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Home My WebLink About24452-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26273 Date: 09/22/97 THIS CERTIFIES that the building ADDITIONS Location of Property: 48920 MAIN RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 7 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 1997 pursuant to which Building Permit No. 24452-Z dated OCTOBER 30, 1997 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 FOUNDATION UNDER EXISTING ONE FAMILY DWELLING & TWO NEW CHIMNEYS AS APPLIED FOR. The certificate is issued to SHIRLEY G DARLING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-062824 01/14/99 PLUMBERS CERTIFICATION DATED N/A Building In--"- 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......OCTOBER.......30.......................... 19...97... 24452 Permission is hereby granted to: SHIRLEY G DARLING . ........I................. ................................................... .........PO BOX 1639.............................I........................ SOUTHOLD,NY 11971 ................................................................................. to CONSTRUCT A FOUNDATION UNDER AN EXISTING SINGLE, FI. W1.... �. AND ALSOCONSTRUCT TWO NEW CHIMNEYS AS APPLIED FOR ..............................I......... ..........•.............................• ...........................................•............................... ...................................................................................................................................................... ..................................................................................................................................................... ....................................................... .................................................................................................... at premises located at...............48920 MAIN UTHLD .........................R.D................................................SO..........O............... .............................................................................................................................................................. County Tax Map No. .... 473889.... Section ....070........... Block ....,,0007....... Lot No. „009.............. Pursuant to application dated ...,.SEPTEMBER 22 .......... 19....... and approved by the Building Inspector. Fee$.......150.00... .....4)/u ..... ................ . ............ g Inspector Rev. 6/30/80 TOWN OF SOUTHOLD ,rte 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. Fess 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 Buildine - $100.00 3. Copy of Certificate of Occupancy 4. Updated Certificate of Occupancy - .$50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . :22..('H!�T.. . .. . . . . . . . . . . . . . . .v Construction... ... Old Or Pre-existing Building... . .. . .. .... . .. . kation of Property.. .'.V9 2 .. ff)- ic> . pap ... . . .. ... . . ... . . . .. . . . . . . . . . House No. Street Hamlet Lver or Owners of Property.: s: . :l. ,,Dt :�:�c.C�:'::-. .. .. . . . . . . .. . . . . . . ... . . . . . . . ntnty Tax Map No 1000, Section. . /C=)'7 O .. ..Block. .. .Iff.. . . .. ... .Lot. .( . ... . . . . . . . . . . . . . . . ibdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..f. . . .Filed Map. . . . . . . . . . . . ,Lot. . . . . . . . . . . . . . . . . . . . . . trmit No. '�S.?-::. . . .Date Of Permit-.�QbL 9.7 . . .App11cant: Tt� �1/.��.��.; • - salth Dept. Approval. . . . . . . .. . .. . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . _arming Board Approval.. . . . . . . . . . . . . . . . . . . . . . . :quest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . CVO -e Submitted: $. . :' ��. . . . . . . .. . . . . . . .. . . . . . . . ..... �. ... . +.. . r._s . . . . . . . . . . . . . . . Q .55-7 APPLICANT Co 7�T 07 as TEL. 765-1802 TOWN OF SOUTHOLD y�c OFFICE OF BUILDING INSPECTOR I W z P.O. BOX 728 Q cj; TOWN HALL SOUTHOLD,N.Y. 11971 5 A 1 2 M TO C E R T I F I C A T I O N Date Building Permit No. 7 Z. Owner ,5� i r 1 1 J-lii h (please pr-int) Plumber Il ' 7a- Co 6 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plum r' signature) Sworn to before me this ' 124—day of- 19 f-19 m, Notary Publi Notary Public, �1�=, County Now v4Wk IIOdEIlT 1.�JR. Na 0IW472 I"ftka Mayst. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8074079 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW 1 K,•NIY X10038 , t" JANUARY 14,1999 Application No. on fie 17509099/99 H 062824 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of SHIRLEY G. DARLING, 48920 MAIN ROAD, SOUTHOLD, NY in the following location; ❑ Basement 0 lst Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JANUARY 08,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT OTHER AMT. K.W. I AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.of S E R V I C E - METER NO OF CC GOND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE E61UIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W - pER 0 OF CC. G. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: INSTALL NEW GROUNDING ELECT ROD-1 CONDUCTORS-1 SHIRLEY G. DARLING P. 0. BOX 1639 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 f` 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. 2 T65.180Z BUILDING DEPT. INSPECTION [ F UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION l FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR (S• DATE �/ � � /7-INSPECTOR�� 765-1802 BUILDING DEPT. INSPECTION vj/ [ F UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE A CHIMNEY REMARKS: '` s" DATE -) `J INSPECTOR ! - "` Buu.uiNa DE". INSPECTION [ j FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO _ lG� 1 INS :illr; E (I COMMENTS H FOUNDATION ( 1st ) �- oll V. FOUNDATION) ( 2nd ) I v 2 . z 0 ROUGH FRAME & PLUMBING H 3 . 7ym r� IIISULATIOPi PER N . Y. - H STATE ENERGY CODE x c� 4 . -e a FI14AL ADDITIONAL COMMENTS : x c� X O^o rriH 2 `V a r r 041 Y BOARD OF HEALTH . . . . . . . . . . . . . . . m - DORM NO. 1 3 SiTS OF PLANS . . . : . . . . . . . . . . . W , TOWN OF SUU'f1IOi,U SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DL(PAR'I'Mi3NT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . (: r� TOWN 11AIA. su'1'IC FORM . . . . i . . . . . . . . . . . . . . �,L, 50117'1101.1), N.Y. 11971 vvvvvv� TEL: 765-1802 NOTIFY cnl.l. ?x.rniixd./.4.7��!✓��zz��... t9: �^ MAI 1. TO: . . . . . . . . . . . . . . . . . . . . Alnprov(xl. 19p I'enniC No. J .................................... DisapprovedOr.'................................... � ............................... ..... � t 1..6 t,.zt.. ..............1.�_�A�.�........ ' . `'..'t. •� �t. y!--`" �( .fir. ' ( � (Ikn r 'ng nslveu�Cdr •sir APPLICATION, BQR ,8111iirDING PERMI'i' �•t. ��. •INSTRUCTIONS + + a. 'Ibis application mnsth; cat{nletely filled in by typewriter or in invk and sulinitted to the Ik►ilding inspector wit 3 sets of plans, accurate plot plan to scale. Fee accorditng to scl►e(lule. i r j b. Plot plan showing location of lot and of lxnildings on premises, relationship'tO adjoining premises or lxrhlic streets or areas, and giving a detailed description of layout of property mist he drawn on the diagram wl►ich is part of thin application-. C. 'Ibe work covered by this al)plication may not be cinrrenced before issuance of iknilding Permit-. U%;— : d. lllnan approval of this application, the iknilding Inspector will issue a Building Permit to the applicant. Such permit sl►all be kept on Lire premises available for inspection througf►out the work. e. a) Ixrildirrg shall he occurp+ied or used in whole or in part for any ptn-prmse whatever until a Certificate of t k'cuixnx:y ;l►all. 1►ave lxren granted by the Ikrildhq, inspector. APPl.1CAT1(N is 1>CRm 1W.E to the iknilding Deparhvent for the issuance of a Ikrilding Pennit pursuant to Ole Ikrilding Zone Ordinance of Line 7bwn of S(x►thold, Suffolk Co u►ty, New York, and other applicable I aws, Ordinances or RegulaLions, for the construction of ixrildings, arklitions or alterations, or for removal or demolition, as 1►erein (described. 'Hw applicant agrees to comply with all- applicable laws, ordinances, building code, housing code, and regunlations, and to admit authorized inspectors on premises and in Wilding for necessary' inspect ions:. .... _,::.S�......................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) Stale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Wilder W.^! ........................................................................................................ Nave of owner of premises .....01: � .G...1>�VkW>............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of (hely auLtiorized officer. ......................................................... Mviie and title of corporate officer) ikni (lers License No. .......... ...... 111tnbers License No. .�7. .1 T................ Electricians license No. ..................... Other Trade's License No. .................... I. iocation of land on which proposed work will be done...................................... . ...................... ..4$°20........NLN.. Q....:.... • Q ........................................... Ikxt:;e Rnber Street llanlet Uxnty Tax Mop Na. KXX) Section ...... .... itIock .............. tent ....(.a........... Sulxlivision ...................................... Filed Kip No. ............... Lot ............... (Name) r 2. State existing use and occul-oncy.of presnissees..and ii+ntteended use aril occupancy of proposed constrution: sting, use aril occ•ugknncy a. rxi ..V ILA N !4r:.................................................... 1). intended use and occupancy ... i r`�Vt.................. . ................................. tO "s!3OL 0 ....... ...,., ,r3.So;t,3r�.'••.':�t 4`t::'+:1��,��:aiY. .. 'I. Mamie of mJUt (dteck ultidi'alx)Ucablo): I towimildirrj; '........:: AcklitIon ~ • .�1 lei ler(it�on:'.� �3... It(!lxt i r ......_..... RMoval ............. ikmul it ion ............ Other ilork p t(3 ` ::..?.................. (Desc ,'ion) 1. 4. lis�iurtled Cost' Q,�t�O......... fee ..........................?. 1t .............. ((o be tumid on filing this.10PUGat'ion)•-; � , Rf'• 5. If (krel 1 ing, titniter of ckoell ing units A........ timber of (Anel I ing molts ext a d;�fY its.".` ..:•.:.rt, .. 1fi;nrnge, cxriber of c.Ars ...................................... 6. If ixmioess; cctlntercinl or mini occul)artcy, slteciry 11.11AIM atwl extent of ench lylie of use......... 7. Ilintensilxis of existing stntcturea, if arty: nrxi.... � v � t .... .... Rear .., !.... eptY ......... IIk!il�tt. ...... ............... Molter of Stories ...... I......... t „ r Ala �LLiQ� �/ i)imeosions ofrsatte atmetmrre with alter5atiotms or acklitions: Front ...4e.t.��... Rear .... ..t:...... Ik�ltl It ..! ............. lleipltl: ....J�....... ..., MiAter of Storienns EE... ........... _ (1. Dfnensiolis of entire new corrstntcti(x►: trout ..!".!.� ..... Rear ..Ae.a. `!~.. ik'pUr ... 0..... Ileillit ......................... Mailer of Stories .. ....2..�...�.......... 9. Size of lot: Frrxit ./..l .t 77cj -'s........ ttear ...M,..I!. i ll.. Depth ..... ........ 10: Mile of litrdinne ��j.!0/:1,t...... Milne of Former (leaner __ !:,lA!.bA<� .1 V t.............. 11. -7otte or use district in wltidi preinises are shmatecl )__N .a............. ... 12. ik s,proposed..ccx►stntrl ion``//vctiolate,ammy.zoning .law, ordinance or regulation: .....! '.............. 17. Will lot be regraclecl ... ............ Will excess f i 1 l he renrnred from premises: � NO m. Names of owier of premises•-Y.41 ! �1N 1 17d. nKmie N:.ite of Ardtitect .................................... A(kiress .............................. 11 tone No. ...........p.. Mane of C xitrnctor ....... Ikklress ...............................i'lione 15. Is this property within 300 feet of a ticlnt wetlarxl? * MS .......... NO ... *1t. YIS, S(Il111X11D 'ium miSirms flume MAY im iII;(rt1R17). I'LOT DIAGRAM Lmate clearly atd distinctly all buildings, whether existing or proposed, noel imliente all set-track dimensions from properly lines. Give street nixl block rxnber or descripti(xi according to Gleed, and rJxw street runes aixl imlicale iAwlber interior or eorrx!r lot. 51'A'll�. U' M1J Y(AtK, ........... ...... G .Ix!itt•, duly rwrrnR (rfcnes nix) nays lhnthe is tl►e a t it i(•:nN: . � (M:mtt or itxlividital. riilnitig co4ra(:t) alxme lunrxl, Ill! r!r Ille ....................�5!`� ../ . R:��.t/�.1�� :i ....... 1.tz�_sf. •.t� 1.� .......r.:'r �! (('cxtt:ractor, al;ent, rortinrale'i f rlrh{ , etc) • •t of said (mx--r or cmx±rs, arwl is drily mithorized to j fonn or line lx-Rtrofup4 the said work atxl to nuke nixl file this nIjA icaticm; that. till in t.lri.s aitpl icaticx► are tam a o-lite best of his ktxiwledge nixl lx±Lief; atxl Ihat. Ilid'u-Ork will fie perrcintied in die im"'nnw-r ret rorllt in the nlipl.icnti(x► filed therewith. Ska(irn to f►efore tie this .. 19. . � _ �[/ � ...y, sir 1•.y( �;(,. w�.+ Notary lid is ��/f!` �Y.:... _�, • ( r putuire of Altipli(aiiO COML O N Yatk ,w _ M f11114.bw>N ` Sr✓ ilk Ca.Tcr x MceI7 0.385 rratiarr U - - - `,/� a$�� rGisf lOCX), 5sbaf O?U,Block-7 19 rt$ • ! f t^ + -S,50 le }. _w 40 �`-<�g'' � \ _ q =mer•TutrTerT-f-. � Q i opal,. it-on'Pites 4 � r ol "�A _. 3 �/4�rr ► `� �/. � ,3 7y#r 4NAUT r.Iun AETEaATION OQ At CITIOrr I 10 Tfl'S.) army IS A YI -LAM N CF SECTIGN 7'C7 Ci I D,Y/ 1rE.K`rTATf € ' 'ECU^ATIGN En\J ��xyrrxrr{ 6iol '{bl� COfKo C,+ ..T ZEAnING Amer '. �Y �J 4 T r�,,d �i✓ ,?.�t ; �TI{E E !)1' .-. .� -,i.. ( ._h:tR :a��rt '=+`�:-1�. '+TT+`��(�. Jr'•C�r7�@�..4�TsrK! s4 EMIC:!:A To E.A v. .., .. 19 79 ; GUARAr.TE ,t At- SUtI /1. s+ c:. .�... 7ZJ�'r:,P.C. ONLY 10 T.. ,, •, .. ' �. IS T'.C:A:1:i ♦J•7 i r�+s • / . .-.f � - r,.......�+ ... _ � �( lITU CC7+:l31777 "s 3SY/d0 l vn t v z a TO Irm 1=..,—T x:3:71 k.ir�G 4 S71' ��/ / �� J �'. ae'e_� ,g�.,�- �E•?;, }. , � r- TU7.i01�CtJr►'R�A'�"P£FS A:E i4011:&Mt X.�..l C:.PI1.S.exJ`6,.4�t1G k� - -.. QR� w b Y. �.:.. -..: -� a ,,t t� 7W may: �¢.'- �.l -.,,t�••'-i•.kt" �'�"` -�` i„y.. .. - _ '1rt+��...a<.�-.si�7'�e�' a.. ` e..,.a+.a6�+.ia'a.,�,...��=ia..,...u+.�e'.4A:5.rr.:.a� a a.«•..�.a., .,�.. .. r 1 IIS L �7CI�- If�C� 13UILDIfJ� �J/ N'r�111 �NDA�'"IG1J C-yCISTINC� �IJII.DINi� W/faCls`frJ��oUN�.TIG'� UNDERWRITERS CERTIFICATE REQUIRED OCCUPAftivY OR USE IS UNLAWFUL - - ----- WITHOUT CERTIFICATL I � j " ' - � OF OCCUPANCY j�,7 /�� !�n z I TGtf �c i 1r kSrii_,"� 'S'-'jJ K:TJIv -t -�ei'1-`F}'" I j "t[7 591,91-1 N V UV,d p!�+ I � ;a° .° �!n6 APPROVED AS NOTED L01yZR B. x t -- � � ti' Yv ?�"�I�� ,�,J plrK DATE:ori i I FEE: /SO' BY:: NOTIFY BUILDING DE R -(y?. I. YV OF"' 7j5 L- 1 765-1602 9 AM TO 4 PM I FOLLOWINGINSPEC70M f01111i 1 FOUNDATION - 7YF0 REOiINIO FOR POURED M a w11OTOUJ 00V414,1 GUP s. ROUGH � � 3. INSULATION.j ( 4. FINAL - CONSTRUCTION MUST ek NFvq FOUND, Vi/1/2 A,R,, U'06, COMP ALLECONSTHUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION S ENERGY r 4v I� CODES. NOT RESPONSIBLE FOR„ ,� c DESIGN OR CONSTRUCT w r P,�,Oa. ' I e� N j cpN r ac"z� .T� rzadsF 4�, �a F-U7'R' FOUND Wau- Foc-n1Nc� IN Q *M .��, � �' I I I .�� , ---_ C7�1`ST I� �:L_"y' � i�.L,l-+�•� ,'��p � 7 , , �. AND � ...__ ” POUFS Gr�JC.RBT� I , 4`1 T �1 C)NrkotJ NA11, j 1 e � � Renovation — - — — - - t2 W .th'vTGtzry« PJo To the DARLING RESIDENCE r f Southold, New York r NEW I'-4" N- '-4 "ud C-441 M iE v-W IN — P�1AD�n1EuJ M�vT RS A M ' U" E L i S . & s S T , E E L M A N (51 C6 �i-i+h, Ivolptluns � � � R377b M81N IIf1Ap, w�4ir fir, �,N6W s tl 734swv ' 'SIOOKOP-0FTIN4FOIIM NO.IOHP i i �-1 - - - -