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HomeMy WebLinkAbout17021-zNo Z-17979 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southo~d, N.Y. CERTIFICATE OF OCCUPANCY Date APRIL 28, 1989 THIS CERTIFIES that the building Location of Property 3325 YOUNGS AVE. House No. County Tax Map No. 1000 Section 055 Subdivision ADDITION SOUTHOLD~ NEW YORK Street Hamlet Block 05 Lot 2.3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated M~Y 6, 1988 pursuant to which Building Permit No. 17021-Z dated MAY 20, 1988 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 TO EXISTING ONE F~ILY DWELLING AS APPLIED FOR The certificate is issued to GARY & JOAN REMPE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-065422 - APRIL 7, 1989 PLUMBERS CERTIFICATION DATED APR. 24,1989-K&K PLUMBING & HEATING Rev. 1/81 · OR~ NO. 2 TOWN OF $OUTHOLD 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~ 01702! Z Permission is hereby granted to: ...~.~.~...~" ~.:~.: ...... J..L~.~..s.'. ......... ~.....~z~....~.......~.....~: ..... .: ........ ~.: .......... ~. .......... ~....~...~. .................... at premises located at ...~.~....~.......~.~.....~.: ......... ~-..~L~ .................. x..~..~...~.~~e....: ........................................................................................ County Tax Map No. 10(70 Section .... .(~..~,..~., ....... Block ..... .(~.~,. ....... Lot No....c~*.~ ........... pursuant to application dated ...... .....~.....~.....~.. ......................... 19.~..~...., and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 ~,1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. HAMLET county Ta~ Hap No. 1000 Section .P.~3X Eloek ..~.. Lot ..~..3. .... Subdivision ....................... Filed Hap ........ Lot Permit No .......... . Date of Permit . .Applicaut .. ........... . .. .. . Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ F S b itt d: $ ~ ~ rev. 10/14/88 FIELD I~.SPECTION COMMENTS ~-~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME FLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUT[IOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHO£D, N.Y. 1197l CERTIFICATION TEL. 765-1802 II ll '""'"' ~F__SOUT~,fOLD .~..81.DG. DEPT. Building (please print) Plumber ~ (please print) certify that the solder used in Contains less than 2/10 of 1% lead. ~ the water supply system (plumber's signature) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1.125065 BUREAU Glf= EL. ECTRICITY · 85 JOHN STREET. NEW YORK, NEW YORK 10038 o.t~, APRIl, 07,1989 ~l.z, li~atlo. Ho. o. ft~ 59259488/88 ~ 065422 THIS CERTIFIES THAT only the electrical equipment ~ ~scribed below and intr~uced by the appllcaat ~med on the above ~p{i~t~n number in the premiss of ~-ARY REMP,r., 3325 ¥Ort~G'S AVE.~/pOT'K#~v~'~ 22, SOUTH0I'D, N.Y. in the foflotrmg location~ ~ Basement ~ lst FI. ~J 2nd Ff. .~ect~(m Blocl~ t~sexumi~*edon I~RRCH ~6~989 andfoundtobeD conpla~ .eu'it! thereq,lreme~ts~fthlsBoard. Loc FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE ~WlTCHES 10 10 10 DRYERS FURNACE FAOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVIC'~ DISCONNECt ' , ..... $. E R V I OTHER APPARATUS: 4 NEUTRALS 4 A, WG OF NEUTRAL FEEDERS:l-4 ~ 3 BASEMENT., TO BASEMENT FEEDERS:l-4 J 3 BASEMENT TO BASEMENT PANEI'BOARDS:i-14 CIR. 100,1-7 CT.P,, 100 G.F.C,I:-i SMOKE DETECTOR :-2 LAKE ELECTRIC 17 FOREST TRAIL RIDGE, NY, 11961 hlC.'#1845 E GENERAL Pff- 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~ JOHN STREET, NEW YORK, NEW YORK 100~8 Date the following Jocation: [] Bese~.~t examined on ~'~.~U'~{ i (, i ';~ [] Ist Fl. [] 2nd FI. Section Block attd found to be itt cotnpliance t~,ith the req t retnents Qf this Board. FIXTURES RANGES COOKING DECKS OVENS Lot EXHAUST FANS RXTURE OUTLETS SWITCHES FLUORESCENT OTHER DRYERS TIMECLOCKS SYSTEMS NO. OF FEET R NO OF CC COND.~ A W G, PER ~' ~ OF CC. COND C NO OF HI.LEG A W G, NO OF NEUYRAL5 A, W G, OF H~-[EG OF NEUTRAL E OTHER APPARATUS: GENERAL MANAGER This certificate must not be altered in any mariner; return to the of{ice 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. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1802 Disapproved~ a/c ...................... ~ .............. ....D .... ............................ ...... (Building Inspector) ,APPL CATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............. 3 SETS OF PLANS .~ ......... SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: ~ 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 lhyout 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/'emoval 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. (Signaqare"' ~ ~o{' applicant, or name, if a corporauon) .. '' (M ailing ~o f applicant )~ 2 ) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises . :i,.~ ¢.~./~..~... ~.~..~., 5/ .... /~.'q.~-~ ) ..................................... · ' /(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 ..... ~.'.e. 7.'.~. ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done .... ~.0..~ P/.~..~"../.~'..t2..~.-?..:.~J..~"/~q../.O]'. ....... · ~.'~ .¥.~7 .............. ~.o. ~.~.~ ~ .... ~..~. ¢, ............. ~';;,. ~ r/.~. ~./~.&..~.~. ~ ........... House Number ' Street Hamlet County Tax Map No. 1000 Section ........ . .~...-,~.... [ Block ~ Lot. c~, 3 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~'?. 5. } c/xo l¢C. ~-~ .co~.?J~-~. ~ d'~.....~ ' ~.,,. ~d-.l~,~ b. Intended use and occupancy . · ~.'.~ .s. t .~e'~ ...... G. .~. . .1~ ....................... epmr .............. Removal .............. Demolition .............. i " (to be paid on filing thisapplication 5. If dwelling, n~wellingiunits ...... / ........ Number of dwelling units on each floor ................ If garage, number o~,. ............................................ ; ...................... 6. If business, commercial or m~X'ed~9~cupancy, specify nature and extent of each type of use .. ' i ..... 7. Dimensions of existing s}ruc, t. ur , ont ....... '.....'..,. Rear ............. . Depth - . ....... Height' .... ~... Numb. er .o f St?~rer,.,<k.. ......................... Dimensions of same structure with site. rations or a~ions: Front .............. Rear ................. Depth ................... ... Height ......... ~ ........ Number of Stories ...................... Dimensions of entire new c~nt ......... . .~ear ............... Depth ............... 11. Zone or use district in which ,remises are situated ......................... ~-.~-... i.. iii'i ..... ii ....... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ W 13. ill lot be regraded ......... , .............. Will excess fill be removed from premises: Yes No Name of Architect . ......... : ................. Address .................. Phone No ................ · PLOT DIAGRAM Locate clearly and distinctly alii buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block!number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ......... ;S.S ............................. ~ .................... being duly sworn, deposes and says that he is the applicant . (Name of individual signing contract) above named. . (J (Contractor, agent, corporate officer, etc.) of saki owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne? set forth in the application filed therewith. Sworn to before me this ........................ day of Notary Public ........... County HELEN K. DE VOE ' ' ' ....... NOTARY PUgL C, State of New Y0dL (Signature of applicant ) No. 4707878, S4Jflolk Term Expire~ M~rch !!, '!