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Home My WebLink About28885-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30582 Date: 11/23/04 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 805 OAK AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 77 Block 1 Lot 20.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 2002 pursuant to which Building Permit No. 28885-Z dated NOVEMBER 6, 2002 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 ADDITIONS & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS & ARLENE CARNEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1130038 11/04/04 PLUMBERS CERTIFICATION DATED N/A A141 ize Sig ature 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) PERMIT NO. 28885 Z Date NOVEMBER 6, 2002 Permission is hereby granted to: THOMAS & ARLENE CARNEY 44 HEWLETT POINT AVE EAST ROCKAWAY,NY 11518 for ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 805 OAK AVE SOUTHOLD County Tax Map No. 473889 Section 077 Block 0001 Lot No. 020 . 001 pursuant to application dated OCTOBER 4, 2002 and approved by the Building Inspector to expire on MAY 6, 2004 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 l� Form No.6 TOWN OF SOUTHOLD 5 ? ` 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: 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 I%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: 1. 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 dwellinjZj4j.00, dditions 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. New Construction: ✓ Old or Pre-existing Building: ✓ (check one) Location of Property: SCS 0 AV, Ay r. 1j0.JTNo%M House No. Street Hamlet Owner or Owners of Property: Z"VtnwtAry ARLCNE AR N G V Suffolk County Tax Map No 1000, Section 1 l Block i Lot 20.1 Subdivision ` Filed Map. Lot: Permit No. 2 6 g$5 Z Date of Permit. I� '�. O'L Applicant:' %4004 A,15 C k0.Wc Y Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) .o0 Fee Submitted: $ 6? 3 Applicant Sign e C,Cl 50S �a- C1Cn c 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 S 5 S BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT S 5 S SUpon the application of upon premises owned by S 5 5 SJOHN CARNEY THOMAS CARNEY LSJ 52 HEMLOCK LANE 805 OAK AVE 5 SBAYSHORE, NY 11706, SOUTHOLD, NY 11971 SLocated at 5 805 OAK AVE SOUTHOLD, NY 11971 5 S 5 Application Number: 1130038 Certificate Number: 1130038 S 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 5 5 rj Described as a Residential occupancy, wherein the premises electrical system consisting of C electrical devices and wiring, described below, located in/on the premises at: 5 5SS First Floor,addition,Outside, 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 4th Day of November,2004. 5 5 Name OTY Rate Ratin¢ Circuit Type 5 5 Wiring and Devices 5 Outlet 6 0 Fixture 5 Fixture 1 0 Fluorescent 5 Fixture 5 0 Incandescent 5 Outlet 19 0 General Purpose 5 Receptacle 10 0 General Purpose E� 5 Switch 11 0 General Purpose 5 Receptacle 1 0 20 amp Laundry SReceptacle 1 0 30 amp Dryer S Receptacle 1 0 30 amp Special 5 5 Paddle Fan 1 0 5 Receptacle 4 0 GFCI 5 5 5 5 5 5 Sea/ 5 1 of S 5 I 5 SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ] 5 NICHOLAS A. VERO, ARCHITECT Architects and Professional Engineers =A/ October 23,2003 Town of Southold Town Hall-Building Department Main Road P.O. Box 728 Southold,New York 11971 t� Reference: Building Permit Number 288852 805 Oak Street, Southold �.----- �,, F.. "^:�r�..." sTHOLD To Whom It May Concern: Please be advised that I have inspected the construction at 805 Oak Street, Southold on February 22,2003 and hereby certify that the framing and insulation meet all New York State Building Codes. I also inspected that the exterior water proofing on the new addition goes deeper than interior floor slab. If there are any questions or if additional information is required,please contact our office at 631-2-1404. Very Truly Yours NICHOLAS A. VERO,ARCHITECT Nicholas A.`Vero 110 MILL ROAD 9 WESTHAMPTON BEACH, NEW YORK 11978 • 631-288-1404 FAX 631-288-0549 Applicant/ Date. Owners Name: / Reviewed: .> Architect/ T Date Engineer: / Submitted: D.DL- SCTM M: District: 1,000 Section: 7_ 13 lock: 4_ Lot: ,SCJ. project snS- — Subdivision Location: y. 0�--"� �-- Name: Sin&le & separate Required ) certification (Yes/No) � Req, �—" -- C Rcy. (lof size: (1,01 coverage , -edZoning Dismct9 �_—.,�—� Rcy. ,: Req. jar / Req. (I'ront Yards Proposed: �J (Side Yard Proposed: l [Rear Yard 3_ Proposed l Project Description: rS AGENCUERMITS Permit . REQUIRE FOR REVIEW N.A. ISO YES Number Suffolk County Health Dept. 1� New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone:Notes,-- J' t / r " U p 765-1802 BUILDING DEPT. NSPECTION C� [ FOUNDATION 7ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ J FRAMING [ J FINAL [ ] FIREPLACE & CHIMNEY REMARKS• DATE � � � INSPECTOR '^"� ass-iso2 BUILDING oar. INSPECTION [ ] FOU ATION IST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE RKS• ,Anae2� DATE 3 �� INSPECTO BUILDING DEPT. SPECTION [ FOUNDATION IST [ ] ROUGH PLB6. [ `] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLARIMNEY 7 REMARKS: 7.4 a _�QLIl` DATE Q�IN8P ass-ieo2 BUILDING DEPT. ..............MSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY EM KS• 001, DATE � -INS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ` �a INSPECTO 10 13 1 1 • ' I • I Irl FOUNDATION(IST) FOUNDATION(7- 1 ►" � E _ RM- - - PLUMBING ��- ,/I��r'� ,-�� «ice_ • ��.,__--�� _ INSULATION STATE ENERGY CODE �1�1i�'��7i7<<',;%•i .,s� �� :?ice �� P-j% F 1 O WA Ur ,V U 1,11M, i R, ; !? 1 f 13U1W1NU Fh Ml1'A FL1�A1'10N CHECK.0 BUILDING DEP.,4R '1NT Do you havo or ntho following;before applyii TOWN HALL �-- i�' Board of Health SOUTHOLD,NY 110 1 _ 3 sets of Plans TEL- 765-1802 _ _.�.i , _.... _._ .. Suryey �:,Y` 4O. r. clerk Septic Fonn . N Y.S.D.E.C. Trustow Examined 20t;,.-). Contact. a 1.4-� e *yof••7� Approved Disapproved a/c �� .. Building'Inspector . APPLICATION FOR BUILDING PERWr . v Date OeTOAE& 'K ' 20A .INSTRUCTIONS a. This application MUST be completely�faled in by typewriter or in ink and mkmi ted to the Building Inspector with: 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 a areas, and waterways. a c. The work covered by,this application may not be comme wod'before,issuanoe of Building Permit. d..Upon approval of this application,the Building Inspector.will issue a Building Pamit to the applicant. Such a pe=r 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 what-so-ever until a Certificate of Occupar is issued by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Peanut 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.removal or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code;housin*code,.and regubtiow,and to admit authorized inspectors.onpremises and in building for necessary-inspections. tions. of applicant or, name,if a corporation) (Mailing address of applicant) State whether applicant is.owner, lessee;agent, architect, engineer,general contractor, elec zic� plumber or.builder Name of owner of premises TNo 01 q5 A AVR[ENF CAM A/EY (as on the.tax roll or latest deed) If applicant is a corporation, signature of duly, authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. 04es- Other Trade's License No. 100VI4 1. Location of land on which proposed work will be done: SOS ®.oK �4yF-• Sod thf�L� House Number Street Hamlet f�wf 2z.8.2A"s ZS'/ County Tax:Nlap No' �1000 Section -7 Block .I Lot 2z 8.2�_ Subdivision G o®s P.Aft Alr*TfS Filed Map No. d . Lot (Name) . tt ' and intended use and occupancy of Proposed con.�uction: 2. State existing use and oocnpaacY of premises a. Existing use and oocvPincY 1'�✓�*ra' ''' b. Intended use and ocxnpaacy �4 �/ Alteration ✓ 3. Nature of work.(check.which applicable):New Building pier k Repair R�ov� Demolition _ _ (Description) 4. Estimnated Cost �3'le 000 Fee (to be paid on filing this application) 5. If dwellin ,n�n�Of dwelling its / Number of dwelling units on each floor if garage, number of cars ccupancy, specify nage and extent of each type of use. 6. If business, commercial or mixed o —^ i 7. Dimensions of existing structla es,if any:Front . 3 0 —�o•I Rear 3e) 6•� Depth �-�"t ►� Height 7.0"- 2 " Number of Stories / pimensions of same structure with alterations or additions: Front 30 e, Rear Depth-\� - : Height 202:* 2 0 . Number of Stories / y i � 8. Dimensions of entire new construction: Front 6 r R' 3d=6 Depth 3 3 4 Height 20-2� Number of Stories- 9.. tories9.• Size of lot: Front �'O Rear Depth 2 10. Date of Purchase 11117 /9$ Name of Former owner Ara it Mi cNELLF G/e.ABo� 11.Zone or use district in'which premises are situated 12. Does proposed construction violate any zoning law,ordinance or regulation: Ala 13.Will lot be re-graded Will excess fill be.removed.from premises: NO T�AS,�tAw<vE�c n 14. Names of of ' es VRR� Address 9bx o*,c A� Phone No. Gal-765'-307 Name.of Ar�ect v M Address �rP� Phone No 63l- �f77� Name of Contracto Address SAWrogS .4ry Phone No: 631 r.41-3ai7 K1v C tops s. /' 15. Is thisproperty within 100 feet of a tidal wetland? *YES NO V • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at anypoinf on property is at 10 feet or below;must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)Re is the (Conftctor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perfonn or have performed the said work and to make and file this application, that allstatements contained in this application are true to the best of his kmowledge and belief,and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of Al,1'Df . 20 aL —�� Notary Public = Signature ofh,can=t MICHAEL A. BIAGIOti Nobry'Pu6fic,Sk to of Now Yoe! No.43-4W.854 i TermEx M Rich�o 1�gMtl, Twin Expues ice'.......��,,,,,D'0"2,,, • G WIM W CWWTIM WEATIE IfPE011 ZU FA KY 10 THE KW FOR WO THE MM 5 WARD,d ON TO MW TO 111 MU Cffkff.Nawk mw t lmoMc I mmuA Lm HMON OAK AVENUE 20' PRIVATE ROAD 80.00' o es CNTV. r 17' 19.4, 13.1' B Q SCALE 1 "=30' � y 1 i/2 STY. "+ N0.805 es w M 9 3'L@! b 12.4' ENT. 102 h N SCREEN SHOWER PORCH ernA Ilk Is ,W o GARAGE p O +N H o O 24.0' WOOD N � STEPS y I � 15 SHED � J liz Q Q N O 80.00' 145.06' � S49'S6 40 W � BIRCH A VENUE 20' PRIVATE ROAD MAP OF LOTS 225-227, 248-250 AND P/O LOTS 224,228,247 AND 251 + AS SHOWN ON "MAP OF GOOSE BAY ESTATES" M SITUATED AT TOWN OF SOUTYOLD SUFFOLK COUNTY, NEW YORK CHRISTOPHER HENN, L.S. SURVEY PREPARED FORz 121 EDDY DRIVE MUNICIPAL PURPOSES. z DIX HILLS, NEW YORK c� N. Y.S. LIC. NO. 49857 CLIENT. CARNEY A DATE 11/9/98 11' (C) COPYRIGHT LAN RS REFF,NO. 6352R MAP NO. 1176 FILED 9/12/34 (516) 271-1141 549-7821 FINAL SURVEY I V18/2003 FaxTAX MAP DESIGNATION 1000-077-01-020. 1 REF.NO. 6352R REF.NO. 6352R ---- - ------ --- -- - - ,�`�-`"-' r I i I, i { rh.- u I : . J, : : I� ' I � .ail-_ _ o --!'_ - _ x,�p f k .[✓• r,r � :,.� _ –__ —_,r� � � _, �` _ ', r— _- __ -- — — ..— -- --- -- —1 ---- ---- -- _— __—__'� - - -- rv, m Jt o 0 is S ---- ----- - -... - - — - -- - - - -- - I z z e -7�4U to I I fi APP!2VED AS NOTED I DATE°- JJ S,P. NNOO�TIFYBUILDING D AREP . GS Ej Ur-��i ', n;,y p 785.1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: a„-.I � - _�_ _ _ ..►. II" .�_ c' _ l a x � ` - - I(�iI 2t. FOUNDATION - TWO REQUIRED{, FOR CONCRETE IdROUGH -'FRAMING & PLUMBING W' K(5 / <� �' ( J v�t6 + 3. INSULATION F' ", Oft' 4-BENAL . CONFORSTRUC0. TION MUST nMz Lam¢ iA g k1 BE COMPLETE-rioN S n 1 uk>k pLTlcd ''A.. CONSTRUCTION SHALL MEET —TNE REQUIREMENTS OF THE N,Y. LLPUIM BI NWSTE DESIGN OR CON TRUCTION ERRORS 7P,,. STATE CONSTRUCTION & ENERGY O� RESPONSIBLE FOR PLUMBING 'D I ----"' o A PROVID PROVIDE ANTI-SCALD AND/OR ✓¢wATERUNESNEED KE- EIECTING THERMAL SHOCK PREVENTING TI£STING BEFORE COVERING," - AL RM EVICES DEVICES AS TO PART. 902.S(K) ` C GI AS TO PART. 721.1 0 9� N.Y. STATE BUILDING CODE r �1 N.Y.S BUILDING CODE. f�n ��rr ^I "FICATION 1 ^ a If copper tubing is used �� oaszsa-i y for water distributing O; .r'", :,i r`1TENTBEFORE �1CC�IP�INCY"'OR 3y :,ice - . �, tie CE`iy', dF�t '=.aL'OF OCCUPANCY sF (I Bt 2111"" NIL OF SSI ll.. i v I�r, : VNIGC,uL4 a' 0J� SOLDERUSED INWATER UND_PWRITERs n:. SUPPLY SYSTEM CANNOT OF OCCULPAWCy g REQUIRLo trXCEED 2/10 oft°i r r. r -s W i; ; IIhLU oY PART 714 OF `a, Is.t a i'E PUILDING CODE. i i �^r - I- - Ti �I '. li j x1� IIS 1 I ` i I � I� •� I I I - I l l - I_ I y I i oe ¢rii'G-a6 '•VFi --- — — I ' �' --- --- --- - ---- - i t7 CC 4 QLL 0 • O Y O EI i I y i �.'i?.fJX�T.J 'N-0+•'k' c!AJV I� L'A.�7GA"IJ�� s coMrlc;EG? 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