The URL can be used to link to this page

Home My WebLink About26051-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28920 Date: 10/08/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 350 GROVE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 80 Block 4 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 1998 pursuant to which Building Permit No. 26051-Z dated OCTOBER 20, 1999 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 TWO CAR GARAGE WITH STORAGE (NON-HABITABLE) AS APPLIED FOR. The certificate is issued to JOHN M & LAURA HELF (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOFHEALTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u Rev. 1/81 N/A 1077728 09/11/02 7~ N/A orl ze 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) PERMIT NO. 26051 Z Date OCTOBER 20~ 1999 Permission is hereby granted to: JOHN M & LAURA HELF 875 HENRY'S LANE PECONIC~NY 11958 for : CONSTRUCT AN ACCESSORY GARAGE WITH STORAGE (NON-HABITABLE) IN THE REQUIRED REAR YARD AS APPLIED FOR. at premises located at 350 County Tax Map No. 473889 Section 080 pursuant to application dated SEPTEMBER Building Inspector. GROVE DR SOUTHOLD Block 0004 Lot No. 021 3 98 and approved by the Fee $ 247.00 Authoriz~ignature Rev. 2/19/98 COPY Form No. 6 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 Department with the following: For new building or new use: 1. Final survey of property with accurate locanon 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. Approx/al 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 stuwey 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. New Construction: Location of Property: 1. Certificate of Oecupancy- ~ew dwelling $25.00, Additio~ to dwelling $~$.00, ~terations 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. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~////~ 2..~ Old or Pre-existing Building: (check one) Hamlet Underwriters Approval: Request for: Temporary Certificate Feb Submitted: ,3-5 q Final Certificate: J (check one) PermitNo. ag,~OSri 7~ Health Dept. Approval: Planning Board Approval: .6 0 House No. Street Owner or Owners of Property: ~./O//sJ ~ t Suffolk County Tax Map No 1000, Section '~7 ~ $~cO~nlock OOa~ Lot Subdivision Filed Map. Lot: BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU Of ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by ~__ JOHN HELF JOHN HELf ~ 875 HENRY'S LANE 350 GROVE DR ~ PECONIC,NY 11958 SOUTHOLD, NY 11971'=~ Located at 350 GROVE DR SOUTHOLD, NY 11971 p~ Application Number: 1077728 Certificate Number: 1077728 Section: Block: Lot: Building Permit:26051 BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Detached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the ! 1th Day of September, 2002. Name QTY Rathe Rating Circuit Type Amount Additional Charges FINALED ON 9/11/02 $0.00 BY INSPECT R. RICHERT $0.00 Panels 1 100 6 $6.00 Wiring and Devices Outlet 5 Fixtm e $ 1.25 Receptacle 24 General Purpose $6.00 Switch 7 General Purpose $1.75 Fixture 5 Incandescent $1.0( Receptacle 3 GFCI $3.0( Invoice Total $50.~ of 1 ~ This certificate may not be altered in any way and is validated onlylby the presence of a raised seal at the location indicated. · 765-1802 BUILDING DEPT. / NSPECTION [~?_FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & REMARKS: INSPECT~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~ATION [ ] FRAMING ~.~,I~iNAL [ ] FIREPLACE & CHIMNEY REM DATE INSPE II ~P~ .... ~!~2 .....~ ................................................................ FRAME & PLUMBING ;ULATION PER lq. Y. STATE ENERGY CODE FINAL II II II II II .ff II II ff II II 1'l- It II ff II It Ii ii "'-- II II #. II II II I! II II II II 11 II II II I1 11 II II ADDITIONAL COlqI4ENTS: FO~f NO. I TO~/N OF SOUTHOLD BUILDING DEPARTH~NT TOtal IL~T.T. SOUTHOLD, I~.Y. 1197! TEL: 765-1802 R,,~ ned ................. , 19 .... ........ , Oisal~oved a/c .................................. [~l_r)G. DEPT, INSTRUCTIONS 3 SETS OF PLANS ............... NOTIFY: HAIL TO: .................... a. This ~plic~ticm ,~,~t be ~letely filled in by t-ype~iter or in i~ ~ a~itt~ to ~ ~ildi~ I~tor ~ 3 ~ts of pl~, m~ plot plm W ~a!e. F~ ~i~ to ~le. b. Plot plm ~ l~ti~ of lot ~ of ~ildi~ m ~i~s, ~lati~ip to ~joini~ prm!~s or ~lic struts or ~, ~ gi~ a ~il~ ~i~ of l~t of ~ mint ~ ~ m ~ diem ~i~ is ~rt of ais ~li~tim. c. ~ ~ ~ ~ ~is a~li~ti~ ~ ~ ~ ~ ~fo~ i~ of ~ildi~ ~t. d. ~ ~ of ~ia awli~i~, ~ ~i1~ ~tor ~11 i~ a ~ldi~ ~t to ~ ~li~t. ~t ~11 ~ ~ ~ ~ ~,l~s ~il~le ~r i~i~ ~ ~ ~. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~r~ifica~e of ~ ~11 ~ ~ ~ ~ ~ ~ldi~ ~tor. ~I~ IS ~ ~ w t~ ~ildi~ ~..~ for ~ i~ of a ~ildi~ ~t ~,r~t Co t~ ~,ildi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~licable ~, ~i~s'or ~ati~, for ~ ~ti~ of ~ildi~, ~i~i~ or alte~ci~, or for ~ or ~liti~, ~ ~in &~ri~. ~ ~lie~t ~ m ~ly ~ ~1 ~li~le 1~, o~i~s, ~ildi~ ~, ~i~ ~, ~ ~lati~, ~ m ~it ~ri~ i~tors m ~s ~ in ~i1~ fpr ~/i~ti~. . ........................ ~ili~ ~ma of ~li~t) //~ ~r ~lie~ i~ le~, ~t, ~i~t, e~i~r, ~ ~t~tor, el~:rici~, pl,~r or ~il~ If ~li~t is a ~ra~, si~ of ~y m~rie~ offi~r. (Nme and title of corporate officer) Other Trarl~'s I./cemle I. Iocatim of 1~ m ~i~ ~ ~ dll ~ ~ .............................................................. ~ ~r S~t ~let (~) .... ~. ~ ~ ~ ~.~ .... ~~.C. .................................................... b. ~ ,~ ~ ~ ....... ~.~.~.~~~ ...................................... 3. Nature of ~ork (check ~d,ict~ applicable): Ne~ Building .......... t~iditio~ .......... ~terati~ .......... ~ir ............ ~,<~l ............. ~liti~ ............ O~r (~ripti~) 4. ~i~t~ ~st ......................... f~ .............................................. (to ~ ~id ~ fili~ this a~,li~ti~) 5. If ~lli~, ~r of ~lli~ ~its ............ ~r of ~lling ~its ~ e~ fl~r ................ If ~, ~r of ~rs ...~.~.~~.< ................ 6. If ~imss, ~emial or ~ ~, ~i~ ~e ~ ~tent of ea~ ~ of ~ ...................... 1. 9i~si~s of ~sti~ st=~s, if ~: ~t ................ ~ .............. ,. ~pfl~ .~..,:}..~.~..(~. l~i~t ......................... ~r of Stories ...................... D~i~ of ~ st~ ~th alterati~ or ~iti~s: ~ia, t ............... ~ar ............. ~pth .................... 8. Di~nsi~ of enri~ ~ ~sr~ti~: ~, ..~f ......... ~ar .~. f. ....... ~p~ . ~ ......... ~i~t LZ f~.~~~r of Stories ...~ .............. 9.si~ of ~o,: ~ ..... ~Z / ........ ~ ... Z ~.~ ......... ~pth . ~4.~~. ~0. ~,, o~ ~,~ ..~ ........ ~ ....... ~ of Your ~ ..~Z~..ff:..~.~.~ ....... II. ~ or ~ district in ~i~ p~ai~s 12. ~s ~o~ ~t~ti~ violate ~ ~i~ l~, o~i~e ~ ~l~ti~: . ~ ................... .......................... ~-~ .......... ~. ~g~: ~'~'~ ~ of ~it~t .................................... ~mss .............................. ~ ~ ............. ~ of ~tr~tor . .~~ ...................... ~ress ............................... ~ ~ ............. 15.Is this pt~ ~in PLOT DIAGRAH kocate clearly and distinctly all buildings, st~ether existing or in-oposed, and indicate all set-back dhrensir~s fst, u pl'operty lines. Give street a~l block nt~ber or descriptiou according to deed, and sho~ street nares and indicate ~ahether interior or corner lot. ~FKIE OF I~ ................ · .......................... being duly ~rn, d~po*es and ~s ~t ~ is O~ a~li~t (~ of i~ivi~ si~ing ~tract) lb is the .... ~y.~. ......................................................................................... (~tractor, ~nt, ~q~rate officer, etc.) of ~id ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfom or ~ ~rfo~ ~m ~id ~ mfl to ~ ~ ~ite this a~licaki~; ~at alt stat~ients c~tai~ in ~is a~licati~ a~ t~ to ~ ~st of his ~1~ aM ~tief~ ~ that ~ ~ wilt ~ ~rfo,,,~ in tl~ ~r ~t forth in ~e a~li~ti~ fil~ ~. ,9~m to before ma this ...... .a. .......... of . ~ ~. MIOI)LETOtl ..o.o.~ Mie~4_ i ~o. Surfak LOCATED AT LOT5 /~ ~ ~/~ SCALE 1" ~ ~ SUFFOLK C0. TAX ~AP DIST./~ , SEC. B~. ~, ~ LOT . Tow~ oF ~o4-'7-,'"-v4::) , SUFFOLK COUNTY N.Y. TO IUiLATWE BOUND~Y UNES, ON SUaVe, A~ FOR A Sp~CIRC L~ ONLY, SHOULO NO~ B~ USB3 FO~' CONSlltUCI~N O~ Fr. NCI5