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Home My WebLink About28036-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28726 Date: 08/21/02 THIS u~TIFIES that the building ADDITIONS Location of Property: 21505 MAIN RD (HOUSE NO. ) County Tax Map No. 473889 Section 17 ORIENT (STREET) (HAMLET) Block 4 Lot 16 subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 24, 2002 pursuant to which Building Permit No. 28036-Z dated JANUARY 24, 2002 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 SI/N-ROOM ADDITION WITH DECK ABOVE AND A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LYLE B TUTHILL & ORS (OWNER) of the aforesaid building. SUFFOLK CO~DEPARTMEI~TOFMRALTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~23 Rev. 1/81 N/A 1064828 08/02/02 N/A Author±~l ~"i~nature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28036 Z Date JANUARY 24, 2002 Permission is hereby granted to: LYLE B & RUTH P TUTHILL PO BOX 86 ORIENT,NY 11957 for : RENEWAL OF BUILDING PERMIT #24926, TO CONSTRUCT AN ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 21505 MAIN RD ORIENT County Tax Map No. 473889 Section 017 Block 0004 Lot No. 016 pursuant to application dated JANUARY 24, 2002 and approved by the Building Inspector. Fee $ 150.00 Authorized Signature Rev. 2/19/98 COPY FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24926 Z Date JUNE 1 98 Permission is hereby granted to: R TUTHILL A/C SORENSON PO BOX 2530 ORIENTtNY 11957 for : CONSTRUCT AN UNHEATED SUN ROOM ADDITION WITH DECK ABOVE TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 21505 County Tax Map No. 473889 Section 017 pursuant to application dated APRIL Building Inspector. MAIN RD ORIENT Block 0004 Lot No. 016 30 98 and approved by the Fee $ 75.00 ing In~ ORIGINAL Rev. 2/19/98 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 Departmeh(-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 a consent to inspect signed by the applicant. Ifa 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 - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Filed Map. Date..J"--~i~ /~"] ZOO New Construction: Old or Pre-existing Building: t~ (check one) Location of Property: ~/~'"'O ~'- ~A'~Jt} ~ House No. Street . Ha~et Owner or Owners ofmrope~y: ZT[~ ~ ~ ~.~ ~// Suffo~ Co~ty Tax Map No 1000, Section O/~ Block 0OO~ Lot Subdivision Underwriters Approval: Date of Permit. ~-~-- I ~ ~ qq~ Applicant: Permit No. ~03~a Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ a~ ~'- ~ Final Certificate: Lot: t~ . (check one) Applicant Signature l BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS r~ BUREAU Of ELECTRICITY D. 40 FULTON STREET - NEW YORK, NY 10038 ~_ CERTIFIES THAT I~ Upon the application of upon premises owned by I'~Q.C. ELECTRIC INd. LYLE TUTHILL [ P.O. BOX 518 21505 ROUTE 25 I~ LAUREL, NY 11948-0518, ORIENT, NY 11957 Located at~"~, .,,~,.="~ ROUTE 25 CRIENT, I~y ! 1957 Application Number: 1064828 Certificate Number: 1064828 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, Attic, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 2nd Day of August, 2002. Name QTY Rat_~e Rating Circuit Type Additional Charges survey entire building No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory condition was found. seal r~ ~ I of 1 ~_ _ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ L~ 765-1802 BUILDING DEPT. INSPECTION ~/~ [ I,/J* FOU/NDATION 1ST [ ] ROUGH PLBG. [/..~/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &CHI. MNEY REMA.~S: __ ~ INSPECTOR ~~,~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [. ]/?OUNDATION 2ND [ ]INSULATION [/./] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE~_~~ INSPE~~i~~ 765-~,802 BUILDING DEPT. INSPECTION [ ]FOUNDATION I ST [. ] RO~/BG. [ ]FOUNDATION 2ND /~"INSULATION [ ]FRAMING [ ] FINAL [ ]FIREPLA~.~& CHIMNEY. REMARKS: ~ ~ DATE INSPECT~ 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ _] I~LATION [ ] FRAMING [/--/J FINAL [ ] FIREPLACE & CHIM~iEY DATE ~~/~/~ ,~'"'/INSPECT~ INSPECTION FOUNDATION ( 1st ) 3 FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING~ INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: · FORH NO. I TOI,/N OF SOUTIIOIoD BU'ILDING DEPARTHIqiT TOWN IlALL SOOTIIOLD, N.Y. 1197 I TEl.: 765-1802 BOARD OF UEALTfl ............... 3 SETS OF FLAILS ............... SURVEY ........................ CiiECK ......................... SEPTIC ~OP, H ................... CALL 19 . UUl '"" ................. '" [ ~ ] IUSTRUC'r]o~s BLDG. DE~. '~ [ TOWN OF SO~LO "' '~ , - ~ d~ltt~ to tim ~dldlng I~ctor ' n. 'II,Is a~ll~C]m ~ ~ ~letely fill~ m by t~riter or in i~ i m · 3 ~ts of pl~, ~r~te plot pl~ to ~ale. F~ ac~i~ to ~le. b. Plot pl~ g~i~ l~tt~ of lot ~ of ~ildi~ ~ ~t~s, ~lati~dp to str~ts or areas, ~ givt~ a &ta[l~ ~rt~to~ of la~t of pro~rty mint ~ dr~ ~ tl~ dis~an ~dch is ~rt of this n~l icati~t. d. U~ a~al of dtis a~licati~, tim I~ildi~ l~ctor ~ili is~ a ~ildt~ ~mtt to ~ appllc~t. ~h ~it gmll ~.~pt ~ Om ~s ~ail~le for i~ti~ theft tI~ ~rk. e. ~ ~ildi~ gmll ~ ~i~ or ~ tn ~le or in. ~rt ~r ~ ~ ~at~r ~til a ~rtificate of ~H.I~TI~ IS t~ ~ to tim l~dldi~ ~rt~nt for ~m issue of a ~ildt~ ~mit ~r~t to tim ~lati~s, for tim ~t~tim of bdldt~, ~itims or alteratt~, or br m~l or ~scri~. ~m applier ~s to ~,ply vi~ all a~llc~le l~s, ordi~ms, ~tldi~ re~dati~s,,m~ to ~it ~rt~ i~tors on pc~i~s a~ in ~il~l~ for ~s~ i~ti~. State ~O~r a~licant is ~mr~ lea~ ~ent~ arcidt~t, enfii~r~' get,fa[ ~tr~tor, el~trici~, pl~r or Ix~ilde .............................................................. If e~llcan~ is a co~ra~i~, si~e o~ ~ly ~tt~}r~i. officer. (~ a~ ~i~le of ~ra~e off~r) l~filders License Ilo. ~ Plumbers License No .......................... Electricians License RD ...................... Otizr Tra~'a License ltd ..................... I. location of laix4 on ~Idd~ propoaed wrk viii ~ ~ ..... ~ivisi~ ...................................... Fil~ ~p ~ ......... ~, ..... lot ............... (~,~) .. · ................../ b. ln~e~ ~ e~ ~ ......... ~--~ .......................................... ~ ......... 3. ~aure (d work (ct~ck .................... Alteratio~ .......... (~ripti~) 6, Esti,~t~l ~st......~.................. ~'~ff f~ .............................................. (to ~ ~id ~m filln~ thia fll~licatl~) If Ix,eit~ss, ~rcial or mi~l'~oqm~, s~ci~ ~t:ure a~ ~tenr of ead~ ty~ of u~ ...................... . .............. ~ or u~ ........ ] .............. PI.OT DIAGRAH ( locate clearly nad dlnClnctly all bulldin~n, ~lmtlmr exincing or propozed, and lr~licace all ze£-I~ack di~ensionn fro. properly linen. 61~ street m~d block ~iMr or dencrip£too according to deed, ar~! ~d~o~ street m~nes arxl if~lica(:e ~dlether |nLerior or corner ......................................................... 1~ i~ tile ~o~'~x~ (C~ractor, n~n:~ cor~rnte o[~teer, eCc. o~ ~nid ~er or ~ra~ m~ ia ~ty ~tl~r]~ to i~r[onn or lu~e i~rForn~ U~e ~hl ~k m~ to ~ke a~l ~il.e thi~ alq)l icatiim; that alt stalemate ~tat~ in thin nl~)ticnti~; are thaL Lhe ~rk will I~ ~r~o~! in tl~ net. er ~: forth in ti~e ,9.~)rn to be[o/re re 01is ............. __ J~L~~ NOOKY Pubfkl, 8mto of New Yott (SiIFmt:ure of ^ppi ~b J .? ¸4' -? L I I · L OCCuPA c -- _ · c'ffRTiFic - UF OCCUPAScy'4TE FOLLOWING iNSPECTIONS: 1, FOUNDATION - '~NOREQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & pLUMBiNG 3. ;NSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS ~'IE N.Y. ENERGY FOR ,,i