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Home My WebLink About14227-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18421 Date SEPTEMBER 26r 1989 THIS CERTIFIES that the buildin~ Location of Property 295 TRACK AVENUE House No. County Tax Map No. 1000 Section 137 Subdivision ONE FAMILY DWVf,LING Block 01 Filed Map No. CUTCHOGUE r N.Y. Street Hamlet Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 3t~ 1985 pursuant to which Building Permit No. 14227-Z dated SEPTEmbER 6~ 1985 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 DWv3J.ING The certificate is issued to JOYCE FRIEDLAND (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO-42-SEPT. 15~ UNDERWRITERS CERTIFICATE NO. N-804632-APRIL 20~ I987 PLUMBERS CERTIFICATION DATED SEPT. 6~ 1989-H2M LABS~ INC. 1989 Building Inspector Rev. 1/81 I~OBM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAt. L SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NM 14227' Z Permission is hereby granted to: ..../...~.~...0.....~,~.~. .~.~....-~,, .............. .../..V.~Y.Z,../.~..~....~.~ ......... f.: ........ to ....... g~.~ ~ ~,.~.~ :'~ .~.~..... ~.,~.~ ~. ~ ~...~. c.../../.~ ....................................... / County Tax Mop No. I000 Section ...... /....~...Z. ..... Block ...~..(. ............ Lot No....(~'../..~... ........ pursuant to opplJcation dated ......... .~..~.L.'.~:~/........~..~ .................. , 19~...~., ond approved by the Building Inspector. F, Rev. 6/30/80 ' AFPLICATio~ TOWN OF SOUTHOLD TO~i{ flALL SOUTDOLD, t~E~ YORK 765 - 1802 FO~ CERTIFICATE OF STREET HAMLET C°uoc7 Taz Hap No. .{o.-'~.~j_j..n~te o£ C Dept. Approva! fanning Board Approval for Temporary Cerci£1cace Subo£cCed: $ .............. DOUSE Flied Map ........ Loc .......... .......... ApplicaoE ................... Under~rlCers Approval Final Certi£icace ................ ' 10/~4/88 '=' FORM NO, TON'N OF SOLFFIIOLD BUILDING DEPARTmeNT TOWN I~LL 765 - 1802 · APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS 1 ~tioo must b!e filed in type~rlte~ OR ink anld submitted to the Building e ~th the follbwing; for new buildlugs Or new. use: 1. Final sure, ny of property with accurate location of ill buildlegn, property linen, streets, and UOusualloa£ural or topographic fcature~.. 2. Final aPProval o( Hehlth Dept. of water Supply and Sewerage_disposal(S_9 form). 3. ApProval of cleetrlc~l installation from Board of F~re Under,fleers. 4. Sworn statement fromiplumber certifying that holder;used in system contales lesn than 2/10 of IZ lcad~ or ~Ugzneer responsible f,.'~k_'~?~£}cate of code eompllance fro- -~- . Approval of COmpleted site plbn requirements. For existing buildings (Prior to April 9, 1957~ nou-conlformlng uses, or buildings and 'Pre-existle~' land ~ses: I. Accurate survey of property showing all property llnlos' streets, buildle§s and unusual natural or topographic features. 2. A properly completed ~ppllcatlou, a Consent to aspect signed by the appllcaac and a certified abstract of title issued by a title Company ~hich shall show ' single.and separate O~nershi- of t' ' - ' · If a Certificate of O~cu-auc- :~ ~ . _.e entzr~ lotlprlor to April 9 1957 ~ z ~ uenzea, the BUilding Inspector shall'stare'the reasons therefor iu ~r~itie~ to the applicant. 3. Date of any housing code or safety inspe~tloo of '' · buildings or premises, or other :required to prepare a certificate. For Vacant Land' ert~fzc~te o£ Occupancy: 1- Afl application for vacant laud Certificate of Occupancy shall be and a certified abstra:ct of title issued by a title Company submitted, separate o~nership of 'the entire ~-- - · . i sho~iog single a0d the application. If a! Cert:~:--.~"'~P~I°r to April ~, I957 shall also shall state the reasou~ the~Z;Z:c? o~ ?c?Upaoc7 ~s de;clod, the Buildio- FEES: ' , i .... xn ~lting to the ap~plicaut, o -~peccor I. CERTIFICATE OF OccUPANcy _ New D~elllng $25.00, Alteration to D~elliog $25.08, Swimlo. Pool e~. to ~elllng $25.00, Addition to Accessdry buildiu~n, g25.~O - ~ ~l'uu' AcceSSory buildlug $25.00 2. . ..... sxne~ses $50.00. Certificate of OcCUpancy on pre-existing d~elllng - $100.00. 3. Copy of Ccrtifleat~ of Occupancy - $5.00 - over iyears - 4. Vacant Land Certlf~cate of Occupancy - $20.00 Updated Certlflcat~ of Occupancy - $50.00 Temporary Cortlflc~te of Occupancy - $~5.00 Residential $bD.DD Comm~!rclal THE NEW YORK BOARD OF FIRE UNDERWRITERS AJ)K',~J. 2.0, ].~J7 BS JOHN STREET, NEW YORK, NEW THIS CERTIFIES THAT George ~. Sch[te~de~ 295 ~ack Av~ue~ Cu~cho~e~ 137 ~ 18 ~sexa~nlnedon ~ 0~ ~ andfou~dtobei~cocnpl~anceu'iththereq~ire.~ent~fthlsBoard FIXTURE FIXTURES RANGES COOKING DECKS OVENS OUTLETS SWITCHES NCANDESCENT FLUORESCENT 45 54 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVIC~ OTN~P~R~U% 1-8~oke detecLor S E AWG. OF CC, COND NO OF HI-LEG A.W.G NO OFNEUTRALS A W G, OF HI'lEO OF NEUTRAL 2]0 l~la£t:'l!,:uck,, N~ 11952 LJ.c~ P~ N;~EB This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ~dent/~ied by their credentials. COPY· FOR. tDIHG· DEPARTMENT. THIS COPY OF CERTIFJCATE Bl:: ALTERED IN ANY/~NNER. ]65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND~ INSULATION FRAMING [ ] FINAL REMARKS: BUILDING DEPT, INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~]/FINAL DAT[ ~* FIELD INSPECTIO~ ~-~ COMMENTS FOUNDATION (1st) FOONDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY %OD~ FINAL ADDITIONAL' ]OMMENTS: 765:1802 BUILDING DEPT. INSPECTION FOUNDATION ZST ~ ROUGH PLBG. FOUNDATION 2ND'%[ ] INSULATION DATE Memolrandum from · . · BUiLDiNG iNSPECTORS OFFICE TO~..% OF SOUTHOLD TOWN ~ALL. ])OX 728, SOUTHOLD, N.Y, 1 ] 97 t 765-1802 ' FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ..... l PemtNo ............ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS ' a. This 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. · i 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 appli- Fation. 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 issued a Building Permit to the applicant. Such permit ~hail 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 ~hail 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant agrees to comply with a, ll applicable laws, ordinances, building code, housing code, and regulations, and to amir authorized inspectors on premises'aba in bq!lding for necessary ins~ns.t~_.7.-. (~ ~ ~~'~/..'~ ' ~tur?of applicant, or name, if a corporation) ./?. q . .,, t .,f g , . /tM.:rF ra. wy . (Mailing address of applicant) ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ame of owner o f premises . .~v~YO~,q.~.....~-...~F--4~/~. ~ ........................................... (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 L~cense No .............. -,4~(,-~.~ .... Electrician'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 ../..~..7. .......... Block ....0./ ............ Lot..../.~. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . , .~..~1~2~...Z-... ~..~.A/..d> ................................................... 3. Nature of work (check which aPphcable): New Building ...... Addition .......... Alteration .......... Repair .............. Rem?al. .............. Demolition ...; .......... Other Work ............... n~fi--~ t:re?~I~'~ ~..~.~.t/.,. ~ (Description) 4. Estimated Cost ...... v ..... ., ......................... Fee ' . ........................... ,~ ~' (to be paid on filing this application) f 5. If dwelling, number of dwelling' units .............. Number o elling units on each floor ..... -..~ ........ If garage, number of cars ...~ ............................. ~ .................................... 6. If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use .......... ; .......... 7. D~ensi0ns of existing structures, if any: Front. ~ ........... Rear, .............. Depth .~ ...... ~ ~ Number of Sto~es ~ ~ ' Height ................................. ~ .................................... D~ensions of same structure ~ith alterations or additions: Front . ~ ...... Rear Depth ........ ~ .......... ~ HeiSt ~ Number of Stories ~ ~ R ' ~ pth .' 8. Dimensions of entire new construction: Front ...... ear ...... De .... ght . 2P. .......... m,ber of ~oneo ~ ' ...... ..... ........... 9. S~zeoflot: Front ...~.~...I ............ Rear ...... ~..~.. ep .~ t ........... 10. Date of Purchase . ~..~ ~l./~R~. ........... Name of Fo~e~ Owner .~.~. ~ . 11. Zone or use district in which p?mises are situated...~P.~Tt~4.., .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . ~ ....................... 13. Will lot be regraded .. ~q .~ ,. ........... . ....... Will exces~fill be removed from premises: Yes 14. Nme of Owner of premises ~ ~..~.~ .~Address ~.~(~.~ ~... Phone No..~?~:~.~...... .. Nme of Architect Address r Phone No N~e of Contractor ~1 ................... Address ..... : Phone No . PLOT DIAG~M : Locate cle~lg ~d distinctly ~1 bufld~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensions from property Hnes. Give street ~d bloc~ number or description accord~g to deed, ~d show street names and indicate whether interior or corner lot. ~'OF'NEW YORK/ COUNTY'OF ......... ........ S.S ................................................. being duly ~worn, deposes and says that he is the applicant (Name of individual szgnmg contract) above named.~ I He is the ,. .' ' (Contractor, a~ent, corporate ~fficer, etc.) Of said owner or owners, ~d is duly authorized to perform or have perfO~ed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to thb best of his ~owledge and belief; and that the wor~ w~l ,be perfomed in the m~her set forth in the application filed ther6with. Sworn to before me this ' · ..: .... ~.. 19 g$~ i Nota~ Public ...... /.~..(k [ .............. County ~ ~ ~lu~ ~1~ ~NN~ ~ H~ ~ DE VO~ , .~ .~.~ ~. - . ., ~A 1~ · N~ T~m Ex,res M~rch 30, ~ , z t~ 0 SCALE:, i~:MONUMENT 5,4 z,e iF Ai z ,,4:, ,, SCALE-, 1. ALL ~ORK SHALL COM~L¥ WITH THE NEW yORK STATE UN~FORM FIRE p~E~P~NTION AND B~ILDING CODES. 2- ~L L{N~S S~O~ ARE MI~UM SIZES. 3. ~UB~ LINTEL ~ACKS FOR ~L OPtiCS GRE~TER T~ 6 F~T. 4. ~UBLE ~LOOR JOIST~ uNDER P~TITIO~S. 5. ~UBLE ~T~S ~T SKYLIGHTS ~ APPLIC~LE~ 6. T~ NEW YO~K STATE ENERGY CODE SHah B~ COMPLIED WITH THE B~SI~ O~ P~T 5 (ACCEPTED PRACTICE ~D IN P~TIC~ 7, P~OVIOE SEP~A~ SEATING ZONE CONTROL ~OR EACH 8. FIRE~L~E D~PERS S~ALL ~AVE A LE~ ~TE OF LESS T~ 20 ~M OR BE FITTED WITH A GLASS ~OR & ~ITTED WITH AN COMBUSTION AIR SO~ECE. THE KITCB~ EXHAUST fAN BE NON-VENTING. SHALL BE FITTED WITH A DA~4PER OR ALL HEATING, WOT WATER, AND ELECTRICAL EQUIPMENT SEALL BE AS APPROVED BY THE NEW y~RKSTATE CONSERVATION, CODE- cEILING WALLS SLAB EDGE - IN$~LATION SCHEDULE (MIN.IMUMS) WINDOWS - u & 0.69 BooRs ~ - u ~ 0.40 HOT WATER PIPES - R -- 4.6 OCCUPANCY OR USE fS UNLAWFUL WiTfi 6i' CEIIflFICAT£ OF OCCUPANCY If copper tubing is used [or water distributing sys:em; piping shall be of types K or L only SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED £/lO of 1% LEAD. TWO o-o ~O;O" K]YCKIEN 581 o" o b l V'!NQ OON~ T K t OOq o $OOTrIAMPiOI4 LU~&BER CORP. MAIN ROAD aL&IT~TU. CK, N~W";FO~K 11952 J98'-'4711 51,L. Ko DR. NOTIFY BUILDING ~ , 765-1802 9 AM TO 4 PM FOR:THE. FOLLOWING INSPECTIONS: I. FOUNDATION ~ TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N. Y, STATE CONSTRUCTION & ENERGy CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ,- ALL -~-XT~,~IOJ~. WALL5 ALL LMTERIO~ WALLS Unauthorized alteration orr r addit:on to this document }s · v~ole¥on of section 720~ o~ ~ke N~w York State Educa;'on law. ¢ '¢~- of this document ~o~ r~ 0 ECONO FL_OPLG _'.-' WALL L~lnauthorized alter~t£on" mr addlltion fa this document is · violation of section 7209 of the New York Stare EducatioR Copies of fh~s document not bewaring the engineer's inked seal or embossed seal shall not be considered valid copies. - Fi~O~T L. tLV, o 5cALB ~OUT~AM~TON LU~e~ CO~r ~IN ROAD .k~ATflTUCK~ NEW YORK 119~2 298- 4711 ~5ECT, 'N ..& Zo-o 6to', i! !1 _¢ ~ - 4711 r f ;' ELEV, o Unauthorized altemNon or · ddJtlon to this document is ~ ' violetJon of section 7209 of the New York State Ecluc~tiom Copies of th~s document not berating the engJnee/s inkecl seal or embossed semi shmll hal be cons'dered valid copie~