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Home My WebLink About13397-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34229 Date: 03/16/10 T~IS u~TIFIES that the building ADDITION AND DECK Location of Property: 725 PRIVATE ROAD 31 (HOUSE NO.) Cou~lt¥ Tax ~4ap No. 473889 Section 77 Subdivision SOUTHOLD (STREET) (HAMLET) Block 3 Lot 24 Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 29, 1984 pursuant to which Building Petit No. 13397-Z dated AUGUST 29, 1984 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 ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS C/O CORRECTS C/O Z-16521 DATED 12/21/87. Ge certificate is issued to DANIEL J & SUSAN K WEST (OWNER). of the aforesaid building. SIIFI~DLKCOI~Y DEPAR~ OF ~R~{APPRO~;~kL N/A ~-r~ICAL CERTIFICA~NO. N 682376 03/12/85 I~L~ERS CERTIFICATION DA'r~ N/A Rev. 1/81 //~u~o~i ze~ Signature Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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. Certi~cate ~f ~ccupancy - New dwe~~ing $25.~~~ Additi~ns t~ dwe~~ing $25.~~~ A~terati~ns t~ dwe~~ing $25.~~~ 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 - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Street Owner or Owners of Property: L~-~51- _}'NF^ £~1 ~i ? Suffolk County Tax Map No 1000, Section ~-{ ~ Subdivision Permit No. \~D'Z~ q~'~ Health Dept. Approval: Old or~Pre-existing Buildin~g: (check one) Date of Permit. ~ ,~C~ _ ~5~ Block Hamlet Lot FiledMap. Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature AREA=!4.635 SQ, FT. yVI~ ROAD SURVEY OF PROPERTY A T BA YVIEIY TO1YN OF SOUTttOLD SUFFOLK COUNTY', N.Y. I O00- .~CAL~' 1'--,~' WARCH ~ 2010 ' CERTIFIED TO: Paul Oeiger Kathy Getger Quicken Loans,Inc. Eagle Abstract Corp. P.O. Box 909 ,~m n~,~ smear[ 10 1~4 SOUTHOLD, N.Y. 11971 ] ~ ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13397 Z Dote .......... ~ ..~...~ ....... Permission is hereby granted to: .....~..~.~.~.~......~ ......... ~o..~....~.~..~.....~ ........ .... ~....~.~;¥..: ...... l/....~..~./... at premises located at ............................................................................................................................ County Tax Map No. 1000 Sectio,o~.~..~.-.?......~. ....... Block ........ ~ .........Lot No ........ ..~..~. to application dated .... ~ --~..4r:k~..~.. .........~..~ ......... , 19.~...~.., and approved by the pursuant Building Inspector. Fee $ ...................... Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No. Z-16521 Date December 2], 1987 THIS CERTIFIES that the building CONSTRUCT ADDITION TO EXISTING ONE FAMILY DWELLING Location of Property 3035 Goose Creek Lane Southold, New York House No. Street Hamlet County Tax Map No. I000 Section 077 .Block 3 . .Lot. 24 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 29, 1984 13397 Z ...................... pursuant to which Building Permit No ...................... dated August 29, 1984 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to DANIEL & SUSAN WEST ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval N /A N682376 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG. DEPT, TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCYInstructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 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 installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan reqgirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Data of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of ~ccupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00. over 5 years $10.00 5.Updated C.O. $ 50.00 Date ...................... New C o n s t r u c t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ........... , ................ House No, Street Ham/et Owner or Owners of Property ; County Tax Map No. 1000 Section ............... Block ........................ Subdivision ................................. Filed Map No ........... Let No .............. Permit No../'~. ~ .~... Date of Permit ~. ~.~. ~/?.Applicant.. ,~'-~<~?.~...~./~.-.-...~/"~'/~.-~..~.... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning 9oard Approval ...................... Request for Temporary Certificate ' Final Certificate Fee Submitted $ ............................. Construction on above described building and permit_.meets all applicable codes and regulations. Applicant ...................... R~, 10,10.7a TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 SRCOND NOTICE FIRST NOTICE 6/27/85 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /-/ /_-/ An application for Certificate o~ Occupancy is not on file. ENGLOSED No Underwriters Certificate on file. The check is(outdated/not on file.) $25.00 No Health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. ~uilding Permit # I 3 3 9 7 Z Daniel & Susan West Building Dept. ***/-- No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 It is a violation to occupy this addition without a Certificate of Occupancy. Please fill out the enclosed application and enclose you check so this matter can be cleared up. FIELD INS~ECTION DATE COMMENTS FOUNDATION ( 2nd ) ..... PLUMBING STATE ENERGY ~ODE ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS O1 BUREAU OF ELECTRICITY V 85 JOHN STREET, NEW YORK, NEW YORK 1003~ ~,ate ~h ~, ~5 ~pplication~o.o.~,~ ~?e3/~ N682376 THIS CERTIFIES THAT only the electrical equipment as described below attd introduced by the applicant named on the above application number in tke premises of D~iel We~, N/S ~ ~k ~e 7~' E/O No. ~i~ ~e, Sou~ld, N Y in the following location; [] Basement was examined on Narch 7, 1985 FIXTURE OUTLETS RECEPTACLES SWITCHES 4 9 7 4 DRYERS FURNACE MOTORS ~ 1st FI. FIXTURES [] 2nd Fl. Section Block and found to be in compliance with the requirements of this Board. RANGES COOKING DECKS 'OVENS FLUORESCENT VAFOR FUTURE APPLIANCE FEEDERS TIME C~.OCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET Lot EXHAUST PANS DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 4'-0" 3 lt~es, Track Lighting Elec room heater 2-1. OKW S S R V I ,,i NO OF CC COND r A w G, NO, OF HI.LEG C E A W. G NO OF NEUTRAl A.W.G. OF HI-LEG OF NEUTRAL ttuland Electric Co. P 0 ~ox 143 Llc ~42 E This certificate must not be altered in any manner; return to the office of the d if may be als. I ANY MANNER. ~- 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 1197~ TEL.: 765-1803 Sxamine . .. Approve~.t~..W]...A.~.., 19~.~. Permit No. ].'.~..~.~..~. ~ Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. e. 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 issued a Building Permit to the applicant. Such permit ;hall 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 ;hall 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 3uilding 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 ~dmit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) '~ agent, architect,. State whether applic t is owner, lessee, . eugineer, general contractor, electrician, plumber or builder. Nmne of owner of prdmises ............................................................................ (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Other Trade's License No ...................... Location of land on which proposed work will be done. ' House Number Street Hamlet County Tax Map No. 1000 Section ...: ........ Block .............. Lot ................ Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) 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 ....... Zl. ~' ~ ' ' r''; ;; 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ....... Alteration .......... Repair ............ Rembval .............. Demolition .............. Other Work ............... " ~., .~..07..--~.. (Description) 4. Estimated Cost : ....................... Fee ...................................... (to be paid on filing this application) 5. Ifdwelling, numberofdwellingunits ............... Number of dwelling units on each floor ................ If garage, number of cars .... ; .................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ........ , .............................................. Dimensions of same structure with alterations or additions: Front ................. Rear ................. ' Depth ................... .... Hel.......' . t ............... Number of Stories ............ c ' 'ce .... 8. Dimensions of entire new construefion: Front .... i .......... Rear ...~.f ........ Depth . ].~....~ ...... Height .............. .: Number of Stories ...... ~9/4'../,~/ ........................................... 9. Sizeoflot: Front ...................... Rear ...................... Depth .................... 10. Date of Purchase .......... ; .................. Name of Former Owner ........................... 11. Zone or use district in which premises are situated ................................................... 12. Does proposed construction vioJate any zoning law, ordinance or regulation: .............................. 13. Will lot be regraded ................. ~ ........... Will excess fillbe removed from premises: Yes N 14. Name of Owner of premises .fi~fi.Il~FI ~. ~.q¥/..f~...~r.../~ddress ~,aq:.~. ¢.'~.~(~.~. .... Phone No .............. . o. Name of Architect ......... ' .................. Address ....... J~.q*:C.~!(q... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimansions from r desent~on according to deed, and show street names and indicate whether property lines. Give street and block number interior or corner lot. ¢TA~f'E OF NE~RK, .......... (Name of individual sig: ~bove named. ' .~, .'x~-, ............... being duly sworn, deposes and says that he is the applicant dng contract) te is the (Contractor agent corporate officer etc) >f said owner or owr~ers, and m duly authorized to perform or have performed the said work and to make and file this ~pphcatmn that all statements cont:amed m thru apphcat~on are true to the best of his knowledge and belief; and that the .~ork will be performed in the manner set forth in the application filed therewith. ;worn to before me this ......... , :.day or ..... .... '¢' qotmy~Public, . ..... ~, ./~,, ~.. ,~-~x. ~ County /D ,. · NOTary ~tl0, ~ ~ ¥~ c~ (Signature of applicant) No. 52-81251150, Suf~ Term Expires March'30, ApPtlOYED AS NOTED NOTIFY BUILDING DEPARTMENT ^T 765-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR pOtJRED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CON'STRUCTION MUST BE C~-'MP]-F.TE FOP, C. O. ALL CONSTRUCT[ON SHALL MEET THE REQtI[REMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRI~"TION ERRORS, ONT VATiONo ,r - ELEVAT ON Y 0 UN bAT' N p, t 4 ,0 K- L_ 0 O ?,. o CRO.S.% o T I ON i)pi ~ i 1 .,