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Home My WebLink About19873-z ~ ~ ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE QF OCCUPANCY No Z-21093 Date OCTOBER 14, 1992 THIS CERTIFIES that the building ALTERATION Location of Property 2975 CEDAR BEACH RD.&SSPARADISE PT. RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 91 Block 1 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 1991 pursuant to which Building Permit No. 19873-Z dated MAY 17, 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 ALTER & RENOVATE EXISTING BATHROOM, SUNROOM TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JON & CAROL RAND (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-252162 - SEPT. 30, 1992 PLUMBERS CERTIFICATION DATED AUG. 19, 1992 - MATTITUCK PLUMB.&HEAT. w'~~ Bu' d'ng ns ec ors Rev. 1/81 I. IROEM NO. f 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) Na 1 9873 Z Date .............~.~.....~.7.............., )9.9.1 Permission is hereby granted to: , to ..P..?k4.,..~...... ~ ..l..a..~~?~.,....~?: i q n _ n ~ at premises located ot ...............:5...~~.......~.r~T...~Py~~..~.:..~'r~....SC~!:':~;^w"v~~ ::~:~.:;~:;::::~.Q~:::::~~:~;:~ County Tax Mop No. 1000 Section ~ BI«k .......Q. Lot No....~..a:'........... pursuant to application doted .........~.R::~:~,....~~ )9~.~..., and approved by the Building Inspector. U Fee 5.~4.~.t.:'.`........ Building Inspector Rev. 6/30/80 Form No. 6 ii Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY e1. 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 17 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. 3. For existing 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. 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 gl ~.f.l 9.a' :Jew Construction........ Old Or Pre-existing Building., ~ Location of Property.. ~ 975, Ct-dar Btach ~oad. . Sou.f'ho/oL. House No. Street Hamlet Cnwer or Owners of Property......C.,4~ol.0.ncL.Jon .~'anol.. . ~ounty Tax Map No 1000, Section ..............Block................Lot...................... subdivision ....................................Filed Map............Lot...................... 'crmit No.. ~9.g 73 .....Date Of Permit.. 5./ 77`g1....Applicant. ECL4l4r°~, I~f0.mS . tealth Dept. Approval ..........................Underwriters Approval......................... 'lanning Board Approval :e quest For: Temporary Certificate........... Final Certicate.. ee Submitted: $„025;00 y \ p ~ a\~~3 -APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS eac,e 1195099 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 D¢w S~'I'iFHI3Eft ;i0f1992 Application No. on file C~3n25992192 i3 21[7,[2 THIS CERTIFIES THAT only the electrical equipment as deacrihed below and introduced by the applie¢nt named on the ¢hove application numher in the premiaea of JOt1N ItAR7D, P!!ftA[il'~E I?T. RU, e ,ciOUY'itOLD, N.Y. in the following location: ? Basement ? Ixt Fl. ® 2nd F1• .Sertion Block Lot w¢s examined ore ~(~~T~'Ifg~ft Z~r 1992 ¢ndfound to 6e in cmtepli¢nre witfr the reyeeirements of this Board. FIXTURE ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS !L OUTLETS INCANDESCENT FIUORESCENi OTHER AMT. K W. AMT. K W PMi N.W. AMi K.W AMT. H P u z2 1', 9 1 x DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS RELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. OIL M. P. GAS H P, pMT NO. A W. G. AMi qMP. AMT AMPS TRANS. AMi H P. NOrOF FEET AMi. WAiiE soa SERVICE DISCONNECT NO. OF S E R V ~ I C E METER NO. OF CC COND. A, w. G A W. G. A. W G AMi AMP. ttPE EQUIP l A' RW 1 ,R' 3W 3 B 3W 3,e' 4W PER A OF CC COND. NO. OF MI-LEG OF HI-LEG NO OF NEUTRALS Of NEULRAL OTHER APPARATUS: t~o~oftslz-p If,l'.,1-a,v rt.ft, c,x.c.r.:-7 srtak~ nf,r~cl~oeL-i s~c~ rnrr~a GIC,~3615 ~ r.o.l7ox sx GENERAL MANAGER C~RE>;NPO$T, AY, 119~?4 7,1 Per ~ E 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 NOT BE ALTERED IN ANY MANNER. ~ _ a ~S~FFOth-C ~ ~,TEL.7~s-1s~z -v. TOWN Or SOYJT730lLFJ ~O~;.A . OFFICE OF IIUILDII•IG INSPECTOR c°n `=i ';y1i~~~~~ r" P.O. I3OX 728 C~ .Y cw ~ TOWN IIALL •%~Ol " ~,~p<' SOUTHOLD, N.Y. ! 1971 C E R T I F I C A T I O N Date____~~ / J~j Building Permit No._//~ ~ 7 3 Z, ' Owner~o~„ ~-Caret R~,~~( (please print) Plumber ~ iu• N ~Or~. _S.e. u n fi ca. ~H (please- print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's si Sworn to before me this /f//,oET,~.uT/f day of r~U~xuST~ Y `Notary is Notary Public, ~S'ra~~nG,~ County . IOIIMF.JAp(SON ~ I~Ms ~ag~ YoFk OiM~d N &dldk Cou A?m E~ios kb, t8, f INSPECTORS y Victor Lessard c~VFF11(~-~ Principal Building Inspector ©~S' ,,2, C~ Curtis Horton ti~ ~ 'r.4 ~ SCOTT L. HARRIS, Supervisor Senior Building Inspector o= ' y `f = Southold Town Hall Thomas Fisher ,a. }~y; ' ~ n, p,0. Box 1179, 53095 Main Road Building Inspector O ~ ° . ~ , Gar Fish ~ O~ Southold New York 11971 Building Inspector .,Dl z~ Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD AIIGUST 17, 1992 EDWARD WILLIAMS 150 SEAWOOD DRIVE SODTHOLD, NY 11971 RE: JON S CAROL RAND 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) ffi 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. ffi No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19873-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: JON fi CAROL RAND rIiLD i;:SP^.CilUN ~~UnTE ~ i;OMMENI~° ~ ~ ` 1 . m ...0 ~ ~ H ~t - - - y FOUtIDATION ( 1st ) c FOUNDATIOIJ (2nd) _ m 2. S zo A, P,OUGH FRAME & ~ J PLUMBING ti 3. ~ m L ~ a INSULATION PER N. Y. H ` STATE ENERGY CODE • x ~ 3 ~o 4 . ~ y d~tw1 Qo G FI;JAL o z~ ADDITIOIIAL COMMENTS: m~ x . _ S - AJ • m • x _ .n. H 1 b ~ 9 J ' y H ..p z °r a r ' ~ ~ ' ~ ~ f _ . ~ w.:°.tx+.~,tnea iev~W a'e.-Nans.r.>..u,siuGV.f.~.~~- .~w.z;.w.~ 1 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [G] OUCH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ] FINAQL REMARKS: j DATE ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [6~]'~RAMING [ ]FINAL REMARKS: .e. DATE v INSPECTOR .~ac~a 3. ~ j, r-:y '+a;~l 1_`;;, ~~i ~.~_i ,i.~ ,,,y i A 'FORM NO. 1 ~pp~ ~ TOWN OF SOUTHOLD ~ll~l~ I~ II, BUILDING DEPARTMENT TOWN BALL SLrr. nr!~T. SOUTHOLD, N.Y. 11971 .~7Ltrr,lt,,~r~F t~".:i-:;i`:iif._43,.k,,.,w~ TEL.: 765.1802 Examined ...~.~j.1..., 199.E Received........... , 19.. . Approved • V. ~ ~ • 19 q. I. Permit No. ~ .9 . g.7. Disapproved a/c . G~W. i (Building Inspector) APPLICATION FOR BUILDING PERDIIIT M Date 191. 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 Depaztment 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 inspectio QQ ~~~Q ~y,~ y (Signature of applicant, or name, if a corporation) I So S£4~voo1~ L~., ~oc~-~ot~ ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~v~l~ . Name of owner of premises ~~5 . ~o~...~v. . (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.`~.. p~~w.3! Electrician's License No. ~Al7L.d: (.c-,~^.~.~ , , Other Trade's License No . . 1. Location of land on which proposed work will be done . . ~.9.7.s .C~.u.n. ~3.~,a<e.R .~,,Q_.~l-. ss`E~w.~~~P~o~Fw~~:~~.~.......... 5~~~.~~::~ House Number QQ Street Hamlet County Tax Map No. 1000 Section ......I. ~ 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. Existin use and occu anc ....~.~1k1r~n. ~w atreu g p Y "t.. ~^^,5...... woSt3r~~se~±8u~ . . ~ r.t,.,:.c t b. Intended use and occupancy~N~. r~!~R^.° ~etn."P:'~.5~`"°'~O.`:~': ~ y":.>~~ ® ~4dYn. floot~._ ( pplicable): New Building Addition Alteration?........ . 3. Nature of work check which all Rerta Repair oval Demolition Othe Work . (~ription) 4. Estimated Cost oZ$ ~?a"'.~.'" Fee , .......~.'i i . • • (to be paid on filing this application] 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars ....I, . 6. If business, commercial or mix~d occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structur,'es, if any: Front .......:...:...Rear Depth- . Height ...............Number of Stories , . Dimensions of same structure with alterations or additions: Front Rear . Depth ..Height ......................Number of Stories . 8. Dimensions of entire new construction: Front Rear ...............Depth . Height ...............NumberofStories........................................................ 9. Size of lot: Front Rear Depth . 10. Date of Purchase • . • • ...............Name of Former Owner . 11. Zone or use district in which premises are situated . 12. Does proposed construction vi~late any zoning law, ordinance or regulation : . 13. Will lot be regraded N. to ....Will excessf}~1 b-e~,removed from premises: Yes 14. Name of Owner of premises Jq~u -Ca{u-? ,(?ay..Q, , ,Address . ~.u'r^~-.........Phone No.2/rs;'.~:3.?°2 . Name of Architect ..G.'~.~. Address .^?.?~'~^~.<<-'.. Phone No.7 ~S-SVSS. , . , , Name of Contractor . ~^?i ~~~.'M.^~:? ...........Address ..~?4!^?~^~:~....... Phone No. 7 b S'~.°.°. ° PLOT DIAGRAM Locate clearly and distinctly ail 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. ~ ~ ~I STATE OF NEW YORK, S.S COU ~ IOF.. ~r :~`.`l4~^s'i being duly sworn, deposes and says that he is the applicant •,l (Name of individual signing contract) above named. ~ Heisthe......L.~uLLcL.A~.....~1 (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 mant}er set forth in the application filed therewith. Sworn to before me this i .....1 ....day~f ~ 19`l~ ~ :~,~-~C/w Cis (j(l Notary Public, , . County Ob^ ~MU~"ice N~~ (Signature of applicant)