HomeMy WebLinkAbout19579-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31989 Date: 11/08/06
THIS CERTIFIES that the building ADDITION TO ACCESSORY
Location of Property: 39935 MAIN
(HOUSE NO.)
County Tax Map No. 473889 Section 85
ROAD/ROUTE 25
(STREET)
Block 2
PECONIC
(HAMLET)
Lot 9.2
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
pursuant to which
Building Permit No. 19579-Z
dated
DECEMBER 12, 1990
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 ACCESSORY AGRICULTURAL BARN AS APPLIED FOR.
The certificate is issued to HERODOTUS DAMIANOS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3012816
10/30/06
PLUMBERS CERTIFICATION DATED
N/A
d Signature
Rev. 1/81
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NOV"m
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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.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:
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 2/1 0 of I % 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-conformiug uses, or buildings and "pre-existing" land uses:
I. 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. 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 - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
q 1,.9- J DIP
Date.
New Construction: Old or Pre-existing Building: /" (check one)
Location ofproperty: ?; qg 3.5 ~ 0 lJ -Ie.. !):5 P e. (! n VI I C!.....-
House No. Street
Owner or Owners of Property: je rOd Il-tv -:-, D aA'Y\ ; a no'S
Suffolk County Tax Map No 1000, Section go 5' Block ;J _ Lot
Hamlet
q .;1,
Permit No. ro..blo..-1
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Date ofpermit. I z.. )rz.ji:l/)
Filed Map.
Applicant:
Lot:
Subdivision
Underwriters Approval:
Final Certificate:
( check one)
Fee Submitted: $ 6(),()O
Appl1cant Signature
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l!I ii!re!IiilIG!
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
FULTON STREET - NEW YORK, NY
10038
40
CERTIFIES THAT
Upon the application of
upon premises owned by
REP ELECTRIC
PO BOX 635
MATTITUCK, NY 11952,
PINDAR VINEYARD
39935 MAIN RD
PECONIC, NY 11958
39935 MAIN RD PECONIC. NY 11958
3012816
Certificate Number:
3012816
Lot:
Building Permit:
BDC:
ns11
Commercial
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, garage/shop, 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 30th Day of October, 2006.
Name OTY Rate Ratin. Circuit ~
Miscellaneous
as built 2000
Wiring and Devices
Outlet
Fixture
Fixture
Fixture
Outlet
Receptacle
Switch
Receptacle
Receptacle
7 0 Fixture
3 0 Incandescent
3 0 High Intensity
I 0 Flourescent
10 0 General Purpose
4 0 General Purpose
4 0 General Purpose
4 0 GFCI
2 0 50 amp Special
Invoice Total
An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
be in comfonnance with the applicable reference standard for the estimated period of construction of the premises wiring system.
seal
I of
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
ii!re!IiilIG!~
$2.45
$1.05
$3.00
$0.35
$3.50
$1.40
$1.40
$5.60
$5.00
$88.75
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1'01III JfO. I
TOWN OF SOUTHOLD
IUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N. Y.
IUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUU
COMPLETION OF THE WORK AUTHORIZED)
N!
19579 Z
Date ........l.~.sP.:1:nk....!..=-........ '9.~.Q
Permission Is hereby granted to: V .
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at premises located at ..~.~.~..3.:..........}j,J.~.....~....................:..t~~.s..:.......................
......~:7.....................................................................................................................................................
.....:7.''''....ti.~~...=:3::::>....~~................................................................
County TalC Map No. 1000 Sectlonc;e~:~'"'' Block ........Q...'=..... Lot No. ...9.!..~........
pursuant to application dated ......~.....M\4._.....,;?~............ 19.'1.g,.. and approved by the
Building Inspector.
Fee $..~1..:...:::::::::
..Ct.~.d~~..._...
Rev. 6/30/80
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY [
REMARKS:
] ROUGHPLBG.
] I ULATION
FINAL
] FIRE SAFETY INSPECTION
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DATE If 110(.
INSPECTOR
FIELD INSPECTION
1.
FOUNDATION
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FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
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INSULATION PER N. Y.
STATE ENERGY
C,ODE
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