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Home My WebLink About24641-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25527 Date: 02/06/98 THIS CERTIFIES that the building ALTERATION Location of Property: 1150 OAK DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 16, 1998 pursuant to which Building Permit No. 24641-Z dated FEBRUARY 5, 1998 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 INSTALL A NEW ELECTRIC SERVICE & PORCH WINDOWS (SCREENED PORCH ENCLOSED WITH NEW ANDERSON WINDOWS( "AS BUILT") The certificate is issued to CHARLES J BECK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H058511 01/21/98 PLUMBERS CERTIFICATION DATED N/A l Build g Inspect 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) Date ......FS.SR.UORY.........5........................... 19...96.... 24641 Z Permission Is hereby granted to: ............................................... R.T.S...!4?.....J�.Q.X..4 J Q............................................... ........WAI-P.01-E...NH I........Q3b0S........................I.......... to ......I.NS.TAL.1- . Pt-RFW...F-InR.GT.R. .G...SI*RU.ZG.F...&...PQRC.H...W.I.NAAW.S... ....SC.REENED...P.QRCH .........I-.NIQ.I-Q.5F-P...W.I.T H...KIE W...ANA.F R.S QN...1J.I.N DDRS...)....A 5...a.U.I L T......................................... .................................................................................................................................................................. .......................................................:.......................................................................................................... ....................................................................................................................................I.............I............... at premises located at................1A.�.Q.....4A.K..AR...................................................5D THM-D........... ...... . ......................... ....... . ......................... . ................................................. . ............................... County Tax Map No. ....473889.1... Section :..9So............. Block .....Q.0.02........ Lot No. .RQ. ............... pursuant to application dated ....JANl,1ARY........16........................ 19......9.$..... and approved by the Building Inspector. Fee $........7.5.,00..... ilding Inspe r Rev. 6/30/80 r i 1 FORM NO. G TOWN OF SOUTHOLD ' . Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted somomm to the Building Inspec- tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings,•Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. S. Submit Planning Board approval of completed site plan requirements where applicable. B. Tor existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to.prepare a certificate. C. Fees: .1. Certificate of occupancy $-25 :00 -- BUSINESS $50 .00. 2. Certificate of occupancy on pre-existing dwelling $ 50•. 00 3.Copy of certificate of occupancy $".5 :0 0 , over 5 'years $ 10 .00 4 .Vacant Land C.O. $.'20 .00 5.Updated C.O. $`50 .00 Date .. . . . . . . . . . . . . . . . .. . . . . . . . Construction/Installation of porch windows, as built r New . . . . . . Old or Pre-existing Building . X. . .. . . . . . Vacant Land . . . . .. . . . . .. . Location of Property , , ,Southol d, , , , , , House No. Street Hamlot Owner or Owners of Property . . . . Henry Beck as. . Executor of the Estate of ChqVles J. Beck . . . . . . .,. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . .. .. . County Tax Map No. 1000 Section . . 80 . . . . . . . . . . Block . . . . . ?. . . . . . . . . Lot. . . . . . .511 . . . .. . . . Subdivision . . . . ,Map.of.R jydon ,Shores,.•;Inc.. , ,Filed Map No. 631... . , . . ,Lot No. 9;, 10. . . 11. . .. Permit No. .. . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . Health Dept. Approval . . . . .. . . . . . . . . . . . . . . . . . .Labor.Dept. Approval . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final.Certificate . . ... . . . . .. . .. . . . . . . . . . Fee Submitted $ .25.00 . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .: . . . . . . . . . . . . . . . GARY FLANNER OLSEN,ESQ• Rw.1a•10.78 CUTCHOGUE,,NY511935 ' 5 3� ,3 co- ash � . I THE tNEW YORK BOARD OF FIRE UNDERWRITERS PAGE, I 80.69 '19 BUREAU OF. ELECTRICITY ,,.3291.LAKE SHORE ROAD, BUFFALO, NY '14219 Date 8Application No.on file 153 11698/9u f{ 058 11 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 FP1 D & rPANCEI S SC FIALi'yrLm, 11.5(3 6�a SOIIZ'I 01A), N`x' in thefollotrr&nq.Focation; ® Basement 0 1st Ft. ❑ 2nd Fl. OUT Seetion Block Lot was examined ure '7AMIF RY 1 ,1998 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACIEs SWITCHESFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET I AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E - - AMT. AMP. TYPE METER 1.'2W 1 JY 3W 3 0 3W 3 0 4W NO,OF CC.COND. ' A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER.e' OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: EINTIRE PP.EHISES-1 "NO VISUAL, DNFECTS "Ark, survey has been mace of th.e exposed electri-- Ll ecp_d weiit in the prelai sett indi.cate�A. " "Ifo obvious, L L FEEM SCI-M..E I'Lrl, 1245 OAf; D»IyfE GENERAL MANAGER SOUTHOLD, ICY, . 11971 aIS Per s This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identif;ed by their credentials. COPY FOR-BUI.LDI-NG DEPARTMENT. THIS .COPY OF.CERTIFICATE. MUST NOT ,BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INS TION [ ] FRAMING [ FINAL i [ ] FIREPLACE & CHIMNEY REMARKS: ��/-�-e-c (2, O. DATE � s %� INSPECTOR BOARD 01F HEALTH - - 3 SETS . OF .PLANS FORM NO. 1 SURVEY • • . • • • ' CHECK'' • - • - - - - TOWN OF SOUTHOLD TMENT SEPTIC FORM . . . . . BUILDING DEPAR - TOWN HALL f: NOTIFY' , SOUTHOLD, N.Y. 11971 CALL - • • - T,EL.: 765-1802 MAIL. TO . .57 , Examined . sf . . . . . . . . . .. 19 Approved Pennit No. A . • pp .. ' Disapproved a/c ,`. . . . • IJ �• t (Building Ins ctor) . + APPLIC/a-1 ION FOR BUILDING PERMI r �. _„ Date January 1 , ` 19,g7. r ; INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the 7Bunldmg Inspector,with 3 IT 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,descnption of layout.of property,must be drawn on the diagram which is part of this,appH cation. r ,•, ;,. . Permit.. c. The work covered by this application may not be commenced before issuance of Building ; r; " '• a. Upon approval of this application,.the Building Inspector will issued a Building Permit to the li appcant .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 whateve til.a Certificate of Occupancy shall have been granted by the Building Inspector. ' APPLICATION IS-HEREBY MADE_ to the Building Department for the issuanc f a uilding Permit pursuant to the Building Zone Ordinance of the.Town of Southold, Suffolk.',County,New York, of r applicable:Laws,Ordinances or: Regulations,'.for•,the;:.construction,of.buildings,additions or..alterations, or for re al r molition,'as herein described. The applicant:agrees.to comply".with'alL applicable laws,'ordinances,building'c e,` 9. de, and.regulations, and to' admit authorized inspectors on,premises and in.building for necessary inspecc . . .ems. . . . . . . . . . . . . . . . . ... . . (Signature o pplicant, or name, if a corporation) . .. a nai . • • • . • (Mailing address of applicant)• nt, architect, engineer, general contractor, electrician, plumber or b State whether applicant is owner, lessee, age uilder. • Gard Fl anner Olsen apt` ' rney for purchaser . . . . . , . , . , . . . Name of owner of premises Henry Beck as •Executor of the Estate of Charles J. Beck , , (as on the tax roll or latest dee*PP 0V D AS NOTED ul authorized officer. DATE: '� .B•P# If applicant is a corporation, signature of d y FEE: .S • 13y ,. . . . . NOTIFY OUILDING DEPA ENT. • (Name and title of corporate officer) 766-10M 9:AM TO 4 PM FOR THI ALL CONTRACTOR' S .MUST BE. SUFFO"LK COUN,1'Y, LICENSED. FO.L MIING, Builder's License No: • • • • • • • • • I FOUNDATION • TWO REGUIREI� MR Pow".010 Plumber's License No ' ► p' ,G " '• . . 3. INStltJil'tON" : . Electrician's'License No. . . • • • • • • 4. FINAL'- CONSTRUCTION MUST ®E CQMPL�FOR to. Other Trade's License No. • • ALI. CONSTRUCTION' SHALL MEET _ THE REQUIREMENTS"OF'THE N.Y E Locationn"of land on which proposed work will be.done . . . • • • • • • • frTATE•:.CONSTRUCTIQN• $c,fl1t B;(3Y; CODES. NOT. RESPONSIBLE FOR 110.Oak Drive Southold DESIGN 0E C9NSTfl41CT10N`•G-F3flOR9 ;. , r , . . . . . . . . Street.:, -1-louse Number... +� ' County Tax Map No. 1000 Section 80• • • • • • • • • . •'• Block .?. • • ' Lot Filed.Map No. 631 Lot 9, 10 Subdivision . Map of Raydon Shores, Inc. • • (Name) , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction 1 ti use and occu anc Instal 1 ati on of:'porch windows ('formerly screened porch) .. . bun 1 t a. Exis ng p y ;+,,r . . . . . . . . . . . . . . . . . . .. b. Intended use and occupancy, f:, . ; . . . . . g Addition . • • Alteration • • • • • " tcheck which applicable): New Buildin • • • • • • • . . . . . • . . • . . ,•�'`' Demolition . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . . Removal . . . . . , . . . . . (Description) Fee '. . . . . . . . . . . . . . . . . . 4, Estimated Cost . . . . . . . . . . . • • • • • • (to be paid on filing this application) Number of dwelling units on each floor . . . . • • • • • • • • ' 5. If dwelling,number of dwelling units . . . . . . . . . . • • . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . If garage,number of cars • • , ' ' ' ' type of use . . . . . . . . . . . . . . . 6. if business, commercial or mixed occupancy, specify nature and extent aof each typ. • Depth.. . . . 7: Dimensions of existing structures,if any: Front . . . . • • • • • , . • . • • • . , • , , , Height . . . . . . . . . . . . . . .Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . Rear . . . . . . . . . . . : . . . . . cture with alterations or additions: Front ,, F Dimensions'of same stru . Height . . . . . • • • • • • • • • . Number of Stories '. . . . . . . . . :. . . Depth . . . . . . . . . . . ... . . . . . Rear . . . . . . . . . . . . . . . Depth . . I.. . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . .. ... . . . .. • • . • • , • • , , , • Height . . . . . . . . . . . . . . .Number of Stories . : . : . . . • ; . . . : : Depth . . . . . . . . . . . . . . . : . . . . Rear . . . . . 9. Size of lot: Front . . . . . . . . . . . . • • • • • • • • " :Name of FormerOwrier • • • • • • • • • • • • • • • ' 10. Date of Purchase • , . . . . . . . . 11. . Zone or use district in which premises are situated •. - • •.• • • •latioh" . . . . . . . . . . 12 .Does proposed construction violate nny zoning 1nw. ordl`gill excess fill be removed from,preinises: •: . • .Yes • • No '. .13. ' Will lot be regraded • • ' ' , Address . . . . . . . . . . . . . . . . .Phone No. 14. Name of Owner of premises . . . . . . . . . . . . • • Phone No. . . . . . . . ';,"';',Address!. . . . . . . . . ... • Name of Architect . . . . • • • • • • • • • • • ' ' ' ' ' ' Address . . . .. . . : . Phone No. . • • • • • • • Name of Contractor ' . . . . . . *yes . .' ;Nof , 15. 'Is this property.located'.'within.300 feet `o'f a;.tidal wetland *If .yes, be Southold Town Trustees Permitpm' DIAGRAM er.exis Locate clearly and distinctly all. Set buildings, description tion accotirird ngto deed,ropose and showlstreet names and ack indicate whether property lines. Give street and block number or d p , interior or corner lot t rr : „ t { ;.r' �.. See annexed survey of/ Stanley J. Isaksen, Jr. dated December 6 fY :/ -t,. 4 1 ,_ + r , ,,'' � { ''r i tl ii _,� r Y -,� f .tj,t �1 :1 n,lf'•.�i• , t / S ........•w..ueh..ue�.ev. T6 ,�f..�+..✓.•wrnarias.�t+c'rzewfR.� i��'�.2 . S+u.v4tiV.av+9`+t@1�M�a12.,a�..t - ?.7.3P�"a'r�.��i .��5�_�,iz;FY"~i �s•s,�c�i�ni<� LeF lb��R-�,b'�{��;t �JF Y6✓Yft�aw� �'bt 6 �� r u . SgrATE OF NEW VMUMM4 R S.S d, C'OUNTa ' 'llfFOl� . . s the a pplicai• Lardy � a►�1� t'�01 en being duly sworn, deposes and says that lie i 'i;W-A �r w,Us ,:%QiiAl signing contract) 1 - 'atioife darned _.;Y;Tts , . " gttorn"ey fo�� drehaser . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1le�is the,..: ;..,d11,_. >;_,•�,, t • • (Contractor, agent, corporate officer, etc.) and,to make and file ti- said,work of said owner or owners, and is drily authorized to perform or rue to the bet ofe s kn wledge and_belief;and that t' application; that all statements contained in this application are t work will.Ue performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . .15th . . . . . . . . . . : County day of. .January . . . . . . . . . . . .. 19 . 97 Not Pub c, ,SuffQl k', LORRAINEKLOPFER ' ' ' ' ' • • • • (Signature of applies Notary Public,State of NewYbtR No.4828373 Quall ied in Suffolk County Commission Expires Nov.30,100