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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 TOILET I m DETAIL. ~ I/4mml'.~m Suffolk Co DP~ TEL:516-852-487~ Ru§ 06 9? L ~ATC. H ALL ~A~A~HD ~xI~TIN~ ADJAC-~=NT TNE NE~ ~ I~ TO 13E ~)LIID ~ t~OOD DOO~ I=INI~'IED TO MATOH TH~ EXI~,TIN~ DC~;~, f~YlD£ t~I=ECT~C OF~kTED L 1/2" pI.~qUOOD, I/~a C~YI::~, T~,I=~. 61~AC. Kt.R AND ~AINT TO I'1ATC44 HXI6T. NE~J DI2~=EX CC~'¢ENIENCE O~T/ET, II1~/, 2~ .~"IF'. I x 4 - ~ 1..~ FL. FIXI'~, I~"k~ANT ~ TO ~',.~" tAXi=. I x 4 - 2 LAM1~ FI.. FI~ilJF~, ~4.1F~ACE I~4THD. NEI. U "J" ~10ULDIN~ I x ~ GAF~ ~AINT 14:47 No.O17 P.O1 Suffolk Co DPId TEL:516-852-4875 Flu§ 06 97 I x ,4 - 2 ~ FL.. FIX'TUI~, E~II~AC, E MOI.JNTEI~, ~ITCH ~ E[.EC'ff~IG I x e, CAI=' 14:47 No.O17 P.02 SET IN t"tETAL INSEI~r ~Jl'rH 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" cO [ DWG NO: .,A