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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 u b II it II � UNDATTON ( IST) II p UNDATION====OND) ii oz >r---- UGH FRAME & jj II PLUMBINGTV ii (79 ii 1 ====____° ---------- ----------------------------------------------- - — ----------- ii 11 N 11 �3 U�1 SULATION PER N. Y. a--moi HEr- STATE ENERGY CODE II u u u II p — -------------------- ------ --- I i --------------- IfV,0110, �3M11 , II H II -41 �f w 11 --l1 1 H- � 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. H H � ----- --------- z 9' (A'p/plication Number) ado a Log ar ai _---------_ Location) -- - - --- ---- � ---------------- �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. s 3 ? t a F, S v F i. l fto PT 14 . 09KWOVP 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 No. 5 urvey Laurel House a _ 1 t ! •.to y 7W 'R s r . i. WI, � 1iK 00 yv+rwrww °�+*'� �wor+raAy� tKjS -Y 1 n. C �