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Home My WebLink About21107-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24185 Date FEBRUARY 26, 1996 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property 100 EAST LANE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 15 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 1992 pursuant to which Building Permit No. 21107-Z dated NOVEMBER 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 ALTER 2ND FLOOR & INSTALL HEATING SYSTEM TO CONVERT EXISTING ONE FAMILY DWELLING TO YEAR ROUND DWELLING AS APPLIED FOR The certificate is issued to JOHN E & EVELYN M. JONES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-035405 - JUNE 15, 1993 PLUMBERS CERTIFICATION DATED FEB. 26, 1996-JOHN E. JONES Building 2nspec r Rev. 1/81 WORM NO.. 2 TOWN OF SOUTHOLD 6UILDING~r,DEPART'MENT 4 TOWN.HALL sew:aae~e, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 2N9 21107Z Date ....1/... -7 I9 9 Permission is hereby granted to, . . ro ....r at premises located at ' Gtr1G.Q .r........... I County Tax Map No. 1000 Section Block Lot No.....././ pursuant to application dated /1 19.94, and approved by the Building Inspector. Fee 5....3' ilding 41ior Rev. 6130180 i Form No. 6 G 7 TOWN OF SOUTHOLD ~...u,......_...- /fad BUILDING DEPARTMENT TOWN L sN B 3 996 ' ' 765-18O2 BLDG. DEPT ,_j0_1N OFs0UTN0l.D, 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. 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: ,l. 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 0/1..L 2 ?t New Construction........... Old Or Pre-existing Building Location of Property.... Ld G.. 5.... L..l N ........~....jtj'7" /~ffA1O/l/ . House No. Street Hamlet Onwer or Owners of Property......... w...f..... 0 ~ `5 5 County Tax Map No 1000, Section ......-0...... Block....... U5 ......Lot Subdivision.. ............................/......Filed Map............LL^ot....................... Permit No./L f/~ ,,Date Of Permit. F.t . z7:, 9. ..Applicant. .Y..~~. f~:L..k~,. & -'e C Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...... Fee Submitted: CO~E:a y~g c~ APPL T o~OgpFFO(,pCQ Gyp I g Town Hall, 53095 Main Road p • Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. Box ewYoik 9 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 20, 1996 Mr. John Jones 67 Oakland Avenue Port Washington, NY 11050 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 # 21107-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r , i r ,.1e . l \i e ~ Town Hall, 53095 Main Road Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 y p ;r h > tr OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I 0 N / DATE: lf~6, 26: Building Permit No. . /07- Owner: (please print) Plumber: -7 0 1-11Q V-r-O Ne _S' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. /(Plumber gnature) I / Sworn to before me this 26TH day of FEBRUARY , 19 96 Notary Public, SUFFOLK County ""'"CY T. FUSCO of Now FUBUC, 8tnto of New York 1882175 Qualified In Wffoik County Commiaalo EX O" Jan, "0, 799 { 'v4`labl£++rcx ww. viA~:'AYWS.+ +s. r__ 4J rF-cnrY n.cdlwrf4rn..=..f~~+r„ ,d -.tlw m O OUItDATION (1st) ~I ' c OUNDATION (2nd) c o A 01 :OUCH FRAME PLUMBING N-A 3, y m n :11SULATION PER N. Y. c STATE ENERGY CODE I ' H FI;IAL ADDITIONAL COMMENTS- x H ~y ' H H\ • O m a v -o H ' a 1 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 8040393 1 BUREAU OF ELECTRICITY, - 85 JOHN STREET. NEW YORK. NEW YORK 10038 JUNE 15,1993 80788893/93 H 035405 Date Application No: on file THIS CERTIFIES THAT only the elect,rticpl equipment oideAeribed,below and introduced, by.the'.apphcant hadyed on' tfie atioe~ application number in the premises of f JOHN EJONES,';100 EAST LANE, EAST MARION, N:rcY. in the following Iota ent ? IRE FL t 2nd Fl. Seeiion Block Lot sin r was examined on - andfoun¢,tobeincotnpliancewith the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W AMT. K.W AMT. K.W. AMT K.W AMT. N P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS, MST. K. W 01, H P. GA$ H. P AMT. NO. A. W, G. AMT AMP AMT. AMPS. TRANS, AMT. H P SYS'TEMS' AMT. WATTS NO, bF FEET .`S e SERVI DISCONNECT NO.OF S E R 'V I C E G? AMT. AMP. TYPE METER 10 3W 1 .AT 3W 3 q 3W 3,0 4W NO. OF CC COND. A. W. G. NO OF HbLEG A W' G NO. OF NEUTRALS A W. G. EQUIP, PER .e" OF CC. COND. OF HbLEG OF NEUTRAL I i OTHER APPARATUS: E *NO VXSNAL DEFECTSi "An electrical" suvVey has been made of the exposed electrical equipment in the pre6ises indicated." "No obvious unsatisfactory condition was, found. AMOUNT PLEASE REMIT BY CHECK OR Y , FEE PAID OppDE TO THpp 0pp111 QF TN EEw YORKRBOARD OF HRE HE WRITEIIS JOHN 3. JONES ~AS CASH SENT EYY MAIL WILL SIR AT 67 OAKLAND AVENUE RISK OF SENDER. PT.WASHINGTON, NY, 11050 11 Per- THIS ISYOUR Bill FOR SERVICF RENDFRFOANOTSNOY,A'CERTIFICATFOF[OMPUANCE_ THIS RILL PAYABLE ATTNE NEW YORK OFFICE, AS JOHN STREEL NEW YORK. N. Y 1003A "F^wtt. \ ,9/a)7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING INAL REMARKS: alc C r DATE l INSPECT M-1"2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION FRAMING [ ] FINAL REMARKS: r I' < 1, DATE l /FZINSPECTOR - - pppr, aJ 0~7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ y ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: r i . DATE lol5vq~ INSPECTOR .f M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: - f v DATE INSPECTOR M-11102 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [,-,~/FRAMING FINAL REMARKS: ,I DATE U 5 INSPECTOR t 7l/® M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE T INSPECTO BOARD OF HEALTH FORM NO.1 3 SETS OF PLAYS V 1910 TOWN OFSOUTHOLD SURVEY NO {y BUILDING DEPARTMENT CHECK . . TOWN HALL SEPTIC FORM Tt~W~ C.~OUTM0!_C?v_,~, i SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NaTIFY Z 96 CALL 9 Examined • • , , • • • , 1 NAIL TO: Approved ~7 19x5.. Permit No. Disapproved a/c X rite Ay- ~ aildin~g~ector) APPLICATION FOR BUILDING PERMIT 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. 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection D ` O ?>lNt ~6 . 4 . dig ture of appli nt r name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. D av/v ER Name of owner of premises n, , , • • • • • • • • • • (as on the tax roll or 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. /,0~ : !Q/NG Electrician's License No. Other Trade's License No . 1. Location of land on which proposed work will be done. 1...! ! . L~ N ................:......Fcls%...!y~Q•m,...':.'....!!.3.P...................... House Number Street Hamlet County Tax Map No. 1000 Section / Block lS............ Lot t 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 S~ S' C .................rz . . b. Intended use and occupancy • • _ „e=<<.>s3 r t • • • • • • ~fGTF,1C,~1 7'io Repair (check applicable): New Building Addition Alteration Re 3. Nature of work which . eo Removal Demolition Other Work . ; . . S,Tf} G ~ CE,u ir/Q/Q e. fi~~,QTrNG ,l'yrT,E e.,. (Description) 4. Estimated Cost..... Fee...................................... (to be paid on filing this application) S. If dwelling, number of dwelling,units Number of dwelling units on each floor If garage, number of cars , .L, , , , , • • . 6 7. Dimensions of . If business, commercial or mixed occupancy, specify nature and extent of each type of use Height existing structures, if any: Front . 6.a.: Rear... 6.0. 6......Depth 4o '6 .127, Number of Stories - . Dimensions of same structure w~th alterations or additions: Front !9.a`....... Rear ..,5, t1 ?-r f • • • . Depth ,4.11. 8. Dimensions of entire new construction: ' Height ...,S1.4 `IR........... Number of Stories S'9!? . , . ! , , K s < . . . . . . . ruction: Front ...XIA'`e E Rear . S!! y Depth S!9 • • • , , Height X*A.I.f....... Number of Stories XA 41.4... . D° D~ 9. Size of lot: Front . . , , 11. Zone or use district in which Rear N ame , . Depth / ~ . . 10. Date of Purchase D CT z , . , 6 6• • • , , ,Name o of Former r Owner premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ,N.. a . 13. Will lot be regraded 1!J. , U : r• • • , • , Will excess fill be removed from premises: Yes (ROD 14. Name of Owner of premises ..~°%5~~, 4°v tfAddress 4Sr, Nag 2{e.~ , , , Phone No. '0 Name of Architect . Address Phone No.......... Name of Con . Contractor S. .ou...... . y wit /ttETauA 15. Is this property ddress . • tb~1TT! T~CC• , Phone No.2.pe?, 9So 0 within 3300 feet of a tidal wetland? *Yes........ No..~.... *If 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 whether interior or corner lot. e _ ) e ',So" w /oa, o' ,0 0 0 a M 0 0 ~W 0 20' 6°' 1,0 Sot rH L,gmc ~I S'c.9 cE / = 3'~0 STATE OF NEW YORK, COUNTY OF. .N!1sSSrv S!S aT.V E. V m M (Name of individual signing , • ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant contract) above named. He is the............ rJcu~~`Q ~~'~NTR,9ermQ (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 set forth in the application filed therewith. Swom to before me this ......1. y d?o ?~J1~~~..... . 19 /l'gss9u Nota~ Public, County I.IA MIiU.IAM F. 8 HE JR. N"V PuMic, State 9of Now York . 1 0 / (Signature /luslitied in Nessqu Counttyy 93 of applicant) Opnm~n Expires December 23 18.. S'YM60[.~5 KEY ~j f i SURVEY MONUMENT o PROPERTY L/M/TS 101 PROPANE 7-1-IVX i i i i 0 I is' bq bq~ I r ~ I h h i IV 0 ro -61 2I I o D I? i~ 9, C) o /oo.oo' S3i°Gi'3o t ~ t 6s 63' , ,U M EAST ~NF_- ----,71 AP 0 D A3IYOTED ~ DATE:~~1 B.?p 07 iS I ~ ,y , FEE: RV: NOTiF 9UILD G DER4RTM 765-1802 4 AN1 TO :I PM. FOR THE FGLLUMING INfPECTIONS 1 FOUNDATI^N fin'4 REOLIME*.Y FOfs' FOURM, COW RETF. 2, ROUGH FRn¢'ING P, H!URPEIN6i J INSUI n Gov F"P''L R` q n FINAL carsIRUCnaNMUST P'o 176 A16 BE COMPLETE FOR C.O. if {I y, { i~' ~A„pP v 1.m ALL CONSTRUCTION SHALL MEET1 I f = h1 EgST L,411vE EAST 114Ri0 n?, THE REQUIREMENTS OF THE N.Y. I r a 1 p F'' UNDERWRITERS CERTIFICATE ;ERTIFICATE STATE CONSTRUCTION & ENERGY p ji REQUIRED CODES. NOT RESPONSIBLE FOR ° I~,RTE OCT DESIGN OR CONSTRUCTION ERRORS 4FS/G vE 0 Alvo n ' 1Wn/ PS' f ~lNC, .v n n1;'"S of 3 i - - - 6o-o" I I ~'1Nk_-t_W.hLL ~j KVEFWFILL - I A'FF, is `U O j I IN~UL~rE (NOHSoTZ) i .S ~ ~T~~Cf~ GF Dool'-TY'PicAL p ~ lISV ,y,~oKk f) S3 s _Y 1 of nN !U%i! DD o,6i I i 3 7-0 RRGE= f I I I i h F, CJ Q,conn I [.o!UScv 9=- _ E,i7ENn SFe•UN) -JI - f ~ kC I ~1LI/A~IN ~ i 3.9' a5„ r-- SFo1QA6L kl~ If copper tubing is \ of for water distrlbu tper tubing is used g-7 / rl ~l i ~M G sy Im; Piping L sha water distributing S6a/ o of 'm: Piping shall be v o5 O fC PuyM N~~pS.S of f typos K or L of Was K or L only PLUMBER CERTIFICATIDN 46 o ,,=2.-..-_ & W TA ER L1NES 0,ERINC~ ON LEAD CONTENT BEFORE g,v CERTIFICATE OF OCCUPANCY ~ ® TESTING SEF00.E 0 to`~1 eadk;o SOLDER USED IN WATER luo 1Jo )I esdAt;0 ----V- eq 11g4s Euldld twalsA, Outdid wa3eA9 SUPPLY SYSTEM CANNOT ISIP lq Je3e +d; EXCEED 2110 of 1 % LEAD. bulinginslp JetaM AD] peon sl 6ulgni Jeddl ilu {ut9 ni jed dod;l 2i =6`• I I WOU WOU)o(A(O TO Si=ITILFY ZA1'7 A/ n~rnviMC. i Anv/MUtiI oPENInI ~~F ~jf)rE A10 V. G~FS/GA/k. U f1 NL> Qa/1 vJr/ ~ i I e j FalL. Fficcn INSUL,UTiON )N 1 I~ j h'/aFTER 2 x G - /6 U. C, / KNE CWAI L- s rum ~f 1 i FOIL FAC_Ep 11AJSuL1qT1o1V 1i i I ~ S LIZ E T,: Q L,, i i ~ g~ I°L 1'In%oc,0 S!-/c ATF1fNC, j i i fllf?LT FELT fl ~T/C fSLfINKET rC7_S AT7lC ~L~ L'~ET R 25- I~SPNALT SN7A,J(rLC.SI'lAIISR -LOOP- - CFII PET- / - n n s vA F/ o o,e PLnWo o fi i ( I JU/STS _t CEn fN c t..j_rfo J PC Y O10 01) SNEArNff~G I J - 0^C . ~pp13-Fo_ r. A C'b'a_ INS 4. ATfD.f I W/rH --5'NEETKc?c I I F//VLSIY FLOOR- ORK I _ _ ,-SuBFLOO,~ - PLYWooL~ 819 -F014 Z-ACE'd^- WSu[sT/anf FauLV,~Ar/~N SILL- INSUL,<tTIDN 6:2ADE --TE~Frr/ SfafEC~ I C BCONI~rTE BLOCK A/0 ~'Q1YFQ T_JjE~INQ IN BASEMENT l rung ln~o us -cv,~ rrLV~, I ,B/TURAIAIQUS .TO107- COV E r f A/SUL/1 TlOly ~,r<lST LANG`",' ~Fl.l'r /P"/~f{'ourJ~ /l~•>~• ---j /vIl lf7Tr 0CT, / /99? Dg"S/G~w'-'"~ ~Na Gr:'turrv y J v° C Tu ,~R4w of