HomeMy WebLinkAbout24260-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26157
Da~e: 12/10/98
THIS CERTIFIES that the building ADDITIONS
Location of Property: 723 LIBERTY LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 79 Block 6 Lot 3.7
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 18, 1997 pursuant to which
Building Permit No. 24260-Z dated JULY 21, 1997
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 FAMILY ROOM ADDITION WITH DECK ADDITION AS APPLIED FOR.
The certificate is issued to JOANNE WRIGHT
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
H-060828 07/31/98
N/A
Bu-i'ld lng I/pector
]FORM NO. ~
TO~VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.o 24260 7
Dote .......... .~.... ............................. , 19__27
Permission is hereby granted to:
~ ~ /~'.~. ~/....Z~....~>.~.~..~?..~ .................
,o...~.~/.~ ........... ~....~,~. ........ ~~,......~ ........... ,,~.,~ .......
. . , ,~/~./..~ ~, . ........
.... ~.~ ......... ,,'~'_.~ ....... .~3~.,~,~. ....... ~ ........................ ~ ...................
at prem,ses located at .................... .~ ..............................
County Tax Map No. 1000 Section ....... ..~..~... ........ Block ..... ..~., .......Lot No.....~...: ........
pursuant to application dated ..... ..~.~../~.~,'~.......Z..~....~... ............... , 19~..~.., and approved by the
Building Inspector.
Rev. 6/30/80
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
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
Vpre-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.
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 Buildinm - $100.00
3. Copy of Certificate of Occupancy - : .~Sg.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00
~ Const~ction ........... Old Or Pre-~ts~ing _nilding..N.~O...f~.~:l.~
,~,tion of ~ropert~ .... .~.~ ................ ~. : ~',~.~ .... Z ~. ............. ~ ~ ~ o l&. .
House No. ( S~r4et Hamlet
,.er er o~ers of property .... .V~'~"~ .... ~Z~A~ ................. . ....................
,unty Tex ~p ~,o ,000, 8ection....~.% ...... ,loc~ .... ~ ........ ~ot...3..:.~ ..............
.,
~alth Dept. Approval .......................... Underwriters Approval .........................
Lanning Board Approval · -
~quest for: Temporary Certificate ........... Final Certicate...~ .....
Submitted: $ · ~.~.. -~. ~. ~).
APPLICANT
ri
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[~ATION
[ ] FRAMING
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
,~,//~/~"7 INSPECTOr/2
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ~ROUGH PLBG. ("~/2y~ ~
[ ] INSULATION
[ ] FRAMING
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
i i:ORAUMNiDNA~ION2ND i]] F~iflSAU:ATION
[ ]FIREPLACE & CHIMNE~Y
REMARK~S, ~/~,/~ ~'
DATE ~//~~NSP ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
8e68 .1 eU,E^U OF ELECTR,C,TY
~--- 40 FULTON STREET, NEW YORK, NY 10038
Date JULY 31,t998 Application No. on file 14733097/97 H 060828
THIS CERTIFIES THAT PERMIT NO. 242602
o~ly the electrlcal equipment as desc~bed below and introduced by the applicant .awed on th~ above appHcaMon number is in the premises of
JOANNE WRIGHT, 723 LIBERTY l~2~E, SOUTHOLD, NY
in the following location; [] Basement [] 1st Fl. [] 2nd FI. OUT Section Block
was examtned on ,.TUL¥ 27,1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS
OUTLETS OTHER
3 10 7
DRYERS
SYSTEMS
NO. OF FEET
E
OTHER APPARATUS:
E R I C
OF NEUTRAL
SPECIAL RECEPT. AMP.30-1
PADDLE FANS-2
G.F.C.I:-I
SMOKE DETECTOR, -1
JOANNE WRIGHT
723 LXBERTY LAN~
SOUTHOLD, NY, 119'71 GENERAL MANAGER
t,1
1his cefllflcate must not be altered in any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by thelE credentials,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
P~h~e (,I ~k (check whi(~ npl~lJcalfle): 14L~ I~dl(liog .......... ~lition ..~ ..... Alteration ..... j ....
Ikq~ir ............ }~nl ............. Ik~l i L io~ ............ Other
(lo I~ [mid (~l filint~ this alii
Ix~Bi~a~, ~m~x-einl or ]ni~l ~:{aJlmt<y, st~eif~ ,mtut'e nTxl extent, of each lyf of uae ...... ~ ............
I)inen~H,~ul ,,f exisl-in8 6tt,<turea, if an~: I~l(~t .... ~ ....... I~n[ ..~ ........ I~p~h .. ~ .........
,~,~,~ .... ~ ............... ..,~ o~ .,,,n~.../~. ...............
~,~i~,~ . J: ...... :~&{ ........... .,,~ ,,~ S,o,-i~....L ................
m,~ ,,r ,~,,.,:~,.~., . .O~../.~.~Z ...... ~.,~ oe ]~,,.,~. (~ .. ~..~...~.~.~.7 .............
7~ or IJ~ dial. riel: in T~,i(fil preniaes nee G}t:~at~l .... ~...~ ...............................................
i~/W~_T .....................................................................
· ~ of (~tractor ................................... ~khess ............................. H~o~ ~ ...... : .....
this prol~rl.y within ~X) f~t of a t'idal ~Lla~xl? ~ .............
I*I.OT I) I A(~.RAt'!
l*x:ate clearly n~l distinctly fill I~dldil~s, ~hetlmr existing or prol~d, a~,l i,~licn~e
rr~n prolmrty li~,. Oi~ st~t nr~l bl~k Ixl[Imr or ~scriptio~ accosting to (~1, n~] MI~ street ik~s nrRI iwlicnt'e
~;ffA'lE (Xr ~4
(~w~ ol i~livi(hml ~;i$~dng co~trnct)
thnt. tl~e ~rk will Ix~ I~['ron[~l Jn the n~ltll~r net [~rl.h J~ the applleal {(.~ riled
..... .... ...... ,. .
v. , (Sil[ll;llUle of Apl)l i(:tlnL)
JOYCE M. WILKIN8
Notaw Publio, State of New %~
No. 4952246, Suffolk Cou~
Term Expires June 12~ 1 ~
,/
FORH NO. I
TOWN OF SOUTIIOLD
BUll,DING DEPARTMENT
TOWN IIALI,
SODTIIOLD, N.Y. 1197 I
TEL: 765-1802
APPI.ICATIDN ~R BUILDING PERHI'F
I NSTRUCTI ONS
so^,,) o~ It~A,.TII ;2~ ............
3 S,~.TS OF I'L^NS ...............
SlmV~ .......................
c,EcE~. F.f~ .............
SEPTIC FORM ........ ; ..........
NO'rlFY:
....
HAIL TO: ....................
Date ................ ,19 ....
a. 'Ibis aiq¥11cati~ r~mt be completely filled in by typewriter or in ink md mllanltt:~ to the ~dhllng Ins~etor witl~
3 ~ts of plans, accurate plot pl~ ,to scale. F~ accorditg to sch~lul.e.
b. Plot plan ~ing l~ati~ Pff lot ~ of hdldlngs ~ prmi~s, relationship to ~joinlng prmi~s or
struts or areas, ami givltg a ~tai~ de~ripti~ of l~t of pro~rty mst Im dr~ ~ the d[agr~ ~fich i8 port of
this application.
c. 'llm ~)rk c~r*l by this ai~lication p~ ~1: Im come~l Imfore ismm~e of ~dlding Pe~it.
fi. U~n a~al of this a~li~atlm, the hHlding Ina~etor will isatm a ~ilding Pe~dk to the applicant.
~rmiC Mmll lm kept ~ tlm ~[~8~ ~ailable for ina~ckim thron~cmt the
,e. ~ Ixdldi~ ~mll I~ ~c~pi~ or u~ in dmle or in ~rt for a~ Dlr~ dmtever ontil a (>rtificate of
(~cupo~y ~mll have I~n ~ant~ by~ tim ~nl{hng lns~ctor.
h~q,IC~'l'l~ IS I~ ~ to t~m I~ilding ~rt~nt for the ismm~e of a ~iildlng Pemir pormmnt to the
ltsildi~ 7~m O~i~mme off tlm T~m pf ~lthold, ~sffelk C~mty, ~ York, m~ other a~lieable l~s, O~lin~es or
~gulatlma, for tie ~stnmti~ el I~ildi~s, aklltions or alterations, or for mai or t~lltion, as herein
~acril~l. 'lie applicant a~a Lo ~ily wit i all a~fliealfle l~s, ordi~mes, Imildlng c~, Imslog c~le,
re~flatlmm, a~l to m~i[ aat~r~z~l ms~etora m p~i~a aml m lmtldtog for ~ceasary
I ~cant :orl~ral: ion)
..?.¢J. :.SeffPg. ......
(~lili~ ~kfress of a~l~eant)
State dmther a~lieaat i le?~, ~nt, archlt~t, engi~er, ge~ral c~krac~or, electrician, plt~mr or lmilder.
~,~ o~ ~ o~ ~i~. ~.C~....r~ ...............................................................
(aS~ (~1 lbo tflx mil dr Iai.est d~l)
applicant is a corporation, slgon'ta~re of {kfly aattg>riz~od officer.
(l~sm a~ title of corporate of lice'ir)
Ph~ntmra License lifo ........... [ ...............
Electricians License No ....... { ...............
Other Tr,le's License Re ...... , ............... ~ .~...~. ~1 A ~ F' ~-~-Y~ /~ ]~fa~/
~ --~ ~/
........ ............................................................... ............................
Ikx~ ~imr ~ Strut IL~nlet
Cz,rely Tax ~ap ~. lad ~tl~ .... 2.~ ....... Bilk ..~..~ ........ lot ...~..~ .......
i ' Fil
~fl~ivis on ................... , ................... ~1 K> ................ l~t ...........
(~)
State existing u~ a~l ~on~r~ of pmni~a ami inte~xl~ use a~l ~cu~:y oF pro,mi cmstmction:
a. Existing u~ ar~l ~c~qmrmy .: ...... ~ .....................................................
.... ........................... ...................
b.
Inte~l
d