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Home My WebLink About26143-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27657 Date: 05/08/01 T~IS CERTIFIES that the building ALTERATION Location of Property: 1865 YOUNGS AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 60 Block 1 Lot 3 s~zbdlvision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 1999 pursuant to which Building Pezmit No. 26143-Z dated NOVEMBER 9, 1999 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 ALTERATION TO EXISTING NON-HABITABLE ACCESSORY SHED AS APPLIED FOR "AS BUILT". The certificate is issued to DANIEL E & LUCILLE JONES (OWNER) of the aforesaid building. SUFFOLK COUNT~DEPARTMENT OF~EALT~APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-514660 PLUMBERS CERTIFICATION DATED N/A 02/04/00 hori~ed Signature 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. 26143 Z Date NOVEMBER 9, 1999 Permission is hereby granted to: DANIEL E & LUCILLE JONES 360 RILEY AVE MATTITUCK~NY 11952 for : RENOVATE AN EXISTING NON-HABITABLE SHED "AS BUILT" AS APPLIED FOR. at premises 1865 County Tax Map No. 473889 Section 060 pursuant to application dated MAY Building Inspector. located at YOUNGS AVE SOUTHOLD Block 0001 Lot No. 003 11 1999 and approved by the Fee $ 35.00 Authork~d Signature Rev. 2/19/98 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ....... ~L:'"~'~"ap.p~ar_t~ must be filled in by typewriter OR ink and submitted to the buildin inspecto~ witl'-~he 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 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 build~ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a Ppre-existing" land uses: i. Accurate survey of property showing all property lines, streets, buiiding and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the appiican 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .................. .... New Construction ........... Old Or Pre-existing Building....~.. .......... Location of Property .... ~?'f..~.. ............................ House No. Street Hamlet Onwer or Owners of Pr~erty..J.~. A~ ..... ~ ...... ~..L~..~7....~.~.~.~~_f ~ ......................... County Tax Map No 1000, Section ..... ~. ..... Block .... ~ ........... Lot..~ ............... Subdivision . Filed Map Lot Permit No ................ Date Of Permit ................ Applicant .......................... Health Dept. Approvai .......................... Underwriters Approval ..................... Planning Board Approval .................... .... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $.. ~..~.' ~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD FAX COVER LETTER DATE: May 9, TO: Sharon, FROM: Georgia, RE: COZ-27657 TOTAL NUMBER OF PAGES 2001 Barretta Research Southold Town Building Dept. INCLUDING THIS ONE - 2 Fax (516) 765-1823 Telephone (516) 765-1802 If all are not received, please contact the above at 765-1802. THE NEW YORK BOARD OF FiRE'UNDERWRITERS PAGE1 1195099 BUREAU OF ELECTRICI~TY" . 40 FULTON STREET, NEW YORK/NY' 1~o~8 ~ FEBgUARY 04,2000 ~96'7~'13~OO/O?) ~'[ 514660 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant t~med?n the a~.ove aPPlication number is in the premises of LUCILLE JONES, 1865 YOUNGS AVENUE, SOUTHOLD, NY the following l°cat~°~n~on~ut~xx B~fe~nt~O [] Is, Ft. [] 2nd FI. OUT . i" ' ' Section Block Lot in was examined on and found to be in compliance with~the National Electrical Code. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS RECEPTACLES FLUORESCENT OTHER DRYERS OTHER APPARATUS: SHED*-I ELEC. ROOM HEATERS: 1-. 87 K, W. PANELBOARDStl--2 CIR. 30 TRACK LIGHTING: - 16 JIH SAGE ELEC. INC. PO BOX 38 GREENPORT, NY, 11944-(~D38 s E SYSTEMS NO. OF FEET R C E GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if inC, rOrrect. Inspectors mqy be identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OH CERTIFICATE k~UET NOT ,i BE' ;ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 20, 1999 Daniel Jones P.O. Box 141 Southold, NY 11971 RE: 1865 Youngs Ave., Southold. Your original check #1507, dated May 11, dated. Fax (516)765-1823 Telephone(516)765-1802 1999, is now stale To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is X not on file. (Enclosed) X 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 # 26143-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INS~L~TION [ ~NAL DATE INSPECTOR ~n'r tOt~ (IST) I] u ~DATION ( 2ND ) It tRuATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL 76S-~.802 //~ ~ BUILDING DEPT. ~,~_.~y [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION / [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: '- ~ INSPECTOR FOILH NO. I TOWN OF SOUTflOLD BUILDING DEPARTMENT TOifN HALL SOUTflOLD, N.Y. I TEL: 765- 1802 ~mined ................. , 19 .... ......... , Pe t Disavp~ed a/c '. ................................. BOARD OF HEALTH ............... ~3 SETS OF PLANS ............... )~SURVEY ........................ C~ECK ......................... SEPTIC FOEM ................ '//1! , '",~ I/ APPLICATION FOR BDILDING P~P, HIT l)ate..f/i ......... . -~ :c:---~: INSTRUCTIONS a. ~s a~l{~ ~ ~letel~ f111~ m ~ ~ter or m i~ ~ ~itt~ co ~ ~dldina 3 ~ts o~ pl~, ~ate ~ot pl~ m ~ale. ~ ~i~ to ~le. b. Plot pl~ ~ l~ti~ of lot ~ of ~ildi~s ~ ~s, ~latio~ip to ~oini~ pr~s or ~lic ~is ~li~ti~. c. ~ ~ ~ ~ ~is a~li~ti~ ~ ~ ~ ~ ~fore isle of ~ildi~ Pe~t. d. ~ ~1 of ~is ~licaci~, ~ ~ildi~ I~ctor ~11 is~ a ~ildin~ Pe~t to the ~li~t. e. ~ ~ildi~ ~11 ~ ~i~ ~ ~ in ~le ~ in ~rt for ~ ~ ~a~er ~til a ~rtificate ~ ~11 ~e ~n ~ ~ ~ ~ildi~ I~tor. ~I~ IS ~ ~ to t~ ~ildi~ ~t for ~ isle o~ a ~ildi~ ~t ~t to ~ildi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er ~li~le ~s, ~di~es'or ~la~i~ ~or ~ ~ci~ of ~ildi~, ~iti~ or alterati~, or for r~al or ~liti~, ~ ~rein ~ri~. ~ ~1i~ ~s to ~ly ~ all ~li~le 1~, ~di~es, ~ildin~ ~, ~i~ ~tme of ~l~t, or ~, if a co~ratim) ~.~..~.. ~l.. ~o~..~..l (~ili~ ~ras~ of ~llmt) State ~a~etl~er al~lieaat ia o~aer, lessee, agent, architect, engineer,' general eo~tractor, eleetricia% plu~er or builder ~. ~ ............. Na~ of cxefler of pr~sea .... ~'~JJ%J.[..P~..(~..'~...~·~.~-.(<. 1~....~.O. ~. C--. ~. ............................................... (as on the tax mi1 or latest deed) If applicant ia a corporation, signature of duly authorized officer. and title of corporate officer) Builders License No ......... Plud~rs Lic~ No ........ Electrici~ Lic~ ~....}~ ~ ~ ......... ~r~'sU~m ............... .. .... 1. ~tim of 1~ m ~i~ ~ ~ ~11 ~ ~ .............................................................. ~ ~ ou~ ~. ~ou ........... .... .............. ..... ................................. 0 ....................... ~ ~r St~t ~et ~T~p~. 1~ ~ti~ ..... ~ ....... m~ ..... ~ .......... ~t ~ .............. ~ivisi~ ....................... Fil~ ~ ~.. . l~t .. (~) 2. State ~sti~ ~ ~ ~ of ~s ~ int~ m ~ ~, O~ pm~, c~t~tim: a. ~sti~ ~ ~ ~ ....... ~l{~ ........... 1 ................................................ b. ht~m~~ ...................... PLOT DIAGRAH ~r ia~erior or ~r lot, a~licati.~; ~at all statmnts cmtai~ in ~is a~l. icati~ am t~ to fl~e ~st o[ his ~1~ aM ~lie[l aM ~m to ~[ore ~ ED~HE V. MULLEN N~ARY PUBLIC, Sta~e of New Y~ No, 4895193 Qualified in Suffblk County Commissie, t Exp,res~ay 26, 19~ .J . APPRO1/EO AS l~O'[EO: N¢I~ BUILDING DEPART~NT AT 765-1802 9 AM TO 4 PM F~ THE FOLLOWING INSPECTIONS: 1.' FOUNDATION -- ~]O REQUIRED FOR ~URED CONCR~ 2. ROUGH - FRAMING & PLUMBING 3, INSU~TION 4. FINAL - CONSTRUCTION MUST BE ~MPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS UNDER1/VRITERS CERTIFICATE REQUIRED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY' ! - I I 1