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HomeMy WebLinkAbout23714-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No—Z-24878 Date JANUARY 30, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 665 OAKWOOD DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 13 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 1996 pursuant to which Building Permit No. 23714-Z dated OCTOBER 1, 1996 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 ALTERATION TO EXISTING GARAGE AS APPLIED FOR. The certificate is issued to MICHAEL & ROSEMARIE FOLEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-407837 - JANUARY 8, 1997 PLUMBERS CERTIFICATION DATED N/A Building Insp Y, or Rev. 1/81 FORK NO. 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? 23714 Z Date ..................�i� ../........................, 19./P Permission is hereby granted to: ,/��,', r ....V- .s:r..... ��. .... K................................................................................................... ..................................... atpremises located at .............lA...l 5.........ew�1� ...... ..t.................................. 1G�1 .................................................................� � / '7�r. .................................................................. ..........................................................................................................//....................................................... County Tax Map No. 1000 Section ....... , ........ Block ......1..3........ Lot No. ......(2.2 ....... pursuant to application dated ....... �Vl ........�.? ... ................, 19.. .(aand approved by the Building Inspector. Fee $.....%`!....."... ............ .......4......4... ... ..:�..................... in nspector Rev. 6/30/80 U W N VAN T'��'7 3 u ILD ING DEP:A_RTMENT 'te TOWN B.a_Li JAN 2 9 ' 763-1307 PPLIC.-TION =0R CWRT-=TC�1TP. Or OCCTJP?jvCY A. This aDD1i atjCn oust be filled i_n by c;rpe•wr=car OR ink and submitted cc the building inspector w«ice thefollowing: for ae, building or new ase: L . Final sur-,-ey of .property rich accurate location of all buildings, property lines, streets, and unusual nacurai or topographic features. 2. ::nal Approval from Heal ch Dept. of «ater supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from 3oard or ra Unaeraritars. 1. Sworn statement from plumber certifying that the solder used in system contains less ehan 2/10 of 1Z lead. 3 . Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Comp-liance from arc:iitact or engineer responsible for the building. 6. Submit Planning 3oard Approval of completed site plan requi_ements. 3. For existing buildings (prior to 1pri.l 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. 2. A properly completed application and a consent to '_aspect signed by the applicant. Tf aCertificate of Occupancy is denied, the 3ui.lding Inspector shat state the reasons therefor in ;Trigg cc the aDpliCant. C. :HSS _ . Cartif icate of Occupancy - New dwelling 525.00, Additions cc dwelling 525.00, literations cc dwelling 525.00, SurJ-,m,;ng pcoi $25.00, Accessory building $25.00, Additions to accessory building 525.00. 3usinesses 5:0.00. 2. Cartificace of Occupancy on Pre-existin,Q, 3uildinz - 5100.00 3 . Copy of Certificate of Occupancy - .25c. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate or Occupancy - Residential S15.00, Commercial SI5.00 Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . / . . Old Or Pre-existing 3ui I dIag.7.�. . . . . . . . . . . . . . ` n, Location of Property. .(. . . . . . . . . . .. . . . . . .. :. . . . . . . . . . .JCS Vl D �. . . _. . . . . House No. J R,, p P Street Hamlet Onwer or Owners or Proaercy.�.ld ;(. . !:?�evjoe .Lie:. . .: o.�� . . . . . . . . . . . . . . . . . . . . . . .. . . County T_ax ��p No 1000, Section. . .TQ. . . . ....Bioc?c. .. !3... . . . . . . .LJt. !?. .?. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p;lad `�at). . . .. . . . . . . .Lac. . . . . . . . Penni_ Vo a,3 ./.1.q . 2-. . . .Date Of Perait. . U Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Undervricars Approval. . 1�5. . . . . . . . . . . . . . . . . . . ?lann_ag 3oard Approval. . . . . . . . . . . . . . . . . . . . . . . . ,/ Reauest .Jr. T_amnora"7 Certl=-cat=. . . . . . . . . . . .--inai Carzicace. Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L??L TVA\ sas65 C a f-Lal-\%_� ------------ -------------- THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1 000121 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date JANUARY 08,1997 Application No.on file 13050696/96 N 407837 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MIKE & ROSEHARY FOLEY, 665 OAKWOOD DRIVE, SOUTHOLD, N.Y. in thefollowinplocation; ❑ Basement Ei let Fl. ❑ 2nd Fl. GAR Section Block Lot was examined on JANUARY 06,1997 and found to be in compliance with the National Electrical Code. NXTURE FIXTURES RANGES COOKING DOCKS OVENS DISH WASHERS EXHAUST FANS OUTURS RICIEPTACUIS SWITCHES INCANDESCENT•FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 4 5 3 4 DRYERS FURNACE MOTORS YUTUR1 ANIUANCE MOORS SPECIAL REC'/T TIME CLOCKS SELL UNIT HEATERS AWLT14UTLET DIMMERS AMT. K.W. OIL H.P. OAS H.P. AMT. NO. A.W.O. AMT. AMP. AMT. AMPS. TRANS. AMT, H P SYSTEMS AMT. WATTS NO.OF NIST —i—L SERVICE DISCONNECT NO.OF S E R V i C E AMT. AMI. TYPE � I,e'4W 1,I�1N ,/3W S�'4W �' PER'jCOND. Of CC.COND. NO.OF HIAEO •HW�LEO Iva. NEUTRALS OF N UTGNRAL I- -T OTHER APMRATUS: G.F.C.1:-2 sREw r PAUL R. BURNS LIC.#3897- L L P.O.BOX 1061 SOUTHOLD, NY, 11971-0932 00*M MANAGER I 11 Per This certificate must not be altored 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. X65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL N [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: to, oe � �Q DATE INSPECTO sun.niNa DEPT. INSPECTION ( ] FOUNDATION 1ST [ ] ROUGH PLB4. [ ) FOUNDATION 2ND [ �NSULATION [ 7 FRAMING [ l FINAL REMARKS: T��eCG4iZ� d�6 DATE � INSPECTOR o; 37/ �� suaoiNa DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: s-- aA DATE INSPECTOR F t E LD I W;Pl:c r I Or It►;UOR r 1)ATE. _- ---- ----cUrlrll_NT II ?� FOHNIMY I ON ( i.S1, tl I 1 l I rOuNl)nr1oN (2ND) --- ---------------- -- -- ------ --- --- � 1" It(lu(;11 FRAMI'. I _ _ n 111.11M11 I NG II I I i INSIII.A'►'TON PER N. Y , ;l'Al'N, F.NERRY II CODE, II I t II • II ; . F 1 NAT. I II -ADD I'1'I ONAI. O 7 ---------.... J [*1 BOARD 0[HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SE'T'S OF PLANS . . . . . . . . . . . . . . . TOWN OF SOU'I'IIOI.D SURVEY SEP BUILDING DEPARTMENT CI19CK SRS'. . . . . . . . . . . . . . . . TOWN IIALT. SEPTIC FORM . . . . . . . . . . . . . . . . . . . SO11'IHOLD, N.Y. 11971 TEL: 765- 1802 NO'T'IFY: CALL ? ...... 19.1. MAIT. 9i� 3 / Ci-e. �� �E . AApproved../.02/*` •/��l....., 19,R(1- Permit No. .�. � .. � ......y............ Di sapprovecd a/c .................................. ...................................................... (Ikuld h ns ct:or) AI'1'I.TCA"I'lON FOR BUILDING T'I;RMI'1' I T)ate. .�. ,� . . . . . . . . . 19!P . INSTRUCTIONS a. 'Ibis application must be car>(iletely filled in by typewriter or in ink and sthnitted to the Iluilding Inspector with 3-sets of plans, accurate plot Plan to scale. Fee according to sc►echile. h. Plot plan slxming location of lot and of lxrildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property oust be dr•ri on the diagram v hick is part of this application. c. 71he work covered by this application my not be conrrenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sr.lch permit shall be kept on the premises available for inspection throughout the work. e. No Ixhilding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of- Occupancy slhall. have been granted by Ore Iluilding Inspector. APPLICATION IS HEREBY MhITE to the Building Department for the issuance of a Iluilding Permit pursuant to the lkiilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Maas, Ordinances or Regulations, for the construction of lxrildings, additions or alterations, or for removal or demolition, as 1►erein described. 'Ihe applicant- agrees to comply with all applicable laws, ordinances, Wilding code, lxxising code, and regulations, and to admit authorized inspectors on premises and .in building for necessary inspections. (Signature of ap)licant, or r<re, if a corporation) (ma i rH lI; address of applicant:) State wlretlrer applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, ltnber or Wilder. . 1�1 ... . .. ....1.d"�.......... ................................... APPROVED AS (NOTED DAT �.�7 Nmix? of owner of premises ....... '!... /.—� £. ............... .......... FEE...7.5! ....&Y:•�, (as on the <x rind or latest deed) NOTIFY BUILDING DEPART ENT AT TL applicant is a corporation, signature of d 765-1802 9 AM TO 4 PM FOR THE uly auttx�rized officer. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED (11.nhe and title of corporate officer) UNDEWWARITERS CERTIFICATE FOR POURED CONCRETE REQUIRED 2. ROUGH FRAMING & PLUMBING 3. INSULATION ''II 4. FINAL - CONSTRUCTION MUST llui lders License No. .. 3 13. 1�.Z. OCCUPANCY OR BE COMPLETE FOR C.O.Pir ltners License No. ................. ALL CONSTRUCTION SHALL MEET U$f IS UNLAWFUL THE REQUIREMENTS OF THE N.Y. Electricians License No. STATE CONSTRUCTION & ENERGY OUher Trade's License No. ...............WITHOUT CERTIFICATE CODES. NOT RESPONSIBLE FOR A�,�C��IPANCY DESIGN OR CONSTRUCTION ERRORS 1. Iocation of land otr which proposed work w I ................ .............................. ��........... ©��i,�.o..... 'Pet Vim............................ ,�.,t��"q........................ Ilouse Ncnbrer Street Ikrnlet County Tax Map No. 10()0 Section .070 .. ..... Block .3.!b 0....... Int .0.01.1.000 SulAivision ...................................... Filed Map No. ............... Int ............... (Name) 2. State existing use aril occupancy o- promises atxl interxled use arxl occupant' of proposed construction: a. Existing use and occulrarx_y ... Sq.6[ej �.......................................................... b. Intended use aril occupancy ..�l!s1 ...`......!...................... ... ..... ................. I�Ome of %joik (dweck %Aaidi alofAic-able): R-.-%j Iloildifil. . .... . .. . . AM it ioo . . . .. . .. .. All etal ion .. .. .. .. .... ........ ... .. Dullio I i t ion . . . . ........ Ot ber U)ik . .... ... .. .......... . . . .. .. .. .. . . . (DL fix:I-i I)c i(x1) Lal.illla(ed (;E)st .... ....... . ... . fee ....... .. . ........... (to he paid oo filing this application) 5. 11: (hA01iol", ouilber of: (It"elling, . . ... . . tinixr of: (11.-dling units oil ead i floor .. ......... ... . . If garage, 11EA11W.1- of. calf; . . .... .. .. . . . . . ... . .. . . .. ... . .. ... . . . . 6. If Imusiness, (111111elciill or- 111im(l (X:cuI)alW-Y' .ilw!(-'if-Y nature 111ml exleW. of: each lylx.- of use... . ....... .. .. . Dillc ..;m-dooof: existing litymAoles, if any: Floou. _151(4 .I. . . . . .. Hear- .. .. ... . Depth . .. . . .. ... /� ......... R m1be u of Stories . . . Dhitensims of sine st.TtmAure with alterations or ;Uklil i or I.S. F I(I t: ... ....... Rear ...... .. Depth . .... . .... Ik!il)tu j4_/....... . . . . . . . Usiber of Slovies ...I. .. ._. . ... . It, Diflumdoo's of: (.111 ire IX.-W coostilmA ioo. Flool .. ....... . . . .... Real. . .. .. .. ..... . Dept 11 .2—.. . ..LI) . .. ... .. - lkdjlll I...I.............. ..... Rmber of S(o% ies . .... .... . ... .. . . 9. Size of lot : Flow Rear ... . . . .... .... .. .... Depth .... ... ............ . 10. IL11e of INAlchase . .. . ... . ... ....... . . Naive of Fokllul- 0.41wt. .... . ... . . . ... ... .. .. ......... .... ..... . 11. Zone or use distv-icu in lAd(Jk pr('tllises are sitoiltrNI . . .. . . .. . ....... ...... ... .. ... ... ... . .. . ........ . . . ... . .. .. . .. 12. I)oLs coost mc-t-ior) Violate any zolliog law, ordinance or iellolation: . .. . .................... 1 ). Will lot be vegri(k-d ......... ... ...... .. Will excess fill Ix: Ir-51twc-41 frorn premises: YES U) eiq4 n.. .... 10A .. -4..... I'llolie. Ill. M-11cs of 0'Joer of premises P46 1170.4rj ....... Aiklietin 50(4 Mine of ArchitecL Pj(0_._ Atkil-ess .. .. .. . .. . . .......... ......... Mom! No. . .. .... ..... 151.a�. . .t.........11101W 1`10IPa77YP Fl of: Gxarac('or Aikiress Jgfv 45a'-<Ad-u� h. Is Illis I)FX)lx-!rl.y within IX) feel of a Lidal %a-(land? YI,_'; ...... . . . U) A 11. YI..-3' 1 1 jji-IjqI-I, NAY IUe 10! 111 q). PLOT DIAGRAM kwa(e clearly mxl discinculy all Imlildill"S' alether exiSIA118 or proposed, illul indicate all set-back dimensions 1)(mu I)iolxi(y lines. Give Mvect- aril block imxiber or (k-scliption according to (ked, anil fJi(A4 s(reet- rusten mol itwlicaie %A)(.l hev interior iol- or- col-lun- lot 4e_CY !;I'A'11," (W 1,1114 Y(X?K, SS X I U Vy (W . -m.... .. . . . d(!IX)..;e"; alml nays that lie is the 11)1)1 icalki (Ret-o of ilmIivi('11*j;'1I sil"Iflog, cool r. :t ) alxm! ru 1w. is IIw .. . . . . . .. . . . .... . .. . .. .. . .. . . .. . .. . . . . .... . .. . .. .. .. geot, (*.orlx)l;lle officer , etc.) of said (A4tK.l- or max![.", 111K1 in duly '111(holixed to lx!rfollil or have IX!l.Ior1lvd the said work '11XI to mike '110 fill! 111h; application; 111,11 .111 statelliellin coolailwil io this al)[fliCiki i0o are tl%K! 10 the of hi.'; I(IKA41C.411),Q ;11XI Ndi(!I ; .110 that (he woIt( will be pe-1-follix--il io III(! liviotwl fiel, l(rvill io ilke i1pplical,ioll filed ,")III to IX!Fole llr_ 1168 _§� 1 f c . . . .. . . . . ... . . . . .. .day o . ... . . .. 9. of 77 . ..... ... ... .. . . .. .... . . ... ... . ROBERT pUBUQ ate OSERT 1. SCOT iti, (Sigimime of: Applicant.) NOTARY of N.Y. No.ju_ i) .4725089.72W89- talk C9 401W_ 10 r Term Expires May 31, 1 L D GA i:„�� AT i rr':i �' OF LOT � \. J SU^G!K CO. TAX WAP DATA:- j �/�r' .J rr-�x%✓•c�5 - . DIS./�.� ,ScG.. 4!•''-x ! - - � ' Is LK. /_=GO LOT orr will-1-1011w, R. sfmwolkes J�L SiJ;V�Yw� /.i'iJY /lo, :SGG.i SY P;0 3GX X77 L i., N. Y. ; I SPA7 - ._ Pr NC. ?AC► �' GIRID "rC) cti x � c c�y CA OCCUPANCY OR yz, USE IS UNLAWFUL WITHOUT CERTIFICATE ! ` „a .�.f,� OF OCCUPANCY � Po �i''��tftt.e v �U�