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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 E9 C 0 - F - ~ r. 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° ~y •I H _ - H FOUNDATION (1st) c N FOUtlDATION (2nd) m 2. o POUCH FRAME Tx ~ ~ t PLUMBING 2 ` N j r .-3 , 3. ~ ItlSULATI0IJ PER N. Y. ~ A' STATE ENERGY ~ 0. CODE a 4. / / ~ y ~ p tp . FIiJAL I O f £ ADDITIOtlAL COMh1EtlTS: x` o~ - - _ A ----i~ M W _ / _ y H ~ oar ~ N m A ~ Z • O m ^u • H r h~o~~SpFFO(~-~OGy a ~ 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. 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