStl-F H.P„1-1 H.P. G.F.C.It-6 SMOKE DETECTORi-2 GEORGE T. SCHNEIDER P. 0. BOX 1185 CUTCHOGUE, NY, 11935 GENERAL MANAGER~x 1 11 r di Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICAT MUST PJPT BE ALTERED IN ANY FANNER. lU 1, <-SBOARD OF HEALTH • • • • . 9 U FORM NO. 1 3 SETS OF PLANS l TOWN OFSOUTHOLD jSURVEY F 4B94 BUILDING DEPARTMENT ~C11EC1 TOWN HALL /lJ_!~SEPTIC FORK BLDG. DEPT. SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL.: 765-1802 t: DT I FY , `73-t - 77 jC~ Examined ....//,/e.. . . .(7~ CALL r 19L MAIL TO:...._.......... Approved .~IV 1~' Permit No.° Y~ 73t.. . Disapproved. a/c ilditlg Inspector) ' APPLICATION FOR BUILDING PERMIT ^ ty Date .4?~. 4........., 19 q/• INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 stieets 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 uance of Building Permit. d. Upon approval of this application, the Building Inspector wi 1 issued a uilding Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the 1 all be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted 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 necessary insp onsy/- , at e of applicant, or name, if a corporation) PO aRx..1.12.5... t~Y..1.1.9 (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. ...................CDWN.E7Z Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~ N E/~ Tf I ^ P~e9 (I} tow I C oo Et1'!~.R. r..©v............... Gv .~.lfaG............: House Number Street Hamlet/;n#Y-987H County Tax Map No. 1000 Section J. ©7? 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EX FWMMNG ' MLHAN~~RyI0 YIV181E . - ' ~i~ VJM M/~1C~U/~pNCU NEW /T- TZ \ t 7EBT BEFORE COVEPJW - Elz IL q 7r I ~$5 / N ooppx tumno M and j i for vmwK diwibud% tr vwm pipbp Ww be i d types K or L" i UIOENrYRI M C9MFU1E REQUM _ rte" ~Ft LePT- - - rNRrrllflN ~ gP r..^nc. T2 P f~ ( x oTf f~~?Jc~~~ O? f~Nrlr J W ,%ocr* FESSIOwP° ` A~P~PNO~VVMMNOTED OCCUPANCY OR 1 oAIE IJ1JELfLa.P.N 11X73 Ilee 10 11tl1 auwtn SGG. FEE: ` BY; VJL W ullLnnrvL NOTIFY BUILDING DEPARTMENT AT WITHOUT CERTIFICATE . 766-1802 9 TO 4 PM FOR THE FOLLOW1ING INSPECTIONS: ' FOLLOWING OF OCCUPANCY 7, FOUNDATION - TWO REQUIRED - FOR POURED CONCRETE p. ROUGH GH - - FRAMING & PLUMBING 3. INSULATION j LL ` 4. FINAL - CONSTRUCTION MUST r BE COMPLETE FOR C.O.fiJz ALL CONSTRUCTION SHALL MEET Phone 477-0400 Main Road THE REQUIREMENTS OF THE N.Y. Lim E::1 STATE CONSTRUCTION $ ENERGY GREENPORT, N.Y. 11944 ¢ WL K CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ~j~ p-R@ F SGF4 /,I E ! 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ON ~ DX t-0" Y Ile" _ F00TI1.1 G - i ~ l 17~ ,~,~OF NEW yo ~ CQ ~ ti 4 2~1 Nil r w (i r W m1J 1~~~ V BF" 43]2 -1 ~K\ Op'~OFESSO, 5TuM (emu Jl • I I i I 3.xz i o I M«+~wt /yn'rlF VERIFY wMeristw-9 ~ y Phone 477-0400 Maur Road µ o 2 I (0 2s" I GREENPQRT, N.Y. 11944 GLORGE SCI4NEIDk1i' I, DWG CROSS 9EC'_TIDI1 Ae- PLNN NO,(GO F SCALE ~ 4 tioTL: F a v ALL Pt)GL VENTS t4 CND I:pUVC({s t' f f ZXIO (2: - y \ r vela ocP~l A~ y(~ [ bEAM !4l`Atl!¢R 6D 1 1 1 cl f' pFCK_ I r t r , t~pF PdFyy Yo 9 b'l e~NGE T(~AAfi S ~ P ELI ; J rIG I 03226'41 y`°\ / ~ROp9pFESStAHP E Soo k { ~ NCBrF17kfwL ~ , 5~, i NOSE: YCY2r~y DrrHGrv sro nrs Phone 477-0 00 Malrl Road i 7 M GREENPORT, N.Y. 11944 . GEDrzGt SCHNerDER.. G RAG 28 a., S5- S~R~G7~0~ ,6 „q ~n,c, CRo SCALE 14' ,,.vo I(r4DF