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HomeMy WebLinkAbout21271-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24151 Date FEBRUARY 5, 1996 THIS CERTIFIES that the building ALTERATIONS & REPAIRS Location of Property 525 ORCHARD STREET NEW SUFFOLK NY House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 5 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 1990 pursuant to which Building Permit No. 21271-Z dated MARCH 18, 1993 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 ALTERATIONS & REPAIRS TO A NON-HABITABLE, STORAGE, GARAGE AND REPAIR SHOP BUILDING AS APPLIED FOR. The certificate is issued to ROBERT GOODALE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N317494 JUNE 16, 1993 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 ' Foam Na s 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) NN9 21271 Z Date . 3 !8 )9 ,3 Permission is hereby gronted t i .r• ~..,~W..... 00 e to die, 7 .W. at premises located at 4~~;f ....i 5=11 . f County Tax Map No. 1000 Section //2 Block *~l Lot No....:~' Pursuant to application dated .........,i.r 19 r~ and approved by the Building Inspector. Fee $...zv¢• A 0.....~ / B ing I for Rev. 6/30/80 y~~E P yr J~ / r ~~g t ~ Y~ Form No. 6 ~~,~L l~T O f5 TOWN OF SOUTHOLD BUILDING DEPARTMENT„i FEB " 2 1996 TOWN HALL 765-1802 8 BLDG. DEPT. TOWN OF SOUTHOLD 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). 4. 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 17 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. 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. Cert'ificat'e 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 Buildi.ne - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $155.00, Commercial $15.00 Date V......................... New Construction.........tt.. Old Or. Pre--existing Building...............r. . . . . . . Location of Y`^ ;F-CV 1'04' A!ks; , . House No. Street Hamlet Onwer. or Owners of Property ....14U ~L`tEZL ..A00_ . County Tax Map No 1000, Section.../ ......Block..., )..........Lot. 00 0.......... Subdivision.......... ]...........................Filed Map............ Lot...................... Permit No. 2 1~.?. A Z Date Of Permi-t....... I........ Applicant Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval..: 'X Request for: Temporary Certificate........... Final. Certicate..,(.1...... ~r Oc/ Fee SCubmitted: $ 12Q01, 4 Cep'`=t ~plS J nPPLI :ANF L ' ~~~SpFFO(~-co c~ Gym cc x Town Hall, 53095 Main Road p • Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. ew York 9 11971 Southold, OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 27, 1995 Mr. Robert Goodale 665 Stillwater Avenue Cutchogue, NY 11935 Re: Building Permit #21271-Z Premises: 525 Orchard Street, New Suffolk Suff. Co. Tax Map #1000-117-5-36 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Senior Building Inspector a THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 106343 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date .TUNE 16,1994 Application No.onfite 80318093/93 N 317494 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the there application number in the premises of GOODAU ELIsX"TRIC, 525 ORCHARI:) STREET, NEW SUFFOLK SOUTHO LD, N.Y. in thefollowing location; ? Basement IN /st Fl. ? 2nd Fl. OUT Section Block Lot was examined on `TUNE 14 , 1994 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS IIIECEPTA( SWITCHES INCANDESCE Ni FLUORESCENT OTHER AMT. K. W. AMT K W T. KW. WT. K, W. AMT. H P 16 12 10 16 E F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W Olt H. P. GAS H P WT NO. A. W. G. AMT AMP. AMT r7- AMT. H P SYSTEMS pMi. WAiiS NO.OF FEET SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP, TYPE METER L ]W L 03W I3 3W S~ AW NO OF CC COND A. W. G. NO OF HILEG A. W. G. NO OF NEUTRALS A W G. EQUIP. PER 9 OF CC COND OF MI-lEG OF NEUTRAL OTHER APPARATUS: MOTORSt2-F H.1', G.F.C.'T:-2 TRACK LIGHTING:-8 GOODALE ELECTRIC LTC.#783 E 7555 MATN ROAD GENERAL MANAGER MATTITUCK, NY, 11952 11 Per - This certificate most not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPV FMI BUIP NWM EDEP AR PAL l° C. T I I;s CU112 f OF ` I ; .t ,CP c lfuUCT NO 03., etALTEPE`2 Ed AM' MJ AI'u64I"ERR roux No. a y 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) No 18792 Z Date All%; Permission is hereby granted to: 7'... .s to... at premises located at.... r..... .dGY~.. County Tax Map No. 1000 Section .......11 Block 3...... Lot No S~3-4~........ pursuant to application dated 151-1......................1 19YA, and approved by the Building Inspector. Fee .t. r Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU ATION [ ] FRAMING [ FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE INSPECTOR Glu M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( INAL lY-7s`r3 REMARKS: 6.0 . DATE 3 4 ! 77 INSPECTOR I o~OSsafFOtjr o~ ca x Town Hall, 53095 Main Road "p • Fax (516) 765.1823 P. 0. Box 91971 Telephone (516) 765-1802 SoutholdNewYork 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 24, 1996 Mr. Robert Goodale 665 Stillwater Avenue Cutchogue, NY 11935 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21271-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ti 7. J 7OU11DATION (1st) c `sue FOU!lDATIO!! (2nd) 2. 3 e ice ROUGH FRAME & ~Q a -PLUMBING 3..d m i r INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL C MMENTS: m d` O • m • A ` 3 \ `m M o m b H INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector o Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 " . Gar Fish Building Inspector Fax (516) 765-1823 t,.• Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD MARCH 10, 1993 ROBERT COODALE 665 STILLWATER AVENUE CUTCHOGUE, NY 11935 PREMISES @ 515 ORCHARD STREET, NEW SUFFOLK, NY PLEASE NOTE: PERMIT #18792-Z HAS EXPIRED/•RENEW PERMIT. 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 not on file. (Enclosed) No Underwriters Certificate on file. XXX The check is not on file.1$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 # 18753-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Page No. Of Pages ~ 11•, GOODALE ELECTRIC,,, RR1 Box 15A Main Rd. t MATTITUCK, NEW YORK 11952 ~EC ~99Q iE= " Phone 298.4157 BLDG. DEPT. UTtiOt-D ° RO SAL SUBMITTED TO PHONE - STREET OB NAME l ~P, l ODE CITY, STATE AND ZIP C JOB LO ARCHITECT DATE Of PLANS /sJ .per /"j' /J '7.~ / :W 7/ k ~(S 0 S' lr-Fo~-t< , I i 4 i I `I t l Or FCnpD.SF hereby to furnish material and labor - complete in -accordance with above specifications, for the sum of: i i dollars Payment to be made as follows: - All material Is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica. Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge Over and above the estimate. All agreements contingent upon strikes, accidents - proposal may be or delays beyond our control. Owner to carry tire, tornado and other necessary insurance. Note: This Our workers are fully covered by Workmen's Compensation Insurance. Withdrawn by us if not accepted within days. rreLworkas of Frapood -The above Prices, specifications and contisfactory and are hereby accepted. You are authorized Signature to do thified. Payment will be made as outli ned above. Date of - Signature - FORM 110 COP"RiGHT 1000-NEW ENGLANDBV91NEas aEewOE, INC, TOWNSENn.MASe-01A68 - 19 O i BOARD OF HEALTH D 3 SETS OF PLANS c~4~¢ CCM 8 ~pp~~ FOFM NO. 1 SURVEY " . ~'CV mow/ TOWN OF SOUTHOLD C11EC1; BUILDING DEPARTMENT SEPTIC FORM TOWN D . DEPT TOWN HALL ' SOUTHOLD. N.Y. 11971 NOTIFY I ww p TEL.: 7G5.1802 o,( Examined CALL •O`.. 19p/~ MAIL TO: Approved 19/. Permit No. Disapprovedaa//c . APPLICATION FOR BUILDING PERMIT Date . 15 . INSTRUCTIONS a. This application must be completely filled in b "0 " y 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, housinI- 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) State whether applicant is owner, lessee;'agent, architect, engineer, general contractor, electrician, plumber or builder. . Name of owner of premises . (as on the tax roll or latest deed) . . If applicant is a cprpp_g[i { qp,, s gupj4Tgrg(f Duly authorized officer. ( m ,p 0•jiyj_5,of,ggrp9ratc officer) . Builder's License No. Plumber's License No. Electrician's License No . ' Other Trade's License No . Location of land on which proposed work will be done: . . ' (louse Number Street Hamlet County Tax %lap No. 1000 Section 4/Z.......: Block , , , , Subdivision Filed Nlap No. . Lot (Name) State existing use and occupancy, of premises and intended use and occupancy of proposed construction: a. Existi ~~~~--,,GG ng use and occupancy , *Z4V_ - b. Intended r use and occupancy .~P~ ~ • l~Z~l~'~...~/~!~d/ . 3. Nature of work check which applicable): New Funding Additierv,. , Alteration: Repair R moval Demolition . ?ng 1. Tennis Court v..., Acc ssorY Building g ..Fence .~.•.Other Wo.rk,R.,j. 1. Estimated Cost 61tW............................ Fee ~q S. ,ria,.T.... (to e••paifl••art''nlhg'itifs app`licatron) i. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars , i. If business. commercial or mixed oc~upancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if 'any: Front . , • • Rear Depth . Height Number ;ofStories Dimensions of same structure with alterations or additions: Front Rear • . . Depth Height Numbcr of Stories . 3. Dimensions of entire new constn:ction: Front, Rear Depth Height ........NumberofStories . Size of lot: Front Rear Depth . . 0: Data of Purchase , , , , , , , , Name of Former Owner . . . I, /ortc: or use district in which premis~ts are situated Does proposed construction violate any zoning law, ordinance or regulation: , . • • • • • • • - • • . • • . • • • 3. Will tot be regraded . Will excess till be removed from premises: Yes • No.. 4. Name of Owner of premises..r!1''S*rKi4?,~/. Addres4(e-.(: ST/!~444;Al~C. Phone No. 7.T/<,L- , Name of Architect Address Phone No............... • • . Name of Contractor . Address Phone No. A!1 :NO.... 15„Is this property located within 100 feet of a tidal wetland?'*YES~. *If yes, Southold Town Trustees Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly all bupldings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block nuT her or description according to deed, and show street names and indicate whether nterior or comer lot. AP?O ED AS NOTED DATE; k a B.R 79"_ FEE: ~BY: NOTIFY BUILDING OEPAR AT 786-1802'9 AM TO el PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION • TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING IN PLUMBING 3. INSULATION b. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION G ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK COUNTY OF S S • • a......... , being duly sworn, deposes and says that he is the applicant (Nainco f individual signiml' contract) above named. I He is [lie I I (Contractor, agent, corporate officer, etc.) Of 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 work will be perfornlc4 in the manner set forth in the application filed therewith. Sworn to before me Ellis I 4 . .day of. 19 V. NOta,t, Ill • ~~L(/ ry Public, County HELEN K BE V0 • • • • . • • • • " NOTARY PUBLIC, Stele of ew~York *;.natu pplicant) Tem F piresMerch30~9. J~ re of a . ~_.._,_._...__....,.__..~.~.~..~„a,.~,~..,~._.~~~._a_.,_~~.~.~.~.a~.~,_.,~.~,.~....A.u.~.~....~.~ 4 o ~ ~r" _ ~ ~ ~'I M a a Nc; ~ Q ti, r .C7 A J - - i ~w L ~ li I ~RNRttlEgs' r ! I CERIIFiGgg ~ I e I ~ I SQUIRED ; ~ II BLDG, E _ FB __p!?~~ UTHOlD I I - I- I ~ 'I - IE- cerw I w o i PLUMBER CERT/F/CA ON LEAD CONTENT BE - Z. (2 CERTIFICATE OF OCCUp SOLDER USED IN WA JE SUPPLY SYSTEM CAN EXCEED 2/10 of 196 I f _ i illl I I IIII Illll III Il~ ~ I I I I ! 2 ~ D?B Ot Ip f~~~?~ts ' - - o,~TTi~S u o D42_FiaQ - Dpsr tubing is used I I I ~ I I I I for water distributing - srsesm; oiping ~ I $h-all bs -17 i -T otM»i Kor - !on - I - it Tel,; I I I~~ I I I I I i t KummINa AIL - I I - -j I li 11 ~ N Ititlitoato - i Vivo Ulm am -1 I ~ I I ~ ~I, 1 I H-F~ ~~~SSu2__ I, ~I I, U(E_W-$_ LL L S dG ~ ~ONL~H~[~jL K I lE L-I- _ - - _ ~ ~ I I OCCUPANCY OR _ ti~REZ¢ ~r~F _ 6 sK b BflL I I - i USE IS UNLAWF N 1THOUT CERTIF[Ck 1 i ' ~ Sf G~ I ~ I O OCCUPANCY I I _ - ' ~ ST I II I I~-I i . I (tilt ro S E' Tra , I I'- I J I 11011" 1% - - T C UPANCY OR U,Se-E IS UNLAWFUL A P VED A8 N01ED BR. j ~ 4 ff BOUT- ERTIFICATE DATE. - UPANCY - NOTIFY°6UI MG DE - I- - 786-1802 9 AM TQ 4 MI THE THE - _ FOLLOWING INSPECTIONS: - - - - I -.Ff 1. FOUNDATION - TWO REQUIRED RED - _ I_ _I_ _ - / .---7 - -u_~~- 2. ROUGH - FRAMING d MBING ING - 3. INSULATION- _ 4. FINAL - CONBTRUC ON MUST UST J' _ _ - - - - _ BE COMPLETE FOR C.0 MEET gr~ Qti J~ _ - CONSTRUCTION SH 44 ALL _ TL CONSTRUCTION- ERGS!- IEET THE TA REQUIREMENTS 0 LL THE MEET S N.Y. RGY- /j-~ --I - - - -I - CODES.- NOT', RESPON 0LE FOR FOR NERRORS _-LN OR CONSTRUCTI DES I DRS - / I 11 L, f Lei Tr ' P y~- I I I ILI _47`7' I F_ T --1 tl - r - I ' ~ - - I l,~ rug-~~ wrs'-r 3U B,~• - - -I - j I. 7iv 7-0 I - - . - I- i - ' - - FN^~ - I - ~ rdu,"Ina. .lX4° Fi:R~tL' C,..•..ii?~;.; ~,n - Rl ".t/ ?X(, C~,4 SILL - ulds - - - _ r'~xu r~r I ii lP~. I I C:.nl I~f R ~r C[~[Ji' II p s //f r ~ LV(:L i b - ro.n~ or scrum TOlM19! OF SOEO'f1p~p T i .r /l,>ri/'