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Home My WebLink About23929-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25036 Date MAY 8, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 55 OAKWOOD ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 27, 1997 pursuant to which Building Permit No. 23929-Z dated FEBRUARY 19, 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 ie ALTER AN EXISTING ONE FAMILY DWELLING TO ADD A SECOND BATHROOM AS APPLIED FOR. The certificate is issued to ROBERT & BARBARA RINGEWALD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - MAY 12, 1997 PLUMBERS CERTIFICATION DATED MAY 5, 1997-GEORGE BERRY Builoing inspActor Rev. 1/81 70RM NO. f 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) N° 23929 Z Date ..............t7/%9.........................., 19.l..., Permission is hereby granted to: ...Zoe ........ :.... to . T' — ....lT!".. -+!1 - ..C7 '. :r l �1 - .................... r. ..... ...... ........ ........ . . . ......../f�..,.................................................. at premises located at .........�s. ..t ,y��,•.S/ct! ......./.."-s�................................................ ..................................................... 4/ ... ............................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ...1..l............... Block ....611 ... Lot No. ....�j�� pursuant to application dated .................6.. . .....................1 197.1, and approved by the Building Inspector. Fee $.....73 ............ .. ..:...". .............................. ui ng Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT MAY -6199T ;_ ; i TOWN HALL i, E"G DEPT . T^'nd'- 5F. ^. -.tnt r) APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. A properly completed application and a consent to inspect signed by the applicant. I£ 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 - .25e, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $$15./00, Commercial $15.00 Date . . .FA.1- .7. . . . . . . . . . . . . . . . . . . . . . . .. . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . .. . . . . . . . . . . Location of Property. . . . `✓ 5 .. .. �?1g !�vtJ ta. . . .RD. . . . . . . . . . .So.c.. . . . . . .-. . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.��f 1�! . . . . . . . . . . .!.? .fa / � ! . . .� � County Tax Map No 1000, Section. . . . . . <. . . . .Block. . . . .Q.-2 . . . . . . .Lot. . .I.V . . . . . . . . . . . . . . . Subdivision. . . . .. . . . .qq. . . . . . . . .. . . . .. . . . . . . . . .../. . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.2 3. '-2, ./. . .Date Of Permit. .!? 7�Q� . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . �. . . . n Fee Subsisted: 5. . . . . . . . . . . . . . . . . . . . . . . . . . . �,.%� --ZK.QC- S.285 p APPLICANT Town Hall,53095 Main Road .; r-. Fax (S 16) 7651823 P. O. Box 1179 -� Telephone (516) 7651802 Soulhold, New York 11971 •ate, : OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I P I C A T I O R DATE r9-7 Building Permit No . ✓' 92 Owner: RO-6 E/2 T` R /AJC btu fj-Lt7 ( please print) Plumber: G M-c' RC, C —ik- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. '"'/--ct' 1. •�: n/IIA ( Plu �.)er,4 Signaty Sworn to before tire this i .�� day 'oE 19 Notary Public, &(2LV-l(4, CounCy BARBARA STC?3<�'.VSia Notary Public,State of New York No.01 ST484:"62 Oualified is Sc::alk Count;! Commission Expires Sept. 1-,g'7 r i i( .i; rli i` ;r.r utr tr:rus r -nn-i t.---- ----- ----------- ------- ---cnrtrm:rri'_;------------ -- - A A II I I I I FOMMA'V ON ( 1511) __.. it II I l _ * a It - it i'Lllhl l{(NC � it If I it ----_--_-__.,_,f�_�„r=an=-fit•--=,.�.-._ -�-----ar_a�_��.-r---- ---�---- - I N I� u IN;I)1.ArfON PER N. Y . ;` i• ;TATF. IT.hl liR f:'( it CODE h I 1 �a It r i i AD1311-I0NAt. GOMM.NTTS: 2 --------------- a--ar, m—,= —_ -----------_----- r Y H: C J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ !i]FINAL [ ] FIREPLACE & CHIMNEY REMARKS.: _ 0, DATE S f 7 INSPECTOR 765-1802 BUILDING DEPT. 1 NSPECTIN ( ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 1�k All DATE Z 2s�`-`-�- INSPECTORz-A J4 MAP OF FPROPEQTY D ID ED C. PAMELA J , .5` n.jA. ;i b LD N"¢7"49�t11�.-2�.CJU TOWN OV5QUr 01.0 RY. �'•• w UnsueAa" {e � anA allnrahon Ar adAlvnn 1'� _,,,,_ .°+oLw P70F a Cho WkllUn Al k, Y� EAvwnlon lerv, wYArH AMW It �( Me InnC survayot�p�a�� .mppyW seal Mab root W i Ib Wtvalld Hu.yal,y 1 �11 out,"lwt IndlexIt ied� SAY-- t �arMr•.�vr�on Pot�pAp+VIM',u� /` t a *Y InIB camber hlv n I""cv 4.J� I.lb" lmonslA'lln ni 1� and A11d r lO lht B'I�dIHiP a0n and ` a ruiinn.GwrsnMne+ ' a�lnsH. N tb .Al Inttfluhr sim.Wv 1.,: 4.t£St.AND ROAD TEED TO THE CHICAGO T'f T' _IN5UPJk CF A 4D M T1l co 4yAap� 3 G5.AN.k( • �..•..,�Qf. NTYt 5 JAI LS n BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 SETS OF PLANS . . . .. . . .. . . . . . . TOWN OF SOUTHOLD J,,, SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT /CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: Examined... X-;V..... 19. (1 7, MAIL TO: . . . . . . . . . . . . . . . . . . . Approved....u.,ct.�(....... 19 .,/ Permit No. - !P:,<.. .................................. Disapproveda/c .................................. .................................. ...................................................... i - (Building to u+:fig , o APPLICATION FOR BUILDING PERMIT x,,-7 Date. . . .j/2 7. . . . . . . , 191.(. . INSTRUCTIONS a. this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector t- 3 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application ray not be co ennced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATIC14 IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Tone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Taws, Ordinancesor Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and inbum for - inspections. � ............... (Signature of applicant, or name, if a corporation) 2{ S o NAssA-t< Pou NT (e D q _ ............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build.- .... uild:....q w N. rif'S.✓.-G NFKR.4...5�o v Tlelfc. ??R..................:.............................................. Name of owner of premises ...........Cl/1NL'.0 AIT, (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. If copper tubing is used PLUMBFR CERTIFICATION (Nam.a...-""""""--'-""""'----"""-".."""forwater distributin ON LEAD CONTENTBEFOR_ (None and title of corporate officer) system;piping shall be CERTIFICATE OF OCCUPANC Of types K or L only SOLDER USED IN WATER Builders License No. ......................... SUPPLY SYSTEM CANNOT Plumbers License No. ............... UNDERWRITERS CERTIFICATE EXCEED 2/10 OF I%LEAD. Electricians License No. REQUIRED ..................... Other Trade's License No. .................... 1. location of land on which proposed work will be dune...-`.r...�.RK!�/ooi7 fZD. So c�'�ifaL l� Al y........ �........................ ............................................................................................................. hoose Number Street Hamlet County Tax Map No. 1000 Section .....-F.?....... Block .....2......... Lot ...1./ ......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy St,V C L!% f"q-rl/ :y b. Intended use andoccupancy .... ItoB�R?/f s ddM ..... .......... �0 001111u2 ra berlr#suo emaSTA03 V O.oN w„w,,.,,,, J&VSM senigx9 mwT 3. Nature of work (dreck which applicable): New Ikuilding .......... Ivklirion .......... Alteration ...... Repair ............ Removal. ............. Dental itirm ............ OLher Work ........... (Description) 4. Estimated Cost ......... fee .............................................. (to Ile paid on Filing this application) 5. if dwelling, amber of dwelling units .....j...... Number of rkwelIing units cm each floor ................ Ifgarage, ounber of cars ...................................... G. If business, cnhmercial or mixed occupancy, specify mature and extent of each type of use...................... 7. Dimensions of existing structmres, if any: Front.. .............. Rear ............... Depth ..l.I�...2.-..�.�.y lleiglht ......................... Nonber of Stories ...................... Dimensions or same structure with alterations or adlitioas: Front ............... Rear ............... Depth .................... Deiglht .._.......... ...... Nonber of Stories ............... S�.WI E g. Dimensions or entire new construction: Front ................ Rear ............... Depth .............. lieigiht ......................... Umber of Stories ..................... 9. Size of lot: Front .................... Rear ................._.. Depth .................... 10. ikute of purchase .143.f.9.7._.._... Nam of Fonar Owner .Y:Or/ F- ForvrRA/d............. 11. lone or use district in 4iidh premises are situated .....9,e -J D.G-:N-n A.".4 .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .../II CT ,,,,,,,,,,,,,,,„ 13. Will lot lm regraded ......h.0.......... Will excess fill Ile removed from premises: YES (EY Ih. Nares of Owner or prmises ,LZo7S FrR%..r2.tN.G.�t'!��Arklress e�I}�.4!A:SS t4'!�!-.Pi:_('�..17.... oxine No.-Q.Y-y:?. ' cca.�TGito C 4 G Name of Architect .................................... AYkhess ...._... ..................... 13hone lb. .......... Name of contractor ................................... /vklress ...............................Phone No. .......... 15. is Lhis property witbin 300 feet of a tidal w 0amrl? * `1 FS .......... (iOu ......... *IF YES, SOUL "D mil 7RUSDEE.S Poor HAY RE RE(IINm). PLOT DIAGRAM Locale clearly and distinctly all buildings, whether existing or proposed, awl indicate all set-back dimensions From property lines. Give street and block rudher or description according to Gleed, and sihow, street names and indicate wihether interior or corner lot. PLUMBING ALL PLUMBING WASTE 8 WATER LINES NEED /J TESTING BEFORE COVERING G2 cNe-B-r. w — ell C� APPROVED AS NOTED P.# 4 L � HATE: rr-��-��=LL1Ft3• FEE".1�.` c) :O� _�A�q((�� / (�q] ".1()TIdY BUILOING DEPAR KENT AT 9 AM TO 4 I,�E1CC I failYC1 ��lR FOLLOL.flINGiNSPECTIONS•M FOR THE USG IS UNIAWFUL 1 FOR POURED CONCRETE REQUIRED Sfrclr•. (F nry Yow, j ITNCUT CERTIFICATE 2. ROUGH - FRAMING & PLUMBING CUINtY (� _...��`-'.. \ :...... .. S4 C 3. INSULATION OF ®(�CU�AANc°I 4. FINAL - CONSTRUCTION MUST C BE COMPLETE FOR C.O. ..................beiny, dilly sworn, delmsesAtdl h4'$!1$ISAIUQTf0�111&ilAllEBioMG T (Nha of individual signing comtraat) THE REQUIREMENTS OF THE N.Y. abxrve named, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR Ile if the .Qom"+x +!E$II"1M_Oil.CQNSTRUCTION ERRORS ................................ (Cahtrnctor, agent, corporate offi(,.er, etc.) of said owner or wmxzrs, and is duly authorized to perform or have perFormed the said cork and to make amxl File Ibis application; that allsLatemenLs contained in this application are true to the lost of his khxxalerlge nix] beb.ieN and that the work will he performed in the rammer set forth it the applicatiom filed therewith. Sworn to before rhe this _ q . ......r..............day f ., .. .(c !. .. 19...1 r Notary public :...C:..«�?.N. -. •�:' '.. _ a ROBERFI.twoOFNo Da QmIWW In$BuHolk Counq Now 1�1� (Sigroliare of Alg l icmmt N(L 01 WA72508bi Tint ENO"Mor 31...6q?8 flip .. 1 1.. +era^ •r _, r,.;"- Q4��1E�1�• 2- �I ��.•r 4 •�. Illi �� _ , " eti� .}, FKF um w Of �• t� b P_ b. I+ awls. �. valc�il. a. wig, ris # I►aIwl' I {} vrrtll it w. 3, Provide tins 0rilb o�Ir an��iaa�Ildil� �►�r�; T T -' -` 4.. ' • **40S _..._._-___. -.. ._._. _...._. -..___ ...._..ur......_.__. --------- RNW M '-a fi;=orr u- i IIIs��Ea�� `. Y ;fes' 7. EkKft cow*owlacmto" lamp _ f r- - : , , w C� �E� 1117 2, 1a�gl : I` R LEVATION -�T I D N �,► proOft U06 M.,air b• 0 461 0004 or 00m,owy to be a 4. OWWA00116 OMW- 21A x R f ! C 4 2• SM Pill,� 2� *W psi, PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE OCCUPANCY O R 'x CERTIFICATE OF OCCUPANCY i USE IS, UNLAWFUL : SOLDER USED IN WATER SUPPLY SYSTEM CANNOT WITHOUT CERTIFICATE _ 8. ` '. INMUAW" till ',ftE�bllMd EXCEED 2110 OF 1%LEA D. OF OCCUPANCY r. load_ If co , ! Aper tubing is used j - for water distributing APPS 11VED AS NMI F 1 r system;Piping shall be ELATE: of types K or L only �Z = , "i,w � r Ni Ec FF�C: P4(�TIFY 6WLD1';'C DEPAR RvIENT AT 76 -19',C,a :o, A. ilk 4 r^I1fI F()€i TIIF PLUIWBiN FOLLOWING -,JS"r-'� CTI(.s,IS: ALL rLUMOM1p 1. FOUNDATION - T4' O REQI_DI'P��D D WHITER ONES NEED FOR POURED CONCRETE + ', I QI "'�0�. E 2. ROUGH - FRAMING & PLUMBING TEWINO BEFORE CONERINO 3. INSULATION ` 4. FINAL - CONSTRUCTION MUST � BE COI'v'IPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET ` THE REQUIREMENTS OF THE N.Y. , STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR M,. • hNQRWRITERS CERTIFICATE DESIGN OR CONSTRUCTION ERRORS REQUIRED ' , EAS ,• RA P•t 5 E I� G SCALE OpAWN rY 3a amp t REVISED S N 1.tvi �ar�; V E R f r /�L.L �►� 1 �t�+ C? .f 10 "iS � . ' -Ar E APPROVED BV DRAWING NUMeEW MADE IN U.Y.A. /!♦�t t� RCHIT GENE Q 24x3 A6 ARCHITECTS'4TANDARD FARM i 1 UP • V _ EX IS INC, Ex�`�t1t,�C� I O M L_.1\ I i\.1 K oo M CAT k1`) I f L C-AT H) / I Fxt STI W-i E X 1 S`}I K Cj Is lwDA _ { TTE C AT►--4) FX I S Tl I r�� I G^ l �1 OC2A(,aI'� �G-J Z,,8 G? WRAP PEA AT 9fl" AF-F) EX I S�Itit SOLI i NEW , __ -- -- EXIST)Iv LLI n a64 6�i 1- - j, XIsi fM(. in n 7_aS A ,E -SFLOOR, FL MFW FL-Q-()- -PLA �� VFNT ! 1 .':I ! EA RN 1 c PRa Vu p c t►i�E U °r ivr i � �__..j I fz) 8 c,T, \/4;;w-Pr-b (!5p--r AT glo' F.) v-o"o,r-. 1<k,F-! 'c> eta V I L l�`r t �1 �y,, .� •,1 �t',a� � � ,� �f�1.'t'eb wll1.4 2' J�8" BOlis, - R-tq It`1S• 3 TAB r,00h" `:NA (WILES, Ij !S"' FELT 1�� t�z•„ ,n.� �. _ _ _ �i '' -----•----� 6"SFA S�1 A d.C:, ��AF`i F�t�•, 1�um4KTto T Ftr R'C,r'� ----- N --� � -- - - - --- —__ 1'_O„ VE r4TF;p SOFFIT - t(V"X 8", CONI S,,., p'ti I r AR-3tS till1 �I (�10TE; MIkfCN I I t, "r" ,i -- NvkrA F k%-rjkA(.j CE'IbAP.. .k4JNA I I _ LE J6✓ ( � /}"1[�, '^'+'\�w7 j 1 ' { .._. �, , `'e _- _ _-_-4)(Y", fop"a- .. tT __.._ ! � z.�,�, � --2x•� "F 1=�i 5t'1r.1 �,c 8`s f(a'aL, � 13 1 `'; i -C) ' ► R-1'1 i�t3� i (Z)1 �8tiC�rppEa �cL STAi- I X8 Gons. P, Abe I � � 1 ,�,•�f �.>{�. �.-,��c.�.�,. � I � 2"'ca�ac, scat yi,'•p�.�c��e.- a-(;�.,:.� .._..:,.,. ...�,.a,,�'`. L_ __ -- � --- �r -�_ _. ..�,. t_• _:. �.. __�� „'"J ��.''.�-^, { -._,._._..,.._.�....,..n._,� i __.—�_�_--- --__ -------- ---C c]W C, FW t,,t,(�A`1'1 O fel ' Zx``-1 Ke Y WA( M0-4{, 3`O' %CLOW • i II &'-.7"'x NAT 'Vlflr,6r, S I" IT 11'.IP I . OM -A . E ' '' LEQRI ` ° •'„nen '_�n�� $CAL£ DRAtLso RY y c REVISED 5 AS N�. N� �.. � bbl _ ?3TT�s�.' 011►' M' iF ALL., DATE APPROVED BY bRI►WINQ NUMBER _ - 2 OF4 h w�`y■ CRYSTALCKE S 24X3R MADE IN U.S.A. '-.� ARCHITECTS'STANDARD FORM