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HomeMy WebLinkAbout24745-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26142 Date: 12/02/98 THIS CERTIFIES that the building REPAIR Location of Property: 2050 CARROLL AVE PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 3 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 18, 1998 pursuant to which Building Permit No. 24745-Z dated MARCH 3, 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 REPAIR EXISTING ONE FAMILY DWELLING DUE TO FIRE AS APPLIED FOR. The certificate is issued to ROBERT & LINDA TAPLIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N448430 03/20/98 PLUMBERS CERTIFICATION DATED N/A uil . ng 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) PERMIT NO. 24745 Z Date MARCH 3, 98 Permission is hereby granted to: R. TAPLIN A/C SOUND BAY 309 FAIRVIEW AVE BAYPORT,NY 11705 for . REPAIR A SINGLE FAMILY DWELLING DUE TO FIRE AS APPLIED FOR. at premises located at 2050 CARROLL AVE PECONIC County Tax Map No. 473889 Section 074 Block 0003 Lot No. 005 pursuant to application dated FEBRUARY 18 98 and approved by the Building Inspector. Fee $ 75 . 00 Bui n Insp ctor ORIGINAL Rev. 2/19/98 roan No. o (f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin; 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 12 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an '•'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 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 Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - t .254:-. 4. Updated .Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. ... . ... . Old Or Pre-existing B/u�ilding..V{ . . .. . . . . . . . . . Location of Property.. .....Q.,5 Q.. . . r 1 �.�. . Ape... •. 1 ... J.i.r0nlCe.r . . . . . .. . . . . . . . . . . . . . House No. Street—I AJ � Hamlet Onwer or Owners of Property.. ��T.. ... . .. . . . . � . .. llT ��. . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .. . . . . . .. . . . .Block. .. .. . . . . . . . . . . .Lot. . . . . . . . . . .. . . . . . . . Subdivision. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Rap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. .�L4. f� .r?% .Date Of Permit. . . . . . . � . . . . .Applicant. . . . . . . . . . . /.II. . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approvalti ,. .l;5 1.?6 A70'94& NL443 n Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . 1. . . . . . . . Fee('Sybmitted: $ �r:fJa . . . .. . . . . . . . . . . . . . . . 5-5y 7S' APPLICANT co9-- ac )� z �y THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 1135185 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date MARCH 20,1998 Application No. on file 15476298198 N 448430 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ROBERT TAPLIN, 2050 CARROLL AVE. , PECONIC, NY in the following location; © Basement ❑ Ist FL © 2nd Fl. OUT Section Block Lot was examined on MARCH 17,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT I OTHER I AMT, I K.W. AMT. I K.W. I AMT. I K.W. 11AMT. I K.W. AMT. H.P. 1 5 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E - METER NO.OF CC GOND. A.W.G. A W.G. W.G. AMT. AMP, TYPE EQUIP. T 0 2W 1 0 3W 9 0 SW 3 0 4W pER 0 OF CC.COND, NO.OF XI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL 1 100 CB 1 X 1 4 1 4 OTHER APPARATUS: SMOKE DETECTOR:-1 MODERN ELECTRIC EAST,INC. LIC.#4253- L 2.t 10470 ROUTE 25 MATTITUCK, NY, 11952 GENERAL MANAGER 11 Per This 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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I M-1802 BUILDING DEPT. INSPECTION [ } FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING [ ✓]/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: CLAk. / DATE INSPECTOR „'l la.11 IIIIi i'I;G I'IUII III;Elm'1' .,r.'U(`•i'li ('Ulillli ll'I''i ----------------- -411 rumllt ATI( 1 ( IGT) f p, •n, t � r,Vnr, IAT IOff t2rin)�» _ r ki �x 1111111:11 RIIAIII: R n� ('1.111111 11111 r .................----___»____.,»__ .y»»---- - »»»_n__,.»»_»-...----»»».._w_»..»»_ »_»»»__»»..».....»w_ 1• IIL'IIILA'i'IU11 I'I:11 Ii, T . - II („ IUIIil11IY C(Mit - m .44 1 » »__ »»__ __ __»»__.._ __ � .....»..»......__.t_ ..__»»_...- .......----..Aui----U-IAL-Cnr MlSlr•r..'.._._..__ ----------------- I� d v_ t HOARD OF 11RALT11 . . . . . . . . . . . . . . . 4 dFORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . rowN y f �fy�p ' OF s0U'rilO1.D SURVEY . . . . . . . . . . . . . . . . . . .FEB . . . . . I ��U BUILDING 11 PAR'121L'N'1' CUECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN f1AL1. SEPTIC FORM . . . . . . I . . . . . . . . . . . . �M;;. SOIITHOLD, N.Y. 11971 � � BLDG.DEPT. P UT OL TRL: 765- 1802 NOTIFY: �/ 7 CALI, Examined....dr/wy��,,...... 19.?.p- ccGG MAIL TO: . . . . . . . . . . . . . . . . . . . . ApprwtKl......�. ....1 19.1.4 Permit Na. �t�77 ` �r Disapproveda/c. .................................. .................................... ...................................................... (IAuild' hg n, rector) APPLICATION FOR BUILDING PEI1MIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'iris application must be completely filled in by typewriter or in ink aux) sultnitted to the Building Tnspector will 3 sets of plans, accurate plot plan to scale. Fee according to scheckcle. b. Plot plan slwowinug location of lot and of lxwildings on premises, relationship to adjoining premises or public streets or areas, and givirpl a detailed deacripl ion of layact: of property must be draum on the dingran which is part of this application. c. 'Ilne work covered by this application may rat be commenced before issuance of Bunching Permit. d. Upon approval of this application, the Dnildirng 'Inspector will issue a Building Pernit to tire applicant. ii0i permit shall be kept on the premises available for inspection throughout tlhe work. e. No building shall ire occupied or used in whale or in part for any purjX)se whatever until a Certificate of Occupancy shall have been granted by Uwe Building Inspector. APPLICNtION IS I001Y 1,M to tine Building Department. for lite issuance of a lknilding Permit Iarsuant to the Building 7x ie Ordinance of the Town of Sowtlald, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of truildiogs, arklitions or alterations, or for removal or demolition, as herein described. lite applicant agrees to canply with all applicable laws, ordinances, Wilding code, housing code, and regulations, arxl to admit authorized inspectors or prordses anxi in building for necessary inspections. ............. (Signature of applicant, or name, if a corporation) ,3&9 Fi4-/R-'--vda 4a6. 4 l?y9yt?v a,ry: /l7o J� (Mailing address of applicant) State whetlier applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plunber or Imilder. c!T.. .T.jz................................................................................ .... Nae of earner of premises flg15AZ ,..a^:.7-APLi.v,Tlt,—„g;, e,�;�a.4 kn- T.-4PGly .. .. ........................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) fAuilders License No. PlumbersLicense No. ......................... Electricians License No. ..................... Other 'trade's License No. .................... I. Location of land on which proposed work will be. done.............................................................. oS�?.................... e4 -..fav :...............,...............P, ✓ic ....................... 110 use Nu her Street Iladlet County Tax trap No. l000 Section ....7 Block .........3...... int .......... Subdivision ...................................... Filed 14ap No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Writing use and occupancy ............................................................................. b. Intended use and occuparcy .....................................................................I....... lEq I Repair of work (dleckJiid1 applicil)le): Wv Iklildiog .......... &klition .......�S Altgrf)C!ioil .......... ......... i....... lknniil:loi ............ Other Work .....'....................... h, listilloited Coal: ......4F1jgVP..4P..... fee .................(7.Ult.?7l•:!.,:Y).m,� (to Ile laid on filial; title application) S. If ike:llfall, nxrnlx:r of dwelling lull s ............ )knber of (knelling units of each floor ................ Ifgarage, oanber of cars ....... .............................. G. If Ixnsiness, coulnercial or mixed occupancy, specify nature arxl extent of each type of use...................... 7. Uhtensials of existing stnx:Luresj; if any: Front................ Rear ............... Npth ................. IWigld: ......................... ';I Naber of Stories ...................... Dinlensiols of stale stnlctore with alterations or rxklitions: front ............... Rear ............... Mplll .................... Ike]glno .................... Naber of Stories ............... R. OhlMoSials of entire new constnnCiori: Front ................ Rear ............... Depth .............. Ilaigllt ......................... ]Amber of Stories ..................... 9. Size of lot: Front ............i....... Rear .................... ))epttl .................... i 10. bale of purchase ............... ..... Nance of Fouler Owoer .......... ........... ................... I It. 7(one or use district in -Midi pr lemises are situated .............................................................. 11. Does proposeO construction violal.e any zaiing law, ordinance or regulation: ........................ 13. Will lot lie reilmleil ...........,'......... Will excess fill lie removed frac presses: YRS NO 14. Nacres of (hrtier of preaises ........................... Mklress .............................. Male No. ............. Nrnle of Ardlilect ..............j...................... 1"lreas .............................. Tirane %. ........... .. Nmle of Caltractor ............i...................... A(klress ...............................Mone No. ............. I5. is this property within 300 feel; of a tidal wetlalxl't * YR.S .......... NO ...1�.... *1F us, S(MIIICMI) -I"m 'IRIIgfF.BS 11KINIT MAY RIS RL"Illd(D. PLOT DIAGRAM locate clearly sort distinctly all Ixiildinga, whether existing or proposed, and inxlicate all set-back dimensions (rain property lines. Give street aollblock randier or description according Co (feed, and allow street "antes and inilicate i4iallwr interior or coiner lot. Ijl l SI'A'IE (M' Wt M (1011NI1( (M' SN a............... (l'knr! OI' 1111I1Vi�1/1 a'Icj;�ing c(x 'a:�`1-... ...............IxAnj, duly sworn, deposes and says, that he is the applicant. alcove immia..d, j) III! iri tile .......yYJY.�V �.r{......................................................................... ((kmtractor, agent}-corporate officer, et.(.-.) of said (mw or tm)ers, 111x] is duly authorized to perform or have performed the said work antl to nnke aol file this appl Icatioo; that all stateirents coptall-ted in this appl ic"It ion are talc to the nx!st of life luxmledge sort Ix>1 ief; 111x1 Owt lire work win l lie perfonliel in ).he ami nler set forth in the application filed therewidl. 'M)ro to before nn this . ....../0...... bry of: ,'J. G. 1 .. .. 19. i Notary I11bIi . ' . .. ..... �Cu1.1�1tti&l6� (Signature of Applicant) ROMl public,` fr le of ^OV,`folk laSkfigo `snit' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: d DATE //�; INSPECTO FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ...Z..31.7.8.......... Date ..........August••,27.0....................... 19.68... THIS CERTIFIES that the building located at ...Car01..AVeMUG'...................................... Street Map No. ...................... Block No. ...................... Lot No. ....P.ecOn.iO.....XeW..Y.Qrk........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................Tui];••,18•..................... 19..68.. pursuant to which Building Permit No. ..396.5..Z dated .................JU1y...19..................... 19...68., was issued, and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ ......px.ivate-one...family-4welying..with...adds.tion........................................................ The certificate is issued to ........Gabriel..Carroza...4owner.)............................. ........................ (owner, lessee or tenant) of the aforesaid building. Building Inspector . w. _. . --_.-„__ . ._ . - . . ,......._......... -., . - , „ . t- -' - 1 - - - : v - . -., ,. r j 1, - W-, } �- � - � I I . I I . - t' ' " ..' . I y. . � ,I - - ' . I I - I I I �-' . . 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