HomeMy WebLinkAbout23854-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24805 Date DECEMBER 17, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 600 NORTH OAKWOOD ROAD LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 127 Block 8 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 26, 1996 pursuant to which
Building Permit No. 23854-Z dated DECEMBER 10, 1996
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT"
AS APPLIED FOR.
The certificate is issued to ALAN J. & SUSAN G. LANGENUS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
B lding Inspector
Rev. 1/81
FORK 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)
N® 23854 Z Date ...... .. ... ...../ ................... 192.
Permission is hereby granted t�";VL
....�0?"X.. .................................
........ . ................
C /2
•• •• ........
.•..• •. .. ....... ....• •....••............. •..•...••••`...••••••••••••
atpremises located at ......................4� ............ ...!�../... ........ ...... ... ...G�s ............
............................................................... ................ ............................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section ...../ .7.... Block .........j........ Lot No. ....!�...............
pursuant to application dated .................. .... ....... ................. 19. .f�t, and approved by the
Building Inspector.
. Fee $... ....
...... .. !..i:. .. ...... ...............
Building Inspector
Rev. 6/30/80
Form No. 6 Q�>Q`f
TOWN OF SOUTHOLD Ct � -n q
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OF, ink and submitted to the building
inspector with the following: 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.
3. 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 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,
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 Buildine - $100.00
3. Copy of Certificate of Occupancy - _25%�.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00/', Comme c`ial $15.00
Date . . .. .A �4��. . . . . . . . . . . . . . . . . . .
dew Construction. . . . . . . . . Old Or
Pre-existing Building. . . . . . . . . . . .�A
,ocation of Property. . .
House No. Street Hamlet
!nwer or Owners of Property. . . . Al�. .. . .vl. . . �. .ei .(,�;3. . . . . . . . . . . . .
ounty Tax Map No 1000, Section. ./ 12� . .Block.Oft VJ0 . . . .Lot. . . ���� P.
ubdivision. . . '�.� .�. . . . r'� . . . . . . . .Filed Map. Lot. d�. .�l!. . . . . . . . . . . . . . . .
`ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . .Applicant. A/�/7. . . . .a �
Z4.Y
!1ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . .. . . . . . . . . .
Tanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
-ee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c5 s a3 0-8 . . . . . . .Q6, . . . . . . . . .
Co-:�J- C &o 5 Pr1.7_CANT
[1"[J�rJ"[J�[.I�rJ�[J�[1[J�C1�Gl[.I�[J�C1[J�C1[.(CJ�CI�CJ�[1�[1[1CJC.I[1[PLPL[PLrL3J�[J IrL3PL PLfCn[rL3rL3 .1�rJ�[J PLPrr 'L3PLrG PLrr3 �
5 te/a • - - � c BY THIS CERTIFICATE OF COMPLIANCE THE 5
S ORK BOARD OF FIRE UNDERWRITERS 5
5 5
5 P BUREAU OF ELECTRICITY 5
5 �25 40 FULTON STREET - NEW YORK, NY 10038 5
7� 5
5 D CERTIFIES THAT 5
5 Upon the application of upon premises owned by
5 55
5 R.J. CORAZZINI ELECTRIC ALLEN LANGENUS320 5
5 MNY 1 ,D1958E 600 LAUROR NIOA9K OOD DR
PECONIC 5
S 5
5 Located at 600 NORTH OAKWOOD DR LAUREL, NY 11948 5
S5 S
Application Number: 2060241 Certificate Number: 2060241 Cj
5 5
5 Section: Block: Lot: Building Permit: BDC: ns11 5
5 5
5 Described as a Residential occupancy, wherein the premises electrical system consisting of Cj
5 electrical devices and wiring, described below, located in/on the premises at:
5 5
Basement,Outside,
55 5
5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed rj
herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 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 30th Day of June,2005. 5
Name OTY Rate Ratine Circuit Tvae 5
5 Service
5 5 1 Phase 3 W Service Rating 200 Amperes 5
Service Disconnect: 1 200 cb S
5 Meters: I
5 5
5 5
5 S
S 5
S 5
5 5
5
5 , seal,
5 1 of 1 5
5 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
nrr�1"tri r�rrr.�I��rnrr��nr��n�rr�n�rrrn�l-������n�n���n�n�
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ � FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: )/C,407
et
DATE y INSPECTOR
()II Ill!('U It-1- 1)ATV
-------------
tj
I'M I ODAT I ON
FOON D AT ION
FRAM'.
I NO
—------- --
-----—---—--
I otl Ili,-I( tj
it I:y
C 1)1
—----- ----—
F I HA I.
-------------- - --------- -----------------------------
-------------
:71
'S73
-
40
0' :
r
9
s �e�
-7,
_Ci, _�
a
00
A71
*' BOARD OF n13n1:1'n . . . . . . . . . . . . . . .
1v Rit NO. I � 3 SETS PLANS - - - - - - - - - - - - - - -
L'
TOWN OF SOUTHOLD Sl1RVEY . . . . . . . . . . . . . . . . . . . . . .
- a BUILDING DEPARTMENT <CHECR . . . . . . . . . . . . . . . . . . . . .
f` �p 1�QV 12 c I� TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
i� SOUTHOLD, N.Y. 11971
TES..: 765-1802 NOTIFY-
CA
r�nined.. - ....�.... 19.`_ MAII. TO: . . . . . . . . . . . . . . . . . . . .
Approved_. .. . 19�� Permit No /�.. <. ....................................
9
Disapproveda/c .................................. ....................................
.......................................... ..... ..... .
tlding I nspector)
O BUAP FOR ILDI NG PERMIT
Date. JJ b . . . . . . 119710.
INSTRUCTIONS
a-. This application must be cmpl.etely filled in by typewriter or in ink and submitted to the Building Inspector wit.?
'3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of:.luildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property rust be drawn on the diagram which is part of
this application.
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
permit shall be kept on the premises available for inspection throughout the iaork.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy s1ia11 have been granted by the Building Inspector.
APPLICmm IS IIC-REI3Y 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 inspecti s.
..............� ......
(Signature of aDpli a or if a corporation)
. (1 ailing a lkevo,
State whetlwr applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................. �.�'.�.110!�I, __......................................................................
Nano of owner of premises .........
eloy...ivf.:... .�� �ct ... .... <J l.P.��................
(as on the tax roll or latest- deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nair. and title of corporate officer)
Builders License No. .........................
Plumbers License No. ............... ........
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on which proposed work will be done..............................................................
louse Nudber Street liandet
County Tax Map No. //lO()n Section ... 7�. Block Lott
Subdivision .......4r qV.f fed..... � (.4 ... riled Map No. ,�....... Lot ... ......
Kme)
2. State existing use and occupancy of premises and intended use-andoccupancy of proposed construction:
a. rx i s t i ng use and occupancy .... e,5'f!..on.. --. ......................................
b. Intended use and occupancy A r...bu lit...........................................................
1. Kiltiru of murk (tiveck. %Jdch a14)licahle): New Mildinj ..... tv.kl i t i on .... Alteration ..........
Itepait ............ Railoval ............. Deiliol i L i 011 ............ Other Work ..................................
(Description)
/I. Esc halal ted Cost ......................... fee ..............................................
(to lie paid oil filing Lhis application)
5. If akxal l ing, iltsiber of (k)-eelling, units ............ Ilkillber of (Itoelling wilts m each Floor ................
If. garage, ixjiber of cars ..................... ...................
6. If 1xishiess, c(.innercial or mixed occupancy, specify nature mid extent of each type of use......................
I Dimen.94mis of existing sLrucLures, if any: Frotil:....... ......... Rear ............... Depth .......... .......
lk-,ioil: ......................... Rxiber of Stories ......................
1)h1V--Fl6iO()S Of Sallie strucLure with alterations or i0litions: . Front ................Rear ...............
DePtIl .................... lleigja: ..................... Usiber of Storien ...............
8. Dhiensions of: entire new construt--tim: Front ................ hear .... ............ I)epLh ...............
......................... Unber of Stories .....................
9. Size of lot: Protit .................... Mar .................... Deptl I'll ....................
10. IL-i(:e of Purchase ..................... Malice of Fornwr (M)er ........... .............................
11. Mike or use district in %Aiicli premises are sihiated ..................................... .....................
12. Ikx-s propmed c(xisuniction violate any zoning law, ordinance or regulation: ........................
I'). Will lot be regratled ..................... Will excess fill. Im-- retimed from pronises: YES N)
14. Mayans of Omw--r of premises ........................... AtIllress ............................... lixmle No. ..............
Nivike of Ardiitect .................................... A(kiress .............................. 11 lone No. ....... .......
Mmike of Ckincractor ................................... Atkiress ..............................I'llone No. ..............
15. Is this property within XX) feet of a tidal uetlavul? I* Y!.S v.......
*IF YES, fXXYIII)11) lum 'ImIsImis m-ourr my IV-% tupitu-M. G/;m
PLOT DIAGRAM hv�
locate clearly atxl distinctly all Imildings, whether existing or prorx)sed, arml itulicate all. set-back dimensions
from propervy lities. Give street aixt block m.mber or descriptirm according to (leed,-antl riliow street naines aixi imlic-ace
%A)etlier interior or corner lot.
APPROVE AS NOTED
B.p
U ® µ YA
FEE:
BY:
NOTIFy BUILDING DE DE AT
765-1802 9 AM TO 4 M FOR THE
FOLLOWING INSPECTIONS:
v cl v FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
0 5 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SMALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
OF, Nl�w ix, CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
U A IN I Y ff? .�(� ( .��.
........ ..........IX!ina duly sworn, delx)ses all([ says that he is the •apl)l icant.
(Nance c) i). "i", signing contrac
,ilx)ve tumd,
Ik!- is (lie. ...................... K.................. ...............................................
(UnitracLor, ngent, corwraue officer, et.c..)
of said (m)er or (mxl!rs, naxl in (July authorized to lx--rfolili or I inve jxr formed the sa ill work aril to imike awl file Ibis
application; Unit. a1.1. sLaLe)vienLf; conLah"I in Okla a1q)lication are true to the beat of bin kilowledge aixi lx4i(!f; alxI
tthatLhe wrk will be Ix-rl7otmed in the nwinwr set forLh in the applio-.atioii filed therewiLli.
,Xmrii to before thin
........ ...da
l4oulry IN bl.ic J .. . . ............... .. ....
.......... ... ..... . ........
CLAIRE L.GLEW (Sippiat.ur f Applicant)
Notary Pubi ic,State of Now York
No,4879505
Qualified in Suffolk County --
Commission Expires December 8,19
C;T :, f5 re--E f:'E Z T:'MAT- -F
MAP OF ;)12(DPE1ZTY
_4�I Ll��, I T,-i No.2"4. S�J-VEY E D F 0
4MU'Z-A D(Vsd I
of v-L-VX,,C,.
:--Ind s:,,I,-c-rs ui;b
c Z 5-4d s shag a
fc,1:C;2 Wafid tna copy.
Cv--'—'-bcgcaWl
6's PUT-on W
to.
(94G.0
N,69 OB',4a;r
2 WKIX
i _ww",-r�
V Sys_—_ 2
rmsEQ. QA~
D.ZT
IA
S,Gros 40 %.4 21670
T47LE NO-24SO 0nf AZAZZ
AMEhOED.- PPfZ-t'Zr,,1994
SLI Z C
,EED To GOV
r410Q_E:4�X1,WW T-Jjy
S(�_r_oj TA,'.1000
7—