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HomeMy WebLinkAbout26186-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27474 Date: 12/18/0q T~IIS CERTIFIES that the building FOUNDATION Location of Property: 1930 BRAY AVE LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 7 Lot 21 Su]~division Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1999 pursuant to which Building Permit No. 26186-Z dated NOVEMBER 29, 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 FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING & REPLACE PORTION OF A ROOF AS APPLIED FOR. The certificate is issued to EDWARD A EANUS, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPANTMENT OF ~ALT}{ APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 12/11/00 PLUMBERS CERTIFICATION DATED 12/12/00 EDWARD A. HAAVJS, JR. Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26186 Z Date NOVEMBER 29~ 1999 Permission is hereby granted to: EDWARD A JR HANUS 1930 BRAY AVENUE LAUREL~NY 11948 for : CONSTRUCT A FOUNDATION UNDER AN EXISTING SINGLE FAMILY DWELLING & TO REPLACE PORTION OF ROOF AS APPLIED FOR. THIS PERMIT REPLACES BP#23314-Z. at premises located at 1930 BRAY AVE LAUREL County Tax Map No. 473889 Section 126 Block 0007 Lot No. 021 pursuant to application dated NOVEMBER 29 1999 and approved by the Building Inspector. Fee $ 150.00 Jo r i~d Signature Rev. 2/19/98 ORIGINAL 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 inspector with the following: for new building or new use: 1. F%nal 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. 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. 2. 3. 4. 5. Fees Certificate of Occupancy - Hew 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. Certificate. of Occupancy on Pre-existing Buildin~ - $100.00 Copy of Certificate of Occupancy - = .ZS~ Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 oate ....... lqew Construction ........... Old Or Pre-existing Building ..... Location of Property ............................................................. House Ho. Street Hamlet ~ ~a~,~ ~-..~>.::?.~...?.>.: . . . ................. .. . Onwer or Owners of ~roperty .................... · ........... '~ ~-~ j.~. .0?.(3.7 ,.,,~ ~/ ....... County Tax Map No 1000, Section .......... Block ............................. Filed Map Lot· ..-- ..... Subdivision - · -D~/~Z.... Date Of Permit..~7:~.7.Z ...... App&ican~ ....................... Permit ~o ............ a','V.°.° .... lth pt App ...... ' Hea De . roval ................ Underwriters royal ........... Planning Board Approval~..~ ...................... l~equest for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: ' .... ~ ,'~' .~..-0 .................. ./1 ~Y.,~.c, :',~ '~ ~2, ~ -,..:...,.~.:...:.~?..., . ..................... b Town Hall, 53095 Main Road P, O. Box I179 Southold, New York 11971 Fax (516) 765-1823 Telephone (5 $ 6) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION (please print) Plumber: (please print) I certify that the solder used ~n the water supply system contains less than 2/10 of 1% lead. ' ( P~umb%r$ S i gn~ tut o ) Sworn to before me this LYNDA M. BOHN Qualified in Suffolk Coun~. Term Expires March 8, 20 ~..%/ , THE NEW YORK BOARD OF FIRE UNDERWRITERS Pa ; 119~204 BUREAU OF ELECTRICITY ~'-- 40 FULTON STREET, NEW YORK, NY 10038 Date DECE}~SER 18,2000 A~lic~#on N~. on y~& '~2997296/96 N 545~76 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above applicaHon number is in the premises of ~D F,%NUS JR., 1930 BRAy AVE., MATTI~UCK, NY in the following location; [] Basement [] 1st Fl. [] 2nd FL OUT Section Block Lot was examined on DECEHBER 11 t 2(~)t~ and found to be in compliance with the National Electrical Code.. FIXTURE OUTLETS R~CEPTACLES. SWITCHES FIXTURES OTHEH INC~t~ANDESCEN! ELUORESCENT 5 DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEDERS OTHER APPARATUS: G.F.C.I,-3 TgACK LIGHTING: -~ RANGES I COOKING DECKS I OVENS I DISH WASHERS SPECIAL REC'PT ~ TIME CLOCKS BELLUNIT HEATERS MULTI-OUTLEI SYSTEMS AMT. AMP. AMT. AMPS. TRANS. NO. OF FEET R I C OF CC COND. NO, OF HI-LEG OF HI-LEG EXHAUST FANS AMT. H.P. DIMMERS AMT. WAITS NO. OFNEUTRA~ OFNEUTRAL KMNNMTH F. $CHU~AN}L PO BOX 1505 RIVERHEAD, NY, 11901 GENERAL MANAGER COPY FOR SUILDINGDEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~d F 0 Ah" 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN__ION FRAMING [,~] FINAL [ ] FIREPLACE & CHIMNEY REMARKS. C~.~'*~ ~ _ ~c~ jDATE !NSPECTOR *~ ~~ FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT ToWN HA~L SOUTHOLD, N.Y. Ne 23314 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is herebv granted to: ...~. ~;~.~.<........~..y..,......./...,.~..r..~ ................... , to ...~:~.~...-.,.,...~...... ~.~...:.~:./..~,....~-~<~'.~.~. m .... ~.~......./..~.,,.././.,~ ........ ~ ....... m......~.-.~ ...... ~.....~....~..~< af premises located at...../.?...~....(~.. ........ ~ .i.........~..~...: .......................................................... CouniyTax Map No, 1000 8ectlon.....Z~..,~.. .......... Block ........ .,~..Z ........ LotNo ..... ...~......"~.. .............. pursuant to appllcatlo, dated ............. ...~./Z..,~... ............................. ] ~....2 .~...., and approved bythe Building Inspector, Fee $.../.~.~.. ........... // -/ Building Inspeotor Rev. 6/30/80 FORt4 NO. I TOI,/N OF SOUTHOLD BUILDING DEPARTHENT TOI~I HALL SODTtlOLH, N.Y. 1197 I TEL: 765- 1802 Ar' ........ NO. Disapproved ale ............. .... (~ ld~/~n~tor ) APPLICfiT~O~ FOR BIJILO-~N~ PERHIT . BOARD OF,~HEALTN ............... 3 SETS OF PLANS ............... SURVEY ..., .................... CHECK ......................... SEPTIC FORM ................... ~OTIFY: CALL .................. HAIL TO: · ' ' ' iNs~ffUCTIONS a. 1his ap~lleation n~mt be cc~pletely [illc~l in % ~itur ~ in ink ~ ~1tt~ to t~ ~ild1~ Ins~tor 3 ~ts of plus, ~rate plot pl~ to ~ale. F~ ~co~i~ to s~le. - b. Plot plm ~i~ l~ti~ of lot ~ of ~ildi~s ~ ~s, ~latlonshlp to ~joini~ p~i~s or ~lie sC~ts or areas, ~1 givi~ a ~tail.~ &~ripti~ 9f l~t Of ~ ~t ~ dr~ ~ the dia~ ~i~ is ~rt of this ~li~ti~. · c. l~ turk ~ ~ fl~is ~licati~ ~ mt ~ ~m~ ~fore is~me of hildi~ Pemit. d. U~ a~t~al of ~is ~limtim, t~ ~ildi~ Ins~ctor will is~ a hildi~ ~t to the ~lieat. ~t ~mll ~ kept m fl~ ~s ~ilable for in--tim theft ~e ~rk. e. ~ ~ildi~ ~all ~ ~i~ or u~ in ~le or in ~rt f~ ~ ~ ~at~r mtil a ~rtlficate of ~ ~l h~ ~ ~t~ ~ ~ ~ildi~ In~tor. ~.I~ IS ~ ~ to tbe ~ildi~ ~r~nt for the isle of a ~ildi~ Pemit ~mant to the ~ildi~ ~ ~i~e of fl~ ~ of ~ld, ~ffolk ~, ~ Yo~k, 'a~ other ~licable I~, ~i~es or ~lati~s, [~ tim ~st~tim of hildi~s, ~itims or alterati~s, ~ f~ ~1 or ~liti~, a berein ~ri~. ~ ~lic~t a~s to ~ly ~th all ~li~bl~ 1~, o~i~es, ~ildi~ ~, Imsi~ c~e, ~lat~ms, a~ to ~it ~rir~ ins~tors ~ ~s ~ ~n ~ld~ for ~ry ln~t~m · ............ ~ ................. ~..~ .... State ~tber a~li~t is ~r, les~, ~n~, a~it~t, e~i~r, ~ral e~tyaet~, ~lee~ne~, pl~r or l~flder. ............. 6 ~. n ~ ................................. , ] ........................... ~pp~[~ ~g~ ............ ~.../~.~..~, NoTIFy BUILDING DEPARTMENT AT If ~lic~t is a ~r~rati~, si~t~ of ~ly ~t~iz~ officer. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CON.~JTRUCTION SHALL MEET THE REC~UIREMENTS OF '~HE N.Y. ............... ~ ................... 0C -~. P. ANCY OR <~ a~ .tie o[ ~o~or~,e o~ieer> USE IS UNLAWFUL ~il~rs ,.ise.~ No ................ ..WIIH.0UT CERTIFICATE Phr~bers License No ................ OF-O. CCUPANCY REQUIEED STATE CONSTRUCTION & £'NITRGY Other 13cade~s License No ..................... CO~ES. NOT RES 'ONe,P: I. ~ci~ of 1~ ~ ~i~ ~ ~ will ~ ~ ...... !..4 ~ .... ;~... -~. ..................................... ..... l!~..' ......................o ~ ~.c~..~.'. .............................. ~~ ................. t~ ~r St~t-- l~et ~ty ~ ~. I~ ati~ ..).~.,~. ..... m~ .~ ...... ~t ..O.~t.'.~. aivisi~ ...................................... Fil~ ~p ~ ................ l~t . .............. (~) 2. gtate aisti~ ~ ~ ~ of ~i~s ~ inte~ u~e ~ ~ml~ of ~ c~stmetlm: ,. ~i,ti~ ,~ ~ ~ .....ac~].~...-~;.~" ~ ,~ ...................... ..r~.~ ...... .~ ................ ~,~1~ .~,'F c.~.~,~ ..... .. ' h. ~L~u~ ~m~ ........... ~ .............................. ~ ........................... 3. H.'ll.re o1: umk (d~eck ~t)id; al,,plJcoble); Nc~ lh}ihli~qt .......... ~klirion .......... Alteration I f garage. ~l;d~r of car~ ..... h. } I}in~n~i~a of aam ~rn~mro with alrerari~m or ~itiona; Front ..... ~.t. ...... l~ar .~7 ........... fl. l)iu~nal~a of enLire ~ ~srnml:~: I~t I~ar ~pth ............. ~e o~ Cmtracror ............... i .................... &~lreaa ............................... ll~n~m ~ ............... ~ran prol~tt-y li~s. gi~ ot~r a~] bl'~k axd~r or ~aeripti~ aeconling I:o t~al, a~ ~m street ~ms ami i~licare ~mtlmr interior or con~r lot, ] ' SI'A'IE OF [1~7,,~/~ ,qB '' Ih ia I.he .................. .... .................................................................... (amtraetor,. ~gen[, co~r~rn[e oEEicer, etc.) of fmld (x~x~r or (~mrfl, tlrKJ i~ duly ;al~lhoriz~l I:o jmrJ'nnll nr have I~rl:ontv~d Ihe flaill ~[k aixJ Jo fl~lJqe illXJ file IhJ. lhaL the ~)rk wl ti I~ i~rffom~l ia the ~lvJm~r set rortl~ 'ie the al)pi Leal:inn fil~l tlmr~itli. ~)rn tn I~fom 0e this ] ........ o, .... C~lflE L, GL~ I (Signal:ure of Applicant) Nota~ Public, State of N~ York No~ 4879,505 ! ~ _ Qualified in Suffelk Commission Expires Decemberi Z g