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Home My WebLink About20140-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26736 Date: 10/08/99 THIS CERTIFIES that the building ALTERATION Location of property: 2900 INDIAN NECK LANE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 98 Block 1 PECONIC (HAMLET) Lot 2.12 Subdivision Filed Map No. -- Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7, 1991 pursuant to which Building Permit No. 20140-Z dated SEPTEMBER 13, 1991 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 INTERIOR ALTERATIONS AS APPLIED FOR. The certificate is issued to JAMES R. of the aforesaid building. & BONNIE A. NAULT (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 09/29/99 N/A N 281900 07/06/93 THOMAS J. BALL Rev. 1/81 lvO~l~ NO. 0 TOWN OF $OUTHOLD BUILDING DEPAItTMI=NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) No_ 20140 Z Permission is hereby granted to: ~.~..4.....~2,~.....~.~ .......... ..... ~~...,....~.~.g~ ........ ./.../.~ , ~ ~, ~,, · ~ ~0, .~..~.. ..:.~~..~ ............................ County Tox Mop No. 1000 Section .......... .?.~..'. ..... Block ....... .~... .......... Lot No ........--~...~..~.... pursuont to oppllcotion doted ....... ~../~. ..................................... , 19..~...~ and opproved by the Building Inspector. Fee $.....~.~ 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 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. For ex~sting 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. Co 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .~5~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.007 Commercial $15.00 Date ................. New Construction ........... Old Or Pre-existing Building... Location of Property...~.~..~3..~....~.~..-.~.....'~'e?''~''''~''''''''''/'''''~'"''''~ ~;~7/)/~'''/ ~'~z'c> ''~''~ '~''' ' House No. ~ Street Hamlet of Property ............ Onwer or Owners ..,. ,.. .... ,,.-. ............ , ................. ./. ..... .............. County Tax Map No 1000, Section. · .Block .......... Lot .... Subdivision Filed Map Lot .... Permit No...~...~.[.~..~-.Date Of Permit ................ Applicant ............................. Health Dept. Approval.........................-Underwriters Approval ......................... Planning Board Approval.. ............. ....... · · Request for: Temporary Certificate ........... Final Certicate ........... Fe9 Submitted:~o ~ ~$'''''C~''~'''''~' ................ ~(,- ~Oq ..... APPLICAN~ ....................... Town Hall, 53095 Main Road P. O. Box 1179 Southold. NewYod< 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD cERTIFICATION Building Permit No. ~-~/ Owner: J~4~-~' ~ ~/~/~ (please print) Plumber: (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 (J~diT-~/~,O./, 19~ Notary Public, ~=O 4_/~. _ C~unty ELIZABETH A STATHI$ NOTARY PUBLIC, State of N~ Yo~ =xpl~ June 8, ~ THE NEW YORK BO RD OF FIR£ UNDERWRITERS 1~1~33 BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date ~[~[~ ~6~ ApplicationNo, onfile' '~6~/~[ ~ ~[~ THIS CERTIFIES THAT o~y the el~trical equipment ~ ~scrib~ be~w a~ int~uced by t~ appl~ant ~med on the a~e application nu tuber in the prem~es of in the following location; ~ Basement ~ Ist FI. ~ 2nd fl. 0[l~t' Section Bilk Lot ~s examined on J [~ ~ ~ 2 ~ ~ ~ 9 9 ~ and found to be in compliance with the Na~onal ElectNcal Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES 12 15 SYSTEMS NO. OF FEET OTHER APPARATUS: tt0TOR~ ~ 2~ It.P, G.}',C,I~ '6 E R V I C NO. OF CC COND A, W, O. PER ~f Of CC COND, NO OF HI-LEG OF HI-LEG NO OF NfUTRALS OF NEUTRAL 11971 GENERAL MANAGER 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 N0T BE ALTERED IN ANY MANNER. FOUI~D~'TION FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE FI~AL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FIREPLACE & CHIMNEY DATE 765-1802 BUILDING; DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~INAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR~//~/ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOVfN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 September 29, 1999 James & Bonnie Nault 2900 Indian Neck Lane Peconic, NY 11958 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 (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 # 20140-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ./~JSULATION [ ] FRAMING [f ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [RO~~UGHPLBG. [. ]~NDATION :)ND[] INSULATION [~/]'FRAMING [ ] FINAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 : TEL.: 765-1802 ;ami,led ~/'/,~ ........ BOARD OF HEALTtI ......... 3 SETS OF PLANS .......... SURVEY ................... ClIECK .................... SEPTIC FORH .............. NOTIFY: CALL ................... HAIL TO: 765-I~ 1. FOUN 2 ROUGH 3. ;ets REQUIRED & PLUMBING '- :pector) ON FOR BUILDING PERMIT INSTRUCTIONS ' filled in by typewriter or in ink and submitted to thc Building Inspector, with 3 ee according to schedule. and of buildings on premises, relationship to adjoining premises or public streets ~ of layout of property must be drawn on the diagram which is part of this appli- c,~ :' y not be cbmmenced before issuance of Building Permit. the Building Inspector will issued a Building Permit to' the applicant. Such permit for ' ,ection throughout the work. g~l~l~tlllBe~,0~U~.l~t~ ot',]used in whole or in part for any purpose whatever until a Certificate of Occupancy gl~t~*d t~y th 6~rB uf-l'0 fh ~T~[Es p e c t o r. Fhe a~. it~h~pj~ to coinply with ail applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit gh~_l~,~' %d in~pj~}§~lo,~,,l~1~g~,~nd in building for necessary inspections , ALL--CONSTRUC~ION SHALL ME~ '~ ......................................... THE REOUIREMENTS OF THE N.Z . (Signature of applicant, or name, if a corporation) CODES. N~ RESPONSIBLE FOR ...................................... DESIGN OR CONSTRUCTION ERRORS (~ail~ng address of applicant) ~ // State whether applicant ts owner, lessee, agent, architect, engineer, general contractor, e]ectHchn, plumber o~ builder. Name of owner of premises ................... ~ ....... :,.M~ ~ ~ .......................... (as on the t~ roll or latest deed) [f 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 ...................... Location of land on which proposed work will be done. ' .. ~¢.~. ~. . . . .:¢C. .,Y. 9./.~.~. ..... ~. ~ . .~. . .o. ~ ...... .~. .e. .4~. ./¢. .: .c ............. tIouse Nuln ber Street Hamldt : Section ..... .¢.~. ........ Block ...... ./ ........... Lot ...... '~'w~' ....... County Tax Map No. I000 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 .C- ~_~ b Intended use and " ' occupancy .... :'... ' - 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair .............. Remoyal .............. Demolition ........... Other Work ............. 4. Estimated Cost , cr-o (Description) (to be paid on filing this application) Ifd ' fd I1' ' ' J b fd Iii hfl 5. welling, number o we xng units .............. Num er o we ng units on eac oor ................ If garage numberofcars ... I.~... If business, commercial or mixedI occupancy, specify na_ture~and extent of each type of use ........ c · ' 7. Dimensionsofexistingstrueture~,ifanv. Front '~.'b.. P~ '~' "it~ i ..... , -' ................................ Depth ........... Height ............... Num bet of Stories .... ~,, .................................................. Dimensions of same structure wiih alterations or additions: Front ... ~o.~vqa~. ....... Rear .... ,~. ,a,~?...~_.. ....... Depth ......... ,%~.~ .... i. Height ..... .~q~vNq_~. ........ Number of Stories ...~.<~... .......... 8. Dimensions of entire new constraction: Front ..... ~ .. Rear ..... ...'5~... Depth .... ~ .... ~H, eight ...... z~...~.. Num ~er of Stories ..... ~ . I0. rate mrurcnase ...... .'3. ].'J. i~ ....... . ......... Name of Former Owner ...... .~.O. t~.~-., ......... I I. Zone or use district in which prernmes are situated ............................. . ........................ 12. Docs proposed construction vioMte any zoning law, ordinance or regulation' ~,f~ .. Will lot be re rfided . | ~ . ' ............ ' .............. 13. , g ......... ~ .~. · · .~ ...........~. W~I1 excess fill be removed fropt, premises: Yes ame.o.f Contractor .q~-~r:~..j .~*)0t~lV0~.C.~Address ~t~tA/~.ct~,--~r~.t..~,. Phone No ............ 15. zs tnzs property within 300 feet of a tidal wetland? *Yes ........ No..~....:.'.,if '' yes, SouthOld T6wn: 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 nhrfiber or descriptio~ according to dee street names and indicate whether interior or corner lot. t iTATE OF NEW YORK, ?OUNTY OF. S.~ (Name of individual signin~ contract) bore named, j being duly sworn, deposes and says that he is the applicant le is the ' . , (Contractor, agent, corporate officer, etc.) ~ 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 will be performed in the manner s~t forth in the application filed therewith. worn to before me this ' ........... I....U.X .... day of..?.~£.: ........ 19 .~. 'Otary Public, ..... (~?..~..'T~. .... i - -, ....... , .... ¥ . Notary Publlo, 8tote of N,w York No. 4952240, Suffolk County ~ (Signature of applicant) Term Expires June 12, 1~.~, If oopl~er tubing is used for w " · afar d~strtbut~ng SYstem; piping ~all be of types .K.or I~ onl~ PL~ ON LEAD ~OLDER SUPPLY SYS: EXCEED 2/I & WATER LINES NEED TESTING BEFORE COVERING CAT/ON 'BEFORE ~.UPANCY WA TE R ?ANNOT ~ % LEA D~