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HomeMy WebLinkAbout29458-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29861 Date: 11/21/03 · ~{IS CERTIFIES that the building ALTERATION Location of Property: 900 YENNECOTT DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) Cowry Taxx Map No. 473889 Section 55 Block 6 Lot 7 $hatx~ivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JIrNE 5, 2003 pursuant to which Building Perralt No. 29458-Z dated JUNE 5, 2003 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Ge certificate is issued to JACQUELINE A & RALPH LOMBANDI (OWNER) of the aforesaid building. SUFFOLK COLR~T~fDEPART~WENT OF~R~J~]Y~APPROVAL ELRC'~RICAL CERTIFICATE NO. PLOq~BERS CERTIFICATION DATED Rev. 1/81 N/~ 1179825 11/14/03 11/21/03 MIKE JACOBI PLUMBING Authorized Si~at ~r~ FORM NO.3 TOWN OF $OUTHOL.D BUll. DING DEPARTMENT TOWN HALl. SOUTHOLD, N.Y. No_ BUILDING PERMIT ITHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF 'rilE WORK AUTHORIZED) 23429 Z Date ................ , ,~..~...~. ~'. ~.. .................. Permission Is hereby grant~ / (~ / ........ ~.~~.~...~.~~ ....... ~~~..~,~....~~~ .............. at premises I~at~ at ....................... ~....'~~ ,...............,..,,.,,,,,,,,,,,.,..., ,,....,.... Coun~ Tax Map No. 1000 Section ....... ~.., Bilk ....... ~ ............. LotNo. ~ ..................... pursuant to application dat~ ..................... ~~.~1 9....~., and approv~ by~e Building Insp~t~. .................... ...................... 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. 29458 Z Date JUNE 5, 2003 Permission is hereby granted to: JACQUELINE A LOMBARDI 900 YENNECOTT DR SOUTHOLD,NY 11971 for : CONSTRUCT AN ALTER3~TION (LAUNDRY ROOM & BATHROOM) IN THE ATTACHED GARAGE OF A SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES BP 23429 at premises located at County Tax Map No. 473889 Section 055 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 900 YENNECOTT DR SOUTHOLD Block 0006 Lot No. 007 5, 2003 and approved by the 5, 2004. Fee $ 150.00 Authoz~zed S ig~'~t ure COPY Rev. 5/8/02 Form No. 6 TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 q ?fin'~ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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. 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa 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'i Alterations to dwelling $25.00, Switmning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. CertificateofOccupancyonPre-existingBuilding- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: (check one) Soo - House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Hamlet Lot Subdivision Permit No.~-[~/~/~~- Health Dept. Approval: Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~,,,~1~ Final Certificate: // (check one) ~t~plicant Signa~'~ure ToWn Hall, 53095 Main Road P. O. Box t t 7g Southold, NeW Yo~k tt971 Fax (5t 6) 76~-t 823 Telephone (516) 765-t802 C~FFIGE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION I certify that the solder Used in the water supply system contains less than 2/10 of 1% lead. (Plumb~ Stgnat~r.) Sworn to before me this Term txpim luly 7, 20 D~ County BY This CERTIFICATE OF COMPLIANCE THE NEW YORk BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORk, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JACQUELINE FIELD JACQUELINE FIELD 900 YENNECOTT DR 900 YENNECO'~I- DR SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 Located at 900 YENNECOTT DR SOUTHOLD, NY 11971 Application Number: 1179825 Certificate Number: '1179825 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: First Floor, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 14th Day of November, 2003. Name QTY Rate Rafin~ Circuit Type Appliances and Accessories Exhaust Fan I 0 Wiring and Devices Receptacle 6 0 General Purpose Switch 9 0 General Purpose Fixture 4 0 Incandescent Receptacle 1 0 20 amp Laundry Receptacle 1 0 GFCI Dimmers 1 0 sea: I of l This certificate may not be altered in any way and is validated only by the presence of a raised seai at the location i~dicated. ! t 0 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 22, 1996 Mr. & Mrs. Ralph Lombardt 900 Yennecott Drive Southold, NY 11971 ***** SECOND NOTICE ***** Re: Premises: 900 Yennecott Drive, Southold Suff. Co. Tax Map #1000-55-6-7 Dear Mr. & Mrs. Lombardl: It has been brought to the attention of the Building Department that work is being done on your dwelling that may require a Building Permit. Please contact this office as soon as possible so this matter can be resolved. I thank you for your anticipated cooperation. Very truly yours, JMB:cmt (Cert. Mail) ~HOLD TOWN BUILDING DEPT. Boufls ~F g Inspector BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~j~ATIoN 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE/~//~/~/~/~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 2ND [ ] SULATI N ' ~.~,,,~ [ ] FRAMING [ [ ] FIREPLACE&CHIMN! 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST ~,ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE/&'~i~IMNEY ..~ REMARKS: ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/] I/~LATION~ [ ] FRAMING [~] FINAL [ ] FIREPL~&f~HI~ //~ ~ DATE 1 N STIU. ICT 1 ()NS II(}^RI) OF IIl~,Al,'rll ............... 3 SE'I'S OF I'I.ANS ............... SURVEY ........................ CIIECI~ ......................... SEPTIC FORtt ................... ti^ I I, TO: .................... a. 'llsla alq~lical;ios~ saint I~ couplelely filled in by tyl~,~riler or iu i~k m~l mll~nitt~l LO the ~liltling hml~ctor wilh sets of plmm, accllrote plot plon to vA:ale. Fee nccording to ~chedule. h; lqot plm3 ~i,~ I(x:ntl(.i of lot: n.~l off I~ildi~,gs (m pro.ir~s, relnl Jonship to mljoinlnfi preni~e~ or ix,bile e. A) I~,ildi~ ~dmll I~ ~oq~iol or usol in ~lole o[ in ivsrt for any l~.lxme ~miever until a (~rtificol:e of (k:(aqms~:y fl~all have 1~11 Brm~t~l Dy I1~ li~ilding hml~ctor. I~l~ulatit.m. for tl~ mmt~ti~m of I~ihlinB~, ~kliti~mn or nlterntlosm, or for s~ol or demlition, os herein (1~.~ alii title oE coq~orate officer) Ilt~ildero I.icens~ Il) .......................... I'h~,l>er. l.icense fro .......................... -~ Electrieian.~ 1Acense Ilo ...................... -- Other T~.~'o l.icen.se I'~ ..................... a. F. xi~tit~l use. af~l octN~lW.~:y ............................................................ ...~ t,. ~,,~,~] ,,.~ .~,~ ~o,~,,:~ ........~.~~.....~...s~....Y?...: .... .~..~.._..../~...~...~. ...... 6. 1. Il. .......... , ,- APPROYED AS NOTED . ~ / ~ ' ,? ~ ' ':': '~ ~ ' ;~ ~ O~ MENT AT CERT/FICAFE Oh OCCUPANCY. '~,~--~ ~ ~ ~ '~ 7~-mo~ e AM ~ 4~FO~ TH~ SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. If copper tubing is used for water distributing system; piping shall be of tYpes K or L only .... ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CON~TRUCI'IO~ ~ Il(! il; ll~e ................. ~la ~/~,,~L~P..f..'2~.J,~v... .................................................................. ........ ,,, ..... ... ,oj?~,,~.~~ .. I ~ lc, SlBie of NSw ~ '-'~ .... ~-.,.~,., , No 4879505 APR 2 4 1996 BLDG. DEPT. TOWN OF SOUTHOLD