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24761-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25726 Date: 05/15/98 THIS CERTIFIES that the building ADDITION Location of Property: 1700 FAIRWAY DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 14.9 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 1998 pursuant to which Building Permit No. 24761-Z dated MARCH 12, 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 SUN ROOM ADDITION ON EXISTING REAR DECK OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANCIS J & ADELAIDE M. O'CONNELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N453114 05/08/98 PLUMBERS CERTIFICATION DATED N/A ~/~ i~"~pe ct or Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24761 Z Date MARCH 12, 1998 Permission is hereby granted to: FRANCIS J O'CONNELL PO BOX 819 CUTCHOGUE~NY 11935 for : CONSTRUCT A SUN ROOM ADDITION ON AN EXISTING REAR DECK OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1700 County Tax Map No. 473889 Section 109 pursuant to application dated MARCH Building Inspector. FAIRWAY DR CUTCHOGUE Block 0005 Lot No. 014.009 3 1998 and approved by the Fee $ 75.00 /~uilding I n~p~to~ ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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. F%nal 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 I% 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. Snbmit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existzng' land uses: i. Accurate survey of property showing ali 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-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - = 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 ate ............ ~ ~"~ .... . .... New Construction ......... Old Or Pre-existing Building.~. ~ I~.,I /~ /--) ,.ocation of Property. i .... ........ ~o~se No. I Street ~ H~mlet Onwer or Owners of Prope ty ...... · '''. ....... Connty T= ~p No 1000, Section ...... l.O.f...Block .... P.~... ..... Lot...©.l.q..:.~ .......... Subdivision .................................... Filed Map ............ Lot .................... Applica ''' No Date Of Permit ..... Permit ................................ nt ..................... Approval Underwriters Approval · · · Health Dept ........... Planning Board Approval.......... ........... ... Request for: Temporary Certificate ........... Final Certicate...~.~. ..... Fee Submitted: $ .................... _ ~_~,_~.~ ~,,~ ~ ~ >l vb .O., ............. ' APPLICANT Town Hail, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 April 9, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Francis O'Connell P.O. Box 819 Cutchogue, New York 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy/// because of the following reasons: ~XX An application for Certificate of Occupancy is not on file. (Enclosed) ~ ~/~ XX No Underwriters Certificate on file./~ XX The check is (not on file.)$25.00~ ~ [{ocO 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 924761-Z SUN ROOM Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS e 1o. 3 .U.EAU OF E.ECT. C,TY ~ 40 FULTON STREET~ NEW YORK~ NY 10038 Date ]J2~Y 08,1998 Application No. on file 15968898/98 g 453114 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 ADELAIDE & F.J. O'CONNELL, 1700 FAIRWAY DRIVE, PATCHOGUE, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. Section Block Lot was examined on ]J'I~Y 04,1998 and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPYACU~S I SWITCHES FLUORESCENT OTHER 2 2 E R V I C A, W.G. A. W G, NO, OF NEUTRALS PER ffi OF CC. COND NO OF HI-LEG OF HI-LEG PADDLE FAN-1 G.F.C.I:-2 DOROSKI ELEC. INC. 425 HONSELL ~ CUTCHOGUE, NY, 11935 LIC. #2941E GENERAL MANAGER 'his certificate must not be altered In any manner; return to the office of tile Board If Incorrect, Inspectors moy be {dentlfiecl by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 April 9, 1998 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Francis O'Connell P.O. Box 819 Cutchogue, New York 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XXNo 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 #24761-Z SUN ROOM Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INS~J~ATION [~'~NAL REMARKS: DATE ~Z~/~//~" ~-~ INSPECTOR/~/*~~/ - / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~ ~'~//~ ~ ~ ,INSPECTO~_~~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Lut ~ Dor*s Ketcham Lot I0 WOOD WAY FOR ROBERT JOHNSEN LL~T S "FAIRWAy FARMS" OCT I 1985 AT CUTCHOGUE ,,¢ I~ MAY 2~, 1985 TOWN O~ SOUTHOLD ,~c~[ t":50' SUFFOLK COUNTY, NE~' YO~K NO 8b-584 FORI! NO. I TOWN OF SOWFIIOLD BUll.DING DEPARll4ENT TOWN I1ALL 8OU'I'SOI.D~ N.Y. 1197 i TEl,: 765-1802 BOARD OF HEALTII ............... · ~ SETS OF PLANS ............... SURVEY CHECK ......................... SEPTIC FORH ................... NOTIFY: HAIl, TO: .................... 'Date ................ ,19 .... INSTRUCTIONS n. 'lhis a~licatlon tarot be c~letely filled ia by tyl~4rlter or in ink a,~l md~itt~ to the ~lihllng h~Sleclor 3 ~ts Of plans, sea,rate plot plan to ~ale. F~ according to b. Plot plan ~1~ l~att~ of lot ~ of l~dldlngs ~ ~i~s, relatlon~fip to ~jolnlng pr~tse, or struts or areaa~ a~l 8ivt~ a ~tall~l &~rlptio~ of laya~t of pro~rty ~mt I~ dr~ ~ the dla~an ~icl~ ia Imrt c. qhe ~ ~r~ I~ Ods al~)licati~ ~y iot Im cm,~l Imfore issue of Rdldi~ Permit. d. Ui~ a~al of fido a~licatiol, tim lkdld{~ ]ns~ctor x{ill is~m a ~ilding Pemit to the applicant. i~rmit ~mll ~.kept ~ tim ~l~a available for tns~t{~ tbra~a~t the x~rk. e. ~ }~tldi~ ~mll I~ ~o~p{~l or ~1 in ~le or in ~rt for mff ~ ~mt~er tmtil a C~rtlficate of ~y ~,all h~e I~n grant~ by ~m Ikdldi~ Inserat. APHAC~TI~ 19 1~ ~ to tim lk~Hdin8 ~rt~nt for the ts~e off a ~{ldlng Pemlt ~,ra,m~t to the {~ilding ~ ~dl~ o~ t~ T~ o~ ~tl~ld, ~ffFolk ~m~, ~ York, a~ other a~lteable l~s, (~di,~es ar ¢~scri~. ~m a~li~nt ~s to c~ly vi~ all a~llcable l~s, ordl~mea, lmlldtng c~, I~slng c~e, re~dati~s,cat~ to ~it ~r(~ {n~tors ~ ~l~s a~ m ~lding for ~es~ ma~ti~ ~ State ~tlmr a~licant t~ ~mr, lea~, ~ent, archlt~:t~ engb~r,'ge~ral~c~tractor, electrician, pictor or laHhle~ ......................... .............................. (as m tim tax mil er latest d~) If applicanJ~Pa COtlX~atioo, signature of duly autl~)rlzed officer. (Nane a~e of~ate officer) ......... ' ""~ ~il~r~ l,lce~ ~ .................~ .... USE IS Pl ra..U=~....................... ' ' WITHOUT ............ OF Otlmr ~a Lieen~ ~ ....................· AP. PROVED AS NOTJD FOLLOWING INSPECTIONS: ~, FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2, ~OUGH * FRAMING & PLUMBING % i%ture of uark (cl~=,ck ~dch app Ileal)lc); ~ ~dlding .......... ~m¢lo~ .... ~ .... M~er~On .~'~., ~ ~ (~ripti~) ~. ~ ,~ I / / Ix~caLe clearly and diatlnctly all finn f)roli~rty ll(ma. Give at~t taxi tdmtl~r interior or corner lot. PI,OT I)~f AGllAH bulhlh~sa. ~hetl~r e~xlatln8 or proposed, mai hxllc~t~ alt s~l.-I~:k dlr~naions :)lock r~Jd)er or (leacrlpcic~ accordln§ £o deed, ami ~d~ street (~nes arm indicate (;(~ OF ....................... " · .................. IxHn8 duly ~,~)rn, (lelx)~s taxi says thnc he iff tile appl. i(mm. (~.le of i~xlivichml. ,igning contract) I '~ '1 ,, ~ (Cx)uLractor, '' .......................... ai;ea~c~rl~rate o~[tcer, etc.) { E aahl ~ or '(~rs~ m~l i~ duly at~Uioul~l to i~r~om or have l~nq:or,l~l Lhe m~id ~[k m~l Lo rake m~l file Ihi~ appl lca~ioa; that all ~Late~nLa c{mla~l hi I.h[~ applicaLioa are t.n~ Lo the I~L of hla ke~l~e m~ I~lJef~ at~l tim[ th~ ~}~k will I~ ~o~1 in Lhel~lulni~r ~ 5o[[h in tl~e appllcaLioa fiJ~ [1~[~. ................... ........ '~ // ~o~*,~~~ ..... '-.. , ~ N~~re~Al)pl~ Oue?i~ in~nW