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HomeMy WebLinkAbout23450-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25629 Date: 04/06/98 THIS CERTIFIES that the building FOUNDATION Location of Property: 1545 OAKLAWN AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 3 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1996 pursuant to which Building Permit No. 23450-Z dated MAY 16, 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 FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD J & JEAN A MUNSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N436353 10/31/97 PLUMBERS CERTIFICATION DATED N/A.. Building Inspector 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) N�` 23450 Z Date .............�./..,�................................ , Permission Is hereby granted to: ................................... sS��.... ..... .......... .................... � .....I............. to .......,. �'"' f �a................A ............,�-��;�/�.�/,,.......................�.-J!!;�-�......... . .. .,�. ........../. .�................................................................................................................ .................................................................................................................................................................. Mfd.�............................................................................ at premises located at.......... ,1`` .....V .... ................................................ ................................................. ).......................................................,............. County Tax Map No. 1000 Section ...... ......... Block.....4f-�........... Lot No. .... J` ......... pursuant to application dated .... ....... .✓........................... 19... 1 .., and approved by the Building Inspector. Fee$...'�...�........ l a� .......... ............... ... .,��' .••••....................... Builing Inspector Rev. 6/30/80 Form No. 6 —'s i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 41 765-1802 �� BLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY T WN FS 11TH0L0 A. 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: 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. 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 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. 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 - .25e,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . ... . . LLOld Or Pre-existing Building. .�1. . . . . . . . . . . . . Location of Property. . .G.S.T : . . . . . . .. .uT.4.��.L.� �. .!�� . . . . . . . ... q.�. 1.��c� L �. . . . . . . . . .. . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. P zJ h.'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . ..:Block. .. . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .Fiiled Map. . . . . . . . . .c.. .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.-�.q�Q :.Z-. .Date Of Permit. �� ..4 . . . .Applicant. Health Dept. Approval. . . .. . . . . . . .. . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary ��Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . - a_zc" AftLICANT Co -,)-- ?5 6� THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001093 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date OCTOBER. 31,1997 Application No.on file 14937397/97 N 436353 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MR. MONSON, 1545 OAKLAWN AVENUE, SOUTHOLD, NY in thefollowinq location; ❑ Basement ® ist Fl. ❑ 2nd Ft. OUT Section Block Lot was examined on OCTOBER 22,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS IDISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES FNCANDESCENTJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. I i DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BEII UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT JNO.OF S E R V I C .E AMT AMP. TYPE METER I A 7W F$3W 3 6 3W 3 0 4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A'W G• NO.OF NEUTRALS A.W.G. EQUIP. PER B OF CC.COND. OF HI-LEG OF NEUTRAL 1 100 CB 1 X 1 4 1 4 OTHER APPARATUS: DOROSKI ELEC. INC. LIC.#2941—E L L 425 MONSELL LANE CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 INA Per This certificate must not-be altered in any manner;return to the office of the Hoard if incorrect. Inspectors may be identified b their credentials. O��SUF FO�,�co Town Hall, 53095 Main Road y Fax(516)765-1823 P. O. Box 1179 Telephone(516) 765-1802 Southold, New York 11971 Oy • �� col � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 1, 1998, Edward J. Munson 1545 Oaklawn Ave. Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984).. BUILDING PERMIT # 23450-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: .-04 DATE c?` � INSPECTO i 765-1802 BUILDING DEFT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ � FRAMING [ ] FINAL [ ] FIREPLACIE & CHIMNEY REMARKS. DATE INSPECT 92 3 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ j FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 0)f zj-� REMARKS: � 4 DATE INSPECT ��� 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ /IN ULATION FRAMING [ AL [ ] FIREPLACE & CHIMNEY REMARKS:�Oj� L4& �(</2/�1 ---- DATE INSPECTOR � * R BOARD OI IIIiAL'fll I,; l5 I;;, I'• FORM NO. 1 a :il'TS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . E MAY J' 9 iII111.D1NG DI?PAR'ftllitTi' C1113CK . . . . . . . TOWN HALL SI'sPTIC FORM . . . . . . . . . . . . . . . . . . . SOUT1101.1), N.Y . i I971 BLDG.DEFT. ' 'f E l,: 7 G 5-- 1110 7_ NOT 1.P Y: TOWN OF SOUTHOLD c:nr.l. .7 g rx.rni„e<I..... ..P ..., 19. IIA11. TO: . . . . . . . . . . . . . . . . . . . . Alr[)roved.. .. . ....., 19 Y� Permit No. 3.5...... .. .........I.......... .......... .... Disallmyveda/c .................................. ............................... ..... ... ....................................".............. .......... . .. ..... .......... (Ikci I )g nsix-ct.or) API'LICAT.iON FOR I11111MIN(; 1'liltIll'I' 1)a Le. . . . S: �'. . . . . . iNS'I'Rl1C'I'IONS a. 'Ibis alrlrl.icaLiorr mist Ire c(xttpletely filled in by Lylx-mrit.er or in ink atxl sulanilAed Co the iktilding Tnspeclor will; 7 seLs of plans, accuraCe plot platy l.o scale. Fee according to schedule. r b. .1'IoL plan ;11)(Mi(tg ImaLicxt of lot: atxl of Imildings (xi premises, relationship Lo mijohdop, premises or lx)blic streets or areas, a(xl givifil; a derailed descripticxt of: laycxtl of ptoperly ausC Ire dram cxt the dingr.m which is part of this application. c- 'Ilse work covered by this applicalAoil nv tart. Ir ey e cullitem-ed before issuance ae of: iktilding Permit. d- Illxxt approval of this application, the Ihrilddng Inspector will irsue a lkrilcling Permit to Lhe applicant. Such Ix-rildL shall be kept: Ott llte prenniseit available for in six t.-Hcxr thr(xtgh(xtl: l.he work. e. No Imilding shall he occupied or used in wlx)le or in pact for any lxnlx)se wImLever until a CerLifical:e of Occagk)rx:y shall have been granted Iry the Iktilcling Inspector. AI1111.1QVI'iON IS I➢?lt1;I1Y tlnOfi t.o Lhe Ikrilding Delrarltmnt for the issuance of a lktdlding fermi[ lxrrstcutl: to the iktildit% 7.cxte OCLlltkarx:e of the 'Rxm of rk)"oltold, Suffolk Ccxntty, New York, atxl olher applicable I:aws, Orditkances or MipilaLions, for Lhe CXX1SLrin:Lime of klildings, ackldl:i(xts or alterations, or for rettrrval or demolition, as herein described. 'Die applicant agrees to ccrtgrly with 611. applicable laws, ordi(katx:es, lxiilcling c(xle, dnxasing c(xle, atxl regulaLicxts, atxl Co adiiil aul:ln)rized inshecLors'cA) premises atxl in Ixril(1ing for necessary dnspecticxts. 41/ 1 gnahire of applicant, or finite, if a corlxwoLion) l S q.5..G�KL 6gu!h/ i9U � SOv 6l e� v (MliIing address of a11fil.icant') Slate u4telher applicant is (mter, lessee, agent., architect, engineer, general conLroct.or, electrician, pluti)er or Ixti lder. ..-•..................a...... .........-............................... ....... .........I... Witte ()i: mnler of pronises .. �w//•`�... v `.. .U.tv f Q/ .......... ................................. ....... (as Ou the lax roll or lakes[ deed) 1f applicant is a corlx)raLicxr, sigmiume of duly aul.ln)rired officer. . ....................................... ...... .. ..... .... (N(rtte atxl Lille of corlx)ral:e officer) Ikci lders License tk). ......................... 1'Itrtb)ern License No. ......... ................ 1'slecl:ricians I.ic:ertse Nu. ..................... Other Trtxle's License No. .................... / 1. lk)cal:icx) of land (xt wlticlt prolx>.sed work will J)e clotx�..`. ....©. l'��./ ?!�!✓.../�/r'/�. ............... S4.v.. a�D�...�a!•. :...�� ..�.� .. ....................... Ikxtse 1111ber 8treeC 04kL"Ll Aue Mullet 5o„�h0116 (kxutly Tax 11,11) No. 1110O0 Sect i(xr .....L.,(�!...... I11(xk ...... ........ Lot ............. S(tixlivision . ....'LJ ............. ...... .... . File(i tktp No. ... . /I:J�j .... LOL ............... (N<nte) Z. State exisl.ing use atxl mcarlkat►cy of 1promses atxl intetxled use arxl oc:culkatrcy of proposed consLrucLion: :r. Existing use a(xl occt)lmlicy ...RO.lyE. ...... .... ...... ............ ......... ......................... I). it)letxkcl t)r;e :ttxl ex:(:ttlk)tx:y ....l�d. .0. .... . .. . .... . ... . . .. ... ... .................................... 1. ItitIite of 1Aifk ("Beck %AIi(:If fiig)lirohI'A tk--%a IkciIifinl,. . . . . . . . . . . AMition Alteration . ... . . . . . . Itrauti . .... .... ...�.yItill)(NaI Ik�mIit.iofI . . .. . .. .. . . . Ql Ile vi•kuk��/Cl� RfL` S!s?1r ,0 -�'/ (De(Ic:r 1 pL ion) I?rl.iff4itetl (nsl: ._. . . ... . rep . .. .... . ... .. ... ... . . . .. .... .... . . ........ .... / (lo be Ixiicl on filini; Ibis applicIlHoo) i. I IF ckx!I I ing, e■■ilrer of tkaell ing I kit iLs . . . .!. . . _. .. Iksiber of: chael I Ing ►tnlfs (,At each floor ... . ... . . .. . . . .. If (;aral;c, fxnl),!r of cal-n ....1. _ . _ . . ._• .. .. . . . . .. . ... . .. ... . . . 6. If lxtaifx!sa, cufiftercial or mixecl occulmney, specify nahire atxl extent of each tylx: of tise.... ... .. .. . . . . . . 7_ ilirx!alrifxis of exist'in(; flow urea, if fifty: Frool .. .. . .. . . . . .. . . . Rear ._ . . . . _.. . . . . . . Depth . . . .. . . . . . . ... . .. Ik!ighL ........ . . ... ... . ... ..... tk■ilia!r of fil'o, it!a . . ..... /. .... . .. .. . . .. . Ilirx!nsicxfs of fifine sLr►x:ture with nl Lerat.lcxts or fxl(li L'lona: Front. __ .. .I , , .. . . _•. Rear .... .... . ... .. . DOIAIt Ik!ii;1tL M■fher of S(orica . . . . ... .. . . .. . If. I)Irxatr i(x(s of enl.i r e extra cexisLr rx:l.itxr: Fr ont .... . . ... . . . .. .. Roar . __ . ._. .__. ..._ Depl.11 . . . . . . . ._. __.. 11ell;lft. trotter of: f;For iea . . .. . . . . . . . . . .. . . .. . . 'I. Size of," loL: Viofrl .. . ... .. . . . Rear. . . . . . . . . . .... . . Depth . . . . �:�1(�.I._ .... . 10. 1411e of 1l11chime ....... Ilirix! of Roux!. (aa(x!r II. IA)fle or ore (Iltilric:l: in r,Aficlr pfeyni;fea rue f;.i.Loaleel 12. ikx!a proixaretl c(xislrtx:Lion violme Italy mining Tina, or(Iinafx:e or• rel;ult►l.icxi: . ._�.. ....... .. ....:... I'l. Wi 1 I loC Ix! i el;rixletl . ... ....NU. . . _.. . Will excess fill Ix! r(efrrvetl frr■n pt oni sell: Yfi. Ix? If, Mainc!s of (aafrei of premises DZ��/C )7,..l�jv/.1J1dn/ A(I<Irefir � f�i9kF�4✓1�1..l9v .... Ii fix it- tk)W.C.7 t/ tlMaimx! of Architect . ..... . ....... . ... . ... . . . ... ... . . . .. A(kheas . . . . . .v.7!•!d.. . .. . . ...�. . _`. . ...... 11frnx! tJn. . . . . . . . . . .. tl:■fx! of (txrl.rncl'ar ....QW.LUCwNr.. . .._..•.. ._ . _._•. . Aikhers .. .. . �/W%5. .. .. ....... ....11►ofre tki.A� _rq.ly 15 Is this prolx!rl.y within NX) feel: of a Offal we1:11laxl7 * YES R) .. ..... . . . -*IF YIS, s(1llllt(B11 -Imu 'lltlllillr.", 1.1:1m.l. t1AY 1U., IUu.OIIIRF.11. 1'I.OT It i AGRA(I Itx:ale clearly ntxl tl BOIXA.ly all Ixtilclinl;a, e.AwIher r_xirl.inl, or prolxiseil, nfxl iexlicate fill set'-back (Ilnx!nl;iona ff(icn proix!rly I it,es. Give aLrret afxl block irui>er or &-script icxr according to deed, film( rlxxa street miner fuxl ifxlica(e r+ltclher in(erior or Writer lot:. �GE r .r M_ t 0-1 YMK, .� /./�_ ss (TIIIPIIY (M� .. (� ,. . ^( T LvGt I'•�• • • • •v •� . . .��[� . .IX!ity; (tidy f: ml. (Ic:Ix)cie:; mxI flay"; (fill(: he ici the ifppI icir,l (id;nx: of itxlivi(Itaal nii;niol; cow Inc( ) Ik! ill Ill! .. . . . . . . . . . . . .. .. .t/W �� . ._.. . . .. ._ . . . . . . ._ .. .. . . ((:c)fLrnctor, nl;eo(., corlxrrfile officer, el.c.) of said (A"oer or owfx!rr, nfxl is (Italy authorizes( to Ix!rfofrf or have ix!rfonfx!tl (he Maid work taxi Lo mike anal tilt! Olin ripplicfiLion; lhnl, all slnl(:rix!ntr corrlaifx!(I in I.11iif nppl,ir,ItLion fire Irr;c! Lo the beat of his Ioxnaledge rrfxl b(4ief; ncxl Ilint. the (xitk will Iw iterfolnfecl in 1Ile "Y""Wr reL I'M111 in (lie npplic:nl:ion file(I therewil.11. f xren to before fly! Ihirf . .. . . .. _. . .slay of .M& I9�4, gL6 (:ill;nnLute oP i icnnL) �iSE3'CI ANN NEVILLE .ty 8 Public: State of Nzvv York iyo.52-t3125$50 Suffolk Co _Teriaa.Ex sires Aotober 3'6, 1 .. .y✓a.•.•..,.--••a. �• ..a':.rfwr-.tiJ3L1%.iU-'Ritri+`.��dL�.av .n;yA-u0(acU'TiYYN�D'SitF:�'P'�`f42+TdsS�. . UNDERWRITERS CERTIFICAT .�...- REQUIRED OCCUPANCY OR U S F IS UNLAWFUL 19 eN xx p t, WITHOUT CERTIFICATE, OF OCCUPANCYX�x�� I� APPROVED AS NOTED O Few DATE: B.P.# � �:.:a-...,,..�.._«.o.r,.�..��:--• = - r, t FEE,p 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 & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONS i RUCTION SHALL MEET THE REOUIREM�NTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS !ud T 70 5 (Xii lvTa �+ - 'N I x .:o.ke]iA.'4wli^•:+h'.uv+w.n..wauuw . 6AS ^' • ` ' f Pifto le 7'o s i-,m r or 45 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS AREA = 10,400 sq. f t. \ HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY lF 3 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. (p �.0 ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY" Ct� MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYORS MAP. TERMS SUCH AS INSPECTED'AND n 0 BROUGHT-TO DATE'ARE NOT IN COMPLIANCE WITH THE LAW. N RIG �( o0' / N RvTN Q�S _ �. sh�� o w c c� /h � o o Z��m EN N� & `� �oP• �o� m -C —A k Fc ,6 Go�L•1 ka rc � OO j0 N (�• �e�� �F�d omm Q k - UN w m 6, 10w� N 03 \ q. i 17 N• � � � ' r;p' M19 ��'1 20 �► 131 o u, OHO 5 on .... NE0 7- M ^ 36' 10 ESTENEEcjE S 66 ►F ANY SURVEY OF N►� MPR _ PROPERTY L o A T SOUTHOLD E TOWN OF SOUTHOLD P SUFFOLK COUNTY, N. Y. L 1000 - 70 - 03 - 05 SE^ s N G K SCALE • 1" = 30" LAND R NOV 2, 1994 O PECONIC , P.C. (5I6) 765 - 50 P. 0. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 11971 94-318