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Home My WebLink About29398-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPkNCY No: Z-29614 Date: 07/31/03 THIS CERTIFIES that the building ALTERATION Location of Property: 6825 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 10 Lot 17 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19, 2003 pursuant to which Building Pe~ralt No. 29398-Z dated MAY 19, 2003 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 INSTALLATION OF ELECTRIC TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR, The certificate is issued to WILLIAM A & MARGERY A CAGGIANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1146301 07/17/03 PLUMBERS CERTIFICATION DA'~au3 N/A zed S~gnature 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) PERMIT NO. 29398 Z Date MAY 19, 2003 Permission is hereby granted to: SUZANNE H CONNELL 145 MITCHELL RO~kD HOLLISTON,MA 01746 for : ADD ELECTRICITY TO AN EXISTING GARAGE AS APPLIED FOR at premises located at 6825 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 126 Block 0010 Lot No. 017 pursuant to application dated MAY 19, 2003 and approved by the Building Inspector to expire on NOVEMBER 19, 2004. Fees 75.00 Autl2xSri zed Signature ORIGINAL Rev. 5/8/02 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 sho ~ving ali 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. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinmfing 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, Cormnercial $15.00 New Construction: Old or Pre-existing Building: Location of Property: ~ t~,~ ~ /~0! C.~ t~ ~-~ House No. Street Oxw~er or Owners of Property: //t)/'/~ ? (,/~ ~'~( Suffolk County Tax Map No 1000, Section (check one) Hamlet Block [~.3 Lot lq Subdivision Filed Map. Permit No. ~O~-~c~, c,~ Date ofPermit. % -'\ q ~0_~ Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~=~ . C> ~ Lot: Underwriters Approval: Final Certificate: (check one) {~ppl ' c~t Si~Ore 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. BOX 1001,455 BEEBE DR. CUTCHOGUE, NY 11935, Located at Application Number: 1146301 Section: Block: Described as a Residential 6825 PECONIC BAY BLVD. LAUREL, NY 11948 Lot: WILLIAM CAGGIANO 6825 PECONIC BAY BLVD. LAUREL HOLLOW, NY 11948 Certificate Number: 1146301 Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Detached Garage, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the Name Panels 17th Day of July, 2003. QTY Rate Rating Circuit Type 60 3 Wiring and Devices Receptacle 7 0 Switch 4 0 Fixture 3 0 Receptacle 1 0 Paddle Fan 1 0 Lighting track 6 0 FT Lighting track (head) 6 0 General Purpose General Purpose Incandescent GFCI seal 1 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. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Ex min ¥l}/ ,2° ^pproved ,20. Disapproved a/c Expiration /k BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT I g 9nn Date /fl~y I q ,2003 ' INSTRUCTIONS ...... al This application M~'S~ be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways. 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 a 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 any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. ffno zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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. (~ignat~of app~a~t or name, if a corporation) D~'rE:~ 8.P. # (Mailing address of applicant) /¢ q State w~..et~p~t is~E~n, er,~ee~ a~'~ge,t, architect, engineer, general contractor, electrician, plumber or builder NOTIFY BOLOING DEPARTMENT AT _Si~e,~/~.l~M TO 4PM FO~ THE Name c~d~ll~l~rni~l~ ~ If appli$.&u~~ ~g~duly authorized officer (As on the tax roll or latest deed) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 1. Location of land on. which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section I ~.~' Block [ 0 Lot t '~ Subdivision Filed Map No. Lot (Name) UNDERWRITERS CERTIFICATE REQUIRED 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 ~4-~ ~'~' 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars / Fee Addition Alteration Other Work ~4_~)~ ~'r,~'c 'F,~ t r- r ~ (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent ofeach type ofuse. -- 7. Dimensions ofexisting structures, if any: Front t2'g" Rear ~' la'~ Depth ~.t ' Height , q' + - Number of Stories t Dimensions of same structure with alterations or additions: Front 5~9~ ~' Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front - Height Number of Stories 9. Size of lot: Front ~ ' Rear ~ ' 10. DateofPurchase tt[t2.]z. Oo2~ Name ofFormer Owner Rear Depth .Depth qtO ~ ' 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES__ NO '~ Will excess fill be removed from premises? YES NO 14. NamesofOwnerofpremises t~O~t~,q~l.g Address Bt~ul)~ Name of Architect ' e. ~rt~& ~ ~.~OAddress Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO / * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO / * IF YES, D.E.C. PERMITS MAY BE REQLTIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. O TOII 2 VOflqqA 17. If elevation at any point on property is at 10 feet or below, must provide topographical d~ta on survey. STATE OF NEW YORK) COUNTY OF $OFFoOCJ 3~!' ~0~ ',. -,, gag e, /V/~r '~. $ ~-~ ~'A~' G'/'A O O being duly sworn deposes an~ll~rsl~ (s)~te is t~,:~a~j~{ (Name of individual signing contract) above named, :~"~'~7 ',~. ", ~]~lJOq (S)He is the -'" ,.,,~ . ~l~k;U2~ ~ .. ~ ,,~A~ (Cqn~ctor,. ~ Agent,. Co~om~ Officer, etc.) tgO~ ~c¥' ),,O: *~.~.3" . of satd o~ Or~W~m, ~d ~,d~7 au~onzed~o p~o~ or ~ve p~o~ed ~ ~ ~~s p~om~ in the ma~E~e~E~;ia ~e"~li~tion filed ~erewi~, -, ~yZfth~ 20 0 -q Notary Public - ' JOYCE M. WILKINS l~lotary Public, State of New York No. 4952246, Suffolk County Term Expires June 12, ~0~.¢ 0 (~at~f APPlicant