HomeMy WebLinkAbout19647-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Towri Hall
Southold, N.Y.
CBRTIFZCATE OF OCCUPANCY
No Z-23979 Date OCTOBER 23, 1995
THIS CERTIFIES that the building ADDITION
Location of Property 5280 NEW SUFFOLK RD. NEW SUFFOLK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 2 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 28, 1991 pursuant to which
Building Permit No. 19647-Z dated JANUARY 31, 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 ADDITION TO EXISTING ONS FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MARCELLA E. LEONARD
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-185024 - APRIL 26, 1991
PLUMBERS CERTIFICATION DATED OCTOBER 10, 1995-MATTITUCR PLUMBING & HEAT.
Bui ding Inspector
Rev. 1/81
lOHM NO. ~
TowN of sourHOLD
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°_ 1 9647 Z Data :..............~1.........., 19.9.1..
Permission is hereby granted to:
V
i?. . ~
11 ~ p ~ v/
of premises locoted of ...S..r`?.:~ d.....~.~ .1)~:kG...,Ck~.:.......~.?!:~?....
....................................................................................W.1..........................................................................
.
County Tax Map No. 1000 Section .......~.~.7......... Block lot No....52.~"~.........
pursuant to applicction doted .....~.Q:-::t.~:4.°.?.1~....n.Z.:~i........., 19~.~.., and opproved by the
Building Inspector. / Q
Fee 5..,~~.:..:~..
1
.CL....... V'.~.... ~
Building Inspector
,a",
Rev. 6/30/80
• ,~•~l•~i,ri"'j"`777 n y Corm Uu, G ~ ~ it ~ V L5 ~ .
1 " 1 S.._. ~..w " . ,
TOIdN OF SOUTIIOLD JJ
buu.nlrlc nrpnarrlENT 0''T ' 9 1995
_ TOIitJ 11,1LL
7G5-rfl02
AE'PLIC,\T10;J FOit CERTIFICA"C I: OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the fOllOWlnl;: fOr nCW building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unu::ua1 natural or topographic features.
2. Final Approval from Ileal th Dept. of rua CCr supply and sewerab a-d isposal(S-O form).
3. Approval of electricvl installation from [Board of Pire Underwriters.
4. Sworn statement fromlplumber certifying that the solder used in system contains
i.ess than 2/LO of 17 lead.
5. Commercial buildin industrial building, multiplr_ residences and similar buildings
' and installations,~a certificate of Code Compliance from architect or engineer
responsible Eor tt,c building.
G. Submit Planning hoard Approval of completed site plan requirements.
6. For existing buildings (prior to April 9> I957) 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 [he applicant.
C. Fees
1. Certificate of Occupancy - New dwelling 525.00, 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 Cuildine - $L00.00 _
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
S. Temporary Certificate of Occupancy - Residential $15.00, Commerci(a~lfy,$15.00
Date ...Q.C-:.~...~....~.1.J.~~............
New Construction.....u..... Old Or Pre--existing ISuilding...,.~..7...........
Location of Property.....~~~. ~z~zl......NcksS__...i~Fo~{L.!\: £.......~V:t"`-.~~:.~C.~~~....
(louse No. ffnn.. Scree[ Hamlet
Onwer or Owners .:f Proper[y..~:. 4~
County Tax 11ap r!o 1000, Section...f~..(......bluck.....~.........Lot...s
subdivision ....................................Filud rt;sp............Lot......................
1 ,
'ermit No..1~~-J ?-;;.Date OC Permit ................Applic:,nt.. ..~QE'ls??v
•Iealth Dept. Approval....... ~ .~~E7..__..........Underwriters Approval...~/.GJ~
?lanning board Approval.........!...........
request for: Temporary Certificate........... Final Certicate...
'ce Submitted: ~
S °a 9 9 ~.1..~: .
_~~:~a3R~y
~
L
.
~ ' l~
~ r.~
Town Hall, 53095 Main Road . ~ ~ ~ Fax (516) 765-1823
P. O. Box 1179 ~ i ~ ~ Telephone (516) 765-1802
Southold, New York 11971
iS'
OFFICE OF THE BUILDING INSPECTOR ~ r?`~
TOWN OF SOUTHOLD r%'°
~t<;~ ~ ~
C E R T I F I C A T Z O N `e%!y
,
DATE : !T ~
Building Permit No. ~ 1 "Z
Owner: c~O02~"-'
(please rint)
Plumber: a~~r~vc.~ P~uvn~rn4 ~-~~-f Coa'~°
(please print)
. I certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead.
a 4 f
(P umbers Sign
Sworn to before me this~/~
day of ~C'/d1~E~P 19~/
~ Notary Public, ~lJL1G County
C'~/ CD11N F. JACKSON
Notary PubGo, Slate of New York
~ No. 4920756
Qu9BAe0 M SuNOR County
Term Expires Feb. 18; 199'
0
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 c-
1001.071 ¦UREAU OF ELEGTRICTTY
83 JOHN STREET: NEW YORK, NEW YORK 10038 -
Date APRIL 26,1991 gpplicotionNo.onflle 72 7 3 91 91 /91 N 185024
THIS CERTIFIES THAT
Doty the alectrlcal puipment os dsKCribed 6s1om and introduced by the opplicaESt womad on t/u above eppfication number In the promire of
N.RUTBER COOPER, NEW SUFFOLK RD., CUTCHOGUE, N.Y. -
@~mg ~ry o
in theJdlotcinp lceaAPR'IL O3,19Y1nt 1=7 lKt Fl. ? Pnd F'l. OUT Section Black Lot
um examined an and found to be in compliance with the reyuirementK of thu Bwrd. -
RXTUM _.__..---RXTUtlS RANfilES tpOKNEO DECKS OVlNS OISKW RXKAUST FANS
OUTIEiS ACtK tMATCNK INCANDESCEM PIUDtESClNT OTHER AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. P.
5 6 5 3 1 F
DRYERS RlRNACE MOTORS FUi1Ni AMtIAN1Y RlMEE SMXAAL E!C'?T TM1E t10CKE pu IXNT Xl/11ERf ~
~ DIMMEES
AMT. K. W. dl N. I. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AAVS. TRANS. AMT. N. P. « ~T AMT. WAITS
SNVICE DISCOPMiECT Ip:Oi S E R V 1 C E
AMT. AAV. T'IPE t~ 1 / tW 1 / .TM J / tW 7 / 1\V NO.OP CC. COND. A. W.O. NO. OE NI-lEG A. W.C. NO. OE NEIIIIIA4S A. W. G..-
EOUM. PFK / OF CC. COND. OF MFIFG d NluitAl
OTIRiR A!?ARATItS:
G. F.C.I:-2 C
SMOKE DETECTOR:-1
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G & S CONTRACTOR 1.+IC.1578-E
BOX 216
SOi1TH01,D, NY, 1.1971 ORKRAL MANAWR
11
Per t ~ ~ -
e
This eertificaN must not ba akered in any manners rNurn to the office of the bond if intorrett. Inspetlors may be idanifiEd b their cndantiols. -
- - - - -
CO~K~Fgt MMtDNiC. DE14hRTAriT. l'IMi 0~1f Or ClRTIFIGA'rE M1iiI'I~R lE Ai.TMEO W Mfr MYlNR.
'1cLD 1:.5:'r;~: iU:J ~~U;,: ;;UMt1ENT°
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FOUNDATION (1st)
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FOUtlDATION (2nd) m
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POUCH FRAME Tx ~ ~
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PLUMBING
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ItlSULATI0IJ PER N. Y. ~
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STATE ENERGY ~ 0.
CODE
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ADDITIOtlAL COMh1EtlTS: x`
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Town Hall, 53095 Main Road °y Z Fax (516) 765-1823
P. O. Box 1179 ~ • ~ Telephone (516) 765-1802
Southold, New York 11971 y~ol ~ ~~p!
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 6, 1995
Mr. Leonard Marcella
30 Sunrise Avenue
Riverhead, NY 11901
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 # 19647-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
- ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT I5
UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A
CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED.
INSPECTORS
Principal Building Inspectrn O~pSUFFO(~COG
Curtis Horton y~ SCOTT L. HARRIS, Supervisor
Senior Building Inspector y a Southold Town Hall
Thomas Fisher P.O. Box 1179, 53095 Main Road
Building Inspector ~ • ~
y O~ Southold, New York 11971
Building Inspector ~~l ~ ~a Fax (516) 765-1823
Vincent R. Wieczorek Telephone (516) 765-1800
Ordinance Inspector
Robert Fisher
Assistant Fire Inspectrn OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
October 10, 1991
Donald J. Feiler
600 Ole Jule Lane
Mattituck, N.Y. 11952
Re: Marion R. Cooper
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 # 19647-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
` ~o~OgpFFO(kCOGy
~ ~
Town Hall, 53095 Main Road y a Fax (516) 765-1823
P. O. Box 1179 ~ • ~ Telephone (516) 765-1802
Southold, New York 11971 ifi
col ~ ~a
OFFICE OF THE BUILDING INSPECTOR -
TOWN OF SOUTHOLD ~
~ v Irixv
Ma 31, 1995 ~
Y r.
.q ,
a c~°, -
~G~~
Mrs. Marcella E. Leonard 1,-,c'
38 Sunrise Avenue ~ ~ ~
Riverhead, NY 11901
Re: TM#1000-117-2-5 - Addition to house
Prem: 5280 New Suffolk Road, New Suffolk
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.
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 # 19647-Z
Please contact our office on this matter. Thank you for
cooperation.
50UTHOLD TOWN BUILDING DEPT.
- ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS
UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A
CERTIFICATE OF OCCUPANCY HA5 BEEN ISSUED.
~~1- q ~
h~o~oSOFFOi,~~oGy
Town Hall, 53095 Main Road °y Z Fax {516) 765-1823
P. O. Box 1179 ~ • .LC Telephone (516) 765-1802
Southold, New York 11971 .j.
6j0~ ~ ~a
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD i o ~ '
January 6, 1995 ° ~ cs~
it 4 t GrFI ~
1 ~~~Ril f
~j~~~ / ~i~~ 1 -
Mr. Leonard Marcella c.~
30 Sunrise Avenue
River ead, NY 19 1 %/9a/
~ p A J
`
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. (Enolosed)
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 # 19647-Z
Please contact our office on this matter. Thank you for
cooperation.
50UTHOLD TOWN BUILDING DEPT.
- ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS
UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A
CERTIFICATE OF OCCU ANCY HAS BEEN ISSUED.
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INS CATION
[ ]FRAMING [ FINAL
REMARKS: ,-u
//I X J a~C--tom C~^-!~ 4 ~t~ a~ci C,LCSZ~.
DATE O INSPECTOR
P' _
~
~ ~
765.1802 `
BUILDING DEPT. /
1 NSPECTION
[ ]FOUNDATION 1ST [ }ROUGH PLBG.
[ }FOUNDATION 2ND [ ]INS TION
[ ]FRAMING INAL
RE ARKS: •f~~
-
G~
' DATE INSPECTOR ,„~`l
4
~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 15T ( ] I20UGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ]FRAMING ~ ]FINAL
REMARKS: ~~'~d ~ ,UJ
_ `y~~
DATE INSPECTOR
765-1802
BUILDING DEPT.
N NSPECTI®
[ FOUNDATION 1ST [ ]ROUGH PLBG.
[ FOUNDATION ZND [ ]INSULATION
' [ ]FRAMING [ ]FINAL
REMARKS: Grs~ o~...,,
DATE ~ r INSPECTOR
~I
-'1. ~ F. loh
FORM NO. 1
y;~at:;:a, t.; . ~ TOWN OF SOUTHOLD ~,lQ kJ-~r+
c:f o~fu._: Ci"~"1 BUILDING DEPARTMENT- ~ a98"SaSe~°
TOWN BALL
„ .~.OUTHOLD, N.Y. 11971
~ TEL.: 765-1802
Examined p'~-!... , 19.1. Recei~v-~-ead.~~.~~.]]{{.~~....... , 19.. .
Approved . o""a'~' 3 t. ,.a
, 19q~.PetmitNo.~.9 6.y,~,~ t"~ ~~Ov/t.~
Disapproved a/c ~ ? ~~~AN 2 ~ ~gg~
/..1...... ~
~y
./x..~Gc4 ~ ~.J TOWN
OF s0
7UF
F9ClLD
(Buil mg Inspector)
APPLICATION FOR BUILDING PERP/IIT
Date . J.anuary..28.,...., 1991 .
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 azeas, 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 i ctionfs~
(Signature of applYt!ant, or name, if a corporation)
...60~..Qlf?. ,J,~1~. Z,an~.,..Matt.i,tuck.,..NY.....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Architect
Name of owner of premises , , Marion R. Cooper
(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. , , , ,pending
„
Plumber's License No . .
„
Electrician's License No . .
Other Trade's License No.
1. Location of land on which proposed work will be done . .
5280 New Suffolk, Road New Suffolk
House Number Street Hamlet
County Tax Map No. 1000 Section 1 ~ 2 5
Block Lot...................
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 , ,Single Family Residence
b. Intended use and occupancy , , ,Single Family Residence
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