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HomeMy WebLinkAbout11659-zFORM NO. 4 TOWN OF SOUTh{OLD BUILDING DEPART~4ENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20745 Date MAY 20~ 1992 THIS CERTIFIES that the buildin~ Location of Property 2190 HENRYS LANE House No. County Tax Map No. 1000 Section 74 Subdivision NEW DWELLING PECONIC~ ,NEW YORK Street Hamlet Block 1 Lot 44.10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1982 pursuant to which Building Permit No. 11659-Z dated MAY 13~ 1982 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 D~DELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED GREGORY & BARBARA RUNKEL 12-SO-09-APRIL 29~ H-016819 - JULY 1, 1990 N/A 1992 Rev. 1/81 ; TOWN OF $ BUILDING TOWN HALl.: SOUTH'OLD; N~ Y. BUILDIN~G PERMIT, (THIS PERMIT MUST BE KEPT ON TH,E PRE~IS~S UNTIL F~ULL COMPLETION OF THE WORK AUTHORIZED) ~o. li1~50 Z : ~ ..... ~ ~ ~'rg .......... " ............ ' ~'' Permission' is hereby granted to:; ~~ .~...~x..L~..LL'...~..;.~ .~ ~ ~.~ ~~ ~/~Jt,~'~ ~ . . ~ ~ ~... : ~ ..j2r .... ...... ~ .......... : .................................. : ................ ........ "7':' ~ ~....,, ........................ .............. .., ......... , ....~ ................. ~..~~.c.~..-...~ ~u~10ing 16Specter. , ? :~ NAY 141992 , 'I'OWN OF SOUYI*tOI.D Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY This application' must be filled in by typewriter OR ink and submitted to the buil4ing inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property limes, streets, and unnsual 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. ~ Sworn statement from plumber certifying that the solder used in system contains less-than 2/10 of 1% lead. r ~ Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 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 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-existiog 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.Q0, commercial $15.00 New Construction ........... Old Or Pre-exis~ing Buildiog ........ ...... Location of Property....~./..~.~. .......... .~....~.~../~.~-.. .~ ........... ~ouse No. Street Hamlet Onwer or Owners of Property. o~,,'~.~,~'~,~ Count Tax Ma No 1000 Sectio y ~p_~a , n .............. Block ................ Lot ...................... Sub division · .~.~..~.~.~. < ~ .... ~.~. ~ ~.~.~ .......... Filed Map..~. ~.*Z . . .Lot .... ~.. ............. Permit ,o..~/.~..~.f ...... Date Of Permit. ~./.~./~. ~. .... Applicant..~.'~.~,.~.~...<...~.~. '~/° .~.~'X... ~ealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ............... ~equest for: .Temporary Certificate. iiiiiiiil. Final Certicate ........... ?ce Submitted: $... ~5~.; ...... Co% o?v3 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~I}~W7 ~., BUREAU OF ELECTRICITY , ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date JtJt,¥ O~J~O Application No. onfile ~9:[~'~/~:~ ~ 0]¢~~) THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed below and introduced by the applicant ~med on the able application number in the premises of i. the followlng h~cation; ~ Basement ~ Ist Fl. ~ ~nd ~1. {;gR Section Bt~k Lot and found to be it~ compliance with the requirements ~f this Board. FIXTURE ~ FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS IECEPTACLES SWITCHES FLUORESCENT OTHER DRYERS SYSTEMS E OTHER APPARATUS: TR3, C~ [,'I G~T'I N(; E R V I C NO, O~c CC COND A W G pER ~' O~ CC, COND AWG. OF HI-LEG NO OFNEUTRAI A, WG OF NEU{RAL ~ ~ J t I t [R,t~, ~¥ ~ 'J 'l g ~ 2 GENERAL MANAGER Per lhis certificate mus~ not be ~l~ored in ~n~ monner; reIurn ~o the office o~ lhe Board i~ incorrech InspeOgrs moy be identified by Iheir credenfiais iooii THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- lll~ 8.5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the able application number in the premises of Gl~ory ~1, E/S ile~y's I~me~ N/o~ N~th ~, ~c, N.Y. in the following locatlonl ~ Basement ~ 1st FI. ~ 2nd FI, Section Block Lot was examined on ~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS IME CLOCKS UNIT HEATERS ~ULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OIH~R APPARATUS: 4/0 1 4/O Howaixi Dillin~mm E3 Bray Avenue Laurel, N.Y. 119~ lic. 756-E ])er This certificate must not,be cJJtered in any manner; return to the office of the Board if ~incorrect. J~specto~s may be COPY FOR ~UILDI?G DEPARTMENT. THIS credentials. FIELD INSPECTION ~ COMMENTS FOUNDATION (1st) FOUNDATION ( ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C~DE FINAL ADDITIONAL COMMENTS: TCWN ©F SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, FLY. 11971 TEL.: 765-1802 ~=n,~ ~7' x~..., ~ App?~o~ ~o. l/~--~ ...... Appro,'ed ~..~7 ..... 17~ Permit N/~7.~ / &PPLIOATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildk Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiug to schedule. b. Plot plan showing location o£ lot and of buildings on premises, relationship to adjoining premises or public strce: or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part oP'this appi cation. c. The work covered by this application may not be commenced before issuance of Building Pe'r~i~ d. Upou apprc.'al of this application, tl3e Building Inspector will issue a Building Permit to the applicant. Such shall be kept on the premises available for inspection thronghont the work. e. No buildiag shall be occupied or used in whole or in part for a~ny purpose whatever until a'Certificate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Btdlding Department for th~ issuance cfa Building Permit pursuant to Building Zone Ordinance of thc Town 'of Soutbold, Suffolk County, New York, and other applicable Laws, Ordinancesj I(egulations, for the coustruction of buildings, additions or alterations, or for removal or demolition, as herein describer Tk.e applicant agrees t~ conrply with all applicable laws, ordinances, building code, housing code, and regulations, and adulit authorized inspectors on prenlises and in buildings for nece~.c~. ~....~c,~./.'" . " (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, .... ,:~::2...~ .~.~.~. ............................................................. (as on the tax roll or latest deed) If appllcant is a corporation, signature of duly authorized officer· (Name and title of corporate officer) Builder's License No Plumber's Licens~ No.~.C<'.-"'-"--' ~..C.. ~.~..f~-"C~.~.. El:~ctrician's License Other Trade's License No ..................... I. Locatiou of laud on which prot).osed work will be done ................................................ · / .e .......... ............... ...................... House Number . / Street Hamlet County Tax Map No. ~000 Section . ~ Block ~ / Lot Subdivision ................................. Filed Map No ....... Lot .............. (Name) 2. State existin~ use and occu ~anc of re n' , nd rite xled t .... ' · ~ i y pr~ ises a ~ and o~ct pancy of proposed construchon. -~:.. b. Intended use ~d occupancy '~. ~ 3. Nature of work (check which ;applicab: Repair ............. '. Rci'noval . S. If dwelling, number of dwellinlg un/ts lfgarage, number of cars ... ..... fi. If uuslness, Commercml or nuxed occu[ 7. Dimensions ofexistingstmctures, ifan Height ............... Nt.mber of e): New Building ......... Addition .......... Alteration ......... Demolition .............. Other Work .............. - (D ipti ) .............. Fee ........... ~ ....., .......... ..~ (to be paid on filing this application) ........... Number of dwelling units on each floor ............... ancy, specify nature and extent of each type of use .............. Front ............... Rear .............. D~p. th ........ tories ............................................ Dimensions of same structure With alto 'ations or additions: Front ................. Rear ........... Depth .................. t ' ' ' Hm.~lt ...................... Numberof Stories ...... ~. D me is OhS of.'ntire new cons:tn ct on' Front . - , , · ............. ~xc,,. ........... ~cp.. . ;~'1.7 ...... Hm=ht ............ Nu. nber of ~tones 9. S~zeoflot:Front 4~-~.~' . ~e~r 10. Date ofPu:chase ..--~7~ ; .................. ,Nume of Fomler Owner .~2//~. ~C, ~... ti. Zone or us~ di~tfict in which pre ~sesrrestuated ~ ':. 12. Does proposed construction vmlate any zonulg Iaw ord lance or re-u at on' ~...... M. ~ame of owner oi pre nises ~, ~ . ~ ....... e ................... PhoneNo ............... ~aneofContractor .~;~ Address Ph N ............ · .................... one ..o ................ Locate clearl.9 ~d distinctly a~l buiklir property lines. Gh'e street and block number later/or or corner lot. PLOT DIAGRAM gs, whether existing or proposed, and. indicate all set-back dimensions from or description according to ed, and show street names and indicate whether rATI-; OF NE V_.YORK, COUNTY OF .--~,&..~,~f.Z./~... .... (Nan~ ofindMdual signh~g cont~ obove named. Oie is the ...................... ~ ...... of said bwner orow'"~, and is dul~' author ~l~Plication;.flmt all stat,emcnts cont:iiaed in Work will be performed in the manne~set fort ~worn to before me this ............... ~ ..... day of~ ....... 1~~ ' '~Otaw Pub .~ ~.~ ' , . ' pub o. State of act) being duly sworn, deposes and says that he is the applicant Contractor, agent, corporate officer, etc.) :zed to perform or have performed thc said work and to make and file this his application are true to the best of his knowledge and belief; and that the hi the application filed ', ' t~.erew~th. ' ORE~ORY RUNKEL & BARBARA RUNKEL SU~0~ COUN}'Y F~[PAR'rME~',~ [ 0F HEALTH S'ERVICES ~, ~ .~... ~ ~; , , LOT 9~ "MAP OFPECONiC KNOLLS" ....... ~ -, - S~F~ COUN~Y~ NEW ~K NO. 81-241 Ioca~on have been mspesh,:. ,~, ,~, other agencies a~tou~t~t~ bo satisfactory. .~tZ[0 ~TE~*T~ o. ~DO,TION m ~S GUARANTE~ C~t d ,~r~u ~ Wastewater Mana~e~nt ~w ~R~:STATE 'E~C~TION ~*W CHICAG~~~COMPANY HEAL~ DKPART~NT-DATA ~ APP~ ~ C~STRUC *ilo ~ * I.KH*CF ~.TK ~TLE C~Y, GOV~N- OF H~TH S~IC~I. PUR~SE~'AH~ AR~ NO~ TO BE U~ED TO ESTABLISH ~LIC~T, P~ERTy LINES 0R ~ ~E ERECTION ~ FENCES , r , ' , ; ..... ~,,, RIVER~AD* NEW YORK amounts of ~~t~[amfi· M ¢ ' EXCAVATION IHSPECTiflN REQUIRED ' ~ soU~O SURLY ~OR 6REGORY R~N~EL 6 BARBARA R~NKEL ~UFFOkK COUNTY ~EPART~ENT O~ HEALTH SERVICES LOT 9, "~AP OF PECONIC KNOLLS" AT PECONIC DATE~ MAY 8, 1~81 ~ ~P~ROV~C OP C~STR~TION ONLY ~WN ~ SOUTHO~D , SCALE, SURVEY ~ A VIOLATION ~ SECTION 7~09 ~ THE NE~ YORK STATE E~CATI~ LAW CHICAGO TITLE INSURANCE COMPANY ~ROVED~I~~. ' .... N coP~ES ~ m~s ~vEY NOT ~AA~ THg LANO GREGORY RUNKEL ~ 8AR~RA RUNKEL NOT i~ CONSm~ID TO:~ ~ VAL~ ~ ?~U e COPY N8~kNT[~S ~?[~ N[~ON ~ALL RUN ~LY ~ a~e M~~ ~ , J '~ , 4, ' I ~~. ~ '" ~-'~¢ YOUNG 8 YOUNG~ ON SEPT. ~9, 1977 AS FILE N~ eeo? AND LAND SURVEYOR N.Y,S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR 6CCI) ,HC OR, · :,,?, ! .. 72 ' N(~r~IN~'~DEPA[~TMENT AT ?~5-1802 9 AM TO -4 PM FOR THE FOLLOWING INSPECTIONS' J. FOUNDATION - ~0 REQUIBED 2, ROUGH - F~M~NG & PLUMBING 3. INSULATION 4. FINAL - C~h:STRUCTION MUST ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ~ATE CONSTRUCT[ON & ENERGY CODES. NOT RESPONSIBLE FOR Phone 477~0400 ~ Main Road , GREENPORT, N:Y. 11rt444 Phone 477-04¢}0 ~ Mai,~ Road ~lOIle 477-0400 C3~(~.ENPOR l, N Y ~ ,Mai~ t~oad Phone 477-0400 Main Road GI~CEENPOi~T, N,Y~ 11o44