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Home My WebLink About20017-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-24659 Date SEPTEMBER 30, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 605 ~ ROAD House No. County Tax Map No. 1000 Section 51 Subdivision ALTERATION SOuT~OLD, N.Y. Street Hamlet Block 3 Lot 18 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~LY 11, 1991 ~ursuant to which Building Permit No. 20017-Z dated JULY 17, 1991 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 ALTERATION TO EXISTING OB]~ FAMILY DWELLI~ AS APPLIED FOR PLUMBERS CERTIFICATION The certificate is issued to F~ARRY & KATHERINE BIAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. DATED N/A Rev. 1/81 PENDING -- SEPTEMBER 23, 1996 ' Building Inspec or FOBM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALI. $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20017 Z ~,. ..... .~.//..Z ....................................... , ~9..?~ ..,/.......~~.,/.~,~;~..~ ,o .~/.~_~,~.~~..~.,...~~...~~~,~ ~,,~l ......... ~o,....:.~--,...~,~.... ........... ~... .................................................... ~~~ ............ ~ ........................................................ c~,~ ~,~ M,p No. ~000 ~,t~o, .......... ~ .... m~k ........ ~ ......... Lot No...L~ .......... Building Insp~tar. Fee R~'. 6/30/80 OffY¥ Form No. 6 TOWN OF SOUTIiOLD 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. 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 $15.00, Commercial $15.00 Date ....... ?~. J ~/. ~./. ............. . · .e" w Construction Old Or Pr~u~ld~ng' ' ' · Location of Property....~.~.% ........................... C-[~'-~" ' iii...i ~.'.~.~.~!~ House No. Street Hamlet .h~wer or Owners of Property .... .~..O.c~.~ ~ ~&~.~ .t~..~.~ ~ounty Tax Map No i000, Section .............. Block ........... Lot ................... ~ubdivision ................ .o. .................Filed Map.... ....... · Lot ..................... . c~'O"'O'['~ '7/'//' Appli .~l.~.~. ~; .~..V.~. 'erm£t No ......... Date Of Permit ........... cant ......... ~5 .. [ealth Dept. Approval ....................... · · · Underwriters Approval ......................... '!nn~ing Board Approval ,eq~cst for: Temporary Certificate ........... Final Certicate..~. ........ 'ce Submitted: $ ...... C~ O ~ co ................. FOUNDATION FOUNDATION ROUGH FRAME & (1st) (2nd) .FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS z 8062469 SUREAU OF: ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NY 10038 n.t~ S~:PTEHBER 27,1996 /~pptic.tio. No. o.fI. ],2526396/96 }l ~52C~09 THIS CERTIFIES THAT only ~he elec~rica~ equipment os d~#cri~ed ~elow ond introduced by ~1~ ~ppllca~t n~m~d on ~he abo~e ~pplicatio. ..tuber i. the premises of HARRY BAIS, 605 CL~P~ ROAD, SOUTHOLD ~ N. Y, in the follotclng hwution; [] Bo.~ernen~ [] 1st FI. ~ 2nd FI. Se~tlo. Block Lot ~ss exa,nlned o. ,.~EPT~R 23,1996 ~nd found to be in compliance ~ith the National Electrical Code. SERVIC~ 6i~ONNECT ] NO, OF I S E OTHER APPARATUS: *NO VISUAL DEFECTS~ "An electrical survey has I~en made o~ the exposed electrical equipment in the premises indicated." "No obvious unsatisfactor~condition was found. HARRY BAIS 110 HALBA DRIVE W~ITESTONE, NY, 11357 TIMECLOCKS RELL UNIT HEATER4 MULTI-OUTLE SYSTEMS EXHAUST FAN~ DIMMERS A'W'G' ! NO OF HI-LEG A,W,G, NO OFNEUTRA[$ A.W G. OF CC. COND. OF HI.LEG 0~ NEUYRAL GENERAL MANAGER 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 MU~ NO~T BE,ALTERED IN ANY MANNER. FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS FRAMINGFOUNDATION 2ND ~[/] ~ , N 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION ZND [~'"~N*~SULATION FRAMING FINAL REMA~RKS: BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j~ATION/ [ ] FRAMING [ ,~] FINAL [ ] FIREPLACE & CHIMNEY DATE FORM NO. 1 TOWN OF SOUTHOLD .. BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. Examined .... i, 19 .~.../ /7 Approved .7..~. ?. .......... 19 ~./. Permit No..~l~. ~../. 7..~/ Disapproved ~R0V~D'A$ Iil0t'I:D ......... .... 0.~T~.:. ~//./..7./?f..q.p.,.~..d-,--,--,--,--,--~?. ~./..7,.,,=~f.. ....... ~.. ~ ~ UNDERWRITERS C£RTIRCATE FEE' '~$'''~ ~'""1 BY' "~'i~t-'~-~~/ ~~. REQUIRED 768-1802 9 AM TO 4 PM FOR THE . (Build~g Inspecto~f FOLLOWING INSPECTIONS; ,. FOUNDAT,ON -,nORmUIRE~PP'ICATIO" FOR POURED CONCRETE ~ate ...... 7/"// ..... ~" .V. 4. FINAL CONSTRUCTION MUST ,,.BE CO~.LE%E FOR a,Al~tm~bo~.l~us~tc~rr~ly filled in by ~pewfiter or in ink and submitted to the BulldOg Inspector, with ~;ts o[~n~~p~' ft~g~l~7~ee according to schedule. . b.~'~~-igo~and of build~gs on premises, relationship to adjoining premises or pubic streets qr ~r~B~. gi~ a ~[~ip~ of layout of property must be drawn on the diagram which is pa~ of this appH- ~at~Ewg:'~~~gr~3o~~"~"-'~" ~-~ may not be cbmmenced before issu~ce of Building Permit. d. D~.~_~~D~c.~the Building Inspector w~l issued a Bufld~g Pemit to the app~cant. Such pe~it sh~l b~pt on the prem~ available for inspection throughout the work. e. ~V~gut~r~'g~O~¢rACsed in;whole or in p~t for any purpose whatever until a Ce~ificate of Occup~cy shall h~ygb~t&~ ~g tgo~i~g~pector. ~'~eh~g~g~~&~o ~ ~uil~m~Dep~ment for the ~ssuance of a Bmldmg Pem~t pursuant tote Building ~g}~S}~l~q~Southold, Suffolk County, New York, ~d other app~cable hWS, Ord~ces or Regul~'~,~ ,qr,~gs, additions or alterations, or for removal or demolition, as here~ described. The a~~v'~b~gf~ffi~ff'appHcable laws, ordinances, bunding code, housing code, and regulations, and to admit*th~'?~[~6~fi~¢d m building for necessa, inspectio~g . . ~ CO~PL~ FOB C.O. ' . . , ~ ...... ~ ~ ~.~ ................... A~---CONST~UCTION 8MA~ ~ , (Signature ~f ~:~t, o~ ~me, ff ~ co~omtio~) THE REQUIREMENTS OF THE N.Y. CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS State whether applicant is owner, lessee, a~ent, a~chitect, ensmee~, ~enem] contractor, e[ectfician, piumbe~ o~ builder. .... ~r++~+L . ~,~,.~ ..................... ~ ........................ - ........................ .~,o~o~e~o~,~,~,s., .. ,~. ~..~.~..?~-~ .................. ............................ ('as on the t~ mH or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.../:/.~)./'.f. [¢'.~. .......... Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... OCCUPANCY OR' USE JS UNLAWFUL WffHOUT CERTIFICATE OF OCCUPANCY t;OT I ~¥ 1 CALL ................... HAIL TO: Location of land on which proposed work will be done .................................................. .. ~o.5. .~.~ ~ t~ . .~. ................. &~.+L .~ House Number Street Hamlet County Tax Map No. 1000 Section .... . .-~.. ~. .........Block .... .~ ........... 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 . . ./... · · (i"i .:~'~ '. ~:~ :"f... ,.. ................. gl - ~.,~ ., .at ¢..,;, . ~ : : : b. Intended use and occupancy .~./.~.~....~...~.L~,.,,..::.,~-.,.,..,,:: ................ 10. 13. 14. 15. Nature of work (check which applicable): New Building .......... Addition .......... Alteration . ~,, ...... Repair ...... ~ ........ Removal .............. Demolition .............. Other Work ............... .~ ~..0QO (~ ,3~cO !{~t "(Description) oo F 3 ~ jijL Estimated Cost ........... . .............. ee ........... ~ ,., (to be paid on filing this application) If dwelling, number of dwelling hnits ............... Number of dwelling units on each floor ................ · If garage, number of cars ..... i ................................................................... If business, commercial or mixe4 occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structure~, if any: Front .... , ........... Rear ........ : ..... Depth ............... Height ............... Number of Stories ....... ~ .............................................. Dimensions of same structure with alterations or additions: Front ................. Rear ..: ............... Depth ............ :. ....... i. · Height ...................... Number of Stories ...................... Din~niions of entire new construction: Front ............... Rear ..; .......... '.. Depth . .: ..... ........ Height ............... Numbei' of Stories ..... ,.. ~ ........ .......... ,..-..' .......... /.~. ............. Size of lot: Front ..... ' r Date of Purchase ..... ]. I~ .~.', ........... Rea ...................... Depih .... : ............... ...... ~ ........ ' ......... Name of Former Owner '...I,~..+t..~...~.~/lo.~.~./q\ ..... Zone or use district in whicl't premises are situated ..................................................... Does proposed construction viol4te any zoning law, ordinance or regulation: ... ~t> .......................... Will lot be regraded ....... ~i) .................. Will excess fill be removed from premises:~ ~Yes No-aC Name of Owner of premises ]q:.~.t.r~..,k.g..c.,~'. k.~j .(.q~'2~.. Address . ~Of..(}/.(z.r/.~ .~.d ..... Phone No..~..~.~i .'~.~..~?~... Name of Architect ......... 4 ................ Address ............ ; ......Phone No. £1h. ,{<. ............... Name of Contractor . ca i Ce~,.~ ........ Address .................. Phone No ................ Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold Town 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 tines. Give street and block n'umber or descriptiofl according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y~ORK, ' S .................. .' ·. ........... i .................. being duly sworn, deposes and says that he is the applicant (Name of mdwidual signing contract) above named. He is the ' I (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 s{t forth in the application filed therewith. Sworn to before me this