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Home My WebLink About23505-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24957 Date MARCH 26, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 2275 PINE NECK ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 5 Lot 50 Subdivision Filed ,Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this. office dated MAY 16, 1996 pursuant to which Building Permit No. 23505-Z dated JUNE 14, 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MANUEL & MANUELA MENENDEZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-050091 - MAY 21, 1996 PLUMBERS CERTIFICATION DATED N/A Bu' ding ector Rev. 1/81 FORM NO. 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) 67/ M 23505 Z Date ............. /Z/111 ......................., 19 to Permission is hereby granted to: .....�'! ...........;.�- - d ' ... .. .A !2.2............................... .......... . . ��s ......�............. .......... .f% � .............. . ..... ......... . . ......................... ............................ .......................................... ....... .1..'............. at pre ises located at ............. .7 ..... `/.Y.�l :.........1/.!!l`. ....... ................ ........................................................................: . .L�............................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section .....7Ll............. Block .....a ..... Lot No. .....jo.......... pursuant to application dated .............lw'-.. ......1o................... 19..,0. 1 and approved by the Building Inspector. Fee $....!................. ......��. . ...... ... ............................... u1 ing Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 65-18'02 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 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 Buildins - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .^l� �. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . Location of Property. . . �Sw. ,./. t�.� �. . . . . . . . . . . . . . . . . . . . . . . ., .. 42,,�?G�. . . ... . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . 4. . � � :G_0. . .✓. a✓.,2!!reU.S`�.�. .. . . . . . . . . . . . . . . County Tax Map No 1000, Section. .. . ��. . . . . . .Block. .T. . . . . . .. . . . .Lot. . . f�0. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fiiled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No '. .Date Of Permit:. .. . . . . ../. . . .Applicant. �L. . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . Fee Submitted: $. . . . Y. .` . . . . . . . . . . . . . . . . . 503 Qh . . . . . . .mo o : . . . ... . . . . . . . APPLICANT c� �75 7 f1l��c,�1FF0F Town Hall, 53095 Main Road N Fax (516)765-1823 P. O. Box 1179 �a Telephone (516) 765-1802 Southold, New York 11971 -`�'�xm_rlftf OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No .Owner: 111ceAL 4 (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. . Plumbers S gnatur -- Sworn to before me this 02 O _,W6 day of , . 19 97 Notary Public, County LINDA J.COOPER NotirV Public,Btateof NewYor Nio.4622563,Suf'rolk County Terns F_xpireG December:.39,19— �3 rss-isoz BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r DATE 31-2-0197 INSPECTOR �� 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSUL . ION [ ] FRAMING [ L [ ] FIREPLACE A CHIMNEY REMARKS: a400p DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS �OG0171 BUREAU OF ELECTRICITY F— 85 JOHN STREET, NEW YORK, NY 10038 Date 1MY 21,1996 Application No.on file 11694396/96 II 050091 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 IMHUEL 1 MMDE'Z, 2275 PINE MI CK GOAD, SOU` HOLD, N.Y. in the following location; ❑ Basement ❑ ►st Fl. Fyfl 2nd Fl. .Section Block Lot ums examined on ICY 15 r 1996 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SWITCHES OUTLETS 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. I AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP 1,@•2W 1.B 3W 3 0 3W 30 4W PER . OF CC.CONO. NO.OF HI-LEG OF WLEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SMOKE DETZCTOR:-1 X110 VISU1-F, DEFECTS. "Aar electrical survey has .''JF_en made of the FJ:id70.oed electrical. equipment in the prepaises indicated. " "Tin obvious unsatisfactory condition was � L I-IJINUEL MENENDEZ P.{,I.BOX 120,E GENERAL MANAGER CUTCHOGUE, ITT, 11935 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. i 3//X 7ii �> BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 /3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT >CHECK . . . . 4� =06JTOWN }1ALi.. SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 1197.1 TEL: 765-1802 DEPT. NOTIFY: BLDF§-DE TOLD -7 - . TOWN 0 CALL � ': /�. . . . Examined..... 191. MAIL TO! . . . . . . ... . . . . ... . . . . . . // 3 .. ................. ......... Approved..../. /.y....., 19... Permit No. ......... .. .... .. .. Disapproveda/c. .................................. .................................... ....................................................... (I4u•ildi7� spector) APPLICATION FOR BUILDING PERMIT Date. . . . l. . INSTRUCTIONS a. This application trust be completely .filled in by typewriter or in ink and sulxnitted to the Building Inspector with -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 ceets or'areas, and-,giving a detailed description of layout of property must be drawn on the diagram wiiicli is part of is application. c. The work covered by this appl ication my not be comierx:ed Before issuance of Building Permi t. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such =rmit shall be kept on the premises availablefor inspection throughout the work. e. No building s}iall be occupied or used in whole or in part for any purpose whatever until a Certificate of _cupancy shall Inure been granted by the Bktilding Inspector. APPLICATION IS IERM, MADE to the Building Department for the issuance of a Building Permit pursuant to the ilding Zone Ordinance of the Town of. Southold, Suffolk County, New York, and other applicable Taws, Ordinances or ?,uilations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein =scribed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and -gulations, and to admit authorized inspectors on premises and in building for necessary inspections. .(SignaLure.o£.appli�or .if.a corporation) r.l...... .r:XXt. (Mailing address of applicant) ,ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or lrttilder. : ............................................................................... ......... iie of owner of premi es A:V'r .......................... (as on the tax roll or latest deed) APPROVED AS NOTED applicant is a corporation, signature of duly authori7.ed officer. DATE: it -.1_f 0S ................................................. OCCUPANCY OR FEE NOTIFY BUILDING DEPARTMENT AT .&-xie and title of corporate officer) -USE IS UNLAWFe UL •766-1602 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: WITHOUT CERTIFICATE:1• FOUNDATION - TWO REQUIRED Builders License No. .... ' ?�'::V............ FOR POURED CONCRETE Plumbers License No. ....d&ddl(44<........... OF OCCUPANCY 2. ROUGH - FRAMING & PLUMBING PROVIDE OPENINGS FOR 4. FINNALLATI.INSULATION Electricians MUST electricians License No. . P4fl./Y.%0�.......... EMERGENCY ESCAPE AS BE COMPLETE FOR C.O. Other Trade's License No. .................... ALL CONSTRUCTION' SHALL MEET REQUIRED BY PART. 714 OF THE REQUIREMENTS OF THE N.Y. Location of land on which proposed work will be dn-.Y,-STATE BUiLDTH-GODI. -SfiATE COIVS,{T,RUCTIdR &� VOOR :7 �-----......1 :� .�t.G .... .�!>t. ........................... Q �ds7Ng aqKT0TPuS house Number Street Hamlet County Tax Map No. 1000 Section .....70...... Block ...... J ....... Lot ...........UNDERWRITERS CERTIFICATE ' REQUIRED Subdivision ...................................... Filed Map No. ............... Lot ................ Mme) State existing use' and occupancy of premises and intended use and occupancy of proposed construction: a. Existing; use and occupancy ....... ....::'... /ty�;.l:!¢ ��Y....................... b. Intended use and occupancy ....... 47��.............../Q ...?(J......� .C� �........aa . . ,dy ��2 ��l��o.�i,v� ��✓c /•r/6�e — � f�c,�l.Coo.�ls 3. N•rture of work (creek whidr applicable); New Ikrildinl; .......... AMition .......... Alt:eration .f....... Itepair ............ Removal ............. I)MI)liLion ............ Other l+ wk .................. (Ilescripl'ion). 4. L'sL'iurrrl'e<I Cost �.G:......... fee d ................................:..:...... (to be paid on filing; this appl.icaticii))' 5. if cka-I l Ing, rxiilrer of dt ell ing runts ...p .Le.... Mnber of ch&-I1 ing units on each floor ................ If-garage, rxnlrer of cars .........Q.VL....................... G. If business, camrercial or mixed occupancy, specify nature aril extent of each type of use............. 7. Dirrxtnsions of existing structures, if any: Front................ hear ............... DepLh ................. Ileiglrt ......................... Muirer of Stories ....z............... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Ileiglrt .................... Mnirer of Stories ............... 8. Ddrnensions of entire new construction; Profit ................ Rear ............... DepLh .............. Ileiglrl' ......................... Mnirer of Stories ..................... 9. Size of lot: Front ...`D0.rT..... Rear ..�Q.�._�=T..Q. tlept'1 ..//l !cTr....... 10. Mare of Purc halt-4k.. -M-12......._.. Mane of lornier lamer .eq 1 A1....lCl., ` ©................... H. Zcxre or use district in wlridr premises are situated ... ...................A...�................................ 12. Ik)es proposed ccxustnxaion violate any uxring law, ordirwiwe or regulation: ..l. ................... q, 13. Will lot be regraded ...../1/0......... Will excess fill. be ranoved fi-on pranises: DYES 14. Ilrnres of Owner of premises /9.�/.� L./'1 �/i/� ess �'�� ./ d $. C o(//'' n #.,- � 7P .0 � , . ............ roue . ..F?..�' ... Haiie of Ardrdt'ecL' ......a k1.N.r?✓...... ............ Address .............................. Phone lido. ............ Nixie of Contractor .....Q yL% .................. Acklress ...............................Mone N). ............ 15. is this property within 300 feel of a tidal wetland? * YES .......... No KV ....... *IF YIsS, Salli(7[I) 'lam 'I111S1 a l4 mlmrr MAY ISE. 12C(X]1I(m). no'1• DTAGRAM Locale clearly and distinctly all buildings, %Arether existing or proposed, aril irxlicate all set-back dimensions frcan prolxarly lines. Give street and block mxiher or description according to deed, and show street rwues arxl indicate rdretlrer interior or corner loC. f 4116 �o�� Cjti1�,Qr er�t �o r, DR i .t,:, �c,'Ors ;�.,�•. ,�„�, �}' T JI/90 -- 'rNF Nc�c RD Sl'A'!L (R� MIiW Y(NUC, r� (MMIY cx� G..:...L.�� . ....� �.� !-L.: .:'I`x:iiy;;iltily sworn, deposes acxl says (Iral' he is Lhe appl.icsrnl j ^ ' (Mane of irxlividuaL signing conLract) =" alxwe immied, Ik: is tine ............... .GC�7�l: ....,........:.".:...................................................... (ConLractor, agent, corlx)raLe officer; etc.) of said owner or owners, acid is duly authorized to perform or have perfonjed Lhe said work and tic) make and file this apt LiraLion; that:-alL- stalerrrenls contained in this all)l ic:ation are Lnue to Lhe best: of his kwwledge acrcl Ixal.ief; arrd that Lhe wcrik will' be perfonrred in the mr:tnner set forth in Lhe application filed therewith. . RAwn to bef((or�re� me this .......�.�. : 1...(lay of ... 14-1.6 . Notary i'rrbli ..... .. .. ELIZAl3E'6'6.1A69i�NEVILLE (Si ,ril:ure of Appl.icanl) ' Notary Public,State of Nzw York No. 52-8125850,Suffolk Courty Term Expires October 31, 1 . 4�•�._. CAE A, MA 61,Q VC-7 14,4l2Yf�t ��-� t r { _ `( �)r •••?w C�'1 r. Y /!7''' 7 } ,�. t<tti''_. \ .1'1' }f`•t ` j 0 L-•.•� j 1 rtR' r J /mCs"Ru,11RZv1.1DEY F.•! F /zi�..•� /V IL7,?f �•. ' 7il r N. UALT[RATIONOq ADD TO TISA VIOLATIONSECTF THE NEW'YCKK STATF .!)fp r !I EDU AT10N LAWS' L\ C IES bF if;15 SURVEY MA\ P NOT BEARING ` L1ND SURVEYOR'S INKED SEAL bit: dV' > , �. tti/ E JIMSED SEAL SHALL NOT BE CONSIDERED `.` ;O'!); I r ( "• �` To If A VALID TRUE COCY.' �GUMANTEES INDICATED HEREON SHALL JtUN ONLY TO TH'PC'SON FOR WHOM THESUSyEY' T`"E R� �' ' w• IS P14imD, At.O l).i H:5 G.'•„V •t 0 1h \ TITLE COMFANY,.GOYEANMkt,,A" A— cr .,:o, r.r ✓t �r r, E. <• LEND INST1PhION ll54U H..mT. ALD' 9 I TO THF�A;S?G,4S.OF THE LENDING INSTI � r (\" b• ' t 1, TUTION•'.GUAIIANTEES ARE NOT TRANSFERAlLE -t F Q.?s 4' 2� n e s TO ADDITIOL44 kESTITUT10Nt OR NsrEQtlft+f i ..�:;.. - --.. + l, '..l OWNERS, ,7 +.,oliTez %A/, / ". �' L r�ti I��l U i [..-!' ' .i �; ' . aY, i'r '" , '��(�'' Sc�t.Eflla�cll'$�V(H � • CJ H�t�, '�, , I •) . ., '� � ` .�i -. � rA 5L-IYV.yyy 'C�., �(Y��' �� J��7� t i�'� � �_r�•�<z�• �� ......... :, _ ur��►;�� .� s� L `,�`. F,r;; ''`:t': a :."� 1 �_ �� ! r, ;. ;;',.