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Home My WebLink About24591-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26106 Date: 11/13/98 THIS CERTIFIES that the building Location of Property: 52645 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 63 RENOVATION SOUTHOLD (STREET) (HAMLET) Block 5 Lot 14 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in thia office dated DECEMHER 4, 1997 pursuant to which Building Permit No. 24591-Z dated JANUARY 9, 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 RENOVATE EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is iasued to BARBARA ANN CLAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N463626 08/31/98 11/12/98 K&K PLUMBING & HEATING Bu;l~ing ~s~tor- FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. 24591 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE~ION OF THE WORK AUTHORIZED) Permlsslon Is hereby granted to: TONY DIAZ (CLAY) ........ !~,~.e,.9,..~.!,.N,,,.~,g~ ............................................. ........ ~.~Z...U.~.R..~..q~.,.~.Y...~.~.?..S..?.., .............................. t~ RENOVATE AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises tooated ~t 52645 MA I N RD SOUTHOLD CountyTax Map No.....~7.~.~.~e. ..... Section ...~.~ ............. Block .....~.~,0..~ ........ Lot NO..9.~ ............... pursuant to application dated,,..~,.E.~,.E.~.,B.~..R. ....... .~ ........................ 19 ...... ~.Z .....and approved by the Building Inspector. ~ 75.00 Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF 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-co~forming uses, or buii~ings and qpre-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. 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 Buildinm - $i00.00 3. Copy of Certificate of Occupancy - 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 Buildin.g4....~. Location of Property..i.~.~..~.~. .......... ~t~...~ ......... .......... ~'0~..'~-,~ ......... House No. Street Hamlet On.er or O=ers of Pro erty..ma*,aa .... .... ........................... County Tax Map No i000, Section....O¢.~ ..... Block.~.~. ...Lot.~.Z.~. .... Subdivision Filed Map Lot .... "~ Permit No.~.~. ~.~.~.'.=..Date Of Permit...t../.~/~. .... Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... iiia~~il .... Fee Submitted: $ ............................. ~- ........ "i jLiC .......... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax(516) 765-1823 Telephone ~16)765-1802 BUILDING DEPARTMENT TOWN OF sOUTHOLD August 14, 1998 Barbara Ann Clay 600 Gardiners Lane Southold, New York 11971 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) No Underwriters Certificate on file. XX 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 # 24591-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. TOWN OF $OUTIIOLD OFFICI~ O~ ~UILDIHG IHSPEC'TOR P.O. BOX 728. TO1V~ IlALL 8OUTHOLD, N.Y. ! 1971 .C,E RT r F f Own~ TEl.' CATION 2/10 of ll lead. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ /] INS~.ATION [/~]/FINAL [ ] FIREPLACE & CHIMNEY THE NEW YORK BOARD OF FIRE UNDERWRITERS eele'/ SU.EAU OF ELECT.tCITY --' 40 FULTON STREET, NEW YORK, NY 10038 Date AUGUST 31,1998 Application No. on file 15224297/97 N 463626 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above applicaHon number is itt the premises of BARBARA CLAY, RT 25 C/O HOBART (N.W.), SOUTHOLD, NY in the following location; [] Basement [] 1st FI. [] Znd FI. Section Block Lot was examined on AUGLIST 24,1998 and found to be in compliance with the National Electrical Code. ~uX~T~L~RTES RECEPTACLES SWITCHES IHCANDESCEI~ FF~XoTREUsRcEE~T OTHER DRYERS FURNACE MOTORS I FUTURE APPLIANCE FEEDERS AMT, K.W. OIL H.P* GAS H,P. AMT. NO. A.W. G* OTHER APPARATUS: RANGE3 SPECIAL REC'PT. R I COOKING DECKS I OVENS I DISH WASHERS AMT. K.W. AMT. K.W. MT.1 I(.W,1.2 TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET SYSTEMS AMT. AMPS. TRANS. NO. OF FEET V I C EXHAUST FANS AMT, H.P. DIMMERS AMT. WATTS O1~ CC COND, NO. OF HI-LEG OF HI-LEG NO. OF CC COND. ilO. OF NEUTRALS A W G. PER · OF NEUYRA[ BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER Per This certificate must not be altered In any manner; returh 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. -FOEH NO. TONN OF SOUTIIOLD RUILI)] NG DEPARTt4ENT TONN HALL SOUTHOLD ~ N .Y. ! 197 I TEl.: 76~- 1802 INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIHCR ......................... SEFTIC FORH ................... NOTIFY: CALL HAIl. TO: .................... a. 'Ibis application mst he c~npletely filled io by typ~riter or in ink and' mlhnitted to the Pidlding Inspector wilt: 3 .sets of plans, accurate plot plan to scale. Fee according to schc~hde. b. Plot plan sl~x~ing location of lot and of lmildings on Pr~nises, relationship to adjoining premises or public streets or areas, and giving a detailad description of layout of property nust he dralm on the diagram ~hid~ is pert of this application. c. 'llm work covered by d~is application p~y not be comuaocad before issuance of I~dlding Permit. d. Upon approval of fills eppllc~tlon, the l~fildinR Inspector will issue a Building Pemlt to tine applicant. pemit shall hekept on the premises available for inspection thr~ghont tile work. e. 1~ buildlng shsll be occupied or used in ~hole or in part for m~ purpose ~atever untll a Certificate of Occupancy shall have been granted by tl~e Building Inspector. APPLICATIIIt IS ~ ~ to the Building Deparment for the issuance of a Building Permit p~rsttant to the l~ilding Zone Ordinance of the 'l'o~n of Southold, Suffolk County, Ne~ York~ and other applicable I,a~s, Ordi~umces or Reg~flatlees, for tim construction of buildings, additions or alterations, or for rer~val or demolition, as herein descrlhed, lhe applicant agrees to cc~0ly with ali appllcable la~,% ondinm~es, buildlr~ode, ho_u_ sing code, and ~ on premises and in building for nece~s¥cy]-fanpectio~s. regulations, ~ad to admit anthorizad inspectors T:'"- i %c '": .... (l~:d!ing ,~cklres~ of applicant) SLate vt~ether applicant is o~ner, lessee, agent, architect, engineer, general contractor, electrician, ph~ber or b~ihler. ~ of ~ of premises.:~5~.. ............................................................... (as on tile tax mil/or latest deed) If applicant is a corporation, sil~aat~ure of duly antborlzed officer. (.~ ~ ilt~e o~ co~;;te &leer) " Pluntcers License No .......................... Electricians Liee~ Oflmr '~'s Li~n~ ~ ..................... 1. l~ti~ of la~ ~ ~i~ pr~ ~rk will ~ ~ .............................................................. ... ~2 .A.~ ................. ~4~.. ~. I~ ~r Strut l~et ~ ~p ~,. ~ ~,ion ...~ ....... ~k .... ~ ....... ~ ..~ .......... ~Mivisim ...................................... Fil~ ~p ~. ; .............. let ........... ;~.. (~) 2. State existi~ ~ ~ ~my o~ ~mi~s a~ inte~ me a~ ~m~ of pro~ cmstmction: ~ /) ~. r~i~ ,~ ~ ~y ...~..C~¢.~/~ ........................................ ..................................... I0. 12. 13, i5. Estin~t~l garage, t~i~r of cars Din~nsi~m of ~is~ing s~n~t~re~, if any: Pr~ ................ ~ar ............... ~pU~ ................. Dinensi~s of sa~ s~nmmre with alterations or ~itions: Fron~ ............... ~ar ............... Si~ of lot: t~t i ~ar ~pth ~ or u~ district in dd~ p~i~8 am ~i~t~ .............................................................. ~8 ~ro~ml ~mr~tlm violate any ~ing 1~, ordi~e or regulat:~ml .... ~.~ ................ ~t~a of ~r of p~i~s I ~ of Ardtit~t .............. l~ ~lreea PLOT I)IAGRAH l~are clearly m~ disti~tly aH ~ildi~a, ~mtlmr existing or pro~, a~ i~licate all ~t-I~k di~nsions frm~ propert~ lines. Give street and [block nt~ntmr or description according to deed, and sho~ street hanes end indicate xdmtt~er interior or comer lot. ............... -.~.fl:. ~ .......................... I~i~g duly ~)n;, delX}~a arm saya that he ~a tim applJ(~}nC (~ of i~Mivid~l aigulng c~tract) ...... ............................................................................. (CAn~traetor, algeut, corlx~rate officer, eec.) of ~aid {~r or ~ra, n;xl ia duty ~tho[ir~ to I~rfonn or have [~ri:orn~ t.he maid ~[k a~xl to nuke and file thla alq}l icati~q Lhal: all atat'a~nta c{mt~[~d in Lhin al~}J [catiem are tn~ to ~te ImaL of his k~l.~e and Imlief~ and that tim ~rk will I~ ~rfon~l Jn th~ s~mner ~e forth in ~rn to I~fore n~ Lhts ~ l ~alift~ in Suffolk C~u~ No. OI ~rm ~irel May 3]. / /