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HomeMy WebLinkAbout38861-Z 4 Town of Southold Annex 10/10/2014 P.O.Box 1179 54375 Main Road i�� Southold,New York 11971 g''$' i 'Aw CERTIFICATE OF OCCUPANCY No: 37203 Date: 10/10/2014 THIS CERTIFIES that the building ALTERATION Location of Property: 1275 Fanning Rd,New Suffolk, SCTM#: 473889 Sec/Block/Lot: 117.-4-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/29/2014 pursuant to which Building Permit No. 38861 dated 5/7/2014 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: interior alterations to an existing dwelling as applied for. The certificate is issued to Meisel,Anthony C. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38861 7/21/2014 PLUMBERS CERTIFICATION DATED 10/6/2014 William Gremler r Author( ignature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ' SOUTHOLD, NY 1 � BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38861 Date: 5/7/2014 Permission is hereby granted to: Meisel, Anthony C. 227 Park Ave Hoboken, NJ 07030 To: interior alterations to an existing dwelling as applied for At premises located at: 1275 Fanning Rd, New Suffolk SCTM # 473889 Sec/Block/Lot# 117.4-30 Pursuant to application dated 4/29/2014 and approved by the Building Inspector. To expire on 11/6/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $257.60 CO -ALTERATION TO DWELLING $50.00 Total: $307.60 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled 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 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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$15.00 Date. 2014 New Construction: k Old or Pre-existing Building: (check one) Location of Property: 1 `2 �� S) t✓ House No. Street Hamlet Owner or Owners of Property: y �-' M Suffolk County Tax Map No 1000, Section �� Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Applicant Signatur SO(/TyQI, Town Hall Annex Telephone(631)765-1802 54375 Main Road 4 Fax(631)765-9502 P.O.Box 1179 CIO Southold,NY 119711-0959 Q roper.riche rt(aD-town.southoId.ny.us Q � �y1'4UNV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Meisel Address: 1275 Fanning Rd City: New Suffolk St: NY Zip: 11956 Building Permit#: 38861 Section: 1 1 7 Block: 4 Lot: 30 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Big Blue Electric License No: 35348-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 2 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches F]3 Twist Lock Exit Fixtures TVSS Other Equipment: Notes: Inspector Signature: Date: July 21 2014 81-Cert Electrical Compliance Form.xls Skop SU(/Tyo Town Hall Annex Telephone(631)-7654902 54375 Main Road '�' �" Fax(631):765-9502 P.O.Box 1179 Southold,New York 11971-0959 • �Q BUILDING DEPARTMENT TOWN OF SOUTHOLD -CERTIFICATION - Date: CERTIFICATIONDate: Q Building Permit No. Owner: 0 (Please print) Plumber: (Please print) I certify that the solder used in.the water supply system contains less.than 2/10 of 1°lo. lead. (Plumbers Signature) Sworn to before me this day of 20 _Lq BONNIE D.BUNCH Notary Public,State of New York No. 8505 O��alified in in Suffolk County commission Expires April 14,2- Notary Publi6-4County 1 of So� "' oy►� Typ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ROUGH PLUMBING [ ] F NDATION 2ND [ ] INSULATION [ FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATIO [ ] CAULKI REMARKS: r Q DATE '0710_7A4 INSPECTOR i Of SO(/lyo� (� couNn,` TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR �' o��OG SOUT,yO TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] "LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: v DATE 07AINSPECTOR t� PLUNMING INSULATION STATE ENERGY CODE r i i sy 0 Y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 5`/7,20A Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to:11m,"y LtYZ Disapproved a/c pb, Dtc 1 692 , �,Tn Phone: Expiration fl -7 20 Building Inspector J APA A,4 .ICATION FOR BUILDING PERMIT � Date L �-`� ,20_t+ 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. Thereafter, 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 code, and egulations, and to admit authorized inspectors on premises and in building for necessary inspections. q_k ignature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nf?= 1 Name of owner of premisesNbN (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. P(p I N!l Plumbers License No. ' Electricians License No. M Other Trade's License No. 1. Location of land on which proposed work will be done: 12-15 OLA:- House Number Street Hamlet County Tax Map No. 1000 Section Block 4 Lot Subdivision Filed Map No. Lot t 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy SI nl G� �q'n j 4.Y f>/yg.rrjNG b. Intended use and occupancy SS7py 3. Nature of work (check which applicable): New Building Addition Alteration 1C Repair Removal Demolition Other Work kjrf✓ l O�. (Description) 4. Estimated Cost-$`a ow 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 5t 2- Rear 52 Depth 2fo 1 Height Number of Stories ! Dimensions of same structure with alterations or additions: Front '� Rear Depth 2-6 ' Height 16 ` Number of Stories i 8. Dimensions of entire new construction: Front �,` �R Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 5/1 bw 3 Name of Former Owner `-j 11. Zone or use district in which premises are situated P,40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 17-11, faIM41 R0 14. Names of Owner of premises QNjQ oNq j1t��.+SAddress Neal SuFFet-K- Phone No. 7 S6 34- Name of Architect DON kW r-t_: t 1,-E L Address r Yy-T i jQCdg_ Phone No ZG16 -S-f'5 3 Name of Contractor FAN 01 N!�j Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO k * 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. CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01SU6185060 COUNTY OF ) commissiondin a ExpiesApril 14 2-1::Ll I L being duly sworn, deposes and says that(s)he is the applicant (Name of individ lal signing contract)above named, (S)He is the P.:Pzo (Contractor, Agent, Corporate Officer, etc.) 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 Gi day of 1 20 J Notary Public ignatu Applicant Town Hall Annex 1 Road 41 Telephone(3631)765-1802 P.O.Box 1179 • gerAchedd 1SOU�.t1Y.Us Southold,IVY 11971-0959 BunDINc-DEPARTII wr TOWN OF SOVTHOLD APPLICATION FOR ELECTRICAL. INSPECTION F QUESTED BY "�7 T�l��.�c Cz`l-Gct�s c l f C Date:mpany Name: �j < i 1(,,e ec irne: License No.: 3 Address: `o a (.y �- i i 7` - v /I r z. Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: f_2j-, ;S¢: - *Address: l ZU T *Cross Street: *Phone No.: Permit No.: ��b! Tax-Map District: - 1000 Section: Blodc Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 19A ZOO,(, (Please Circle All That Apply) *Is job ready for irxspeton: Q�YE / NO Rough In) Final "do-you need a Temp Certificate: YES/ NO Temp Intimnadott(if-needed) . *Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other *New Service: Re-Qonnect" Underground Number of Meters Change of Service Overhad c f p1 Additional Information: PAYMENT DUE-WITH APPLICATION � .8241equest for Inspection Fomt r r (lrr • T. TERRY I �k - '� '� Tn •n Il,rll. S llluS Ala►►► Y�. P.o. nr,r I17o f fi0N11 CLERK `:.,��� -: Srrulbohl. Nc�• _Turk 1 Fax (5 161 765.I R`.� pEC;,SfRAR OF v1TA1.STAT1511C5Tc MARRIAGr•, OFFICCR _ kRlrunc t�Ih1 )(rt_ RECORDS MANAGEMENTOFFICEII �O1 : A I i FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent. regulations of the Code of the Town of Southold: "Floodplain Development. Permit !application" (FDP(93)) , and ';Certificate of Compliance fySr Oevell6ment in Special Flood Hazard Area (C/C(93)] . • t�LJV. UcrT .�_. TOVA';4 OF SOUP-101-D Ah T. Terry Southold Town Clerk August 25 , 1993 r ri APPLICATION r PAGE 1 0( 4 TOWN OF SOUTHOL.D FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1 GENERAL PROVISIONS (APPLICANT to read and sien): 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re=issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. S. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator-or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE,TO THE B OF MY WLEDG UE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE Ct7 i /r c com icted by APPLICAh'n /SECTION 2: PROPOSED DEVELOpF�'7ENT p NAME ADDRESS TELI✓P. APPLICANT BUILDER C 11 ENGINEER r PROJECT LOCATION: • To avoid delay in processing the appbca6oa, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark A sketch attached to this application sbowing the project location would be helpful. FDP(93) APPLICATION PAGE 2OF4 DESCRIPTION OF WORK (Check all appUcable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE O New Structure @'Residential (14 Family) O Addition O'Residential (More lbain 4 Family) W--%Iteratioo ❑ Noo-residential (FloodprooCtng? O Yes) ❑ Relocation O Combined Use (Residential & Commercial) Cl DemdUtioo, ' P O Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park?. D Yes) ESTIMATED COST OF PROJECT S '6S7e 0-0-D B. OTHER DEVELOPMENT ACTIVITIES: O Fill O Mining 0 Drilling O Grading O Excavation (Except for Structural Development Checked Above) O Watercourse Alteration (Including Drcdging and Channel Modifications) O Drainage Improvements (Including Culvert Work) j O Roar, Street or Bridge Construction j / O SU ' ion (New or Expansion) / ❑ 1 phividual Water or Sewer System G Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposcd development is located on FIRM Panel No. . Dated The Proposed Development: O Is LQT located in a Special Flood Hazard Arca (Notify the appUca.nt that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). O Is located in a Special Flood Hazard Arca. FIRM zone designation is loo-Year flood elevation at the site is.` H. NGVD (MSL) O Unavailable ❑ The proposcd development is located io a floodway. FBFM Pancl No. Datcd O See Section 4 (or additional instructions SIGNED DATE APPLICATION # PAGE 3 OF 4 SECTION 4 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINIS`C'RATOR) The appbcant must submit the documents checked below before the appbcation can be processed: ❑ A site plan showing the location of all cnsLwg structures, water bodies, adjacent roads, lot dimensions and proposed developmcot. O Development plans,drawn to scale, and spccifncatipns,including where applicable: details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor, details of floodproofwg of utilities located below We first floor and details of enclosures below the first floor. Also O Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide loo-year flood elevations if they are not otherwise available). O Plans showing the extent of watercourse relocation and/or landform alterations- 0 Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofu,g protection.,leve) (non-residential only) Ft:NGVD (MSL). For floodproofed structures, 1ppGcant must attach certification from r-gistered engineer or architect. ❑ Certification from a"regis tered engineer that the proposed activitj in a regulatory floodway will not result. in;any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other. SECTION 5: PERMIT DETERMINATE N fTQbc completed by LQkAL ADMIN[ RAT R I have determined that the proposed activity'. A-❑ Is B. O Is not in conformance with provisions of Local Law if , 19_. The permit is issued subject to the conditions attached to and made part of this permit. SIGNED DATE If BOX A is checked, the Local Admiautrator may issue a Dcvelopmenl Permit upon payancnl of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. • APPLICATION �+ PAGE 4 OF 4 APPEALS: Appca►cd to board of Appeals? O Yes O No Hearing date: Appeals --- Appioved? E3 Yes 9 NO Conditions SECTION 6 AS BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered profcssioga] engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor,including basement rn Coastat High Hazard Areas• bottom of lowest structural member of the lowest floor, excluding piling and columns) is: Fr. NGVD (MSL). L Actual (As-Buil() Elevation of floodproofing protection is FT. NGVD (MSL). NOT' Any work performed prior to submittal/bf the above information is at the risk of the Applicant. SECTION 7 COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable, based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? O YES O NO DATE BY DEFICIENCIES? O YES 11 NO DATE BY DEFICIENCIES? O YES Cl NO SECTION 8 CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADNITNISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B i SAMPLE / CERTIFj CATE %JF COMPLIANCE al Flood Hazard Area 1 for Development in a Slpeci , 1 , I TOWN OF SOUTHOLD CCRUFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA - (01AWEER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: D NEW BUILDING O E7(ISTING BUILDING O VACANT LAND •'J THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_. SIGNED: DATED: B. COMPLLANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C /C ( 93 ) SO�Tyol. 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Southold,NY 11971-0959 �DUNTY,� October 8, 2014 BUILDING DEPARTMENT TOWN OF SOUTHOLD Anthony Meisel PO Box 228 New Suffolk, NY 11956 TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: 'Note: Building Inspector said he spoke to you about filling out the enclosed flood permi application along with$100 fee required. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 38861 — Interior Alterations f y ' M , AMC Two co LLJOL ce G 7 1Gr ti w, o • „� vmnR A11MIw1MN.t Q Fj 00 --_-- o _ Low a w 40"b""memo as ►an Fk�r r1Mns—Nom m • s ' naar*e+anls metra+1Cb�3. ww►an U area d Ria.vrn n ftW area.WW a n eh w�1y1Mp nae of sx aGh'Aoer atila +r= �' o►ar.Q gvaniy pialaeMan d,rN tie M SGOOM 160.1.1 AM914W io 1p jp bV d AA-MM14p"pM M De#t ttad>�aex 10�9 M Y 71W din.• Olt –1 - �tl ANY a Oawr �� G Lam L!,o f 1 _l/ 0/1 .1.x. 2-1i�' sup o ift.LIN ► -- — r N(44 W M CTS! To ibc� �NDEJ'�r�,1.►' U = 0,D PROVED AS NOTED Mf::A D'! DATE rNidB.P.# .500 3"6yzHT I' l FEE '1 U BY ! ALL PLUMPING WASTE J �,'! �I l,^ DF_PARTMENT AT &WATER LIN'-'-, NOTIFY _ 755-1802 ".1 FOR THE M t:> "}'} � 4 TESTlPYG $Ei=V"iE C' FOLLOWIN. �V 1. FOUND �'� W SLUMBER CERTIFIo ' X1 �RN4' \1 LEAD CONTENT STRAPPIN4, _ , uL'!,INu u 2� 1�I2'' �TIFICATE OF C�� 3. INSULATION; OLDER USED Ir f O 4. FINAL-CONSTRUC _".ECTRICAL ' MUST BE COMPLETE 'rO �k�T 144% SUPPLY SYSTEM �,, --- TRUCTION SNti _T THE - L uj L--tiz— `R�IIUIREMENTS OF THE CO -S OF NEW YORK STATE. NOT RESPONSIBLE FOR -- — N t&T DESIGN OR CONSTRUCTION ERRORS. . 'D {'4M Ltd ATE � �bU•MD'u �1�'�'3� � 5o.L.L vt)�- spm o Ar,,, pe. z, -- ,�„ �! (�►. (t� �I�UR)✓ 8.307.1 Mt{N1MuM ���`r1�'- 0 P. To-N v wi 'itw4 OF THe CMe or mf�4 4tU 5TA- 201-to te_xx)usTqno lip Reac) , . �•fi'L,. .T •� LL k 1*AVtrIA �' ti..