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HomeMy WebLinkAbout27084-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27929 Date: 09/10/01 THIS CERTIFIES that the building ALTERATION Location of Property: 2820 11 SHIPYARD LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 .2 Block 1 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 13, 2000 pursuant to which Building Permit No. 27084-Z dated FEBRUARY 26, 2001 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 BATHROOM ALTERATION TO AN EXISTING CONDOMINIUM AS APPLIED FOR. The certificate is issued to PETER D LUBELL & WIFE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 51320 05/29/01 PLUMBERS CERTIFICATION DATED 06/10/01 CUTCHOGUE EAST PLUMBING Authorized Signatuge Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27084 Z Date FEBRUARY 26, 2001 Permission is hereby granted to: PETER D & LEONORE LUBELL 101 HILLDALE RD ALBERTSON,NY 11507 for ALTER CLOSET TO HALF BATHROOM IN EXISTING CONDOMINIUM UNIT AS APPLIED FOR. at premises located at 2820 11 SHIPYARD LA EAST MARION County Tax Map No. 473889 Section 038 . 002 Block 0001 Lot No. 011 pursuant to application dated OCTOBER 13 , 2000 and approved by the Building Inspector. Fee $ 150 . 00 Caw&.,Ok Auth ri d Signature z - ORIGINAL Rev. 2/19/98 Form No. 6 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL '. 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. 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 o� 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '•'pre-existing" land uses: 1. Accurate survey of property showingall 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - 25111 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .. . .&W.41 . . :! Aq!. .. . ... . . . . . . . . . . . New Construction. . . '' II . . .. . Old, Or Pre-existing Building. . . . . yam. . • .. j Location of Propertylll:T House No. Street Hamlet Onwer or. Owners of Property.P41M. ABI L! . . . . . . . . , , . , m�1 bb . . . . . . County Tax Map No 1000, Section. N 3 8:®?;. . .Block. . . . . . ..P . . . . . . . .Lot. . . . . . . I '. . . . . . . . . . . . . Subdivision. . .. . ... . .... . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. D2. •1rA4.. . !r, .Date Of Permit. Z."I .Applicant�Y.� 1�1 GiJ►P:�-.al-l1, JY� `: :�.`.��.�. . ,,yy PowT OLU%E ao jab Health Dept. Approval. . ... . . . . . . . . . . .. .. .. . .. . .Underwriters Approvall� SL ?q. . . . .. . . . . . . Planning Board Approval. .. . . . .. . . . . . . . . .. . . . .. Request for: Temporary Certificate. . . .. . . . . . . Final Certicate. . .Y. . . . . . . Fee Submitted: .. . . . . . 5. . . . . . . . . . . . . . . . Glo a-7�r -;?7caQ�w�2�i2 APPLICANT %•V v^� CO y?. Town Nall, 53095 Main Road ca 'Z Fax (516)765-1823 P. O. Box 1179 . Telephone (516) 765-1802 Southold, New York 11971 =�t . OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I 0 N DATE: Il Building Permit(( No. V Owner: (please print) J Plumber: ��(L �(swJ cc)tc- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. umbers Signature) Sworn to before me this day of (�� Notary Public, County Notary Public,Swe of Nrn.r�ntc ; No.4896735 ,. 001111ed in Sutlolk anq riDIM,1SSInn Groka,Otey 9�k )p 3 'p 00. Electrical Inspection Certificate i fr• Electrical Inspection Service, Inc. =' 375 Dunton Avenue East Patchogue, New York 11772 (631)286-6642 +. r•. Date: 5/29/01 Application No. : 51320 4' } Issued to: P. Lubell } Street: 820-1 Shipyard La Village: East Marion Zip: 11939 Town:Southhold Section: Block: Lot: Introduced by. Lademann Electric Inc. Lic.# 4141-E was examined and found to be in compliance with the National Electrical Code ❑ Commercial [INV Defects ❑ Pool ©1st Floor ❑Indoor ❑Basement ❑ Hot Tub ❑� Residential ❑ Det. Garage ❑Attic ❑2nd Floor ❑Outdoor ❑ Addition ❑Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 2 1 1 1 Dishwasher Washer/Amp DryedAmp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer } Meter Amps Phase UG/OH Telephone Television Carbon Monoxide ❑ / ❑ Other Equipment. x Hugo S. Surdi President Building Permit No. This certificate must not be altered in any manner Inspectors may be identified by their credentials Final Inspection: 5/29/01 Rough Inspection: 5/1/01 Inspector: Quentin Reynolds S FF01/r40A �� yam► Town Hall,53095 Main Road p '� Fax(516)765-1823 P.O. Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 X01 � dao BUILDING DEPARTMENT TOWN O SOUTHOLD June 4, 2001 Susan Hallock for S� Cleaves Point Condo P.O. Box 29 ' 6 Greenport, NY 11944-0029 FOR: Unit F1, Building 1 _ .! To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: PgTV\CA1=VS> xx An application for Certificate of Occupancy is not on file. (Enclosed) xx 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 27084-Z Please contact our office on this matter. Thaink you for cooperation. SOUTHOLD TOWN BUILDING DEPT. OfF04co h Gym Town Hall,53095 Main Roadp '� Fax(516)765-1823 P.O.Box 1179 � Telephone(516)765-1802 Southold,New York 11971-0959 Oy BUILDING DEPARTMENT TOWN OF SOUTHOLD June 4, 2001 Susan Hallock for Cleaves Point Condo P.O. Box 29 Greenport, NY 11944-0029 FOR: Unit F1, Building 1 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) xx No Underwriters Certificate on file. xx The check is (not on file• )$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) • BUILDING PERMIT 27084-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. f CLEAVES POINT CONDOMINIUMS Fr ❑ VILLAGE ❑ COMMONS ❑ CLUB AND MARINA, INC. Di--PT. P.O. BOX 29 C P CII, GREENPORT, NEW YORK 11944 (631) 477-8657 FAX (631)477-8657 October 15, 2000 Town of Southold Attn: Building Department Town Hall 53095 Main Rd. P.O.Box 1179 Southold, New York 11971 Re: Permit Application filed October 13, 2000 for Unit 1F1 owned by M/M Peter Lubell By way of this communication, and at your request, please be informed that the Board of Managers of Cleaves Point Village Condominium has approved the work to be performed as defined in the above noted application. Please refer any further questions and requests connected with this application to the Condominium office. Sincerely yours, akLck ;t4 l� Susan Hallock, Manager Cleaves Point Village Condominium FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z11?.05 . . . . . . . . . . Date . . . .September 20 , 19 82 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 2820 Shipyard, Lane East Marion House IVo. Street Ham%t County Tax Map No. 1000 Section . . 0 3 8, 0 2 , ,Block . . 0.1. . . . . . . . . . .Lot . . . .1.1 . . . . . . . , Subdivision . . X. . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . X. . . . . .Lot No. X . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated 0 c t o b.e r. 2.0. . . . . . . . , 19$P. pursuant to which Building Permit No. 1 0 9 2 4 Z . . . . . . . . . . . . dated . . .0 c t o b e 17. 2 0. . . . . . . . . . . . . . 10 9. , 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 . . . . . . . . . 4. IJviog. .140 t. .Witti.iii . a. .rqujti.pj9. dwelling: . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . .Q I e axe.s . P.o.i n t. V.i,I I Age .Q op.1 qril i n i 4 m (owner,lessee-cw&"&t*) of the aforesaid building. Suffolk County Department of Health Approval . . I;M8 H, . .9./.2!82, .R Q.b.t , . A... .V��.7,�, . �.•.la . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . N. .5.71 5,7,2 Note : Unit F1 , Bldg. #1 Building Inspector Rev. 1/81 76E-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: )p4- PATE L,DATE INSPECT suacINc DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ON [ ] FRAMING NAL [ ] FIREPLAC MN REMARKS• G DATE � INSPECTOR t. ✓ FIELD INSPECTION REPORT DATE 1 COMMENTS J II 0 F I� n H FOUNDATION ( 1ST) Irr--_�� rr-- 1 if (2ND) II FOUNDATION l - ------- ---- I ` I 03 ROUGH FRAME & I —��i O PLUMBING if �� o II sxxaxxxaxxxaxaxax=xxaaaxe saxes=xx�----------------- -----_.----xasxxxx=aa--------- II INSULATION PER N. Y. STATE ENERGY CODE11 u e If if -- sx=axxxaxxxxxxxxsxxxxaxxa�mxaxxxaa� aa.y-saaxxssxxsaxmasxaxxsa=saxxaaxx--axxssxaaxxaxxaxxxa u II 11 FINAL -41 II NI aaaaaaxxxaa=-sxxxMxxsxxx�---xxs�aaxxs=xmaxsxxa�axsxx--as:m xxsaxxxxaxasxxaxrxxaxxaxxaxxx ADDITIONAL COMMENTS: a—SiaSaa�----------------------xa-------a=aa-2--�--xa--a2' xx-------Saax---x—aSSa--a—Sa— by ��\ H Q H O 7 hd r H uunhu Ur YibhW d FORM N0. I 3 SETS OF PLANS . . . . . . . . . . . . . . . r TOWN OF SOUTHOLD SURVEY ' BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . . . . . TEL: 765-1802 TRUSTEES . ... . . . . .... . . . NOTIFY: CALL 1 •q�N:•�� 3 Examined.... ........... 20.... MAIL TO. j . 1.�•. w I� u V ') Approved...a:1..�........, Q A Perwi t No.C27 Q W.L.-Z ... ..... :..�.�.I( ,d X. ..�..... Disapproved a/c .................................. ..... .-�r.�ll!!l �.N• �. �� c� ............ ... ........... (Building r) APPLICATION FOR BUILDING PERMIT Dateua.D�5�. ., 3, 26.0`:0, INSTRUCTIONS a. 'ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 4 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 application. c. 'ibe work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 1EREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building ?.one Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regu'ations, 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 ilding f necessary inspections. 10 (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, ent, architect, engineer, general contractor, electrician, plumber or builds ................................ Name of owner of premises ..�� .. Q.�• tr!�A =..h11.(3J�1.4................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. .i:�1:10 1�J.%,e [T ..... Plumbers License No. ..�?{A.J. .l........... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done............Uo.a...J .Fj....... �.L•. t1:L1N N�a ....O? ..................... 54JOW...WK..........................�A TXQPWZADNAl ............ House Number Street Hamlet County Tax Map No. 1000 Section ..1J. �: ... Block .....0.1....... Lot .....11......... Subdivision ...................................... Filed Map No. ............... I.ot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..�..� Y 1 :.V.I�)T.. IT.T�:1. .. ..mu►��1 f�4 ..Q .�ll .......... b. Intended use and occupancy ..AS.. L; •, }�;I ,W OR;K..IS TO .USE. (......G. its o R.om- To Q*-� A H Air BA`nA OUT AN 6rm-n NG CLas 6 r- ANO K ['ORno� 3. Nature of work (check which applicable): New Building .......... Addition .....X... Alteration .......... Repair ........... Removal ............. Demolition ............ Other Work .................................. /_ (Description) 4. Estimated Cost .... 6.H. fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... Number of dwelling units on each floor ....... ....... Ifgarage, nunber of cars ..................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.........``........... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. lleight ......................... 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 ......................... Number of Stories ..................... 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 ...........................,r.................................... 12. Does proposed construction violate any zoning lana, ordinance or regulation: 13. Will lot be regraded ...........p........ Will excess fill be remmpd from�� emises: YES ND .. 14. Names of Owner of premises m.P n►��$�:4......... Address mjkoftw e .q� tN, : Phone No(§)(o)741-174?7 Name of Architect ...Q......... ..-.... .........I.... AddressL........I�........................ Phage No. ......//.... Name of Contractor ll 'A111,1'sAK?� ?l��' 4�T1:���il�C•. Address 15. Is this property within 300 feet of a tidal wetland? * YES ....1�,1�t1�J[�A .......... *IF YES, SOUlH]ID MN TRIMEBS PERMIT MAY BE RIx LUll. / 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 number or description according to deed, and show street names and indicate whether interior or corner lot. srn.lr of ww / ,, G Ll. _ SS .........�. ....:. ... ...........being duly sworn, deposes arxl says that lie is the applicant (Name of individual signing contract) above run med, lieis the .................. ............................................._........................ (Contractor.'agent, yorporate officer., etc.) q of said owner or owners, and is duly authorized to perform or have performed the said work arxl to make and file Chis application; that all statements contained in this application are true to the best of his krxiwledge and belief; arxl drat the work will be performed in the manner set forth in the application filed therewith. Sworn to before-me this .........�. ..C.�ay of ., ..�:i�=t. 20 �O Notary Publ c . . .,L::...... .. .> LAIRE L GLEW . Notary�o.01 GL4879505w York (Sip nature of Appl.i.cant) Qualified in Suffolk Cou Commission Expires Dec.8, .j DATE: (3Y• % FEE: . /� NOTIFY BUILDING EPART ENT AT 765-1802 9 AM TO 4 PM FOR THE -- 'J ' FOLLOWING INSPECTIONS: j� 1. FOUNDATION - TWO REQUIRED ' FOR POURED CONCRETE -- _ 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET / THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY / i.. CODES. G DESIGN ORO CONSTRUCTION ERRORS "D I Int I N G PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING — -- — E3 F-1 _ DEVICES AS TO PART. 902.6(x) l ITCH EfJ N-Y. STATE BUILDING CODE. OCCUPANCY OR OCCU _ E IS UNLAWFUL a" - I --- If copper tubing is used US for water distributing WITHOUT CERTIFICAT System;piping shall be OF OCCUPANCY ' of types K or L only �E D ROO/A� PLUMBING ,� Fs.rt�za►�Gr _ ALL PLUMBING WASTE &WATER LINES NEED TESTING BEFORE COVERING CETIFiCA. - - �; R ��R� r ���Lol�� �. ��1 1,053.�c�• �t. , i � _ 'I i _ � { -,' -i�'/' �• ; i�' -2� �12 ice; ! I _�� . _.__. ��, � L u��� 'l:�n en•Z.�T2 t^}-t.G�f) � I i 3 u I 4 i 1 !) l!( _. _._. : f _ � I , I ' er I , j ( ff Sri 71r/ t : : I I : ' I , :