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HomeMy WebLinkAbout19169-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219231 Date JULY 24, 1990 THIS CERTIFIES that the building ALTERATIONS Location of Property 39405 MAIN ROAD ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 015 Block 08 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 1990 pursuant to which Building Permit No. 191692 dated JULY 2, 1990 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 ALTERATIONS FLOOR ETC. FOR INSTALLING NEW BOILER. The certificate is issued to GEORGE L. PROFERES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N138849 JULY 3, 1990 PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 rows xa a TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUYHOLD, N. Y. BUILDING PERMIT (TIiIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na ~ 9 9 69 Z Date .............c:~.~-~..a......................., 1s.~.Q Permission is hereby granted((t~'o: Q ro ' - . . . 4 . ~ . . . . : 4 r . ~ . . . . . . Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .....~1. ~ j, of premises located of 7 ......~..41r.~:- ............................4~~~~............................ ~ County Tox Map No. 1000 Seetion ....,..4`}.!..~...... Block .....4'?..7?......... Lot No.....~..Z pursuant to application dated ......~..A.:(.M..v......~..°J 19.~.R.,, and approved by the Building Inspector. Fee 3..~~.!...~~. .C ~dk. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ~ ~ ~~~m°°°~°`~~~ BUILDING DEPARTMENT TOWN HALL " 765-1602 ~ ^-6 APPLICATION FOR CERTIFICATE OF OCCU ANC20WN UFSOUTHOLO 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. S. 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 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. 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 . S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...11v~4~.. ~a.~~J ( ~ r Construction.........p./.I Old Onr~Pre-existi-png Building ..:a non of Property...~.LJ ~~..~YlGkaY1.~G:... ..~~~nll~ House No.//°° Street Hamlet :wcr or Owners of Property... S~:L~.PY'~' ~ Z; ~r'~j~,2,i; ;e; . .,unt Tax Map No 1000, Section....... ~ Y a~.....Block ................Lot.....~..~:..... ui,division ....................................Filed Map.........//.''..Lot...../. :'crmi[ No, .I, (q,~, ~ , .Date Of Permit. , :L`-~. , .Applicant(~C:QY~Y.G''... Ir.:~! r~,e.-rat ~tcalth pcpt. Approval ..........................Underwriters Approval......................,,': . . , . Tanning Board Approval 2equest for: Temporary Certificate........... Final Certicate........... Fee Submitted: ~do80 ~j~~-P:~:°:°'.:~ y~ . . '7/2`f/~J~ ~ APPLICANT ~ ~ . Co 2 -T THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1009?~~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date JULY 93,1990 APPlicetionNo.onfile 68953¢90/90 N 7.38849 THIS CERTIFIES THAT only the electrical equipment os deacrihed below and introduced by the opplicont nomad on the ehoce oppiics[ion numher in the premises of BILL HAND5 idILi,91t ORIENT, MAIN ROAD, 1.69'f, ORIENT, N.Y. in thefollowinp locations ? Bmement © IM F'I. ? Ynd Fl. Oi7T Ser[iun Block lo[ wea examined un JUNE 19,1.994 and found W be in compliance with the reyuirementa of thu Buard. gXTURE gXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ElA9TAClES SWITCHES INUNDESCENT FIUDRESCENT OTHER NAT. K. W. AMT. K. W. AMi. K.W. NAT. K. W. AMT. M. P. - DRYERS RJRNACE MOTORS WTURE AMIIANCE ttlDlRS SFEgAI RLC'FT TIME CLOCKS YU UNIT HEATERS NWLTI.OUTIET DIMMERS AMi. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. STSTYAS AMT. WATTS P/O. OF q!i SlRVICE DISCONNECT tq. OF S E R V 1 C E AMT. AMP. TYPE METER 1$ TM 1 ,e JW 3 A SW 3 F AW NO. OF CC COND. A. W. G. NO. OF NI-EEG A' W' G' NO.OF NEUTRALS A. W. G. FOUL?. PER a Of CC COND. OF MI-LEG OF NEUTRAL 1 1.50 CB 1 X 1 1 1 I OTHER ARRARATUS: ARTRUR A. RUROEDE LIC.#?.334-R NAZN R9AD ~ 9RTENT, NY, 1.7.95'1 DdrRAE MANAfiBt ~ Perl 1. " This certificate must not be ahered in any monner; return to the office of the Board if incorrect. Inspectors moy ba ideMHied by their credentials. COPY POR &IILDING DEPARTM! BE ALTERED IN ANY MANLIER. cIELb ICSI'iiiU;J ~~UATE ~ CONMENT~ ~i ,Q 7. a H H --9 FOUWDATIGN (1st) FGU'NDATIOtJ ( 2nd ) - m 2. z ~ A P,GUGH FRAME & ~ • e PLUMBING ~t -S ti H 3. ~ c~ m IIJSULATIGII PER N, Y. • • 'j STATE ENERGY CODE x a 4 . ~ '__f y FIiJAL o~ z ADDTTIOAIAL COMMENTS: ~ ns x ro- H 77 H H --0 O Z r „ S hJ a - r H x 0 ra •v H 7G5-~G43 ~M~E JACOBI Estimating r~,~,,,t,.„X x u,.,~,,,g Southold, N. Y. It971 f C, ~ I C~~ tq ~ v ~o e C, We /v.,/\ U @., i'l~ VL.. G. Ar 0. L r , NOTE: All invoices are due upon receipt. Invoices exceeding 30 days are subject to a 1'/z% late charge. rmzr~ TEL. 7G5-I 802 ~~FFOtk ~p5 \COG~, TOWN OI' SOUTIIOLD ~ i~^a~r ~c~ OI'I'iCE OP BUILDING INSPECTOR ~ P.O. BOY 728 TONN HALL yDy1/0~ ~ ~~cJ~ SOUT1iOLD, N.Y. 1 1971 ~ 9, l 9 90 To ~^7hom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. nn application for Certificate of Occupancy is not on file. No Underwriters Certificate on file. Tlie check is(outdated/not on file.) No Iicalth Dept. npproval on file. / / No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Jlui]dinrl Permit 1k 1 ~ ~ ~ Z I3u.ilding Dopt. / No Plumber Solder Certificate on file. ( all permiL-s involving plumbing being issued after 11pri1 1,19II4 ) i P 765-1643 MIKE JACOBI Euimadng c~ B Plm„G.ng a u..n,.g Srwthold, N. Y. 11971 _ 19~ - ' - l ` o cV! ~ 0. ~ a$ ~ n O 0 01.O - _ a e~~- e ~s o 0 G NOTE: All invoices are due upon receipt. Invoices exceeding 30 days are subject to a 1'h`% late charge. BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS N.~.t~....... SURVEY . . TOWN OFSOUTHOLD CHECK QZ~...... BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL ~l (e $OUTHOLD, N.Y. 11971 NOTIFY o 9as• •y3s'~ TEL.:7ti5~1802 cnLL MAIL T0: Examined r~., , 199.E Approved 19g~. Permit No. I ~ ~,0~ . Disapproved a/c n 15 a~ A ~n u ~ 6 D (Building Inspector) TOWN OF SOU~iN~OLO APPLICATION FOR BUILDING PERDi11T 1 Date .~/4ti2.C'...~:~..., 1510 INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or jn ink and submitted to the Bui]ding Inspector, with ~ sets of plans, accurate plot plan tb~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 Reculations, for the construction of buildings, additions or alterations, or for iemoval or demolit' n, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bull g code, housin; co e, nd regulations, and to admit authorized inspectors on premises and in building for necessary in ons. (Signature applicant, r n~f a corporatton). . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architecC, engineer, general contractor, electrician, plumber or builder. sn.~-~r' . Vame of owner of premises • , •l9'•~O r~ 2... ~/;l~.~ f;'~•S • • • • • . (as on the ta:c roll or latest deed) IC 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 . . Otltcr Trade's License No . . 1. Location of land on which proposed work tvi11 be done; ' ,3yy s~ . :....~~,.n...~i C~ .:...........:...........~.~~I:~-.,... ~1.~ .~a:r house Number Strcet. Hamlet • County Tax i\tap No. 1000 Section • • • • • . BI'ock Lot f.7....... , , Subdivision Filed Atap No. Lot . (Name) State existing use and occupancy of premises anld intended use and ocdyu~pancy of pro{~osed construction: A. Existing use and occupancy..... l.•. ~~A/.V.YLd-.~. ...+.1~J'1;L~.. B. Intended use and occupancy..... • • • ~ d..:.: • • • • • • • • • • • , i{, ' Q . 3. Naturebf work (check which applicable): New Ouilding .Addition . , Alteration . . Repair RRmoval Demolition ..............Swimming pool........... . Tennis Court Acpessory Bui7ding..........Fehce .......Other Work............ 3. Estimated Cost Fee (to be paid on filing this application] 5, If dwcllin>, number of dwelling units . . . Number of dwelling units on each floor . IC garage.numbcrofcars . 5. if business, commercial or mixed occupancy, specify nah~rc and extent of each type of use . 7, Dimensions of existing structures, if any: Front . Rear Depth , t , , , , , , , , , , • Height, t . i .`r.V ~._fr.::~Nu bcr of Stories Dimen,'s~dhs bf'Sa~c~SErti;e~uYst ~'th alterations or additions: Front Rear . . Depthi r'. , . !Hcigltt ......................Number of Stories . 3. Dimet~sjons t~t~constirttct'ion: Front Rear . , Depth , Heigai~ Ngipber of Stories , . 9. Size;of^Int•~•Fr4nt ; , Rear Depth 0. Date of Push"tse • •;;,t,~,,x:.. ....Name of Former Owner . 1. Zone or use district in w icli'prcmi~es are situated . . Docs proposed construction violate' any zoning law, ordinance or regulation : . . 3. 1Vi11 lot be regraded , . ! \Vill excess fill be removed from premises: ,Yes No . . Name of Owner of premises , , , , , , , , , , , , , ,Address ...................Phone No............... , . Name of Architect , .............Address ...................Phone No................ . Name of Contractor .......Address . .Phone No..... . IS.Is this property lorr~ted within 300 feet of a tidal wetland? *YES....NO.l/..• *If yes, Southold Town Trustees Permit may be required, PLOT DIAGRAM Locate cleazly 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 nterior or comer lot. ~~vt o v`u_-~ o-:-:-s w;e.-re, rn ci clams i n I ~ ~ 7' - She~fro~~., wcA,s r~e~;jcZeeo~, ~ao/9~ - ~r\ s -~-1 I e¢l, cCc.s-{- i ro-,-, ~o i r W-i ~ wrn-er-~~ e.i rc~ ~a.`~-o r a~,•, d ~ v-~-1ra-~ s - ~l ns`~ ~'e~(- ~oc.~2 o i ( -Fred ho-~- t,~c~~"~,v, h~a,~`eX~ ~TnTe or- NEw Yoal:, s s , BOUNTY OF . • • • • o o • • • • • • • being duly sworn, deposes and says that he is the applicant • .(Name of individual si~nin~ contract) above named. icisthe ~ (Contractor, agent, corporate officer, etcJ tf said owner or owners, and is duly :authorized to perform or have performed the said work and to make and Gle this application; that all statements contain4d in this application arc true to the best of ltis knowledge and belief; and that the work will be pcrl•omted in [he manner sot forth in the application Glcd therewith. ~wom to before me this ' y... ..day of 19 I • • Votary Public, , , , , , , , , e~2;Qo,•t,<~ ..ZT :.9/. County , NEIEN K OE YOE . . ~ ~Nc~.4708t78Suf~M`k~~ Tam Ecplres Much 30,1~~ ( ,nature of applicant)