The URL can be used to link to this page

Home My WebLink About22796-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24138 Date JANUARY 26, 1996 THIS CERTIFIES that the building ~DDITION Location of Propert~ 1545 OAKLAWN A~-ENUE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 3 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 1995 pursuant to which Building Permit No. 22796-Z dated JUNE 5, 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 AN ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD & JEAN MUNSON of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H048392 PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner's) N/A JAN~3AN¥ 15, 1996 N/A N? 22796 Z FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE11ON OF THE WORK AUTHORIZED) Date .............................................................. 19..?..5. ..... Permission is hereby granted to: EDWARD & JEAN 14UNSON 1545 0AK~A~N AVENDE $OUTHOLD. NY 1197 i to,...c, g~.s. ~.~.u.g.~...a... ?./... 5:Y....x...~ :,.. 9 ~L. ~.n...~X [.o.~.. ~9.. g,.x.[.s..~ .~ ~1~...0}m. Jr~[~Y.. D}m~mG ................. AS ~,I,~ ~o~. · .................... . ..................................................... 1545 OAKLAI~q AVElqU~, SOUTHOLD NY at premises Iocatoct at ............................................................................................................................... Ceun~/lox Map No. 1000 Section ....~.0, ................ Block ......... ~ ............... t. ot ~o ............... ~ ............ pursuant to application dated ....... ..1~...~....!,5. ....................................... 19...9...5. ......... and approved bythe Building Inspector. Fee $ ........ 7,,5.. r.,O,,O, ...... Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEP ARTM_~NT TOW~N !~.LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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 si~ned by the applicant. If a Certificate of Occupancy is denied, the Building inspector shall state the reasons therefor in writing to the applicant. ~. Fees t. Certificate of Occuoancy - New dwelling S25.00, Additions to dwelling $25.00, Alterations to dwe!iing $25.00, Swimming pool $25.00~ Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Car~mi~cate of Occupancy on Pre-e.xisring Buiidins $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Undated Certificate of Ocoupancy - $50.00 5. T~mporary Certificate of Occupancy - .~asidential $15.00, Commercial $15.00 Da?- .../..~.%.~.-..¢..A .......................... New Construction ........... Old Or Pre-existing Building ................. /F..~..K - .~. ~ ~<A -~ -~ z%.~. ~. ....... Location of Property .............................................. Rouse No. Street Hamlet Onwer or Owners of Property..~..~--~- ~-.~.-~-- ..~..,..~.~.~.~.t~y~. ................ .. ............... :ounty T= ~p ~o 1000, ~ection .... 2~ ...... Bloc~ ...... ~. ........ Lot ..... ~ ......... Subdivision .... · ........ Filed Map ............ Lot ...................... Pe.~mit No..~..~.?.~..~. .~..Date Of Permit/.~-9~- .~.~ ~- .~- ..... Applicant ............................. Health Dent.. .loprova~. _. . .... .. ..... Unde.--writers Anoroval.. ......................... Planning Board Approval ........................ ~eques~ for: Temporary Certificate ........... Final Carticate ........... Fee Submitted: $ ~.~., ~9~ ........ , v( ' ' : ............ THE NEW YORK BOARD OF FIRE UNDERWRITERS" PAGE 1 8(D57723 BUREAU OF ELECTRICITY [-- BB JOHN STREET. NEW YORK. NEW YORK 1OO3B ' ,~ O.,e JANUARY 15,1996 /IppiicatiottNo. onfJJe 10739395/95 H ~48392 THIS CE~IFIES THAT ~% : ~D~D ~0~ [5~5 0~ ~U~ SO~HO~ ~.Y. in the fotto~ing locatlon; ~ Basement ~ Ist Fl. ~ 2nd Fl. S~tlon70 BI~ Lot 5 ,~s exu,nlned on J~UARY ~5,1996 a,d found to b~ i, complia,ce with the Na~on~ ~ect~caI Code. RANGES SPECIAL REC'PT. SERVICE DISCONNECT OTHER APPARATUS: S E R TIME CLOCRS EELL UNIT~HEATERS MULTI.OUTLETSYSTEMS V I C E EXHAUST FANS AMT. H P. DIMMERS EDWARD & JEAN HUNSON 1545 OAKLA~N AVENUE SOUTHOLD, NY, 11971 11 G~Nr~J~~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. FIr~LD INSPECTION REPORT DATE COMMENTS FOUNDATION ROUGH FRAME & PLUMBING STATE ENERGY CODE o 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. DATE: //~~~:P INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO/UGHPLBG, [ ] FOUNDATION 2ND [/.~NSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY 76,5-1802 BUILDING DEPT. I [ ] ~ 1ST [ ] ROUGHPLBG. [ ] ,~ n 2ND [ ] INSULATION [ ~, FRAMING [ ] FINAL [ ] FIREPLACE&~i~HIMNEY /~ DATE / ~//~ ~~INSpIrcT~ 76S-1802 BUILDING DEPT. INSPECTION [ /~FO/ILJNDATION 1ST [ ] ROUGH PLBG. [ ~/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY RjEMARKS: ~*'~//~~/~~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 ¢ TEL.: 765-11302 Examined ....... , 19. Disapproved a/c ................................ i .... APPLICATION FOR BUILDING PERMIT gOARD OF HEALTH SURVEY ............ CIIECK ............... SEPTIC PORH ............ CALL . . .... HAIL TO: INSTRUCTIONS a. This apt~lication must be completely filled in by typewriter or in ink and sub~nitted to the Building Inspector, with ~' ~ets 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 sti'eet' ,or areas, and giving a detailed description of layout of property must be drawn on the diagraln which is part of this appli 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 issued a Building Permit to the applicant. Such permil 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 Occupanc3 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 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 an,d in building for necessary inspections. ' . ' - - ' (Signature/~ipplicant, or name, if a corporation) .t (Mailing address of applicant) State whetlier applicant is owner, lessee, agent, architect, engineer, generaJ contractor, electrician, plumber or builder· · 0.' .w. ........................................................... . ........................... Name of owner of premises . .~. 0W/~/~.0..~.,...]~{d'../g.,J~.0..~. ......................... '...., .................. (as on the tax roll or latest deed) If applicant ig a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No .......................... Plumber s L cense No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ....... O A .w. . .' . q.q .r.g O. ........................ House Number Street Hamlet County 'Fax Map No. 1000 Section . ..:. ~ ~ Block . . ~ ' Lot '~ Subdivision ........ . ........................... '. Filed Map No ............... Lot ............... (Name) State existing use and occupancy of prelmses and intended use and occupancy of proposed construction: a. Existing use and occupaacy ...... t~'~./. P.~..~'.~'ft]~ .............. i ....' ............................... b. hi,ended use and occupancy .... ~.A;/~/~ . .' .............. .~ g.k, ~,~q:.,~U~%t~ y~&T~ ........... 3, Nature of work (check which applicable): New Building .... Repair ~ ...... Addition .............. Removal ..... , .......... 4. Estimated Cost 5. If dwelling, number of dwelling units ... / Nurhber of dwelling units on each floor / If garage, number of cars .. .: ..... ' .......... ' ...... 6. If business, commercial or mixed occspancy, specify nature and extent of.each type of use nnens,ons ot trusting structures, if ally: Front.. . .................. 7. D .... ' ' ~.~--. Rear .... :;2,2_. ..... Depth ~..~. ....... Height ....... /.~.., .....Nnm:ber of Stories / . 'ii iii .... Dimensions of shine structure with alterations or additions: Front ......... ' igl ................. Rear ................ Depth ................ i.. l-It it ................... ,.. Number of Stories .................... 8. Dimensions of entire new construction: Front ' Rear Depth ' .............................. mght .............. u er of Stori ............... 9. o%ot: Front ...... es ....... ?'i .... ' .... 11:'7' 10. , · .....Rear ' · · e oI~'urc mst , ' ' ~; ............ P · ,. ......... , ........ ' ......... r~ame of Former Owner ........ i .... I I. Zone or use district in which premises are situated ...... ' . . 1 2. Does proposed construction violhte any zoning law, ordina ce or regulation: 13. Will lot be regraded .............................. ............. ri excess fill be removed from premises: Yes No 14. Nmne of Owner of premises .......... ~ .... Ad Name of Architect dress ................... Phone No ......... · ~' · · Address ................... Phone No .............. .~. Nmne of Contractor .......... i .... Address .. Phone No. 15.' I.s this property within 300 feet of a tidal wetland? *Yes ........ No...~.... · If yes, Southold T6wn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block nhmber or description according to deed, and show street names and indicate whether interior or corner lot. A/titration ....... Demolition .............. Other Work .... (Description) ........... Fee (to be paid on filing this application) ]'ATE OF NEW yca*, t'~ ..... ~.../)./q~.h....~,..~.U~.~ .~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing ~ontract ~ove nanled. (C offi ~ ............. .............. i ontractor, agent, cor'porate ccr, etc. said owner or, owners and is du y an[l~orized to perform or rove performed the s work and to'make phcalmn; that all statements containedi in t fis'annlication are ~ .......... a~d and file this · · ' ~,- -~ ~u mc ~est ollris knowledge and belief; and that the )r}: wm oe performed in the m~m[ set ~forth in the app cat on filed therewith. ,'om to before me this / / NOT~Y PUBLIC. State of'N.~, / ,. ~.. ~..~ ......... l~r; E~s MI~ 31, I~ . ~ (Sigsature of applicant) ,00'°0~ ~ <2>