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HomeMy WebLinkAbout20658-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23982 Date OCTOBER 24, 1995 THIS CERTIFIES that the building ADDITION Location of Property 350 MARINE PLACE GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 6 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 1992 pursuant to which Building Permit No. 20658-Z dated MAY 27, 1992 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES P. & BEVERLY A. SAGE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-283382 - JULY 20, 1993 PLUMBERS CERTIFICATION DATED OCTOBER 24, 1995-Robert Van Etten Building Inspect r Rev. 1/81 FORM NO. a 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) NN! 20658 Z Date f 7 19 Permission is hereby granted to: ...1''lai ems i Jz r to Z4 r ....0...... . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of premises located at........ ...~Ey^~e/ ............................................................1.............................................................................................. County Tax Map No. 1000 Section l Block .......140 Lot No..................... pursuant to application dated 191' and approved by the i Building Inspector. i Fee t i / i1d n I for Rev. 6/30/80 Q% t c o 1l') , o ~G q~ 4 o SNUG /yAi~B Ofd ~oA O~ a` j psi 'A N w ig C o bo 3 7.0 6. br ~ ~ N 1 o ~ 0 3 ~ o ~ a ~O y~ ~ o o` o 0 ITS 0 yo re < 1 l C a ~cC o 4 ~ ;14ZI~ ~Q Form No. 6T,_..~pr D V TOWN OF SOUTHOLD BUILDING DEPARTMENT fi~ ! IUI a p r- TOWN HALL OCT '2A 0 765-1802 f 6~ • . BLDG. DEPT TOWN QF SQOTHQLD APPLICATION FOR CERTIFICATE OF OCCUPANCI-- °TQ -r° °a 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 l%, 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $7.5..00, Commercial $15.00 / Date A/41. New Construction .......d.... Old Or Pre-existing ~ Building . Location of Pr.operty...J~ i!<!//C/.~?~ XA~ ...........V~[ ~C~// House No. Streek Hamlet Onwer or Owners of. Pr.oper.ty...4J"!'~W...Y.:.~.~,...`Na!~....U.!?.Yz.~ County Tax Map No 1000, Secti.on.... 3.5....... Block ................Lot... Subdivision ....................................Filed Map............ Lot...................... Permit No. WV Y2S.C6 Date Of Permit Applicant. .a,C ^~p.2/.;2!!13 3 UG Health Dept. Approval .................Underwriters Approval..) 09 Planning Board Approval.... O Request for: Temporary CCe~rt:ificate........... Final Certicate... Fee Submitted: $..v~~.cf? n 0%ztl S 6.3 a? Co Z a398"a 4 Town Hall, 53095 Main Road .i Fax (516) 765-1823 P. O. Box 1179•x, Telephone (516) 765-1802 Southold, New York 11971 p C d W OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD f__ .TQ1n16,~t~rr~s;rfi'I-lt?rry C E R T I F I C A T I O N DATE: Building Permit No. g~DCC~ Sg Owner: ~l m 4' i3eserlc~ 5ci9e (please//print) Plumber: AoLe 7- Vo rhe~-247en (please print; I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of 19 95'- Notary Public, County LINDA J. COOPER Notary Public, State of Mew Yo No. 4822563, Suffolk Coutriy 8 Term Expires December31,1 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '1 1195099 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date JULY 20,1993 Application No.onfile 78270192/92 N 283382 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 JAMES P.SAGE, 350 MARINE PL., GREENPORTT, N,Y. in thefo/lowing location; ® Basement ® /st Fl. ? 2nd Ft. OUT Section Bloch Lot JULY 0 8 ,19 9 3 andfound to be in compliance with the National Electrical Code. was examined on FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. X. W. PMT. K.W. AMT K. W. AMT. H P 15 15 13 2 1 4.1 1 7.1 1 1.5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS PMT. K. W. OIL H. P, GAS H. P. AMT. NO. A.w G. AMT. AMP. AML ASPS. TRANS. AMT. H.P. NO. OF FEET AMT. WATTS i SERVICE DISCONNECT NO. OF S E R V I _ C E METER No. OP cc Cc ND A W G. A. W- G. A. W. G. AMT. AMP. rn'E EOUIP T'F T 0 TV 0.9 Jw U,9 PER 9 OF CG CONO NO. OF H1- EO OF NO OF NEUTRALS OP NEUTRAL HI-LEG 1 200 CB 1 R 1 2/0 1 1/0 OTHER APPARATUS: MO'TORS:1-F H.P. G.F.C.I:-4 JIM SAGE ELEC. INC. LIC.#3635E i P.O.BOR 38 GENERAL MANAGER 32 GREENPORT, NY, 11944 Per This certificate must not be altered in any monner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. O~~gOFF0j/rCa o~ GZ~ x Town Hall, 53095 Main Road `"p • g Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. ewYork 9 11971 Southold, OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 10, 1995 Mr. James Sage P.O. Box 226 Greenport, NY 11944 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 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 # 20658-Z 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 [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & REMARKS: DATE / INSPECTOR i 5-1 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA KS: DATE INSPECTOR i M-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL RE ARKS: DATE INSPECT Ott af,61)oe~4- / M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST F I ROUGH PLBG. FOUNDATION 2ND [ ) INSULATION [ ] FRAMING FINAL REMARKS: -T r DATE 3 21-2= INSPECTO ,c .r FOUNDATION (1st) a d to FOUNDATION (2nd) M. 2. :OUCH FRAME & -PLUMBING t N H 3, m m INSULATION PER N. Y. y STATE ENERGY Y CODE FINAL ADDITIONAL COMMENTS: m / s x ro • H\ 9 9 y N, 'No m ' r x • ot -9 y BOARD OF HEALTH FORM N0.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK . MAY ~'aao, 201992 { TOWN HALL SEPTIC PORN ty~ SOUTHOLD, N.Y. 11971 ~y TEL.: 765-1802 HOTiFY~A, CALL A........ Examined ...V7 197.1: MA I L TO: Approved 19 91 Permit No. A4.4i?e2 . _ . . Disapproved a/c . ilding Inspector) APPLICATION FOR BUILDING PERMIT / cy 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. L 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 sha:rbe 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, 1 n c and regulations, and to admit authorized inspectors on premises and in building for necessary in ti ` (Signature of pplicant, o name, if a corporation) / o: 4n y/ as z, ~2~2r~ao~- i /J, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Q Le-1 /1 2_ ~ Name of owner of premises . (as on the tax roll of 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 License No . 1. Location of land on which proposed work will e done . _b........... 9 41 qz- afL~nP©,G j I-louse Number Street 1, Hamlet County Tax Map No. 1000 Section ...J~r.......... Block 1-!' Lot 7............. , Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ° b. Intended use and occupancy D..................,.r; .r r , , , y . 3. Nature of work check which applicable): New Building , Addition Alteration Repair Removal , , , . , , . • , , Demolition Other Work 02". (Description) 4. Estimated Cost..... Fee...................... (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars , i . . 6. If business, commercial or Height Number occupancy, specify nature and extent of each type of use . 7. Dimensions of existing g structures, if any; Front Rear Depth Dimensions of same of same structure . tructure with h alterations or additions: F Front . . Rear . Depth Dimensions Height Number of Stories , 8. Dimensions of entire new constriction: Front Rear Depth Height Number of Stories . 9. Size of lot: Front : Rear Depth . 10. Date of Purchase : Name of Former Owner . premises are situated 12. Does proposed . 11. Zone or use district in which to any zoning law, ordinance or regulation . . 13. Will lot be regraded str..... viol la Will excess 611 be removed from premises: Yes No 1 N Name of of Owner Architect of premises emises . • ' • • Address Phone No............... . ahle Address Phone No................ yes, within ......Address ...................Phone No................ 15. N14 this within 3 AIf property pe 390 feet of a tidal wetland? *Yes.... , No........ pTrustees 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 whether interior or corner lot. STATE OF NEW YORK, S S COUNTY OF (Name of individual signing ' . ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant g g contract) above named. Heisthe ........................j...................... (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 performed in the manner stet forth in the application filed therewith. Sworn to before me this '9c) day of. J . . . . . . . . 19 Notary Public, ...County YCE M. WIL KINS . . . . . . . . . Not 48 2248, Suffof Now~~York ry St (Signature of applicant) Term Expires June 1Z 1> I ' h N E i G i (0 F'-'- CA L CUC A f (FOR NONafiI.ECTRIC NEAT) MICN CRITERIA 60000 Degree Dly" O.A. 10eF I.A. 70nF PC- P JXJ eh SO r~NG. REMJARlCS 13$/J ff M, AREA .v~ R P*f.rfer Mall" (Opaque) g y Og +~f Cla.ina 2L 96 t2t' 33 '2Z- X, Yee tsar. /,I= Norm _ 1 - _ Coilfna/Raof (Onagne) q00 0) O Fbvndatien Walla Slab I'nnnlotion TOTAL +/-3 1 Note" 1 Raildimg Envelope Syntemm'to-Meet regm1rementm of 761P.4 NVAC Fquirtxent to tneet'regVirementh of 7915.11 NVA(T Sy"temR.to meet 2*q*#remPntx of 7A15.11 Dtet SyRteme to'meet requirement" of 7615.13 Vfntilatlon" SyRterM to meet requirement" of 7915.14 In"nlotien of Firina Symtem" to meet regnirementm of 7815.15 Service Water. uettina Sy"temn and Equipment to meet Regnirekentm of 7615.11 Electrical &PA Lighting Symte%m ani Equipment to meet requirement" of 7815.31 Ts tM I*At of Ny Knowledge# 1-e11ef0 and rrofe"Atonal ,jv4vement# theme rlanA arr in 4~4F NEW),, compliance with the code. y~P~NeE r~T9~ 41 • a~ Q Q cP~ 032264-4'~~ ~6'FESS10*t' % 1 7 7 IM~I~' I(pI J rk I I ' h _.a 1 I F~ k= R R L E Y A a 1J ' p~- 9 II . /y- vCNt WQMeIi ' 21r;G6 BBRMB' 1 - 2 x IG?- I n n: . -~k. Y , h FLY ' NOKFI DATE: APPROVED B P. NOTED Pr rer FEE: 5~'~ BY: 4$ i - NOTIFY BUILDING DEPARTM TAT ~ 765-1802 9 AM TO 4 PM OR THE . FOLLOWING INSPECTIONS: x!, FP.CIP - I- - - - - Am R t 1"PIL 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE I-i 11 ,r FBI TFGO ROUGH - FRAMING & PLUMBING 3. INSULATION !I~ opt.. zrdx;i, I4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. 1 I' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y STATE- CONSTRUCTION & ENERGY° CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS II tl. ?atl . ~i I ~~I Ti I'~1 14 u ~ ~ S . - ~ i"C n c r - „!~TE&MI,E~S¢SEAL , IC AI ~Fk C 3 ~j FN bt MAMA - - ~ '(FLO ~ 5'IL. Lob G.µn. y~yy~~ I I }'~t ; t. L N lift I ^'E ALLRINMIDiNMtR ZGV G f ~ (1 - iNM7ENlIIF.SNEED' _ _ . - , G' TESTING DOME COVERNi6' ~ 1 I?, 'T°~t-'rro - . ' 1• - rroN 3~' H>I ew ~IW"I RuU'vY LMitl. -Ir4 1VA! ;<t ~rPC[ _ T R c ~ yn--~..tL UNOERURRERSI FICATE c r!' 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