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Home My WebLink About32246-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31720 Date: 08/03/06 THIS CERTIFIES that the building ALTERATIONS Location of Property: 850 SOUTH HARBOR RD SOUYHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 75 Block 3 Lot 12 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 6~ 2006 pursuant to which Building Permit No. 32246-Z dated J~JLY 28~ 2006 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 "AS BUILT" BASEMENT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL T & KRISTIN WOODS (OWNER) of the aforesaid building. SUFFOLK COI~ DEPART%WIgBT OF H]~L~t{ ;%PPRO~-AL N/A BI~gC"~RICAL c~KTIFICATH NO. 3001093 PLUMBERS c~KTIFICATION DA'rmo N/A 07/28/06 AQ/zedSignature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD 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 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. Bo 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. Ifa Certificate of Occupancy is den/ed, 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 New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. X Old or Pre-existing Building: ?£3 5o-g, House No. Street Date of Permit. (check one) Block Filed Map. Lot: Hamlet Applicant: & ri ,~__~( "/'""0.~s Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ coq_ Final Certificate: X (check one) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32246 Z Date JULY 28, 2006 Permission is hereby granted to: DANIEL T WOODS 850 SOUTH HARBOR LA SOUTHOLD,NY 11971 for : AS BUILT BASEMENT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 850 County Tax Map No. 473889 Section 075 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 300.00 SOUTH HARBOR RD SOUTH/PEC Block 0003 Lot No. 012 6, 2006 and approved by the 28, 2008. ORIGINAL Rev. 5/8/02 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 DAN WOODS 850 SO. HARBOR RD SOUTHOLD, NY 11971 DAN WOODS 850 SO. HARBOR RD SOUTHOLD, NY 11971 Located at 850 SO. HARBOR RD SOUTHOLD, NY 11971 Application Number: 3001093 Section: Block: Lot: Certificate Number: 3001093 Building Permit: BDC: nsll Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 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 authority having jurisdiction, and found to be in compliance therewith on the 28th Day of July, 2006. Name Miscellaneous as built- 1999 finnish basement Alarm and Emergency Equipment Sensor Wiring and Devices Outlet Fixture Outlet Receptacle Switch QTY Rate Rating Circuit Type I 0 Smoke 24 0 Fixture 24 0 Incandescent 16 0 General Purpose 13 0 General Purpose 5 0 General Purpose Defects previously reported, as items of non-compliance, have been corrected. A visual inspection made of the exposed electrical equipment in the premises indicated found no obvious unsatisfactory condition. seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU~H~PLBG. [ ] FOUNDATION 2ND [ ]~91JLATION [ ] FRAMING / STRAPPING [ ~/] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ DATE INSPECTOR~-'~~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ f Examined ~ //~ , 20 ^pproved Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health J 4 sets of Building Plans J Planning B~'approval Survey / Check.:~ II~ ' Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: )ector APPLICATION FOR BUILDING PERMIT rote INSTRUCTIONS ,20 oc,, a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 removal 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. J ~'"'~ (Sig~e~ name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~/J-)~'~ -<ii (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. Other Trade's License No. 1. Location of land o.n w~[ch proposed worl~ will be doge/ , , House Number Street Hamlet County Tax Map No. 1000 Subdivision (Name) Section 2. State existing use and occupancy of pre_m, ises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~,,~ txqldL :~-~,,~,~ ~. ~ D~,J[i~q~ b. Intended use and occupancy _C~,Cl- ffc>o m,% Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ..~"O:D'~ 5. If dwelling, number of dwelling units garage, number of cars Fee Addition Alteration Other Work .~.d,,.,'_~l.t~ J~SOl~ (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of~xisting structures, if any: Front '70. ~ Rear "~.O. ~'~ Depth Height I t.~ Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth ~,~5~. ~- Height /~' 8. Dimensions ofqntire new construction: Front "-]O,c~t Height I~" Number o~ St~ 9. Size of lot: Front !E)~, 0/ Rear /[Z~, 0/ Depth Number of Stories ,.4-- Rear ~-2~2>. ~ Depth Rear '~. ~' 10. Date of Purchase ~-~1-'O[ Name of Former Owner /'~ [r J'u~_.~ 11. Zone or use district in which premises are situated ~ocl~'~ ltS~. '~Octhr~ ~i~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ~)( Will excess fill be removed from premises? YES__ NOt~ 14. Names of Owner ofpremises ~to [ (I)/~ Address ~"O,~]~bo//~Phone No. ~ ~I-7/off~ ff~ Name of Architect ~'/!~.~ ,~t rw[~ t'~_ Address~J[~l~t~Phone No ~/~TJq -3~kqt~ Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO K. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY SO~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said 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 manner set forth in the application filed therewith. Swom to before me this ~ fro day of ~/-~(ffC, 20 ~) ~ L'C ZA VESKI S'OU TH HA/ BOt / OAD ... ·S 09' 35' 00" £ 100.0' N/F SMIZH N 09' 4,3' 00" W N/F SM~TI/ 100. O' DESCRIBED PROPER TY SOUIHOLD, TOWN OF .~OUII-IOLD SUFFOLK COUNTY, N. ~ SURVEYED FOR DAN/EL I~ WOOD~ KRISTIN ,G WOODS TM 1000-075-03-12 2UAt?ANTEED fO SUItVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK, NY 11956 6Jl~?J4-58J5 ~ ./LICL-N~ LANB ~EYON 01R979 File Edit view Toolbar Window Help OCCUPANCY OR AF USE IS UNLAWFUL DATE'~ , ~ · FEE WITHOUT. CERTIFICATE No~ ~ OF OCCUPANCY 76~-~8o2 1. FOU FOR 2. - FRAMING & PLUMBING 3. 4, CONSTRUCTION MUST BE ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK ST~rE. NOT RESPONSIBLE FOR DESIGN O~ CONSTRUCTION ERRORS. ALL C(~NSTRUCTION SHALL MEET THEI REQUIREMENTS OF THE CODESiOF NEW YORK STATE. NEW .UNDERWRITERS CERTIFJCA~E ,ROVED AS NOTED ?E~Q_U~IR~....' 8AM TO 4PM FOR THE INSPECTIONS: - '~VO REQUIRED tPLY WITH ALL CODES OF ~ & TOWN CODES S OF SOUTHC. LD TOWN ZBA )ARD TOWN TRUSTEES