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Home My WebLink About27592-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28031 Date: 10/26/01 THIS CERTIFIES that the building ADDITION Location of Property: 47100 MAIN RD SOUTH/PEC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 6 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4, 2001 pursuant to which Building Permit No. 27592-Z dated SEPTEMBER 4, 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES A & LAURA M MITCHELL III (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 073119 10/17/01 PLUMBERS CERTIFICATION DATED N/A A orize Signature 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. 27592 Z Date SEPTEMBER 4, 2001 Permission is hereby granted to: JAMES A MITCHELL III 47100 MAIN RD SOUTHOLD,NY 11971 for CONSTRUCT AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#23349 . at premises located at 47100 MAIN RD SOUTH/PEC County Tax Map No. 473889 Section 069 Block 0006 Lot No. 011 pursuant to application dated SEPTEMBER 4, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorizd1d Sign re ORIGINAL Rev. 2/19/98 Form No. 6 j TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ? 765-1.802 APPLICATION FOR.-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitped •to the building inspector with. the following: for new building or new. use: 1. Final survey of ,property with. accurate location of all building , property 11e Aj streets, and unusual natural or topographic features. 2. Final Approval ftom Health Dept. of water supply, and sewerage�disposal(S•-9 form) . 3. Approval of electrical installation from Board bt Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 .of 1% lead. 5. Cotpmercial building, industrial building, multiple. residences and similar building and installations, a certificate of Code Complianne 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-coriforming use 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• Occgpancy 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 dwellipg' $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to aacessory buil di.ng $25.-00. . Businesses $50.00. - . . 2. Certificate.of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - 4 .2S 4: Updated Certificate of Occupancy - $50.00 ' 5: Temporary 'Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . ........ ... .. . ....:.... . ... ... . :. ... ... Rev Construction. . ... . .• Old Or re=existi Building: . ... . ... . . Location of Property.. ? .C'S .....:. .... .... . .::.... .. .1k....:.•. . . . . ..... . House No. Street Hamlet • Onwer or. Owners of Property.. -.. . . . ... . . . . . . . ... . County Tait Map No 1000, Sectio . ...0. .9. . . .Block. . , . . . . ... . . . .Lot.. .. . .1.�.. . . . . . . . .. . . Subdivision. . t�,...�, ... . . . . . . . . ... . . . . .. .. .. . ... .Filed Map. . . . . . . . . . .L . ppt�/[ ot. . . . . . . .. .. . . ... . . . . . s Permit No.�.� �.q;�. .. . .Date Of Permit. 3:4. 4tkQQ 1. .Applicant. . ... ... . .... . . .4 4.0 4 . .. . . . .. . Health Dept. Approval. .. . . . . . . .. . .. . . . .. .. . .... .. nderwriters Approval. .... . .. . . .. .... . . . . . . . . . Planning Board Approval. . . . 444 . 4 . .. . . . . . .. . . .. . Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . . . . . . . . . . tee Submi ted: $. .. . .•. .. . . . . . . .. . . . . . .. . . . . .: aED3.i , THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8062096 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 17,2001 Application No. on file 12373096/96 H 073119 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JAMES MITCHELL, 47100 MAIN ROAD, SOUTHOLD, NY in the following location; El Basement [E 1st Fl. R] 2nd Fl. Section Block Lot was examined on OCTOBER 01,2001 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH-WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENJ FLUORESCENT OTHER AMT. K.W. I AMT. K.W. AMT. K.W. A .7 K.W. AMT. N.P. 3 21 4 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELLUNIT HEATERS M SYSTEMS ET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AM�1P. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS G 20 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.O. A.W.O. AMI. AMP. TYPE EQUIP. T 0 4W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI•LEG OF HIAIG NO.Of NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: SMOKE DETECTOR:-2 L L JAMES MITCHELL , 47100 MAIN ROAD SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per This certlflcate must not be altered In any manner;return to the office of the Board It Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. � 33 '17? sui ING DEPT. PECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � t I � DATE INSPIE M-1102 BUILDING DEPT. INSPECTION [ ] FOU TION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS• / (::)/ DATE D INSPECTOR ^'✓� BUILDING DEPT. INSPECTION [ ] FOUND N IST [ ] ROUGH PLBG. [ ] F DATION 2ND [ J INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: i IRATE INSPECTOR suiLuiNa DEPT. INSPECTION ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REM KS: 7 F _ DATE � 8 �7 INSPECTOR T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: � G DATE d"/ 9 /-INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION 1 FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY C REMARKS: � Z 3 � � DATE O D INSPECTOR -AzZ .02 pus-seo2 suauiNa oar. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INTI ON [ ] FRAMING � [ NAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE `� j � �� -INSPECTOR w oe APT ice►. � � � E,� �� •,� -� i The New York Board of Fire Underwriters Bureau of Electricity is in the process of issuing a certificate of compliance for the electrical installation as provided for in the application for inspection # 173-730 - '� 7160 0,(WN � New York Board of Fire Underwriters Bureau of Electricity Inspection activity pursuant to Application has been completed and a certificate of compliance setting forth the detail of the ele 'cal system is being prepared. Inspector ate Form 00(Rev.06/00) BOARD OF III'.Al,l N . _ . t Palm NO. 1 3 SHTS oP LANs . . . . . . . . . . . . . . a MAS ITOWN OF SOUIIOLD SHVItY 00 . . . . . . . . . . . . . . . . . 2 61995 CIIr K .IllitIDINC NI AITNN1 1 TORN NALL SEPTIC, FORM . . . . . . . . . . . . . . . . . . . PL0G.C•EP1. SO11'NOLD, N.Y. 11971 �� T(lLrlrW Qf SO?!Tk10!.�1 _ 1'lil.: 7fi5- 1002 NOTIFY: �. S� CAL1. 7G�5- ja3.7`7• . . . . lix;mir)e(I. � / MAIL TO: . . . . . . . . . . . . . . . . . . . . ............ 19� � / V. Algnuve4l.. . 19VennilNo. ...... . .... Diralq)roved a/c .................................. ....................................... ...... . 1 rilding limixclor) APP WHOM FOR HNILDING PI(IMIT Date . . . . . . . . . . . . . . . . 119. . . . 1 NS'1•I111CT 1 ONS n. 'Ibis nppl icatior uusL Ire c(xy)lelely fille4 io by 1-ylxnrriler or in int( soil admitted to the floilding inspector r+il 7 reLs of plans, accurate plot plan to scale. Fee according 10 schedule. b. FIoL plan Alowitrg locati0o of lot: axl of Ixril(liogn on premises, relationship to adjoiniog preniser or public ntteels or mens, soil t,ivirgl a detailed descriptiat of Inyoot of property mist lie drmat or tile dingrnrn which is lxrrL of this algdication. c. 'the work covered by this allAicnoor rorty rx)t Ire campoce(I 1)efore insonce of Wilding Permit. d. Itpxn nppruval of this rgq)licatiorn, lite Ikrilding lorl,ector will insue a Ikrilding PenniL 10 the npplicanl:. !i(rch Ixmidt OniII Ire kept ar line. pre"!sen ovailviii e for iunlMcl.icxn IIitcit rglxxrt lire rx)tl(. e. lit) Ixnildh)g shall Ire occupied or used in whole or in part for nay lxrrlx)ne wlrntever until n Certificate of (k:nq>arxy shall have lie en granted by ll)e Ikrilding L)sliector. APPLICA3'1(N IS 1171TRY ME to ll)e Ikrildint, DepattnranL for (lie ismmnce of o @rlldhT, Permit prtrrmnl: to the Ikrilding P.cxne Ortlirmnce of the Total of soot old, Suffolk C000ty, New York, still other nigAicable Lawfl, 01(lirlarxes or Ilegulaticnrs, for lire c0nstrocLiar of Ixnildiogs, rxklil_ions or n)LeraLio)s, or for reiaoval or (kinolition, an herein (krcrilm(l. 'Ilia opplicant: ngreeir Lo caulrly with all apPlicnble Im;s, otdionoces, Itoilding ecxle, Ixxrsing axle, mill regolalioos, mill to rxlniL mithori7ed inspeelorn an p twiner, nrxlam ' ng forceDo snry insl)ecCions. (ure of api ant, or 11,vie i f n cot Ixmil,ion) I ....... .':`. ..`1. `...c"J`F .... ... ... (Mailing rxklress of: applicant) Stole whellxar ulq)licanL is (mwr, lessee, agent-, architect, engin-er, general coq:roctor, electrician, blusher or boilder Nrxlw of turner of premises ......�q..... ..A_S Ff�(_-l_.� . ....... - �Zr�.I�.al.l;T_Lr,ly�._•(��• .......5. ........ .... . .. ..... . .... . (an on lite Inx toll or Intent deed) If afq)licanL is if corixrralicxn, sil,nmture of duly rt(dlw)tiMA officer. .............. ........... ........ ........... . . ... ....... . (lhne mill title of corlx)rate officer) lloilders License No. .... ?? !4"� c. ...... 1)1101bxarn License No. ... Y -�. .... Hlectricians License R). ....... ........ .. .. . Other 'Trade's License lb. ........... ........ . 1. local-ion of: lmxl of wlric�nnprolx)sed wotl( will 1)e dorw. .......... . . ........ ... .................. ... .. ..... .. ......•- _7(0C?....Pe4fA) P0i+o ... ............. ................& T-rm U.7............ .............. . . ... ... lkxrse Nnnher SLre/e'L / I4.mlet t:(xn)Ly Tnx lkrp N0. IO(X) Section . . .(�'.!.y ..... ... Block ... .U.l12.. ... .. lot J1 Sulxlivisi(xn ...................... ..... .. .. . . .. . .. Filed IL•)p Lk). .... ........... lit ... . ........... (Nrxne) 2. Stnle exinting tine a(xl occxrlwuxry of yrremisen .uxl Mtetxled ore ncxl cMarlkafx_y of. proposed co)ntroctiow a. lixisLirq, use mill oc:cupao:y . ...�// ��..Cc ..... ........ ... ......................... ........... b. Intetxled use ail mcupalrcy ....� d L . ................ I• It IIe 01; )x)Iit (check III II(II ull)lir.ahle); Ikar Ikllldlfif; 14!1W1II Il(nlrwal 0111m lufi ( Allerol lou ..... .. .... 011ier Ik)11 ... . .......... . .... .. . . (Duacl Ipt ioo) /1. i::i(.IIIrIi ell (A)n I. f...�.Y........ ... . .. . flee . .... ... .... . . . ... . .. . . .... . ...... .. .... . ..... (lo Ix: pald uo flIlog IhlO nppllcerloo) �l. If Ikn:lIilli;, IxolIel of (ItIell1111; uuil.v IAnher of oAMcalln(i unlln (l1 elle[[ fl(wr . .......... .. ... If gsla1le, Ix,uher of cnt'a ..... . . ... . ... .. A. It: Ixmlluan, caulerclal or mixed (x:cu,xaN:y. R,leclfy onlure olxl eN[efil: of each (yl)e of tine..... . . .. ). IHaefiniomi of exiul:log nLnlctmea, if ally: III oil[:. . ."IP ''// n c� . . .... . . ... .... ... . ... .. Ik:11;11C . .. ...... . ............ ... IAnll(:r of Slorien . . . . .. . . . . .. . . . .. . .. . Ulnensl(xls ,ur' tine slnw:trlre Willi alleratlo n or ixklll !()fill: ProoL .. • -" - Z Ik.yil11 ..15. 7. .... ....... Ik il),L . .. . . . . ... . . ... .. .. . t#nlx:r of Il erica ' !1. Wileoldoon of euLire lieW collnLlocA loll: I'r(Hit . . . ./1 Ik:ll)%I of Storien . .. .. . . . . . .. . . .. . . . J. Sire of lot.: Ilool. Rear — , M. ILII L' of ILr/:IIi11iL' —AT4.15Y. 7 Ilil1Y: of Fuuier (k)IN:r .. . .. . . ... / 7/lle or use dis1-r(ce In IAII(J1 plaill11es lire 11iluote(I . .. . A-J c P .. ..... .. . . ... . .. . . /JO . .. . .. ..... ... .... . .. . ... . . . . 1. Ikx:n prfilu)ncd coxml:nu:L1(xl ululate nay zrxllnl; lMnr„ordlnmN:e ()r rei; ill 1.1(xl: . . .... . .. .. .. ........... 11. Nilo IOL be regrtwled .... 11!11 excess fool he 1(e1r)ve(I frr.n 1110111sea: Yli' +.L 14. Mil ea of. (khler of pr(anises�')�('S /1 Lt7z4F�t c_ LIQ 111(x x: Ito. .. . .. .. Mile of Anallfecl: .. . ! � � (y,.2i Z .q .�. ...: ... .. .... .. . . . .. .. A(khcein . .t�:1�.. CLL,t}Q.SJif�(a) ihta[, p - NrYle of Qxdractor --......... ... ... .. . . ......... . ... AMklrene Ifione III). I5. la Ihls prr)lx;rty Willlin 7(X1 feet of a 1-141111 Weflnluii YGS X.. Il) YB;i, XIlII11N1) -111411 -11d1: t . Jot Aiv ta V— , IV jxs IN SC'�'h'�c�`. 40-o,5� �1 k N te. � 2 S R , NP7{^°` 100.00' 90 P� 9 70' 3-s E C \J\ -+ MP z .52.30, E• /� o co Z c�''ro n 11 SURVEY FOR 1 a O JAMES A. M/TCHELL / ,__ ' Z � & ,LAURA M. MITCHELL Z �, A T SOUTHOLD n r- TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. R'1 1000 - 69 - 06 - 11 b' 1 '' Scale: 1"- 30' �r 9 3 _i4•� Qe Ju/y 11, 1995 r rn n CERTIFIED TO, JAMES A. MITCHELL O LAURA M. MITCHELL Z FLA TBUSH FEDERAL SA V/NGS 8 LOAN ASSOCIA TION - CHICAGO TITLE INSURANCE COMPANY mr— to Of NEg, 115.84' S�-0 T_MFT2`'�0�� W• AWA =20,320 sq ft. r 13.13.p0 ON & ` QA ANY AL TERA TION OR ADDITION TO THS S&RVEY IS A VIOLA TION a i0 S RD GR l O" OF CTEPT AS f'ROS T TW NEW YOW- SVS EDIX.ATIM LAW, J o 96% ' ^ ALHEREON ARE VALID FOR THS ,NAF AAD COPES`�TrER�OF OncY � �� N.Y.S LIC. NO. 49618 1 N�0/F MARY SAIDWHOSE OR Tu�AP EARS r�ssEo SEAL of r>,E scr�v£roR CONIC SRV MORS, P.C. ADDITIONALLY TO COMPL Y WITH SAID LAW TME TERM AL TW BY' 15161 765 - 5020 . MUST BE USED BY ANY AMD ALL 6XRVEYORS UTIL2M A COY P. O. BOX 909 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS INSPECTED'AND /230 TRAVELER STREET 9IAIVCE ROUGHT-TO-DATE'ARE NOT IV COA#17WITH THE LAW. SOUTHOLD, N.Y. 11971 95 - 203 � �� -