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HomeMy WebLinkAbout23379-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24398 Date JUNE 5, 1996 THIS CERTIFIES that the building ALTERATION & ADDITION TO ACCESSORY Location of Property 2175 PINE NECK ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 5 Lot 48 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 1996 pursuant to which Building Permit No. 23379-Z dated APRIL 22, 1996 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 ALTER AN EXISTING ACCESSORY GARAGE TO A "NON-HABITABLE STUDIO & STORAGE SPACE TO INCLUDE A BATHROCK AND ATTACHED HEATER ROCK WITH AN ATTACHED DECK AS APPLIED FOR. The certificate is issued to LOIS L. DUNNE (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H049589 APRIL 16, 1996 PLUMBERS CERTIFICATION DATED NAY 30, 1996 LOIS L. DUNNE ilding Inspector Rev. 1/81 " Form No. 6 ,S TOWN OF SOUTHOLDD BUILDING DEPARTMENT I TOWN HALL AM I FA IL j'LQ� 765-1802 a - SM. APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by- typewriter OR ink and submitted ctl= ilding inspector with the following: 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 requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. ;Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . JCC��.1.�J� . . . . . . . . . . . .. . . . . .... .. . . . . . Vew Construction. . . . . .. . . . . Old Or�re-existinglIB--uild g. ��cC 1,ocation of Property. . . . .a0. . . . . .f.nP- . .PQ.Q1' . .�Ct 4 .' . . . . . .. . . . . . . . .`! A.. . . House No. I Street Hamlet )ower or Owners of Property.. . . ^�I.S . . . . : . . . a- : :. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . 'ounty Tax Map No 1000, Section. . . �Q . . . . . . .Block—,$. . . . ... . . . . . .Lot. . . . . .�. . . . . . . . . . . . . . . subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . .. . . . . . . . . . . . ?ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3ealthDept. Approval. . . . . . . . . .. . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Manning Board Approval. . . . . . . . . . . . . . . .. . . . . . . . .equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . lee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . &-Cqr St 3�0 (p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8059609 BUREAU OF ELECTRICITY F— 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date APRIL 16,1996 Application No.on file 11471896196 H 049589 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of IRIS L. DUNNE, 2175 PINE NECK ROAD, SOUTHOLD, N.Y. in thefollowing El Basement f �locdtion;APRIL 11,1996 ❑ Ist Fl. ® Ynd Fl. GAR/OUT Section Block Lot was examined on and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS I DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE MINES SPECIAL REC'►T TIME CLOCKS MLI. UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. S.OF MET NOFIEAMT. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE MITER 10 2W 1,I 3W 3.B 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HIAEG A.W G• NO.OF NEUTRALS A.W.G. !QUIP. PER A' OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: STOKE DETECTOR:-4 "NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. IRIS L. DUNNE 2175 PINE NECK ROAD G/NERAI MANAGER SOUTHOLD, NY, 11971 Per 13 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. S%SEFO(,reo Town Hall, 53095 Main Road CAx Fax (516)765-1823 P. O. Box 1179 • Telephone(516)765-1802 Southold, New York 11971 of ,� �► OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. Owner: Lo (S , h1��, (please print) Plumber: IL-�k - (pleas print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of ��N P 19q6 Notary Public, _a County V e ELIZABETH ANN NEVILLE Notary Public,State of N,:w York No. 52--8125850,Suffolk County ?a'.<t? rr; is,,:v.October 31, 19� FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENr TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date............ ................................... 19.. 0. NR 23379 Z Permission is hereby granted to: .............`........... -C�iv� .................................... �. . . ......� ... .. ............ ................. ............. ....................I.......I......... ..... � to .......... ... l7h . .............�c� V ...... . ... � f I.......... - k." �! L ................. STu!� o.......?`'.. .. . ...... ..........��... ...'...r..../.'.....�. ..........i..�... /sr�` i ...........�?!' .........w�l?5`....... .... .. . .... . ..�- ........ . f........ � -- ........ �e..r............. ................ ..................... at premises located at...................�`l� ..... ! O" C, ...... ........................... ................................................................................................................................................................ County Tax Map No. 1000 Section ........ ......... Block . Lot No. pursuant to application dated ......1-050W.4.......././............ 19..../..�+., and approved by the Building Inspector. ko Fee$....1.. '... ........ ............ ....................... .. . B ing Inspector Rev. 6/30/80 o��g�FFO�,�coG o� y� w : Town Hall,53095 Main Road p • Fax(516)765-1823 P. O. Box 1179 �' 0� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 14 , 1996 Ms . Lois Dunne 2175 Pine Neck Road Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23379-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Cul It Ili I I I N Vj- 1:MI III IA I'l Ol I ";,I*) .......... ...... FOU I I D ATI Ol 1 (1111)) n. ............. --------- - ------ -------------------------------------I--. -----..----ms..ne-- � 1^J� v n Ill)ll(Al -I---------------------- It011(Al I-'IIAIII'*, la ----------------- ------- ------------------------------------ ---------------- I IISIII.A I'l till IT It 11 Y . .......... ............ ............. ------------ ------ 4 F I IIAL Az: ---------------------- _...e..-- --------- ——————--———————————————————————-- ADDITIMIAL COIRIMITS pl --------------------------- ———-—— ------------------------------------------------------- .......... ...... tj ,-)71/'A C IIUARI) OF III:AI:All . . . . . . . . . . . . . . . PURM NO. 1 3 SRTS OF PIANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING I)HPAR'I'MRNT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIA1.1. SRP'1'LC FORM . . . . . . . . . . . . . . . . . . . 5011'11101.0, N.Y. 11971 TEL: 765- 11102 NOTIFY: Gl CAIA. . . . . . . . . . . . . . . . . . . IiuGnuinetl...... 7" .y 19.1. MAI 1. TO: . . . . . . . . . . . . . . . . . . . . -� j3 Approved........141"t., 19. .� Permit No. .W..... ..�. ..... 77 .........[...................... Disapproveda/c .................................. .....`. .Q.Z. 3.............. ............. ?........................... (lkti 't Inspector) APPIACATION FOR BUILDING PERMIT BLDG.DEPT. TOWN F SOUTHOLD Date. . . . . . , 19. . . . INS'1'R11CTiONS it. 'This alptl icaticont uust be ca►>liletely filled in by t:yIX-writer or in ink and st►buitted to the IkjildinR Inspector will, 3 sets of plans, accurate plot plan to scale. Fee according to scheck,le. b. Plot plan Mining location of lot: and of Ixtildings on prenises, relationship to adjoining premises or 1xtbl is streets or areas, and giving a detailed description of layout of property viust be drawn on the diagram which is part of Lhis allA ication. c. Ilse Mork covered by this all)]icaticxt vny octt be cantenced before issttance of Ikiilding Permit. d. Upon approval. of this application, the Iktildini; Inspector will issue a Iktilding Petnnit to the applicant. Stich permit shall be kept on Cite premises available for inspection throttlltcxtt the work. e. No 1xti1ding shall be occttpiecl or used in whole or in part for any ixtrpose whatever until a Certificate of Occgk-ux:y shall. have been granted by the Iktilding Inspector. APPIACATIar IS I001Y twx: to the Iktilding Department for the issumic:e of a Iktilding Permit pursuant to the MAIditgl 7.ate Ordinance of the Town of Southold, Suffolk Caonty, New York, and other applicable laws, Ordinances or Relntlations, for the construction of Ixtildings, additiahs or alterations, or for reirmal or demolition, as herein described. 'Ibe applicant agree's to comply with all. applicable laws, ordinances, Ixtilcling code, (rousing code, a(xl reg sink authorized inspectors on premises and in Wilding for necessary inspections. 0 ................... ................................. f (Signature of appli�ant, or name, if a corporation) . . (Mailing addressofappl.icanO TO State wlhether also lcano r, lessee, agent, arcid tect, engineer, general contractor, electrician, pludoer or b of lder. N<ne of putter of premises ... ©(.J......�..... .►�V1 ......................................................... (as on the tax roll or latest deed) If a1q)l icant is a corporation, signature of (hely authorized officer. ......................................................... (Mane awl title of corporate officer) Builders License No. ......................... PhNi hers License No. ......................... Electricians license No. ..................... Outer Trade's License No. .................... I. location of land on which proposed work will be done..f.................... ..........I7 S ...........!.c ...... !.?C�4..O4.C(- ................... ................................. House N,nioer Street IlFmlet Qpunty Tax Mrup No. I(l(X) Secdowt ....!.1P.......... ,hock ......... ..... Lot .....4�....... Sttlxlivisicnt ...................................... Filed Malo No. ............... Lot ............... (Nene) 2. State existing, use and occupancy ofremises and intended 1 S,e aril occupancy of proposed const:ntction: a. Existing use and occupancy .....�tt:. 4�.0 .... ............................ b. Intended ose and occupancy .....& r�............................................................. ). Malore of work ((:ix:ck width alil►IicaIlle): tksts Iklillliniq 1lclxi l r ............ Ilea►r)►al ............. I)ellr►I i L Ion ............ Other Ik)i k 4. I:sl.inclled Gist ... .......... fee . ............................. .......... (to Ixe paid on filial; this alrplical:i(x►) 5. If Axellioll, !«Aller of (W,ellinll units ............ Umber of choelIlog and la oil ea(:Ii floor ......1......... Ifgarage, ixnl►er of ears ..................... ................ . 6. If Ixulioesa, ccaimlercial or mixed oc:cl►iwr►cy, specify nature alxl extent' of each type of use......... ............. 7. llimac:oaia►s of existing atrtWtilres, if ally: FrooL.. ... ........... hear ............... Depth .. ............... Ikeigl►L Uniber of Stories ....... .. ...... ....... Uinleosloos of sere st.rt►rture with alteraHoos or :xklll:ions: Front ...... ......... [tear ......... ...... Dept II .................... IleigllC ... ............ ..... NMrllxer of Slorien .. 1 r t p S,�>s � 0. I)imlensloos of entire oew (xx►sCrtictim: FrcH►t ...� ......... hear 0 . . ... .... Depth ..cJ ' Ik [1111: .................r..nn.... Ujilxer of Stories ..../.S.�4u��'....... p S('r�) 9. Size of lot: Froot ....!L!rlv........... hear ...�RO..... .... Deplh oO/r...... ..... Iq. Mile of I'llrchaice ....l.J�!.. ........ tl:]Ixe of Former (k�11er ...(j�.�W161...�0.. r ACr��s.... I. Y.NIe or use district io w11id► premises are sicuale<I ..... ................................ 11. Ikx:a prolx►aed CoosLmcLion violate any z.cmdon law,,ordioalx:e or regulaClon: ..r,2 ...... ........... 13. Will lot he rellracle(1 .....h/0........... Will excess fill lie relnved from preniiissea: YES M) I4. Manes of Omier of premise mis L�.Q/.5..�.��Lcn.!t!... lkklresa Zf7 nB(ii���+6.. (1xx►e tk). ✓� J.Mine of Architect: ......144e.7.e..................... Acklress 111oae tan. .............. Mone of Contractor .... 9.Qv1G..................... Acklress ............. ,1luxie No. ., 15. la this property within W) feel of a tidal toetlalxl7 * YES M) ...�... *1F YI:S, S(Ilfill(MA Itm 'I1tilsil .S mcmi-11'1' MAY R1, RilplRIJ). ITOT DIAGRAH lex:ate clearly notl disL'ioctly all I►t►ildlogs, viielller exist:[ng or prolx►sed, alitl ilxliente all set-lux:k dinaeosicxis Non property lines. Give street arx) block vatmiher or descripHoo according to deed, aml Aimif street names mxl lodical-e tdlelller iolerior or roroer lot. Int r inPt1U l�a�' w !;Mill IV 11114 WAX / r rl Sfi 0XINIY (M ( .••.••• . • .............. .. ..Ix6ng duly :.Wrrll, delx►I.es floal says that he in the appl ic:anl: (M six! of iaxiividual. signing (-onl:ra(-C) :ilxive molvd, Iktit. Ilme .. ...... ................147)LA!v 1-e.r........ . ....... ......................................... (G)OUractor, agent, c:orlx►raLe officer, eC(..) of imid mrixer or (nnxeril, 111Kl is duly inl(horized to lxerfo►aa or have lxerfo►nxed the maid work taxi to nxAue mxl bile this mppl i(:mLion; that all t sLaleaneoLm cootailxed io thin nppl ical ioo ore (late to the Imat of Ilia koowledge mit) INTI ief� 111x1 that. the wotlt will be performed io the mamnxer seL forth io the applicnCion filed Iherewilli. :)�anro to Im are me this ..........i.�. (illy of ... ( �. 19q tk)l.11ry CLAIRE L GL.Ef1N w York . ..... ... ......... .................... Notary Public' State O (Sillonhoe of Applic:aot) No.4879505 Qualified in Suffolk County 146 Commission Expires December 8.18 t R:,(Y .R, •�,� �-:.r• # ` '`r s r'�• r{,'. 1 . r,Tr ...UNAUTHORIZED ALTERATION OR ADDITIOw . . T. . . �.; ;..;fa ;,'S` •ryli -? AS -,'S l l �`t.• `y ...-TO THIS SURVEY IS A VIOLATION O/ v-r ►y:- h.. SECTION 7209 OF TME(•IWV,i STASTANis p. t„ r a:ijE �•, i:' ,:` .,tti.3i.. . i ty •w.-s i?l.,Wi. �,�...e. • ': `Y y }. •l •rr if• ',y.', t s{y k. t •d•. '^r. E, •, ,. EDUCATION LAW.'. y r w .�•+. +�t`rtA%7 �..: �t �. .Y,� r�+ f.::! ,. f, f :Z,' .w y'..a I tja �"k����,��t � r• ax;� �. t COP,IES:OF THIS SURVEY MAP NOT°'' .' E��� `Y� s# 'E� `THE LAND SUnVEYOR•S i ED•SEA 'YTII t x ''+.. t'i4 ,n:-tif• `v a) EMBOSSED SEAL.S"f}U EIQ�,6f�1'CONMDVJ b Tq BE A VALID.T UE'4OPY`qf� r; T , ? } •' ,S. .�:,� A a. 1 f C E +'9:.:d} s .' 3 rtp�►E J/ rr GUARANTEE 1 TE REON '�tlL RUN_ t' " a ! ? S R 5 t l ' ; } / s a t ONLY.TO,THE;PEICS(�Ii'I WNOM TME,SUtllel "fix s a++ s °i +y ��,+ .k a4 .. � ,++,, .t,er 8s ,� +y t IS PREPARED,••ATfZN Ij1j:BEHALF TO THE". s �`•. J._`` a r, 3 rM4 aE t °:! # E `d t TITLE COMP AF1Y.i¢OVERFIMENTAL AGENCY MO 1. ,f`• i ,+ r,7 - 1 �,i rsa.• ',qt ..:� LENDINGtN5TI1l1QIQNkjoltQ'HEREON:AND '. fa r; •'�7 Fr. RS� `a. F ,..P" .":Ts; ,'.� ;ur, :•?° s` rq ° ` '� i t- t , , '.� TO THE ASSIGNEES'QF THE'LENDING INSTM. } Sr TUTION.GU RANTEE AItE NOT TRANSFERABY* i;} +t.. ,•'p .j 1 �' {, f . O A I 1 AAl ITL TI it SURSEQYRFEE ¢ ' �ir, i: • 'TO DD T Oy, ONS Q 'd. rrr V,IFr r4 +t• + '''I! r, t kir ��t +.`-y7•Y' +17 .i'1(�,jj�{, �l`h'/'y`4 a°r "' ..Fa t Y C`4 OWNERSI.. ^` -.r-K..•.,rr .• ..•.'7 �"�1�,,,ny�+► +w,.:, � t :1,'. a r'i .:r "; •t' 1}• (, ¢ ` s '} .S l` ft$ -a _ ,l 4T r �I •� } .r 4 - ,�, � �i �Q.. a�suyik� +�'J�;,'JJ� � .I � •'A 5' , � __ :•'�..�... ...-.y .�i, f a�.. 't� ��'akS r� ',t t.', R f, �1 t .}„�'..'..v.r.-.!t7b?:anf, y�Ff;- _ '.•+.... rr..113i ��+ � �' ,. i.i �''•, _ I. •.• - � ! ,• ry 4 r t��t.',�: ,7r`�^'T'r i��, � �- -w�I �, -. r_ ;�.?� A!r`< � ��r<�• r �: � '�#�t'� � �� ..,�� ' t �#t�cl�air:c�� �{. s S UFF©I..IC .�,/y�7� �` �y1 • �'{NT,}�, !P j II ,.. 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"'{�f t+moi► 1+C, Sao-Z—so ,Ft► a � .. � � L s• �5 4� �'Swrve��� it a cy a If copper tuJing_18__Uh_W_'__ for water distributing system; piping>;Ita I be 2 Y . I of types K r L only e w UNDERWRITERS'CERTIFUTE REQUOCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICAT S� OF OC ANCY � 1 8 D _ - 54 APPROVED DATE: �l'�' B.P.# X93� .- FEE: BY: NOTIFY BUILDING DEPART ENT 1684802 9 AM TO 4 PM FOR TH 4. FOLLOWING INSPECTIONS: ---��- 5�01 3 i 1. FOUNDATION - TWO REQUIRE FOR POURED CONCRETE hitt ROUGH - FRAMING & PLUMBINO 3. INSULATION 4. FINAL - CONSTRUCTION MUSTd� f BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME -` `� CERMICAT/ON THE REQUIREMENTS OF THE NX. (,EA OA/TEIVT BEfORE � STATE CONSTRUCTION ENERGY _ T�FIC E OF OCCUPANCY _ CODES. NOT RESPONSIBLE FO DESIGN OR CONSTRUCTION ERROR USED IN WATER S Dy YSTE M CANNOT , /10 of 1% LEAD. I i aJ � i S i j i N VP r,y Atti Am i 3