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HomeMy WebLinkAbout22253-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23393 Date DECEMBER 6, 1994 THIS CERTIFIES that the building REPAIR Location of Property 1075 NAVY STREET ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 3 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 1994 pursuant to which Building Permit No. 22253-Z dated AUGUST 12, 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 REPAIR FIRE DAMAGE TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.. The certificate is issued to SHIRLEY A. REITER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-325769 - SEPTEMBER 1, 1994 6 N-334155 - NOVEMBER 21, 1994 PLUMBERS CERTIFICATION DATED DEC. 5, 1994-BERTSAND PLUMB. & HEATING a,- Building Inspect 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 ..~~r.r 19 N2 22253 Z / Permisslon Is hereby a ted to: f r Q /.1.. t r......... , .../..1.. r to. at premises located at.../025~ ................................b K..! / County Tax Map No. 1000 Section Block Lot No. .....4............... pursuant to application dated .`...°L 19 Fl......, and approved by the Bullding Inspector. ?eaj_ Fee j > Building Inspector Rev. 6/30/80 J JIO~ Form No. 6 D a TOWN OF SOUTHOLD p " BUILDING DEPARTMENT TOWN HALL 765-1802;... 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 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. i 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 Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $(h4.00, pC~~ommercial $15.00 Date !G...?.( i ~ . New Construction........... Old Or Pre-existin Building., Location of Property 7 ) t °Ae ' House No. (1J tre``et Hamlet Onwer or Owners of Property ......JKt~~!~e ~,,1 TL°6( County Tax Map No 1000, Section... . Block 0......... Lot.... 6 Subdivision ......................................p Filed Map............ Lot...................... Permit No..;IP;~53.. .Date Of Permit.... 2,,~t ,Applicant... Q ?d ~~M'ecl1/... Health Dept. Approval ..........................Underwriters Approval...... Planning Board Approval Request for: Temporary Certificate........... Final Certicate,.'„• Fee Submitted: $......M) 0 JOHNSEN, P.E. J(~ ~I.Cr2-RJ ;ormorontDr, n Bays, N.Y. 11946 Design r/w NJJ Tel/Fox (516) 728-5095 UU0 September 26, 1994 Peter DeNicola Professional Builder P.O. Box 841 1695 Chablis Path Southold, New York 11971 Re: 1075 Navy St., Orient Build. Permit # 22253 Dear Mr. DeNicola; Per your request, I have inspected and evaluated the three double 12 inch 'Microlam' beams which support part of the roof system at the above refer- enced one story dwelling. The beams are of sufficient strength to support the dead and live loads as per the respective New York State Building Code. This letter may be presented to the Southold Town Building Department and shall serve as my certification that the subject beams have been properly installed and comply with the structural building code. If there are any questions or if I can be of further assistance in this matter, please let me know. Res ectfully submitted, Jo n I. Jo nsen, P.E. e 8 l DEPT TOWN B3LDG SOUTPi--o--L--.D p 41 smnn11dY6~ s I c~~FFOtkI` T" 70-1~A2 ~O D TOWN OF SOUTHOLD... OFFICI: OF BUILDING INVIXTOR j P.O. BOX 728 O TOWN HALL, SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date December 5, 1994 building Permit No. Owner 2e`1'Fci(~ • (please print) Plumber Bertsand Plumbing & Heating, Inc. (please print) I certify that the solder used in the water contains less than 2/10 of lit lead. " 81.~1ier'B ri9natvxe) Sworn to before me this 5thh„_day of December , 1994 Notary Public Notary Public, Suffolk County EILEEN M. HOACNE - Notary Public, State of New York No.482694P- Qualified in Suffolk County Commission Expires Junuan/ 39, L9_y,oo . Town Hall, 53095 Main Road Fax (516) 765-1823 P. 0. Box 1179 Telephone (516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 30, 1994 Mr. Peter DiNicola P.O. Box 841 1695 Chablis Path Southold, NY 11971 Re: Shirley Reiter Prem: 1075 Navy Street, Orient NY 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 not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22253-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Hfn~ ``1,, F0 U14DATION (1st) FOUNDATION (2nd) _ _ o ROUGH FRAME & -PLUMBING Gy\ i y 3. x INSULATION PER N STATE ENERGY I2 CODE x a y FINAL ti\ ADDITIONAL COMMENTS: n x c H x a y N o ~ • z M A 1 •n H i M-1202 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ON [ ] FRAMING [ INAL REMARKS: 6gle 4) DATE 11.4 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROU H PLBG. FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL REMARKS CV -w`7 mom c ti DATE 1o~ INSPECTO r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ 4~4OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ a-F~RAMING [ ] FINAL REMARKS: DATE ?`1V INSPECTO - ~na.n co . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1'065081 BUREAU OF ELECTRICITY F 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date NOVNUBER 21,1994 Application No. on file 85707794/94 N 334155 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 3SI3IRLY RIOTER, 1.071.1 NAVY STREET, ORIENT POINT, N.Y. in thefollowinglocation; ® Basement 11 Ist Fl. ? 2nd Fl. ATT1C/BtlT Section Block Lot uws examined on NOVEMBER 17 , 1994 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 FIUORESCENi OTHER AMT K. W. AMT. K W. AMT K.W AMi K.W. AMT. H P 28 31. 27 2R 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT N0. A. W. G. AMT AMP. AMT AMPS TRANS. AMT H P. SYSTEMS NO. OF FEET pMT. WATTS 1 F 1 2/16 HOtr) 1. SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP TYPE METER I 4W L R 3W 3,R 3W 3B 4W NO. OF CC COND A W G. NO OF HbIEG A W G. NO. OF NEUTRALS A. W. G. EQUIP. PER a OF CC. COND. OF HI-LEG OF NEUTRAL 1 180 C.8 9 % 1 4 1 4 OTHER APPARATUS: MOTBRSi4--F H. P. G.F,C.I:-•9 SMOKE DETECTORi-3 E'RW ELECTRICAL IIZC. #4405-E SERVICES, INC.. P, O. BOX 1.154 GENERAL MANAGER RONKONKOMA, NY, 11773 I1 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 CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. IF a~LS -6 THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 1000955 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMBER 01,3994 Application No, on file 85363899194 N 325769 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 REI:TER, 1075 NAVY ~SryTREET, ORIENT VILLAGE, N.Y. in the following location-- CJ Basement [I Ist Ff. El 2nd Fl. Ot" Section Bock Lot wasexaminedon AtJGrUST 29 , 1994 andfound to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS OISHWASHERS EXHAUST FANS OUTLETS lItECIP11 ACLES SW17CHE$ INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT. K, W. WT K.W AMT. K W AMT. H. P.. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMER$ T. N. W. OIL H. P. GAS H. P. AMT, NO. A. W. G. AMT AMP AMT. AMPS TRANS. AMT H -P SYSTEMS AM AMT. WATTS NO. ST FEET SERVICE DISCONNECT NO.OF S E R V I C E METER NO-OF CC COND A. W. G. A W. G. A. W. G. AMT. AMP. TYPE EQUIV. 1,e' ]W 1 ,e' 3W 39 3W 3,e' 4W pER % OF CC. COND. NO. OF MIdEG W HIdEG NO.OF NEUTRALS OF 1 100 CB I x T 4 1 4 OTHER APPARATUS: TEMPORARY EIRE RE--COONECT ONLY-4 BT-COUNTY ELEC'TRIC CORP. T;TC,#I330 2279 JERUSALEM AVENUE NORTH BELLMORE, NY, 11710 GENERAL MANAGER 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 their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. U V BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK _ . . . . . . . TOWN HALL SEPTIC rORN ~ BLDG. DEFE r SOUTHOLD, N.Y. 11971 OLA TEL.: 765.1802 t: oT I P'f EXatllincn CALL 9 ^ MAIL TO: _ _ . • Approved •/•~r., 19 Permit No,2.,5. _ . Disapproved a/c x _ . ( ilding specto`rr APPLICATION FOR BUILDING PERMIT ) Date . l 2 19!.y INSTRUCTIONS r a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stieet 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 permi 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 rem'ses and in building for necessary inspecti s. ~TlC~1Y4iii p3111 % :~l~ (Signat r'o f applicant, or nam , if a corporation) / (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 7~ TXag 0 . Name of owner of premises Re- 5~'t f?_('e (as on the ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . r~ 14M Plumber's License No. , , Electrician's License No. Other Trade's License No. . I. Location of land on which proposed work will be done. l.e`?........ av (940 m ^ I Ouse Nu ber Street Hatttlct County Tax Map No. 1000 Section ...t Block ...1;Z Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy (Fp Er>Cs .....F !-rl. r `':"i<ll b. Intende use and occupancy ........F ~p tt~ 3. Nature Rehr ofwor heck which Rcpplicable): New Lluilding , , , • • 31 Addition te ' ration , e: Removal , , , • „ • • • . , • . • Demolition O 117 " . t?cr fk~-:.J. 4. Estimated Cost knQ b~ (Descrip°tion) / Fee ......r,.,~, ~w..~- i tt t_ g g p, number of dwellin units . ( S. Ifgarag," a Number of dwelling ni P CN tson\cac1,Sp laa}a~t+ion) If ara e, number of cars 6. If business, commercial or mi . 7 xed occupancy, specify nature and extent of.each type of use . , Dimensions of existing structures, if any: Front , , , • , • • , , , , Rear • . • • • ' Height Nliml ber of Stories ...Depth . Depth Dimensions of same structure with alterations or addition . . . s: Front . ; Height . Rear . . . H 8. Dimensions of e?~t fe new construction: Front o...:., • • , , . RearNumber of Stories . : . . Height . , , , • , , , Number of Stories . • • • • • • • Depth ...yp , , 16 . 9. Size of lot: Front Rear• 10. Date of Purchase Depth Name of Former Owner " 1 1. Zone or use district in which premises are situated ' " " " premises ate any zoning taw, ordinance or regulation: r1b 13. Will lot be regraded Will . premises: . Name proposed construction viol` , • • .Address ../.a7 (`Flit/ 14. Name of Owner of excess fill be removed from premises: Yes of Architect Sow • • Phone No . Name of Contractor jQy{r~ Ortt. C-Pi`rddress Phone No t' Yes ' err y within 3 Address , No. • • A • , 15.* Is this pro • S /j(' Phone No, 7k T. 1 300 fe t of a tidal wetland? d? d~ tIf es Southold Town Trustees Permit may be required. " No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether 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. @5'~0A'C 4`IC_.dt;°'A`' ~('0 ..y4'<t,.fic.l. ~`~b~'~••w5 ~.~Onl` 13>4~v~~ .~an~t~`tn4g tp 'n.a~e/.1 ~Xr9}tt^1 GG'..tN-rced~ ~'lp~It ".$orS'T^ ~•0 It•.~,(.c.l~ G1('IS'~-r~^q ~ w w V,i'>0rriS o >7 f 1 AV~ # III `nNOTEQ) Ce ~c 1~lATEs:- / ~1T 17r a Z53 ' M419y' BUIL I. : 13'EPA THE A. i6648(12 g AM: TO 4 PM' FOR THE FOLLOWING INSPECT(ONS: 1. FO UNDATION, • TWO REQUIRED FOR PRED CONCRETE OCCUPANCY OR 2, ROUGH FRAMING & PLUMBING USE IS UNLAWFUL S. INSULATION WITHOUT CERTIFICII E d. BEE O FINAL - CONSTRUCTPONMUST ALL CONSTRUCTION SHALL MEET OCCUPANCY THE REQUIREMENTS OF THE N.y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR TATE OF NMV DESIGN OR CONSTRUCTION ERRORS OUNTY ~ . ~dK L~ S.S, • h 1.4.OJII , , , , , • • • • , • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) )ove named. is the Contractor agent, corporate officer, etc.) said owner or owners, and is duly author _d o perform or have perfonned the said work and to n plication; that all statements contained in this application are true to the best of his knowledge and belief; and I lat hie )rk will be performed in the manner set,forth in the application fled therewith. om to before me this .............1. ay of ......s 1Q? 91 tary Pu ic, County CLAIRE L• GLEUII Nry P No 4879506NehrYork Qualified In Suffolk County (Signature of applicant) Commission Expires December 8,10 C I 1n ,N a rn ~S OYl ~,yn ~P V~P1n I- 'Y ~a77Z ?t4 ~ x II ~ f E1~.S't~^~ (~tnpP2 r I I i U rr( i \ I r; r,~ i f ~ I rip ~ I I ~ ~ d 4 `l Ij r 1 !If ~P`LACP -i ~001t ~O,St W hP~l:' ~4'!taPj I f i I ' I I \ tai, ~~r 'z 71. 0 1- C 1 i Q vl - S 1 3p4 p" 30 i n" So ~v'o" ~'o' ~.a„ 3. 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