Loading...
HomeMy WebLinkAbout25763-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27104 Date: 05/26/00 THIS CERTIFIES that the building ALTERATION Location of Property= 875 OAKLAWN AVE $OUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 7. Lot 1 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15~ 1999 9ursuant to which Building Permit No. 25763-Z dated MAY 28~ 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 ALTERATIOE TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR, The certificate is issued to LEONARD KELLBHER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF EEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A 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. 25763 Z Date MAY 28, 1999 Permission is hereby granted to: for : LEONARD KELLEHER 875 OAKLAWN AVE SOUTHOLDtNY 11971 CONSTRUCTION OF AN ALTERATION TO AN EXISTING SINGLE FAMILY DWELL- ING AS APPLIED FOR. at premises located at 875 County Tax Map No. 473889 Section 063 pursuant to application dated APRIL Building Inspector. OAKLAWN AVE SOUTHOLD Block 0007 Lot No. 001 15 1999 and approved by the Fee $ 75.00 Authorized Si~ature ORIGINAL Rev. 2/19/98 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. Final survey of property with accurate location of all buildings, property lines, streets, and uuusual 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar building and installations, a certificate of Code Compliance from architect or engineer responsible fo~ 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 '¥re-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 qccupancy on Pre-existing Buildin~ - $100%00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date ..... .~..--Z .~....~.. ·©· ...................... New Construction ........... Old Or Pre-existing Building .... /~ .......... Location of Property...t~.7.~... ~ ~'~./~....J-~..~--. ........... ~--~---~....tl~J ............ House No. Street Hamlet Onwer °=ers .......................... ... . County Tax Map No 1000, Section .... O.~.'~. .... Bloc~ ..... D.7 ....... Lot....(~..~..~ ............ Subdivision ............... Filed Map ............ Lot ......... er i, of e it.. . ..Applicant.C. · Health Dept. Approval ............ Underwriters royal ......... Planning Board Approval ..... .~./A .............. Request for: Temporary Certificate ........... Final Certicate .... Fee Submit[ed: $~..~...~ ..................... ~.~ ~q~ ....... - ............ Town Hall, 53095 Main Road P.O. Box 1179 Sonthold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 ~ay 2, 2000 Leonard Kelleher 86 Tompkins Circle Staten Island, NY 11971 RE: alteration to existing dwelling on 875 Oaklawn Ave., Southold. 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25763-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~1~13 INSPECTION P~PORT is.r) OUGH FP, AI4E & DATE IlSLR.AT~ON PER STATE ENERGY CODE ADDITIONAL CO~S: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ '~INAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR,. __ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF 8OUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 May 2~ 2000 Leonard ~elleher 86 Tompkins Circle Staten Island, NY 11971 RE: alteration to existing dwelling on 875 Oaklawn Ave., Southold. 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 flle.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumblng being issued after April 1, 1984). BUILDING PERMIT ~ 2§763-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. DNi~$Dy11~RIAN N. 73'06'40' SURVEY FOR .JAMES F. GRA'THWOHL A 7' SOUTHOLO TOWN OF SOUTHOLD SUFFOLK COUNTY, IV. Y. 1000 - 65 - 07- Ol Scale: 1"= 40' Oct. 26,1995 ' April /, /996 (offsels added) CER'TIFIED TO' ,./AMES F. GRA THWOHL COMMONWEAL TH LAND TILE INSURANCE COMPANY OF EEC~ON 7ZO~ OF ~ /~f YORK sF~rE ~(C~'~.T 45 ~ EEC~ON ZZO~ E. ALL hEREON ~RE VAL~ FO~ Th~ ~4P A.~ COPES 17tJ~OF ~t~.Y F PE¢O~YORS: P.O. (516) 765 -'~020 P. O. 1230 TRA V~ER STREET SOUTHOLD, 95 - 272 ®® ® "I .-A APR I 5 BLDG, F~(!" FORH NO. I TO~IN OF SOUTBOLD BUILDING DBPARTHENT TOI~I BALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 .................................... ICATION FOR BUILDING PEP~XIIT INSTRUCTIONS ~- SETS OF PLANS .............. ::::::::::::::::::::::::::::: S~ NOTIFY: L ~--0 ~'~ t:~-fi:> a. This applicatian mst be cc~pletely filled in by typewriter or in ink and sul~itted to the Building Inspect, 3 sets of plans, accurate plot plan to seale. Fee according to scbeduleo b. Plot plan sho~rlng lecatian of lot and of buildings ee praises, relationship to adjoining premises or publi, streets or m, and giving a detailed description of layout of property must be draun an the diagram ~&ich is part this applicatioo. c. The ~ork covered by this application my mt be ccr~enced before issuance of Building Pemit. d. Upao approval of chis applicatiee, che l~uilding lmspector ~ill issue a Building Permit to the applicant. pemit shall be kept co che premises available for inspectian chrousbcut che ~rk. e. Na building shall be occupied or u~d in ~n~le or in part for any pm~ese ~/aa~ver ~til a Certificate o[ APPLICA_~(lq IS ~ ~ to che l~ilding De~t for the iese~e of a l~ilding Pemit pareuant to the B~ilding Za~ Ordinanee o£ che To~n of So. timid, S~ffolk Camty, New York. an~ ocher applicable La~a, Ordim~sees or l~lati~, for the c~truc~ic~ of buildings, additier~ or alteraCi~. deecrihed. The applicant ngreee to conply wlch all applicable la~a, re~lation~, and to adnit an~rized inspectors an pr~nise~ and in Builders Lieease It) .......................... Plt~bers License No.. . Electricians Lieeuse No ...................... Other T~ade's Li~se No I. Izx:atian of land an ~hich proposed ~rk ~rill be do~e ........................................................... .... . ? . ,. . . . . . . . , . . . .z,. : .... ! "/"/d','? ................... 'County Taxl~p NO. 1000 Section ..... .~..'.~. ..... Block .... .~..7. ........ Lot .....~./. ........ Subdivisian ..... Filed ~ NO Lot 2. State existing use and occupancy of pr~aises and intended use and occupancy of proposed ceestrectiee: b. ............. ................................................. 3. F~ture o[ ~ork (check stddt applicable): ~ ~ildi~ .......... ~iti~ .......... m~ir ............ ~l ............. ~llti~ ............ od~ ~ .~2~.~tT~..~~ (~ripti~) .... ........... ........... ~.~d~ m~ ~..--~..: ............ ~ ...... (to ~ ~id ~ fili~ this tMi~t ......................... ~r o[ Stories ...................... ~pth .................... ~i~t .................... ~r of Sto~ies ~i~t ......................... ~r of Stories ..................., . ~. ~i~ o~ ~o~, ~ ...... Z~f ........ .~ .... Z~fi ........~th .~.q.~[ .......... ,0.~ o~ ~ .... .... ~ ~ ~o~ ~ ~A~.m.G~m~.mv ......... ~. ~ o, ~ ~,~,i~ ~, ~i~ ~, ~ ,~ ....~.~.~.~.~ ........ ~' ~..~.~ .............. }2. ~s ~ ~t~ti~ violate ~ ~ l~, o~i~ ~ ~lati~: ..... ~.~ .............. ~ o[ ~it~t ........~.~[ .................~r*~ ........................... . . . ~ ~ ........... ~ o~ ~o~ ....... g.~.~.~ ................ ~ ............................... ~ ~ ........... 15. Is OHo ~~in ~ [~t o[ a ti~lmtl~ ~ .......... ~ ~ .... PLOT ~IAG~ ~Ce cl~rly ~ dls~i~tly ali ~ildi~s, ~r ~isti~ or p~, ~ i~i~te all ~t-~ d~nsi~s ~r iu~erior or ~r lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICME OF OCCUPANCY ~FA%E OF ~'7~ YO~, AP/PB(W, ED AS NOTED 765-1802 9 AM TO 4 ~ FOR THE FOLLOWING INSPECllONS: 1, FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2, ROUGH. FRAMING & PLUMBING 3, INSULATION 4, FINAL CONSTRUCTION MUST SE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR o~d~r'/OF ....................... DESIGN OR CONSTRUCTION ERRORS ..... .~.o..a~.. ~. ~~ ........... ~i~ ,,, ~. ~... ~ ~.~ :,,~, ~ ;~ ~,~ ~ i~ ~.~ ......... ~0~.~.~.~ .................................................................. (~mctor, ~n~, commie oP~icer, o~ ~id ~r or ~rs, ~ is ~ly ~tl~r~ to ~r[om or I~ ~rfo~ ~ ~id ~ ~ to ~ ~ ~ile this a~li~ti~; ~at ~11 sta~s c~cai~ in ~s ~llcat~ a~ t~ to ~ ~st of his ~1.~ ~ ~llef~ ~ that ~ ~ ~ill ~ ~r~o~ i~ ~1~ ~r ~t forth ~n ~ ~li~t~ fil~ ~. (Signature of Apptican~ · q~m to before rna this ....... ./..~.~ ...... ~,o~..~-...~'. ...... ,,.~/.... Not~ PuNic ~tate of NewYo~ N~. 01J~6014223 ~alihec i,w Richmond Coun~ ~ Oommiss~on ~tr~ ~t, 5, 20~