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HomeMy WebLinkAbout40592-Z {SUFFZi ,'4� � Town of Southold 4/25/2016 ( .3.d P.O.Box 1179 10. 53095 Main Rd t. o`r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38265 Date: 4/25/2016 THIS CERTIFIES that the building OTHER Location of Property: 4125 Oaklawn Ave., Southold SCTM#: 473889 Sec/Block/Lot: 70.-10-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/4/2016 pursuant to which Building Permit No. 40592 dated 4/4/2016 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: 2 air conditioning units installed in the wall of an existing one family dwelling as applied for. The certificate is issued to Pavone,Mary-Anne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40592 4/20/2016 PLUMBERS CERTIFICATION DATED Of f• ed gnatu TOWN OF SOUTHOLD �oSUFFOc,ro� , BUILDING DEPARTMENT yTTOWN CLERK'S OFFICE 471 SOUTHOLD, NY .1j01t�a0 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40592 Date: 4/4/2016 Permission is hereby granted to: Pavone, Mary-Anne 532 Central Ave River Vale, NJ 07675 To: air conditioning ALTER FRAMING ON EXISTING ONE FAMILY DWELLING TO RECEIVE AIR CONDITIONING. Replaces BP#19397 At premises located at: 4125 Oaklawn Ave., Southold SCTM # 473889 Sec/Block/Lot# 70.-10-9 Pursuant to application dated 4/4/2016 and approved by the Building Inspector. To expire on 10/4/2017. Fees: PERMIT RENEWAL $25.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $75.00 :ulTding Inspector 70aroa NO. 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) N2 .19397 Z Date ,..,�P-P„^,., , Permission is hereby granted to: W 74:J1004-t "( I Vad.s7 (07to �.— ft..A. OYLE.40-NA:t �� r at premises located at 4 1 a © �a. Ser-A-4-114Q-Ctl County Tax Map No. 1000 Section Block / D Lot No. 9 pursuant to application dated / 0 , 19.92'.., and approved by the BLilding Inspector. F.e $..Sb . i Building Inspector Rev. 6/30/80 1 Form No.6 TOWN OF SOUTHOLD 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 dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling $50.00, Swimming pool$50,00,Accessory building$5Q.00,Additions to accessory building$50,00,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 (� / /5- New Construction: Old or Pre-existing Building- (check one) Location of Property: 6//i� (29/i ,w/.7 AL)e_. C- �" �)n„ /LA, House No. Street Hamlet Owner or Owners of Property; a r Y-A n r1 e- Pa v©n e_ d I r e e T i v' ca n n o Suffolk County Tax Map No 1000, Section 'r( Block /0 Lot 9 Subdivision Filed Map. Lot: Permit No. 'I`V) � h Date of Permit. Applicant: Health Dept,Approval: Underwriters Approval. Planning Board Approval' Request for. Temporary Certificate Final Certificate' (check one) • a Fee Submitted: $ 74 - (2- ` °° " .5.0, t�ppSicantISi ignature //,„ .i. Town Hall Annex � ® : Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 %P.O.Box 1179 % zrz- 1` Southold,NY 11971-0959 ,, '••% . ? roger.richert antown.southold.ny.US I, • ,. BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To• Pavone Address: 4125 Oaklawn Avenue City: Southold St: New York Zip: 11971 Building Permit#: 40592 Section 70 Block: 10 Lot 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: "AS BUILT" DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes: Install Two 120 V Recepticles for Window Air Conditioners(Tested Circuits) Inspector Signature: Date: April 20, 2016 Electrical 81 Compliance Form.xls I��„,11:Of SOpjyolo * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) _ t ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: zPecia-i-,d47s rye_ di,/i DATE r6 INSPECTOR Mo- - ” FIELD INS:'EC;1UN --- - 11llr,lE I COMMENTS - \, mi 1 .�. � - LL ,.0 --- H 1' .; FOUNDATION ( 1st ) 41: 03— c . FOUNDATION ( 2nd ) _ _ c7 2 . ROUGH FRAME & N v' PLUMBING cok... 3 . ;, m rh INSULATION PER N. Y. H STATE ENERGY , CODE . - • 4 . if /9 rl 0-3 FINAL - - .w • 1 • • . -I. i .. i ti ADDITIONAL COMMENTS : .� x 1/4, '' , ..1.._ 1; a ° di. _ - 1 . ��_. g t 11 VA - CV x ^o H .` • 9 •fir+ • • H-- H 0 . z r • x • a ra • H x . o co -o H Y BOARD OF HEALTH ,,� FORM NO. 1 SURVEY 3 SETS OF PLANS / .. �'% --TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SE•P•TIC FORM . ., . . , ' ' '..`.: TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ; - �1, TEL.: 7G5-1802 CALL Examined . J. . , i9.Q.7. . . ., 19 � MAIL TO Approved f / j , 199P. Permit No.)./.a17ZE. ' Disapproved a/c , • M � ra ��.c. 4 - SEP 1 ® �' �1? (Building Inspector) APPLICATION FOR BUILDING PERMIT ' 60617a17 'TOWN QF$OtaTH®t 0 Date , 19 . . . INSTRUCTIONS 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 layout 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, end other applicable Laws, Ordinairces 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. \--227a.4 . -A-) POq2 - (Signature ogapplicant, or name, if a corporation) . . aa. . . C -.e.). .4. 4 .v. ).4S.-).--n:. . . (Mailing address of applicant) 0 76 5 State whether applicant is ner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . .eli V()Ala r , ./'i 4 g 7--1/AM/6 -4 - Des (as on the tax roll or latest deed) . If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) LYiltw Com, . If\.) a1/4327-1-\ Qier"111-93-144-- Builder's License No. �� Plumber's License No. Electrician's License No. :, Other Trade's License No. • I. Location of land on which proposed work will be done; . .91a5 ®PikLai /g. . . ..lt°.,. . . . . . . .QUT.+-1.Q.L . . House Number Street. Hamlet . . . County Tax Map No.. 1000 Section '7 O Block . . . . . ,.d, . , . . . . , , Lot 9 Subdivision Riled Map No. . Lot (Name) . . : . . . . ... . . • • 2. State existing use and occupancy of premises and intended use and occupancy of'proposaliconstruction: • A. Existing use and occupancy O VS FAent L1 �'�i . LL,/iJG-- B. Intended use and occupancy S A Cr\a. . . {. A.lrree.1,1. 1 � n(S' - 1 , 3. Nature of work (check which applicable): New Building Addition Alteration I/ • • Repair Removal Demolition - Swi:nning pool. . . . . . . . . . . Tennis Court Acce sory Building Fence Other Work- -INSTALL/Ai& AiR GoaD riONERS iN cl-rve102 (-c�9L D.. p Off• . 4. Estimated Cost „.. 6,...)...1, � " " • • . . . . . • • ' • ' • • • • • ' • • • (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars t 6. If business. commercial or mixed occupancy,specify nature and extent of each type of use . . 7. Dimensions of existing structures,if any: Front • - ---' - Roar Depth • , Height Number of Stories • • Dimensions of-same-structure with alterations or additions: Front Rear • • Depth Height Number of Stories • . 8. Dimensions of entire new construction: Front Rear . Depth • • • Heighte'� :'_o:1. . . Number of Stories _ 96 Size of lot nt •q " Rear Depth . . lOo Date of Purchase Name of Former Owner ,11. Zone or use district in which premises are situated skr O 1 m. Does proposed construction violate any zoning law, ordinance or regulation: - i 13. Will lot be regraded Will excess fill be removed from premises: . Yes . .. • No . . ' 14. Name of Owner of premises Address Phone No. . Name of Architect Address Phone No. 1 . .Name of Contractor Address Phone No. 15 .Is this property located within 300 feet of a tidal wetland? *YES. . . _N0. . . . *If yes , Southold Town Trustees PLOT DIAGRrmit be required. 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. - ',, STATE OF --_. -V _ S.S COUNTY OF . . . 6 e P 6 —177. • being duly sworn, deposes and says that he is the applicant . (Nam ofindividual signing contract) . above named. 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 arc 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 ' <V`t ei— dayo �� , 19 �Q , Notary Public, /L �'4�! ., ~ County -.,,,O , 2 2.774e4-4-4–. . . . . . XgrX–S48.— / t, ° '(Signature of applicant; , %OF SO(/iya <4 Town Hall Road 41( * ; Telephone(631)765-1802 54375 Main y )765-06 P.O.Box 1179 � G • Q roger.richert fown. (631souttlol .ny.us Southold,NY 11971-0959 ` • BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION - imREQUESTED BY: t -k— Date: 9 i y I • - Coan Name: Name: License No.: Address: ' IPhone No.: • JOBSITE INFORMATION: (*Indicates required information) *Name: }✓( �� I *Address: J� 1 1 G� �tC-.1 Gam-VEL--.r-; .�--a.Ne-�..- r.-mac-� *Cross Street: *Phone No.: - <c2 - 1 - - -4 l Permit No.: t--E( q•2_ Tax.Map District: 1000 Section: Block: a Lot: e • *BRIEF DESCRIPTION OF WORK(Please Print Clearly) - E C...- t s �. �' lam.-�_-I = - (Please Circle All That Apply) *Is job ready for inspection: O _ Rough In Final *Do you need a Temp Certificate: YES NO Temp Information (If needed) *Service Size: I Phase 3Phase , 100 150 200 300 350 400 Other *New Service: Re-connect Underground 'Number of Meters Change of Service Overhead • Additional Information: PAYMENT DUE WITH APPLICATIONC , °\' 82-Request for inspection Form \ ;5� f /, I# ,,,,,®��OF SO!/lyol Town Hall,53095 Main Road Ali * Fax(631)765-9502 P.O.Box 1179 ; G �� Telephone(631)765-1802 Southold,New York 11971-0959 AQ '1 yC®UNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD July 25th, 2007 Mary Anne Pavone 532 Central Avenue River Vale,N.J. 07675 RE: 4125 Oaklawn Ave. (Alter framing) SCTM# 70109 Dear Ms. Pavone, Please be advised that your Building Permit# 19397 issued September 14th, 1990 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of $200.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. './6 i _ a- ia_ 9 TOWN OF SOUTHOLD PROPERTY RECORD CAR® -:,_ }_ .../ OWNER STREET VILLAGE DISTRICT SUB. LOT HisoWlil'it"..-4)141//le a i 4)- 111et4P iraf)0 l'aiedufro,. at,,,e. f es .. / , , ot ...,5 / FORME' OWNERN- E liACREAGE \N" ar9 - h i ane. PColt r).0_ 4-ors -' F. . '70>tf,;7';,2..„Li- 41, . L.r : i TYPE OF BUILDING RES. 076 SEAS. VL. FARM COMM. IND. I CB. I MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS P, cot Lidoi, i ,_. YD0 616 _-. ..o0 .� .. sem.:` 1/9sA ,11/aa --r / Q 6 © 4 v 23Lo a 3 9 D U v / f 7/ .. e-1 z:- z,,,....-,/e- /' A/7�' (0. 0c; , 37OO 5' 3 O O / z. - - _ RI. .. / ' - , -`-- -. iz1/z Bei-L /!o/o fl �P franks Fs/- u oPte�s iv/C.__� 1� i/3 rte-, � / 51)lgo -L11Q45r l9'- bor-mao fd Pa✓ori.e. et ano Nie. 195AGE BUILDING CONDITION NEW NORMAL - BELOW ABOVE FRONTAGE ON WATER Farm - Acre Value Per Acre Value FRONTAGE ON ROAD /toP h/ /,js Tillable 1 BULKHEAD Tillable 2 - DOCK Tillable 3 - Woodland . . Swampland - Brushland - - . , ' House Plot - . • Total-,. . --- , . ..# -0..,-;..2... V '''"t"',,,,-.' -.7 ''''Ir..t4.• 'S.IrIntMg‘.4„ '''''''''''' i / • .4-4-'41ft....','; ."',..'i. $...:.'-",2 lc i , ,:.... .I'L 2, -., _-„,„,,,,,,.. -4"VA, ,,:. .\ ( ..'.7.....,-,,t--,7. \ . ,.. .-...--,v.. J.pm, tie, -r-t. „ - v gYvA41,t.,:t.',t1."-'!: ,t• ,,.t.. AI%rit 4-'1.1, , , . ,,p;v / : ' . w,Ar,..,,•—1, \ ____1 ,'... . ..- -',,,cr e;c lAlle,;0'•Pfli -4,!..t. 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