HomeMy WebLinkAbout23321-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24417 Date JUNE 11, 1996
THIS CERTIFIES that the building RENOVATION
Location of Property 825 VILLAGE LANE ORIENT NY
House No. Street Hamlet
County Tax Map No. 1000 Section 25 Block 2 Lot 4.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 15, 1996 pursuant to which
Building Permit No. 23321—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 PART OF A SECOND FLOOR OF AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to ANDREW & MARY MCKAY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N387169 MAY 28, 1996
PLUMBERS CERTIFICATION DATED N/A
Building Inspecto
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..................4 .............................
N2 233211
Permission is hereby granted to:
......................................... ......................... 7
.�.....®��.... 3.1.z.....................................................
.�F �... ......� ........... ..................
to ... ......... ...... r....... .. .... ......... �....... ......
..................................................................................................................................................................
..................................................................................................................................................................
.................................................................. .......
at premises located at........... f ........ '1,��/�CrE......................................................................
...................... .....................................011/1--- � .................................................. ............
County Tax Map No. 1000 Section ... ............. Block....��............. Lot No. ............................
pursuant to application dated / ' ......., 19... ..., and approved by the
.......... Ox
...................................
Building Inspector.
Fee$....&�..l..........
.... .. .: . - ................................
Bui ding Inspector
Rev. 6/30/80
U rip, � � pd [
�E k ' TOk'T 07 SOU HOLD
r k
JUN 51996 i _IDTNc DEPAR
TOWN H LL
/CO-1802
LBLDG.DEBT.
TOWN D S &PT. D
Aa?71,----ON FOR C��_lr.7CA OF OCMjA�IC'
-. 7 hi S acD__Ca--Gr. muS: 3e iIl b?- =?mewr-_=er OP. _ilic and sLbmit=ee to the bL`ilding
-sD_ ec=o= w-_= Cae =ollov-_n g: or new building or new use:
1. nal SLrvev of DrODer 7 wi-n accurate location 0= all buildings, property lines,
Streets, and unusual natural or toDOgra-Dnic features.
-- :_nal ADDrOval "rOm Hemet: Dent. of water suDD 1!v and Sewerage-d5aOSal(S-9 form)
S. ADDroval of elec=rical inStaliatlOn from Board of zire UnderWr=te=S.
�. Sworn statement from plumber Cer==- Ong tiaat the Solder Used r^- system. contains
!ess team 2/ 0 Of Lin ieaC.
"r Commercial bu* ding, �=dustrL Du ding, multiJie residences and Simi' l ar DL_ di.ZZS
and i, t sa =llatioP.S, = cerif=Cate of Code Co=liance from arch=Left or engineer
resDoP_Sible -or the building..
6. Submit Planning Board ADDroval Of comrf eted Site D lan recuirements
Or existing buildings (prior to Apr=_ 9, 1077) non-con.-forming uses, or buildings and
r!Dre-exiszi.=" land Uses:
_ . ccurate`SL=Jev 0- DrODe= 1 `w��S0g all =Der=y limes. Streets, DL*i:Ciag and
unusual natural or toDograDhic features.
�. A properly completed aDD I'Catlon and a Consent to =nspec= signed ov tze aDD__CanL
-- Ce_�___ at. Of OCCSDanCv _S denied, =1e BL=I :jSpec=Or shall State -he
reasons _Ae_e_or illw=it'_IlS tO the a?l Cant.
Cert_=icate G_ Occ,:pancv - New awel_in_C S23.00, Addi-ions -o dwell_n_c S23-OC•
?�ter -_^. -ions t0 dwe__ _gy S25.00_ JLvi Il ing pool S2� 00, AcceSSOr?_T DL'_1C
Additions to accessory building :25.00. 3usinesses S50.00.
2. Certificate OT_ OCCUDanC7 On B.-re-existing 3u'ld nsz -, S100.00
S. CoDv Of C2rt=ficate Of Occ mancy - -?SC.
Updated Cert_-_Cate Of OCC:Ipamc7 - S50-00
3. _emDOrart Cerr_-_Ca:.e Of Occupancy - Residenzial $1-5.00, Commercial Sl3-00
Date . . .�j�jq . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
iew Cons trncfion. . . . . . . . . . . Ole Or Pre-misting Building. .. . . . . . . . . . . .
�'1 I �
�ocation of PT_ODeTtJ- . - . • - - J�. . !"!�' .\. . . . . . . . . . . . - Q�ff�i . . . . . . . . . . . .
House No. Street Hamlet
?ewer or Owners o ?ro-oer—• . . . . !:W��" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ount;• Taxa?J No 1000, Section. .? . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . .
,ubdiv _ledaD. . . . . . . . . .�o . . �.ir . . . . . . . . . . . . . . . . . . . _ � . . . . . .
? �G. . . . . . . . . . . . . et.(. . - - - - - - - - ' IJ Q:n� , . . . . .erm . Date O _ .
-
..eat=h DeDt. Approval. . _ . . . . uncle=waiters ?pprot a_
-=raring 3oarc Approval. _ . . . .. . . . . . . . . . . . . . . . . .
•ecuesz -v_ . TeTiuGrc (�Cc ff-i.. te. . . . . . . . . . . ina_ Ce-=..Cate. . . . . . . . . . .
.ee Sl!bmi-zed. S . . `•t) . . . . . . . . . . . . . . . . . . .
Siyo$ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l..- 1
RE UNDERWRITERS PAGE ]-f
THE NEW YORK BOARD OF FIRE N
1001093 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
Date MAY 28,1996 Application No.on file 11474796/96 N 387169
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premise ORIENT N.Y.
ANDY McKAY, VILLAGE LANE, POLE # 9, ,in thefollowing location: ❑ Basement ❑ lst FL ® 2nd Fl. f .Section Block-. LqtI
was examined on MAY 23,1996 and found to be in compliance with�the National Electrical Code..
FIXTURE FIXTURES RANGES COOKI7BELLUNIT
DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLI95 SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. W. AMT. K.W. AMT. M.P.
I
_6
I
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLATERS MULTI-OUTLET DIMMERSSYSTEMSAMT WATTS
AMT. K.W. 011 H.P. GAS N.P. AMT. NO. A.W,G. AMT. AMP. AMT. H.P. NO.OF FEET
I
SERVICE DISCONNECT NO.OF S E R V - I C E
METER NO. CC.CONO. A.W.G. NO.OF MI-lEG A W'G.
NO.OF NEUTRALS A.W.G.
AMT. AMP, TYPE EQUIP. 1,O'2W 1,B 3W ]B]W 3 A•4W PER P Of CC.COND. Of MI•LEG OF NEUTRAL
OTHER APPARATUS:
SMOKE DETECTOR:-1
L L
DOROSKI ELEC:..INC. LIC.#2941L
425 MONSELL LANE
. GENERAk:MANAGER` it,
CUTCHOGUE, NY, 11935
x+ 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.`
Y _
� 33 �j
��g�FFO(�co
0�0 GZ�
ca Z
Town Hall,53095 Main Road p • Fax (516)765-1823
P. 0. Box 1179 y� O� Telephone (516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 30, 1996
Boardman Builders. ,
P.O. Box 322
Orient, NY 11957"
Re: Andrew McKay - SCTM#1000-25-2-4 .2
Prem: 825 Village Lane, Orient
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons : �.
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
xx No Underwriters Certificate on file:
xx The check is not on file. $25.00
v
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 # 23321-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
76!i-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU TION
[ ] FRAMING FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS: Lc /7`7
DATE INSPECTOR
M.1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] R H PLBG.
[ ] FOUNDATION 2ND INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC CHIMNEY
REMARKS:
T
DATE � /� INSPECT /'C
3 ,�
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUN TION 1ST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: �
DATE � � INSPECTOR ����
I il?;:r:tiell:il'Ijt;'l'Ll)ll=lo.-volvi- DATE - I;UIIPIIsIII'ni
asps.=n
+ � �v
. 1
I'MI III)n'I'IUI1 ( 1.i'1') I
FU(ItIDATI011
uUUcll I�Itntll; � I � �
I NG
_..._.___ -•-----____----_ fi
r tlsuLn'r r nr1 rr;rt it. Y .
— ---- - - i
S'1'n'1'h
i
---- ----------- -- ------------------
r rnn1.
----------------------=======._Q====nr)n IA 1 o11AL=C011 11r1't's:
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..... ......... .. ..
F
HOARD or HEALTH . . . . . . . . . . . . . . .
Fultcl N0. I .--3 sr•rs olT PLANS . . . . . . . . . . . . . . .
� [ Q 7 . : . . . . . . . . . . . . . . . . . . . . .
'TOWN 0[ SOII'l'lll)LI) SURVEY
C a; BUILDING 0EPAR'1'MRN'f ,CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
BAR 15 19906 r °! TOWN iIAI.i. shP'rLC FORM . . . . . . . . . . . . . . . . . . .
P
=i j SOII'1-1101.0, N.Y. 11971
_ 'i'lil.. 765- 11102 NOTIFY: P
Tr,; rr,� � CAl.l.
lix..nirrecl....- 3 drJ... ➢�. � MA11. TO:
. �
Apprcrved...... ` ... 19 � Permit No. .......Z` ... .....��� ...y r��5.(..... .
Disapirroveda/c .................................. ....................................
......................................................
(Ikr d' g l rr slx>clor)
APPLICATION FOR 111111.i)TNG PERMIT
Date. ma�c� +.8. . . . . . 19�.�0.
INSTRUCITTONS
a. 'Ihis application rural be carlileLely filled in by tylx'wriLer or in ink and sulxnitled to lire Ikrilding InspecLor with
,3 sets of plans, acmirate plot plan Lo scale. Fee according Co schedule.
b. Plot plan rAwming location of lot: and of lxrildings on premises, relationship to adjoining premises or. Ixiblic
streets or areas, and giving a detailed description of layout of property Faust be drawn on the diagram which is part of
this application.
c. 'the work covered lry this application Fury not be ccxmrenced before ismunrce of lkrilding PenniL.
d. Ilporr approval. of this aplAicatior, the Ikrilding lnsix--cLor will issue a Ikrilding Permit to the applicant. Suc'11
permit shall. be kept oil lire prenises .available for inspection Lhrorrglrout the work.
C. - No Ixrilding 141s111 be occupied or used in whole or in part for airy ixrrix)se wiiatever until a CerLificaLe of.
OccAlpaircy shall have been granLed by lire Ikrilding )nspecLor.
APl'L CAIWN IS ll?"R1311Y MADE to Lhe Ikrilding Department for the issuance of a Ikrilding Permit [mrsuanL to Lhe
Ikrilding 7.cxre Ordinance of lire 'I•asm of Southold, Suffolk (:conrt:y, New York, and other applicable Laws, Ordinances or
Regulations, for lire constnuetion of lxrildings, acklitions or alterations, or for removal or ckernol.it➢on, as herein
described. 'Ibe applicant agree's to conlily with all applicable laws, ordinances, building code, lxxrsing code, and
regulations, aril to ad.nit smtlrorized inspectors on premises and in Wilding for necessary inspections.
ipnahrre of applicant, or Forme, it a corlxrraLion)
(Mailing address of. applicant')
Slate wire`l,l►wr1\ /`ral>j-�lican�7t is owner, lessee, agent, arclrit:ecl, engineer, general contracLor, electrician, p1mber or Wilder.
�,K
..... ........... �-�.-1 V .............................. ............................................................
Ntxne of anrer of premises ..._C\nl� R'aj \V�C l�(A a..I yVwV y..m� � ..........................................
(as cxr the Lax rol or latest deed)
If aililicanl is a corioration, signature of: drily mrtivorized officer.
0. .. ............................................
(Nrme sail title of corporate officer)
Builders License No. ...... .. z.' ......
P[mirero i.ic:ense No. .....���.�� ..r••.....
I-electricians License No. .2�-C1 4... .........
Other Trade's [Acense No. ....................
1. incation of land on which proposed work will be done..............................................................
c
..... z�....._.... `\... ...1-.� ......................................o �j�� ..........................
House N;xsirer Street lUnl�eet
(:cxsnty 'l:-rx Map No. I(XX) Section ......Z 5....... Illcx:k .....Z........ Lot- .... '..6-r.....
Sulxlivision .......... h....................... Filed Map No. ............... l,ot ............
Name)
)
2. Stage existing use and occulkincy of premises and intended use and occuparx-y of proposed construction:
a. fxisCing u:>e and occupancy ... iY�S(R ............................................
Sire � �(A..i .
lr. Intended use and occupancy ........�.... ... ..-. ................. .............................
'1. Kiltire of cx)(k (clieck ►id(J► ul,l)licable): NL%j Ik(ildioll ......... . Mklition Alterat.io► .. i
141141 i r ............ Itell0val ............. Ikarnl i L lot► ............ Ol her IIork C
(DescrIptioo)
4. Est•il1KItLcl (ost: X5C`XJ• ��......... fee'.........................................
(to Ix! paid on filing this applicalicx►),
:i. If (hmllinl,, ►1cn1)er of A,?ellintl units . ........... i1cr1l►er of Atellilit, Is,I1-a on each floor ................
Ifgarage. ►xilber- of cars ......................................
h. If Ix►alneso, ccmnercial or mixed o(:culmocy, specify mal.ure stiff extent of each type of title...... ................
I. Dim-iisions of existing at'n►chirea, if arty: Fr(x)t................ Rear ............... I1t:pt1► .................
Ik!igl)t ......................... Mrd)er of Stories ...
D•Inleosions of sane sLnu:ture with alferaLicx►s or rxkiltions Fronl ...... ......... Itear ...............
Dept11 .................... lieigl►l: Mulx!r of Stories ...............
0. Diurelialo►s of entire Oew ux)str(x :icx►: FronL ............ .... hear .... ....... .... Depth ..... .........
Ileigl►t: ......................... Nnlx!r of Stories .....................
9. Size of lot: limit .................... Ilear .................... Ik!l)ll► ........ ....... .....
10. DaCe_ of hir(:11a!:e ..................... Mane of Fortner (Xmer ............
II. Moe or use district ill wl►ItJ► praid ses are situated ........................... ...................................
12. I)Oea prolx)sed coostnu:tion violate any zoning lau,,ordlnaoce or rel;ulation: ....01?.................
IJ- Will lot lie rellrack!d ..... ............ Will excess flll 1)e romwed fron prenines: YES rlO
Ito Names of Mn►er of prcanisea ........................... Ackirena ................ .............. 111(x)e No. ..............
rk.ne of ArcJ►Itect: .................. .................. Ackiress 11xxx N). ..............
rlaae of C(x)I:raet'or ................................... A(klress ...................1110 cif: No. ..
1.1 is (ills property within 300 feet of a tidal 1retin(xl7 * YI�,R ...•.•.•.•. ND ..X ......
*IF YES, -%AIIIKXI) IUM •111INMERS VE-1411.1• HAY Itg RG pi.In).
PLOT DIAGRAM
Tcx-al.e clearly and distinctly all Ix)ildings, r.A)elher existing or prolx)sed, aril hulicate all set-back d°n,enaions
FtcAn prolx!rty lines. Givekstreet aril block is sifter or descri lit Ioil accord Iog Co. deed, arxl allow atreet manes tax] irxlical'e
(dlelher interior or corner lot.
- APPROVED AS DOTED
�r DATE: B.P.#
GCCUPANIC'Y OR :""'
NOTIFY R1 IIAT
USE IS UNLAWFUL 765-1802 9�AM TO 4 PM FORDING DARTTHE
WITHOUT Ct TIFICATF. FOLLOWING. N INSPECTIONS:TWO REQUIRED
CY FOR POURED CONCRETE
�l I• V CC U I�A1 V
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
Ui?<<)ETAIRITERS CERTINCATE BE COMPLETE FOR C.O.
REQUIRED ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
Ul'Nlli (H rt1I Y(rtK, DESIGN OR CONSTRUCTION ERRORS
SS
(X)111JIY (XI, .....................
fz 1 L"v,A P, Y�ngv�
•••••• ......• •-• •••••-•••••.•.... .............Ix!inll duly oworo, delxmea cnxl nays that he in the npplicanl:
(11anc! of ilxlivid►al. aigning conl:rac.0
alx)ve 11:11K.d.
Ik! in 1.11(! .. ..fir) {A&(? ............ ................... .................. ..............................
(Cool:ractor; agent, c:orlx)rate officer, etc.)
of nail rn•nx!r or (x.)rx!ra, mxl its-1 uly rn(Ihurired Cu lxlrf(r(la or Ircrvi: jX!rI*or livid,111 o Itrilif wci(Ic,.411A fir nwJu! ►miff fill! Ihin
nppl icaLion; Lhal: al 1. nLatuiviiLa .contained in this oppl icat°cn► Ore Lrrx! to the bent of It koowledlle nlxl Ixil ief; nlxl
ilial. the work will be perfomed in Lim n4aux!r seL forth in the applicnl:iun file(I therewith.
IkAun to Ix,fu�r 1 LI)Is
:da )f:
rice
CLAIRE L.GLEW (Sil;n,llure of Applicant)
Notary Public,State of New York
No.4679505
Qualified.in Suffolk County
Commission Expires December 8,19
z v `ti
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LAVkA
-
1�nS���-Q WON, s oo\� QA
W'L,
SeQ �Ci�ac.�nsi� �a►r
GCCUPANPVY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE,
OF OCCUPAiycY �5 j � a.P� wlI,_;
MAR 1 5Ic;
3 G I' �h�v,kki YA� co+.,,r�,���
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ZY6 KhuW�.�,�o �-C �lttifi�aL
4$�I h�b`
PROVIDE OPENINGS FOR
EMERGENCY.ESCAPE AS
RYA
N.Y. STATE BUILDING CODE.
3 e /
i o b e ins%k w {f i,,
BO t1��'s��. a� sI� -U
ARDMAN BUILDERS nn e
P.O. Box 322 _ _ �o\
Orient NY 11957 ^ \I `
IN 'r V I�Y'i k�3 �.� C�t L I f rj f_r
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1 u 9P'0
BOARDMAN BUILDERS -Ptv
P.O. Box 322 �,Ql't�
Orient, NY 11957