The URL can be used to link to this page

Home My WebLink About22251-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23371 Date NOVEMBER 28, 1994 THIS CERTIFIES that the building Location of Property. 515 GIN LANE House No. County Tax Map No. 1000 Section 88 Subdivision ALTERATION SOUTHOLD NY Street Hamlet Block 4 Lot 5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 1994 pursuant to which Building Permit No. 22251-Z dated AUGUST 11, 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 AN "AS BUILT" UNHEATED ADDITION TO A OWE FAMILY DWELLING AS APPLIED FOR; AS APPROVED BY A PROFESSIONAL ENGIWEER. The certificate is issued to WILLIAM & ELAIWE WHITE (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN ~ $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 22251 Z Permission Is hereby granted to: g'~../~.... .~....~::...~ ..................................... .... ~~~...~/~...~.... ~.~..~., . · ~;~....~~~,...:..... ~~: .................................................. ....... :y~,...~~.. ~....~....~:~~.. ~.....~~:~ .................................................... ~~~ .................................................................... c~x M~p N~. ~bO0 S~t~ ....... ~ ....... ,~......~ .............. ~t N~ .......... ~.~.~.. pursuant to oppllcetlon d~ted ..........~ ............................. ] g~..., end opproved bythe Building Inspeotor. F~ S......~... ~ Rev. 6/30/80 Form No. 6 *~-QIOH~OS~ BUILDING DEPARTMENT : 765-1802 ~PLICATION 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 o~ property with accurate location of all ~uildi~gs, 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. Co~ercial 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~l 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 appiicant. Co 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-existin~ Buildinz - $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.O0 New Construction ........... Old Or Pre-existing Building ................. Location of Property ................................................................. · House No. Street Hamlet Onwer or Owners of eroperty ................................. . ............ ~ ........... County Tax Map No 1000, Section... $~f ...... Block P~ ..... Lot. Subdivision ...... ....... Fil d Map ............ Lot .............. Permit NO..~,~., ,Date Health Dept. Approval .......................... Underwriters Approval ....................... .. Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate....~. ...... Fee Submitted: $ ..... ~...~...~.. ............... Joseph Fischetti PROFESSIONAL ENGINEER HOBARTROAD o SOUTHOLD, NEW YORK l1971 ° (516) 765-2954 November 11, 1994 Tom Fisher, Building Inspector Town of Southold Main Road Southold, NY 11971 Building Permit #222512 Mr & Mrs William White Gin Lane Dear Mr. Fisher, I have inspected the completion of the work covered in the above referenced building permit. I directed the installation of two additional 2" x 10" girders supporting the floor with three foot deep concrete footings. In addition the existing roof tresses were secured with metal "hurricane" ties and the wooden steps were secured with lag bolts. All has been done in accordance with New York State Building Codes. If you have any questions regarding this matter, please call. etti, P.E. FOU~DATION (1st) '4. FOUNDATION (2nd) 2. ROUGH FRAME & INSULATIOH .PLUMBING PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: -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 August 12, 1994 Mr. & Mrs. William White P.O. Box 250 Southold, N.Y. 11971 Dear Mr. & Mrs. White Enclosed is your building permit for your unheated (seasonal) room. Before we will issue the Certificate of Occupancy certification of the "as built" construction by an architect or licensed engineer is required, especially post foundation, floo~ and roof trusses, provide hurricane clips on trusses and bolt stairway landing to post. Sincerely, Senior Building Inspector pF~OFESSIONAL ENGINEER HO[3AI~T ROAD SOUTHOLD, NEW YOI~K 11971 51~-765--2954 Tom Fisher, Building Inspector Town of Southold Main Road Southold, NY 11971 Building Permit//222512 Mr & Mrs William White Gin Lane November 11, 1994 Dear Mr. Fisher, I have inspected the completion of the work covered in the above referenced building permit. I directed the installation of two additional 2" x 10" girders supporting the floor with tl~ee foot deep concrete footings. In addition the existing roof tresses were secured with metal "hurricane" ties and the wooden steps were secured with lag bolts. All has been done in accordance with New York State Building Codes. If you have any questions regarding this matter, please call. ery truly, yours, 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 August 12, 1994 Mr. & Mrs. William White P.O. Box 250 Southold, N.Y. 11971 Dear Mr. & Mrs. White Enclosed is your building permit for your unheated (seasonal) room. Before we will issue the Certificate of Occupancy certification of the "as built" construction by an architect or licensed engineer is required, especially post foundation~ floor;and roof trusses, provide hurricane clips on trusses and bolt stairway landing to post. Sincerely, Senior Building Inspector 3 3X4 3×4 0 1 2.~ 3~,'~Z tSx4 o P~ateoflsets (LeP.,Top): 1:4.0,1.$, 5'40.1.5, 7:4.0,2.0 BCLL 0,0 Rep Stress I~cr YE~ DEFt. (in} (I~) [/~e~l I pLATEs Vert(LL) 0.36 7 E[O0 t M20(2~a} V~) 0.5~ 7/8 495 ]65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING REMARKS: DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS p~ ~ ~ee~.~ su.~^u or E'=CT.IC,T'~ ~- 85 JOHN STREET, NEW YORK, NY 10038 Date F~Rt~ARY O9,1~)96 /Jpplication No. onfile 1;~O~9696/96 N 377~3~ 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 WII,LTAH ~I'~E, 515 G'[N LANE~ SOUTHOLB~ N~Y~ in the followlng location; [] Basement [] Ist FI. [] 2nd Fl. Section Block Lot tt~s examioed on F~SRUA~Y I~5 ~ [996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES DRYERS OTHER SYSTEMS NO, OF FEET E R V I C NO. OF CC. COND A,W.G, NO OF HI-LEG A,W,G, NO OF NEUTRALS A.W G, PER ~' OF CC. COND. OF HI-LEG OTHER APPARATUS: PADDLM FAN-~-I HO~.ORS. 1 -~ H. P, PAUL R. BURNS P,O.BOX 1061 ~OU~OLD, ~, 11971-O932 L~C~3897 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. ~nspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ~T NOT BE ALTERED IN ANY MANNER. 0 0 fd~ mon. 50.0' he existence of rigl2t c f record, if any, not r;h O ~ LOT S,52° O5'50" E. NO 21 125.OO' 21,2' Cc'° N. 52°0 5' 5 O"W, LO NO 19 FC,0.4' EL.. I 12500 fd ,pm 0,1'S. 0 u~ 0 ",.,_E,C~. 1. O' N, Id. 0.9'~ ion ways and or easements ~wn are not guaranteed. GUARANTEED ONLY TO WILLIAM and ELAIN~ SOUTHOLD SAVINGS AMERICAN TITLE IN TRANCIION JR. I.Y. LIC. NO. 048992 PENN IIC, NO. 21115-E JOB NO. 89-12 FILE NO. BAy HAVEN SURVEYED FORWILLIAM ond ELAINE WHITE LOT NO 20 MAP OF BAY HAVEN AT $OUTHOLD SITUATED ~AT $OUTHOLD TOWN OF SOUTHOLD ~SUFFOLK COUNTY ~N,Y. SCALE 1" =30' DATE 1 -16-19~9 FILED MAP NO. 2910 DATE 1-22-1959 TAX I,vl~P NO 1OOO:BI5=4-~5 HAROLD F. TRANCIION IR. P.C. LAND SURVEYOR SUCCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD - WADING RIVER NEW YORK 11792 (516/ 929-4695 BLDG DEPT. TOWN OF ~O~Ii~IOLD Examined · ~;~.~/ .......... , 19 ~.~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT' TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 BOARD OF HEALTH ......... //s. uRv y ......... "./~CI1ECK .'..' ...... . ~SEPTIC FORH ..... CALL ................... HAIL TO: Approved .... ~./// ....... , 19 ~(5Permit No. ~..'-:~..~..~ .'~"../. Disapproved a/c ..................................... APPLICATION FOt~ BUILDING PERMIT INSTRUCTIONS Date ................... 19... a. This applicati.o,n 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 ail 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) . ~.ct7 (.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises. ~ (~?...d-p~.....~.~..~.~...~..~.~...e...~d~* ~. ~%'~ .~4~.. (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 L~cense No ...................... Location of land on which proposed work will be done .................................................. IIouse Number Street Hamlet County Tax Map No. 1000 Section O ~ ~ Block O ~ Lot... d> 05 Snb~livision....~.~'/ pff/*f.t.,'~,~,. ' Filed Map No. ~' Y,/O Lot ~ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ....... . ................. F, .......... Ct' '' ~ ............. b. Intended use and occupancy...]~.t'7~..~...o~..../~?.~a....~...~. ~..~...~..~..~d~.. d~..~/(~.*-rJ .J. ............. 3. Nature of work (check which applicable): New Building .... Addition .'i. ]~..'.. '..- )idt~rafion ....r..' .... 4. Estimated Cost. j. ................. I (to be_paid,¢n~ltng. . ,.- .- this application) 5. If dwelling, number of dwelling] units..../ ..... Number of dwelling unit~ 0n each floor ........ If garage, number of cars . .~. ........ /.~6. ~ buslness, commercial or mixed ~ceupa~y spec'i~; nYdr~ia'nd e~t'en~'0feach type';fu~e .o. Height ... ~. .......... Number of Stones .I ............... ~' Dimension. s of_sam.e structure with alterations or additions Front . ~ '~:~.~"'i' . 'l~;n'r ~9'. '~2.~i~.' ....... 8. Dlmenslonsofentlrene.wconstrnchon. Front ~[ ~'-~-~,~ 12. Does proposed construc.tign violate any zoning law, ordinance or regulation' ./~..a. '...' ..... 13 Will lot be regraded .ZL/..o 2 . . .................. ..... i .............. ' ....Will excess fill, be removed from premises: .-'('~ No hit Name of Arc eot ........................... Address ................... Phone No ................ Name of Contractor . : Address . Ph~ 15. Is th:Is properl:y w±thin ~00 feel: of a l:±dal we,:land? If yes, Soul:hold ~own Trusl:ees Perm±l: may be requ±red. PLOT DIAGRAM Locate clearly and distinctly allI buildings, wMther existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~OI..LOW[NG ~NSPfiCT[OHS: 't~ F'OHNDATION TWO REQUIRED FOR POU~ED CONCRETE 4: FINAL CON~TFIUCTION MUST BE COMPL,ETfi FOR C.O. ~LL, CONSTRUCTION SHALL M~ ~NE ~EQUIREMENTS OF THE N.~ STATE CONSTRUCTION & ENERGY. CODES. NOT RESPONSIBLE FOR ~ESIGN OR CONSTRUCTION ERRORS STATE OF NEV~ YORK, ............ ~.:~ 1 .Ixl .'~. ! ~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulylauthorized to perform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the work will be performed in th9 manner ~et forth in the application filed the~'ewith. Sworn to before me thi~ ~olaqt Publio, Stal~ of Now York ................ No. 4951364 (Signature of applicant) Qualified in Suffolk County Commission Expires I~./lay ~2, 19 z