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Home My WebLink About21096-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22371 Date JUNE 3, 1993 ALTERATION THIS CERTIFIES that the building Location of Property 44600 COUNTY ROAD #48 SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 1 Lot 23 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 1992 pursuant to which Building Permit No. 21096-Z dated NOVEMBER 20, 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 ALTERATION TO EXISTING DWFLL/MG FOR CHIROPRACTOR'S OFFICE AS APPLIED FOR. The certificate is issued to of the aforesaid building. LISA B. COWLEY (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-269725 - MARCH 17~ 1993 PLUMBERS CERTIFICATION DATED JUNE 2, 1993 - MATT. PLUMB & HEATING CORP. /~ Building Inspector Rev. 1/81 ~OB~ 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) N~N? / Date .~..~ ~ -~- ~:~ 19. Permission is hereby granted to: - /'~ .~.~..~. .... .~ ,~... ...~.~..~.....G..~ ................................................. ~o ~ a e at. ~h...~... ........... at premises oct d ........................ .~ ~ .......................... ...... ~...~. ................................................................... ~~ ~ .................. : ................................... County Tox Map No. 1000 Section ...... ~../da.~. ..... Block. ....... .~.J. ........ Lot No...~..~L ............ pu,uont to app,cot~on dated ..... ~..~.~....../...~ ............. , 19.~..~ ond approve by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ': APPLICATION 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 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 f{om Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% 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 P~anning Board Approval of completed site plan requirements.' C. Fees I. 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 - $i0.00 · 4. Updated Certificate of Occupancy - $50.00 5. T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.. .......... ·. lew Construction ........... O~ld Or Pre-existinK. Building ........... : ocatto. of ......... ' ", House No. Street Hamlet Inwer or Owners of Property ..... .~)~..~'~L~7 ~, CO~C)I?.Jv). · I ~ounty Tax Map No I000, Section ............. Block ............... Lot ...................... ubdivision " Filed Map Lot ermit No ~l~ ~2._ . .Datg Of~ermit...IIV~0.]%.~., .Applicant..~?~.~.~.~.~.~. ealth Dept. Approval ........ i~./~.. ..... i ..... Underwriters Approval... ................... lanning Board Approval ................. ~quest for: Temporary Certificate ........ Final Certicate..~. ...... ~e Submitted: $ ..... ' ............ % 6 ' · For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land qses: 1. .Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed appiicJtion an~'~ 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. INSPECTORS Victor Lessard Pri~vzipal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 28, 1993 MeCARTHY i~L~IAgI~qRNT INC. BOX 62 MATTITUCK, NY 11952 RE: LISA CROWLF. Y 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. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. Xxx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). 21096-Z office on this matter. Thank you for BUILDING PERMIT Please contact our cooperation. SOUTHOLD TOWN BUILDING DEPT. OUNDATION OUNDAT!O:! (2nd) OUGH FRAME & .?LUMBING :;SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P,O. BOX 728 TOWN HALL SOUTIIOLD, N,Y. 11971 TEL. 765-18D2 Building Permit (pleas~ r certify thak the solder used in the Water contains less than 2/10 of 1% lead. supply system SWorn to before me this (plumbe.r "s~' - ~ Not~blic , ~ tlOtary Public, ~d//~/~r~¢~ County 765-1802 BUILDING DEPT. [ ] FOUNDATION INSPECTION FOUNDATION /ND [ ] INSULATION FRAMING REMARKS: [ ] FINAL 76S-'f 802 BUILDING DEPT~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] ~UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~FINAL DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~C~ THIS CERTIFIES THAT only the electrical equipment ~ ~scribed below and introduced by t~ applicant ~med o~ the a~ve application nu tuber in the premises of in the followlng locatlon; ~ Basen~ent ~ Ist FI, ~ 2nd FI. Section Bilk Lot FIXTURE OUTLETS fCEPTACLES SWITCHES 9 74 32 DRYERS FIXTURES and found to be in compliance u'ith the requirements o.f this Board OVENS DISH OTHER FUTURE APPLIANCE FEEDERS rEHAUST FAN UN'THEATERS MULTI-OUTLET SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: PRNgLgOAgD~ ~ !."3 S E R V I -- . OF CC, CONO NO OF HI-LEG C E AWCa. OF HI-LEG GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by {heir credentials. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 :,,,,mined '"' \pproved .]~ ~..'~.O.-, 19~..~. Permit No.~.l.?.~.9..~.. )isapproved a/c ................................... _ .. ( B u.H'~n g Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIEGK .................... ;OR:I SEPTIC .............. CALL .......... HAIL TO: Date . .., 19 a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ts 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. e. The work covered by this application may no~ 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 be'kept on the premises available for inspection throughout the w6rk. 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 41ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. te applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. (Signature of applicanf, or name, if a corporation) .. .... (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. : o o of raise ............ (as on the tax roll or latest deed) applicant is a cbrporation, signature of duly auth~orized officer· · - ...... -,--,. ,/nC~; ';'~ :(.t/: .I :"- · r~"': .'v'ad~/V. I ............. (Name and t~le of corporate-D~ficer). . Builder's License No ' Plumber's License No ......................... Electri? an's License Nb ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ' Ilouse Nmuber Street Hamlet County Tax Map No. 1000 Section .................. Block ........... Lot ...... Subdivision Filed Map No -- Lot (Name) Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: ~. Existing use and occupancy ................ ' 5. nten e e occupancy ..... 3. Nature of work (check which pplicable): New Building .... Addition .......... Alteration .......... Re r · · Removal ........... Demolition .............. Other Work ............... 4. Estimated Cost ...... I."/..~."'.~. est on '' · .................. Fee .I '. · ' / (to be paid on filing this application) 5. Ifdwelling, numberdfdwellin~pnits ............. Number of dwc~llin unitso If garage, number of cars .... .~.~¥.5.p4'/x.6' (~..~.~.~.&¢~19 g n each floor M' '~' ' '-' · . . , · ................. ~c.4 o. - 6. If business, commercml or m~xed occunnnnv ent, o f, · ~ ' ........... t?' 'r~' · . (r.!.q~·~.. · existing structurles, i -'~-'-" ~v._, nature an9 extent of each type of use .. tv,9 ff~.5./.ip~;.~///.C. .... 7. Dimensions of . fany: Front ................ Rear ....... . ..... Depth ............... Height ............... ~umber of Stories ........... Di f With ............................................. mensions o same structur,, alterations or additions: Front ................. Rear ................ Depth ................... i... Height . . . ' 8 Di f c ~ ......... Number of Stories ............. 2". . . tm F R .... · mensions o entire new ohs ction: ront ............... ear .............. De H igl · · · N mb fSt . pth ............ e ~t ............ u, crc cries ............. , ,~" 9. Size of lot' Front ~l ? ~. ...................... Depth.., ............ 10. Dte of Purchase ....... - - ': ........ Name gFormer Owner ..... '~.-~-.~.o. ~ 11, Zone or use district in which pr~mises are situated ....... ~. ............... ' ............ 12. Does proposed construction vi.q~ate ~ny zoning law, ordinance or regulation: .. 4~}.~. .................. Name of Architect .... /~1~ ~_' _t~l~-z ' , ~ · ~¢~J,,~ 'J~'?"J '.' :' :4: ,'~ .'~,~)!,~,~qo. · .L(0~7].?.1.6...,. Nam of Contr,, to . tess %5?: tS. Is chis .-robert ...... ~,-._' 4,,',, ~ L"' ', ....... zxaaress .~-~ .t~.a./q~'t~.t.T!?ltg,.. Phone No.. v v y w~cuxn ¢uu reec or a tidal wetland? *Yes ........ No~. ..... ' ' · 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 mmber or description according to deed, and show street names and indicate whether interior or corner lot. ~TATE OF NEW YOR~~. /"/~ .~ ^ .curry OF ...... . .......... , .... .~.fi:..~...'.~.. ,. p~?.~.~...'~L/. ........ being duly sworn, deposes and says that he is the applicant (Name of 'ndividual sigmngi contract) bore named. is the ........................ ~,, ......... ' ' (Contractor .................................................. · agent corporate officer crc ) said owner or owners, and is duly authorized to perform or have performed the said work hnd to make and file this )plied/ion; that all statements conta ned in this application are trt,e to the best of his knowledge and belief; and that the ork will be performed in the manner se! forth in the application filed therewith. worn to before m,e this .................. day of.. · ....,19 ..... i . -F'~ '~ · · '*'~';. ............... County , Note ' Publl~, Steteof NowYodi .......... 'l'-',~-J f'"' · · '--~". ;:~. r. V~. ........ {ff ~ ' ~--22 ............ ' ....... NO. ~O q/O, ~UITOIK f*,;ou · · . Ter~ Explre~ June 12, 1~,~ v ~ ~4'Signature of apphcant) CSUPANCy OR OF ¢"CCUPANCy IIEQUIREB ': RE~JIRE~ OCCUPANCY OR USE iS JPAI ,WFUL l[97NOIJT CER11FiCATE OF OCCUPANCY GENERAL NOTES 1. ALL WGRK MATERIAL, AND EOUIPMENT SHALL BE IN A~OORD~SCE~ITH THE NL~N YORK STATE UNIFORM BUILDING CODE ~DrTHE NE~. YORK STATE ,ENERGY CONSERVATION CO~E. AND LOO;ad~ ~AUTHORITIE8. e, ALL cONC~E~ S~4ALL BE ST~ ~8 DAY S~RERGTN OF a~Oo ALL LUMBER SHALL BE OF STRUCTURAL GRADE ~ OR bi= i i ER, COUEILA~ FIR - LARCH. E - 1,700,000 PS1 4, PROVIDE DOUBLE HEADERS AND TRIMMERS AT ALL STAIR AND FLOOR OPENINGS. POSTS AND PARALLEL PARTITIONS. $. BRIDGING TO SE pROVIDED FOR ALL JOISTS AND FLOOR BEAMS. SPAOIN~ NOT TO EXCEED 8.0 FT. ALL DIMENSIONS AND GRACE CONDITIONS TO BE VERIFIED BY CONTRACTOR(S) PRIOR TO START OF CONSTRUCTION AND ORDERING OF ~ATERIALS, THIS FOUNDATION HA~ BEEN EESIG~I~iD FOR A SOIL B~I~ C~ACI~ OF ~O (~ ~F 'AND ~;~ ~ Tfl~ 5%. CONT~TOR 8H~ VER~ ~T THESE CONDITIONS ARE ME'ir. ALC FILL BENEATH OOi4ORETE SILRBB TO BE COMPACTED TO g5% RELATIVE DENSITY. 7. ALL HEADERS 4,0 FT IN LENGTH AND OVER TO BE SUPPORTED BY DOUBLE UPRIGHTS, g,0 FT AND OVER By TRIPLE UPflIGIHTS, ALL HEADERS TO BE MINIMUM OF 2-2~8 OR AS SHOWN ON DRAWING. e. Do NOT S(3ALE DRAWINGS. 9. DESIGN CONSULTANTS Off REGORO AROHi~CT-ENOINEER ARE NOT REBPON~ilBLE FOR THE IN~:PEGHIOfl~ ~UPERVlE~I~N, Off ADM I~N~STP. ATION OF THIS CONSTflUCTIOH PROJECT. 10. TFd$. DRAWING IS AN INSTRUMENT PREPARED TO PAOIUTATS .CON~TRt:~ION .ANI~ BHALL NOT BE DONSTflUED AS A CON'~ BETWEEN BUILDER AND OWNER. 11. 8EW~N3E DtSPDSAL 8¥8TEId AND FRESH WATER BUPPLY BHALL GE OESlaNED ,M4D BUILT ~N ,~DOeRDAROE WITH THE SUFFOLK COUN'Ty ,DEPAI~MENT OF H EALT','r, 1,2, THiS STflUCTURE..~ EEF. ItI~EEIGNE~,IN ASCORDANCE WITH THE NE'iv '~ml~l~K ~J~IB~OY CON~E~'rlON (~NT~glENG~ ~ (~) PERCENT BE A~LLOTTED TO ACCOUNT EL.ECTfl~OAL AND MECHANIGAL COMPONENTS TO BE DE~I~NED AND ~PECIFIED BY OTHERS. IS. 18. 17. E~RUCTURAL STEEL TO BE ABTM A~8 WiTH COA,T. PAINT. ALL FASTENERS TO BE ABTM A%~J BOLTS, 3/4 DIANI~ IEH. ~tON RAOTOR SHALL OBTAIN ALL PERMITS AND INSURANCE NEOE~AR¥ TO pR~rECT THE EN~tNEER ARb OWNER. DO NOT BACI(FItI AGAINST FOUNDATION WALLS UNTIL I~LOOR SYSTEM INSTALLATION 18 COMpLE'{'e:, Residential Cornmerc~¢ 27S C]eatl(Eew Aveaue A~a~k ~L Sch~a~t z, A.LA. I