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Home My WebLink About22467-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23349 Date NOVEMBER 17, 1994 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1725 OAK DRIVE House No. County Tax Map No. 1000 Section 80 Block 1 Subdivision Filed Map No. SOUTHOLD, NEW YORK Street Lot 49.1 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 10, 1994 pursuant to which Building Permit No. 22467-Z dated NOVEMBER 15, 1994 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 REAR ATTACHED ROOF DECK ADDITION WITH CIRCULAR STAIR TO A LONER DECK TO EXISTING ONE FAMILY DWELLING "AS BUILT" The certificate is issued to MARJORIE H. KRUEGER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 Building Inspec~ FORM NO.$ TOWN OF SOU'[HOLD BUILDING DEPARTMENT TOWN ~ $OUTHOLD, N.Y. BUILDING PERMIT ITHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL OOMPLE~ON OF,HE WORKAU,.O~.ZEDI 22467 Z Permlsslon Is hereby granted to: .... ........ ~~O....~.~....P....~..~ ......... .Y.. ........... ......................~ ....... ~./..~,....~...~.., ................ ,,..,.~...~..,~......t~.....~.......~..~.~,,~ ....... ~,,,~...a,.~...~.~......~.~..~ ...... '.d~.. '...c.~..,~....~.~..(:~....~.....~...L.~.~.~..Z~.c~ ........ ~. ...... ~...~..~-~../.~....~..~'.,..1..~ ....... ~.~(.~.~.~ ....... ~...~....~f~.f..,..~( ..... .(~a~......~..~.~ ........ ~..~......~...c~/~ ...................................................................... at premises located at .......... .~...~..a,~.... ....... ...~...~......~..,,~. ........................................................... ........................ .. ................... ~.~,,~...(a;?.....~...,~ ........... u..~..?.....~ ...................... CountyTaxMapNo. 1000 Section ......... ~ ....... Block ............ I ............. LotNo...E.~..~..../ .......... pursuant to application dated ......... :~..~..:..../....~.. .................... 19..~.... '..~....., and approved bythe Building Inspector, Fee $...~..~ ......... Rev. 6/30/80 Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ION 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: 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. 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 Buildinz - $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..i .............. Location of Propert ..;.7.~..~..~.~ y _:. fl, .......... .... House No. ~.~) Street ~ $~Hamlet Onwer ~ of Property. ~.~.~.~;~...~.~. ~.~.~.~ ~.~.~ ................ .County Tax Map No 1000, Section.. ~O ~ ~.~. ............ Block .............. Lot .................. Subdivision .................................... Filed Map ...........· Lot ................... . .. Permit No ............... Date Of Permit ................ Applicant .... ~ . Health Dept. .....· ' ;; #~'~'/'4 ............. Underwriters Approval ...... ~'/A ............ Approval C tifi Request for: Temporary er cate ........... Final Certicate..f ........ .--.- ......... ............... ~"~~~ 76S-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [ ] ROUGH PLBG. [JFOUNDATION 2ND [ ] INSULATION []FRAMING ~/~INAL REMARKS: DATE. :X BUILDING DEPT. INSPECTION FOUNDATION IST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] I~ULATION [//'I/FI NAL REMARKS: Examined FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 19~f/~'7 TEL.: 765-1802 , B~ARD OF HEALTH gURV£Y ............ SEPTIC C^LL 2;fir.ZL ?.g'C ...... HAIL TO: CATION FOR BUILDING' PERMIT INSTRUCTIONS ///./o gq.q - Date ................. , a. Tkis 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 sti'eets Or areas, and giving a detailed description of layout of property must be drawn on the diagram 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 i~sued 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 whole m: in paz.t for any 'purpose whMever 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 South01d, 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 describbd. The applicant agrees to comply with all applicable laws, ordinance~ousing code, and regulations, and to admit authorized inspectors on promises and ki bui!ding for~~~ i ~ . --' ' (Signature of applicant, ore,me, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'age~!t, architect, engineer, general 'contractor, electrician, plumber or builder. Name of .owner'of premises ..... ~.. ' .................................... ...' , (as on the tax roll or latest deed) If applicant'!is a'corl~bration, signature Of duly authorized officer. (Name anti ~itie' ;} c9(porat:iofficer) ................ Builder's License No ...... t~./~ .............. Plum bet's License No ....... Electrician's License No .... ~./~, '. , Other Trade's Lican~e No ..... 1. Location of la'nd on which proposed work will be'done ........................... ' ..... House Number Street ...... ~t;~l'l~t~ County Tax Map No. 1000 Section ... :..~.0 ......... Block ..... I. ' Lot..~t.~. .............. Subdivision ........ . ......... ' ................... '. Filed Map No ............... Lot ............... (Name) . 9. State existing use and occupancy of premises ::n,-~' ~ ..,t~ . -- .,.~d use ~ .i occupancy of proposed construction: a. Existing use and occupancy k. ~ '~ "' ~ ~ ~ .~.~.., .~.0. ' .................. ~'";"" .......... ' ?';"~'~ ............ " b. lntended use and occupancy $'0'~4 07...~.~ ~.'.~.11~¢0t"(~$~ $.~¢7~t~' k ( k whi h ppli bi ) ilding ' ,~dditi · 3. Natur~ofwor chec c a ca e:NewBu .......... on .......... Alteration Repair .............. Removal ..... o Des lift I ........ o on .., .............. O~ork ............... : '" ' ' (Description) 4 Estimated Cost ~.O ~ ' ' 5. If dw~'': ........ i ' ! . . . (to be paid on filing this appliclltion) ~:m~g, numoer el aweui~g units__ .,_..L ....... Number 6C dwelling units on each floor., j~ . If garage, number of ears ....... ~/~ ......... ' ................................. · 6. If busine~, commercial orm~Xed occupancy, specify nature and extent of.each type of use ............. 7. Dimensions of existing structures, if any: Front. ...... ; · .~ ....Rear .............. De Height ............... NOmberofStories ..... ~.]..~ ....... ~ .... ' ........... ' ...... ~'...' '- Dimensions of shme stmcture] with alterations or additions: Front ...........Rear .......... pth ' ~ .... ' i~t .................. De ............... ~ ....He .......... . ........ ,.. Number of Stories .... ' · 8. Dimensions of entire new con~tmction: Front .............. ; Rear ............ Depth ........ 10. DateofPurchase ~'9'~ ........... ~"":; .................. Ue~th., .......... Zone or use district in which ~remises are situated ................. . . 12. Does proposed construction violate any 7onin~ la, .... ~- ' ...... ; -; '.' ' " '. ................ ' ..... .~ ~ --, muula~ce or regulauon ..... , ......... . ........... 13. Wm ~ot be regraded ...... ~ '~' · · ~/~ ........ ~.. Will excess fill be removed from rem:scs: , y ...... ~' wh ............. aaaress ................... Phone No . . Nme of Contractor .......~'/.~ ........... Address . ' ~- - ' ........ : ' 15.' I.s this property within~ 3~O'feet of a tidal wetland'?'' ~¢~ .......... [~none mo ................. . *If yes, Southold~Town Trustees Permit may be req~g~j''"'' ao ......... Locate clearly ~d distinctly M1 buildMgs, Whether existing or proposed, ~d~indicate M1 set-back d~ensions fr~m prope~y ~nes. Give street and bloc: number or description accordMg to deed, and show street rimes and indicate whether Mtefior or corner lot. APP~OV~O AS NOTED . -- ~Z 7~5-1802 9 AM TO ~ FOR THE FOLLOWING ~NSPECTIONS; 1. FOUNDATION .. '~lO REO[JI'RED ' FOR POURED CONCRETE ~ 2, ROtJGH., FRAMING & PLUMBING ~ 3, ~hSUt.AT$ON. ) 4. FINAL CONSTRUCTION MUST, ; BE COMPL~E FOR C.O,, ! ALL ~ONSTRUCTION SHALL / , TH~ REQUIREMENTS OF THE N,~' STATE CONSTRU~ION & ENERGY' CODES. NOT RESPONSISLE FOR , ': DESIGN OR CONSTRU~ION ERROR$ STATE OF NF~V-,YOKr}4~ COUNT, A"gOF .,..-'7X3~./,.~..."~ . ..... lC :o (Name of individual sigmqg co~ntra~) ' ' ' above named. being duly sworn, deffose~ and says that he is the applicant He is the..... ........... ' ! ,(Contract ....... orporate officer etc.) }f said owner or owners, and is i duly ,authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are irne tO the best of his knowledge and belief; and that the ~'ork will be performed in the manner ~et forth in the application filed therewith. ' ;worn to before me this .......... .... CLA RE L. GLEW ' V Notenl Publl~. State of N'ew York. NO. 4879605 I , '/% ./ , '~ ................. · Qualified in SuffolkCpunty (/f,~-- . ,, ' ~SJgnature of applicant) . ~ommi~o, Explre~t December 8,