HomeMy WebLinkAbout24936-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26591
Date: 07/23/99
THIS CERTIFIES that the building REPAIRS
Location of Property: 2395 BAY AVE
(HOUSE NO.)
County Tax Map No. 473889 Section 31
EAST MARION
(STREET) (HAMLET)
Block 18 Lot 1
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 4, 1998 pursuant to which
Building Permit No. 24936-Z dated JUNE 5, 1998
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 REPAIRS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR ·
The certificate is issued to GERARD & JANICE KRUGER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
07/15/99
Rev. 1/81
N/A
22198 10/28/98
KEVIN J. FOLEY
// ~ Build~n~ ~n~pec~
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.
24936 Z Date JUNE 5, 1998
Permission is
hereby granted to:
JANICE KRUGER
2395 BAY AVE.
EAST MARION~NY 11939
for :
REPAIRS~ WINDOW REPLACEMENT & ALTERATIONS TO AN EXISTING SINGLE
FAMILY SEASONAL DWELLING AS APPLIED FOR.
at premises located at 2395
County Tax Map No. 473889 Section 031
pursuant to application dated JUNE
Building Inspector.
BAY AVE EAST MARION
Block 0018 Lot No. 001
4 1998 and approved by the
Fee $ 75.00
~pec r
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
CATION 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 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.
C. Fees
i. 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-existinA Buildin~ - $i00.00
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
ate ..........................
New Construction....~. ...... Old Or Pre-existing Building .................
Location of Property....~.~..~..~ ...... ~.~..~.q~.'. ....... ~W~--~...J~Cv%~/~ .............
House No. Street Hamlet
Onwer or Owners of Property...~~....A...~.6.¢~.A..c~.. .... ~~. .....................
County Tax Map No 1000, Section .... .~ ....... Block .... ~.~ ......... Lot...l ...................
Subdivision ................ . .., ............... . Filed Map ............ Lot .................. .. ..
Permit No...~.~ .~ .~..~...Z..Date Of Permit....~.[~.1..~..~....Applicant. ~*.~).%¢4~-...k.~.Q .O.~ .....
Health Dept. Approval......... .............. . . . Underwriters Approval .........................
Planning Board Approval....... .............. . . .
Request for: Temporary Certificate ........... Final Certicate ...........
Fe~ Submitted ............................. '''Y"''
gcc- '7 ....................................... A LICANT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone {516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
DATE:
Building Permit No. ~%~ ~-
Owner: ~r) % ~n~%~_ (please print)
Plumber: ~'-~-~, '~ ~,
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers S~gnature) ;
Sworn to before me this
/-~ day of .J~
Notary Public,
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 27, 1999
Mr. & Mrs. Gerard Kruger
67 Burton Lane
Syosset, NY 11791
NOTE: BEFORE A CERTIFICATE OF OCCUPANCY CAN BE ISSUED,
ROUND WATER MUST BE INSTALLED.
YEAR
To Whom This May Concern:
We are unable to complete your Certificate of
because of the following reasons:
XX
~x~ XX
~ XX
Occupancy
An application for Certificate of Occupancy is
not on file. (Enclosed)
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 # 24936-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FIELD i;:S'Jb-CT !ON
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER
STATE ENERGY
CODE
FINAL
COMMENT£
ADDITIONAL COMMENTS:
07/23/1998 17:4~ 5154~7~97 ~C~LHEK ~c
87/23/1998 i7:~0 516~270297 ARCALHEK PAGE
t,'].. ',9."' "' ..';'",:' J'::." ,'
H. B4 Ic. 40
5716SS1 V3R7M0 961108
Town Hall, 53095 Main Road
~ i S~,~ew~ol~ ~ 1 ~71 ....
user ..........
PL010-23 WO
*UPDATE*
Address: 2395
APN: 1000
OFFIC~gFA~IE BUILDING INSPECTOR
31 ~WN OJ= SOUTHOLD
Page 1
06/02/98 14:58:42
Fax (516) 765-1823
Telephone (516) 765-1802
6/02/98
14.58.39
SEL TYPE EFF DATE
1. TRA 1/13/89
2. PMT 1/13/89
3. PMT 5/15/70
4. TRA 6/29/68
5. TRA 3/25/66
6. TRA 11/01/63
EXP DATE EXCPT
DESCRIPTION
TRANSFER OWNERSHIP PROPERTY
BP# 017760 ADD DECK & 2ND FLR
BP# 4754
TRANSFER OWNERSHIP PROPERTY
TRANSFER OWNERSHIP PROPERTY
TRANSFER OWNERSHIP PROPERTY
TEXT?
Y
Y
Y
Y
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INSPECTION
[ ] FOUNDATION 1ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
] ROUGH PLBG.
] INSULATION
] FINAL
REMARKS:
DATE ~////~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INS/U~ATION
[ ] FRAMING [~I~INAL
[ ] FIREPLACE & CHIMNEY _
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ~"]'ROUGH PLBG.
[[ ]./~J~,,]. FRAMNiDNA~ION 2ND [[ ]] IF~NSAU~ATION
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ R~~OUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: ,,/~~
[ ] INSULATION
] FINAL
765-~.802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [p~ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE ~//~/~
765.1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ]//ROUGH PLBG.
[~ INSULATION
[ ~FII~A~L
[ ] FIREPLACE & CHIMNEY
DATE ~~ , INSPE~OR~ ~
~/ /~- . ~y- -. /
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
] FINAL
DATE ~/~//~c~ INSPECTOR
PORtt lIO. I
TOWN OF $OUTUOIoD
BUILU1NG DE PAR'IIqI~I~T
'roI~R IIALI,
SOUI'IIOLD, N.Y. 1197 I
Tgi.: 765-1802
1)t sapl)roff~l a/c ................... '- ..............
BOARD oF tIEALTll ...... ; . .; .....
3 SETB OF PLANS ...............
SURVEY ........................
~EPTIC FO~ ...................
CALL . · ·
HA~I. TO:
APPLICATION FOR BUILDING PERHI'F
INSTRUCTIONS
'Date ...... ~.
a. 'lids affialicatio~ n~ast be co~letely filled in by LTt~vriter or in t~ a~i mB~ttC~ to ~ ~dlding Tns~ctor wi
3 ~ts of pl~, acmrate plot plan to ~ale. F~ accordi~ to ~le.
b. Floc pl~ ~t~ l~ti~ of lot ~ of ~tldi,~s ~ ~i~s, feint[on'dp to ~joini~ p~i~s 0r ~ddic
struts or areas, n~ 8[vt~ a ~tail~ ~ecriptt~ of layout o[ pro~rty mint I~ dr~ m tl~ disown ~dch is ~rt of
this a~)l [cation.
c. 'tim ~ mr~ I~ fids s~licati~ my s~ be cm~ ~fore issue of ~dldl~ Pemit.
d. U~ ~sl of fl~is ~llcsti~, tl~ l~ildi~ l~s~ctor wtl~ is~ a ~ildtng ~mlt to the spplic~t. ~h
~mlt i~ll ~ ~pt ~ fl~ ~s ~sit~le for ins~tt~ tls~s~t tl~ s~rk.
e. ~ ~iJdi~ ~tl ~ ~pted or ~ tn ~le or in prt for a~ ~ ~mt~er ~tll s ~rti[tcste of
~ff,l~'ri~ I~ Ig~ t~ to tl~ I~dldi~ ~rt~nt for [l~ t~e o~ s ~tldl~ ~mlt ~r~t to tl~
I~ildi~ ~ ~i~ o~ t~ ~ of ~ltl~ld, ~folk ~, ~ York, ~ otl~r s~ti~le l~s~ ~di~es or
~lati~s, for tl~ ~st~tt~ of hdldt~s, ~itt~s or ~ltersti~, or for r~sl or ~ltti~, ss ~rein
g~scrH~. ~ applier ~s to co~ly wi~ all a~ltcsble l~s, ordtms~s, ~ildt~ ~, ~t~ c~,
, .~T..~!~..~:..~X~.,. a~... ~.1 .....
(~tli~ ~mss of a~ltcsnt)
State sd~eOser applicant is o~r, lessee, agent, architect, engineer, get.rat c~tractor~ electrtctan~ pl~r or I~dlde~
~ of ~r of pr~t.s ..~...]...d~[~.-.~ ................................................ (as m LIW t'ax ~ll or lares~ d~)
If aa~llcsnt is a co~rstlm, strafe of dul~ ~tl~rlml o[ficer.
(gare and title of corporate officer)
llu[lders I ice.se No .....
Pl~sd~ere I [cease fro ..............
Electricians License No ............... . .... .
Ot;l~er Traders License No ............. .. . . . . ..
I. l~catic~ of lam o~ stddl propo~l turk will be
' , ................... ~..! ......... ~ .~ .....................
..... ...... .... k ...........
Ftl~p~ · · ·
isi~
(~)
2. State ex[sting u~ a~ ~y o[ I~m~s a~ inte~ ~e ~ ~m~ o[ pro~ ~stn~t~*~:
~. ~r~ ,~ ,~ ~ ..%~.~ ......... ~.~..~J ~ ..........................
~,. ~,t~ ,,~ ~ ~ ..~[~-~-~..E~X~ .... g%~>.~~ .........................
3. l~lture of work (d~ock sdiich applicable): ~ I~lidlng .......... ~lti~ .......... Mteration ..........
I~lmi r -~ ........ ~al ............. I~ltti~ ............. O~her
(~ripci~)
Ea o~t~l ~at ..... f~ .........................................
(to ~ l~ld ~m filing this al~llcatl~)
~l~,t ..1~ ................... ~,,~r or sto~le~ ...~ ..................
' I~pth I~l~lt K~d~r of Stories
8. I)it*enflj~m o~ entire ~ ~atr~l:t~a l~1t ................ I~ar ............... MpLb ..............
I~i~c ................... .. · · . . K~dmr of Stories .....................
~.sl~ o~ io~: t~t .$.~,~ ............. ~ ..~3:Nf. .......... ~pth ..... J$~..e ...........
"). ~,,'~ ,,f ~,~,a,~ .~.:.~ ............ ~ o~ ~,o,,~ ~ ~...e..~t~..~...
II. ~m or u~ district In Mddl praise a~ at~t~ ..'~)~.L~ ........................................
12. ~a propel ~mt~ti~ vlolflee any ~Jng 1~, ordl~e oc regulative ~ ...................
13. 9ill lot Im r~r~ ~..~ ............ gill ~ess fill Im
~ie o~ Arddt~t .................................... ~lreaa .............................. B~ ~ .............
· t~ of C~tr~tor ................................... ~Mreas ............................... Hm~ ~ .............
15. Ia this p~rty uJthln ~ f~t. ofa ti(~l q~tla~? * W,q
PI.OT DIAORAH.
I~x:ate clearly and dlatlnc£1y all L~ildl~s, Mmtlmr e.x|s~:tng or propo~d, and ttxltcate all set-%rock
fr~,) property linen. Olva street: and block raJdmr or t~ecrlptioa according to deed, and al~x~ street r~r~n ami indicate
~.4ratlmr interior or corner loC.
(C~,traet()r) agent~corporate officer, ere.)
of ~aid (~r or ~a, m~l la t~tty ~tl~cl~ to i~r[ona or here [~rforn~l t.he ~i(I ~rk ~tKl to n~ke mxl file this
ulq)l icatiou; that: ell atat~nt8 c(mtal~ in thin nl~)lieatl(nl nrc tn~ Lo the I~at of Ida kl~l~ 8~ Iml. Jef~ o~l
that th9 ~rk ~itl I~ ~rfon~l itt the [mntmr ~t forth in the nppilenttca} flJ~l tl~r~[fl~.
............. .%77=. ,tiny 01~ .... 19. ,.
HELENE D. HORNE
Not..n/Public, Sta~e of N~W York
No. 49513C~¢
(StlFml:ore of ^pplieant)