HomeMy WebLinkAbout25894-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26670
Date: 09/09/99
THIS CERTIFIES that the building HEATING SYSTEM
Location of Property: 360 NORTH OAKWOOD DR LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 127 Block 8 Lot 8.3
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 22, 1999 pursuant to which
Building Permit No. 25894-Z dated JULY 23, 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 INSTALLATION OF HEATING SYSTEM FOR EXISTING SINGLE ~RMILY DWELLING
AS APPLIED FOR.
The certificate is issued to JOHN BRICE & KENNETH GOLDMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
PENDING 09/03/99
N/A
PLUMBERS CERTIFICATION DATED
Rev. 1/81
Bullding I ~spefor
FORM NO. 3
TOWN OF $OUTHOLD
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. 25894 Z Date JULY 23~ 1999
Permission is hereby granted to:
KENNETH GOLDMAN
5 WENDY LANE
WESTPORT~CT 06880
for :
INSTALLATION OF HEATING SYSTEM FOR EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
at premises located at 360 NORTH OAKWOOD DR LAUREL
County Tax Map No. 473889 Section 127 Block 0008 Lot No. 008.003
pursuant to application dated JUNE 22 1999 and approved by the
Building Inspector.
Fee $ 75.00
orized Sig~&ture
Rev. 2/19/98
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~ICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 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.
B. For ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-existtng" 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.
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 - ~ .~5~.
4, Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..... 3...J.~ ~. ~'~/.~ ~v~.../.~ ~ ~. .......
New Construction ..... · ..... Old Or Pre-existing Building.....~ ........
·
o ..... .......... o,,z¢ .....
Location of Property ............................ ~ .........
House No. Street Hamlet
Onwer or Owners of Property ........· -~0~ a/ .... ,...b3~...~/$~ "~ .~'~. · · ..~.. ..'2.~. ~..~/.~"- ~. '~. .m4~ ~'~~'~' ...........
County Tax Map No 1000, Section..~.~.~. ...... Block...~. ........... Lot.~"~. ...............
Subdivision. .... .4-~. ~/~- .~- ./~. ---.'''' ~ ~" ' ........ ' . Filed Map ............ Lot ......................
~.~.~.~. ~ cant.~p, .~.- .;Wup.~.'~z. .~'~4~f.., . ..
Permit No ..... Date Of Permit ................ Appli ........
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval...... ................ . ·
Request for: Temporary Certificate ........... Final Certicate...~.~.. .....
Fee Submitted: $ .............................
.?
APP?.OVED
P ...........~ ~OA~D
TC: '/;! ,DF "'- -..
,(
Town Flall, 53095 Maln Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1§23
Telephone (516) 765-1802
AUGUST 30, 1999
PETER W. KREN,
C/O COLDWELL BANKERS
MAIN ROAD
MATTITUCK, N.Y. 11952
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)
XX 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 #25894Z-(HEATING SYSTEM)*
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
*NOTE:CHECK #1197 DATED FEB. 26, 1999 IN THE AMOUNT OF $100.00
FOR THE PRECO IS OUTDATED. PLEASE RESUBMIT A NEW CHECK SO THAT
WE MAY ALSO ISSUE THE PRECO.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516)765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OFSOUTHOLD
APRIL 26, 1999
Mr. John Brice
3770-22nd Street
Boulder, Co 80304
Re: Premises @ 240 N.Oakwood Dr., Laurel, N.Y.
Suff. Co. Tax Map #1000-129-8-8.2
Dear Mr. Brice:
Since you do not wish to proceed with the application for
Pre Existing Certificate of Occupancy for the above premises, we
are returning herewith your application and check #1197 in the
amount of $100.00.
JMB:gar
Very truly yours
~LD~ BUILDING DEPT'
~hn M. Bouf~
puilding Inspector
CONSENT
TO
INSPECTION
Owner(s) Name(s~
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at ~q ~0 __/(~-~-~ O~'-~ g.~-~ ~
.~,~ which is shown and designated on the Suffolk
County tax map as District 1000, Section /Z.~.-' Block~Od, Lot~O~t,~e3~
That the undersigned (has) (have) filed, ~or caused to be fried, au applica-
tio~ in the Southold Town Building Inspector's Office for the following:. ~.~,~
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, ~rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspegtions0 do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for rio-
lations of the laws, ordinances· rules or regulations of the Town of Southold.
s~gnature)
...........
'~ (print he.am~)
(signature)
(print n~ame )
BUILDING
BLDG. DEPT. TOW
TOWN OF SOUTH§t~j. tOI,
3RM NO; !
t BOUTli0LD
DEPARTMENT
HALL
· N.Y. 11971
'65- 1802
Approved..~. .............. , 19 .... Permit No ................
Diseppro~ed a/c ..................................
....................................... (
(Building Inspector)
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ....
CHECK ........................
sEPTIC FORM
CALL ..
mil TO: ~..0..~. ?,~.. ~.O.te. .....
........ ~..,~..~zr. ~.¢~., ..~..,~. ....
//P
APPLICATION FOR BUILDING PERMIT
INSTRUCTI~ONS
a, This application must be cempletely filled in by typewriter or in ink and-submitted to the Building Inspector wi
3 set, s of plans, accurate plot plan to scale. Fee according to schedule.
b, Plot plan slx~rlng location of lot and Of buildings on premises, orelatioaship to adjoining premises or public
streets or areas, and giving a detailed description of layont of property mast be dr~an on the diagran ~dch is part of
this application.
c~ ~lm work covered by this application my not he ccr~enced before issuance of Building Pemit.
d, Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. SUCh
pemit shall be kept on the premises available for inspection thronghc~at tim work.
e. No building shall be occupied or ased in whole or in part for any purpose x&atever ontil a Certificate of
Occapm~cy shall have been granted by the Building Inspector.
·
APPLICATICIq IS E~RMBY Mb2Cg to the Building Department for the issuance of a Building Permit partamnt to the
Building Zone Ordinance of the Town of Sonthold, Suffolk County, New York, and other applicable Laws, Ordinances or
Rngulatlrms, for the construction of buildings, m~ditions or alterations, or for removal or demolition, as herein
&scribed. The applicant agrees to caaply with ail applicable l~s, ordinances, buildlng code, housing cede, and
(Signature of applica~, or name, if a corporation)
(Mailing address of applicant)
State ~tmther applicant is Garter, lessee, agent, architect, engineer, general contractor· electmclan, plmber or broider
.~.~. t ~/.~. ' ' '
~ of o~ of p~ses ........... .~.'...¢.~ .................. ,~ ........................................
(as on tim tax roll or latest deed)
If applicant is a corporation, signature of duly autI~)rized officer.
]l~0hlllB33 SBIlIB/RB3CINI1
Builders License No ..........................
Ph~bers License No ..........................
Electricians License No ......................
Other Trade's License No .....................
UNDERWRITERS CERTIFICATE
REQUI~EO
1. Location of land on ~dch propo~-°d x~ork will be done .................. ~ ...........................................
o .......
[louse ~r St~t ~et
~T~p~. l~ ~ti~ .... ~ ..... BI~ ..... ~ ....... ~t .. ~'.~.
............. ........... . ..
(~)
2. State ~isti~ m ~ m~ of pr~s ~ i[te~ m ~ m~ of pro~ ~stmction:
~. ~ ~ ~ ~y ..... ~ga**..~.Z<+X.~t ~t~,. .................................
3. ~lture of ~ork (dmck ~d,id) ap)licabme): ~ P~fildiv4; .......... fiddition ........ i~"Alteration ..........
If ~rage, ~r of ears .... ~
I~ai~ss, ~rclal or mi~ ~, s~ci~ ~ture a~ ~tent of ead~ ~ of u~ ......................
6.
If
O~nsa~ of ~ atone ~th aircraft,s.or ~tmns: ~onC .... ~ ........ ~ar ..~.~ ......
........ ~ ........ ~r of Stones ...
8. Di~mnai~ of entire ~ ~st~tx~: l~t ................ ~ar ............... ~pth ..............
I~i~c ........................ ,. ~r of Stories .....................
pro~
~ of ~dfit<t ............. ] ....................... ~reas .............................. H~ ~ ...............
~ of C~tr~tor
............ ~ ....................... ~reas ............................... H~ ~ ...............
PLO'r DIAORAH
l~ate dearly ~ dlati~tly a~l ~ildi~s, ~mttmr ~iati~ or pr~, a~ i~icate all ~t-~ di~naion$
~tl~r interior or co~r lot.
.................... I~{~ duly ~m, ~t~s a~l ~ys that he is tl~ a~li~nt
(~ of i~ivld~l signing c~tract) . ......
~ is the ....................................................................................
(Cm~trnctor, agent, cbr~rate officer, etc.)
of ~id ~r or ~ra, a~l ia duly ~thori~ to ~rfo~ or h~ l~rfo~ the ~id ~ m~l to ~ke a~ file thia
aupl icatic~); thst all. statements costa
that the ~rork will be ~rfo~l in the
~m ~o t~[ore ~ this,
...... ~../day o[
~T~ PUBUC.
[~.1 in Uds appl. lcsti~) are tn~e to the b~st of hie kro~lc4g~ yard b~l. lef, atv3
manner set forth in the application filed ttmre~h.
I~TA~ (Signature of AFpl. ic,~)