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Home My WebLink About20476-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25750 Date: 06/01/98 THIS CERTIFIES that the building ADDITION Location of Property: 723 LIBERTY LANE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 6 Lot 3.7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1992 pursuant to which Building Permit No. 20476-Z dated MARCH 12, 1992 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 GARAGE ADDITION (WITH ROOMS ON SECOND FLOOR) TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOANNE PEREZ of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H055827 06/25/97 06/18/97 GARY WRIGHT I-~/~uild~in~~/~ TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20476 Date Permission is hereby granted to' -~ ~ ,,~ ~ ....... ....... ~.~.~..~.~.~..~:...../.~......~ ............... ~ . ~ ...... ~~~~, ............ ~. ........... ,o .~~.~...~...(~~...~..~ ~) .... ~~....~..~~..~~ ................ ~~.~ at premises I~ated at ...........~.~.~.....~.~... ~..~ ....................... ....................................................... ~.~~ .......... ZZ.Z..Zt.tttt ...... t..ttt ......... tt County Tax Map No. 1000 Section ....... ~Z...~.. ........ Block ...... ,..~., ........... lot No ....... ..~..,,f.......7. ..... pursuant to application dated ,.,~.~. ,/,,~., ........................................ , 19...~...?~..~ and approved by the Building Inspector. Rev. 6/30/80 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 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 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 Date ~: 7..~. ?.? ............... New Construction ........... Old Or Pre-existing Building...P~. ............. Location of Property ............................................... · · · House No. Hamlet S tree,f_ Onwer or Owners of Property .... .~..?...~.?[.?..~...~.f~..~.l.~..,.~[.. ................................. .. County Tax Map No 1~00, Section...~. ........ Block...~.~ .......... Lot..-.~..?. .............. ~] Filed Map~-~ Lot ~ Subdivision ............................................................ · · Permit No. ~r.~.5;. l .~. i...Date Of Permit..?.././..~. ~..~...Applicant....~..C..~.~.~....~..X .~, · ..... Health Dept Approval..~..... ........... ...... Underwriters Approval Planning Board Approval. ~ ............... Fee Submitted: $ ............................ 6/ _~.~~ co TSk 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 Building Permit NO. JOCQ~ (Ple~s~ print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swor~ to before~e this ~(:~7~- day of ~/~J~ Notary Public, ~ff~ ~ ~ ~/Y UNDA MARIE BARNETT NOTARY PUBLIC. STATE OF NEW YORK Qualified in Suffolk Coun~y~-~, ~,~-~ No. 01BA¢732737 Commission E~piree June 30, THE NEW ~O6659~ Dace J[.~[~ 25,1997 THIS CERTIFIES THAT YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 JppIicaHon No. on file 14134797/97 B 05Bg27 on~y the electrical equipment as d~scrlbed below and introduced by the applicant named on the abo~e application nu tuber in the premises of JOANN['] PERE% W[['f:(/I{T, 723 ],IBIilI~TY LAtqE, $OUTHOLD~ N.Y. in the followlng location; [] Basement [] lst FI. ~ 2nd Fi. r;i~R Section BI~k Lot examined on JUN~ 19 ~ ~ 9~7 and found to be in core. lance with the Na~onal Electrical Code. FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS EXHAUST FANS SYSTEMS NO. OF FEET OTHER APPARATUS: GARAGE ~.~ 2ND FLOOR At)DI'I':[ON.~ ~NO VISUAL [)EFECTS: "~ electrical survey h~:~s been made o~ the exposed electrical equipment in the prem'[ses Indite'Led." "No obvious unsatisfactory condition was found~ S E R No. O[t~C,e, CONO. OF CC. COND, NO OF HI-LEG NO, OF NEUTRAtS OF NEUTRAL JOAN Hi,?, ~IGH~ 723 LIBERTY I~NE OENERAL ~AGER Per 1 t ' ~ This ce~ificate 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. ./ HOBART ROAD/PO Box 616 $OUTHOLD, NEW YOFIK H 971 51§- 7§5~29~4 Date: Reference: April 7, 1998 SCTM #79-6~3.7 Southold Building Department Main Road Southold, NY 11971 Dear Sir, The center span beam in the two car garage for Building Permit # 20476-Z consisting ora W 16 x 29 steel beam for the 24 foot clear span is adequate for the present condition. PE Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 10, 1998 Joanne Perez 723 Liberty Lane $outhold, New York 11971 ****SECOND NOTICE**** NEEDS AN ENGINEER APPROVAL ON STEAL BEAM BEFORE A CERTIFICATE OF OCCUPANCY CAN BE ISSUED. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (OUTDATED) $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 !, 1984). BUILDING PERMIT #20476-Z SEE ATTACHED 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, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 11, 1997 Gary & Joanne Wright 723 Liberty Lane Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20476-Z * Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. · BEFORE CERTIFICATE OF OCCUPANCY CAN BE ISSUED, ENGINEER APPROVAL ON STEEL BEAM IS REQUIRED. NOTE: THIS BUILDING PERMIT HAS EXPIRED. FOUNDATION (lst) FOUNDATION 2. f2nd) ROUGH FRAME & -PLUMBING e INSULATION PER N. Y. STATE ENERGY CODE FI;IAL ADDITIONal 765-1802 BUILDING DEPT. INSPECTION _~_],FOUNDATION 1ST []ROUGH PLBG. FOUNDATION ZND []INSULATION FRAMING []FINAL REMARKS: INSPECTOR~_.~__ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] IN?~ATION FRAMING [//]/'FINAL FIREPLACE & CHIMNEY DATE 7,/~/~' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] IN/SULATION [ ~FINAL DATE INSPECTO~~ 1.992 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTIt ......... -'-~--3 SETS OF PLA,WS .......... ---.SURVEY ................... ~ CIIECK .................... SEPTIC FORH .............. Disapproved a/c ..................................... (~/uildi~o~nspect or) APPLICATION FOR BUILDING PERMIT CALL ................... HAIL TO: Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 et~ of plans, acm/rate 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by tiffs application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 hall 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 guilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .dmit authorized inspectors on premises and in building for necessary i~. tions. ,~' ~_._.~. .... .... .... (Mailing attdress of applicant) is~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~tate whether applicant '~ame of owner of premises .. ~.C ...... .f-.~..' .... . .~.~..f;/ ............................................... n t st deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ............... .~."..O~..j?..~ .f- Plumber's License No ............... Electrician's License No .............. ![. ..... ~.~. / , . Other Trade s L~cense No ...................... Location of/and on which proposed work will be done ..... ' .. House Number Street Hamlet County Tax Map No. 1000 Section ?/ .... 7.~. ......... Block f7 j~ Lot 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.../... b. Intended use and occupancy ..... 3. Nature of work ( heck which ap~0hcable): New Building .......... Addition . .,~ ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ...... .... o_~I '" (Descriptio 4. Estimated Cost.. 'd ...... ~ ..................... 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 i~,~ . . ' ........... If business, commercial or mixedi occupancy, specify nature and extent of each t e of use .. ~ ..... 7. Dimensions of existiw, structure~ if any. Front 3o / ' coytp ...... , Height .... ~. . ...... Number of Stories .................... ; .......................... Dimensions of same structure with alterations or additions: Front ...,~...-PT'.. ......... Rear .. Depth ... ~.G.'..,? ....... i - Height .... .~.2g ............... Number of Stories ..... .2. ................ 8. Dimensions of .e,.ntire new constrtiction: Front ..~_ :7' / Rear . .,~L.J'. / De th ight ¢~.'. ........ $ ........................ P ......... He · · Num er of Stories ........................ Size of lot: Front $7.~fco l~ Rear /.o~> ~ ~ -,- , 11. /.one or use aistrict in which premises are situated...,./...x~. ~: ............ ~']i . 12. Does proposed construction violate any zoning law ordinance or reeulation" ' ',~J ~ ................... Will lot be regraded .. /~ : . . 14. 2axne o[?w.ner mprem~ses t'~lC.~.af~.Wg.~ .u~.r.~?/.. Address .~.~,~...Zi/?,~¢h./.d:*t#¢.. Phone No marne oI Arcllitect t t ~1 ---- ~ -- ............... Name of Contractor .......... ~ ................ Address .... ~. · · q Phone No... ~*../' ..... 1_5. Is th±s propert:y w±th±n 300 feet of a t±dal wetland? ~. ...... No ......... ' ' ' ' ~If yes, Southo].d T6wn Trustees Perm±l: may be requ±red, '---"-'"' .-. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate afl set-back dimensions from property lines. Give street and block nhmber or descriptioh according to deed, and show street names and indicate whether interior o~ corner lot. TATE OF NEW ¢~/) (Name ofindi{ddual signin:! contract) ' ' ' bore named. ' .... being d~ly sworn, deposes and says that he is the applicant is the .0..~o.t.,/.%c.. ,4. ~ ............ . ' (Contractor, agent , corporate officer, etc. ) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner s{t forth,,in the application filed ther.ewith. gorn to before me/t~his ~tary Public, .t q:~.hOi (jo/ ~oct ?.,:, '~':,'~'~' ?~'" '''~"-'"~' ....7'''~''''z~---~'r' .................... ~' > ..... , ...... , ~ (S~gnature of apphcant) ~ ,~. LOT NUM PARK 8~ RECREATION RESERVATION / . . ..... __ . ...... ,. : . . .... .... ~." ~.';~'~ ~ ,, ', 'Z-' ' ~ . ~k · · ~X~ ' ,. .~ · ~ ~ ' - . 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