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HomeMy WebLinkAbout23318-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24256 Date APRIL 3, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 43385 ROUTE 25 PECONIC, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 1 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in, this office dated MARCH 10, 1996 pursuant to which Building Permit No. 23318-Z dated MARCH 20, 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 RENOVATE EXISTING RETAIL SPACE "TO BEAUTY SALON AS APPLIED FOR. The certificate is issued to LORRAINE DUNHUBER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A . UNDERWRITERS CERTIFICATE NO. H-049205 - MARCH 22, 1996 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 , 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) Date................. ............................. 19..l..fr"'.. NP 23318 Z Permission Is hereby granted to: . ...�...rt!�......�.�..`... . ............................... co ....1.��......................................... ��- es'. .I..... ............. to ..., u tfiAlz.........'Alf......A...,F%f,�f. ... ........ ( /...,........ r� �P......... 1 f� '...� d..... . ................................................................................................................. .................................................................................................................................................................. .... .................................... ................... .4 4 .................................................................. at premises located at...... :!,. .... 1 ......................................................... . ......................................................................... County Tax Map No. 1000 Section ......7:� ......... Block.......®1.1.......... Lot No. .....A�.............. / Z'l p pursuant to application dated ....... ../. ................ 19....T. �7,�... and approved by the Building Inspector. Fee$.. ........... el ............ .. ............................. ullding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR..CERTIFICATE. OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building 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 Buildinc - $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 . . . . . . . .I. . . . 1 . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . ... . Loltation of Property. .gW S. . . . . ... . ... . . . .&-2 'a ... . . . . . . . . . . . . . . . . . . . . _kco/� I... . . . ... . . . . . . .. . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . b Y;! ,G(�I.n . . (�v]!1 Gc �j e:f" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . .Block. . . . :. . . . . . . . . . .Lot.. .` . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . ... . .. . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . .Lot... . . . . . . . . . . . . . . . . . . . . Permit No... . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. .lr Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . .. . . . . . . . . Planning Board Approval.. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . ... . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (� �„•���al APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS parr 1 8059159 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date I ARCH 22,1996 Application No.on file 11311496/96 H 049205 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 IRENE W. SMITH, 43.385 ROUTE 25, FECONIC, N.Y. in the following location; E Basement 0 I st Ft. ❑ 2nd Fl. .Section Block Lot was examined on 141-PURCH 18,199G and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. ' AMT. K.W. AMT. K.W. AMT. H.P. 5 2 3 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E nAMP. TYPE METER 1 0 YW 1 03W 303W 3,0'AW NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER b' OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: EXIT SIGN-1 JOIUq L OETCHER EAST L�OITCHER L,.ANE H1 4PTON BAYS, NY, 11946 GENERAL MANAGER 11 Per 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. o�OSpFFO(�c� cc 2 Town Hall, 53095 Main Road p • Fax (516)765-1823 P. O. Box 1179 y �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1996 Ms . Irene W. Smith P.O. Box 182 Peconic, NY 11958 Re: BP filed under Lorraine Dunhuber. 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. xx The check is not on file.' $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber. Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING ,PERMIT # 23318-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 3lL _INSPECTOR BOARD Or IIF.A1:1'II I 1701m No. 1 3 SETS OF PLANS . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . c i l�; i BUILDING ILDI NG DLl AR'nip.wr . .I ii r7 CiIIiCR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIAi.i. SIiP1'1 C FORM Lh � ' �- S011THOLD, N.Y. 1 197 1 765- 11102 NOTIFY: . . . . . . . . . . . . . . . . . . ,/._1" ... 19_� r1ni1. TO: . . . . . . . . . . . . . . . . . . . . �3/ 19'1 . AzL ................................... . p�p7r crve<I....... ..., � fermi t 1Jo. .......... ... Disapproveda/c .................................. ........... ...................... ....................................................... ..... /1,)xp-c ..I....... (Ikiil n I'nr) APPiACAI ON FOR 11111i.DiNG PL7Rt1IT n(� Date. . e . . . . . . . . . . . . . INSTRUCTIONS a. 'Ibis application mist Ise cagilet:ely filled in by tylxaariLer or'in ink and stdznitLed to Lbe 1kAlding Inspector milli 3 sets of plans, accurate plot plan Lo scale. Fee according to sclieckile. b. Plot plan sliowing location of lot and of Imildings on premises, relationship to adjoining premises or lx,blic streets or areas, a7x1 giving a detailed description of lay(xnt of property must he drawn on Lhe diagram wliieli is part of this ah171 icaL'ion. c. 'the work covered lry this application Px(y not be c(mmienced before issuance of iknilding Permit. 'd. I)[") approval. of this application, the Ikiilding Inspector will issue a IkAiding Permit to the appliC,11L. .rilu'h permit shall Ile kept- on the premises available for inspection throughout the work. e. No Ixcilding sliall he occupied or used in wliole or in part for any ixirpose wliat'ever until a Certificate of: Occ7ipkaix:y shall. have been granted by tine Wildinl7 Inspector. APl1X:NI'ICH IS 1l1-0111Y rWE-to llw Ali Department for Lhe issuance of a ikillding Permit ptiruant to the Ibildh% 7xm)e Ordinance of the Tom of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for. Lhe construction of Ixjildings, acklitions or alterations, or for removal or demolition, as herein descril"l. 'file applicant agree's to covjly witl► all al-rplicabl.e laws, ordinances, lxiilding code, housing code, alxl relnilaLicns, and to admit authorized inspectors on premises and in Ixnilding fo necessary ins ions. . .. ................ (Si4� re of applicant, orj name, if a corporation) Waiting,g, sxklress of applicant:) State wlHetl►er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluib>er or Wi lder.1 �........ ......... ............UP. �OVERAS OT Q.f� . ..... 3 U e !��jY) u Je DATE: B.P.# Nave of (xnxer of. premises ..._.. ....... 1/l l�,,,,,, FEE: BY: (as cn the lax roll or palest deed) NOTIFY BUILDING DEPAR MENT AT If applicant is a corlx)raLion, signature of: duly authorized officer. 765-11302 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS:, (Ii� E ;"ylFcITE,E CERTIFICATE 1. FOUNDATION TWO REQUIRED .......... ................. REQUIRED FOR POURED CONCRETE (Nee aixl title of corporate officer) 2. ROUGH - FRAMING & PLUMBING OOCCUPANCY OR 3. INSULATION 4. FINAL - CONSTRUCTION MUST Wilders License tio. .......... B5 COMPLETE FOR C.O. Phsibers License No. ......._..USE.I.S.UNLA11YFUL ALL CONSTRUCTION SHALL MEET ..WITHO.UT CERTIFICATE. THE F.ECONS-HUNTS OF THE N.Y. Electricians T.icense No. ... STATE CONSTRUCTION & ENEFtC-�`f ...®i:'OCC�PANCYL CODES. ;vflT RES('flf�SifdLE FOR Other 'i'ra(le's License rTn. .. -S' C ��...F- CUN U TiQ �E�E'LIRS I. IocaLion of land on wliidi proposed work will be (bne........3 ....... ..... . ..........U.... . ....... ....................................................................................................................... Ifouse Nuni7er Street llanlet Ccx,nty 'Fax Map No. 1000 Section ......7 $ ..... Mock ......I........ I,oL ...1,6 ......... SulAivision !U /jn.................... Filed Kip No. ............... 1.,oL' ............ (Marie 2. Stake existing use arxl occupant' of premises and intended use and occupancy of,J�proposed construction- a. Existing use and occupancy ......�.. � S. { 57 ................ .�`c� ...�J. ........... b. intended use and occupancy .. �.� 1. ^ JY�.. C J am +Q n............ U 7. Kattire ill` ►oik (dieck widdi t►ljAirl►ble): R--w Ikilldinll ... ...... . Acklit'ion .. ........ AlIerm.loil ..... ..... MIwir ...�<....... Itaimal ............. D mlILion ............ Other Unk ................................. . 4. Lstitritited (osl: ....... ....v:.uti.... fee................... .................. ... ........ (to be paid on filing, tills application) :i. If ihx!Ilhill, ►taller of &,etlini; units ............. liviber of iMellini; till il's cx► each flcxir ............... . If garalle, ►xrdier of Cara ...................................... h. If Imaloesa, cam►ercial or mixed occtq►rnK:y, specify oi►Lure aixl extent of each type of use...M -e.4�.(JC�u���G! 7. Iliiiiemdo►s of exisl:log sl'ribetilrea, If any: FroiiL..... ........... Rear .. ............. depth Ik:igl►L Umber of Stories .................... .. I)iniensions of sine stnu:ture with alteraLicx►s or a(Milions: hront: .......... ..... Itear ......... ...... Depth .................... ileilgit ... ................. Rattier cif Stories ............ ... 0. Ohttenr,icx►s of entire tier coliaLrucLia►: Front ................ Rear ............... I)eplh .... .. ........ Iki(;I►l: ......................... Umber of 51'ories ..................... 9. Size of InL: llrcxit .................... Rear .................... WplI► ........ ....... ..... 10. Mire of hircbase ..................... iJillie of hornier Wirer ........_.......... ...... ............ II. Zcxie or use district: in uliicil pre►►isea are aihiate<i ..................... ...... •........._........................ 12. Does prolmsed cimstrric:tion violate any mdog law„ordinaiK:e or regulaLion: ..... ............... I:). 14111. lot be rellraded .................... 'dill excess fill lie rrmiwed froin proulnes: YES t1) 16. Mrsties of Mawr of prenl see ........................... Acklreaa ................ ._............ 1`1 lot w tk). ..........._.. Nam- ail' Architect: ............................•... .... Acklresn ......... ......._............. lliom Ik►. .............. N:.rte of Contractor ............................ Aoklress ...............................11xit►e No. .... ...•...... r IS. 'Is Ibis I)Mperty within 39) feel' of a tidal uetlaixl7 * YI?S .......... x) *IF YI:S, SmIllml) lum '11U1SI1?i?S 1ti13117' my 111s ItuplRl:U. PLOT p 1ACIlA1.1 ' locEiLe clearly aril dist:iocLly all lx►ildinga, rdtether exislAng or proposed, aril irxlic:aLe all set—back dlatenaiona from property lilies. Cive�,atreel nix] block limber or descripLioii according to deed, arxl Mimi street' oalien nixl irxlicafe ►atelher inferior or corner lot. w vr-U (-P-js lc(r ( ,p pf � � i ► � n 3 Y-\ 6S MA'Ili (W Pi14 YORK, (XMItJIY (M' ..... ... .. �44gy • r. .�,, ; I�e'�►,�iil-i;ly� z?or�Y�,. d�j>n�;g,;} aixl hays Thal he in ilia appl icanl: (Nintc! of i►xliviclual. sinning c:onl:rac'l:) } 411-.ITt"i almvc IIi�IY!rl, t'4 � � 9ck�f ,.�v>dA 3 i! tS l u Ik! Is Lhe � ..... .... .................... ..'° �'•� "� ;�:. ai.':I'. ..:............................ (Ccml:raclor, nllent, c:orliortiLe officer, etc.) of: said ;jtnK!r or owix!rti, arxl is duly ❑ulhorim-d to imi-fomi or haw! IK!rfonrrld 1.I1(! acid wor'i( soil to nodal srxl file Ibis application; Oult all. sLaldnenL's contained in chis npplicatiou lire Ltsic to the Imal: of his kixmictige mxi 1A)ef; srxi Ihnl. the Work will be Iierfotnted in l.he nuioim!r set forth in ilia applicnl:ion filet) Ihe,-Cwitl►. DAMI to Ix!foa Lhls .......(lay of Pk►Lary I'►ibl is c. .. HELENE D HORNE I nature of Appl ic:anl) Notary Public,Stafe of New York No.4J51354 Qualified in Suffollc Count,,(CQI7!Ir►iSS1C?iry E:;�ires May 22, 19