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HomeMy WebLinkAbout22698-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24802 Date DECEMBER 13, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 655 HOBSON DRIVE House No. County Tax Map No. 1000 Section 122 Subdivision RENOVATION Block 6 Filed Map No. MATTITUCK, N.Y. Street Hamlet Lot 23 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1995 pursuant to which Building Permit No. 22698-Z dated APRIL 25, 1995 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 issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MARK & DEBORAH FARINA N/& H-049219 - MARCH 22, 1996 N/A Rev. 1/81 / /~di~ Inspector FORM NO.3 TOWN OF BOUTHOLD BUILDING DEPARTMENT TOWN ~ $OUTHOLD, N.Y. 22698 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / CountyTax Map No. ~000 Seotion...Z~.,.~., ............ Block.......~...~... ............ Lot No. ..~..~.. ................ pursuant to application dated ......~ ......................................................... and approved by the Building Inspector, Fee $.,..~....~,..'...~ .... // / Building Inspector Rev, 6/30/80 TOWN Of SOUTHOLD BUiLD:NC DEPARTMENT TOW~ Y~LL 765-[802 ~DPL£CATiON FOR CERTI:=iCATE OF OCCUPANCY IIoyo Thcs appiicatzon must be filled in b? typewrlaer OR ink and submzzzed :o :he building inspector wizh zhe fo!low,n§: for new buildang or new use: Final survey of property with accurate location of all buildings, property iznes~ streets, and unusual nacurai or topographic features. 2. Final Approval from Healzh Dept. of water supply and sewara§e-disposai($-~ form). 3. Approval of electrical znstai!amion from Board of Fire Unde~ri~ers. Sworn statement from plumber certifying that the solder used in system connains less ~han £/10 of [% lead. 5. Commercial ouiidiqg~ industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from arehltecz or engineer responsible fDr the >~ilding. 6. Submit Planning Board~Approval of completed site plan requlremen~s. For ex{stin~ buildings (prior to April 9, i957) non-conforming uses, or buildings and "pre-existing" !and uses: 1. Accurate survey of property showin~ ail property lines~ streets~ building and unusual natural or nopo§raphic features. 2. A properly comp!eisa application and a consen~ to inspec~ signed Dy ~he applicant. if a Certificate of Occupancy is denied, the Building inspector shall state the reasons therefor in ~riting to the applicant. ... Fees ~;. Ce ......... of 'Occuoancy. - New ~'we~'___n== $~.00. Additions to awe_,~_zng $25.00, Alterations :o dwe!lln~ ~_~.00, Swiping pool ~25.00, Accessory building $25.00, Additions :o accessory building ~25.00. Buslnesses $50.00. ~. Ca ...... at_ of Occupancy on 3. Copy of Cerzifica~a of Occupancy - .25c a. Updated Certificate of Occupancy - iF0.00 5. Temporary~=~-~=~c~_~-~ of Occuoancy. - Residen~ia! ... ................... iew Construct!on ........... Old Or Pre-existing Building...~ ........... House No. S~reec Ea~et m,,~r or Owners of ?:oper=y.../~.~gf. ~.~?~'¢~d~... ~<~.<~ ............................. ,ubdi';ision .................................... Filed Map ............ Lo t ...................... ~ealcn ....................... Under-~riters Approval .... .~ ................ A~p royal FIELD INSPECTION REPORT 115DATE II . II FOUNDATION ....... ADDITIONAL CO~S: ~ ' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~~F~L- ..,.,,.KS= ~./X~X~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS/ULATION [ ] FRAMING [~*]"'FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE NSPECTO THE NEW YORK BOARD OF 'FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT o~y ~he el~trical equlpmen~ ~ ~scri~ be~w and i~t~uc~ by t~ ap~icant ~d on ~ a~ application number in the p~m~es of I~31RK A. & DEBORAH FARINA, 655 in the followlng lacation; [] Basement K~sexamlnedon ~ARCH 19,1996 MOBSON ROAD, SEC.9122.~, MATTITUCK, [] iht FI. [] 2~d FL Section BI~A~6, OOrot and found to be in compliance with the Na~onal Electrical Code. 7 DRYERS RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO, OF F~ET E OTHER APPARATUS: MOTORS: 3-~F H.P. G.F.C.I:-5 SMOKE DETECTOR: -2 E R V I C NO, OF CC, COND. A,W.G. PER ~ OF CC. CON~.D NO. OF HI.LEG AWG OF HI-LEG NO. OF NEUTRALS MARKA FARINA 108 COVERT AVENUE NEW HYDE PARK, NY, 11040 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. ~nspectors may be identified by ih~r credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MuST NOT BE ALTERED IN ANY MANNER. 1995 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ '. , ',,,, TOWN HALL .... ' :' " ....... 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Exa,nined... ~t]--...,197..57'-' ' Disapproved a/c ..................................... USE IS UNLAWFUL APPLICATION FO. BUILDING'PFRMIT WITHOUT CERTIFICATE OF OCCUPANCY INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink an'd submitted to the Building Inspector, with sets o£ plans, accurate Dior plan to scale. Fee according to schedule. b. Plot plan show/ng location of lot and of buildings on premises, relationship to adjoining premises or punic sti'eet or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/ cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant. Such permi 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 Occupan% shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department'for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southbld, .Suffolk County, New York, and other applicable Laws,Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describhd. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . ,,--~= '2 , (8ignatur? of applicant, or name, if a corporation)" [Mailing address of applicant) /cA State whether appIicant is owner, lessee, 'agent, architect, engineer, generai contractor, electficiam plumber or builder "'. ........................ ~, ........ ;',' ~ ......... ," '5' .... ~ ........... "'APPROVED'AS ~: ....... (as on the. tax roll. or lateen:eerier;: ~, ~ . ~ If applicant is a corporation, signature of duly authorized officer. NOTIFY BUILDING DEPARTMENT AT ................................... ' ....... If copper tubing is used (Name and title of corporate officer) for water distributing' Bu'lder s License No ...................... .S..y~.tem; piping shall be of types K or L only Plumber's License No ..................... UNDERWRITERS CERTIFICATE r' ' ' ' REQUIRED Elect ~c]an s Dcense No ....................... Other Trade's License No ...................... 765-1802 9 AM TO 4 PM FOR .THE FOLLOWING INSPECTIONS: ~1. FOUNDATION- TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. · ALL CONSTRUCTION.SHALL MEET THE REQUIREMENTS .OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I. Location ofland on which proposed work will be done. ...... 6. . ....... //.o. .s. e < . . .2 : .... . . . = , ,--, ...................... Itouse NumberStreet Hamlet County Tax Map No. 1000 Section ../:.~..~-..,..tO...~.. .... Block '...~..~..* ' Lot...r?..~..~.~, ......... Subdivision ........ . ........................... '. Filed Map No ............... Lot ............... (Name) 2; State existing use and occupancy of premises and iht,ended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~. 5.2. .~..~.&/..4..~. b. Intended use and occupancy ..... 5/g tW T/~.L · 3. Nature of work (check which applicable): New Building . 2 ........ Addition ........ Alteration .-;...;.. ~. Repair ..,~.5 ..... Removal ............ '.. Demolition ..... :... ' ... Other Work ....... ~". ...... 4. Estimated Cost. '<)' '~'e ...... ' .......... ' ...... Fee ....... Z (to be paid on filing this application) 5. If dwelling, number of dwelling ¢nits ..... Number of dwelling units on each floor. . . If garage, 0umber of cars ..... [ ............ . . If business commercial or mixe~ occunancv snecif,, n-~ .... ~-'" -~ ~' ' '~ '~ .... ~ ........................ Dimensions of existing structures, if any: Front ............ Rear . Dimensions of shme structure wi~h alterations or additions: Front Rear Depth ' HeiSt } .................................... 8 ................... ' ............ ' ........ ,.. Number of Stories .......... :..~ ....... . Dimensions of entire new construction: Front , . Height Number of Stohes Depth ............... Rear ................................ 9. Size of lot Front . ~ ' ' . Rea- ' 10. ~ate oI~urcnase ........... ~ ........ . ......... Name of Fomer Owner ....... ~ ....... ' ..... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~}'...,.si .1.~.. ~ .~.q.~.. 13. Will 16t be regraded ' ............... Will excess fill be removed from prem~et: :-'. ~" Yes No 14 N~e of Owner of premises Nme of Mchitect ..................... ;. · · .......................... Address .................. Phone No ................ N~e of Contractor .......... : ................ Address ................... Phone No ............ '. 15.' I~ this property within 300 feet of a tidal wetland? *Yes ........ No ......... ' '' . *If yes, Southold Tqwn Trustees Permit may be required. ' .... [ PLOT DIAG~ Locate clearly ~d distinctly ~1 ~uildNgs, Whether existing or Proposed, ~d. indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block ngmber or description aecordNg to deed, and show street nines and indicate whether ~te~or or corner lot. i ....................... ,~' ....... being duly sworn deposes ~d says that he is the applicant (Name of i~dividual ' ~ ....... ' ......... ' , signing ,~ontract) ~ove named. (Contractor agent ............................... ' .............. ~ 'porMe officer etc ) ' said owner or owners, ~d is duly'authorized to perfom or have perforated the said work and to'm~e and fil~ this plication; that all statements contend N this'application are true to the best of his knowledge and bel' · ~rk will be perfo~ed in the manor sc~ [forth in the application filed therewith. . o ~ef, and that thc T~rm ~r~ ~ 3~ 19~ , ' (Signature of applic~t) . TO',',~l CF oC T,,OLD, ['I. Y. HOUSI::G CODE IHSPECTIOfl RE?ORT Location 6.55 ROBSON DRIVE LAUREL, N.Y. Subdivision M~tp Cot(=) .... Name o£ Owner(o) ROBSON & ANO. 0ccupan~y, I FAMILY ~type) Admitted by: ARLERE VACANT (owner- c enan~ ) Accompanied b · SAME Y. Key available Suffolk Co. T~c bio. 122-6-23 Source of request.. T. imothy S. McC~l~y, Atty Date Aug. 17, 1992 _D:'.rELLI3IG: .. ,Type of construction ,, Fo ,undation BRICK, BLOCK Total rooms, 1st. F1 Cellar 4 2nd. F1 ~, stories 50 Crawl space 3~ · F1 PA~ 2 5O Bathroom(s) I Porch, type 2 CLOSED IN ~Deck, type Breezewa~ Oarag% Type Heat OIL 'Warm Air xx Fireplace(s) No. Domestic hotwater xx Other Toilet room(s) Patio, Utility r~om Hotwater type~ Airconditiohing_: Type heater ELECTRIC ACCESSORY STRUCT'JRES: O~rage, type const. Swirning pool Other Storage, type const. Guest, type const. V~OLAT!oNs:~ ~Lncation .CIIAPTER 45-=N.y. STATE UNIFO[~! FIILE PREVENTION & BUILDING CODE D .-c. zo,.zon f. Sec. NON-HABITABLE WITHOUT MAJOR REPAIRS, TO STRUCTURe., ~IQTE: ENCROACHMENTS OF CmJ.anWA¥,~ CRIMRE¥ ~ OIL rANK ONTO ADJOINING PROPERI"f - SDRVE¥ FROM HOWARD YOUNG 7/7/92 ~ Remarks: InsPeCted 7 Insp .. 8/2 !/.__92 ~ i Time start.~0.10 _end ,o:3o '1 & ;.