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HomeMy WebLinkAbout22071-z R FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23255 Date SEPTEMBER 30, 1994 THIS CERTIFIES that the building ALTERATION Location of Property 775 OAKWOOD DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 90 Block 4 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore _ filed in this office dated APRIL 25, 1994 pursuant to which Building Permit No. 22071-Z dated MAY 20, 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 ALTER EXISTING LOFT AREA TO BATHROOM & DRESSING AREA IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL B. & ELIZABETH LYONS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-327054 - SEPTEMBER 15, 1994 PLUMBERS CERTIFICATION DATED SEPT. 12, 1994 - BRUCE TAYLOR Building nspecto Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~yl N® 22071 Z Date ..........v.................................. 74..L..1,.• Permission Is hereby granted to: r S J e:f to. ,,(.(e-75 r..146/- /.J!,v............ (2_........ / T?....... 5%r?Cr :~s ~j at premises located at 77.~~..........5~ (1.. ?t~G~........... ? !/f.......................,.......... .5 County Tax Map No. 1000 Section Block ©,C Lot No. ..5?4................ pursuant to application dated 19... IV and approved by the Building Inspector. Fee $...Z,3.~,,~......... 7., Building Inspector Rev. 6/30/80 a a 7WA o ire rA 30 Form No. 6 ,U TOWN F SOUTHOLD fl BUILDI G DEPARTMENT eE I.._ 5 3 0 • T FTN HALL SET 7 5-1802 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by ty ewriter OR ink and submitted to the building inspector with the following: for new b ilding or new use: 1. Final survey of property with accura e location of all buildings, streets, and unusual natural or topo raphic features. Property lines, 2. Final Approval from Health Dept, of ater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation rom Board of Fire Underwriters. 4. Sworn statement from plumber certify ng that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial buil ing, multiple residences and similar buildings and installations, a certificate of ode Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of com leted 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 a 1 property lines, streets, building and unusual natural or topographic featur s. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is deni d, the Building Inspector shall state the reasons therefor in writing to the ap licant. C. Fees 1. Certificate of Occupancy- New dwelli g $25.00, Additions to dwelling Alterations to dwellin ng , g $25.00 Swimmi g pool $25.00, Accessory building $25 $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existi g Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - !5 0 00 5. Temporary Certificate of Occupancy R sidential $15.00, Commercial $15.00 ate New Construction..... ..7, Old Or Pre-existing_Building, • Location of Property ...7, 1, s?„ V,r NY ! 0 d dot (f e -S Cj L, o, House No. Street / Hamlet Onwer or Owners of Property F_.11 X County Tax Map No 1000, Section......J. 0 Subdivision ....................................F led Map............ Lot................... Permit No.. ~.l...Date Of Permit.S;A„ ~ 6 .Applicant........: Health Dept. Approval Underwriters Approval......................... Planning Board Approval tequest for: Temporary Certificate......, Fi al Certicate „ „x 'ee Submitted; Rte. ys 'A I y Town Hall, 53095 Main Load ? y Fox (516) 7615-1623 P. O. Box 1179 , Teiephone (516) 785-1802 Southold, New Yotk 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: C )//,;t r _ Building Permit No.71 Owner,. %J6 Al-r (pl axe print) 6 PJ a rher:i C_ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Sig ture) sworn to before me this day of L 19 Notary Public, County Lynne Sinan NotaryPubn Star of New Ywk No. 01$14917631, rpk CottrttY/ Term Expires , 19- T9d xd3_02ez-96ZyddNUG woad THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000441 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMBER 15,1994 Application No. on file 84835394/94 N 327054 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of DANIEL LYONS, '775 OryAKWOOD COURT, SOUTHHOLD, N.Y. in lhefollowinglocation- KI Basement ? Ist Fl. 11 2nd Fl. Section Block Lot wasexaminedart SEPTEMBER 09 , 1994 and./'ound to be in compliance with the National Electrical Code. FIXTURE FIXTURES 11 RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER MIT K W. AMT. R. W. AMT. K.W AMT, KW. MIT H P. 3 3 4 3 1 F' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS AMT K. W. OIL H P. GAS H. P. AMT. NO. A W. G. AMT AMP. AMT. AMPS. TRANS. AMT. H. P. SYSTEMS NO. OF FEET AMT. WATTS SERVICE DISCONNECT I NO.OF S E R V 1 C E AMT. AMP TYPE METER 1,e' 3W 1 ,e 3W 39 3W 3,e AW NO.OF CC COND p W G. NO OF HI-LEG A. w. G. N0. OF NEUTRALS 0. W60 EQUIP. PER .B' Of CC. COED OF M6tEG Of NEUiRAt OTHER APPARATUS: ELEC. ROOM HEATERS:1-2.0 K.W. G.F.C.I:-1 SMOKE DETECTORII-1 JRD ELEC CORP/J.DUGGAN LTC.#2570E 67-11 79TH STREET GENERAL MANAGER MIDDLE VILLAGE NY, 11379 1-1 Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. g4FF01/('0OGy o ~ Town Hall, 53095 Main Road C2 Z Fax (516) 765-1823 P. O. Box 1179 0 • Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 19, 1994 Mr. Dana Fox 305 Private Road Mattituck, NY 11952 Re: Elizabeth Lyons Premises: 775 Oakwood Drive, Southold 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. $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 # 22071-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUG PLBG. ( ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL vr) REMARKS: ^J L~~~dt-r.~ rte"' DATE !3 INSPECTO ~7 765-1802 BUILDING DEPT. INSPECTIO [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION MING [ ] FINAL REMARKS: ZL4::~, µm'0 3 DATE z INSPECTO 7 i 1PJI••..V. aUI .-....:J IlJtllu II ......_.a>:L: Tw^Y.~.. ..r .tt_~ ..~M~,~~! - __I COMMENT- 1 . II m` FOUNDATION (1st) FOUIJDATIOII (2nd) c 2.' m \l ROUGH FRAI•IE & . `PLUmBIUG 3. , y4 I xb„ INSULATION PER X. Y. I m STATE ENERGY CODE I } 4. m H FINAL I 0 ADDITIONAL COMMENTS: ' x m H x • a o • y y • r v m 0 SU". 00. HKALTH DRPT. 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S p ~ ,f^ii fi'S~FIF k ' t h a,t*r la. y. Ty F~}`~ ~ r f r+Su. q p S r t ~ 't, f t a7 'L~(~~°[~~, r , ~'xi <f ~ e k ,,.rr f x° ,y Sr ! t t f, t C e t tr S x ~ r 6 y t !t t~fl s , ,A/~ ,1/ 1r, y~~aPr f5,t.°r,~~>+nkDYYr~i~lY ~~1T ~`it ¢ t ,i f 'Qr N~~Kn'+'r..+l.\T'~+ f„~xs M y k + , t o t • ~ X9 / M1 t?d Jr ~M1 ?TM 1~s r f N s t i ,e . ~ 5 R~ ) 3Y , +sw n~"' a~ .A t TJ aEw~. ``""xl g t y' )4Afe ~.zs' ~"a',,' Tte As,.~i.n ax 'r;, °S y, .:T t i7 .t°~ ;v 4WCA "BC0iP, Ski 1a4"k , .f \ z r. ~~rt . «kKw 5~... A ~ - r~ .,t. µY .,3 ~t~R'~4~a.k". - r ` ~S .~yrYl+`~n^~,r tYt' M.J~M1'N ~'w .~'"M~+r BOARD OF HEALTH FORM NO. t ,r3 SETS OF PLANS TOWN OFSOUTHOLD ,SURVEY BUILDING DEPARTMENT/1CIIECK TOWN HALL / ~EP IC FORM SOUTHOLD, N.Y. 11971 LTA lJ l- Yc3 J5 TEL.: 765-1802 G . oT I PY s~~0~' ~C~~lJ 9 l/ CALL Examined 19(. MAIL TO: . Approved ..5~ 19p~/./PermitNo.,?'~e. :~.~:R. 16 : Disapproved a/c J APR 2 5 1994 - JI. BLDG. DEPT LL' ngInspector) TOWN FSDUTHOLD .,..t APPLICATION FOR BUILDING PERMIT Date ..!125 199. 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 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 work. 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, ' ctionf. (Signature of applicant, na.me, if a corporation) 3a.2n~• Q,W-a ,.t~,~K .llo3,6 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Dwvy p, Name of owner of premises ...~~~1~ I ZA 6C-T t4 dam/ ~O'I s (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No . Other Trade's License No . I. Location of land on which proposed work will be done . ./.7? 09........QAK14/. 1.. . .k'Ls!~........~raIJ~H~~ House Number Street Hamlet County Tax Map No. 1000 Section Block Lot I~AA.......... Lot Subdivision 4 4C.. ...FAAM Filed Map No. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1 iyi k . 4a ( b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration . Y........ Repair Removal . Demolition Other Work , . , , . . (Description) 4. Estimated Cost ~~l OOD Fee (to be paid on filing this application) a dwelling, glunits Number of dwelling units on each floor . 5. If rage numberof cars w If 6. If business, commercial or mixed occupancy, specify nature and extent of each trope of use . , . 7. Dimensions of exiptiug,S wlur~s, if any: Front ?:y Rear Depth ..z~.......... Height 8. . , ber of Stories , , , s Tomy . . . . . . . . . . . . r 27~ Dimensions of sam@"sttttci'are~~th' alterations or additions: Front Rear Depth .Z., • 8. Dimensions of a fire new cb stp Height ....2 Number of Stories . ruction: Front Rear Depth Height Number of Stories . .r. , , , , , , , , 9. Size of lot: Front 174:; . . Rear ...11.? Depth . 10. Date 11. Zone or use district in which • • • • • • . • • am o_ r Owner . mare situated W0 . 12. Does proposed construct violate any zoning law, ordinance or regulation : 13. Will lot be regraded Q Will excess fill be removed from premises: Yes No 14. Name of Owner of premises VAWt : .9NP. k~!zgBe.NM Address fySOPkwa?D?k so r y Phone No 516, W-P3o7 , • • • Name of Architect . ~ Address Phone No...... . Name of Contractor .........I ...........'a* Address Phone No................. 15. Is this property within $160* 00 feet of tidal wetland? *Yes. Y...... No......... *If yes, Southold 'own 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 'number or description according to deed, and show street names and indicate whether interior or corner lot. ~I U 35+ Jj; £X~9?ra& ~uic PlN6 STATE OF NEW ( ? iSS COUNTY OF.., / PA An U • • • • I • Y..... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ff~~~ pp He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner get forth in t e application filed therewith. Sworn to before me this Py of Notary Publi , . County ~ o CLAIRE t CLEW Jvk , , v . Notary PuNo 4879605Ne YorQ Qualified in Suffolk CaMMy ( nature of applicant) Commission Expires December 81 19. I I PLUMBER CERT/f/CAT/ON PLUMBING ON LEAD CONTENT BEFORE If copper tubing Is used APAS [TOTED AILPLUMBING WASTE N CERT/f/GATE OF OCCUPANCY for water distributing Q WATER LINES NEED TESTING BEPORE COVERING BY, SOLDER USED IN WATER System, piping shell be NEED EED NOTIFY BUILDING DEPARTENT AT DVEHINO DA~ S1v ~P'~ Zl° SUPPLY SYSTEM CANNOT of types K or I. only 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: EXCEED 2/10o{1,LEAD. UNDERWRITERS CERTIFICATE 1. FOUNDATION TION - - TWO TWO REQUIRED REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MAST BE COMPLEi'E FOR C O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE WY. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1 I t 6 ~ ~ - I USE IS UNLAWFUL Ll OCCUPANCY OR I' WITHOUT CERTIFICATE OF OCCUPANCY a 1 i I i Nai21N 1=L6WATICa tiI , sCA.LE .V4" 1'. 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