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HomeMy WebLinkAbout23381-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25241 Date SEPTEMBER 4, 1997 THIS CERTIFIES that the 'building ADDITIONS Location of Property 650 CAPTAIN KIDD DR. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 2 Lot 51 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 1996 pursuant to which Building Permit No. 23381-Z dated APRIL 22, 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 FIREPLACE, & CHIMNEY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HELEN PHILIPPOU (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A. UNDERWRITERS CERTIFICATE NO. H-056665 - AUGUST 22, 1997 PLUMBERS CERTIFICATION DATED N/A i ing 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) ` a Date ............... ............ ........... ................ 19. ..�P.. N2 233811 Permission Is hereby granted to; Zv CSC.. .........�.�..�..�?- ..4.• .............. ..! i �t ..........:.............. to ...... . ................... ....Q,. .. ... .. ..... ...... . .. � ....`-'Z i, ...... .. ............ , .......... .... �. �......... ........... .�.... % . .................................................................................................................................................................. .................................................................................. ........... .................... at premises located at................... �......� .. ,�•• ... . .. .... ram.r................ ....................... ................................................ ... ............................................................................ County Tax Map No. 1000 Section ..... 54..... Block..... .............. Lot No. .a� ................. pursuant to application dated ..................... .. .. ..�.....f ............ 19..i .... and approved by the Building Inspector. Fee$.. .............. Building Inspec r Rev. 6/30/80 11 O V OF 'SOU THOLD lJ ING DEPARTMENT Sf-r 3 TOWN HALL 7 1993 aw 765-1802 - - -�� i'l a�.BLDG.DEPT. , tit FO 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. �q 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. d • 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 Buildins - $100.00 3. Copy of Certificate of Occupancy 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . • . Old Or P -existing B)ufilld g Location of Property. . .�.... . . . � Y' . . .." .I `� �. . . . . .. �--�-.• ' / / l 4/ t��C .. ... House No. /1 Spet -- Hamlet. 12 Onwer or. Owners of Property.. . .�:G�:✓ . . . ��.� Y. . C: .0 . . . . . . . . . . .. . . ... . ..... .. County Tax Map No 1000, Section. .... . . .. . . . ..Block. .. .. . . .. .. . . . . .Lot.. . . . .. . . . . . . . . . . . . . . . . Subdivision... . . . . . . . . . . . . .... .. . . .. . . . .. . . .// . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . Permit Noz:,3., ..�K1. 2_ .Date Of Permit. . . .Applicant.G !'.':. .� ��:f � •� Health Dept. Approval. . . .. . . . .. ... . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . .. Request for: Temporary Certificate. . . . . . .. . . . Final C rticate. . . . . . . Fee Submitted: $. . . . . . .. . . . . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 3067162 . . . BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 AUGUST 22 '1�9,97 143821.97/97 H (456655 Date r Application No:on file 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 HELEN PHILIPPOU, 6562). CAPTAIN KIDD R. OA , MATTITUCK, N.Y. , NO in the following location; ❑ Basement ® 1st Ft. ❑ 2nd Fl. OIY� Section Block Lot No was examined on AUGUST 19.i 1997 and found to be in compliance with the National Electrical Code. ra FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 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 1 C E AMT AMP. TYPE METER' 1 A,7W 1 0 3W 3 0 3W 3 X 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO. NEUTRALS A.W.G. EQUIP. PER Ar OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: ENTIRE PREMISES-1. *N0 VISUAL DEFECTS- .-."An c-lec:.t ri'cal _ survey has been made of. ..tl)e. expo zed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. L L HELEN PHILIPPOU 650 CAPT. KIDD ROAb GENERAL MANAGER HATTITUCK, NY, 11952 _ » Per .It 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. Ej COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. O Town Hall, 53095 Main Road Cz y Z Fax (516)765-1823 P. 0. Box 1179 - • Telephone(516)765-1802 Southold, New York 11971 �01 � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 11, 1997 Helen Phillippou 25-46 33rd Street Astoria, N.Y. 11102 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) XX No Underwriters Certificate on file. The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23381-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ FIREPLACE 8 CHIMNEY REMARKS• DATE � INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS DATE (/,�,,/�`�/�71NSPECTOR.Jduj/ r_)iil lll,ll'Ia:111)ll hl;l'OIll UAfli CulIt11;111•ri iU ...._._._....__...._.__.._._._..---•• A PlllIII lln"I'IUII ( 1(i'I•� ----•—•---------•--••--•--•-----........ i l �hr\v$ ---- ------- — ... - r ti_.gran an ann mmn na,en ne nrn nm.. ,e,s a nml, ,�,a n=._,cmn,.ten enm.-,n.. ,en n.,v.,,c.m., a �, n..,nmc ne na nn e,c,n. 75 Ill)I►GII t:Itn111. G --- - - - z _6 I'I.1ltl11111(; ----------------- I nriul.n-r I I)11 S ATH, ILtII;I1CY " CODI; zoo lo 00, __.......__.-------------_.-._. I• I Ilnt. -.___... °.nn«.,..,_,men.,e..me.n...a n.,........-----,.,-..,..na..:.•,,,.r.-- -.----..,----..---------r -------- � nc.,eadn4nmern,nnr�. . „�... ..,- nUU I I I Ullnl. LUIIt'llitl l b l x _._ mn..nmcnne-c rn e,m.nrnrnn m-o_ - (t-�nmr_zaa..., a.+e....nn on nv.cn-n A , -____._'_-__..-.__._....._.-.._._-._-_._.__......._........._..._ .......... _ �•II .J \ . .. .. ... .................__._... --......__.._._._.._.....__.__.__...__._._.—'-- ...----....__.. —.......... f '�I Y ;-- BOARD OF lu:nl. . . . . . . . . . l�ullrr N() SI?7 . I 3 'S oil I'r.nNs . . . • . ' I s, TOWN OL .9 Oil.I'llmm SURVEY . . . . . . . . . . . . . . . sI i } APR ' II1111.0 1 NG IMPART IKN'I' CAII?CK . . . . . . . . . . . . . . . . . . . . . . . . . a SKP'1'1C LO1tM . . _ . . 1'ONrI IIAIA. . . . . . . . . . . . . . . SOI1'f1101.1), N.Y . 11971 6M.DEPT. I'IsL: 7G5— I1102 NOTIFY: l TOWN OF SOUTHOLD _ CAI.1. Approved. 19fermiC ikc. Wsalwowed a/c ............ 4 Ikcil(Iing Inspector) A 1' .1 CATI ON FOR II1111.1)1 NG PURri I'l' Date. . . . . . . . . . . . . . . . . 19. . . . " INSTRUCTIONS it. 'Ibis npplicaticm count: Ire cugilelely filled in Icy t-.ylxwriler or'in ink and sulvidtted Lo Live iklilding Inslreclor wrth a sets of plans, accuraLe plot plan Lo scale. Fee according I:o schedule. b. Plot plan avowing locatirm of: lot: Mxl of: Imildings oil premises, relat:ion strip to adjoining premises or lxibl is streela or areas, awl givil% a detailed descript:icxl of: laycuL of properly nusL be di-mm cm Lhe diagran wliicic is part of Ibis appl icatloil. c. 'live Fxcri( covered Icy this am"!icaL'io, rrly Oot: Ire calnr_cx:ed before iasckux:e of Ikcilding Permit'. d. Illxn approval of Lllis applicaticm, lire Ikcilding; lnslrec.tor will issue a Ikcilding Permit to Lhe applicant. SAICII peunit cd►all Ice kept: (m lice preinises available for inspecLicm llimil), tout Lbe work. e. No luilding cdcall Ire occupied or used in tilcole or io part for any purpose wluctever unLil a Certificate of: ()cx'_(cpa,vc:y shall. have been granted by lire Ikcilding InspecLor. APPI.1CA'1•ION 18 IRT-1111MY i•W1rs to Live Ikcilding Department for tice issualxe of a Wilding l'elrnit Imrs(cant to Live Ikcilding Zane Ordinance of the Tom, of SCAIIhOld, Stcffolk Cxilwy, liew York, arxl other applicable Laws, Ordinances or (tel;ulaticxia, for tice cocrsMeLim of Ixtildings, rxklitions or alteral'iona, or for railoval or_derccolidon, as lcerein described. 'Il►e applicant agreed Lo cciiigily witic all applicable laws, orclivances, buildiog c(xle, Ixxcsing cock, acxl regulat.icns, mxi to minit auUcorized inspectors oil Immiises nOd in Imilding l-or occ4,essa inspections. ! . .......................... (Silpialure of appilicracit, or imile, if a corporation) (tkcpling rxklreas of. appil.icant) SLaLe wlcelher applicant is owner, lessee, agent, ardihiect, engicceer, ,eneral amLractor electrician, p1mber or builder. Kane of sorer of premises ....... (as cn Ibe Lax roll or latest deed) If alcpl icant is a core rati(m, sigrucLure�of duly. auLbo rixed officer. (il:nce aixi title of corperaLe officer) Ikii1ders License No. ......................... 1'I.cnbers i.ic:eose No. I:lectric:ians License NO. ................. ... TT 011►er Trlxk's license No. ,Ca.-L.. . Iocaciorl of lacxl on whi/ch proposed worl( wilI be clone..................... ........../............................... 4e� � ..........C.�t / '/..�l/�Cj�.... .................. �� c./�/> .................. Ikxcse Rxiber Street hamlet Uxncly Tax M:cp No. IO()O Sectiocc Alb' ?....... /IIIock .... .. ......./. I<rl: .. ��.1........ Scdxlivpsi(m ..�� �!•••.'•J� �2... 11ed M,11) lko. ...�i.G .... Lot: .. �..... (Nrrne) 2. State existing use aril occ(cpancy of: premises acxl inLeMedfuse aml occupancy of proposed coost'ncction: a. I?.xisLiccg use mxl Occupancy .... •U L°✓._...��lQd' C.......................................... b. Intewled use acxl OcCUoaDcy .. ��/' lei?l�!....../1.G2V!f I ......... IZ'r:e.. <<.C� 7. 1!':Irue of ,x)tk (c:Ix:ck ,AticJ, nl,lflirublc): ikhi Iklildfni; . •. .. .... . Addition Ila:lu,i OrRI.ion . ............ lknfxfl ll:lon . .. ......... 011fer (knit.. ... 4. Est.ixlrlted Gfst ..3.7.0.0�........ fee ' .JJ (to he paid on fit lilt, (lilt) r►Iq�licnl:f<x►) 5. If thx:l I roil, txnitcr of fkmll roil units . ..�.. .... IArllter of (hxml I In11 rinlPn of, eoa:h FIoor If garnilc, ,xniter of rare •• � •.. '"• , 6. If Ixulltxas, (Jlrrllercial or mixed oc:copa cy, Six:cify nature ntxl extent of each type of tine...... .... 1. IJinlennicxfaa of exisl:inil sLritctures, if fifty: I�n>+tL`.. ... ..:.: .. .....:. Ilenr Ik:iilft ........ ............ ..... lknl>er of Stories .. ... .. . . ... . . . 1)iliensirx,s of: aarfle s13,x;lure with filferal:irxfs or axkllC'tonr,: front . ... . . . ... ..... Ilenr DcIll11 .................... IleiilllL 1451ber of Mor'ie:r . . ..... ..... . ... .... .... ..... It. I)falendoo..) of entire new ecti,str,rca:irxf: ),roNfh':. . ......... .... lic.fir Ileli;lft: i• XILer of Sl.orie:r . ......... . ... .... ... J. "iv.e of lot: Front' Hear Ikpllt Ill. Ik,le of 1',n-cilnne .. - , ilane of Fornx:r (x4lx:r II- 7.01fe or tic:e district in cA,idf pr'eynlses fire nituate<I / 12. Ikxn prolxfsed crxurtnxala, vlolfite rely zrxlinll lax.a,•ordlnmvc.e or 14111 lot be rellraxled ....... o'Q,........ Will excess fill Ile rcylloved fran proOnen: YFf; pK) 14. IL•llllen of lanx.r of prenisea / �'?.- %��✓- h-• Aakltenn lot il • •�• .t�./. llo. iLar_ of ArdtllccL' .................. ... ............ . .. Arkiresn 1 ..... . . . .. . ...... 11 lot x� tlo. W:•ln of (cxftrax:lnr. /:!C.../`��! %SJ?-.. . ... Arlc)rens Zc . 15. is Illia prnlfrrI.y within 7(X) feel' of a Lidfil I 1e 1afxl? * YIDS 1K) ..x. .... *IF YES, -AAIIiKXI) 11-Am 'lltll$Imr, 11'slllll'1' my w Itrypllti(h. PLOT DIAGRAM � Iswilte clearly ntxl Qlstinctly fill Ixtildini;n, tAfeliler exlsl:inil or proposed, roil )lxlicnl:e frll net:-l►twk dlmennloos Non prolterl-Y Imes. Give sLneet firxl block rxnlrcr or flencripHoo accor(llnl;, to deed, ,,)(I esluxa street nanfea mxl hxlicnfe,Alelller inferior or corner lot:, IT 7©f f , S0 (A" hill MIK, S; e r•S �• •�/ .... ....... ...b illf, duly wworn, delxmen roxl rtfiyr, llfnl' he in the nppl lcmlt: (N:nK: uP itxlfvialual. n,gninil coot:ruct) nlxrve nnlrtl, Ik! in lilt: ... . . / ((k)iil:rnclor, fyleot, corlxfrole officer, et(:.) of nnid wlwr, or fx• , lllxl in duly nullloriud to ixarfonu or bnvc lxn-fonlled Ill(: nnill ,n),It alxl to naJu: ntxl lilt: Ilffn nppliCIlLiott; Llwl: fill rllaUotentrr coolnfoc:d in I.Itin npplicfilion me Mlle to life best of Ili,, hooWledile mxl i,tilief; roxl (ll:ll. the ")lit will W. lterfonlled Sn Llle nl:unx:r ne(: forth in Ille npplicnilion flied lllelewill,.' !kA)111 to before fir± I.Iffs - ....dny of � . . 1.0 lktl.nry P,lbl c Gt '// � ..•• • . ....... ........... ELIZAA ETHANNNEVILL (Sil,rinl:ure of Applirnot) Notary Public,State of N,:; s York No,52-8125850,Suffolk Co Terris ENpires October 31,19r Clay ton-Sich a r)s Inc. 23A HAWKINS AVENUE LAKE RONKONKOMA, NEW YORK 11779 AR W FDXS NOTED DATE- B FEE: BY: l NOTIFY L I I CL)Nq D EG E ;rr,Ise C� OC"CUPA Cy TO 4 PM 'FOR THE /_" 14'-'A ,i 0 R F(XLOWI\IG-INSPECTIONS: 6 get, 7- IN n I I. FOUNDATION - TWO REQUIRED i 5� :.. ,s �� L A Vur` Ur� FORPuURED CONCRETE 2. ROUGI - FRAMING & PLUMBING IL 3. INSU ION AA aT R"T�1'-[i�I ..'/�-MUT 'r '�L_� 4. FINAL - CONSTRUCTION MUST 2-0 BE COI APLETE FOR C.O. r v W , ALL CONSTRUCTION SHALL MEET Fire,oi-cc STATE THE RE ,QU Y. IREMENTS OF THE W. _WNSTRUCTION & ENERGY CODES. NOT RESPONSIBLE ;Fofj �/7 IFIhic DESIGN ORZONSTRUG11 OWERRORS 1221) alo SQ I'd lqe4jre" Aouf( oAd bne/ 5make 36 ) . re- --'`-���.:sue heGrf� - _F ex APR 1 1 1996 BLDG.DEPT. TOWN OF SOUTHOLD--