HomeMy WebLinkAbout23110-zFG~M
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
N£
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLETION OF THE WORK AUTHORIZED)
°ate ........ /. ...... (..~. .................................... ~9...
23110 Z
Permission Is hereby granted to:
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to,....~.~ .......... .~... ~.~....,./,..~....~,~,~ ........ ~.,.~.~.~ .........
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at premises ,ooot~m:t at .................. .~...?...(~).. ........ . .~...~..~..../~.--'..~ ~ ........ .~.~ ............................
......................................................... .~.,.'~. ........ ~../..., ...................................................
CounlyTax Map No. 1000 Section .....~.....0,~... ........... Block ........'.~..'-~/ ........... Lot No ....... ..~...~ .........
pursuant to application dated ........... ~'~'"~'"',W" ''''~'''''~'' ............. 19.....~.~., and approved by the
Building Inspector.
Fee ~....~.~ ......
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24181 Date
FEBRUARY 23, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 630 yENNECOTT DRIVE SOUTHOLD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 6 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 22, 1995 pursuant to which
Building Permit No. 23110-E dated NOVEMBER 16, 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 A ROOF STRUCTURE ADDITION TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to
of the aforesaid building.
PAUL & ANNE KRAEHLING
(owner's)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
~orm No. 6
TOWN~O~ SOUTHOLD
BqlLDING DEPARTMENT
· TOWN HALL
76f-1802
BLDG. OEP'Ii
I'O~W~ouTHoLo
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 wi~h 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 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
"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 inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons 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-existin~ Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .........................................
New Construction ........... Old Or Pre-existing Building.. ~. .............
Location of Property....~..~.~. ......... ~ .... .~fl?. ~.~.~..~.~7..~....O.~.~.~.~. ............ .~ ?.q..~..~.~.~ .......
House No. ~ Street Hamlet
......a:. ...... .. ...........................
Onwer or 'Owners of Property ..~o.....~.~..L. ~ ~ ~ ~.
,.5
' . .,.K.
County Tax Map No 1000, Section .............. Block ............... Lot .....................
Subdivision .................................... Filed Map ............ Lot ......................
Permit No..~.l]~ ..... 'Date Of Permit..~!.(~.[.~( ..... Applicant..~.~..~.~k~'k% .........
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate...J~. .......
Fee Snbmitted: $.. ?..~'f ......................
...... ..................
~-'~-'J~ ~l ~'/ APPLICANT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 15, 1996
Mr. & Mrs. Paul Kraehling
630 Yennecott Drive
$outhold, NY 11971
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 # 23110-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
REMARKS:
] ROUGH PLBG.
]INSULATION
~FINAL
DATE ~'~~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ .~ ~ILATION
[~'] FINAL
[ ] FIREPLACE & CHIMNEY
DATE / INSPECT~ '~
BUILD NG DEPT. ~
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
iFNiNALLATION
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 15, 1996
Mr. & Mrs. Paul Kraehling
630 Yennecott Drive
Southold, NY 11971
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 # 23110-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
OIINI)^T [ ON (IST)
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Ir-lc,
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L~ 'TOWN OF $OlYrHOL0.~ ........~ TEL.: 765-1802
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT:
TOWN HALL
SOUTI-IOLD. N.Y. 11971
Disapproved a/c ................................ Z ....
BO~(RD Of' IIE^LTII
-/suRv£¥ .....
_
SEPTIC FORH
t;oTI FY |
HAIL TO:
( B u i/k, fyg Ins'pector)
APPLICATION FOR BUILDING'PERMIT
Date Sept 21, 1995 19.
INSTRUCTIONS
a. This application must be co~npletely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 sti-ee
or areas, and giving a detailed description of layout of property must be drawn ou the diagram which is part of this app
cation.
· c, The work covered by this applicatioo may not be commenced before issuance of Buildiug Permit.
d. Upon approval of this applicatiou, the Building Inspector will i~sued a Building Permit to the applicant. Such perm
shhll be kept oil the premises available for inspection throughout the work.
' e. No building shall be occupied or used in whole or in part for auy purpose whatever until a Certificate of Occupanc
shall have been granted by the Buikling Inspector.
APPLICATION IS ItEREBY MADE to the Bnilding Department for the issuance of a Building Permit pursnant to ti:
Building Zone Ordinance of the Town of Soutbi)ld, Suffolk County, New York, and other applicable Laws, Ordinances (
Regnlations, roi' the construction of buildings, additions or alterations, or for removal or demolition, as herein describe(
The applicant agrees to comply with all applicable laws, ordinances, buildh~g code, housing code, and regulations, and t
admit authorized inspectors on premises mill, in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
630 Yennecott Dr. Southold, NY 11971
(Mailing address of applicant)
State whether applicant is mvner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder
Owner
.................................................................... APPROVEB'AS NOTE~ ..........
Anne and Paul Kraehling maw, II//~/qf-~.,, "~71/0~- .
Nalne of owrler of l)lemises ........................................ .':':':-.'.-~-.".';'. . d. ........ '
(as on the tax roll or ~mst d~,¥:
If applicant is a corporation, signature of duly authorized officer. NOTIFY BUILDING DEPARTMENT AT
765.1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTtONS:
(Name and title of corporate officer) 1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
, 2. ROUGH - FRAMING & PLUMBING
BL llder s L cerise No. ~ ~ oo .t_J J 3. INSULATION
4. FINAL - CONSTRUCTION MUST
Plumber's License No, BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
Electrician's License No ....................... THE F]EQUiREM'ENTS OF THE N,Y.
STATE CONSTRUCTION & ENI~RGY
Other Trade's Liceuse No ...................... CODES. NOT RESPONSIBLE POR
DESIGN OR CONSTRUCTION ERRORS
I. Location of land on which proposed work will be done. ~ ~ ' .... ' '
· ·630 Yennecott Drive Southold
llouse Number Street : tlamlet
County Tax Map No. 1000 Sectiou ... :...,~..~' ......... Block ~' ' Lot
Subdivision .................................. Filed Map No ............... Lot
(Name) ' ' ..............
State existing use and occulvancy of premises asd intended use and occnpancy of proposed construction:
a. Exisliug use aud occupancy ~amily Residence '
b. lnlended use and occupancy Family Residence
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