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HomeMy WebLinkAbout24621-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26466 Date: 05/19/99 THIS CERTIFIES that the building ALTERATION-RENOVATION Location of Property: 180 SOUTH LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 6 Lot 1.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1997 pursuant to which Building Permit No. 24621-Z dated JANUARY 29, 1998 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 ALTERATION & RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK S.& PAULA C. THORP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-485860 04/16/99 PLUMBERS CERTIFICATION DATED N/A d Building Inspe or 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) JANUARY 29 98 24621 Date.............................................................. 19........... Z Permission Is hereby granted to: C.FRANK A/C F.THORP .......................................................................................... PO BOX 177 ...........I. ............................................................................ EAST MARION,NY 11939 ....................................:........................................... CONSTRUCT AN ALTERATION, RENOVATION TO AN EXISTING SINGLE FAMILY to . ....................................... . .................... ............................................................................................. DWELLING AS APPLIED FOR. .............................................................................................................................................................. ................................................. .............................................................. ............................................... ................................................................. ............................................................................... .................................................................................................................................................................. 180 SOUTH LA EAST MARION atpremises located at............................................................................................................................... ................................................................................................................................................................ .473889 037 0006 001 .001 County Tax Map No. .................:......... Section ........................ Block .......................: Lot No. ........................ OCTOBER 28 97 pursuant to application dated .......................................................... 19................ and approved by the Building Inspector. 75.00 Fee$......................... ............................... ... ....................... Building Inspe for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT w TOWN HALL 765-1802 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 17 lead. 1l/ 5. Commercial building, industrial building, multiple residences and s'i11a b#il �_gs and installations, a certificate of Code Compliance from architect or' Jengiiiee S^ responsible for the building. 41,1- ,Z (S' 6. Submit Planning Board Approval of completed site plan requirement �"� r' . Lam.•,c, B. For existing buildings (prior to April 9, 1957) non-conforming uses, t1 11ia pigs and � '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building ann�ly ., 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 . . . .3/f/p� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . . Old Or Pre-existing Building. . .. . . . . . . . Lak Location of Property. . . .. . .. ou . . . .. . .-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. .Fri k� ..3.'. . . 9'-. .f Q.v IG-. ..C.•. . . -. .oI. L1l r... . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . ..Block. . . . G .. . . . . . . . .Lot. . �'.�. . . . . . . . . . . . . . . . Subdivision. ..�cc. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . .Lot+� . .s . . . . . . . . . . . . . . . . . . 724 Permit No. . ?-��. . .Date Of Permit. . . . . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . .. . .Underwriters Approval. . :_�. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . ... . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .�. . . . . F,ee Submitted: $. . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .• . . . . . . .c . . . . . . . . . . . . . . . . . . . . . . . APPLICANT CC) Z- a� �� OFFOI/-cQG Cz Town Hall,53095 Main Road � Fax(516)765-1823 P.O.Box 1179 Oy Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 16, 1999 Frank & Barbara Thorp P.O. Box 5 East Marion, NY 11939 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) 4% 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24621-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. o 94 THE NEW ,.PORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 ' BUREAU OF ELECTRICITY ;!O.FULTON STREET, NEW YORK, NY 10038 ea"' h ' -I`:i1P2IL 16�,�1999 17888899/99 N 485860 Date 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 is in the premises of FRANK THORP, 180 SOUTH LANE, EAST MARION, NY KO in the following location; ❑ Basement 91 Ist FL ❑ 2nd Fl. Section Block Lot Ka was examined on APRIL 12,1999 and found to be in compliance with the National Electrical Code. Ka KO FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 6 1 1 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 I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. CO AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC. ND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: 11 DA - JIM SAGE ELEC. INC. LIC.#3635 E L L PO BOX 38 ON GREENPORT, NY, 11944-0038 GENERAL MANAGER OH 11 DA I Per vA 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. In I'1_l;( I till 1lP 1"111111IIAt'It)II ( Iri'I ) _• 11. `v 1 f7 I.ullV )A( LU1-1 w (1t)1))w • ^« • T n Rw n ww - s..w .. � � .+ww.n w.wT-..•T.w•-....wr.ww --p IItIJJt71f I'IlAllt: ♦; ' t`I.III I11 I Flrl r --.-.ww wwww ww nww-nw-w-wwww ••d-w-.n nlww ..w Tw R•ww..wnT.+_w._Tnrww--w nw -ww-w-www-••`Tw wT1 ' O I II:)III.AT 11111 I'lill 11. Y . f 1 r1'I•A•1•r! I:I•IITIMY I:I111I! 1 ---«--.,w-------------- .... ..w«�..w...---- wT _ - www----w--- -------------- • d Ir I IIAI. ..--w_-w_-ww--- ------- -w-ww--- w-w_----_ -www------w------w__---------wTnw__----w-w-_-- 0 \� ------- t' nlnit'rllnlnt. Cc11lln;lrrti s I�i wwww-w--- wr-www.-..-...«.-__ww•-.-wT-www-ww--Tw----------www----------w-------------- h . v- r' r 765-3802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I l FRAMING f� ( ] FIREPLACE 8 CRIMNEY REMARKS: ),7 DATE INSPECTO 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] RO H PLBG. [ ] F NDATIOW 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS DATE INSPECTG BOARD'ry0F', HEALTH . .. . . . . . . . . . . U FORM NO. 1 3.;SETS ;OF ,PLANS . . . . . . . . . . . . . . . 2 8 IP07 TOWN OF SOUTHOLD SURVEY %::.': :: . . . . .'. . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC.,FORM . . . . . . . . . . . . . . F,!_iG:UEPT. SOUTHOLD, N.Y. 11971 y' (r�/ TOWN-OF SOUTH TEL:' 765-1802 NOTIFY: 4//. ✓�°� 7/f CALL .0.' .r`p . . . ... Examined....... a .., 19..n>.� MAIL TO: .���.0� .�?7 . . . . . � 19..iS- Permit C �1� M M .... ..Approved..... G . �� �... Disapproveda/c ......................... ... ....................... .........`."6..1�. .... Building Inspector) A P ICATION FOR BUILDING PERMIT --Date. . . . . , 19 q 7 INSTRUCTIONS a. 'This application must be-completely filled in by typewriter or in ink and submitted to the Building Inspector Witt 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 w1iich is part of this application. c. Time work covered by this application may 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 airy purpose whatever until a Certificate of Occupancy shall 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 Zone Ordinance of the Town of Southold, Suffolk County, 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 and in building for necessary inspections. ` ........ .!/ .............. t (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engine ,.general contractor, ectrician, plumber or builder. ........................................................... ................ .. ..................... .. Name of owner of premises ................ ......... ! ....S�."....1...:.........::....�`.................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer- ......................................................... (Nam and title of corporate officer) Builders License No. PlumbersLicense No. ......................... Electricians License No. ..... Other Trade's License No. .................... 1. Location of land on which proposed work will be done............ ........... ....� ............. a. .:, ....................... .... House amber Street Ha . . .......... ........ mlet County Tax Map Na. 1000 . Section ..... .7 . Block ... 1-P..... Tot ...,.:�:1::...::. Subdivision ........:.......... ............. Filed Map.No. ................Lot`. .. ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed .construction;`• a. Existing use and occupancy ....:.:::: .::.:................... .... ............................ b. Intended use and occupancy ......................... .......... ::::�+:'................. *ec"N SO le y 3. Mature of work (deck vhidi applicable): -New lluilding ........... Addition .... .... 'Alteration tiio3 n Repair .......... „Raroyal: ....... I>emolition ........... Other Work :.....::::t �.d'' 2r+.... • '.-'(Description) .(Description) 4. Estiunteti Cost l.. .:...... ........ ... _ ... fee ... ....... ...... (to be paid on filing this�ailaakion)'_ _ 5. If dwelling, ouriner of'dwelling.units ............ Number of dwelling units on each floor ................ If garage, number of.cars . 6. If business, ce mnercial or mixed occupancy, specify nature ani.extent of each type-of use............ ...... 7. Dimensions of existing structures, if any: Front..... 2.. .. Rear ...... -....... Depth .... ........ .. Number of Stories ..................... Dimensions of same structure.with alterations or additions: Front ............... Rear ............... Depth ..F ................. Height ..................... Number of Stories... .......... 8. Dimensions.of entire new construction: Front ................ Rear ............... Depth .............. height .......... Number of Stories ...../............... 9. Size of lot: Front ..................... Rear .................... Depth .................. 10. Date of Purchase ....................... Name of Former Owner .. -o i s 7Z o� .........._...... II. Zone or use'' district.in which premises are situated ............... ................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. , Will lot be regraded ....: ......... Will excess fill be removed from premises: YES O 14. Namnes of Owner of premises:' 31 ,A d!" ....... Address ' s........ ........ Phone No. L/� ' Name of Ardritect ..: ...' .............. Address ......... ....... ....... Ptwme No. .............. ••-• Name of Contractor ...G.:11h, D``�.. .... Address e,D$J77. h •:YIV/ ?!q?Fhone No. A.1 15. ' Is this property witlrin.300 feet of a tidal wetland? .* YES .......... NO ....... *Ir, YES, SOMM 1UJN 1RQSIMS PMrr MAY BE MQUIMM. .OT DIAGRAM Locate clearly and disti' tly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give st tjand block number or description according to deed, and show street names and indicate Mnether interior or corner lot IT5 -doh OF M;W YORK j SS O(UNIY OC ..... --•• . ... •• ...................being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) above named, Ileis the ........ ...:..................................................................... tractor, agent, corporate officer, etc.) of: said owner or aril is duly authorized to perform or have performed the said work and to make and file this appl.ication; that all statements contained in this application are true to the best of his knowledge and.belief.; and Chat Lhe work will. be performed in,Lhe manner set forth`in the application filed therewitli. Sworn to before me this ... 2-,...`..........day of :-,. .19 Notary Public . P ... .C'? . Pub1 �Stats i �lew�Y (Signature of Appli.canl) ry �;. 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