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Home My WebLink About22339-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23477 Date FEBRUARY 2, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 3265 ELIJAH'S LANE House No. County Tax Map No. 1000 Section 108 Subdivision ADDITIONS Street Block 4 Filed Map No. MATTITUCK NY Hamlet Lot 7.19 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 30, 1994 pursuant to which Building Permit No. 22339-Z dated SEPTEMBER 19, 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 FOR A OWE CAR GARAGE, BATHROOM AND MUDROOM ADDITIONS TO AN The certificate is issued to EXISTING OWE FAMILY DWELLING AS APPLIED FOR. POWER CONSULTANTS INTERNATIONAL INCORPORATED (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N333193 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A NOVEMBER 10, 1994 N/A Building ~nspecto/ FORM NO.3 TOWN OF SOUTHOU) BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. N~ 22339 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHO,~D) Date ......... ~../..~x'~. ...................... Z Permission Is hereby granted to: ..... ~.~.:.,~...../..~..o.. .......................................... . . ....... .~.~...,r...:..6. ........ ~:.~......~z..~...~C ,~,~ :. to ....~...~....~.~..~..~.~..~~..~~ .......... ..~.....~~..~.....~..~~....~... ......~d~.,..~x~......~.. ............. ........ /./..~ d 'o ~ . Z................. ....................................................... .~,.~.~:..~.~ ............. ~.:...~.: ...................... CountyTax Map No. 1000 Section ...... ~...~...,,~...,, Block .......... pursuant to application dated ........... ~ .... .~.~ .................. 19 ...... and approved by the Building Inspector. Fee 8,..,,.{~, ................ Rev. 6~30~80 Building In~'ector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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. B. 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 Build~ng' ~.~Sp~ctqr shall state the ~ r~as6ns~ the~ef6'r in 'writing ,t6 ~h~,'app~,{~aht'.': ? >'" ~ ,", ~ '" """ ~_''' C. 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.~0, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $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.a.~..~.~. ~.1 '*~'J. ~.~-.~. .~...t~..~..~.~. House No. Street ......... Hamlet Onwer Owners of Property.)~q~c){~4''~ County Tax Map No 1000, Sec ion .............. Block t ............... Lot... ~ ............... Subdivision ....... ed Ma ~ ..... Lot .................... Permit No..~..~..~ ~. ]~...Date Of Permil~..~.~./~.~pplicant ~.~..L~.~.~ .~..~.'.~f~.. ?. Underwriters Approval Health Dept. Approval ............................................... Planning Board A reval ~tP- . Request for: Temporary !~rtificate ......... ~ Certlcate...~.. ...... ,~,~,~..~.~,, , ............ ~ ' '-~ APPLICANT THE NEW YORK BOARD OF FIRE UNDEI WRITERS 1000121 BUREAU OF ELECTRICITY ~-- STREET, NEW YORK, NEW 85 JOHN YORK 10038 O. te ~OVE~ER 10,1994 ~pplica~io. Mo. o, fite 06~16594/94 N 3~3193 THIS CERTIFIES THAT o~y~e e~ca~ equipment ~ ~scrlbed be~w a~ int~uced by t~ ap~icant ~ on the a~ applicatlo~ number in the prem~es of h~L COLEH1S~ 3265 ELIJAHS in the followlng h,ca~io,; ~ B~sement ~ Is~ rt. ~ 2nd FI. GAR/ATTIC/OUT ~%c,~o, ~l~k Lot . NOVE~5~ER O7 ~ 1994 and found W bg in compl~nce with the NaHonal Electrical Code. FIXTUR~ FIXTURES RANGES C~KING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS rECEPTACLES SWITCHES 8 1 7 DRYERS ~RNACE MOTORS FUTURE A~LIANCE ~E~RS SPECIALREC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUT~T ~/ DIMMERS SYSTEMS P.O~ BOX 1061 SOUTIIOLD, ~, 11971-0932' GENEtAL M~AGER This certificate must not be altered in any manner; return to the office of the ~ard if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MuST NOTBE ALTERED IN ANY MANNER. ULATION ?ER'~. Y. STATE ENERGY CODE FINAL '. ~DDITIOHA'L CO?¥]ENTS: 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~-~I~AL /~. REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSU~ION FRAMING [/~F1NAL 7LS-~.802 BUILDING DEl)T, INSPECTION [ ] FOUNDATION IST [ ~G. PLBG. [ J FOUNDATION ZND [ ] INSULATION [~/~RAMING [ ] FINAL INSPECTOR 765-Z802 BUILDING DEPT. INSPECTION FOUNDATION ZST [] ROUGH PLBG. FOUNDATION ZND [] INS/ULATION FRAMING [~=INAL ~! ! /~i'- ~ ~ TOWN OF SOUTHOLD ~ ~ ~ I '~ 0 I~~. ~ BUILDINGTowNDEPARTMENTHALL SOUTHOLD, N.Y. 11971 !'O,~(fJ~l ,'~ TEL.: 765-1802, Disapproved a/c ..................................... ............. . BOARD OF HFAI. T}! ......... 3 SETS OF PLANS .......... SURVgY ................... CHUCK .................... SEPTIC F 0 R,~! .............. CALL ..... . . . . MAIL TO: INSTRUCTIONS · a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, x~.~th 3 seSs 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 streets 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the wbrk. e. No building shall be occupied or used in whole 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 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 and in building for necessary inspections. -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant ls owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name or owner of premises ~.,~/~fk3 k.) ~ ~ ~~ I~' . ~. ~ . (as on the tax roll orlatest deed) I~li~~ s)gnature o f duly authorized officer. (Name and title of co~orat~of~er) ~uildeFs License No PlumbeFs License No ......................... Electricfian's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ............................................... .. . House Number Street Hamlet County Tax Map No. 1000 Section .... ~.~ ......... Block ..... ~ .......... Lot ................. ~1 P Snbdivision ' Filed Map No. Lot (Name) 2. State exJsting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~ b. Intended use and occupancy... ~ ~.. ~[...~. ~.~.( ['~...~./. . . ~. ~..'... ~~ 15. 3. Nature of work (check which a plicable): New Building .......... Addition .......... t io ......... Repair .............. Removal .............. Demolition Other Work ...... 4. Estimated Cost.. -.. · F I (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ............... Number of dwelling units on each floor · Ifgarage, numberofcars ...~ C2~1%1~ ................ 6. If business, commercml or m~xe occupancy, specify nature and extent of each type of use ....... 7. Dimensions of ~xisting structurds if an,,' Front ~,~. ~. . ' ',5 ',L't' ;~ ti .... zg,,L .. u ;-~.x.~n,r_j ....Number of Stories ............................... ' ' ' wi ......... '; "~'f 7~ ..... '" ...... ~ ~ ...... Dimensions of same st-,cture th · ', r~ ~ --'¥ * m~erauons or additions: ~ront .~..I.~. .~.~34/ Rear . pth .~'N.Oq~: ....... Height ........... Num to s ... 8. ~menmons otentire new const~ction. Fro-~ 13 ~ ~^~- I:~-O~ ' ~ ~' ' %'~11 ~lr · · · freight ...... x~....~,_ .... ( ~-.1-~.--.- ~ ' ' ' - ' · :..- .......... 9. Size of lot: Front I ' ........................... ........... ~ ........... Rear .................. Depth 10. Date of Purchase I .......................... ........... : ......... ' ......... Name of Former Owner 11. Zone or use district in which pr{mists are situated ............. JS2'22 ....................... 12. Does proposed construction violate an-, zoning, law o,~;,,,,0 ..... ,,,,z,* .,.,. ~" ...................... 13. Will lot be regraded ~ '(..7 .......... · '~ ~. .............. ....... .. _ - ..... ~ 'i'A ................. WUl excess HII De remover: xrom premises: Yes No 14. name otOwner of premises ~ :i.(&.' .O...UP:-4~...[~. ....... Address .8..~5[..~.l~:~.~...L"3..~..Phone No.'Z...o.I.-..eqz}.' Name of Architect . i ^.:a.~.;~ ,. . ~s t~is property within 300 feet of a tidal wetland9 ,v~ ' ' ,, ~'~f ....... ~.;h"~.';,'' ;' · If es Southold · -¥o ....... '. no..~ ..... Y , ~ wn Trustees Permit may be requxred. PLOT DIAGRAM Locate clearly and distinctly all property lines. Give street and block interior or corner lot. buildings, whether existing Or proposed, and. indicate all set-back dimensions from ~umber or description according to deed, and show street names and indicate whether STATE OF NEW YOl~e~ kk..¢ S S 'COUNTY OF ..... ~ ...... · · '~ &~ k,.l~.~ ~ · · '~' · ~IL). ~[' .[. ..... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. ,It m the ........................ !...~~ j (~agent, corporate officer, etc.) )f smd owner or owners, and ~s duly ' uthon~'/d to ~erfo · ' ~ p form or have performed the said work and tn ~Ppilcation; that all statements contained in this a"'qicati ............ ,.~ ,. .... ~,.._, , , - -7.--~..~ and me tins , ~.}. u,~ a~ LrU~ tO t:lc u~t ul lll5 xnowleuge and oelief; and that the gork will be performed in the manner sbt forth in the application filed therewith. ;worn to before me this · . . .... ............. //2 '/~°aY PR .... t~/%"~.'4 ~'1'7. ·. '[otaryPublic, ..~..~~~ ~°~'~t~'/~/'v/?'/9/'~'~ ' · i/* · ' ' NOTARY PUBLIG, b'tm or ~tz. ,/ ' ,0. . .... :::::::::::::::::::::::: Temt Expi~ May 31, !9.~.t5/ ' APPRoYED AS NOTED ~'"~ / FOLLOWING INSPECTIONS: 1,F~UNDATION - ~0 REQUIRED F~R POURED CONCRETE 2.ROHGN ~ FRAMING & PLUMBING 4 FIN:~L CON%~I%JCTION MUST / ~.- CC::':;F~',~CTIOI~ SHALL MEET ~F .... > OF TFi~ ~', "'q I~,~:;P('JN%~[H.~ FOR 0