HomeMy WebLinkAbout23607-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
.Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25415
Date: 12/12/97
THIS CERTIFIES that the building ACCESSORY
Location of Property: 90 DAWN DRIVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 5 Lot 11
GREENPORT
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed, in this office dated JULY 16, 1996 pursuant to which
Building Permit No. 23607-Z dated JULY 26, 1996
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 ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to LISA ISRAEL
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 12/03/97
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
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)
.....~.. ~,,.~.
N.° 23607 Z Dote ............... ~. ................ ,
Permission is hereby grapted ~'o: ~ . ,~ /' . /
..~i...~.~.....~.~. ....................... ¢
· . ............ ~~~-~.~,..y,~..z~.~ ~. ,
County Tax Map No. 1000 Section .......... ~/~k ...~ ........... ~)/'L°t No...../..../. ..............
pursuant to application dated .................. ..~~.~.. ....... , 19../.~?and approved by the
Building Inspector.
Fee $.~...~..~
Rev. 6/30/80
TOWN OF $OUTHOLD
~PLICATION FOR CERT-FICATE OF OCCUP~C~.. I,,,
This application must be filled in by typewriter OR ink
inspector with the following: for new building or new uae:
1. Final su~ey of .property with accurate location of all buildings, property lines,
streets, and unusual natural or topograplic features.
2. Fina% Approval from Realth Dept. of water supply and sewerage-disposal(S-9 fo~).
3. Approval of electrical installation from Board of Pire Unde~iters.
4. Sworn statement from plumber certifying that :he solder use~ in syst~ contains
less than 2/10 of 1% lead.
5. Co~erc%al build.g, ~dus:rial build.g, multiple residences and s~ilar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planni:g Board Approval of c6mple:ed 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 si~ed by the applicant.
If a Certificate of Occupancy ia denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - , .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Cartificate of Occupancy - Residential $15.00, Commercial $15.00
Dace .
New Construction ...... Old Or Pre-existing Building ........
Location of Property .....................................................
House No. Street Hamlet
Onwer or O ers Property ...... .......................................
County Tax ~ap ~o I000, Section ..... .~.~.....Bloc~ ................ Lot ....................
Subdivision .................................... Filed Map ............ Lot ......................
.Permit No...~..~.~..0.?...2~..Date Of Permit .... ~/~.~/.~.~..Applicant .... %~.~.; ..............
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $..,<~,~'~, ..................... ~
APPLIC;~NT
I" 11~?,,,~) I~.~EC']' 1
...........................
FOIIN )A"ION ( IST)' Il
FOUNDATION (2HI))
I'{,~JHi{ l NO
]NS[}I.A'F]ON PEI{ N.
STATE
COl)l{
I
NA[,
Al)l) UI' I {}NA L COHHENTS:
]65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ]ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ~/~NAL
[] FIREPLACE & CHIMNEY
d(_./,/~./~ ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
i0~[071- ' , BUREAU OF ELECTRICITY
~-- 85 JOHN STREET, NEW YORK, NY 100~8
Oat~ ~ DECEMBER 17,1997 ,iPPiic~.io. No.o. Jile 15127097/97 N 440671
THIS CERTIFIES THAT ,
ordy th~ electrical equipment as described b~low and introduced by the applicant ~narflm~ on The abo~e application number in the premises of
RICH~J~L ISRAEL. 1(~O DAWN DRIV~, GR~ENPORT,
u~as examined o. DECEHBER 11,199'7 and found to be in compliance with ~he Nan'onal El~ctt~cal Code.
flXIURE FIXTURES RANGES coOKING DECKS OVENS DIsH WASHERS EXHAUST FANS
TOOL SHED~- 1
PANELBOARDS: 1-5 .CIR. ' 30 ,, ' . ~ ' .'
SOUTHOLD, NY, 11971
This certificate must not be altered in any manner; return to the office of the Board if !ncorrect. ~nspectors may be identified by their credentials,
COPY OF, CERTIFICATE* MUST NOT BE ALTERED IN ANY MANNER.
" '~Y~ 'T~'°~,, J~] TOWNIiALL , ' '
"~/,2~ ~' ~ ~/~ ' "~"~","'-''''"
t.O ¢~ .,, ~ ~~/. ' ,, , ., ,,,,~ ~..' , ,.,.
~,~,~ ,~ ~/,~., I~. ~.,,... ............ ~ ,,,,,,,,,,,,,,,,,,,,,,,,
~,,,,i,,,,,~, ,.~,.,,.,, .................... ,.., -- ,~, , ,. , , ,.,., , ~, , , :.',~
~ ~ .__~ ., .... ,,' · ,-~,,
"""'" .... "'"' .... '"" ...... ' '.
, // " , . ',,.~'" ' '" ~
, ~ ~ ,,~,~,~,?, /~'~",.~..
, ~,.' TI~ nppllc~Joa. ~u~J k~ ~om~l~t~l~ ailed In k~ t~pewdlet ~ In ink ~d ~uk~llied to t1~ ~otldl~l lh~p~to~, tull
c~ofl,': ..... ,, - ~ '~ " '~ ''"' '
~, ~,e ~o*k coveted b~ tld~ ~pplt~llon tony not be com~,n~ed b~ro,~ i~u~nc~ of holldln~ P~J~II,..:,: .,,, .' .... ,...,.
~, ,ppo~ opp~o~ul or Ihli ~pkllcollo~ {h~ Utflldln~ inspector w II s~ued n Utllldl~U Penalt Io the t~pUe~t, Such pemill
shMl~d Eepl oi1 Ihd hlemlse~ .voilnble for htspecJlomi Ihroud~out tile work; . ' . .
~tiJld]~.~ ~oh~ Ordl~flce of the Tow~ ~f SbOthoid, sdrrolk Cotlnty, NeW ~otkj~tll~t.~ll~bl~..~w~t-Ofd~'~ce~ or
Tile dppllcunt u~tee~ tO comply with ull nppllcn~Je Inws. otdl mnces, buildtnu edH4~:l~5[{lfi~ Eadd~ ;~nuld~iOn~+ hnd lo
ad~filt a~thotlze~ ~specto~ oil ptenllse~ and hi btlildin~ for necessary lus~
'P ~
(u~ on the lux loft of I~test deed) ~,.,
If uppllcu~t Is u corpo{0llou~ slgliut~re of dilly uolhofizcd officer.
(Name ~nd lille of corporate officeO
JlUlldet's License No, ,,, ....... , ...............
PlUniber's License No..,.,,, ..................
Location of land ou which PtOlmsed work will be done:
3, Ndlllre t~l'wbfk (cheeJ~ ~,¥blcji app cable) New Uuitd fig ,,,, ,,,,,, Adddton ,,, ~ ~ ~ ~ ~ ' ' ~lbtaiJofl
~t',,~,~,~,,,,~, R~i~o~dJ ,~.,.,,,,,.,,~ Dei.olj(Io. ,,,,,,,,~,,~,~m~,~ pooL,
4. t~stlmatedcost,,,,,,i,,,,,,,,i,,...,,,,,,,,,,.~,,~,.,
7. bluteJlstoUs ofe~Is(I,~ it~clfltes, tf dUy:
Diltteflslo~s oF sa,lc st~cl~te wlthidltetnllo,s
8. bh,e,slonso[entlreOewconst~c~lo.:Front..,'~....
I I.~otte oe ~se district I~ wblcll ptet, lses ate ~ltd,ted
12. Doe~ptoposed~o~str~ctloltHol~td~uyzo~ng ~w~o~dllnl~ceOtteBdl~tot~
13. Will lot be tegt~ded ,,. ,., ,' ..... . ..... Wtll excess ~11 be
1,1, N~tt~b Drew,et or premises ~.l~. ~,~-.~.,., Atldtoss
Nm,eorcohtt, ctor .,,,,,,,,,,l,.,,,,:.,,,.,,,Address ..,,.,,,.,,,,,,,
Lee~l~ cle~tl~ ~d dt~lhletly
765 1802 9 AM TO 4
~ FORI~E
FOLLO~NG IN~E~ONS:
1. F~NOATION - ~0 REQUIRED
FOR POURED CONCR~E
2. ROUGH - F~MING & PLUMBING
3. INSU~TION I
4~ FINAL CONSTRU~ON MUST
BE COMPL~E FOR C.O.
ALL CONSTRUCTION SHA~ ME~
THE REQUIREMENTS OF ~E N.~
STATE CONSTRU~ION & ENEqGY
CODES. NOT RES~NS~BLE :OR
DESIGN OR CONSTRUCTION ERR{ IR~
OCCUPANCY OR. '
USE IS UNLAWFUL
g]THOUT CERTIFICATE
OF OCCUPANCY
sl'A~rn oF Nr:~ ¥OR~t
. . (Nahm or httllvldtlal slgnl,~colttract) : , , r ; '' rl
Sworn to before tlte ibis '
I!c~t)
SUSANN~ J. ~RRICON~
~OTARY PUBLIC, State of Now Yo~
Qualified In Suffolk County
Commission Expl~e~ Jan. 20,
'Og9P 'ON 3-114
· MN3-10 ~Hl 40
IN31Nr~NOfl,= · 'l
;S310N ' -
~ c~q..¥~ 0-%
t