HomeMy WebLinkAbout35638-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34781
Date: 01/07/10
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 620 TRAVELER ST
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 61 Block 1
Subdivision
Filed Map NO. __ Lot No. __
SOUTHOLD
(HAMLET)
LOt 13.1
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 11, 2010 pursuant to which
Building Permit No. 35638-Z dated JUNE 11, 2010
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 COMMERCIAL BUILDING INTO OFFICE SPACE
BUILDING #7, UNIT ~1, AS APPLIED FOR.
The certificate is issued to FHV, LLC
of the aforesaid building.
(OWNER)
SuFfOLK CO[~FI'Y DEPARTMENT OF tIEALTH APPROVAL
~.RCI'IIICA5 CI~(TIFICATE NO.
PLI~EItS CI~a~TIFICATION DA'r~u3
N/A
35638 12/20/10
N/A
Aut ~F{Z ed Sig~ture
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35638 Z Date JUNE 11, 2010
Permission is hereby granted to:
FHV, LLC
PO BOX 1295
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ALTEP~ATION TO AN EXISTING COMMERCIAL BUILDING INTO
OFFICE SPACE AS APPLIED FOR.REPLACES EXPIRED BP # 24345
at premises located at 620 TRAVELER ST SOUTHOLD
County Tax Map No. 473889 Section 061 Block 0001 Lot No. 013.001
pursuant to application dated JUNE 11, 2010 and approved by the
Building Inspector to expire on DECEMBER 11, 2011.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
N.o
!~4 bO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO~VN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
24345 Z ~te ...... ~../....~.. .......................
at premises Iaea . = ,.
County Tax Mop No. 1000 Section ....... .~....,/. ........ Block.. ...... /.............. Lot No.../...?..:../. ..........
pursuant to application dated ........... ~...// ....................... , 19..~..Z and approved by
Building Inspector.
Fee *-
the
Building InspectS'
Rev. 6/30/80
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
ro,qer, richert~town.southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Feather Hill Village
Address: 53345 Main Rd City: Southold St: NY Zip: 11971
BuildingPermi,#: S_~,~'~ 34345 Section: ~ / Block: / Lot: /'~, I
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures
Main Panel NC Condenser Single Recpt Recessed Fixtures
Sub Panel NC Blower Range Recpt Fluorescent Fixture
Transformer Appliances Dryer Recpt Emergency Fixture.~
Disconnect Switches Twist Lock Exit Fixtures
Other Equipment: 1 -switch, 1 -florescent light, 1 -"EXIT" light
HID Fixtures
Smoke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
Notes: office vestibule only
Inspector Signature:
Date: Dec 20 2010
81-Cert Electrical Compliance Form
TOWN OF SOUTIIOLD II~~~l] ]
CATION FOR CERTIFICATE OF OCC~0LD
This application mUSt be rifled 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 requn'oments.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre.existing- land nses:
1. Accurate survey of property showing all property lines, strec~s, 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 1. 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
,New Construction:
Location of Property: $ 3 J ~ff
HoUSe No.
Owner or Owners of Property:
Old or Pm-existing Building:
Street
' Suffolk County Tax Map No 100~, Section
Subdivision :¥~-'a3g r~rxg/t~-~,,./
Perinit No. .~.~3'V 5' ~ Date of Permit.
Health Dept. Approval:
(check One)
d,,,;
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~'0' ~ ~
6 / Block- l Lot
Filed Map.. Lot:
~/41 j ~ Applicant: grv") ~e.~ Z~/
Underwriters Approve:
Hamlet
Final Certificate:
12,1
(check one
A~l~nt Sigfia%r~'
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
Date: June 25, 2010
To: Town of Southold Building Dept.
Re: Entry Area
Feather Hill Village
Building 7 Unit 1
Southold, NY 11971
Permit#24345
To Whom It May Concern:
An inspections was preformed at the above-mentioned building, and the entry vestibule
was installed as per plan and meets all state and local building codes. Any other
questions please call.
cerely
s J. Deerkoski P.E.
54375 MaJul~DEP'[
k P~ I~'-t]~_q_-LP~-SOUTHOLO
· .~, ~ l 1~1~
ro~er, richertC~ov~.~.ny.&~,~
BTJrf DING D]~,*~TMEHT
TOWN OF SO[rl~oT.n
.APPLICATION FOR ELECTRICAL INSPECTION
BY:
Company Name:
Name:
I'icense No?:
Address-:
Date:
Phone NO:;-
*Name:,
*Address:
*Cross Street:
*Phone No.:
Permit NO.:
Tax Map District:
JOBSITE INFORMATION: (*!ndi~.ates required information)
'
1000 S~on: BIo~:
*BRIEF 'DESCRIPTION OF WORK (Please Print. clearly)
~8~ ~Y for ins~On:
Temp'lnformation (If needed}-
*Service size: 1 Phase
*New Service: Re-connect
Additional InfOrmation:
3Phase
100 150 200 300: 350
Underground Number of Meters Change of Service
PAYMENT DUE WITH' APPLICATION
Rough In '
Overhead
400 Other
Suffolk Co DPW TEL:516-852-4875 Aug 06 97 14:38 No.O16 P.04
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EXHIBIT
A
TRAV£
STR EE'/' ,' /
POSTAL SERVICE .~o'
MAIN
¢ N.y. $.
~t~. NO. ~5)
R O/A D
SURVEY OF PROPERTY
A T $OUTHOLD
TOWN OF SOUTHOLD
SUF~FoOo L K COUNTY, N Y,
- 81- 01- 12.~& ~
JAN. 3, 2001
./
AREA k $.I482.ACRE$
PH
OCCUPANCY OR
USEIS UNLAWFUL
WI'BO[iT CERTIFICATE
OF OCCUPANCY
I. P'ATCN ALL ~,z~,~E~ AND/OR OlSTURBED AIREA.~ TO ~ATCH
EXISTIN~ A~JACENT A~.
2. ~AINT THE A~A ~O MAT~ THE EXISTING.
~. THE NE~ pO0~ I~ TO ~ ~OUP CO~ ~0~ PO0~ FINI~E~ TO
MATCH THE EXISTIN~ DOO~. ~OVIDE ELECTRIC ~E~TED
4. EXTEI~ ~U, CT I~Ot~. TO 6ECOND FLOOR A5 RE~a'D.
LEC END
i EXI~'T t~ Fd145. NO CI4ANC. IE
PN I I
mR I I
DUPLEX CONVENIENCE OUTLET,
110¥', 20 AMP.
I x .¢ - 2 LAMP FL. FIX'rUE, f=~NDANT HUI,~
1 x .4. - 2 LAMP FL. FIX'FUI~E, 6Uf~ACE HoUNTED.
$ e,I.UITC. N
NEW "J"
MOULD
N¢" TEMP'ERED 6AFETT GLA65
5ET IN METAL FP',AME WITH ~" 6pEAKER
~TION THIi~ ~TII~{~L~/I~iPTION WALL
5ECOI'~ FLOOR.
t~),ILIJ
CAP', P'AINT--)
ELEVATION A
~cALE: 1/2"=1"0"
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DWG NO:
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