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HomeMy WebLinkAbout31057-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31298 Date: 11/22/05 THIS CERTIFIES that the building ALTERATIONS Location of Property: 240 AUGUST LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated — APRIL 12, 2005 pursuant to which Building Permit No. 31057-Z dated APRIL 15, 2005 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 "AS BUILT" ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CONSTANCE M CROSS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2065275 08/02/05 PLUMBERS CERTIFICATION DATED 10/12/05 GARY STAHL ori �i Sigy(ature 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. 31057 Z Date APRIL 15, 2005 Permission is hereby granted to : CONSTANCE M CROSS PO BOX 730 CUTCHOGUE,NY 11935 for AS BUILT ALTERATIONS TO AN EXISTING DWELLING AS APPLIED FOR. ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. at premises located at 240 AUGUST LA GREENPORT County Tax Map No. 473889 Section 053 Block 0004 Lot No. 043 pursuant to application dated APRIL 12 , 2005 and approved by the Building Inspector to expire on OCTOBER 5 2006 Fee $ 300 . 00 IN *2 - - Abthorized Signature ORIGINAL Rev. 5/8/02 Form No.6 C) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with 11w fqllowing: A. For new building or new use: I. 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. 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 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. Cer-tificate 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- $IW00 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 Date. I I I a I ( (D S New Construction: Old or Pre-existing Building: (check one) Location of Property: 7- 46 A U Q U�,� L_0� House No. S6,6et Hamlet Owner or Owners of Property: & K "r 0 C�P_ Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. <0 Date of Permit. S'6 Z-W 5"Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature B WE M.rL3 rL3 MPML3 ffl3rE3J1 ill, IrWryll ffiiryl IVP INE M BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT 51 Upon the application of upon premises owned by ROSLAK ELECTRIC CONNIE CROSS P.O. BOX 164 270 AUGUST LANE CUTCHOGUE, NY 11935-2453, GREENPORT, NY 11944 Located at 270 AUGUST LANE GREENPORT, NY 11944 Application Number: 2065275 Certificate Number: 2065275 Section: Block: Lot: Building Permit: BDC: NS1 1 Described as a Residential 600- occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside,Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 2nd Day of August, 2005. Name QTY Rate Rating Circui Type Appliances and Accessories Dish Washer 1 0 1.2 KW Furnace 1 0 Oil Wiring and Devices Outlet 36 0 Fixture Fixture 36 0 T Outlet 81 0 General Purpose Receptacle 55 0 General Purpose Switch 33 0 General Purpose Dimmers 1 0 Receptacle 2 0 20amp Laundry Receptacle 4 0 GFCl seal 1 of 1 is certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 1 11 1 P111. � 012 1101ily, 2DO-PRIVEJ 1111 5 1 0 ffrii i en imii 0-01 0 0 0 0 0 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 ROSLAK ELECTRIC CONSTANCE CROSS P.O. BOX 164 270 AUGUST LANE CUTCHOGUE, NY 11935-2453, GREENPORT, NY 11944 Located at 270 AUGUST LANE GREENPORT, NY 11944 Application Number: 2024029 Certificate Number: 2024029 Section: Block: Lot: Building Permit: BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement,Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 3rd Day Of August,2005. Name OTY Rate Rmt� Circuit Type Service I Phase3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: I seal I of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 4 Town Hall, 53095 Main Roar! Fax(631) 765-9502 P.O. Box lh79 Telephone(631)765-1802 Southold, New York 11,971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No., Owner: (Please print) Plumber: ('� W y '5 iz�� ( (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plu��bers'��ign—ature) Sworn to before me this day of 4 1 20 ()-6 CHI'MMSEYMORE Notery Pubic,Slat*of Now York No.OISES131594 OAdbd In Suffolk Courgy my.riminion E*=August 08,20 14 Notary Public, 4 County JAMES.I. DEERKOSKI, P.E. 260 Deer Drive Mat(ituck, N.Y. 11952 (6131) 298-7116 To: Town of,Southold Re: Stral)l)iiig/l,r�ullill�.IJPIUIIII)iIIWIIISLIla(ioii Inspections Constwice Cross 240 August La. Greenport, NY Permit# 31057Z To Whom It May Concern: This lc(ter certifies that all wind strapping on the above mentioned project is in tact, mid ince(s all state arid local building codes. A Franiiiig/Plumbing Inspection was also Perl'ormcd on this Structure, �uid all framin.-and Plumbing was donc correctly art(] also mects all state and local building codes. A pressure (Cst was also performed on the waste/water plumbing sys(ciris and (cstcd OX. All Insulation was installed correcth,as per plan. Any(ILICStiODS please 1eci free to call. 'Ec Sit 'crely vn -Z janjan, I crkoski P.E. It 0 AZT SO rou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT N FOUNDATION I ST ["ROUGH PLBG. FOUNDATION 2ND [ 1�1�NAAiION FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION REMARKS: 4� DATE INSPECTOR f,:JL"�Jp, f::P0Lt4AJcn — 4cfap— tr-75fo W OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAG ��ORMER(OWNER N ACR r5czewS W TYPE OF BUILDING RES. . /6 SEAS. VL. FARM Comm, �cs. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 4.44 bp AGE BUIL WNG CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Volue ------------- Acre Tillable !2 FRONTAGE ON WATER )NTAGE WATER Woodland FRONTAGE ON ROAD j Mecdowland DEPTH House Plot I --------------------- BULKHEAD Tote %.o DCCK NONE Ems MEN 0 no 0 NNE ON 0 ME ME M MEN M ME M MEN MEN ENE 0 ENE 0 0 M RON NO ME MEN mi 0 m 0 MENEM MENEM MEMO 0 0 MMEMEM ENSUE 0 IN ONE mmmmim so KIM 0 min MEN on 0 Ptuffilm 0 NONE ON NEEN MENEM NUNN M- FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) -------------------------------------- FOUNDATION(2ND) -4- ROUGH FRAMING& PLUMBING INSULATION PER N.Y. STATE ENERGY CODE K 7 FINAL ADDITIONAL COMMENTS 0 /.3 )L)T-!S V 775 4 -t2 17 c-0 14 r /,xf-uj c 1� N 6zp ww� cyo iy) N 4) no j,4j up � ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK,PTA-FA 4)0 UNDERWRITER CERTIFICATE REQUIRED p E A 00 V P Y CAT FEE F- N OTX L BUILDING Dsp 'OR THE OCCUPANCY OR 765-1802 8 AM TO 4 PM F FOLLOWING INSPECTIONS: USE IS UNLAWFUL 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE WITHOUT CERT1176TE 2. ROUGH - FRAMING & PLUMBING OF OCCUPANCY N 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE ndl m S OF THE CODES OF NEW PLUMBEPCEPTIFICATION . 4 1 1 1 13A REQUIREMENT ON LEAD CONTENT BEFORE.N 4- YORK STATE. NOT RESPONSIBLE FOR ll� CERTIFICATE OF OCCUPANC DESIGN OR CONSTRUCTION ERRORS. SOLDER USED IN WATER EXCEED 2110 OF 1%LEAD. COMPLY WITH ALL CODES OF SUPPLY SYSTEM CANNOT 2`1 NEW YORK STATE & TOWN CODE EL S PLUMBING- AS E FD AND CONDITIONS OF ALL PLUMBING WASTE 10 &WATER LINES NEED So,THOI D I WN Z8A TESTING BEFORE COVERING lir OV-OLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N Y&DEC -o - FLOOj) IIAIIA13E P COMPLY'W THICHA�T�R 36w" SOUTHOLD TOWN REVENTION CODE. 'k — I(-0,j 0 IVA M, All"