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Home My WebLink About33789-ZFORM NO. 4 TOWN OF SOL~THOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33942 ~te: 09/09/09 T~IS ~K'rIFIES that the building ALTERATIONS l~ocation of Property: 32645 FL~IN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 97 Block 5 LOt 4.7 St~bdivision Filed Map No. -- Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 2008 pursuant to which Building Per,lit No. 33789-Z dated APRIL 3, 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 ALTERATIONS TO AN EXISTING MEDICAL OFFICE AS APPLIED FOR. The certificate is issued to WMS REALTY INC of the aforesaid building. (OWNER) S~FOI~K~)[~YDEPAR7%~T OF }~J~{~PRO~ N/A BLR~-i~IC~kL CERTIFIC3%TE NO. 123997C 07/10/08 PL[~S ~RTIFICATION DA'r~3 09/10/08 PIPES PLUS ~ize~ Rev. 1/81 Form No. 6 __ BUILDING DEPARTMENT TOWN HALL 765-1802 p 3 2009 APPLICATION FOR ¢ .RT ICATE OF Bt. OG ~s appli~fion must b~ ~11~ in by ~wdter or E~ ~d submiE~ ~ ~e B~l~g D~ ~~: & For ncw budding or new use: 1. F~al s~Y °f ~r°~c~Y with a~tc lo~tion of ~1 burlaps, p~y l~cs, s~, ~d unusual natal or topo~p~c f~cs. 2. F~al ~proval ~m Heal~ Dept. of water supply ~d sewe~ge~sposat (S.g fo~). ~p~v~ of electrical i~llation ~ ~o~ ofF~ Unde~d~rs. 4. Swo~ sBte~cnt ~ prober cc~i~ng ~at ~e solder ~ed in system corm less than ~10 of 1% l~d. 5. Colonial build,g, ind~tdal buil~, ~uttipl~ r~sid~ ~d s~ buil~n~s ~d i~t~latio~, of Code Compli~cc Eo~ ~chit~t or cnginer msponsibl~ for Se 6. Submit Piing Board Approval ofcomplet~ site ~l~ requ~ents. B. For e~is~ng buildings (prior to April 9, 19~7} non-confo~ing uses, or buildi~gi and "pre-e~sfing' land uses: LAcc~te s~cy of prope~y showin~ ~l prope~y lines, s~ets, buil~g ~d ~ual na~ or topo~pbic features. 2. A ProPerlY c°mplctM application ~d consent to insp~t siam by ~e ~plic~t. ~ a Cc~ificatc of Occupancy is dcni~, the Buildin~ Inspector shall state ~e r~ons thcrcfor in ~ting to ~e applic~t. C. Fees 1. Ce~cate of Occupancy - New dwelling $25.00, Additin~ to dwcll~g $~5.00, ~tcrafions to dweli~g $25.00, Swi~min8 pool $25.00, AcccssoW building $25.00, Additions m accesso~ building $25.00, Businesses ~50.00. 2. Cc~i~catc of Occup~cy on Pfc-existing Building - 3 Copy of Cc~i~ca[c of Occupancy - $.25 4. ~pdated Cc~i[catc ofOccupancy - 5. Tempora~ Ce~carc of Occupancy - Residential 215.00, Commcrcial ~15.00 New Const~ction: House No. Owner or Owners of Property: [/t/fi} ~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. 33 7~'~ Z · Health Dept. Approval: Planning Board Approval: .Request for: Temporary Certificate Fee Submitted: $ ~"0 Old or Pre-existing Building: Street Date of Permit. ~-~ "19o° Date. (check one) Harale! Block ~- Lot 'Filed Map. Lot: Applicant: ~'4~; ~/'~ /4t54/rig Underwriters Approval: Final Certificate: .. (check one) Issue Date 7/10/2008 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 123997C East Patchogue, New York 11772 (631) 286.6642 Issued To: Stat Health Walk In Medical Street: 32645 Main Road Village: Cutchogue Zip: 11952 Section: Block: Lot: Contractor: Ice Electric (L) Town: Southold Lic.# 4586-E Was examined and found to be in compliance with the National Electrical Code. Commemial ~ NVDefects~ ~ Pool ~. lstFIoor ~ Indoor ~ Basement L~ HotTub Residential ? Det. Garage [~ Attic ~ 2nd Floor ~ Outdoor ~ Addition~;~ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 3 15 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: Other Equipment 50' Cove Lighting Hugo S. Surdi President Rough Inspeddon: - John 'McMahon Ill This certificate must not be altered in any manner. Inspectors may be identified by their credentials. $3095 BUILdinG DGPART~ F.,NT TOWN OF ~,OT, J'THO!.r~ CERTIFICATION Date: ~'"/0- OZ lax (Ut)"/,65.18Z3 Building PermitNo. ~3 ~,~::~ ~' Owner: Plumber: (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this day of~, 20 Notary Public, County - ,~u~bers Signature) I~mg II. MC~GII~EV't NOTARY PUBLIC-STATE OF NSW YORK No. 02MC1:6131514 Qualified Iff SuffOlk County .My comml#lon Ixpl~es August 08. 2009 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Town Hall Southold, N.Y. BUI~.nING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33789 Z Date APRIL 3, 2008 Permission is hereby granted to: M S REALTY INC W 6 MAIN AVENUE GARDEN CITY,NY 11530 for : ALTERATIONS TO AN EXISTING MEDICAL OFFICE AS APPLIED FOR at preatises located at 32645 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0005 Lot No. 004.007 pursuant to application dated MARCH 11, 2008 and approved by the BuildingFee $ Inspector250.00to expire on OCTOBER~~~~~zed3_~_Poo9_~/~~S -~ ORIGINAL Rev. 5/8/02 ~ 7z? z TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND ~ STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT FENETRATION [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCI'ION [ REMARKS: DATE ~/~-/0 --o ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ]INSULATION [~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTION REPORT I DATE co~TS FOUNDATION (1ST) FOUNDATION (2ND) La_ 0 ROUGH FP~YiI~G & PLUM~I2~G LNSLrLATiON PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS ~ llAL,L $Oin'lioll), ~ 11971 TITL'- (~!) FAX: (~) l%n~ of Fmm~ Own~ IlL Am ~m~ a~- covenm~ and rm~ie6om s,,i~t m~pm~ m thls pmpmty? · YE,g PROVIDE A COPY. Notary Public State of New No. 4896735 Qualified in Suffolk County Commission Exoir~ ~av 2. r ..~ THE ~EQUI~E~ENTS OB THE F~: ~ CODE~ OF NE~ YO~K STATE. NOTIFY BUILDING DEPArTmENT AT ALU co.sz~uN~ S~AUL U~T ~H~ FIRE INSPECTION OPENING REQUIRED BEFORE