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Home My WebLink About32313-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32022 Date: 11/22/06 THIS CERTIFIES that the building ALTERATION Location of Property: 53705 MAIN (HOUSE NO.) County Tax Map No. 473889 Section 61 ROAD (STREET) Block 1 SOUTHOLD (HAMLET) Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 2006 pursuant to which Building Permit No. 32313-Z dated AUGUST 24, 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 A NEW PARTIAL PARTITION IN THE OFFICE LOBBY AREA OF SOUTHOLD LIBRARY AS APPLIED FOR. The certificate is issued to SOUTHOLD FREE LIBRARY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3008930 10/16/06 PLUMBERS CERTIFICATION DATED N/A 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. 32313 Z Date AUGUST 24, 2006 permission is hereby granted to: FREE LIBRARY SOUTHOLD PO BOX 697 SOUTHOLD,NY 11971 for : CONSTRUCT A NEW PARTIAL PARTITION IN THE OFFICE LOBBY AREA OF THE SOUTHOLD LIBRARY.REPLACES # 22688 at premises located at SOUTHOLD 690 TRAVELER ST County Tax Map No. 473889 Section 061 Block 0001 Lot No. 014 pursuant to application dated AUGUST 23, 2006 and approved by the Building Inspector to expire on FEBRUARY 24, 2008. Fee $ 0.00 ~~ , Authorized Signature ORIGINAL Rev. 5/8/02 r-- , ".7:~ , . ^ II j! / 32CfN) !i II/I , I ,..-,-.-'----1 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 , l'. -"'" 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 2/1 0 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 New Construction: Old or Pre-existing Building: Hit/Ai rq, Street (check one) Location of Property: 53 70C; House No. Sou:T1lni--J) Hamlet Owner or Owners of Property: 50IJ-nt-r>L.D Fel': E U f3 e..A t:: Y Suffolk County Tax Map No 1000, Section 0 b I Block 000 I Lot 01"-1 Subdivision Filed Map. Lot: Permit No. 32 31 ~ Date ofpermit. '8 /2-<1 ) 0 f,;, , Applicant: ~ L1nt1k D Fe C-E: Li Bt<At- Y Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: ..........-- (check one) Fee Submitted: $ o . 0 0 fuS wQAP W(JJVI!& dudu -file. YtCdUft 0[ k O~tA.tt4'lC?cht.1 Ue Li'btai'l;f). ():J -rttpJ:) ~~L Applicant Signature Co cJ;;2M (). ")::2 ~ it':f 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~LATION [ ] FRAMING 1~NAL [ ] FIREPLACE & CHIMNEY REMARKS: ~o ~ ~/3h,-~~~_- DL~ ~ ~JIv~~ DATE SoutFwfcf Free Li6rary 53705 Main Road · PO Bo;\:: 697 Soutfwfif, New York 11971 (631) 765 - 2077 November 9, 2006 Building Department Town of South old P.O. Box 1179 Southold, NY 11971 To Whom It May Concern: Please find enclosed necessary documentation for a final inspection regarding building permit #32313Z, which replaced building permit #22688Z. I am requesting a final inspection at the Library in an effort to receive a Certificate of Occupancy. Thank you. Sincerely, tJtw!i/fl1A Caroline MacArthur Director ~ II II AMUE L 5& TEE L MA N .._~ -......., "', f), .,~.. 1 ~ \ " 30"']6 5 . ;5 \~ N()\j~~bit~2006 j . Building Department Town of Southold Town Hall Annex Southold, NY 11971 Re: SOUTHOLD FREE LIBRARY BP# 22688 Z To whom it may concern: I hereby certify that safety glass was installed in the Lobby Area of the above referenced project If the file is otherwise complete, please issue a Certificate of Occupancy for the project Thank you, cc. Southold Free Library ARCHITECTS 25235 MAIN ROAD CUTCHOGUE. NEW YORK 11935 (631) 734-6405 FAX (631\ 734-6407 1a: FIELD INSPECTION REPORT "DATE II COMMENTS ==============~===================t=====t====================================~===~---===-~ II II II II II II II II II It II II FOUNDATION -.:.i 1ST) _ _ _:: II II II II II :1 II II II I: II ~2~~!!2~====i~~l===============~=====~================================================= II II II II II II II II II II II II II ROUGH FRAME & II II PLUMBING II II II II II ,:; ==============--=---================~=====. ==============================================- II II II II II II II II INSULATION PER N. Y. II Ii II " II STATE ENERGY II II II CODE :1 Ii II II II II II II II II II II ================-=================!=-==-~==== =========================-==-~==~=~=== FINAL ==-=== -- II /I /I /I II II II /I /I /I II /I " /I ====:dI:-===:II: _================-===-= =================- -- -- ADDITIONAL COMMENTS: _ -':11:.-----===--===============__======....===========... ~~ c:::"'t--. gj 7'\ ~~ .~~ ~~ ~"'~ H. ~'" ~~ ~~ := t'l ~~ ~~ [!J.[!J ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ PAUL R. BURNS SOUTHOLD FREE LIBRARY ~ ~ PO BOX 1061 53705 MAIN RD. ~ I SOUTHOLD, NY 11971-0932, SOUTHOLD, NY 11971 I ~ Located at 53705 MAIN RD. SOUTHOLD, NY 11971 ~ ~ ~ ~ Application Number: 3008930 Certificate Number: 3008930 ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ ~ ~ Described as a Commercial occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ First Floor, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed i ~ 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 16th Day of October, 2006. ~ ~ Name OTY Rate Rating Circuit ~ ~ ~~~ ~ ~ as built 1996-1 recpticIe in ~ ~ half glass partition in office ~ ii!I Wiring and Devices ii!I ~ Receptacle 1 0 General Purpose ~ ~ An as built inspection, of the delineated electrical installation, detcnnined that an obvious hazard is not present and the installation is believed to ~ ~ be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I seal ; ~ ~ ~ of 1 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I I!l ~~Ji'.I-'"lIf.JJi'.I--'"!~ffilr.!ffilfr.lJi'.lj;;IJi'.I..ffi!!f.I-'"lfr.lSrJJi':JJf,lIf.I-'"lIf.l-'"lIf.l-.ffi!li'!r.!.~r.!!~rrMi~rrll~.ffi!J~~1!l Examined. . FORM NO.1 TOWN OF SOUTHOLD BUiLDING DEPARTMEN~ TOWN HALL SOUTHOLD, N.Y. 11971 / TEL.: 765.1802 . .... .ft,lff./, . ._[ ......ff., 199J Permit NO.~ ft.,- BOARD Of HEALTH ........ J SETS Of PL~HS ........ SURVEy.................. CHeCK ...... _ . _ . . . . . . . . . SEPTIC rOR11 ............ t:OD~~:, .7~): 5tJ.~.... HAIL TO: Approved . . . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . Disapproved alc .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . ........ .0....., ....... ......... .... .(~~j]dmg~,~ . P ICATlON FOR BUILDING PERMIT Date. . .,,;3./.~~ .9. ......, 19'J5 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and subinitted 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 perm; 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 Occupanc shall have been granted t.y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 0 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 t( admit authorized inspectors on premises and in building for neces~~~~ ~ ~~ I. . . . . . . . . .. . .. . . . . . . . . . . . -. . . (Signature of apPlica~me, if a corporation) ~P.? ~~J,'YPP.<J.'!?o/.:>.s.,,:,,1/...dJ~. N, V-...... . . (Mailing address of applicant) State whether applicant is owner, lessee, .agent, architect, engineer, general contractor, electrician, plumber or builder . .~ f<r.;./ o;/-c:--:-. . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . .... . . . . ... . . . . . . . . . . . . ... .. . . . . . . . . , . . . . . . . .. . . . . . . N~me of owner of premises .$c.?,'.y.Y: ~.'?U..F:.e.L(/.~.':.'?r. r...... ..;. . 0 [f)~QT~I!.. "'.. ... . (as on the tax roll 09 :rap. '# 0< oLio> If applicant is a corporation, signature of duly authorized officer. FEE' BY! NOTIFY BU'LDING D AT 765-18029 AM 10 FOR THE FOLlOWING INSPEcnONS' 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING a. PWMBING 3. ''''SUlA'RON ' , 4. FINAL . CONSTRucnON MUST BE COMPLETE FOR c.O. ' ALL CONSTRUcnON SHAlL' MEET THE REQUIREMENTS OF THE N v: Other Trade's License No, ..................... ' STATE CONSTRUcnON a ENERGY . . CODES. 'Nor RESPON$I8c.e FOR I. LocatIOn of land on which proposed work ;,ill be done. .:.......... .QIi~IGN OR.CON8TRUCI'IOIc!RRORs' . . . .. . . , . . .c;. ,~P. . ., . . . . . .. . . . . (r..i?>:~' Ie, ll-. . . . . . . . . . . ... . . . . . . .S.q !-<;'tJ. !,.Q. J d. .. .... . ~ . . . . . . . . . . . " House Number Street Hamlet COlin ty Tax Map No. 1000 Section ... f.. /.. . . . . " . . .. Block ...!... , . . . . , . : . .. Lot...!. ij. . . . . . . . . . . , . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITE . (Name and title of corporate officer) RS CERTIFICATE : . REQUIRED Builder's License No. ! ~ .Q .7.3. . H Z. . . . . . . . . Plum ber's License No. ............... " . . . . . . . . . Electrician's License No. ...................... S bd' , . . F'I d M 'N"'" ", '"'~ ~ .J. 1I IVJSlon..,.... ..',....,....,.........,. ..'..,. Ie iP' o. >.' "":'\~' ,.~ 'G.:'c~""":""'''' (Name) ""', $" ';)'OJ I .', \ 2, State existing use and occupancy of premises and intended use and otolfP;1lJty~qtPff~~ ,fPr5,~t~: . . L i 4:- ~ J- i./ . --' ,,;", ~ ~",,' ju,~~ ~ ~ ~..... "t;,' Ii ~ U t.,. a. EXlstmg use and occupancy. . . . . . . . . . <. . ... . . . . ,t. . . .. . . . ... . ... " .....~,..1".. l..,.I;;..~. J.1lV...:."}., 1-.. ...... '... .;,;,.:,..;..'~' . . . . . . . . 1 .~ .....i~1 I' i 'B,.'",.'~,. ,\ """$ b lnte d d . .L I .or iil r", . ., "':'';- i 'I.Jli,~, ~,' j, IV,...t ll... . n e Use and occupancy................. -/............ ',," . Wt'\!'!' ,... ...; ...,,'0.................. , . ., '...;fl'r.:r ~F(~.!' !(\V~.) . ."" V;"...!: ;I"ti\..'~li ,3. Nature of work (check which applicable): New Building..... . . . . . Addition.......... Alteration ~;...., Repair .............. Removal. . . . . . . . . . . . " Demolition ................ Other Work. . .-. . . . . . . . . . . ' ;t (Description) . ~ 000 '29 4. EstImated Cost. . . . . . . . . . . . . . _ Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units'. .. .; , . . . . . .. " Number 0;" dwelling units 011 each floor. ,-::-. . . . . . . . . .. . 6. . :~.~~~~~~~;uc~;~~r~~a~~r '~i:x'ed' ;'u'p'a~~~: ~~~~~; ~~~~r~';n'd' ~~~.~~'t 'o'f~;a~h't~~~'~i ~~eA ~j;~: I.i.~fit:y :: : : : 7. DImensIOns ot eXIsting structures, If any: Front. ..3 10. . . . . . . . . Rear 4,~......... Depth jJ.. ;:;. . . . . . . . . Height !,-,J.<;~.......... Number of Stories..;z. . :. . . . . . . . . . . . . . '. . . .'. . . . . . . . . . . . . . .. '.,. . . . . .. " . . . . Dimensions of same structur~ with alterations or additions: Front i":...:--:-. ~ . . . . . . . . .. Rear. 1: ~."'. <;.. . . . . . . . . . Depth .-!.'\ ~.f. . . . . . . . . . . . . . . Height .{'.z. 1'","_. . . :. . . . . . . . i. ; Number of Stories. .s. ? '7: ~. -. ; .', . . . . . . . . 8. Di~ensions of entire new construction: Fro.nt r5.'1'.~.",. . . . . . ... Rear ;i.<t :>:-.'<.. . ':;..1.',' th ,4"..,.. , HeIght .~'>-;'h:<........ Number of Stones. . . . .. . . . . . ... . . .. . . . . . -" . . . . iifl'/l'Itf: . . 9. Size of lot: Front ;s:...:.~.. -'...... . ..:.. Rear,. .1."-'.......~....;........ ,De l}!"{J. 'S;" ',...... 10. Date of Purchase !.<J,:J.., 7.... ........ .'..... .... Name of Fonn~ Owner 5.<:'.. ,', ...,. ~,.../.~Mt: II Z d't't' h'h ' 't td)fa..,n..,/~tJJGL(-/"e-S5 ...; ,0 . one or use IS nc In w IC premIses are Sl ua e ...... ,.... 'Y.. ~.. .. .. j\{ .,.', 'r I; ...... Co , 12. Does proposed construction violate any zoning law, ordinance or regulation: ... .oJ, .!~ ....,..:"...,. 13. Will let be regraded .<If.l?,.:.................... Will excess fill be remJved from prem '. es 14. Name of Owner of premises~;"f r.~ ~&.'.(' 1';-'..4:''i> .'. Address .<J'i'f! 'Y::;..'?!. , . . . . . ..JUlS.l., . . -- '. - - Name of Architect........ .:,.;.....'. .,.......... Addressd~":)<.I 'dA4;ldo,.,J '/Ld.,. Phone No. ":-:'.. ',' ..'.... Name ofContractor~-;..q4"" .<''\-1;':.'1.....,..... Address fp...1:'!'?19......... . Phone No.'l"'>,-,5'.'t;l.,:1.-... 15.' l,s this property within 300 feet of a tidal wetland? *Yes.,."... No..,.,..,. *If yes,' Southold Town Trustees Permit maybe required. ' , , PLOT DJAGRAM Locate clearly and distinctly all 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. ' , _CC~/Uq/~ ~ :r c': fj",k:/ <! 1/ . IA,I'i(/~/jJ.x.QW pl)H~ F-iYlm'f:S .TEhlPt;CRE-D CLIJs.;-.3 uN/7J , , - ACI-/E:D. Tv woo-x. CE /-l..1 rV6 :... 7'" "'I p/;JJE J'I-rT ,.". ~ ~ ~ , 'oS V>-I/7HS'(/eCc"'" . "'" A l- t. "'3' ~I(l r II\. \vP\LL i j;,.. 11\ . I- I _ .J,o)l 3' 1) t: ilt I\.J. -rwo "lOt..... Ij-. /' i~ :q'~1 j __'____~, I 4S ~ I"J.' >-1 VI;;.... L."ok'JlJ(;,~t\:-..1'J.:n "j.,..J' , . IVE"-' PJ'tJ?TJYl(,. p"tdmf7fO'~ JUjTALLc'O "'..5 SI-I"oWI\J; ;', ... ----' .. .---- -,~! 'SD, "--'.''''' L.... ,S"Ci}'TR )< ~ PI 41(; CO....Pt.<.-TEIt ,2)1:-,5)( 1l1':>"'-JlJT<:5'1J o.PI'I>>/7E-$/ :DC -:l ~'7:V~ So\;,.l~ $H"lQ...W. Vft...... n.E-,",,~~ For- ~l'\~l\l" r FI"O'L ....-.-..-- () "'7L-E: TJ f\7o~.N7C;:D 07"'~ Jl SJ:2>(; IN of'''J''''' LoBe'( ,I\-!2-SoA STA TE OF NEv:-!:3tWo & S.S , ~~.G~~O.';~.'.'. .'. ./-e. y.r.<.1~ .-. . . . . . . " being duly sworn, deposes and says that he is the applicant (Name OOindividual signing cOl1fract) Ibove named. ',' -Ie is the. .'. . . . :. . .. . . . . . . . ,_. . . . .. ....... ..,.. .... ....... .... ..... ..... .................. ....... '.' (Contractor, a ent, cor'porate officer, etc.) )f said owner or owners, and is duly autho . orm or have perfonned the said work and to make and file this tpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,vork will be perfonned in the manner set forth in the application filed therewith. ' ;worn to before me thi~ ' j\ 1" ' ............. .. . ..~ayOf......'t:.\..Y-"". 19q~ '/ ty ~ ' c' _ . . ,~. . /. T'" (Sig~~;~;;~f ~~~li~;;t) , 'otary Public, ClAIRE l. GLEW IOl'AIlY PUBLIC, State of New YeIfI No. 4879505 /fj; Qul/ifted in Suffolk Commission bplles Oecem= 1