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HomeMy WebLinkAbout34056-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33165 Date: 07/22/08 THIS CERTIFIES that the building FIRE SUPPRESSION SYSTEM Location of Property: 28975 MAIN RD CUTCHOGUE (HOUSE N0.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 102 Block 5 Lot 26 Subdivision Filed Nap NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1, 2008 pursuant to which Building Permit No. 34056-Z dated JULY 10, 2008 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 INSTALLATION OF A FIRE SUPPRESSION SYSTEM AS APPLIED FOR. The Certificate is issued t0 REALTY CORP 806 (OWNER) of the aforesaid building. SUFPOLB CODNTY DEPARTNEN'P OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PLDMIDSRS CERTIFICATION DATED 8315 07/18/08 Rev. 1/81 Authorized Signature a7-i2-2.~dE3 09: CS SOSCF2P D &:ZLDING DEPT Sb317659562 pgE~B Gene N[r. 6 'PO$NN.tlS~' St?UTI(tpLD rsvrrrUr;~c v~rne't'n~Riv'r' ~i'tDWiY HAiA, 765-iR92 .Ar'F'i3t'A': Sn!4 l+i11t CL~1t'!'LilC`A'1'l QF t)f.C.[iPAPlCY ti:i.+ aEtpiieatictu ssn:s! ix: ~tiitxi it: by tyln:es:it,T ur i:tk end suhtt~ttvcl tv the F3uiiding ikistpttuextt wilh the fniktwjstk: A. i'f3Y it~tt b~v'~ or mhr ase; . ri~a? svwey oY r. n(>aty wtt(t «ccuratc location ,>f a1i buildings, property lines, atiu:ts, land unusout! rs;utrl;d nr 2. ~i_~! Aplarova! from ;iealth Dept. of wP~e[ wppty a.'td r_wtrage~itposal(S-4 fetsm}. s. AigrcLtvai ntt1,:-~;itati i:,;wiiation ftu:n !loar,i ~f Piro il:tdzrwriterx- 4. t'swt+m slxitmcot Croat pluntitt:r ::exii ljina; tir:rt the a'sdstca usc:tl ut system contains less Aran iJl(! of !°:. lead 5. t`c:tmta~rrai ixtii,liig, industri:ei uuildint;, multiple tt-sitlretces tutQ sltnitar !a»tdinim anti insta!laticns, a ct~'irli:;nt,: afxjofieCentp~wnc,: f>am ar.:hlte.:t er engineer r4sponsttrie Cott'the buiidinR. 6. ~al:miz Yl3nnitty:: hoard Appri,. a( ~~f rnnytdztrd site attars requirement<. i- tt=ar custlag ittriid!u~s {prior to Aini! 9, lY87i ItOO-cuntUt7rtla~ tliCS, nY hllilt110}ts rUII Hps•c-exestisaR"l=o:.'uc.;: ! . Accter«te san"ay of p[apzdy s(totrinp «ll lvicencrty !inCn, sy'c<ta:, building aril murzual na+u:'H! cs topr>t+rvp?:ic fzaturei. Z. r pnvtui;~ >s.n9rit++=u apphcviuar .;n!i con:;rni io i[tspe<t sighed h}• the :rnpt!cant. it' a t'eril~eate id th:cup:vc;r is de'<;iei, iFr_ Aui!dis~ inpeChri :;!i:+il statc'thc reason; iitc[etin' itt writing 1:: xirr y'rhJieaat. },'Ca'.S i- :-tiiiaitc~~CCh'.Ci7p:uicy-Nrtt~iitc.abni~w?.i.tlli,nd:litinn~to da•.aiing°s2S.00, A1tc:-ilia lutccliing $?S.t)(1, Swirtrniflg pool S25.S!ti, Ac..essuq• building $Zi.t.10. Ad!!it(ot-s to :rccesso[y lxtil:tina; $~?i.(i(1, Nuslttessa $Sff.iKt. <'. ~:er'ti*taateaCt)ectq':tucyonCYe:-e,cistinci:loiltling- $!(ip;Hi ±. : icyty <d' CeniGcatt nr (3tcuaranc\- • 5.2i -. i.lptdaieit~edii4catr, of <',ccul>a,;cq - SSti,OV 5~ -!-em;orsy (;ettif-scale of (iccup:utr;- - lirsidriuial $(5.t?t). i+.uttmuciai $i G-Gt) 'j ,[c i?alE. / /V ~ ~ ___._ -~+~%Cin:~niq!icm: fill nr ixrc esiaiag lsupild\in~: k (check OrB) ..~ / t.[:caiion bf Propeity: y co T 7~ r/~~{ F-~J ~ Ue ~ ~fJ e ~ l G !~t-m5Z{ e. iirnse No..p /~ Strrct /~ '~'- - ~--. !!an:i,a AYtt:,: i:F vi7rdXT +ii a-i,-.peny; 6' ~~~j /~C%'~~'7'z~L.cS7r~~ ...-e... a,~.ror;, i;eunly ~ <:~ A7ap P!u 1 Q00. Stxl iau !J L - _ Li;utSt _.._ .._ [ arl ~ ~ _. SttD::i~isiuu .. FBaI Map. _ _ i.rc -- ((/ 'i71Al3 Nr?,~T~V ~ 3}ata: o('i>ur :::il ~ [~ ~ /lpplic.tal; `~~L7Z, Cm~~ ~>.~j . l::.a,:lti2ept.:~tpr,rvai: ilncltxwriturc,~>pr,tva"!:. t~7///~/~c'~`8j/J ~;o~,:)irxg board Ap!trmnl: ___ n: ;t.c~ ic!r. Tenryx:r.3r/y C~!!fieatr '::tai (:dtiticate~ v'r (t:ttr4;!c tine) a'cE ltllaiutii.ti:~__i.I U.C`C.l.-~~ L~~J'~%rt G~J.~,./ Aispiicwt 5iyrtansc ~/ ~~ ~ ~ `Jf~~6~ a•A •nni ~nt• srn +~ ni Vr• •nun ee na.,nn. ,+,,ne+..+ ~ei..~ eie v++.+ 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. 34056 Z Date JULY 10, 2008 Permission is hereby granted to: REALTY CORP 808 PO BOX 1006 WESTHAMPTON,NY 11978 for INSTALLATION OF A FIRE SUPRESSION SYSTEM AS APPLIED FOR. at premises located at 28975 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 102 pursuant to application dated JULY Building Inspector to expire on Block 0005 Lot No. 026 1, 2008 and approved by the Fee $ 250.00 COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoatholdTownNorthFork.net BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Healtti 4 sets of Building Plans_ Planning Board approval. PERMIT NO. / ~1(J`J l~ ~- Septic Form N.Y.S.D.E.C. Trustees Examined 20 Approved 20 Disapproved a/c Expiration , 20_ ,l ~ _ ~U~ ~vP tad ~~X lt~~n L~QSf ~-Q/~(p~n on a tax roll or latest deed) ~~ q~-{~ I officer CC d Flood Permit Storm-Water Assessment Form Mail to:_ ~~Y~~QC~~ w+Yli? ione:~~/ a~7.~"Zo/(~ Date , 20 ~~ ~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Themsfter, a new permit shall be required. 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 all applicable laws, ordinances, building code, housing ,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (i o icant or name, if a corporation) (Mailing address of applicmt) State whether applicant is owner, lessee agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will b~, done: House Number Street County Tax Map No. 1000 Section ~ © 2 Subdivision Conan: APPLICATION FOR BUILDING PERMIT i~1jd';v~ (o ~-` Map No. Lot 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 3. Nature of work (check which applicable): New Building Add Repay Removal Demolition Other VI 4. Estimated Cost Fee (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 Stones 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stones 9. Size of lot: Front Reaz Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises aze situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO_ 13. Will lot be re-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO_ 14. Names of Owner.of premises Address Phone No, Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 Feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~'r ~c-Q ti `K 0.M M being duly sworn, deposes and says that (s)he is the applicant (Name of indivi ual srpnina contract) above named, (S)He is the of 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 work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i day of ~ 20 U~ Notary Public L ignatore of Applicant ~O©i~ ~~'~omm,`~' TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [~ FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~~S ~? .~-- ~-Y~ I~.- ~~ s~ o~ ~ `~U~IPs C,q-rvnlor '~,~ v~s~ l7u`n~- ~p~~~ ~y ac~rlr~Ej DATE 7-~S-Ud~ INSPECTOR ' Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York ~ 11931 Te1:631-591-3097 Fax:631-591-3098 /~ __ Application: 8315 Issued to: Sob Realty Corp. Address: 28975 Main Rd Village: Cutcbogue Residential Date: 7/18/08 Introduced By: Major Electric License #: 2579-E , Commercial ^x The following was examined and approved up to the above date and found to be in compliance with the NEC: Attic Basement 1~` Floor px 2n° Floor Hot Tub Addition 3r0 Floor Detached Garage Carage Conversion Pool Snitches Receptacle Fixtures QF.1. Range HOOd Smoke Detectors 5 8 14 I Fans Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Carbon Monoxide Pomace Oil Gas Hea[ Zones Whirlpool Bell Transformers Final Insp. Meter Amps Phase Motors 7/18/08 1 I-'ire Supression System 3-ZHp Submersed Pumps 3-Multi-Huse Gas Dispensers Tank Monitoring System I-Hot Box For Water 8-LED Fixtures 2-250 Watt Pole Fixtures J xeo Caen t This certificate must not be altered in any manner Permit#: 33893 Jul 03 2008 2: SOPM TSUHIS d GFSPHRIS LLP 631-582-4081 p,l ~oYaodsu! 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BUILDING PERMIT (THIS PERMR MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Dote ..~7 ................................................... 19..~. NG 22871~Z ,, ~u ~ ~~ ~% f~ - Permission Is hereby granted to; A.1 to .~.~~....~,~r~. ,~rl~-..~rl~r... ...; .~~-~alaa..~~ ~ , at premises located at.....,a~..0•••7....7rS...,~~'1.7...... ........................................................ County Tax Map No. 1000 Secflon ,,,,,., ~d. (~/..... Block ..........~!....... LoT No......~`..Z..~P ............. pursuant to application dated ....~~~°../~! ............................ 19..............., and approved by the Bufiding Inspector. -- . --- - Fee$..1.,..,,,t..~,. - Bulldl g Inspector Rev. 6/30/80