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HomeMy WebLinkAbout21877-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23011 Date MAY 23, 1994 THIS CERTIFIES that the building NEW DWELLING Location of Property 605 LATHAM LANE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 9 Lot 1.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 4, 1994 pursuant to which Building Permit No. 21877-Z dated JANUARY 18, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE,TWO 2ND STORY DECKS & REAR DECK ON FIRST FLOOR AS APPLIED FOR The certificate is issued to CHARLES M. & JOYCE M. MURRIN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-93-SO-79-MAY 19, 1994 UNDERWRITERS CERTIFICATE NO. PENDING - MAY 16, 1994 PLUMBERS CERTIFICATION DATED MAY 19, 1994 - CHARLES M. MURRIN 0,-,L CW ZA,- Building 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 ...............1 N® 21877 Z i Permisslon Is hereby granted to: j 1.~...........-...1../...9.39 I j %r c?C7...,, ~ri~s ~GT..,...... G..lel-`Ak..... 7 %'~?a. f I 1t '0 at premises located at........ ..LP.~~.....7 . ..~~r.!T...,.,r...................................,.. County Tax Map No. 1000 Section Bloc . ........SG! Lot No...... Ze~J pursuant to application dated , 19...A..~~.~.. and approved by the i I Building Inspector. Fee S••y/0.~+•,~ r . ilding Inspector Rev. 6/30/80 t Form No. 6 r66 U L5 TOWN OF SOUTHOLD kt BUILDING DEPARTMENT MAY 2 0 TOWN HALL 765-1802 ,row D APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 19 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. 8. 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 Building - $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 $15.00 Date .........5 ,LK..................... New Construction..... Old Or Pre-existing Building., Location of Property. A~S„ G r ..A 7.... L 1,,v ..............................~lL.xA'11r House No. Street Hamlet LlnLt Onwer or Owners of Property.... . E /.~1..... County Tax Map No 1000, Section .....r ......Block..... .......Lot........ 15.......,.... Subdivision... L A'vgf ...!r'.!!Q.. X.T (Jn.rtir /A led Map..S y.°l ....Lot... . ~-5 Permit No..2I877.x.../Date Of Permit......Applicant. . ( ~'Gam...~:.~-!"!+ jL!N Health Dept. Approval A ......................Underwriters Approval...J(..................... Planning Board Approval yj Request for: Temporary Certificate........... Final Certicate....:`...... Fee Submitted: Z J` :04; APPLICANT C d -9-it2O ` I S" INSPECTORS F!' ©G2 SCOTT L. HARRIS, Supervisor Thomas Fisher Southold Town Hall Thom Inspector P.O. Box 1179, 53095 Main Road Building Gary Fish So Fax d, 6New ) York 21971 Building Inspector Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: ) k f Building Permit No. Z / Ff 7 7 Z Owner : 4,f'14 d rvG Fr 10, M ~2 vn. as (please print) j Plumber: C14%nGrLc `-I. 1x.nrLi; MAY (please print) ??WW BLDG DEPT. TOWN of SOUTHOLD J I certify that the solder used in the water supply system contains less than 2/10 of 1Z lead. (Plumbers Signature) Sworn to before me this day of 19~. Notary Public, County Notary Public EILEEN VAN WART Notary Public, State of New York No: 4878314 OWIffed In Suffolk County y Commission Expires Dec. 22,19~d '1~ S'af FOL't 5V Town Hall, 53095 Main Road C2 C4 Fax (516) 765-1823 P. 0. Box 1179 Telephone (516) 765-1802 Southold, Now York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 16, 1994 Mr. Charles M. Murrin P.O. Box 361 East Marion, NY 11939 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 No Underwriters Certificate on file. xx The check is not on file.$25.00 xx No Health Department Approval on file. No final inspection has been made. xx V1 No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21877z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 F BUREAU OF ELECTRICITY I 85 JOHN STREET. NEW YORK, NEW YORK 110038, Date MAY 19,1994 Application No. on file 83827494/94 N 314471 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of RICHARD & JOYCE MURRIN, 665LATHAM LANE, ORIENT, N.Y. in thefollowinA'location; O Basement ® Ist Fl. ® 2nd Fl. GAR/ATTIC/O11T .Sertion015 Blar4) Lot 25 was examined on MAY 1.G ,1994 and found to be in compliance with the National Electrical Code. FIXTURE ES RANGES ECE?TACLES SWITCHES FIXTUR COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER MT K. W, AMT K W. MIT. K.W. MT. K. W. AMT. H,P 34 51 49 313 1 1.4 4 F in, FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS IL H. P. GAS H. P. AMT NO. A. W. G. AMT AMP. AMT. AMPS. TRANS. AMT. H P. MAMi WATTS NO.OF T 2 600 SERVICE DISCONNECT NO. OF S E R V 1 C E METER NOOF CC. COND. A. W G. A. W. G. A. W. G. "I MAP. ttPE HiUIF. 1,e' 3W 1 0 3W 39 3W 3,e' 4W PER OF CC. COND. NO. OF H4LEG OF W11 LEG . G. NO OF NEUTgAl3 OF NEUTRAL 1 200 CB 1 % 1 2/0 1 2/0 OTHER APPARATUS: JACUZZI-1 MOTORSt1-1 H.P.,G-F H.P. j PANELBOARDS:1--1. CIR. 60 ' SMOKE DETECTOR:-2 i. TRACK LIGHTING:-1.4 t'O l JIM SAGE ELEC. INC. LIC.#3635 E 350 MARINE PLACE GENERAL MANAGER GREENPORT, NY, 11944 11 - Per , This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified, by thgir credentials. I COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I'LDa i :SPE";iUN' 1IDniE a FOUNDATION (1st) FOUNDATION (2nd) 2. 2 ~s ROUGH FRAME & PLUMBING (,rfJ \ 3. .R ' mA \ INSULATION PER N. Y. m STATE ENERGY CODE x Acn, Z 4. C r -~r FINAL ADDITIONAL COMMENTS: :6K C r &At4 9.1 m H O o m -o H IKly ' ~I I„ I, g 77 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING VolliNAL REMARKS: 001 44 CN t t P DATES 11-3103'e INSPECTOR 4 i 765-1802 BUILDING DEPT. INSPECTION 4 [ ]FOUNDATION 1ST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ]l -FINAL REMARKS: (212 fit) t i C f r i f i DATE / INSPECT M-1802 BUILDING DEPT. 1 NSPECTIO [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOU DATION 2ND [ ] INSULATION RAMING [ ] FINAL REMARK : DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: c DATE INSPE M-1802 BUILDING DEPT. - - INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. r f L ) FOUNDATION 2ND [ ] INSULATION i i FRAMING [ ] FINAL r 4 y REMARKS: G~ 4 i f i r ~S f I I k V f DATE INSPECTOR , f i t r C I AuI nih r FNVESWrF I I PAP. - WEL-t.- - i I 6- ~ ~ ~ I I r. mop. WY-i --e J f t _ ( TT 2B 1 JJ~ lu { r~ Jam. I .:1.GLC.,7:FQUN:JATi~h! j. 1 I ~507o F.lSyhd. ~ ~y a (sJ J/ ~Q,~~J N,'v ~,l4 W. lJ`1 !~7 )i 1/far I ~7/ t:vnc.j CYAC.) . NOTE : c LCT Y FIC !FCG IN 'r,HF FU Fr. t,~tc ^ 'F ',..-E AF) A_.vq"~_.. } LOT IS Fp12LY FI A'7,'AgC~~T f~ AeovE YEAtt S -Et, iF7E0YN! /OS>' NBtY19 ' ' T r. . 8NERGY CODE REVIEW (11011-electric) t / 7014 (Fart 5) 6#(W degree.,days for i? G< /LS t,1 J j i t/~!-Per Uwgs /?0 ber1 t6!7 rieM ( bated slr~e, envelope gomponetit It-Value Exterior wall R-16 Itoof/ceiling n-19 floor I1-19 foundation wall R_10 slab Edge Insulation clazing n-lo Entrance Dome 0-1.r I1-2. ~ All IIVAC fqulpment to meet requirements of 7014.11 All IIVAC Control met to meet tequitehients of 7814.12 All Duct systems to to met requirements of 7014.13 All Ventilsting Syetemg to meet requirementg of 7014.14 All piping insulation to meet requirements of 7814.15 All Service Water Ileating gystentg and Equipment to meet regUltelhents of 7014.21 All Electric! Systemg to meet requirements of 7814.31 7b the best of my knowledge, belief) and profesgiollal judgements these plans are in compliance with the code Y C~ PENCE • T~ x a~ S r Q' t w . aMO 03224.1 ~~0 _ ~q~F6SS10~P~ ,BOARD OF HEALTH FORM NO.1 3 SETS OF PUNS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT ~CIIECI : TOWN HALL JSEPTIC F0 RN SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t.aCALL! Examined Y..... 191 HAIL TO: Approved V~d 191. Permit No............. ; Disapproved a/c (Bull g I pector) APPLICATION FOR BUILDING PERMIT Date ' 19 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 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 necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ?37 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. t a ,~2 . Name of owner of premises ~.!ll~.R.4~cs (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. /..,3. . , 11TJ_-77 . Plumber's License No. Electrician's License No . Other Trade's License No. Location of land on which proposed work will be done. . . . . . . /0 5 ~ l~.? H. A!'t CAav House Number Street Hamlet County Tax Map No. 1000 Section ...:.Q. Block / Lot ~.S . i Subdivision. ,{/~t!OS, , ~!Q, /f 7- l7lQrff^ T. AMr T . Filed Map No. . rs.~ R`I. `1S (Name) Lot..... h State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy U/~Cf/s?T .C° { b. Intended use and occupancy Y...:®ri CC! - . . 3, Nature of work (check which applicable): New Building . Addition Alteration Repair • • • • • Removal , , , , , , , , , , , , Demolition ..............Other Work . 4. Estimated Cost (Description) 1..~,~~ , o . Fee . (to be paid on filing this application) 5. If If garage, dwelling, number number of of cars dwellinS, units Ptijf , , , , , , Number of dwelling units on each floor ,Q'NE, , , , , , , , 6. If business, commercial or mixed occupancy, specify na ure and extent of-each type of use . . 7, Dimensions of existing structures, if any: Front • " . " ' ' ' ' ' ' ' ' ' • • Height .......Rear Depth , , Number of Stories . . Dimensions of same structure with alterations o•r~ additions: Front ..4.2'~.... . Rear ...~-~Z: AS f Height of 8 Rk : r °fi- Number of Stories v2......:.': , . 8. Dimensions of entire new construction: en z. . . . • . , . ns 'ruction: Front 6.3 ,"4 Rear CA' C Depth Sp .Height . . of Stories P~, , , , , , . 9. Size of lot: Front f!o. , Rear ...,1 yo.r. A............. Depth /.7, o o 10. DateofPurchase . 11. Zone or use district in which rp ~ • • ' ' ' " ' ' • • Name of Former Owner . •l~/f T%P!fi!!>•, , , .v premises are situated , „4-4,tS, !D, If 7-- i'? A • • • • 12. Does proposed construction violate any zoning law, ordinance or regulation: No , . , , , , , , • . 13. Will lot be regraded vd Will excess fill be removed from premises: Yes <Ro premises /hR, 14. Name of Owner of Bu• CrYi<ee eu ~"F~'^ Address ).Pg. !49? , 3V ,?S7~ pe.,.,Phone No...Sf.~ ? ; y6o Name of Architect 7 Address Phone No. Name of Contractor 40e.kMf AAA !r„,kofAe,,,;:i Address48syrAI~AP Phone No. AAA ; be ayes,,,,,,,, No.X ' 15.' Is thi* pIfropyes, Southold ou witholdthin T 300 own feet Trustees of es a P tidal Permit wetland? ' may be required. , PLOT DIAGRAM Locate clearly and distinctly allll buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block Number or description according t deed, and show street names and indicate whether interior or corner lot. pt(I Q* 0p7~a+ t r r7 GOT q1 V - rr~.-44.I O'=r•Z QF _ opt. /!0t 0_Ir- - - - - - - _I_ o° . a A C, ~ i Ard !5 • ~ ~u ~ o 6 Vr4p~j_ i ' \ ` ~iaoP do v - - Q STATE OF NEW YOR COUNTY OF ,ljaha•1k, S is ' ' ' ' ' ' ' ' ' ~ u ~ ' L• ' • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.... w ^ Y.............................. (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the .vork will be performed in the manner set forth in the application filed therewith. iwom to before me this Jotary Public, y.:I County ty ROBERT L S60 r4 Y50R9LICI' lk ftaC` term 725o ,a 31 19 (Signature of applicant) 41 CJ t s:; 40 Q 10 t( n c w ~v r 61~d ea „LL Nov OD .w1_ 73 Ut. ; , (j U} T i #1 1 t+'~ s S,- SYt*E7 i_ '~t~, '25tyl<fLHo \ a 70 Irr, ATM Ct ~'y } T 1 L t.}r t ~ ~i.+ `-M _ rr, 4 l\r (l n Pi t' (rv-i r~ V I w~ t i c 1 rn ~c ii 1m , r)1 JP, 4 r CZ.J 1 ~`~E i~ ry~ z q 1j' ~f.. 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I e I I - - = _u~ E Film i -l_. - t 9 o If copper tubing is used ing is used 1 for water distributing istributing UNDERWRITERS CERTIFICATE ng shall be APP%,,~ AS WED REQUIRED .~PS~oENewyoy 1 system; piping shall be S of types K or L only or L only DATE: 6P.8 s PAN r T { + i 9 0 r~ .f (n, . .e c~a.n •~.an nEr.\l APn uEni oI Ic'v ~I r~BY'.......... ~f~l ~ (c' Imo'-' I _ ~i~ .Yd m I _ vcrHnlrvlclYl Al 785-1802 9 AM 1 4 PM FOR THE MUMMY UK ISING FOLLOWING INSPEL IONS: _ 4 134aev as s USE IS UNLAWFUL PUMBINGWASTE ap ~e ING WASTE 1. FOUNDATION - i VO REQUIRED & WATER LINES NEED I' 9pFESSfONP~ INES NEED FOR POURED CONCRETE IT OUT CERTII ICAll TESTING BEFOINF COVERING ICE 2. ROUGH - FRAMING R PLUMBING COVERING 3. INSULATION 70WN OF SOUIF4UL~.!~,,,, / 4 4. FINAL - CONSTRUCTION MUST OF OCCUPANCY NUMBERCERAIFICATA ONLEAD CONTENT R4EF( rR!/F/CAT/ON BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET i ITElVT E3EFORE STHE ATE CONSTRUCTION OF THE N.Y. CERTIFICATE OF OCCUPA, A ENERGY F OCCUPA/VCY CODES. NOT RESPONSIBLE FOR USED IN WA 7.,E SUPLPLY SYSTEM CANN( p IN WATER DESIGN OR CONSTRUCTION ERRORS 9o- Ale C f FIQC.[S EXCEED 2110 of 1% LEA, EM CANNOT i o! 1 % LEA/). DO NOT PROCEED F. UNTIL 2nd SURVEY OF dD kEHE9 NO IMpw 1 " I FOUNDATION LOCATION 'j p 0 3ok 620 1~. HAS BEEN APPROVED so rHaLD NY 11011 F wr' l C R~xt r~on r` .J o . - j { { ( I i { i i P i i t EtEVAT~ou, i i i i Y i I, I f { I i , 1 ~ e~ 1 FT_j _1 Jf t"1 5t(r( J 41t tE OF NEW Y ifi:~il: nP, NEE T. ~a 1 \ y `fit„_,_ t e .~~.r ~i' ¢ 4 llV ~ ~ r ~ ~ ? w { p9OFES5ttlNP~'~ J 0*41 t ...............~W.......m.....-.............._,........rv«..............wr....u.,........_.............a.wrn..m.n.......ru.,.._..f,..-w+..w...,«+.rv.._..+ _.........w.._.+..._.,........-_......'._........~-..~. „ 24 Sy r rV f r II _1 ,I r u X11 , f 1 , ~.bls i~ ,s15 e . I 6 c a ~ ' ~ ~i .r~ Q 1?I V I I- 4 I / ~ G I ..1 „ MW~ I ~I II I .ol I Y L rS~CO~! I_ . 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