HomeMy WebLinkAbout26802-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27388 Date: 11/02/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1300 NORTH OAKWOOD DR LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 127 Block 6 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 28, 2000 pursuant to which
Building Permit No. 26802-Z dated SEPTEMBER 28, 2000
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 ACCESSORY INGROUND SWIMMING POOL WITH ACCESSORIES AS APPLIED FOR &
AS PER ZBA #2342 .
The certificate is issued to MOLLIE DRISCOLL & DIANE ESTEP
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-069539 10/13/00
PLUMBERS CERTIFICATION DATED N/A
/, uth/ized Agnature
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. 26802 Z Date SEPTEMBER 28, 2000
Permission is hereby granted to:
MOLLIE DRISCOLL
PO BOX 362
LAUREL,NY 11948
for
BUILD NEW PRIVATE SWIMMING POOL WITH ACCESSORIES. THIS PERMIT
REPLACES BP#9508-Z .
at premises located at 1300 NORTH OAKWOOD DR LAUREL
County Tax Map No. 473889 Section 127 Block 0006 Lot No. 012
pursuant to application dated SEPTEMBER 28, 2000 and approved by the
Building Inspector.
Fee ; 50.00
A or' ed S'gnature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD J
• BUILDING DEPARTMENT _ --
TOWN HALL ( Il 7
765-1802 f ? ,
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the'bihld�ng
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 o� 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 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-existing Building - $100.00
3. Copy of Certificate of Occupancy - .25NA
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . Q1 3y `�6D . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .. . . . . . . . . Old Or Pre-existing Building. . . . . 1 ..... . . . . . . . . I
Location of Property. . . 0 . . . . . . N�:':1 .�. . . . .�G D:�. . . ::�:`. . . . . -.e�14:C:�.-.'^ . . . . . .
House No. T Street Hamlet
Onwer or Owners of Property.�Q IJ1 Q.. . . :}�!`:1�:4 P.�.�. . . . ` .-z 4'n.?:. . .E S+e' . . . . . . . . . . .
County Tax Map No 1000, Section. . .(a 7 . . . . . .Block. . . . . .(P. . . . . . . . .Lot. . . . . . . . . . . . . . . .
Subdivision. . �C':- Y_Ar: . . . .1.a:�1�. . . . . . . . . . .Filed Map.921A . . . . . .Lot. . . . . . :C.l. . . . . . . . . . . .
Permit No.� U. 0 -.Z .Date Of Permit. . . . . . . . . . . . . . . .Applicant. �.1Lt -. . 4: T . . . . . . . . . .
Health Dept. Approval. . . .. . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .�. .
Fee Submitted: $. 02 5 c A,;? . . . . . . . . . . . . . . . . . .
a 7APPLICANT
C 3 �
�g�FFO4cOG
Town Hall,53095 Main Road p '� Fax(516)765-1823
P.O. Box 1179 � Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 24 , 2000
Mollie Driscoll
P.O. Box 362
Laurel, NY 11948
RE: 1300 North Oakwood Dr. , Laurel
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file .
XX The check is (not on file . ) $25 .00
No Health Department Approval on file .
No final inspection has been made .
No Plumber Solder Certificate on file .
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 26802-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8081663 BUREAU OF ELECTRICITY
F_ 40 FULTON STREET, NEW YORK, NY 10038
Date OCTOBER 13,20M Application No. on ffle 11059200/00 H 069539
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
DRISCOLL, MOLLIE, 1300 NORTH OAKWOOD ROAD, ESTEP, DIANE, LAUREL, NY
in the following location, ❑ Basement ❑ Ist FL ❑ 2nd FL OUT Section Block Lot
was examined ox OCTOBER 04,20M and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWRCHESINCAMINSCRO FUIO1E3CENT OTHER AMT. K.W. AMT, K.W. AMT. K.W. AGR. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pr.j TIME CLOCKS BELL UNIT HEATERS MUSLT DIMMERS
AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECTsIE
NO-OF S E R V I C E
ER
AMT. AMI. TYPE EE;1111P. 1/41/ 1/JW J/JW J/4W NO. RPE ICOND. ,*",_ NO.OF HIAEG p NI-gEO NO.OFNE�M OF NEURAL
OTHER APPARATUS:
SWI144ING POOL-1
BONDING & POWER-1
G.F.C.IT-1
"(SWINKING, POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
Environments it, is advisable to
have frequent gest/and or repairs
made by a qualified person. . f
r.« Continued on Page 2 >>>
GENERAL MANAGER
Per 4'y
This ceAMcafe must not be altered In any manner,return to the offlce of the Board If Incorrect.Inspectors may be identified by their credenfials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 2
8081663 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date OCTOBER 13,2@00 Application No. on,l'ile 11059200/00 H 069539
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
DRISCOLL, MOLLIE, 1300 NORTH OAKWOOD ROAD, ESTEP, DIANE, LAUREL, NY
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on OCTOBER 04,2000 and found to be in compliance with the National Electrical Code. .
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCAFWESCE FLUORESCENT O1NER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-TOUT T DIMMERS
SYS
AMT. K.W. OIL N.P. I GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I M.P. NO.OF FEET AMT. I WATTS
SERVICE DISCONNECT NO.OF S E R V 1 C E
METER NO.OF CC COND. A.W.G. A.W.6. AJUL W.G.
AMT. AMP. TYPE EQUIP. 1 t 2W 1!/JW J R JW J 14W PER• OF CC.COND. NO.OF HI•LEG OF HI-LEG NO•OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
DIANE ESTEP L L
P. O. BOX 302
LAUREL, NY, 11948 GENERAL,MANAGER
Per 11ti
This cerfiflcate must not be altered in any manner;return to the office of the Board if Incorrect. Inspectors may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. TH13 COPY CF C :fi T IFICATE MUST NOT BE ALTERED IN ANY MANNER.
T6S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: 7�[
DATE cO �� � INSPECTOR
M-1302
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU BION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 101031" INSPECTOR '�'"I
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FINAL
The =______----------------------------------= to
New York Board of Fire
Underwriters fDITIONAL COMMENTS:
is in the process of issuing a certificate of
compliance for the electrical installation
as covered in an application noted
below. F
The certificate will provided it of the
items inspected on _� °o
• and certified to be in complia ce with the
National Electrical Code as of that date.
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(A'p/plication Number)
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�d
(Inspector)
IBD(Rev.01/ )
TOWN OF SOUTHOLD Cv
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ...............................4,.......
, Application No. .................................
Approved ................. !;U........, 14�..�.. Permit No. ... ........ .. .....4.........
Disapproveda/c .............................. ... ................................ .......
r
.................................................................................. ...-...
y3`� 2' 9- .. ...... ......................
( uilding Inspector) �` r
APPLICATION FOR BUILDING PERMIT
Date .............. Z ........L...... 19.
INSTRUCTIONS
0
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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. 1C
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permits
shall be kept on the premises available for inspection throughout the work. o
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of OccupancyG
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 demolition, as herein described
The applicant agrees to comply with'all applicable laws, ordinances, building code, housing code, and regulations, and t
admit authorized inspectors on premises and in buildings for necessary inspections.
.............. .... ..............................................
1,
(Sign ture of a licant, or name, if corporation)
D
................. ...... ... .............................
(Address of applicant)
State w er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............................................................( r ..............'., ..............................................................................0..................
Name of owner of premises V� 4 P1 L"'.'""
.... !` ..........� .u................................................................................................
If applicant is a corporate, signature of duly authorized officer.
........................................................................................
(Name and title of corporate officer)
Builder's License No. ....................................................
Plumber's License No. ........ ...................................... / O C7
Electrician's License No. ........................
Other Trade's License No. .............................................. --
y�
1. Location of land on which propose work ill do5e. Map N .: .. . ...... . .........:f..:..:..... ... t Rlo:- ... ... ..........
Streetand Number ................... ..... ..... .. .. . ... ..... . .. ............. ..............
Munici ality
2. State existing use and occupancy of premise
.�pnd in*.en ed use and occupancy of proposed construction:
a. Exisiting use and occupancy ........./....r....... ......... ...............................:. ......................................................
b. Intended use and occupancy ..........1....-:...../...�..................... ........ .....................................................
3. Nature of work (check which applicable): New Building• .................. Addition ............. Alteration ..................
Repoir .................. Removal .................. Demolition........... .... Other Work ........................................ ...... ..
to- 16 d,0 (Description)
4. Estimated Cost ......... . .....................................Fee ....... . ...............................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ..........I................Number of dwelling units on each floor ............................
Ifgarage, 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 ..................t.............................................................................................
Dimensions of same structure with alterations or additions: Front .................................... Rear ............................
Depth ................................ Height ...........................:Number of Stories ................................
8. Dimensions of entire new construction: Front ...................I................ Rear ............................ Depth ........................
Height .................... Number of Stories ......................................................................................................................
9. Size of lot: Front ........./L.0........Y.,...i?-D............ Rear .......................................... Depth ................................
10. Date of Purchase .....1..q..&..0..................................Namee ofFormer Owner ........................................................
11. Zone or use district in which premises are situated ..........&/)....
........................ ....................................................
12. Does proposed construction violate any zoning low, ordinance or regulation: ..............................................
13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No
14. Name of Owner of premises ..j/�.ri`.&...... ••••••• Address ................................ Phone No. 2.....�ys..
Nameof Architect .............................................................. Address ................................ Phone No. ......................
Nameof Contractor ............................................................ Address ................................ Phone No. ......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give str "nd block number or description according to deed, and show street names and indicate
whether interior or corer lot.
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STATE OF NEW YORK l S S
COUNTY OF -..•.......f
GK V .................................being duly sworn, deposes and says that he the applicant
(Name of individual signing contract)
above named. f
Heis the .............................. , ........................... .............................................................. .............................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make 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 will be performed in the manner set forth in the application filed therewith.
Sworn to before me this ,)
......z�.......... day of ..C.7.OBt4................... 19.77
Notary Public, ......... Svt�OLK „••,••••. County ............. . ...................................
� ( ignoture of applicant)
4t0 1.B. SHAW
L1OTARY P BLIC, State of New York
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