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HomeMy WebLinkAbout28436-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAiqCY No: Z-29204 Date: 01/21/03 THIS CERTIFIES tt~at the building Location of Property: 1600 KING ST (HOUSE NO.) County Tax Map No. 473889 Section 26 Subdivision Filed Map No. __ ACCESSORY ORIENT (STREET) (HA~MLET) Block 2 Lot 42.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 2002 pursuant to which Building Permit No. 28436-Z dated JUNE 3, 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 ACCESSORY TWO CAR GA~RAGE WITH STORAGE AS APPLIED FOR. The certificate is issued to DERRICK D & DONNA CEPHAS ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENTOF~F~%L~APPROVAL ELE~krKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION Rev. 1/81 N/A 1104208 01/03/03 N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TEE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28436 Z Date JUNE 3, 2002 Permission is hereby granted to: DERRICK D CEPHAS 789 WEST END AVENUE NEW YORK,NY 10025 for : CONSTRUCTION OF AN ACCESSORY BUILDING AS APPLIED FOR at premises located at 1600 KING ST ORIENT County Tax Map No. 473889 Section 026 Block 0002 pursuant to application dated MAY 29, 2002 and approved by the Building Inspector to expire on DECEMBE__R 3__, 200__~3.//~ Fee $ 150.00 ~ed'!i n~at< ~ J\ ~ ure/ Lot No. 042.002 Rev. 5/8/02 COPY Form No. 6 TOWN OF SOUTllOLD BU1LI)ING I)EPARTMENT TOWN · 4; 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildin}~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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 front Board o{ 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 building, 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. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: i. 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 Buildinz - $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.S15.00 New Construction ..... Old Or Pre-existing Building ................. Location of Property .... ..... ~.IO.~.~.~CC~.~. ...... .~.C[C~O.~.. ............................ House No. "(J Street Hamlet Onwer or Owners of Property ........ .~..~P..(~..~C~.....~(y~D ..................................... County Tax Map No 1000, Section....~..~ ....... Block .... ~ .......... Lot .... ~.~.;.~.. .......... Subdivision .................................... Filed Map ............ Lot ..................... Permit No....~.~..~..~.~..~...Date~ Of Permit.. ~j ~./.O..~.~. .... Applicant...~D...~.~.~'.~/.~.F..~.~.. Health Dept. Approval .......................... Underwriters Approval ........................ Planning Board Approval ........................ /, Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted, $':~'~("~'~[ .-~c0 .......... ~~.~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE :,~ ~1: .~ :: NEW YORk BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ' 40 FULTON STREET - NEW YORK, NY 10038 Upon the application of CERTIFIES THAT G & S ELECTRICAL CONTR. BOX 215 SOUTHOLD, NY 11971, Located at Application Number: 1104208 KING DOUGLAS STREET ORIENT, NY 11772 upon premises owned by C-~'"'A^~-t-'r~ ~ '" z' :_ : DERRICK 5:1 ',.~ KING DOUGLAS STREET .-:-- ,', ' ORIENT, NY '1.1772 Ce~ificate Number: 110~}0~- -- Section: 26 Block: 2 Lot: 42.2 Building Permit:238432 . ' 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: Detached Garage, 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 3rd N~)~(~ QTY Rat~ Panels Day of January, 2003. Rating Circuit Type 1 20 1 Wiring and Devices Receptacle 4 0 Switch 4 0 Fixture 8 0 Receptacle 2 0 ' General Purpose General Purpose Incandescent GFCI ] of I ~ ':- This certificate may not be altered in any way and is validated only by the presence of a raised seat at.the Ioc~tionifidicated, ::-~11 :':- ltl ?'.,l j. Elizabeth Thompson, Architect 250 Mercer Street, Suite B 806 New York, New York 10012 J TOV'. IN ,~J S.©'JTHOLO Tel/Fax 212--614-7180 ETArchitect@AOL.com (~O O-' ~- ~-,4-.-~,~ TOWN OF SOUTHOLD PROPERTY RECORD CARD i' 2 OWNER ACR. REMARKS TYPE OF BLD. "~""""~"~' ~ ~ !P. CLASS LAND IMP. TOTAL DATE FRONTAGE ON WATER, \~4 ,' i~)2Z. - .~ ~2/~_~._~ TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH BULKHEAD MEADOWLAND HOUSE/LOT TOTAL M. Bldcu Foundation Extension ~ ~ ~ [~: t 0~~ Basement Floors ~ Kit. Extension ~,,Z ~ ,o~ (~) D~ ~o~ Ext. Walls Interior Finish~J~ L.R. Extension I~ ~ !B ~ . Breezeway ~ ~ ~ ~ ~. ~ BUILDING PERMIT EXAMINER CHECK LIST DATE IS~SUED: / /02 D, AT,E, REVIEWED: J' ~--'~/02 APPLICANt.' ~.[.~-~ ~"~ DAIlY'SUBMITTED: _~/~/02 SCTM#DISTRICT: 1,000, SECTION: ~ , BLOCK: ~ , LOT: STP ET DRESS: Ub. . PROJECT DESCRIPTIO~ ESTIMATED PROJECT COST:~:>~_ ~NGINEEK'r'~:~__ FAST TRACK? SiNGLE & SEPARATE CERTIFICATION-REQUIRED? _ ~,~o NOTES: ~ LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/I/8: ZONING DISTRICT: '~k, CONFORMiNG? 1~"~ REQ. LOT SIZE: ~k,~,o ACT. LOT SIZE: ~.q~:~ REQ. LOT COV: REQ. FRONT ~{ ~) PROP. FRONT/r~ ~''/,REQ SIDE REQ. REAR a.~, PROP. REAR ~ WATER FRONT? ~)t~ ¢/'*~/~da-,~r~> DESCRIPTION: -- PANEL #: ~_ FLOOD ZONE: ,,( , ~:'~ ACT. LOT COY. ACT. SIDE APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or~, (BED #): DTE: / / TOWN SEPTIC RECEII~T: Y or~ NEW YORK STATE DEC: PRE-DEC9/I,'TS YES o1~ ~ ~' SOUTHOLD TOWN TRUSTEES: YES ~) + qoo' TOWN ZONING BOARD APPROVAL: YES or~ TOWN PLAN. BOARD APPROVAL: YES or~Q~ TOWN HISTORICAL PRE (SPLIA): YES NYS ENERGY: YES OR~): ~--/~ EGRESS (18 H min.? 4 sq total) ~d_~ VENT (SQ. FT. x 4%) '~//'~ BUILDiNG PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S :YORN BP,,2F~.'~ t -Z/C/0 Z- ., NOTES: t ~m_~. ~ _~,.~,~ - PERMIT #:R10- LIGHT (SQ. FT. x 8%) .~./~ FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: .¢,2a SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL: SF FEE ~. ~ .~o SE)- ( ~ SE)= ~.t; SE X $. ~'o =$ ~ +$ 7"" +$ 2. ( SF)- ( SF)-- SF X $__=$ +$ +$ TOTAL FEE =$ 765-1802 BUILDING DEPT. SPECTION [ ION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC~HIMNEY 765-t~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~JNA~ RE FIREPLA~I~_ & CHIM~y~ F~FgI ,D INSPECTION REPORT FOUNDATION FOUNDATION (2~xVD) ROUGH ZFR_~NIi[NG & INSULATION ]PER N. Y. STATE ENERGY CODE TOV?N OF SOUTHOLD BUT[,F~ING DEPAR~ ToWN H~LL SOUTHOI,D, NY 11971 TEL: 765-1802 PERMIT NO. BUN. D~G Pt~.M1T APPLEATION CHEC~.~ ~rd of~ Name of owner of premises on.the tax roll or latest de~l) If applioant is a corporation, signature of duly authorized Officer 1.' Location of land on which proposeg work w/Il be done: House Number Stm~ County Tax Map No. 1000 Section Subdivision Block ~ Filed Map No. · Lot, Namre ofwozk (check which applicable): New Building ~ .' Repair Removal Demolition Add/tion Other Work · ff dwelling, m~rnher of dwelliag units If garage, number of cam ~ Alteration' (Description) (to be paid on filing this application) Number of dwelling traits on each floor Ifbusiness, .cdmm~mia! or mlxed occupancy, specify nature and extent of each type of use. / Dimex~ons of exisfin__g slxueture~ fi.any: Front to i Height I ~- ' .. Number of Stories I ' Rear 1 o ' Depth Dimensions of Same structure wlth alterations or additions: Fro~ Depth . Height. Number of Stories. Pear .2. Does proposed construction violate any zoning law, ordinance or regulation: 5. I~ mln prOl~rt7 within 100 ~eet ora fid~l wetland? *YES ,,'~ NO ° IF Y'ES, SOUTHOL~ TOWN TRUSTEES PER_MITS MAy BE REQUIRED · 6. Provide survey, to scale, with accurale foundation plan and distances to propa'ty lines. ' · 7. If elevation at any po/nt on property is at 10 feet or below, must provide topogra~kical data on survey. ITATE OF NEW YORK) .OT. nCry OF .) ~ut?~ ~'l~ '~lc~veO being duly sworn; deposes and says that (s)he is the applicant (Name ofindivia-~! si_t,,~g contract) above named, S')He/s the, (Cobb-nm, Ag~-~'~ Co~o~at, Officer, e~c.) ,f said ow-er or owners, and/s duly authorized to pedorm or have performed the said work and to make and file th/s application; ~'rrorrn~a m me mu,m,.x s~ rorta m the application.filed thca. ew/th. · · ' twom to before me' ' NO'f~l~¥ pUBLIC - STATE OF NEW YoRK NO. 02WI5083328 ~'JALIFIED IN N~ ~RK COUNTY