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Home My WebLink About22370-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34085 Date: 11/18/09 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 265 SOUTH OAKWOOD DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County TaxMap No. 473889 Section 145 Block 3 Lot 12 subdivision Filed Map No. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 1994 pursuant to which Building Permit No. 22370-Z dated OCTOBER 6, 1994 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 AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HOLFELDER FAMILY TRUST (OWNER) of the aforesaid building. SUFFOLK COI~Tl"f DEPARTMENT OF HE~J~TH APPRO%5%L N/A B~.Rt-rKIC~J~ C~RTIFICATH NO. N 367904 10/25/95 Rev. 1/81 Form No. 6 2. 3. 4. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I~APPLICATION FOR CERTIFICAT~ ;~-;~UPANC--~'] This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial buildiqg, 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 sire plan requirements. 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 a 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. ]. ~ Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, ~lterations 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - -..254 ~ 4. Updated Certificate of Occupancy - $50.00 ].. 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Jew Construction ........... Old Or Pre-existing Building ................. Jocation of Property.. ~?~..~.. ..... ~...~?~..~'Y~..~.. ~.~.~ ....... ~...~.. ~ ........ House No. Street Hamlet ......... ¢ inwer or Owners of Property .......... 6~ ~ ~4.'~.~--~ ...... ~ ........... .ounty Tax Map No 1000, Section..Z~J~.. ..... Block..~. .......... Lot....z~. ............... ;ubdivision .................................... Filed Map ............ Lot ...................... ermit No..~.~..~.?..~..~...Date Of Permit.~.~.~.~./.F.~..mpp]icant .... qealth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approval ........................ :equest for: Temporary Cerwtificate ........... Final Certicate...~.... .... 'ee Submitted: $..~..~ ........................ APPL] CANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGe. 1 10(~12! BUREAU OF ELECTRICITY ~--~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 /~. OCTOBER 25,1995 Application Mo. on/Ne 10467595/95 N 3679~4 THIS CERTIFIES THAT only t~ el~ctrtca~ ~quipme~t as d~crib~d b~dow and introduced by t~ applicant named off the abo~ application nBmber in the premises of LUCIENNE HOLFELDER, 5 SOUTH OAKWOOD DR. , LAUREL, ~ts examined on OCTOBER 18,1995 and found to be in compliance with the National Electt~cal Code. RXTURE I I T [ RXTURES I RANGES ]COOKIHGDECKS1 OVENS ID~SHWASHSRS EXHAUST FANS O4JTLETS ~R~C~I'AC~S ~ ~ iNCANDESCENTt FLUORESCENT OTHER ~AT, K.W. A/AT. K.W. AMT. K.W. d MT. K.W. AMT. H. P, 23 ]45 36 23 ] ~ 1 1.2 ! F DRYERS [ FURNACE MOTORS IFUTURE APM~AHCE REED~RE MOAt REC'FI TIME CLOCKS I BELL ~ MULTI-OUTLETcv,?i:u, DIMMERS MaT, K,W. O~L H,P. ~ H.P. AMT. NO. A,W,G, AMT. AMP..T. AM.. TRANS. IH.,.H.P.I~:~: F~--"~T AMT. WATTS 2 F ! 20 1 ~.RV~CE mS~ONNECT [ nO. OP ] S E R V I C E 1 2~ CB i, OT~R ~ARATU$: PADDLE FANS- 7 MOTOI~S~ 7~F H.P. G.F.C.I:-6 SMO~ DV.T~CTOR: - 2 PAUL R. BURNS P.O.BOZ 1061 SOUTHOLD, NY, 11971-0932 LIC.#3397E 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDIHG INSPECT~OR. P.O. BO~*. '; 28 TOWN I'L'. LL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 763-1802 Building Permit NO. Owner Z (~;{°F)/76m ' Jpl~h~e ~rint) ' Plum~er ~ , ~a ~ . ' (pi~ase pri~) I certify that the solder used in the water supply system contains l~ss than 2/10 of 1% lead. Sworn to before.me this ~ day of ~,' 19q[e Nora:.: Uotary PubLic ~ 47~4~s0 County TOWN OF $OUTHOL~ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. No- 22370 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLEtiON OF THE WORK AUTHORIZED) Date ......... Z~. ~.~..~.. ...................................... 19.....~..,~..' Petrol.on to: Is hereby grant~ ..~ ......... ~....=,.~..~ ....................................... ......... ~~~.~...~./,. ................ .~...~....~%~~. . ...... ....... ............................................................................. at premises located at ......... ~.. ............ ~.....,.,¢r¢::-~... ............................................................ ~,.~/. ................................................................. County TaxMap No. 1000 Section ......./......~...~. Block ......... ~. ........... LotNo...~......,~. ................ pursuant to appllcatlon dated ......... ..~...~....~.~. ............. 19..c:~.....~....., and approved bythe Building Inspector,:.~,.~ ~.~.o..2...~ Rev. 6/30/80 76S-:IMZ BUILDING DEPT. INSPECTION [[ ]~F~ouNDATION XST [ ] ROUGH PLBG. DATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ / BUILDING DEPT. INSPECTION FOUNDATION xST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~/FRAMING [ ] FINAL 7LS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [~RoUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR_ 7GS-~82 BUILDING DEPT. INSPECTION [ ] FOUNDATION SST [ ] RO~J~H PLBG. [ J FOUNDATION ZND [ '~ INSULATION FRAMING [ ] FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION / [ ] FRAMING [~/] FINAL [ ] FIREPLACE & C?IMNEY ~ REMARKS: ~ ~n ~ ~ ~/.~, //q ~ / , ~- : ~,~ ,,,~ / DATE /~/~/~ I NSPECTOR~~/ COM~lgNTS :. CODE FI;~AL ADDITIO~I~L CO,M~IEIlTS: Disapproved a/c ......................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-180:3 ITION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CllECK .................... SEFTIC FORH .............. CALL ~ .................. HAIL 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 premisgs, relationship to adjoining premises or public sti-eets or 'areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. 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 igsued 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 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. ~ ,., _ ..... ;' ..... (Signature of appLicanf, or name, if a corporation) ..... L:,,..,, .:b.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... {~..~.;.1.9 .~...~-. .............. ' ............................................................. Nameofownerofpremises ...L-.qC .~..t¢.~..q.....~!.| ~-[-Ib~l-, .......... (as on the tax roll or latest deed) If applicant is a c~9~poration, signatu~ of duly au. thg, rized officer. ,/ (Name and title of corporate officer) Builder's License No .......................... , , t) t~7/4 Plumber s License No. /~. ~...~.. ' }...J~..: , ~ Electrician s License No../.'..O~...~../b:~.. t~ ....... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~/,~ .......... ~..~.~..°.a.O. ...........~..~'.~. ........ ltouse Number Street Hamlet Connty Tax Mai: No. 1000 Section .. j:c[~q. .......... mock .... ~ ' Lot...1 ~. ........... (Name) 2; State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy....~.....~..~ ................................................... . b. Intended use and occupancy · 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition . .~ ......... Other Work ............... 4. Estimated Cost .... I .~.6.~ ' . (Description) (to be paid on filing this application) 5. !~f dwelling, number of dwelling units .... ~_. ..... . Nurnb3}r of dwelling units ob each floor ......... 6. n Dus~ness, commercial or mixed occupancy, spe[ify nature and exte,t'~'r:o'~'~'*~;~l'2~ ........................ 7. Di .... ' . - ........ yw o, use ................... menstons ol exmhng structures, ~f any: Front... 3.e... 3, ...... Rear ... 3 o.. ~ ..... Depth..3..$, ? ......... Height t ¥ ' Number ..... ' Dimensions of shme structure with alterations or additions' ~'r;~[ ' ' ' ~.' ~'i'~ .......... 8. Dimensions of entire new construction: Front .............. : Rear ............... Depth .... ~. fl~..a..~.'.~... Height ............... Nu .m,j~er of Stories .............................. _ 10. ' ............................ ~ eormer Owner ....................... 11. Zone or use district in which premises are situated ............................................. ~ .... 12. D°es pr°p°sed construction violate any zoning law, ordinance or regulation. ,O~, '" '13. Willlot be regraded .h). o , ..... ~ . ' ................................ ........................... wm excess nn De removed from premises: Q~es] No 14. Name of Owner of premises[J,~t;,r~.4~ ~jd4~tilq.~ Address/O df.~4 Ln,o~ lf~r~ 2 ~ *so Name of Architect Address ¢osa. ...................... · ................ /'none Name of Contractor . .~.r.~4~ ~]('~1 ~,:. * % .~. Address ~ ~ I1~,, fig, f-~,~q~, Phone No ................. 15.' Is this property within ~00' f;et' o'f' a' 't'i~l wetla~'d'9' ' '*~'e's' ''.'.'''.'' l~ ~ No. ~.~..~.-!7.~(~...' i ' *If yes, Southold Town Trustees Permit may be'requirg~. -- -. t~o ....... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dim ~nsions from property lines. Give street and block number or description according to deed, and show street names and indicate whetl',er interior or corner lot. ~, R*=~T IN~.J.UDES; APPRoV.~.. TO REMOVF EXCESS FiLL FRO~ A~OVE .~E~!SES BY ~:~DING LOT ~ _ CES~OL CON~RUCTi~ ~- STATE OF NEW YORK, COUNTY OF ~e~. .............. S.S -- '. ~ ~ ~- ~I-.'~C. [~J...~.C. ~3.{~ c.'- (( being duly sworn, deposes and says that he is the applicant (Nam e of individual signing c;;iiiei; .......... above named...~.. ~ ./~ ~..~..~..C:~...d~. ' 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. Sworn to before me this Lot ~ I. Ot 6 Lot ? REVISION S6100/V/$ON 41AP FTLE.O IN THE' OFF/C~ OF THE' CLE'RK OFSLIPPOLK COUNI'Y ON YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, N£W YORK SURVEY FOR: LUCIENNE A. HOLFELDER LOT NO. 7," LAUREL PARK" HOWARD W* YOUN AT LAUREIJ TOWN OF' SOUTHOLD SCALE: SUFFOLK CO., N.Y. [' r. 40; DATE: GUARANTEED TO: THE TITLE GUARANTEE CO. JUNE 2,1972 7'2 - t t APPROVED AS NOTED FEE: BY: NOTIFy BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & RLUMRING OCCUPANCY OR USE B UNbqWFUL WEHOUT CERTF~CATE OF OCCUPANCY PLUM,gER CERTIFICAT/O/V o~v LE,~O CONrE~VT ~E~O~E C~Rn~C,~ O~ OCCU~,~/~Cy SUPPLy SYSTEM CANNOT PLUMBING ~ PLUMBING ~S~ ~STING BEFORE COVERING UNDERWRrTEES CERTIFICATE RE(~UIRED If copper tubing,ls used for water distributing system; piping ihsll be of tybe~ K or L only UNTIL 2nd SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED