The URL can be used to link to this page

Home My WebLink About24641-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25527 Date: 02/06/98 THIS CERTIFIES that the building ALTERATION Location of Property: 1150 OAK DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 2 Lot 5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 16, 1998 pursuant to which Building Permit No. 24641-Z dated FEBRUARY 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 INSTALL A NEW ELECTRIC SERVICE & PORCH WINDOWS (SCREENED PORCH ENCLOSED WITH NEW ANDERSON WINDOWS( "AS BUILT") The certificate is issued to CHARLES J BECK of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H058511 01/21/98 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENt' TOWN HALL $OUTHOLD, N.Y. 2464~ Z BUILDING PERMIT (THIS PERMIT MUST BEKEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Date ......F.E:.B F~.U t%~R .¥ ........ 5 ........................... 19...~8 .... Permission I~ hereby granted to: ........ ~E~E~...~...~EC~ ............................................... ........ fl~...~.....~O~..~&~ .............................. ' ................. ........ WAL~O~...WM~ ........ 0~8~8 ................................... to ...... I.~L~..~E~.EL~C%~E~E...&...~D~H...W.~.~..C~.~S~E~N~..~CH ......... ~.~.~.~..~...N~...~D.E~.~.~..~D. OW.S...)....~E..~.~.L~ ........................................ at pr~mlse$ located at ................ ~& ~.....~G~.. ~ .................................................. ~OMT~ ........... CountyTaxMap No.....~.~ ..... Section ...~.~., ........... Block .....~.~ ........ Lot No..~5 ............... Pu~uont to applica~on dated ....~ ~G~ ........ & ~ ........................ 19 ...... ~.~ ..... and approved by the Building Inspector. Fee $ ........ .?..5..,..0..0. ..... Rev. 6/30/80 FORM NO. § TOWN OF SOUTHOLD · Building Department Town Hall Southoldo N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted i ammmma to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all. bulld'ngs, property lines, streets, and unusual natural or topographic features, 2,Final approval of Health Dept. of water supply and sewerage disposal-{S-9 form or equal), 3.Approval of electrical installation from Board of Fire Underwriters, 4, Commercial buildings, Industrial buildingS; Multiple Residences and similar buildings and Installa. t/OhS, a certificate of Code compliance from the Architect or Engineer responsible for the b ,Idmg, 5.Submit Planning Board approval of completed site plan re.quircments where applicable, B..For existing buildings [prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p:operty showing all property lines, streets, buildlngs and unusual natural or topographic features. 2.Sworn statement of owner or previous owner* as to use, occupancy and condition of buildings. 3, Date of any housing code or' safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate, C, Fees: .1, Certificate of occupancy $25;'00-- ]~US[HESS $50,00 2, Certificate of occupancy on pre-existing dwelling $ 50.. 00 3, Copy of certificate of occupancy $'5°'00, over 5 'years $10,00 4.Vacant Land C.O. $'20.00 5 Updated C 0 $"50 O0 Date · A ' ~ ,. ,Installation of porch w.in.dows, as built NewUon~crucczon/. ..... Old or Pre-existing Building . .,~ ......... Vacant Land ............. Location of Property . .1.1.~Q .Q~k, '.D. ci.v.g ......... .S.o.u.t.h.o.l.d. ................................. Hou~ No, Stret, t Ham/ar Henry Beck as Executor of the Estate of Cha.~les J. Beck Owner or Owners of Property ........... . ................................................. 80 2 5 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision .... ,,,,,,,,,,,,,,Map of Raydon ,S,h,o,r,e,s,,,,I,n,c,.,, ,Filed Map No, ,,,,,,,,,631 ,Lot No, ,,,,,,,,9' 10 & !!,, Permit No ........... Date of Permit ,,, ....... Applicant .................................. Health Dept, Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ..................... t..Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ,gS,C]Q,, ,* .................... Construction on above described building and permit meets all applicable codes and regulations, 10-10.78 Applicant ......... .~ ......................................... Ally FLANNER OLSEN, P.O. BOX 706 CUTCHOGUE, NY 11935 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. ] INS~L~ATION ~/]~INAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR THE ,NEW' yORK BOARD OF FIRE'UNDERWRITERS ~(~69~69 . ' ' BUREAU OF ELECTRICITY ,r-:--~.:,.., .,~< .: , ;3291. LAKE SHORE ROAD, BUFFALO, NY 14219 Date J~UJ~R~ 2~,1~ ~pplicationNo. onfil~ 15341698/98 H 058511 THIS CE~IFIES THAT. o~y the e~tr~ ~uipment ~ ~scHb~ be~w a~ int~u~ by t~ applicant ~med off th~ a~e appfi~tlon number in the p~mhes of ~O a FR~CES SC[~FFLER, 1150 0~' DRIP, S0t~HOLQ, ~ ~s examined on J~)~Y 15,1998 and found to be in compliance with the NaMonal Elect~cal Code. FIXTUEE FIXTURES RANGES OVENS EXHAUST FANS ~T~T$ SWITCHES FLU~E~CENT DRYERS C AWG OF HI,LEG OF NEUTRAL ENTIRE PREMISing3-. 1 *NO .VI£~UAL~ DMFMCTM& "An, elect'rlQpi survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. FftED SCI~LM, FFLER 1245 OAK DRIVE SOUTHOLD, N%', 11971 P~r 11 [his certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUI, LDIN~ DEPARTMENT. THiS COPY OF.CERT~F[CA~E.~MUS~ NOT BE ALTERED~/N~ANY MANNER. BOARD OF HEALTtl ...... 3 SETS OF ,PLANS ....... ' 1 SURVEY FORM NO .......... ' CHECK' .... SOUTHOLD ' ......... ,.. TOWN OF BUILDING DEPARTNIENT SEPTIC FORM .............. ' '" TOWN HALL NOTIFY '' ' ;';' ' '' ' $OUTHOLD NY 11971 ' CALL Examined ,wrr ............ , n N Approved ........ , ' Disapproved ale a. This application must be completely filled in by typewriter or in ink and submitted to the' Building Inspector, it s accurate plot plan to scale. Fee according to schedule. ....... ' . · '~ " ' public streets sets of plan , . .... ,__ ~ ~+ ...~ ..r h.ildinos on nremises, relationship to adjoining premmes or b. Plot plan suowmg locauun u. ,~,~ a,, ...... ~ or area% and giving a detailed description~ of layout,of prgpeyty must be drawn on the diagra~ which is part of this appli- c. The work coveted by tiffs application may not be cominence before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicanL Such permit shall be kept on the preinises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatev( ~til a Certificate of Occupancy shall have been granted by the Building Inspector. / ' ". Y MADE to the Building Department for the issuance//gf ~uilding Permit pursuant to the APPLICATIO.N. IS HEREB ....... e.,rr..lv r' .... *~, ~.r~,., York anlg/otl r applicable Laws, Ordmanc.e.s or Building Zone Or&nance of the tow~ ~n o..t.?oumo~a,:f ..... ? ~[~[o'n's~'r ~;r r;n~aL~ daemolition, as herein described. ' Diction OI ouuumgs, aumuons Or ax[u , -,,/- -- , , · . .Regulations, for the const . ............. buildln- cod~. l~6tl IfS rode, and regulations, and to licant a tees to comply w~th all appucame laws, orumanu~, ~ ~,-l~j/;.77 ro.~ , aTdhl%i~Pa~thorize~ inspectors on premises and in bmldmg for necessary mspecti~fi~//~ / ~" , , (Si~r'e'~4~pplicant, or name, if a corporati ) (Mailing address of applicant) ' State whether applicant is.owner, lessee, agent, architect, engineer, general contractor, electrician, phimber or builder. attqrney for purchas'er Gar~/ .F! anner. O1 .s .eh; .................................................................. Nameofownerofpremises · .,H6n. r,y.,Beck as Executor of the Estate of Charles J; Bec.k . (as oil the tax roll or latest dee~ll~P.II0V[iD AS #OIED _ If applicant is a corporation, signature of duly authorized officer. ~,e~,,,~.-- ~==. BY: r~, , ~ " NOTIFY BUILDING DEPARTME ' (Nalne and title of corporate officer) - 75~-¶801 ~ AM ID 4 PM ~ TH[ ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED ~<~: ' ' TWO II~QUIREO, Builder's License No .......................... t Iq~INDATION ' " Plumber's License No ....................... ' ~ ,; . CONSTRUCllON MUSI' ' · · , ' ' ' · ..... 4. F,INAL ') : Electric,an s License No ....... ' ........... , .~ . ~COMi~.~ffii=OR~O. Other Trade's License No. ' ..................... ALL CONSTRUCTION 8HAI&.MEET, THE REQUIREMENTS OF THE N.Y. 1. Locatim~ of land on which proposed work will be done'. ................. STATE. CO~T~IUC~ON' ~t ~WER,GY, .' r ' CODES. Nm RESPONSIBLE FOR , ~,~ .11~0 p3~ DF~ye . ',, .... · ...." ..... ' · ...... ' ' ',, I et ~ '~ "'House Number ' ' '". ',,' ' ~.;,., ; , Street ~ ~ .'. .,p. '~' , ,, 0 Block County Tax Map No, 1000 Sectiou, · F ..... ' .............. 63~ Lot ~,..l:q ,& 1.1.. Subdivision .~{P. o( .RayJob Shores Inc: Filed Map No ................... (Name) ' d co 2. State existing use and occupancy of prenffses aud~ ~tended use sod oc?~pt}ncy of ~ropose nstruc .,, ', ;, ~.~;~ windows (formerly screened por~'h)as ~'ilt. ~i~H ......... ~ Installation of porch. .~ a. ~ ........ ~ ..~ an,u occupancy ~ ~ ':~,'. ~ ,,;;.. ,,. ,, ,, . b Intended use and occupancy ,,, ,' , · , , Addition ....... Alteration ........ ~, ................ '" ' .,t, tcheck which a~pheable): New Buddlng~,,f~.~. ,,. ,:,~,~ ..... ,. .. Other Work ............... .... , . Removal ........... lac,~,u,,.,,.. ........... ...... I :, ~, , ,. (Descfipiion) , ,,,.-" ..opalr Fee filing this application) Estimated Cost ' (to b~ paid on ' ' 'Namber of dwelling units on each floor 'r of dwellinglunits numbe ............. '" ...... 5. If dwelling, .......................... ~ .................... ff garage, number of ~ars : '~ ...... _kkL' ~22ci},; nature and extent of each type of uso ..... If business, commercial or m~xea occupancy, ~w ~ Rear Depth.. ............. Dimensions of existing structureS, -- u.y. ~-~,,. ....... ' ' ' ' ., " Height ............... Nusber of Stories Rear .................. · additions: Front ................. ~,..~ ... ' ~ith alterations or Number of Stories ' "' ' ' Dimensions'of same structure . . ................ Depth ................... L.. Height ................... ~r Depth of entire new construction: Front ............... Dimensions ...................... 8 ' "' ' Number of Stories Depth Height ..................................... ' Rear Size of lot: Front .......... ~ ............ ' ..................... 9 '.; Nam~ of Fo~er Owner ............................. Date of Purchase ......................... ; ............. 10 m, ~emises are situated ..:.... ...... . ........~ ' .................. 11 Zone or uso msmc[ mw,)* ~ law.'ordlflnn~ or ro~ulatlom ' Yes No ' Does proposed construetmn v:pm,o ,,,,~ ...... ~ , Will excess fill be removed from premises: ' Will lot bo regraded .... '~ ' ' ~ ................... ~ddress Phone No 13. · * ................ ' .................. Phone No Name of Owner of premises ................. 14. i '.~i'...Address ................... Name of Architect ........ , .............. -- . . . .. PhoneNo ................ ~ ...... Aaaress .......... ' N~eofContractor.........~'. 1'.'1'';~ ~2~t. 6f.a tidal wetland2 *Yes ..'... '~' ",v 'Is this property locate~ w~t~ln ~uu ~ ' , ' · '~ "es Southold To~ Trustees rerm~p~"~ ~G~M , , 4, , ~ , , , '. .... , ....... ' ~,, ~' - ' '~ '~m~)a'~all'set-back d~mens~ons from ~ ........ ~ a:~+~tl" MI buddings, whether existing. P ............. *-~mes and indloat~ whether ~cate clea~ a.~ .... L~ ..mher or description aceoralng to?eeo, ann snow ~--~?, property lines. ~lVO stree~ anu u,uu~ ....... . .. .... ,. ,~ .... ~ .,.,,, . ; , ~ . ~ mteflor or corner lot. . ,, .... ?.. .. ~ . ~ , ~ , 'n yO ' ' I~aksen, Jr. e' See an exed survey of anle · ...... ' , : ,,~ ~ ,, '- qm~mF. OF NEW ~ g~ S.S .c~O~q~B~)~sen i ........... being duly sworn, deposes and says that he is the applica: "'' · ........ ' ................. It fl~ ¢~d ...... c ) : ¢. · is e..,.;.¥,, ~...~ ~,~J ~%tv (Contractor, agent, corporate officer, et · ' .i · to erform or have perfo~ed tho s~ work and to make and file t: aid owner or owners, and t duly au?on,ed ~ ...... *, th~ -~ ~ei~k~wledge and belief; and that ; Of S ...... . .tat~m~ntS ~ontainea in IRis appncanon are truu ...... y~., ~,~ ...... ] appheatlon; mai m, .... Y'"7-' I e~f fnrt a n tile annlicat on filed therewlm. / " work will be perfo~ed in tnt ~anner ........... ,-,- / / , Swom to before me this ' a . ~}) ...... d[ay of..~q~ .(7. .... ~ ......... 19. ~7 LORRAINE Kt. OPF~R Notary Bt, lie, State of New'fork ~ No. 4828373 Qualffi~J in Suffolk ~,unty . " ~nml.len Exerts Nov. aO, I~,~