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Home My WebLink About26760-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29366 Date: 04/17/03 THIS CERTIFIES that the building ALTER3~TION Location of Property: 655 EAGLE NEST CT LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 9 Lot 7 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 2000 pursuant to which Building Permit No. 26760 Z dated SEPTEMBER 8, 2000 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 GAS HEATING SYSTEM AS APPLIED FOR. The certificate is issued to THOMAS & MAUREEN NOVAK (OWNER) of the aforesaid building. SUFFOLK COUNTYDHPARTME~TOFHEALTHAPPROVAL N/A ELECTRICAL CERTIFICATE NO. H 070166 12/13/00 PLUMBERS CERTIFICATION DA'£~D N/A Rev. 1/81 /~ze~ ~gnature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 26760 Z Date SEPTEMBER 8~ 2000 Permission for : is hereby granted to: THOMAS & MAUREEN NOVAK 655 EAGLE NEST CT LAUREL~NY 11948 CONVERSION OF AN OIL TO GAS HEATING SYSTEM AS APPLIED FOR. at premlses located at 655 County Tax Map No. 473889 Section 127 pursuant to application dated AUGUST Building Inspector. EAGLE NEST CT LAUREL Block 0009 Lot No. 007 11~ 2000 and approved by the Fee $ 75.00 Authorized~gnature COPY Rev. 2/19/98 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 Departmen~[1Lthe foll~owin~: A. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 0 ~7/~L0/''-O ~ New Construction: Old or Pre-existing Building: Y (check one) LocationofProperty: ~'~- ~tS[~_~' COW're /~,t-~ i~,~, //7~'~f House No. Street / Hamlet Owner or Owners ofmroperty: ~OBA~ ~ /J/~tq2t"~_~ ~)O~)~ Suffolk County Tax Map No 1000~,, Section / ~ 7 Subdivision Permit No. e~ ~ 7 b O-2- Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Block 0 ~ Filed Map. Applicant: Underwriters Approval: Final Certificate: L~(check one) Fee Submitted: $ Lot 07 Lot: Applicant SignatUre 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ I FRAMING [ I FINAL []FIREPLACE & CHIMNEY ...... ,,¢~' ( 7GS-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGHPLBG, [ ] FOUNDATION 2ND [ ]~,A'I~i~)N [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR / / ADDITIONAL COMMENTS: 6- 0 FOEH NO. TO~N OF SOOTHOLD BUILDING DEPARTHENT TO~ HALL SOUTitOLD ) N.Y~ TEL: 765-1802 .... .- - Disapproved afc .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... DEC ........................... TRUSTEES ...................... NOTIFY: CALL ...~. ~..-~...-'. Y/.~u/ MAIl. TO: .................... ~.. ~ (Building InspeCt) APPLICATION FOR BUILDING PERIqlT INSTRUCTIONS Dare ................ ,20 .... a. 'ibis application ntmt be crmpletely filled in by typewriter or in ink and sul~aitted to the Building Inspector w 3 sets of plato, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing looatlo~ of lot amd of b~ildlngs on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descripti°n of layout of prol~erty rmst be drawn on the diagram whict~ is part of this appl ic~t ion. c. 'lhe wonk covered by this application may not be coramenced before issuance of B~ilding Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. SucJ~ permit shall be lmpt on the premises available for inspection throughout the ~ork. e. No building shall be occupied or used in whole or in part for any purpose whatever tmtil a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICIq IS l~t~l~Y ~ to the Building Department for the issuance of a ~ing Permit purb~uant to the lluilding Zoee Ordinance of the Tc~n of S~athold, Suffolk County, New York, and ot~er qpplicable Laws, Ordinances nr Regulations, for the construction of buildings, ~klitions or alteratioasz~'~ for kemo~al or demolition, as herein described, lhe applicant agrees to eoraply with all applicable laws, or~nan~4~ui¢i~g~le, hc~sing code, and (Mailing address of applicant) State ~he~l~er applicant is cweer, lessee, agent, architect, engineer, geeeral contractor, electrici~r)or bui]de ..f.l~r....:..i ............................................................................... ~ ......... .... ................................................................ If a i ~or~tion, sill~ature of, duly autburlzed officer. . curl)orate officer) Builders I.icease No .......................... Pl~nber$ Licemse No .... ~q.5~ .':..~....5.,C.. O~r ~'s Li~n~ ~ ..................... 1. ~ti~ of 1~ m ~i~ ~ ~ will ~ ~ .............................................................. s 0.q/ Laucc.l ...... .... "~ ~ ...... s~ .............. ~t ..................... ~, t~mp m. ,~ ~/J.Z,.O.~ ....~ .~f..~.~. .... w~ .~.~.7.~.~. ~ivisim ...................................... Fil~ ~p ~ ................ I~t ............... (~) 2. State ~sti~ ~ ~ ~ of prmi~s ~ inteM~ ~ ~ ~ of pro~ c~stmction: a. Msti~ m ~ ~my .............................................. f. ............................. ~. ~ ~ ~ ~ .... ~.i.z ...... ~...,.~.~ ..... .C.~.~.v*.~,.,,:, ................. ,' (to ~ ~id ~ filing this a~lication) If a~lli~, a~i~r of ~lli~ traits ............ t~r of ¢~lling onits ~ ead~ ~r ................ I~ garage, ~t~r of cars ...................................... lg I~i~ss, ~rclal or ~ ~, s~ci~ ~ture ~ ~tenC of ead~ ~ of ~ ...................... I)i~nsi~s of ~isting strictures, if a~: ~t ................ ~ar ............... ~pCh ................. l~i~l~ ......................... ~r o~ Stories ...................... Di~nsi~ o~ ~ st~re ~th alterati~s or ~itions: ~on~ ............... ~ar ............... ~pth .................... tbi~t .................... a~t~r of Stories ............... Di.ensions of entire ~ ~stxti~: l~t ................ ~ar ............... ~p~ .............. lbi~t ......................... ~r of Stories ..................... Si~ of lo~: ~t .................... ~ar .................... ~pU~ .................... t. ~ke off ~lrd~a~ ..................... ~ off Four ~r ........................................ 7~ or u~ district in ~id~ pr~i~s am si~t~ .............................................................. ~s pro~] ~t~ti~ violate any ~ing 1~, o~i~e or re.latin: ........................ Will lot ~ r~ .................... Will ~ess fill ~ &---.~ ~- /~- ~ ~....e~' .. ls Otis p~rt~Udn ~ f~t o[a ti~l~rl~7 ~ ~ .......... ~ ...~... PLOT DIAGRAM I~cate clearly and distinctly all lyaildings, ~heClmr existing or proposed, and indicate all set-hack dimensions property lines. Give street and block n~nber or description according to deed, and shc~ street nares ar~l indicate ~tl~er interior or corner lot. F E: NOTIFY BUILb, 765-1802 9 FOLLOWING INLi 1- FOUNDATION THE 2 EQ.U! FD FOR POURED CO~ 2, ROUGH - FRAMiL. ,.,: PLUM57~G 3, INSULATION 4, FINAL - CONSTR~)CTION MUG','! BE COMPLETE FO;' (' O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y, STATE CONSTRUCTION it ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS A. i1r, (~r l~l~ I Ilq'lY OF ....................... UNDERWRITERS CERTIFICATE REQUIRED ,JUl OCCUPANCY PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. ........................................................ beir~ duly s~n), deposes and .says that he is the applicant C~ne of ii~ividual signing contract) is Ute ................................................................................................... (Ccmtrsctor, agent, corForate officer, etc.) said c~er or c~ners, and is duly ~Choriz~ to ~rfom or h~ [~r[o~ tie ~id ~ m~ to m~ a~ file this ~)licati~,; Chat ail star,rants c~tai~ in tills aH)lication are the to fl~e I~st of his ~l~ a~d ~lief; a~ ak [he ~rk will Im ~rFon~l Jn the mm~r ~t forU] in O~e a~ticatlm fil~ tle~O~.