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Home My WebLink About21682-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22837 Date JANUARY 18, 1994 THIS CERTIFIES that the building ADDITION Location of Property 305 BAY HAVEN LANE SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 4 Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1993 pursuant to which Building Permit No. 21682-Z dated SEPTEMBER 28, 1993 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 SECOND FLOOR ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICIA RYAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-301743 - JANUARY 11, 1994 PLUMBERS CERTIFICATION DATED JAN. 12, 1994 - ROBERT VANETTEN ild'ng Inspector 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) Date .."1...°`.~.~ 19.qc~ N°_ 21682 Z Permisslon is he by granted to: .3~ 6.. . to . 4~ Gf!?a. l ~ at premises located at.........o.J~........ 1. ®QQ.J., County Tax Map No. 1000 Sectllo/4i'w n Block .......Cf .......QQ.... Lot No. c~T.,J~ ................pursuant to appiicatlon dated 19..,,/,5..., and approved by the Bullding Inspector. Fee 4 ~....Ilding Inspector Rev. 6/30/80 TEL. 765-1802 ~~S~FF~~CpG TOWN OF SOUTHOLD y~ OFFICE OF BUILDING INSPECTOR z P.O. BOX 728 v' TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date G G Building Permit No.,,-1"12 owner &1a.17 (please print) Plumber go bW'f Van b-l7 eo (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. &Z E d a ~ (plumber's signature) Sworn to before ' me this day of VczGJ 19 Notary--PU is No`a y Public, C>~~ County Ft17APFTHAnW NFVILL, Notary Pt~b'.~, seae~ of i ' ;w fir, 52-6125ffsz13, Yar'k :i&f°Iff;~k E.'QL 1& hxg5iru s ~?c4afaee ~ 9, 9 ~~j THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 BUREAU OF ELECTRICITY F 88 JOHN STREET. NEW YORK, NEW YORK 10038 Date JANUARY 11,1994 Application No. onfile 82€40243/93 N 3611743 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 PAT PYt1N, 30S BAV HAVEN hANf, I POFJ1-1.2, :OOTN07:0, N. Y, in iliefollowing location; ? Basement ? Ist Fl. ® 2nd F1. GAR/0UT Section Black Lot was examined on J A N U A R 1' 0 3 , 19 9 4 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER NAT. K W AMT. K W. AMT. K.W. qMT. K W NAT. H.P 14 71. 10 14 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi K. W. OIL H. P GAS H. P. AMT NO. A. W G. AMT AMP. AMT AMPS. TRANS. AMT q p SYSTEMS NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO. OF S E R V I C E MIT. AMP. rypE METER 1 -Er TW 1 S, SW 9 0 ]W J~ dW NO. OF CC COND. A. W. G. NO OF HILEG A W G' NO. OF NEUTRALS A' W G EQUIP. PER A' Of CC. COND. OF HI-LEG OF NEUTRAL 7 200 C6 1 R 1 2/0 1, 2/0 OTHER APPARATUS: NO'TOtZ}ir1'F 11. P. G,F,C..I~ - 2 SHOKE DETFCTORI 1. 2 PAUL R. BURNS t::Lt`,.#?.112_E /5 TOWN HARBOR r,nN111 RONT({Ot,D, NY, 14971 GENERAL MANAGER t:I 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. { _ _ _ Zn 2a 3~ oc R fa1..:.. d~ J Form No. 6 g M L. 7) TOWN OF SOUTHOLD 1i81994 BUILDING DEPARTMENT EtOWON TOWN HALL 765-1802 OF .°JOU APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 Hoard Approval of completed site plan requirements. i 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 Building Inspector shall state the reasons therefor in writing to the applicant. 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 $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1155-..0~00, Commercial x$115.00 Date ~V./ New Construction........... Old Or Pre-existing Building / Location of Property... soi fl. "f .C L 1.°. House No. Street Hamlet Onwer or Owners of Property l..Q:..... County Tax Map No 1000, Section f ......Block.... .........Lot.. 9 Subdivision ..................Filed Map............ Lot...................... Permit No. el(7'? .........Date of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ .40i~5, Q~ t(~t(bZ 'L en, SW.4.Y~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [jtl INAL REMARKS: F DATE ` INSPECTOR I 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ NSULATION FRAMING [ ] FINAL REMARKS: DATE 3 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [FRAMING [ ] FINAL REMARKS:' c~c- DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING E4--FINAL REMARKS: DATE INSPECTOR E 1cLD 1::SPEVT1 OIDAT: COMMENTS H Oh FOUNDATION (1st) FOUNDATION (2nd) _ 2. l ~ C• z ~ 0 ROUGH FRAME & PLUMBING L C - 3. i INSULATION PER N. Y. STATE ENERGY CODE ~ ~ ~ A 4. y FINAL --r `J ADDITI AL COMMENTS: x a. 9 H 0 O z ro - x~ v ca H BOARD OF HEALTH FORM NO. 1 ~J SETS OF PLANS { SEP 1 61993 TOWN OF SOUTHOLD SURVEY . BUILDING DEPARTMENT Ctteci. oZ J~, _„,„„F -e TOWN HALL SEPTIC FOrt;t t t'~ "r• SOUTHOLD, N.Y. 11971 gg TOWN ,L..,,~.,....,,.... , . TEL.: 765-1802 NOT I FY n Examined CALL NAIL TO _ . . . q.r z 1a6SdVU~ti~ 'Approved . , , , , • , „ 19B,/,-.r- Permit No.°~/.4Z7..?.,~~ , Disapproved a/c l (Bu' ing nspe tor) APPLICATION FOR BUILDING PERMIT qq Date l.~. f 19 ?3 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 inspections. (Signature of applicant, or name' if a . (Mailing address of appl cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . + o . (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-(X . ~ A' 7. . Plumber's License No. Electrician's License No. • . Other Trade's License No. I. Location of land on which proposed work will be done. 34. . r~ 1.. ~!f.. .C Mouse Number. Street Hamlet County Tax Map No. 1000 Section Block , , : • , , Lot P~? Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Pte"- , . , , , , • , , , , • • b. Intended use and occupancy ~Z ~,{1 s,.~,E few,:, , , , , , , ..%r~,,^; , . . 3. Nature of work (check which liapplicable): New Building Addition . Alteration Repair Removal . Demolition Other Work . 4. Estimated Cost . (Description) Fee............................ (to be paid on filing this application) 5. If dwelling, number of dwelling units . , Number of dwelling units on each floor . , , , , , • , If garage, number of cars . 6. If business, commercial or mix 1 ed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front , ,£3,'; Rear, , Depth ..J. Height (9....... Number of Stories . , * . • . • Dimensions of same structure with alterations or additions: Front • • . ' ' ' ' ' ' ' Rear 8. Dimensions of entire new construction: Height os . . Number of Stories . truction: Front . Rear R,?............ De... . Height tuber of Stones . pth s?.. . , , , , , , , , , 9. Size of lot: Front Rear . ...Depth....................... 10. 1 1. Zone or usecd strict in which Name of Former Owner pr emises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: , . 13. Will lot be regraded "7?~0,~~ Will excess fill be removed from premises: Yes 14. Name of Owner of premises lpuP/XC/A. ;al-lt . , , , . Address 3ar ¢,t 7 Al' Phone No - o Name of Architect PM04, No. 7.4 .../lF.7. Address Phone No..? 6 r • 133 Name of Contractor Ww N Address q~,~aYt.G/stL C!a.. 15. Is this property within ,300 feet of a tidal wetldnd? " " ••Phone No..1¢J';(3LJ° *If yes, Southold Town Trustees Permit may be required, No......... 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 I I i • STATE OF NEW YOR) COU S c S. S N~ Y OF ...io ~ : being duly sworn, deposes and says that he is the a (Name individual signing contract) PPhcant ibove named. le is the do.......Fo. (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ppliwtion;. that all statements contain S~d in this application are true to, the best of his knowledge and belief; and that the vork will be performed in the manner sc,t forth in the application filed therewith. worn to before me this . yof..Il.r...,19:13 otary Public, ty . ROBERT I.SCO NOTARY PUBLIC, of N Y. ' r ppp~ 472MI, pqup~~, (Signature of applicant) T°Titm E>c~tf~e6 May .3U; • - vOrSS3lONa ~ , a n - r U I I) , r 1 11 i, M-C I Cl~ i i' I ~Fl t~'A ~tlC 7E it4 i•Cy / t v I nM^rt r ! a. _ ~~t i~fN i' 91}111 TV VT h`f - Ci,-~ J, q Y!e • 1 rJ V (p' 1 ~~4.WP ~ i pr ~ Mtti 5 W~w~ `1 e~ u i~. 1 I~_f tic" & k` S?8~3slydn a L 71- L It 'ki I ~~y6~1 Ewa sEFonE covEn" CpVENR10 rvIY r y PLUMBER CERTIFIC< R CERTIFICATION ON LEAD CONTENT B CONTENT BEFORE %TE OF OCCUPANCY If CERTIFICATE OF OCCI. R USED IN WATER x3-9x._..._._ c_124~ SOLDER USED IN 14 4 SUPPLY SYSTEM CA ' SYSTEM CANNOT EXCEED 2/10 OF 1% 2/10 OF 1% LEAD. 1• x 1 14 A y [ '1L1 7 g - n -r I f ,i p` fl, a 4 _ M copper tubing Is t ~hl`t ip1L iL=OA Sd i piper, tubing is used water distributing ~ for water distribut y system., piping shel em; piping shall be typos K or L only 3 of typo K or L or r I n „ 1 t , f F 1 (-.1 B 1/ P m h o k. w_ ~ t Y 4V NMI! T i ~ 1 c_u • xl ~ i „Wnu z 5'?~sv 1 fi I ~"~sgj~`v }~s 1 + I'" 1 4?Tn ~,i J,~ 1 ! I- ~ 1 V 441 ~ 1 1 y~'•.~ . --L_. ' ,tea Ytv•. .~d4v F1CAt ~~IIRFA F~~ . k i ~gE \SZ CER(\E GV 9t GE ~`NGVZE ~ r 0 OGGVPp I~ H r , ""~~~rrrrr 1 ~ ri 0 ,k 4 '.z .r VMK ) \ bbl Y - ~ - ~ ~ \ _ ~ 2222222 f a i o A RO O AS N01 0 D AS LV08E ! 3 PRO = - 77 77_. - - - - - - - - - - - - - OA E: 1 Ati`~ Y 1j a Y+ Y4 ~ _ r ' Lr ~\w It~ / By; ev: X FEE ENO pCPAF NOTI Bu U ENG OEPA S AT 180'L y AM TO 4 PI 7R"6 I4 FOLLOWING INSPECTION; W AM TO 4 PM FOR THE VG INSPECTIONS: IATION - TWO REQUIRED 1. FOUNDATION - TWC I FOR POURED CO'NCRE )URED CONCRETE k U',P . N -FRING R 2 i - FRAMING & PLUMBING S) . 3, INSULATION NST NTION 1~~~ F r~r~ r Y r I ry~ jl C 6N1; C , ~ o~0 - CONSTRUCTION MUST STRUCTIONR 5 MPLETE FOR C.Q. ISTRUCTION SHALL MEET R> - - - ALL CO MPLETE FOR 1 THE RE )UIREMENTS OF THE N.Y. OUIREMENTS STATE CONSTRUCTION IONSTRUCTION & ENERGY n`IR/rn~.,P~ DF SIG . NOT RESULT NOT RESPONSIBLE FOR pEN OR CONSTRUCT DR CONSTRUCTION ERRORS y Y~' tN ~k t