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Home My WebLink About25610-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26770 Date: 11/01/99 THIS CERTIFIES that the building NEW DWELLING SOUTHOLD Location of Property: 1030 JACOBS LA (HOUSE NO.) (STREET) (HAMLET) county Tax Map No. 473889 Section 79 Block 7 Lot 34 subdivision Filed Map No. -- Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 1, 1999 pursuant to which Building Permit No. 25610-Z dated MARCH 17, 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. (FIRST FLOOR ONLY) The certificate is issued to ROBERT & LAURIE NEESE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0028 ELECTRICAL CERTIFICATE NO. H-065925 PLUMBERS CERTIFICATION DATED N/A 10/21/99 10/12/99 B l~L~ing Inspector 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) PER~IT NO. 25610 Z Date MARCH 17~ 1999 Permission is hereby granted to: WEIDERMAN (NEESE) 1030 JACOBS LANE SOUTHOLD~NY 11971 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. (UNFINISHED SECOND FLOOR). at premises located at County Tax Map No. 473889 Section 079 pursuant to application dated MARCH Building Inspector. 1030 JACOBS LA SOUTHOLD Block 0007 Lot No. 034 1 1999 and approved by the Fee $ 471.40 ORIGINAL Rev. 2/19/98 L T WNOFSOU 0[0 j 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 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 buildir 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 an 'Tpre-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 Buildinm - $t00.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. · New Construction .... ..~..... Old Or Pre-existin_~__g Building ....... Location of Property...~.~?.~. .............. ~.~.~.~...~/~.~.i i.iiii] ......... :~ ...... House No. Street/ Hamlet Onwer or Owners of Property ................................ County Tax Map No 1000, Section...~.~ ........ Block...~.~. .......... Lot..~.~. ............ Subdivision .................................... Filed Map ............ Lo~ ................ · ,7.. -/Z- · . Permit No ................ Date Of Permit ........... Applzcant .... ....~ ............ Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval .. . Request for: Temporary Certificate ........... Final Certicate....~. ..... Fee Submitted: 77o APPLICANT THE NEW YORK BOARD OF' Fl,RE UNDERWRITERS P, GE1 S~766B7 BUREAU OF ELECTRIC~TTY ~--- 40 FULTON STREET, NEW YORK; N~( :[0038 ~ ~ Date OCTORER 12,1999 Applleaao. No. o./ae i~-'~499/99. , H ~65925 THIS CERTIFIES THAT . ~, . only the electrical equipment as described below and introduced by the applicant ~a~ied,on~ the'above, appllca~iott number is in the premises of ROBERT & LASrREL NEESE, 1~30 JACOBS L~aNE, SOUTHOLD, NY : in the following location; [] Basement [] 1st Fl. [] 2nd Fl. GAA/ATTIC/'0UT Section Block Lot was examined on OCTOBER ~)7 ~ !999 and found to be itt compliance with the National Electrical Code.. FIXTURE I~: a,- e~,,~,- I FIXTURES RANGES /COOKING DECKSI OVENS I DISH WASl~ERS EXHAUST PANS MOT UTURE APPLIANCE FEEDERS IPSC AL REC PT MEC!~O I HEATE S MUL I' SERVCEDSCONNECT ~NO.O~ ' S E R '' V I ' ~C : METER ' - , NO. OFCC COND. A W+G~ , A+W.G A,W ~ WELL PADDLE ~A~RB- 2 SMOKE DETECTOR: -4 P. O, BOX 644 GREENPORT, NY, 11944 ltGENERAL MANAGER Per This ceNificate must not be altered in any manner; return ~ the office of the Board if'incor*ect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT TH~ COPY OP CERIIPICA]~ MU~T NOT BE ALTERED IN ANY MANNER TOWN ~OF 5OUTHOLD P.O. BOX 728 · TOWN IIA LL ~ERTIF ICAT ION ina lass' [han 2/10 o[ Il lead. · Publl~ unl:y t:he wat:e~' supptF (plumber's signal:u=a} . ,. & ' - "I "'" :~": ' ,' '.'..,,..{.¢.'.? · '}i'~-U '' ~ .'. , Notat'y Pub t.[c ,. ~eLENE D. HORNE ' aota~ Pub io, State of N~ 9. F~. ~>~,~:.,'~ :" ,~.~ ~omm~slon expires May ~, . .~ , ,,:~ , -..'..~.~ . . . Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 October 25, 1999 Robert & Laurie Neese P.O. Box 644 Greenport, NY 11944 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 xx xx XX No Underwriters Certificate on file. 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 # 25610-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. REPORT ' DATE ~OUGH FRAME II II ~ Ii I1~ Il II INSULATION PER N. Y. ~- II STATE ENERGY II II coo 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION [ ] FOUNDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY REMARKS: /~/~ [ ] ROUGH PLBG. [ ] IN~JLATION [ ~FINAL DATE /~'~' .... INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION 2ND FRAMING [ ] INSULATION [ ~FINAL [ ] FIREPLACE & CHIMNEY DATE /~///~ INSPECTOR, 76S-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO~JGH PLBG. [ ] FOUNDATION 2ND [ I/J"INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE &/~/~IMNE/~..,~__ REMARKS. / / ' INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ R~~OUGH PLBG. [ ]/~UNDATION 2ND [ ]INSULATION [ ~" FRAMING [ ] FINAL []FIREPLACE&CHIMNEY 765-1802 BUILDING DEPT. INSPECTION ] F/OUNDATION 1ST [ FOUNDATION 2ND [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPECTOR * 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS.' ~~~-~ ' DATE INSPECTOR ,~ BOARD OF · FORH ~0. I 3 $~TS O~ ~S ..... ' · ~ O~ S0~0LD 5~ ........................ BU~B~ D~T C~ *~ · · -~ ............... TO~ ~ S~XC FO~ ................... SOB~OLB, ~.~. 11971 .... .... ~.~.f~f~.,,Jf ~..., ............. Di~ e/c ............................... . ' DaCe ........... , I~S~RB~IO~S a. 'mis ~li~ti~ ~t ~'~e~ly fil~ fi ~ ~ or in i~ ~ ~tt~ s~s or ~, ~ g~ a ~ ~i~ d ~ d p~ ~C ~ ~ m ~ ~ ~i~ is ~ of d. U~ ~ of ~is a~i~ct~, ~ ~1~ ~cwr ~11 i~ a ~1~ [e. ~ ~ildi~ ~1 ~ ~_~i~ ~ ~' in ~le ~ ~ ~ ~r ~ ~ ~r m:il a ~nifi~ of ~ldi~ ~ ~ of ~ ~ of ~ld, ~lk ~, ~ Yo~, ~ o~ ~i~le ~iM. ~ ~li~C ~ W ~y d~ ~1 ~li~le ~, o~, MI~ (Si~ of ~lt~C, or ~, tfa ~ci~) Ghili~ address of applicant) State ~t~Oaer applicant is o~er, lessee, ~enc, architect, en~iueer,' Ee~eral __~oo_tractor, electrician, plumber or builde~ Na~ of o~mer of preuflses ............................................................................................. (~s ca ~he t~x r011 or latest deed) If a~lic~c is a cotlx~a~toa, aigvaC~e of dul~ authorized o/£icer. (Nare and title of corporate officer) Builders Liccose lto .......................... Plumbers License No .......................... ~lect~icians Li~-~e No ...................... I. I~caci~ of laud om ~&aich proposed ~ork will be ~ .............................................................. House Number S~reet _ ........... ~l....xa~ ..?.e.: ........ ..... ~.~ Ac.~..e.~.: .......... ~,~.~...~x .... ~, .... ~. ......... a. 1/xls~i~ use and occupaucy ......... · ~' .............................. ............................................ (t~me ol~ L, xU. viduat a~.~.~ com:r~eO I~ is tl~ .......................... ......................................................................... of ~d ~r ~ ~rs~ ~ is ~y ~rl~ to ~i~ or h~ ~ri~ ~ ~ig ~ ~ to ~ ~ ~ile this ~li~ti~l ~at ~t s~t~ts d~at ~ ~ viii ~ ~r~ HELENE O. HORNE Nota~ Public, State of New York No. 4951364: Qualified in SuHolk CounW Commission Expires May 22, 19 N.Y.S. Uc. No. ~-96S~ Joseph A. gno Land SurVeyor PHONE '(5f6i7~7-2090 Fox {516)72~-5093 ? SURVEY OF LOT 2? MAP OF LEEWARD ACRES AT BAYVIEW FILE No. 5599 fiLED JUNE 4, 7971 SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-79-07-54 ~'~,4,~,~.~..~ ,~ ~4~3z~ SCALE 1 "=40' ..... ~-~ ~2~ JANUARY 21 1999 AREA = 40,557.05 sq. ff. 0,926 ac. CERTIFIED~TO.. FIDELITY NATIONAL TITLE INSURANQE COMPANY OF NEW YORK ROBERT C. NEESE, II LAURIE L, NEESE EF~:~YA~S- T~1~'- ~E A~3 7AOM DAqq~ O~ 'AP~ROVk K k