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HomeMy WebLinkAbout21331-z f ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22626 Date SEPTEMBER 29, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 250 WILD CHERRY WAY GREENPORT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 52 Block 3 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1993 pursuant to which Building Permit No. 21331-Z dated APRIL 12, 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 CONVERT EXISTING ATTACHED CARPORT INTO GARAGE AS APPLIED FOR The certificate is issued to VIRGINIA OHRIKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-286457 - AUGUST 17, 1993 PLUMBERS CERTIFICATION DATED N/A it(fing Inspector Rev. 1/81 FORM NO. $ 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 //OO~ I9./%'6 W N9 21331 Z Permission is hereby granted to: r v J sZ,3 11-560 4az . f at premises located at ...Q.....5'1..... .........~R Ff County Tax Map No. 1000 Section a........ Block J~ Lot No.... i } pursuant to application dated 19/.&., and approved by the Building Inspector. i Fee 5...1r f...bq...... i • ui i g inspector i Rev. 6/30/80 ..K..a•U-... Form No. 6 9'~"~.O o~=~-V' ~.Q.L~.Q~• ~f7. Z3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEP 101112 y l TOWN HALL 765-1802 ~5l.dG. lln dt%fiji'7.,A ..f1!i,1.,'kJ~ } 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 2110 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. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction........... Old Or Pre-existing Building..... Location of Property... L rO 7?i~e C~e~~.j House No. Street Hamlet Onwer or Owners of Property .....YiJq,/old.~~ Y County Tax Map No 1000, Section Block Lot...................... Subdivision ....................................Filed Map............ Lot...................... Permit No..-218!'/-? .....Date Of Permit.../........Applicant. r° n") 0/.,/6 Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: ) 17v2~r~6~b'7 ~V APPLICANT co ~ aa6 a~ ~ - 11, gzzgj~ THE NEW YORK BOARD OF FIRE UNDERWRITERS rNC--, 1095011 BUREAU OF ELECTRICITY F- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date MW(TC,T 1711-99), Application No. on file 81408293r'9~ 14 2864r0 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 VIRGINIA 01113II(CM, Vj0 IdNT,D f,'HFMP„` WAY, GREEiHORT, i'I.Y. in thefollowing location; El Basement ? Ist Fl. ? 2nd Fl. (1, AR/}I1'f Section Block Lac wes examined on A N G U (i T 1 2 , 1 9 3 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER 11 AMT. K. W. AMT. K W 11 AMT. K.W qmi. K W AMT. H P 3 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 NOYOF FEET AMi WATTS SERVICE DISCONNECT NO. OF S E R V I C E MIT AMP TYPE METER I tW L 9 tW 3,B ]W 3,e' 4W NO. OF CC. COND A. W. G. NO. OF HI-LEG A W' G. NO OF NEUTRALS A. W G EQUIP. PER % Of CC. COND. OF HLLEG OF NEUTRAL OTHER APPARATUS: MO'PLON DETrIrTOR1 K. V. 61:k1C1fRTt,' GNC, GI{};338:>-@; 150 1`LVfO(d'1'H P[GVD. BNrTHTOVlN, NY, 11737 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. INSPECTORS Victor Lessard OgVFFOt Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector cz rn Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector • Southold, New York 11971 Gary Fish Building Inspector Fax (516) 765-1823 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 Sept. 9, 1993 Virginia Ohriker Apt. 1723 2 Bay Club Dr. Bayside, New York 11360 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) tj? XX No Underwriters Certificate on file. XX The check is not on file. $25.00 01 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 # 21331-Z (ALT CARPORT) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG- [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL REMARKS: DATE INSPECTOR { C-7 W OUNDATION (1st) I a C/I \ k, :-OUNDATION (2nd) c _ C/' J O v1 ~OUGH FRAME & ~ -PLUMBING a i~ 1_11SULATIO:I PER N. Y. STATE ENERGY II CODE 1 H FINAL 777 . I o ADDITIONAL COMMENTS: x m x H o\` . 9 N • a H ' O Z r O rr) H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO~1GH PLBG. FOUNDATION 2ND [ INSULATION FRAMING J [ ) FINAL REMARKS: k DATE INSPECTOR i ~G ///8~~~ l D OF HEALTH ( FORMNO.I ETS OF PLANS TOWN OF SOUTHOLD URVE . . . . FEB - 2 I933 BUILDING DEPARTMENT /t.IICCl Ss................ ` TOWN HALL SEPTIC 0 SOUTHOLD, N.Y. 11971 O j i - TEL.: 765-1802 t:0TIFY ,f7 c~ ) :xamined .l 1957 CALL (Sl~~ MAIL TO: lpproved •7. 19~~F Permit No. ~d )isapproved a/c _ . (Building nspe r) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS -4,a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 is 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- .tion. 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 all Vc'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 all 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 aldin; Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ;c applicant agrees to comply-withlftll,;agplicable laws, ordinances, building code, housing code, and regulations, and to alit authorized inspectors on premises and in building,for necessary inspections. (Signature of applicant, or name, if a ccrpo aticn) a, (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general".icontractor, electrician, plumber or builder. d 1~wlVJ !me of owner of premises Y?(? . as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . Builder's License No. 1300 --}/S Plumber's License No . Electrician's License No . Other Trade's License No . Location of land on which proposed work will be done. . !!oust Number Street Hamlet County Tax Map No. 1000 Section Block Lot . 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 T . b. Intended use and occupancy . 5 . , ¢ , , ts~ 3. Nature of work (check whiebj1plicable): New Building Addition Alteration Repair . . R moval , , , , , , , , , , , Demolition . . . . . . . Other Work ? . / (Description) 4. Estimated Costa.......rPY. ©O Fee o (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . Number of dwSlling units on each floor If garage, number of cars , , . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . Dimensions ' H. o • . , . existing structures, Luures, if any: Front Rear . . . . Depth o tuber of Stories . Dimensions of same structure with alterations or additions: [rout Rear Depth . Height . , Number of Stories . 8. Dimensions of entire new construction: Front . • Rear Depth Height Number of Stories . . 9. Size of lot: Front Rear ......................Depth. 10. Date 1, . Dons of Purchase Name ofFormer Owner premises are situated . . lI one or use district in which slate any zoning law, ordinance or regulation: . 11~P... . proposed construction yr 13. Will lot be regraded . Will excess fill be removed from rremists: Yes No 1.1. Name of O%vp= prcmiacj . . • • • ..Address . .Phone No. , Name of Architect I . Address . . Phone No. Nam e of Contractor .M,EH~jk I~hjA2 Address 40MixY9.?„lau /a'czaQ'honeNo;'/ 6 7. 15. Is this property within ,300 feet of a tidal wetland? *Yes ,•!~y;/,~~o If yes, Southold town Trustees Permit may be required. 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 • Nether interior or corner lot. i , I APP AS NOYEp DATE., B. P• # FEE: 7S BY. NOTIFY BUILDING DEPART NT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION. - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION P 4. FINAL, - CONSTRUCTION MUST BE COMPLETE FOR C,O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I STATE OF NEW OIC COUNTY OF ...5X-9 kel $ S y f~, E't t FI2 I , u ~ p g ly being duly sworn, deposes and says that lie is the applicant (Name of individual si ning contract) bovc named. Ie is the (Con' ctor, agent, corporate Officer, etc.) X said owner or owners, and is duly, authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the •ork wdl be performed in t anner set forth in the application filed therewith. -wom to before me this XROBERT .day 19 qZ ,Otary Public, ~ Y / Su County t SCOTT JR....' NOTARY PUBLIC, State of NY. . ~ (Signature of applicant) Term Expirag'ay Suffolk Co A FEB 21993 I qq O I ~ I ~ ti,l m av.N ~'~p Fr~M Cm E!~irMro. fR ~ . , ~ U lP ~ z n I y 1 r ~c M 0 CI ~ !D ~ G9 O r~ ~ \ • D ~1 .5.J V nt 2 ` / d 'So Z o / 1 W ~ 1~ 1 x (ny~ r U iil ~ y a E s P ~ m n 0 rD E ~ 3 a z r 3 Z a +s 4'~4j sx `V {QQ~, y~ .T. rv ^kky, `~"v ~.y q}t `.Y~~Y{rS a F5L°t i '1 a f'r~ ^'~^.`=:.f i`W Y '~6 C 4 e < a. L'~svJ o 'c ;q a ~ J k a In W z, , T p, #u ."4' !'D N S A. o m ° o ° m vI O i o W j, 41 X a' ' K a'/}.~ plf 53,3$as. ggc~ µ .1 j s 8 to t~Sm3 t7 oJ9 8i~ is l iL W 6 u-.., , , 8. Y. Y. u J y ILL ' - ,tlf O1 ~i h it ILL . w . V k 45 h ui , 'O Z } F_ } . to yyyy W, q a W .1 01) c kill f~ CD3 i t ~ > 3. (,C~zt Q'j - S a w teta V) t t" t W~ " r x,7,-7 r /-vl i Cfl O~ ~ ~ ~ bsnoF{ yt r 1 ~ f. 46, y~ ~ d P I- ' -vix t . -.err , a f} ~ r ,i fol. • M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ZJF UN DATION 2ND [ ] INSULATION AMING [ ] FINAL REMARKS: c Zym- DATE INSPECTOR