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HomeMy WebLinkAbout17774-z .V ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19683 Date JANUARY 25, 1991 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 745 NORTH OAKWOOD ROAD LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section I27 Block 7 Lot 12 Subdivision LAUREL PARK Filed Map No. 212 Lot No. 34 conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18, 1989 pursuant to which Building Permit No. 17774-Z dated JANUARY 23, 1989 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY E. & THERESA KUHN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-020087 - JANUARY 17 1991 PLUMBERS CERTIFICATION DATED AUG. 31, 1990 - BRIAN MONAHAN s~l_. Bui1 ing Inspector Rev. 1/81 Foaa>; xo, s 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) N0 ~~7774 Z Dare 19..8...1 Permission is hereby granted to: 9 8 SQ9. ..~1...~. ..u.:~....lu.:.~.:....l..l..~. Q..t........ e n A. , fo ...~naccC..~:..Ga.Q..Y~....~) ..cs...0.7ts.....,LAk+:vk~.Qsq. ..s,M:R~!^~.y..f.L..~a>........ CA~~ ..................0 .................1°¢I 0 I~ .7.~}. ct premises located at ..7.~a~......!Y .~,dtd.~„~........... County Tax Map No. 1000 Section ...../...rZ Block .......('J::Z....... Lot No.....~. ~r--............ ' pursuant to application doted ....~.t1.rr~:,~a..~...1.~ 19.~.~.., and approved by the Buildfng Inspector. Fee Building Inspector Rev. 6/30/80 r, ~Y-vy ~ Form No. 6 "1~~ r~'QC, ~ TOWN OF SOUTHOLD "'~"("~"l'°/°J°°(~~ \~~6 ` BUILDTOWNDHALLTMENT D ~ t? ~f.4-~?~~ 765-1802 ~~Cy{.A ocr ~ ~ ,~c~ 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 Board Approval of completed site p3ar.-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. Y 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 $15.00 Date ......~~I~x-~4a New Construction....... 0 d Or Pre-existing,$uilding.. Location of Property... ~ ~ ~ I~J02~ ~ t~l~w®~b R;~.........i; Y~UC2~'.......... . House lNO. SCreet••• Hamlet Onwer or Owners of Property4~CYJ2~(.~,~Uljfv. & j ~}CYZ~SA .W(~p~ti. . . . . County Tax Map No 1000, Section.. ~ ~ ..Block...? : ~ .......Lot..®1 .a o o. Subdivision l:~V~~ h(~6L~ .........Filed Map.. ....Lot.....`. ~ . ?ermit No.~~ ~ 1. y.Z;....Date Of Permit ................Applicant.~~E~ 2x. E. k'vrFti3.......... iealth Dept. Approval ..........................Underwriters Approval......................... Tanning Board Approval ;e quest for: Temporary Certificate........... Final Certicate... ? 'ee Submitted: $ ~~~4UNy C' Q I q (P $3 APPLICANT TEL. 7G5-1802 ~o~~tiF~Lti'~0~r TO'4YVN OF Sf3YTTF30b.i? f ~ < OFFICE OF IIUILDIPIG IN5PEGTOR o " ,.~_r,~,' P.O. BOX 728 ' v' ~ L" TOWN HALL ~O/~O~ ~ SOUTHULD, N.Y. 11971 . C E R T I F I CAT I O N Date ~ ~ i ~d Building Permit No. y- D ~1 ~~~~~-(:~_~~~'~it~i+k "x + +1 Owner ~ rl l:1 f.~ (please print) Plu^Wer ~QtAIJ M~JJ~IH~~AO Ot.D"~..~ rPT. (please print) 70W~pF~iJi1~?t~1.C~ I certify that the solder used in the water supply system contains leas than 2/10 of to lead. . p umber's signature) Sw n to befor me this day of 19~. Notary Public ~c~ ~ EDWARD D. SAUER Rotary Public, ~~YV COllntf ~J~OTARY PUBtiC~Stnte of New York No. 4724738 '1/// Qualified in Suffolk County Commission Expires April 30, FORM3 THE NEW YORK BOARD OF FIRE UNDERWRITERS ELECTRICAL DEPARTMENT - A.J. REED, GENERAL MANAGER R~,9POND TO: NEW YORKQ NY 10038 I ? ALBANY, NY 12207 I ? BUFFALO aNY14202 I ? ROCHESTERnNY 14608 I ? SYRACUSE, NY 13206 THIS IS }A REP©RT OF (SEB BOX CHECKED HEREUNDER) C,7,NON-I//N7~SPECTIO~~N// NSPEQTION ? EtECTRfCALSURVEY JOB LOCATION: 7'~J ~t/!~Y? t`sJ ~i e ~ '/*'r^ ~ 1~1;~j ~ z.! / APPLICATIONNO.: r^.:' ?{.'y'- 'r l PERMIT NO.: TOC ~ r.Ilz~+,' OWNERI .-~3 f'9)1f TENANT r(,.. f*j,r. ia'`~..~,ir^a ;Q} j ADDRESS NON-INSPECTION: We have received your application for an inspection of the electrical installation made by you at the premises named herein but we have been unable to make the inspection for the follovying reason: ? Floor location and name of tenant not furnished ? Premises locked, no entry possible. ? Floor location of building-..hot furnished ? Other Inspector's Signature Date Please provide the necessary information or suggest arrangements for our access to the premises on the green form attached and return it to this office. - Applicant's Signature Date INSPECTION OR ELECTRICAL SURVEY: We have attended at the premises named herein to inspect the electrical installation and regret that we can not issue a certificate of compiiance for the reason(s) listed hereunder; ? Concealed work not exposed sufficiently ? Additional electrical work found for which no application for inspection. for inspection has been received. ? Installation not completed sufficiently ~Electrfcal installation. does not comply with National for inspection. Electrical Code for reasons listed hereunder. (see reverse side for explanation of coding) ~K~Wftl FOk?gA: Cade rru =iUn#f~r.~i«aCK cotPm ,i~t~r belgw;lkined wttA Cgde,Alrlt~ier'pfATtad Onder~!~~dhtell+'iisSe,~! trelnw - iiMlcatsa>co6. EXAM. D = 5~vlce oo~uaforo~A`~.}frs)Rer uaDac` BLACK RED FLOOR BLACK RED FLOOR BLACK RED FLOOR BLACK RED. FLOOR Inspector's Signature. 7 Date NOTICE TO APPLICANT: Please sign, date and return green copy of this form to request re-inspection when modifications have been made. AvvucANT•s sicNAruRE DATE NOTE: IF THIS IS A REPORT OF ELECTRICAL SURVEY, A NEW APPLICATION MUST BE MADE FOR RE-INSPECTION. BUILDING DEPT. rrrazz TEL. 7G5-1802 ~~FFO(k~ 0~0 ~Gy 'T'OWN OF SOUTIIOLD .~M1, .n~, OPC'1CE Or DUiLDiNG INSPECTOR ~ :~s~~~+; P.O. BOX 728 ~ TONN FiALL ,y~ol ~ ~ao~ SOUTIIOLp, N.Y. 1.1971 June 28, 1990 Henry S Theresa Kuhn 98 Spindle Road Hicksville, N.Y. 11801 To PThom This.May Concern, We are unable to complete your Certificate oL~Occupancy because of the following reasons. /d/ An application for Certificate of Occupancy is riUt On file. ENCLOSED) /-J/ No t)nderwriter~ Certificate on file. Tltc Check is (di~K~~1S~~/not on file. ) $25.00 No llcalth Dept. l:pproval on file. f_/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. T3uildi.ng Permit 1 7 7 7 4 Z Huildin Dept. No Plumber Solclcr Certificate on file. ( all permits involving plumbing being i~sucd after npril 1,19II4 ) 1 ':'1~LD IGSPECTIU;J ~~UATE ~ COMMENT° :I ~ 1 J t ~ ~ hJ H .C cOUtdDATION (1st) - ~ ~ O C FOUNDATION (2nd) - ~ 2. ~ of ~ ~ ROUGH FRAME & ti Z .PLUMBING H 3 . W „yt c~ m IIJSULATIOAJ PER N. Y. ~ STATE ENERGY , ( ~ ~ . CODE ~ s `h a r [+7 k. H FIiJAL ~ O ~Y z ADDITIONAL COMMENTS: x~ . P c~ x ~v H .3 W H O Z O r x ra a~ r H - x v ~o H TITLE N0.81-62-3 47 36 D R~pD NDRrN DAKWDO -4 re~ ~o Q N- $.ob 2 m L IAA 3 2p~D0 u 1RR ' - N q_' b, O N 6,. s D ~ ~ y µ(9 L NR.. "s 1~°. ne_ m O M ~ t r o O a ipi ~ p s s ~ a e N ~Of 3 ? s~N DD 3 ~\6T~' ~ 2DU' z °o~ ` R ~~Q~Xyr, m 4 b. ~ Y OB AO ~M' Ct6 b 5.69• 3 st p r,z het 3 ?oo T. ~ ~ w \ O AY eDU~EVARD PEDDN~C 9 SURVEY FOR HENRY E. kUHN B THERESA KUHN l0T 34,"LAUREL PARK° ' AT LAUREL - 044E PAN. f1.I~f TOWN OF 6OUTN0L0 SCALE IN.4O' SUifOLN COUNTY, NEW YORK M0. BI-!1 vxxurxo[uED urfnmon oa Nom*~ox +o rNls GUARANTEED T0. bURVfv ,b M1 noL.LT10N OE YfGllOn rYOf OE Txf xfw roaN SUrE EDVCN,OM Lxr UA LIFE TIT YIFA .OF NEW YORK •CO%Eb OF tx,6 SURVEr M1OL BEIRINO LMF IM1NO 41 , bURVf YOab IN E06L1l 0R EM[D6SE06ERL 6NNLL /A`D w 09 'Of eE C0M9IDEN EO r0 [E N VN110 rRYC COPY X UIRNN+EEb 0I[<iE0 NERf ON SxELL RUN OMLr TO ~ ~O t i E PERSON FOR rxOM 1XF 9Va VEY 16 IRFPERED, ,,,~~~IDyy~ b(NON x,.gEx.LF iO rxf rlrL„g ONRj oq OOgfaM~ r y{yE 2 N fEL GEMCY.ND LEND~NO I M EO `Wlr~~~lE~,'if1 O x[RE0N,NXD +0 +xf <bbI0XEE60E iME IEN0IN4 y ~NSrITViION 4V.NNM+Ef4 ER[ MOi iR.MSFERERL[ NOTE' ~ • MONUMENT o wool noxu Ixsrnunoes oa sveswuf[I[ :vNf R9 ..tt,,.. EUBOIVISION YAP FILED IN THE DFFIQ OF THE ols+Nxcfs sxvrx xufan PROM noa[nrr uxEb ~'q •DBy3 CLERK OF lUFFOLN COUMTYOM DEB.}MHl0 *o Ealsnxc sraucrvRES nnE ROan vfurrc ,.Y _.cr~ 5R5 PROIER[rt NF9NOanEOaraMFCERE[t10NEOfriENCES 1•R pR'LCVDN AS FIL[N0. 217 5 SUA. CO, TA%WP•017T. 7ECT. !LOCK LOT 1000 17T 1 17 YOUNG d YOUNG 400 OSTRdNDER AVENUE RIVERHE40, NEW YORK AlOEN w YOUNG,PROFEG3i0NAl ENGNEER AHD lANO SURVEYOR N Y3 LICENSE NO 12813 NOWARO W YOUNG,LANO SURVEYOR NY3 LICENGE NO {3883 - , j 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO RATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMA~~~~KS: ~~C.__ G' J ~j DATE U C INSPECTOR i l 7 77 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS--:~~~~..~~ - V.. . DATE ~ INSPECTOR l T65-1802 BUILDING DEPT. INSPEC7IQN [ ]FOUNDATION iST ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ~RAMING ( ]FINAL REMARKS: ~l~- o DATE INSPECTOR I ~z z 765.182 BUILDING DEPT. INSi~ECT10N [ ]FOUNDATION 1ST ~ ] ROUGH PLBG. [)FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: a ~ DATE ~ 0 INSPECTOR i 765-1802 BU{LDiNG DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAT{ON [ ]FRAMING [ ]FINAL REMA~R~K-S: ~slwn r,~~ ~ s DATE / INSPECTOR 1 ~ / / ~ 765-1802 BUILDING DEPT. INSPECTION (]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~NAL REMARKS: DATE D INSPECTOR r' THE NEW YORK BOARD OF FIRE UNDERWRITERS p~rt;,fr, I t, Of-~r>~~1 BUREAU OF E4ECTRICI7Y 65 JOHN STREET. NEW YORK, NEW YpRK 10038 Dat4 'r~lvffhlt r( .I'I,1`I EI) APPlica[ion No. un file 4+;?`7,1 ~~H'_3 jia4 ff il'r?ilhv'1 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicont Homed on the above applicotion number in the premi9es of fik3~7+;` 'SUt]pf, i~~i iNl}t2'PH t1~1$pIUC111 ki}~i{~, LA1112N:[,11.11tt^t, 4~.`t', ii in thefopowing locutions ©Rosement © ]st F'(. ? 2nd F7. t)4frf Section ,f.~fB(orkf Lot was examEned on 6'I'9liN•4t ~ I ~acl CS artdfound to be in coneplianre with the reyuirentents of this hoard. I ' FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS E OUTLETS INCANDESCENT FWORESCENi OTHER AMT K W AMi K.W AMi NW AMi K W AMT H.P f ~ 7y 1h P? ~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPKIAL REC'P7 71ME CLOCKS gELI UNIT HEATERS MUETI-OUTLET DIMMERS SYSTEMS AMi. K. W. Oll H P. GAS H. P AMi NO. A W. G AMi. AMP AMT. AMPS TRANS. AMT H P. NO. OF FEET AMi WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. PMP TYPE METER 1 ~ t ~ 8W ] ~ SW 3 4W NO. OF CC COND A. W G. NO. OF HbLEG A. W G. NO. Of NEUTRALS A W. G EQUIP. PER .e" OF CC COND Of MbtEG OF NEUTRAL 1 } rii) t"'FS 1 X Y, 1 ~1, "s OTHER APPARA7U5: ' S1'JC)fC I'i YiI~;~I~~;C~l'f,)R . .f fdPNRY Ntf}fl+I SF'TIVTIGY+; 1tC~ATf H7"f: k:Sij} IIf~N~, N'/, f_7 !S ('f 1 ~ GENERAL MANAGER 4:t 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 9UILDING DEPARTMENT. THIS COPY OF CERTIFICATE, MUST NOT BE ALTEREq IN ANY MANNER. ~ 1-~n?e.. s~e~q, ~-cAin~ 'FORM NO. 1 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT 1~~.~wC-'~-z~ TOWN HALL SOUTHOLD, N.Y. 11971 yYl~- ~ °'`~`Q"`0o TEL.: 765-1802 Examined ~R~?•uG 19~'.~ Received........... , 19.. . Approved ..`~o.~,cta.w(, .d 3, 19?r'~. Permit No.1 ,7„1 ~,~„2~. Disapproved a//c ' ~ ~ ~,=~..o.,,. ~ ~ JAN 13 I~~, w , .:I ~ ` ~ ' , (BuIl ing Inspector) Y . ~ k APPLICATION FOR BUILDING PERMIT Date . JANUBRX..19. • ...,.19 .$9 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 corporation) FAIRWEATHER-BROWN/ARCHITECTS ' ' ' '1 i' 2' I'r (Ivlailing address o~al~4 ca 't) N , Y . 119'4'4 P o s'a/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........A~~.h~x~~.ks Name of owner of premises .Henry' ,E. , Kuhn, ,Theresa. Kuhn (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 . . 1. Location of land on which proposed work will be done. 7.4t. #3.4 , ,!'Laurel, ,Park", , , , , , , , , , , , , , , , , , , 74.5 IVOx~th..O~kw.o4d.. 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