The URL can be used to link to this page

Home My WebLink About25616-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27663 Date: 05/10/01 T~IIS CERTIFIEE that the building ADDITION & ALTERATION Location of Property: 6725 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 10 Lot 19 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 1999 pursuant to which Building Permit No. 25616-Z dated MARCH 18, 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 DORMER ADDITION & INTERNAL RENOVATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD HAWORTH of the aforesaid building. (OWNER) SUFFOLK COUNT~ DEPARTMENT OF /{~2kLT~ APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'I~3 04/13/01 M/A N-496172 STEVEN BUP~NS 07/30/99 //A~hoZ~ z 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. 25616 Z Date MARCH 18~ 1999 Permission is hereby granted to: EDWARD HAWORTH PO BOX 47 NEW YORKfNY 10024 for : DORMER ADDITION AND INTERNAL RENOVATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 126 pursuant to application dated FEBRUARY Building Inspector. 6725 GREAT PECONIC BAY BLVD LAUREL Block 0010 Lot No. 019 8 1999 and approved by the Fee $ 75.00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 · ........... ~]~1 ~-- ~" (% % ~ ~ ~ ~ APPLICATION FOR CERTIFICATE OF occUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765--1802 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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 reasens 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.S25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of OcCUpancy - 4. Updated Certificate of Ocdupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date...~.[ ! ~ .C~. ] ............................. New Construction ........... Old Or Pre-existing Building ................. Location of Pro err . ~ ~ "' ~-- ~.O~C~.~.\.~..~]...~.~.~--~ ........ ~ .~.~ ......... House No. Street Hamlet Onwer or Owners of Property.. ~..~..~.~....~.~.~. ............................. County Tax Map No i000, Section .............. Block ................ Lot ...................... Subdivision Filed Map Lot Fermit No ......... Date Of Permit ................ cant ..... ...... Health Dept Approval Underwriters Approval . ~la~aing Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Town~I;ll 5~0(¢5 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (631) 765-1823 Telephone (631) 765-1802 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: X An application for Certificate of Occupancy is not on file. (Enclosed) .J X X No Underwriters Certificate on file. The check is (not on file). No Health Depamnent Approval on file. No final inspection has been made. No Pluinber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILD1NG PERMIT # 25616 Z Please contact our office on this matter. Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR ]P,O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner (~!ease print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature} Sworn to before me this tlO~ary Public, ,.County Nota~ Pubii~, Suffotk County, NY #01 FA4991 Commission Exp. 2-1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~ATION2ND [ ] INSULATION [ ~j' FRAMING [ ]'FINAL [ ] FIREPLACE & CHIMNEY REMARKS: //~~~~ DATE INSPECTOR 765-1802 BUILDING DEPT. SPECTION N 1ST ~ [ ] FOUNDATION 2ND ~ [ ] FRAMING ~FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ]~GH*PI:BG. [ ~ INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY RI'MARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[i;ORAU:IDNA~ION 2ND [~TIO. [ ]FIREPLACE& Cl.l~.~ REMARKS: ~.~:~:2 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROU/GHPLBG. [ ] FOUNDATION 2ND [ ~INSULATION [ ] FRAMING [//] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ jDATE INSPECTOR ''~" THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~,z ~5~ .u.~^u OF ~L~CT~,C,TY ~- 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 39,1999 Application No. on file 18273299/99 N 496172 THIS GERTIglES THaT PE~IT NO. 25616 only the electrical equipment as described below and in~oduced by the applicant named on the above appHcatio~ n~mber is tn the p~mlse~ of ED HAWORTH, 3725 PEC0iqIC BAY BLVD., POLE ~$42, LAUREL, lff in the following location; [] Basement [] Ist Fl. [] 2nd FI. Section Block was examined on JULY 23, ].999 and found to be in compliance with the National Electrical Code. Lot FIXTURE I RECEPTACLES SWITCHES FIXTURES OUTLETS FLUORESCENt OTHER 8 ll 6 8 DRYERS FUTURE APPLIANCE FEEDERS RANGES COOKING DECKS OVENS DiSH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEALERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: G.F.C.I:-Z SMOKE DETECTOR: -,3 ~ HUBBARD, ELECTRICIAN P. O. BOX 22411 AQUEBOGUE, NY, 11931 LIC. GENERAL MANAGER ii ~'~ Per ¸ This certificate must not be altered In any manner; return to the office of the Board If Incorrect. inspectors may ~.~'uD IItSPF_.C'~IOlt RRPOR'Y )UNDATION ( )FIJDATION (2ND) )ti(itl FRAI, IE & PLUI, iBING ,~ISULATION PIeR N. Y. STATR ENRRGY CODE ,, / ~/- i~ I '-/'? - 'V // 'rOUH 0¥ 801rflt0Ll~ BUILDING I)SFAR'A'~I~T. TOI, IH HALL $OUTitOLD, H.¥. 11971 "mi.: 765-Js02 .,w~-~....3:.l.~ ....... , i~,.~' F,-~t ~..., ...... Disa~roved a/c .................................. U~PPLICATION FOR BU~A)I"t/G FERItlT S~:'T'IC l?Olii ................... c~ :~.%.%.%...-~.. HAIL TO: .................... a. 'lhls a~tica~im mint ~.~!e~ly fll~ h ~ ~i~r or in ~ ~ ~t~ w ~ ~1~ ~cor ~ b. Hot pl~ ~ 1~ ~ ~t ~ ~ ~lfl{~ ~ ~ ~lat!~ip .W ~o~ ~s ~ ~lic · ia a~li~=i~. ~. ~ w~ ~ ~ ~s a~li~i~ ~ ~t ~ ~ ~ i~ of ~1~ ~t. ........ :..:. ...... ~.~~.. ~9: ~.~.% ............................................................ ~ o~ ~ o~ ~,~,. ~..~L~...~~.9. .......................................... Ii ~li~t is a w~, s~ of ~,ly ~de~ ............... (~ ~ title of w~te offl=) b. Inter''t~ use and oecupancT' .......................................... . ...................................