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Home My WebLink About23114-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southeld, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25611 Date: 03/27/98 THIS CERTIFIES that the building ALTERATIONS Location of Property: 925 TOWN HARBOR LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 4 Lot 11 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 1995 pursuant to which Building Permit No. 23114-Z dated NOVEMBER 17, 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL & LUCILLE JONES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N383928 04/23/96 04/05/97 MARK BAXTER ail~fng I~spector/ FORM biO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENf TOWN HALL SOUTHOLD, N.Y. N~O BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date./..~...~.~...... .~.. ............................. 23114 Z Permission Is hereby granted to; ~~~.,..~.,.,.~~...~~ ~, ~/~/.. ......... ~..~:,.;,~~ ....... ~,.~.~ .... ....... ......... ..................................................................... Coun'h/Tax Map NO. 1000 Section ......~.,,..~. ......... Block ....... ~ ............. Lot No ...... ~.~... ................ pursuant to application dated ............................................... 19 ............ and approved by the Building Inspector,~.~2 F~ ~...~..~ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 APPLICATION FOR CERTIFICATE OF 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. Finai survey of property with accurate location of ail 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 signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. 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-existing Buildinm - $i00.00 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 New Construction ........... Old Or Pre-existing Building...v... ......... Location of Property ~.~. .'..~.kW~. ~.~Al.~Q[~. ......... ............................... .... House No. Street Hamlet Onwer or Owners of Property .... '~).~l~'~../~.~....~.~.dvj~?~....~.~lV~5... ................ County Tax ~ap No 1000, Section .... Q6~ ..... Block .... OM .........Lot .... I! ................. Subdivision . . Filed Map Lot .... Permit ~o ....... .1..T .... Date Of Permit...Ii I. .~. ..... Applicant..'~)~l~.i./=~(~...~l~j~ ......... Health Dept. Approval. ...... .. . './._ ......... . . . .Underwriters Approvai...~.. .. .......... .. . . . .. Planning Board Approval...~.. ............ Request for: Temporary Certificate ........... Final Certicate....~.. ..... Fee Submitted: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 March 10, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Daniel & Lucille Jones 925 Town Harbor Lane Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 ****SECOND NOTICE**** 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 #23114-Z SEE ATTACHED Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Mr. Daniel Jones P.O. Box 141 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) xx No Underwriters Certificate on file. xx The check is not on file. No Health Department Approval on file. No final inspection has been made. ~ xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 23114-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE Building Permit Owner: ~ ~ Plumber: (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. re) Sworn to before me this ~--~-'~ day of ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E 1195099 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date APRIL 23,1996 Appfic. tlo. No. onfile 115~5696796 N 383928 THIS CERTIFIES THAT DANIEL JONES, 925 TOWN HARBOR LANE, SOUTHOLD, in the followlng location; [] Basement [] Ist Ft. [] 2nd ~7. OUT Section Block Lot tc~sexamlnedon ~'>~ I L 18 ~ 1996 and found to be in compliatic~ with the Na~ional Electrical Code. · FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST OUTLETS SWITCHES 5 3 SYSTEMS NO. OF FEET OTHER APPARATUS: PADDLg FAN- 1 MOTORS ~ I-F H.P. G.F.C.I,-1 E R V I C NO. OFpE~C~CON O OF CC, COND A W G, NO OF NEUTRALS A W G. OF HI-LEO OF NEUTRAL JIM SAGE ELEC. INC. 350 MARINE PLACE GREEN~ORT, 1~, 11944 LIC.#3635E GENERAL MANAGER / ~t Per This certificate must not be altered in any manner; return to the office of the Board'if in'correct. ~nspectors may be identified by their credentials. COPY- FOR BUILDING DEPARTM~E~THIS COPY OF CERTIF CATE MuSTNoT BE ALTERED "ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN~ILATION [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS~-~ ~..~ ~ INSPECTION FOUNDATION 1ST [ ] RO.~,IGI~PLBG. FOUNDATION ZND ,~INSULATION FRAMING [ ] FINAL INSPECT~ 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATIONIST [ ] ROUGHPLBG. [ ] F~ATION2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~~~----~ [ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~R~OUGHPLBG. i ,]~NA~ION 2ND i]] IF~NSAULLATiON [ ] FIREPLACE & CHIMNEY FOUNDATION (]ST) FOUNDATION ( 2ND ) I~ I~ CODE Il m{ PLUMBING ALL PLUMBING wAS'~ & WATER LINES NEED TESllNG sEFORE COVERING ALTERA TiO~l ~ If copper tL~bing is used for water distributing system; piping shal% be ~ANC BLDG. D[ ~ Disapproved~ a/c ................................ 2 .... APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD gUILDING DEPARTMENT; TOWN HALL SOUTHOLD, N.Y. 1197,1 TEL.: 765-1802 ~ 3 s o~ PLA~S ......... SURVEY ............... ........ SEPTIC FORH NOTIFY ,. C^LL 745=.gSg} .......... HAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 st?cots or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appli- catipn. o. The work covered by tiffs 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 permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in. wJlole or in part for any purpose whatever until a Certificate of Occupancy 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 or Regulations, for the construction of buildings, additions'or alterations, or for removilor demolition, as herein described. The applicant agrees to comply with all applicable laws, o,rdinances, building c6de, housing code, and regulations, and to admit authorized inspectors on premises and in building for ne.?ssary inspectio~r,..K. ? -- . o , (Signatu. r.e%fappli~ant,~ name, ifa corporation! *' ;,":, (Mail~g addres~s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, ,general contra~ctor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authori2ied officer. (Name and title of corporate officer) Builder's License No ..... .O..t~/?'../~ .~.. ........... Plumber's License NO ..... .~'..~.~ ..... . .......... Electrician's License No... ~.~ .~..~'C ........... Other Trade's License No... .................... 1. Location of land on which proposed work will be done .................................................. ltouse Number Street Hamlet County Tax Map No. 1000 Section . i. :.. ~-~ ....... Block .... O.C{.. ' Lot...I/. .............. Subdivision Filed Map No. Lot (Name) State existing us~ and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~:2~[ .'~.~..~. . b. Intended use and occupancy ....... ' .' ..... ' ' "' ' ... '3. Nature of work (check which applicable): Repair .............. RemoVal . Estimated Cost ......... ? ..... New Bu'ilding .......... ~i, ddition .......... Alteration . .'~ Demolition · Other Work.. .~,~ ~(Description) ................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling uhits }i Numbe fd If ga ag b of . · ........... ro welling units on each floor .... · r e, num er cars ...... j .............. . ............ Lf usiness, co,n ' ' d ~ ify n..a_tu,r b nnercml or m,.xe ccupancy, spec e anti extent of.each type of use ....... , ..... 7. ui~.nensions ot ~x(sting structures,lifany: Front .... [t~. ght .... '~a: X fs~ : ............. ~ ~d ........ ~P"'"~'~' '' ........ i .......Num er o ories ..... ~ffi~ it~ dditi D~mensions ne structure w alterations or a ons' Front . / ~ ........................ D pth ~ ' Hight .~ ................ ~ear . ~.z .... i fSt ~ .'. " e ................... .. e ............... ...Numbero ories .... ~ '. mens ons of en re new construction: Front .............. ;. Rear ............... Depth ........... 8. Di i fi .......... .Height ............... Number of Stories 9. Size of lot: Front /~O~ ~ ....................... ' ................. ; ...... ~ .. f~,.~o~ .......... ~. ~g .. ~.~.,. ~ ..... 10. Date of Purchase .... 6~r, ~ t~4~ [ ...... .. Name of Fomer Owner ..~(O..~4~.. Zone or use district in which premises are situated .... ~lO.~l ~ ............................. at,e any zoning , ~a '~'j'j' .1 2. Does proposed construction viol law, ordina ce or regulation: ...................... ~0 0 ''' 1~. Will 16t be regraded ....... ~ ................. Will excess fill be rem red from_~remises: Yes No 1' . Nme of Owner of premises~A~JZ.~..~... Address Name of Architect ........... + ............ Address ,, Phone No. . Name of Contractor ~ ................... · .......... · · · · . ' ......................... Address ................... Phone No ................ ~5. I.s thts properey within 300 feet of a etdai wetland? ~Yes ........ ~If yes~'SouChold To~n Trustees Permit may, be requ5red. ''' ... ' ! PLOTDIAG~M Locate clearly and disflncfiy ~1 b¢ild~gs, whether existing or proposed, ~d, indicate ~1 set-back dimensions fr~m property lines, Give street and block nffmber or descdption according to deed, and show street names and indicate Whet~er interior or corner lot, NO;IFY tSUtt/~ [~EPA~TM~ AT F,['~r~ POU~E[~ CC,~CRET~ ~7: COb'~F~L~:.Tf: FOF~ '%'~YqfE CONS'fRUC[~ON & ENERGY !TATE OF'NEW 'k/)3 RK,. .out, try OF.. ~)~.~..~. ..... S'S ......... '. D~¢/.~.c....-4'-o~.~.i .... (Name of individual signing ~ontract) bore named. ~ J::SPONStSLE FOR ERRORS being duly sworn, deposes and says that he is the applicant is the ............... .0'.~. qg~%, ......... . ......... i ontractor, agent, cor orate officer, etc. said owner or owners, and is duly aOthorized to !~hrform or h~v~ performed the ~aid work and to make and file this ,plication; that all statements containeo in this'application are t'rue to the best of his knowledge and belief; and tilat tile 'ork will be performed in the manner sei forth in the application filed therewith. worn to before me this ~.0 ./~ '' dayof ~.~ '..'. · ' ..... ¢ ..... . ..... , .'. ,19."/,~ . EDYTHEV. MULLEN . ' 'ri ' ' , ) ~, // / / NOTARY PUBLIC, StBte o! New