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Home My WebLink About23827-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-25232 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the buildin~ Location of Propert~ 695 EDWARDS LANE House No. Street County Tax Map No. 1000 Section 18 Block 3 Subdivision Filed Map No. ORIENT, N.Y. Lot 21 ALTERATION Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 1996 pursuant to which Building Permit No. 23827-Z dated NO~-EMBER 27, 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 OWE FAMILY DWELLING AS APPLIED FOR The certificate is issued to BARBARA BLOOM (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A ~/~ilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 23827 Z Permission is hereby granted to: /..e..../..~...~..... ...................................... .... ..... Co,,nV To~ ~op No. ,000 ~ect,on ......... *E. .... ~,~ .......... .~ ..... Lot No. :~/ pursuant to application dated ............................. ~....?.. ....... , 19.~....~,, and approved by the Building Inspector. Fee $ .................... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTM~NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and subJ 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 for~a). 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: i. 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 r~asons 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-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ate ....~., ~ :..Z. f~...~. .................... New Construction .......... Old Or Pre-existing Building.... .............. Location of Property .... ~. ~.~ ............... .~'~ff~. ~.~.. ~ ......... -~.. · .Z ...... House No. Street Hamlet Onwer or O~ers of Property.,,~'~'~',~..Xg/~ ........................................ County T~x Map No i000, Section.. ~ ........ Block ............... ~. ............... Subdivision .................................... Filed Map ............ Lot ...................... ~ermit ___.._~.~ .... ~ .... /' ....7~''' PP ......... r~T?~TMw'~ ..... Planning Board Approval ...... ~ ................ Request for: Temporary Certificate ........... Final Certicate....~./...... Fee Submitted: $ .......................... ~,>~SqD AP~LI0~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1623 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 27, 1997 Barbara Bloom 10 Leonard St. New York, N.Y. 10013 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.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23827-Z (FEELEY) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. I~UII HIM T I-git (2HII) Joseph Fischetti PROFESSIONAL ENGINEER HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 516 - 765-2954 Date: Reference: November 5, 1996 695 Edwards Lane Springer's Contracting PO Box 80 Aquebogue, NY Dear Sir, With regard to the Bloom home at 695 Edwards lane. The design of the Structural Member to support the loads above the room is a Steel Beam W 6 x 25. All fabrication and construction to be in accordance with NY State Building Code Very truly yours, Joseph Fischetti, P.E. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ !~JNDATION2ND [ [ ~/FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FIREPLACE & CHIMNEY REMARK$.'~,~~ , ,,~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~"' [ ] FRAMING [ c..~]-4qNAL [ ] FIREPLACE & CHIMNEY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.; 765-1803. L)' ppro da/ INSTRUCTIONS ItOARD OF HEALTH 3 SETS oF' PL,I.~I5 .......... SURVEY C'llECK .... CALL .......... HAlL TO: Date ........... a. Tiffs'application must be completely filled in by typewriter or in i'nk and submitted to the Building Inspector, with 3 :t~ 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 r~areas, ando~iVmo' ~ a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tion. c. Tile work covered by this applidafion may no~: be commenced before issuance ~f Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~all be'kept on the premises available for inspection throughout the w6rk. e. No building shall be occupied or, used in whole or in part for any purpose whatever until a Certificate of Occupancy ~all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the ailding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he app cant agrees to comply with all applicable laws ordinancas [mit authorized inspectors on -r~mi~ ~. ,~ ..~. ~ _~.~;.~-[ff~ ~..~.~?u~.~u~e, housing eeoc, ana regmanons, and to }, v ~ ~es anu m ommmg mr neeessa~im~¢~ff?ns' (Signature of applicant, or name, if a corporation) .............. , ...... .,:/. . (Mailing address of applicant) :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. amc or owner ofpremises ........... ~/a~ ........................................................... (as on the tax roll or latest deed) applicant is a corporation, signature of duly auth, orized officer. (Name and title of corporate officer) Plumber's License No Other Trade's License No ...................... Location of land on which proposed work will be done ................................. llousc Nmnber Street Hamlet Connty Tax Map No. 1000 Section . ................ ¢./.~. Block . ~.. ......... L to ...... Subdivision ' Filed Map No Lot , .~.. ~ (Nmne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ' - ' ~ ........ . -'r~' ~ ............. y ..... b. Intended Use and occupancy . .~~ ..... ~ff. ~-'~..-,,(.C ~_~,,../"~'"'~-' '. ~.~...W--~t. ~ _,... ..... Locate clearly and distinctly all' bu property Lines. Give street and block nun interior or comer lot. 3. Nature of work (check which ~ ' - ' apphcable): New Building .......... Addition .......... ' Alteration .......... Repair .............. Rem ~val .............. Demolition .............. Other Work 4. stimated Cost ............................. Fee ................................... (to be paid on filing this application) 5. If dwelling, number 9f dwe ling mits ........ ~ ..... Number o f dwc~lling units on each floor ................ If garage, number of ~ars ...l . . . u, · uua. J ~a, co~umerclal or m~xeo~ occupancy, specify nature and extent of each type of use ........ 7. Dimensions ct existing structures, if any: Front ........ ' ' bar of Stories ................................... ' Dimensions of same structure wit'S alterations or additions: Front ................. Rear ................ Dept~ ~ HeiSt ' ............................................ Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ................ Depth .............. Height ............... Number of Stories ............................................ '. 'i ......... 9. Size oClot: Front ......... , ...... Rear Depth ..................... . ate o rchase ... : : .... ' ......... amc of Fomer Owner .. *.. . ...... di h p m~ ''' 11~ Zone nruae strict Jn whJc re se~are sRuated ................................. 12. Does proposed,construction violatb hny zoning law, ordinance or regulation: .~ p. ., . ~ ' ' .' ~ -//~ · * · ~.2 ......... WIll excess HII off removed frompremises: Yes 14. 2~e o[ ~w~r of premises ~r~q..~qf~ .... Address ~f~.~& .~one No ~ ~ *If yes, Southold To~n Trustees Permit may be'required. .,o ......... ~ PLOT DIAG~ ld~gs, whe~er existing or proposed, ~d~indicate ~I set-back d~enalons from tber or description accordb~g to deed, and show street nmos and indicate whBther ~. ~:OUNDATJON - IWO REQUIRED FOE POURED CONCRETE 2, ROUGH - FRA~,AING & PLUMBING 3, INSULATION 4. FINAL CON~TRU~ION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL THE REQUIREME~ OF ~E STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONS~U~ON ERRORS STATE OF NE','/YORK, . 'S.S ....... ' ~.g-//~'~ ~.'~.~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. , · (CQnfractor a§ent corporate officer crc )f said owner or owners, and is duly authorized to perform or have performed tile said work h,d to make and file this 'PpLication: that all statements contained hi this application are true to the best of}lis knowledge and belief; and that the york will be performed in the manner set forth {n the application filed therewith. ;worn to before me this ............... ~. dayof · ' KAY P CHOW Notary Public, State of New York rNo. 24.4950562 I ' ' ;..~ .......... Qualified in Kinss County.~ (Signature of applicant) Term Exltiras May 1' 1_9' ~7