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HomeMy WebLinkAbout23463-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24969 Date APRIL 10, 1997 THIS CERTIFIES that the building RENOVATION Location of Property 2600 OREGON ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 100 Block 4 Lot 5.1 Subdivision Filed 'Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 6, 1996 pursuant to which Building Permit No. 23463-Z dated MAY 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 RENOVATE EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES SMITHEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-414966 - MARCH 25, 1997 PLUMBERS CERTIFICATION DATED MARCH 27, 1997-MATTITUCK PLUMBING & HEAT. BuilAing In ctor Rev. 1/81 I FORM NO. f 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) 23463 Z Date ........... ............................ 19...:V Permission is hereby granted to: , .,�.... :. ' ..... ............................................ ��7...... 000 „ ....... .1� ..�...... ..�.- ..!.:......... ......................... ....................................................... �..... ........................................... of premises located of ............................... // / Y ................................................................i. .....• ....................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section 1069............ Block ... �....... 1Lot No. ..�/......... pursuant to application dated .............. 19.,T.. ; and approved by the Building Inspector. Fee $.... i/....`....IZ.... ........... .."',7................................ .. . . . ..... .. in Inspector Rev. 6/30/80 Form No. 6 f' 3 . L5 TOWN OF SOUTHOLD P ' BUILDING DEPARTMENT MAP, 2 8 1997 TOWN HALLa - 765-1802 BLDG.5[�r. L___TOWN OF SOS,i?iOLO 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, t 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 - .25v,-. 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. nn��. ._.,/ _ Location of Property.. :7!�(� ... . . . . .0/L196? . . ��� �. .. . . ,./.��' �'� . . . . . . . . . . . . . . . House No.//�� Street .Hamlet Onwer or Owners of Property.. . liGl f. .'L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . County Tax Map No 1000, Section. .f ... .. . . . .Block. . . . ..4.. . . . . . .Lot. . . . . . . . . . . . . . . . Subdivision. . . . ..jj. . . . .. .. .. . .... . . .. .. . . . .. . . ...Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . ... . . . . . . . . . Permit No• .Z?.TS?. .#. . .Date Of Permit__ _ . . . . . . Applicant. ��. ��'�!`�'.����C�• • . . Health Dept. Approval. . .. . . . �1'J. . . . .. .. . .. . ..Underwriters Approval. . . . ... ... . . . . . . . . . . . . . . . . . Planning Board Approval.. . .. N��f.. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .41 Fee Submitted: $. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �(�CsC . . . . . . . . . . . . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001071 • BUREAU OF ELECTRICITY F- 85 JOHN STREET, NEW YORK, NY 10038 Date I1A.RCH 25,1997 Application No.on file 13510397I97 N 414966 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 CHF..S. SMITTEN, 26010 OREGON ROAD, CUTCHOGUE N.Y. in the following location; ❑ Basement IK lst Ft. ❑ 2nd Fl. Section Block Lot was examined on MARCH 18,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS 11DISHWASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 24 25 12 24 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT, H-P- NO.OF FEET SYSTEMS AMT. WATTS 8 600 SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. PE METER TYPE 1.0 7W 1.0 3W 3 6 3W 3,0'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP• PER Ar OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 140TORS:1—F H.P. Cs.h'.C.T.a-2 TRACK LIGHTING:—12 G & S CONTRACTOR LZC.#t5 78—E I L L BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER 11 a5 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. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IRISULATION [ ] FRAMING [V]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �J 3 I7 INSPECTOR //� 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU FI PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE INSPECTOR 0A I V' 1:0111 IIIATI 011 I;UU I I DATI Ol I �>�------------------------- -4(t "� -------------- _ _ _ ltl)il(;Il FRAIIVI & ------------- 011 I'111t 11 . y STA I'li zt, .......... F I IIAI. ------- ---------- ADD IT I M IA 1. (:()1 it 11!1 1'1-.Ki I&e ad ................... .......... t vm j �`- .� ►-X ?cam �� 5.4 ILI Ott - �7,1� 7p q i ) 00 r 4 r✓N. - Fn t — — TOWN OF SOUTHOLD - v 700 CF AP �o��s�FFO(,�cOG i MAR. 2 8 1997 � . Town Hall, 53095 Main Road p • FazSE �3' _ -� P. O. Box 1179 y� 0� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1997 Scaramucci Construction P.O., Box 1403 Mattituck, N.Y. 11952 Re: CHAS. SMITHEN 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. n �� XX The check is (not on file. ) $25.00 fi No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23463-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. o��g�FFO(��OG R a Town Hall, 53095 Main Road p • Fax (516)765-1823 P. O. Box 1179 . y 0� Telephone'(516)765-1802 Southold, New York 11971 ��.( �►a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1997 Scaramucci Construction P.O. Box 1403 Mattituck, N.Y. 11952 Re: CHAS . SMITHEN 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 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23463-Z Please contact our .office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. , BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 /3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD J SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT �,/CHECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: � n 0 CALL . . . . . . . . . Examined..._._% �/i/e ...., 19.< MAIL TO* . . . . . . . . . . . . . . . . . . . . Approved........cJ�2 .., 19..' Permit No. 11. .. .................................... Disapproveda/c //................................. ..................................... ............................................•......... •- ...... / �! 1. ....... (Buil zn In ctor) APPLICATION FOR BUILDING PERMIT / Date. . . .`?J INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application mazy not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of. Occupancy stial.l have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of. a Building Permit pursuant to the Building 7one Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances--or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises an?in1bu..jld'ng for necessary inspections. . ..._ .\................... ignature of applicant, or name, if a corporation) (Mailing address of applicant) State whethe r applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................................................................................... Nave of owner of promises 1. !J.......................................................... (as on the tax roll or latest deed) If applicant is a corMration, signature of duly authorized officer. D L5 tJ •(Name and title _ •• •-- -• - ---title of corporate officer.) i FMAY - 61996 --7' BLDG.DEPT. Builders License No. .... TOWN OF SOUTJ HOLD Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. :................... I. location of land on which proposed work will be done............................................................... ..Z�a�.............�-`?.'lo,tJ.../&�,. •- ...... ......��'`�j` .7.1!e/ .......................... House Number Street f hamlet Canty Tax Map No_ 1000 Section .....�© �..... Block ......':C ....... Lot ......�,J...... Subdivision ...................................... Filed Mup No. ............... Lot ............... Mime) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .,Ok E !. ... �J� ,!� ............................... b. Intended use and occupancy 0�q c..64--?1!L ...!�.° 1� �°??f Lam.._ ;n,. ,,.. ,•' ............. 3. N-►t►ire of work (dieck %A►id► applicable): tiew IArilding; .......... Addition .......... Alteration Hepair ............ Itenoval ............. Iknnlition ............ Orher Idork (Ik:sc r i pt i ocr) 3 4. Esl'in►�►lecl Cosl' ........r.0UD_.......... fee .............................................. (t:o be paid on filing; this application) 5. if d►relling, ►xmber of tLelling; units ...../..... timber of th►elling cniits on each floor ................ 'if garage, ►xnber of cars ...................................... 6. If Itusiness, cxtinnercial or mixed occupancy, specify nature aril extent of each type of use.......... ............ 7. Dinxnsions of existing struchrres, if any: Front....?!..��- Rear ......> Z.... DeI)LI1 ....5 ....... r Z Ik:ig;l►t .....ZQ............... Uniuer of Stories _.... ............... Dimensions of sane str►cture will► alterations or acklitions: Front .....Z.z Rear ............... Depth .....S�. .......... Height: .....Zj:?........... Umber of Stories ....2.......... It. Din►ensiais of entire new construction: Front ....A-0 .... hear ............... Depth ........_._... Ileigi►t ......................... Umber of Stories ..................... C1 9. Size of lot: Front ._. %��fT-.._.... Rear .................... Dept-11 ................... . 10. 411-e of H►rchase ..................... Nave of rornr:r Ow►►er ........................................ 11. Zone or use district in wl►ich premises are situated .............................................................. 12. Does progxused construction violate any zoning law, ordinwice or regulation: .......IV.0........... 13. Will lot be regraded ...N v...._...... Will ill excess fill be removed from prani ses: YES St 14. Mies of 0►nuer of premises ._... Add ress�(�3_IF,. S�N:t�'•.Ur «1 Atorte Name of ArdkitecL osJA L6 Fe-(Le e. ........ Address f�pv GLr 3uJe 4j; A'��:.. PI►one No. ..�...L�L Matte of Ccxitracror .-zohh). ..... Address ...414.*77`...................1'I►one N). 15. Is this property within 300 feet of a tidal wetland? * YES .......... N0 .......... *IF YE.9, S01111IND lum '11211SI1 IS mi-u r MAY RE RE(X arm. PLOT DIAGRAM gocaLe clearly aryl distinctly all. buildings, %Avether existing or proposed, aim] irklicate all set-back dimensions from property lines. Give street and block camber or description according to deed, and show street naves and indicate ►Aietl►er interior or corner lot. S[A'IL (R� PAd:IJ Y(AtK, . SS' ` -• G '!t: -L ,..........................Ixeing duly sworn, delxuses a►xl says Lhat he is Lite applicant (Nm a of i►xlividual signing contract) aimve ►aite 1, Ike is Lite .... (iConLracLor .......... ........................................••---•-•--............................. agent, corporate officer, etc.) of said onrer,or owners, and is duly auLhorized to perfonu or have per.fonned Lite said work arxl Lo mike and file this application; that all sLaLements contain(-.-([ in this application are true to Lite hest of his luxrwledge and W.ief, aix] [hat Lite work will be Ix:rfon►►ed in the manner set forth in Lite appl.icat:ion filed therewith. yworn LolIbefore me this ........ .....(lay r ...... ...... 9....... Notary Public ........ .. ... Signature of Applicant) ROBERT 1. SCOTT-JR. NOTARY PUBLIC,State of N . No.4725089,Suffolk Coun Term Expires May 31, 196 If copper tubing Is used for water distributing System; piping halt be PLU/i1ff3F_R CERTIFICATION of types i or s only ON LEAD CONTENT BEFORE of CERTIFICATE C,T-RTIFICA TE OF OCCUPANCY REQUIRED SOLD,, UF,-7. !;V WATER a3 U!'"P .?` s s: -i l—F,e+4 CANNOT .XCL "/10 of 17 LEAD. PLUMBING ALL PLUN113ING%ASTE &WATER LINES NEED TESTING SE;-DRE COVERING i i M 1�,-)F �jIl�4 X -1 W:AA VL- ! f 1 ® I ` 2-1 co Op TC) cc rn a IL 6 ! o 0 0 � �tSTINC-� WdLLS � (To bF-: G �o R k ��I2 x � /2 M�LRo t_p t•� I I 15'/4 x t l��P.a M L I 1-7I M L �_... �. Imo. a N , CL. I � i � — OCCUPANCY OR APPROVED AS NOTED USE IS UNLAWFUL DATE: B.P.# WITHOUT CERTIFICATE NOT Y/BUILDING DEPARTMENT AT OF OCCUPANCY 765-1802. 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE I / �I 2. ROUGH - FRAMING & PLUMBING �/�- a 3. INSULATION �< iR+^��{ITES'S CERTIFICATE 4. U-iN,^,L - CONSTRUCTION MUST �ttQ�a�;�(3 E;E CO. "^Li TE FORC.O. ALL CCNJ'T':RUC T ION SHALL MEET OF THE N.Y. Cr"!!3TF::_':T+ON & ENERGY ?"AFT FESPON:3IBLE FOR OR CONSTRUCTION ERRORS