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HomeMy WebLinkAbout20984-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22099 Date JANUARY 12, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 3190 NORTH SEA DRIVE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 23, 1992 pursuant to which Building Permit No. 20984-Z dated SEPTEMBER 28, 1992 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 ALTERATION TO CONVERT A SEASONAL DWELLING TO A YEAR ROUND RESIDENCE AS APPLIED FOR. The certificate is issued to BARRY J. MARTIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORK No. 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) A098~ c~ q~, n• NW? Date ....n1R.~.l,R 1.1........ MI.,. - Permission is hereby granted to: V isa..... a..,.....e .:y.......l."Aa to...S.tty-oLk!e.-Ur...... a.~q.,~-tn?.t+.Q....~. r;-? ' u.....g.. 9 .5.?+..... at premises located at ,519.p....... to .........:V?('4 !l..r........... .QAA&* . County Tax Mop No. 1000 Section J....... Block Lot No.... pursuant to application dated .....~...1.9^ Y,\%.I:...... AA.......... and approved by the Building Inspector. Fee S••` ~ Building Inspector Rev. 6/30/80 Form No. 6 2 3 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 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. B. 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 I. 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 ..Er ~~°l . New Construction.......... Old Or Pre-existing Building Location of Property.. 4vwz,x..~t House No. Street Hamlet Onwer or Owners of Property....~4(rlll.``..~... , , , , , County Tax Map No 1000, Section ~..1...... Block Lot...-1 Subdivision ....................................Filed Map............ Lot...................... i Permit No ................Date Of Permit Applicant... AZ`! . Health Dept. Approval ...lrX ..................Underwriters Approval ...7r9 Q J•~•~•........ Planning Board Approval.................... Request for: Temporary Certificate........... Final Certicate... Y...... Fee Submitted: $r.YJ~,~,,,,,,,,,,,,,,,,,,,, 2 7~'~ec APP C j cn~_aao~9 --2 ~oq~~ Z e THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE t 5037629 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date JANUARY 04,1993 Application No. onfile 03957392192 H 032724 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant nomad on the above application number in the premiere of HARRY MARTIN, 3190 NORTH SEA DRIVE, ORIENT, N.Y. in thefollowinK location; ? Basement ? ist FL ® PFRd F1. CAR .Sectionl5 Blorkl Lot 5 wasexaminedon DECEMBER 22,1992 andfound to be in compliance with the requirements of this Board. q%TUE! AOlS SWITCHES FIXTURES RANGE COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS IRECIET INCANDESCENT FIUOIIESCENi OTHER AMi. K. W. AMT. K. W. T. K.W. AMT. K. W. AMT. N. P. 10 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE MOM SFISCIALREC'?T TIMECLOCKf ant, UNIT HEATERS MUUI.OUTLET DIMMERS AMT. K. W. OIL N. P. GM N. V AMT. NO. A. W. G. AMT. Mr. NAT. AMrs. TERNS. AMT. N. P. SY OF N AMi. WATTS OF FEET SERVICE DISCONNECT NO. OF S E R V 1 C E AMT. see. TYPE MD OETER W. 1 J 3W 10 3W 3 N 3W 3,F AW NO. OF C. COND. A. W. G. NO. OF NI-LPG A. W. G. NO.OF NEUTRALS A. W. G. WW C. OF CC. COND. OF NI-LEG OF NEUTRAL OTHER AFFAIIATUS: DEFECTS REMOVE AS PER 10120/9?-1 ENTIRE SECOND FLOOR-1 G.F.C.L1-t HARRY J. MARTIN JR. 1973 CARMAN CT. MERRICK, MY, 11566 GOMMU MANAGER Ptr 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 WILD= DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. IEI-D it v i9LNTf 0 06 H OUNDATION (1st) y Q OUNDATION (2nd) M. OUCH FRAME do I p • O -PLUMBING y H 1, v cri AISULATION PER N. Y. I ?~7 STATE ENERGY CODE I ' • I 7 • Z9 9 G'O ~ r m y FINAL ADDITIONAL COMMENTS: m ~n x ra ' x H _ a y o l vI •e H BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK 3 TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t7oTIFY: 1 CALL . . Examined . SR,QTYk,a1•Y:K.apa, 19 1. - MAIL TO: Approved VV 199~'. Permit No. . . Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 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 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 a~ ,dyable laws, ordinances, building code, housing coded regulations, and to admit authorized inspectors on premises afield'up~yFcessary inspecti9 ns. ~ ?s' ~ 737 iGY ! ! .l . . (Signature 6f pplicant, or na if a corporation) (Mailing address of applicant) State whether applicant is caner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises (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. hff!gi6... fi , c2ltirC/ Electrician's License No. y.. Peivla2 . Other Trade's License No . 1. Location of land on which proposed work will be done . House Number Street Hamlet County Tax Map No. 1000 Section ...........IS Block Lot ..,5 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 , , , , , , , , , , b. Intended use and occupancy le 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work .~iY1t ui..... . 4. Estimated Cost ...l4 c~ v ?,e ........................Fee..S~r (Description) 0,77 (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 . 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 Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories . 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 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address Phone No............... . Name of Architect Address Phone No............... . Name of Contractor Address Phone No. 15. Is this property within 300 feet of a tidal wetland? *yes........ No......... *If yes, Southold Town Trustees Permit may be required. 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. D UI~ APP OVER AS NOTED DATE: B.P. r~ FEE: BY7 C~ p/~ a NOTIFY BUILDING DEPARTMENT AT OCCU6'AC". 765-1802 9 AM LLOWING NSPECTIO4 PM NS.. FOR THE USE FO I. FOUNDATION • TWO REQUIRED WITHOUT r~.~~~~~ FOR POURED CONCRETE OF UC;\iUPdlHGV 2. ROUGH - FRANNNC & PLUMBING 3. WSULATION d"~ 4. RiNAl- - 1-10NSTRUCTION MUST q ~ M ~ . BF CON''jPL.ETE "rOR C.t}.. n ' ALL CONSTRUCTION SHALL MEET ~p~Q~ o lye yr~l~ l~db~ THE REQUIREMENTS NTS OF THE N.Y. - , / r 1 STATE CONSTRUCTION & ENERGY 144 ^t'i' S. ?~,OT RFSPONSIBLE FOR ;•ac c; ~r:~Rt !79i k,.ONS MUCTION ERRORS STATE OF NE,%'rOt . / S.S COUNTY[O4~i~yU( • • • • • • I-{a r~~ • • • • • • being duly sworn, deposes and says that he is the applicant (Name df individual signing contract) ibove named. ieis the Q w...Q!..............,........ (Contractor, agent, corporate officer, etc.) if 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 "vork will be performed in the manner set forth in the application filed therewith. >wom to before me this n r gY 19 9oZ lotary Public, County CLARE L CLEW Notary Public, State of New Yak No. 487t1fi0t3 (SiLrrk'e o f applicant) Guallfled in Suffolk County Cafanieelon Eigi m December 9,119 g~'"