HomeMy WebLinkAbout23351-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24667 Date OCTOBER 1, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 1150 HARBOR RD. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 75 Block 3 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 26, 1996 pursuant to which
Building Permit No. 23351-Z dated APRIL 8, 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 DECK ADDITION,ARBOR & ABOVE GROUND SWIMMING POOL AS APPLIED FOR
The certificate is issued to EDWARD & TERRY BEYLERIAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL INSPECTION CERT. J12000 MAY 14, 1996
PLUMBERS CERTIFICATION DATED N/A
a
Bu' ing /Insii6ctor
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 UN11L FULL
COMPLETION OF THE WORK AUTHORIZED)
Date....................� ............................ 19..
N 23351 Z
Permission Is hereby,granted to;
yam .......... .. .....................
1 ....... ��7 ....� d -...... .............
fa. ......... : ...f,....... .. ..
f,
to ...... `.!�1,?!�c2 C.i......... }........ �/ ....... Q.�l �'✓... .... ........... . ................
..... .......... 1�.......�'�.�MC� ..... .4.....................................................
..................................................................................................................................................................
..................................................................................................................................................................
...................................:......................... -y ..................................................................
at premises located at........1 !..... ✓ ....../ ..........................................................
......................................................... .. l .eef.....�'.� .. ......&??/...................................
County Tax Map No. 1000 Section .... ......... Bloc ....... .......... Lot No. ..... ...........
pursuant to application dated .............. >�! ... .� ......... 19.... (,�e .., and approved by the
Building Inspector.
Fee$. .��......
1 ................................
Building Inspector
Rev. 6/30/80
✓ �,.,�� /J 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 OF, 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 to 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 Buildine - $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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . !�.5� . . . . .S.oUTJ�. /ff1i2 ��. . . . . P . . . . . . . . . .S OO!. .. . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . . T"�P..� . . . . . . . Z..�✓Ai�.. . . .. . . .13E/L. . .. .AI� . . . . . . . . . . . . . . . .
75
County Tax Map No 1000, Section. . . ... . . . . .Block. . . . .` . . . . . . . . .Lot. . . . .�.'. . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . .
Permit No. . .. ...�sl Z. . . . .Date Of Permit. .��. . . 1.� .Applicant. .���.������ ���E. . .A . -
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Reauest for: Temporary Certificate. . . . . . . . . . . Final- Certicate. . . . . . . . . . .
Fee Submitted: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
!^?. . . . . . . . . . . . . .
q q APP iC T
co aq6� 7
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EAST PATCHOGUE,NEW YORK41772
(516)286-6642
12000
DATE; 5/14/96
APPL I CATION No:ON FIL E
YUAGE: SOUTOHLD TOWN: SOUTHOLD
ADDRESS:.. I750.SnUTNH�RRnR.Rt7An ....
d .
ISSUED TO:
EDWARD BEYLERIAIV
INTRODUCEDBY. EECO.ELECTRIC CORP. ..LICNo:.': 2816-E
was examined on 5-14-ge and found to be in compliance with the Ndtional Electrical Code
LOCATION. Base.. ' 1st 2nd 3rd Attic
Det.Garage Hot Tub Pool.
SPVFTCHES RECEPTACLES FIXTURES HEATERS FANS G.FY AIR COND.
DISHWASHER DRYER..::'.: CLOTHES WASH.,. I GAR.DISP. RANGE, OVEN SMOIXDETECTOR:,
FURNACE OIL GAS: CM.. MOTORS BELL TRAM. SERVICEDISCOMNECT .` -
hfETPR.: AA�S PfIASE ,,
OTHER
EQUIPMENT
OUTSIDE;RES.
1-20AMP:SPEC.3
d----qL S. SURDI
PRESIDENT..
BUILDING PERMIT NO.,. .: 'Ibis oatificatemust not be alhmA in nny manner
a credentials
Inspectors maybe identified by rhea aeden'als
BLUE ORIGINAL: YELLOW COPY PINK COPY OFFICE
0
44
Town Hall, 53095 Main Road I ,�
® C Fax (516) 765-1823
P. O. Box 1179
�� Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 20, 1996
Edward _Beylerian
1150 So. Harbor Road
Southold, N.Y. 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
ZXX An application for Certificate of Occupancy is
not on file. (Enclosed)
ZZR No Underwriters Certificate on file.
ffi 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 # 23351Z - Edward and Therese Beylerian
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
T65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ FRAMING INAL
REMARKS:
olq
DATE � ' -INSPECTOR l d
i c
f i hI;I)- 111!;[,1,(;f Lot I. it I., )ItT 1)A1,1;
.11
f -ti v =-- =- --a a,= m .io -_—,,_--•, _
II �
I'MIIIIIAT I O11
............
_... -
-0u1mATloll====(2rrr))=u==e
I
I �
ItI)I1C11 F ItAF11i 6
---------------------- ------ ______
IJSlll.n'1'1ON I'(iit if. Y . ---- - — ' 1
srnTr r.rrriltcrr I
---- - ----- - - -------- - —._.. _ -- - --- ----CQI)1-1, -- : _ _ ------
'-
- a-==„ -. _,_� �a. • --=-----,---- ,s..--- ----
====------------------- -eme4me-a= _ ___. _-
===e=_==4e= �e�_=� AUI)t'l I AL (:Utitll►UTS
------- ----------
-.........
L 11 �1 rl 'sl
T . . . . . . . . . . . . . .
I! 1'URtI NO. I 3 SI?T1, OL 111 A . . . . . . . . . . . . .
MAR 2 6 1996 ,`,= TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . .
p, BUILDING DI?I'AR'IT11?N'1' CIl1.CR . . . . . . . . . . . . . . . . . . . .
_�•� TOWN IIAI.I. . . . . . . . . . . . . . . . . . . .
SOU'1'1101.1), N.Y. 1 197 1
'rill.: 765— 11102 NOTIFY:
CAI.(, 7�.6 ,
----- .......... 19_(.� MAIL. TO: . . . . _ _ . . . . . . . . . . . . .
Alrlrrc>vecl....... .., 190 fermi l �.... ...................................
Disapprovedale ........ ...............................
......................................................
( AI( 'n nslm -or)
APPIACATLON LOit mni.DING mitt r
Date. . . . . . . . . . . . . . . . 19_ . . .
I NSTRUCT IONS
a. (Lis application Dust be curgiletely filled in by tylxsariter or in inlc aril stihniL,t'ed to Lire Wilding Inspector with
3 sets of plans, accurate plot plan Lo scale. Lee according to sclreckrle.
b. Plot plan slrowir% location of`lot aril of Ixrildings on premises, relationship Co adjoining premises or lxrblic
streets or areas, and givirq; a detailed description of layout of property most be drawn on Lite diagram which is part of
1.111s appl icat Ion.
+ c. 'the work covered Iry this alrlrlicatiorr may mt be ramrrerx:ed before issuaiwe of: Wilding Permit.
d. (liner approval. of this alrlrlicaLion, lire Ixrilding Inspector will issue a Ixrilding I'errnit to Lite applicant. Such
permit shall be kept- on Lire premises available for inspection lhrocrglrout Lite work.
e. No Ixrilding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall. have been granted by tIte Wilding Inspector.
APPLICATION IS WITH ME to Lite Wilding Department for Lite issumx:e of a Wilding, Permit pursuant to Lite
Wilding Zorre Ordinance of Lire 'fear of Southold, Suffolk County, New York, and other applicable laws, Ordinances or
RegulaLlons, for the construction of Ixrildirrgs, additiorrs or alterations, or for rerroval or demolition, as herein
described. 'five applicant agree's to ecnirly with all applicable laws, ordinances, Wilding code, (rousing axle, and
regulations, aril to admit audorized inspectors on premises and in Wilding for necessary nspec''ons._
... "?X... ..........................
:.
(Sigruattire of applicant, or nanre, if a corporation)
/Sv S.#41f aot? RP Soa7#0 LA
..............................................
(Mailing addres's of. applicant)
Stale ,Awtl)er applicanL' is owner,Aessee, ,hgenL,_arclrit:ect, engineer, general cont:racLor, electrician, p1mber or Wilder.
:... b W^ .c t..� ........... . .................... ........................................
Nave of carer of premises ....... �FbVAKD 'AAVD 7-KEKS-5*4F 13.EXL EV A!t/..............................
(as on t:he'Lax roll or l.a Les t7 ;.` Z, T':"�.i(,,
If appl icant is it corporaLic„r, signature of duly audlOrixed offlcer":
(N.ne aril title of corporaLe.officer)
lkuilders License No. .........................
Phsiber.s License No. .........................
Electricians License No. .....................
Other Trade's License No.. ....................
1. Location of land on whrielr proposed work will be done.
J/so so�rr� ,� �o R RP so 7-Al P
.......................................................................................................................
liocrse Nrnber Street lianlet
(:cr,mrl:y Tax Kip N). I(XX) Section .......7.S.... shock .......�.._.. I of .......f.5.._
Scrlxlivision ...................................... tiled Map No. ............... I.ot ...............
(Ilene)
2. State existing use and occuparicy of premises and intended use and occupancy of: proposed construction:
a. Existing use nix] occupancy .....1..��/�.�L,/...//C)a s C..........................................
1r. Intende-d rise aril occupancy .......!„�..C..... /1(�...1!.EC .......................................
1. KIlnre of Ixlllc (clx:ck wIlitil allAicahle): NL%j Iktilelinl. ..... ..... Acklition ...... Alteral.ion ....... ...
MINIir ............ Itetlloval Ikmwl Mon ............ Other lklrk ............. ...... ..... ......
�� OOA9 (Deser 1111 loo)
4. I:sl:llllitle(1 (osl ... ................... fee . ................................ ... ..........
(to he paid on fi I roll tills application)
5. If (Ax:lIing, imber of (knelling units ............ Ilirlller of: (k►elling unira oil each floor ................
If garalle, 1xsd►er• of ears ..................... ............ .... .
h. If. Ix1(ritxas, can►terclal or mixed ocetitwr►cy, specify nmlure a►xl extent: of each tyke of use...... ................
7. )1inv-malont; of: exisl:ing atniclirres, if any: Frexlt..... ........... Rear ............... Depth .. . ....... .......
Ik:iejit 14mber of Stories ....... .. .............
Dimensions of acute aLri►cture with alteraLlons or rxkllLions: Front ............... Ilear ...............
Ik:11111 .................... Ile 10it . ..... Rxiber of Stones .. .............
II. I)i1i►ensiexls of enLire new (xxrsLrucl:loti: Fro►iL ................ Ilear ....... . ....... Will It .... ..........
Ik:II)II.. ......................... Unher of 181.0171428 .......... ...........
9. ';i•re of IoL: limit .................... Rear .................... Iktlllt ................_...
10. Nave of hircl►:r::. ..................... M-ilx: of Dormer Mmer ..... .. ... ..... ...... ...................
11. 7txxe or use district I►► wllldi In-allisea are situated .................... ................ .................. ...... ..
12. 1kx:a prolxmed ccxlstnx:tlon vlolaL'e any zcx►iog lrlw,,ordinatic:e or rellulat:10o: ........................
1"). Will lot Ile regrrxled ....Ale........... Will excess fill be remrrved fron prenises: YES U) y,
14. linden of 0,mer of premises L�1)k/4R0 BE-2'LER/AAA n(klrens .r I S�..S'.#42l30�...�f ... llxxle tk�. 7eS-�,�!�9,
Natie of Architect .................. ... ............... Acklress .. ....... ..................... l'llotte lJo. ...t...........
limie of Contractor .c-[IAB�E AvoCS............. A(klress .............. ...../ ...... 8 7
IS. is tills pmllerl:y willlin NX) feel' of a Lidal we0arxl7 * YES .,c... NO ....
*11- YBS, S(Aflll(HI) IVXM '1111IS11013 11i11-11.1- MAY RI? Rapt In).
PLOT 1)TAGRAtt
lcx:al.e clearly arxl disLinc-Lly all Ixllldi►gs, i,llether exlscing or prolxlsed, mxl llxlicnl:e all set-lux:k dimensions
from protlerry lines. Give sLreet arx) block raillx:r or descripLicxl according Lo (teed, mlxl eillcxa aLreet rlrrllen m►xl irxlicafe
%Aielller Inferior or corner lot.
APPROVED AS NOTED
G G U pA GY OR DATE: B.P.# �j
U IS UNL A4 �FUL FEE BY:
_ NOTIFY BUILDING DEPAR MENT AT
WITHOUT CERTIFICATE. FOLLOWING INS ECTIONSM FOR THE
OF aGGUPANCY 1. FOUNDATION - TWO REQUIRED
ERS
UP�DEFI�'dRIT CERTIFICATE � FOR POURED CONCRETE
FiERSEQUI EC 2. ROUGH - FRAMING & PLUMBING
3. _INSULATION:.
����� 4. FINAL - CONSTRUCTION MUST
ED1AI�ELY" BE COMPLETE FOR C.O.
ENCLOSE POOL. iT CODE ALL CONSTRUCTION SHALL MEET
UPON POOL -0 C THE REQUIREMENTS OF THE N.Y.
BEFORE 'WATER" STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
sfnn: (x, lr«W v sK DESIGN OR CONSTRUCTION ERRORS
lIxx11rIY (Ir .. /
-•--... `e . .. �yl. �.(. .�....... —Willi; duly iwxlrn, delx)sea alxl anys l.11al' lie ill theapi>lic:al►I:
(N;rlu of i►xlividtull, aigninll contract.)
alxrve nt�lr:d,
.�� ........
Ik: I11 (It(! .............. .............................. ................... ...............
((:ontrmclor, ngenL, corlxmnLe officer,
of: amid utaier or owlx:rn, riml in tlul:y aulhorized to lx:rfonu or have IK:rfonlnsl 1116 ,uaid work a►xl• to riJAM lifO I'l Ie 'Illih
appl icat ion; Lhal: all. ntaLeiueuta col1ta11x:d in 1.11is r►ppl icaf ion are Ln►e to Ilse Item: of his knowledge mlxl Ixil ief; alxl
Ihml. We wank will Ix-- l,erfornled ht the nuunx!r net forl.h in the applical:ion 111ed I.here:willl.
IkA)ro to I//xa''f ire un 011s
lQ.... (lay of Ck19 3
K)Lary 1 1) ic: ........ ..... .. ''� c
�r�Z�`�'
CLAIREL.GLEW (ait;oal:ure of npplic:anC)• .........
Notary Public,State of New York
No.4879505
Qualified in Suffolk County
Commission Expires December 8,19_
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No CHANGI----
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w. o0E
WIN 1)0 w
OCCUPANCY Of
USE IS UNLAWFUL
PECK WITHOUT CE FICATE.
OF OCCUPANCY
v T1
UNDERWRITERS IMERTIFIC'ATIE
REQUIRED
POOL
cf)
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'WATER"
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