Loading...
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 Selection: Cmdl-Prev Screen H=History, T=Text: H Cmd7-End Job Cmdl0-Entry Mode 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)