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Home My WebLink About6721-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19424 Date OCTOBER 9, 1990 THIS CERTIFIES that the building Location of Property 1245 OAK DRIVE House No. County Tax Map No. 1000 Section 80 Subdivision ONE FAMILY DWR?.T.ING ~OUT}{OLDr NEW YORK Street Hamlet Block 1 Lot 40 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY i1r 1973 pursuant to which Building Permit No. 6721-Z dated JULY 11t 1973 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 ONE FAMILY DWR~J,ING WITH PORCH The certificate is issued to FRED & FRANCES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL i0/3/74-3-S0-94 UNDERWRITERS CERTIFICATE NO. N-132303-12/11/73 & H-010302-6/26/89 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N; Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 672! Z Permission is hereby granted to: . ,nc ........... ................................. pursuant to application' doted · .~.'.' ¢ /~ ' f,~ ~" ....................... :.;....:../ ............... , 19../..~¢.~..., and approved by the Building Inspector. Fee $...~.....~_....~...~....~... ~.. Form No. 6 '17 I OF SOUTHOLD I!I'~ BUILDING DEPARTMENT !? TOWN HALL 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. 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... 01d Or Pre-existing Building ................. Location of Property... I~4~.q.AI~..DRIV~: .. S~U~i~D, ~ ¥O.P~. House No. Street Hamlet Onwer or Owners of Property FRED & FRANCES SCIlA~FFI.gR - County Tax Map No 1000, Section.. 80 .Block. ! .... Lot. Subdivision ......................... Permit No.~...~..~..~../.~.Date Of Permit .... Health Dept. Approval .......... Planning Board Approval ................. Request for: Temporary Certificate ........ Fee Submitted ...Filed Map ............ Lot ...................... ........... Applicant ............................. ...Underwriters Approval ......................... .. Final Certicate ........... FRED & FRANCES $C~AEFFLBR APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ;'3.~: BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 N 132303 THIS CE~IFIES THAT Frederick Schaeffler, ~/side Oak Drive, Reydon Shores, Southoid, L.I. in the yollowing location; ~ B~ement ~ lst FI. ~ 2nd FI. OUtSide S~tlon Bl~k Lot w~ exami~d on ~) e C e~) e ~ ~ ~ ~ 9 7 ~ and fou~ W be in compliance with the requirements of th~ Board. FIXTURE I ~A INCANDESCENT RXTURES OUTLETS ECEP CLES SWITCHES FLUORE,$~ENT ~vE~C~¥ RANGES iPECIAL REC'PT SERVICZ DISCONNECT I NO. OF I S AMT AMP. TYPE 'QUIP 1~'2W I,e'3W 3~'3W 3J4W OTHER APPARATUS: COOKING DECKS OVENS I DISH WASHERS TIME CLOCKS BEU. UNIT HEATERS MULTI-OUTLET MT NV, PS 'EANS ~ N~S~[TFEM~T V I C E EXHAUST FANS AMT. H.P. DIMMERS NO. OF CC. COND. PER ~' OF CC. COND. 3/0 NO, OF HI-LEG OF HI-LEG NO': NEUTRALS OF NEUTRAl, 1/o Town Harbo~ Lano, Southold, L.I. 1!.971 ~ MANA~R 11 Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAO~.~ 801~.426 BUREAU OF B'ECTR,C~ ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~=t~ JUNE 26,1989 ~pF.~..on/Vo. onf~ 62636889/89 . ~ 010302 =THIS CE~IFIES THAT O~y t~ e~t~M ~uipmen~ ~ ~ ~ a~ int~ by t~ ~i~t ~ ~ t~ =~ ~t~fl numar ;n the ~m~ o~ ~, ex~in~ on JUNE ~4,1989 a~ found to be ln compliance ~ith the r~ui~ment~ of this ~rd. ~XTURES ~S OVENS DRYERS NIDRSS TIME CLOCKS L~IIT HEATERS IUUI.OUTE~T DIMMERS SYSTI~MS NO.O~ cc. co~. ~. w. c. *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the p~mi~s indicated." "No ob~ous 'unsatisfactory.~ondition was found. FRED SCHAEFFLER 1245 OAK DRIVE 8OUTHObD, NY, 11971 ..; AMOUNT 404OER TO TH~ Ol~fR 'O~ THE NL~V FEE PAID Y~ ~ ~ RRS UN~RITE~ AS ~ ~T BY MAIL WI~ ~ AT 11 T~J~ y~UR BILL FOR SERVICE RENDERED AND IS NOT A cr~I~I~ATE OF COMPLIANCE. THIS BILL PAYAB&E N.Y. 10038 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by BRIAN BROOKS ELEC. INC. FRED SCHAEFFLER BOX 1001,455 BEEBE DR. 1245 OAK DR. CUTCHOGUE, NY 11935, SOUTHOLD, NY 11971 Located at 1245 OAK DR. SOUTHOLD, NY 11971 Application Number: 2084640 Certificate Number: 2084640 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ~. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, sun room, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 29th Day of March, 2006. Name QTY Rate Rating Circuit Type - Appliances and Accessories Electric Heater Baseboard I 0 1.0 KW Wiring and Devices Outlet 2 0 Fixture Fixture 2 0 Incandescent Outlet 11 0 General Purpose Receptacle 9 0 General Purpose Switch 4 0 General Purpose Paddle Fan 1 0 seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FOB,M NO. 4 TO~I~I OF $OUTHOLD BUII.I~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~..~?.1.9 ...... Date ..............0c.~..1 ....... , 19.~. THIS CERTIFIES that the building located at .. ~ak .I)r$.~.e ............... Street Map No. ~y.~.l .o.n..3.1~, Block No ........... Lot No.~. 13.,.1.~ t .t ~.~...3p.~t;bp~l,d~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........July...1.1.., 19...73pursuant to which Building Permit No..672tA. dated .............J.u.],;l' .... 1.1, 19..~.3, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which thi., certificate is issued is 1~.[¥~.1;~..0~e..~;[~,Y.. dw.~],~-~r~g ........................................ The certificate is issued to .. F~.eclerci. ak. & .t?ranoes. ~¢~ae ff~,ex' ...... ¥~e=e ...... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval s~l.cker..~0/3/.2~ .................. UNDERWRITERS CERTIFICATE No...(-~e~¥ic.~) .1~.~2~0~... 12/.il/73 .......... HOUSE NUMBER . .12.~5 ....... Street .... Oak ~ri.v.a ........................... Building Inspector FO~M NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR GERTIFIGATE OF OCGUPA~G¥ Insfructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of oil buildings, property lines, streets, end unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ' 1. Accurate survey.of property showing all property lines, streets, buildings end unusual natural or topographic featu~s. 2. Swam statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date New Building ................ Additio~l~ ...,~, ......... Old or Pre-existing Buiklint:l~ .........,~. Vacant Land .............. Lo~at,on of Property ..~...~ ............... ~~ ...................................... 0~ 0~ 0~ ~ ~o~.~ ~.~...~.. .¢..~.~......~..~.~.: ........ ~ubd,v,s,on ~.~..~..~ ................. Lot,o.~/Z~.~.~loc~ ~o ............. .ouse Un~rwr,ters ~q~proval .~....~.. .................. }~.~...~-...P,ann,ng Board Approval ......... ..~.... ........................ Request For Temporary Certificate ........................................ Fin~ Certificate .......................................... Fee Submitted $ ~ .............................. ..... / ........ day o ...~:v.~.'.~..~..'~ ...... (stamp or seol)lZ~ ., -q Be 4. 10. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE Address '~/,f~ -~ ~.,~ ./,~ _j::~ a~-~*( '~ * ;' 6. Section 2. Property iocatlon X)~2~., S W~,.,.-~' ' ' 7. Lot No. 7~' ,- _ ~ ~ 8. Private well Village ~'~*~'~'-~ Township ~"<~/'~ ~ 9. Public water Distance to main SEWAGE DISPOSAL SYSTEM Public Water Compan~ame Lot size: Width 2" feet Length / /.~feet (Enter on center plot below) Sewage Dispos~System: tank: ~recast Equivalent Block__ A. [~0~ gallon septic Special B. l~faching pools: Number~---~_Preca~---~Block If private well fill in blanks below: Tank capacity '~als. Pump G.P.M. Total well depth / . Depth to G.W. Amount of water in welt ~ Test Hole D,ata ] Feet · ' ~'~'" ~ 0 2 ~-';'"' ,f 't I 4 8 10 12 14 16 18 The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current stand- ards thereto." / Based on the information presented herewith, it Date f ,_.,' ;,*,,r:~ 1;.,,., FOR HEALTH DEPARTMENT US~ is the opinion of the Health~partment, that an adequate and satisfactory Sewage Disposal Sysg~ cap be installed on this plot. S-15 Revised 4/]/72 FOEM NO.I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ....~.....~ ~ APPLICATION FOR BUILDING PERMIT Dote ..................... ~./. .~. . . ...................... , 19. . . .~. . . . .~. . . INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 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 progress of the work. e. No building shall be occupied or used in whole or in part for any 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 demoliti9n, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin/g,j;od~and reguta~i?/ns.//,~ (Address of applicant) State wh,e, ther applicant is owner, J~ssee, age~n~t,t archite~t, engineer, general contrnctnr electrician, plumber or builder. __- , , .. ............................................ .... . ....... Name of owner of premises .................................................................................................................. :~('.;~. ........................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........ ~. ............................. Lot No,: ........................ Street and Number ~.~-- .~..~GI ~_... ~_.~. O "f~OC ~ /.~....~./'~.~/.~ ~.. ............................................................ D'~'7" ......... ~L:~ i~'i~'~i'(, ............ 7,/' · xz~ ...... 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: b.a' Existinglntended use and occupancyUSe and occupancy ...... Z//~..c...~..!~......~.i.Z.~.. ~?...~. .......... ~'~'~'L~ ~.~ ............................................... ............ .0.._~....~ .............. ~ ....... ............................................................. 3. Nature of work (check which applicable): New Duilding .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Descr be) ................................... 4. Est,matedCost .... Fee · -- (to ~e ~[~'~'rfi'~"~'~i~]~n~ ............... z~' 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of ~rs .................................. ~ ................................................................................................... ;, 6. If business, commercial or mixed occupancy, speci~ nature and extent of each type of use ........................... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Numar of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height .................. .~...~N~mber of Stories .., ............................. ~. ~e,,ion, of ~, ..w co~,t~.c~o.: ~ron~ ...~~ ...................... ~r ............................ ~ ...................... / He,oh, .................... --~ of S~or~e, ................... --~ ~-';~':--"'""-'"'"' ........................ 7'7~"" ............................. 9.Size of lot: Front ............................ Rear .................................... uep~n ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .......... ]~]J....D.f..~..$ .............................................................. 12. Does proposed constru;t~ violate any zoning aw, ordinance or regu at on? ].~ ~ ............ ~ · ~ ............... 13. Name of Owner of pr~mises .~.~.~ ~ -.. ~.~-,~ ' ~e No .~ ~ ~~ ~~~.~ ..................... Name of Architect ...................................................... Address ................................... ~.~.. Phone No ..................... Name of Contractor ..~ ........................ ~,~...~.J .......... Address ........................................... Phone No...; ................ Locate clearly and ~stinctly all buildings, ~hether existing or proposed, and indicate all ~t-~ck dimensions from prope~y lines. Give street and bilk number or description accoding to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YO~RK, 1 r ~ COUNTY OF ...~.~...~.~.%~,.~. ........ fo'o' · ...u..~..'..~.~.....~..~..%.',.x..°.. ·..~....~..'.~....x2~. .................... being duly sworn, d~oses ond s~y~ t~t ho is the opplicont (~mo o~ individual sion[n~ opplicotion) above named. He is the ......... ~.....~.~9.~ ........................................................................................................... (Cgntractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work wJtl be pgrformed in the m6nner set forth in the application filed therewith. Sworn to before me this __ / _ ~ ........ ........... ......................... , -- ~x~.~.:. ........... ~ ............. ............ :T~RI LEE E~K ~ ~ HOTLY PUBLIC, State of New York / ~ 0 '~mission E~p re~ T,'~r~t, ~ , 19 ~ , ,~ 7~i~/z,/ O~ ,.~OoT"b~OL0 ~- ~ , ~PI~S OF THIS SURVey ,~A.~ NOT eEARIN~ ?) d. ,41'1-