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HomeMy WebLinkAbout23304-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24527 Date JULY 26, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 1100 HAYWATERS ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section III Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 1996 pursuant to which Building Permit No. 23304-Z dated MARCH 15, 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to AARON & THELMA NOVICK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #11494 - JULY 3, 1996 PLUMBERS CERTIFICATION DATED JULY 25, 1996-MATTITUCK PLUMBING & HEAT. Building Inspecto 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.............. .. ..... .............., 19`.�.... NR 23304 Z Permission Is hereby granted to; ..................................... ........................................... .............del........ . .. . .. ..... to .A'Omt��....a - .......F...... ..1.. ... a. .... ......................................................... .................................................................................................................................................................. .........................................................................................,..,(....................................................................... at premises located at........... l�d.v... .CG! ..... G .:....................................... �`r..Y................................ ............ County Tax Map No. 1000 Section ........ill...... Block...... ................ Lot No. ............................ pursuant to application dated ..............�o�.C`��-,Gf. ..1.�.............. 19..�I. ...., and approved by the Building Inspector. Fee$... 7............ Building I ector Rev. 6/30/80 � !/�) Gt•,�' O� 3L7_D NG �� JUL 2 d 1996 16 a BLDG. DEPT. �D�_C_=__O?V =M C RT_=IC Os 0CC:TP_K1 TOWN OFSOUTHOLD — �- i. This apDl=:-sC'cm nL'S t be --red by -7meL ri,:'ar OR =nK and. SUDm=_tad -0 cLle bLTi'jd4 nc �SpectOr -wi 7e =..1'Cw_^c. =Or 1el Oui i a_ng Cr aeE. Ilse: ! Final Sur'7e7 Or JrODe=—,7 rN=t7 accurate OCaL'Cn of al. buildings, DroDert? 14oes, Streets, and unisua natural or topographic feat-ures. 2. approval __om Rea_c:l Dept. O. vZter SupD 7 and sewerace-C Sposa_(S form) 5. Approval OL a-ectrical _Sta__at=on rrom Board or Fire Underwriters. 4. . Swo—� Lszazement From 7!umD.er Corte-^o c: -1Gt e SO!aEr- LSeC r.. SVSZPr CJnt iII5 less L}1an 2/1 0 or _Z lead CcmmerC=al bu-ilding, =ndu5z__a_' OLl d=ng, multi?'e res_deaces and simi_ar oui.dings and i stallazt4on5, a cart___ca to or Lode Compxl_ance from arc_�1_tecr or engsneer responsible Zor rle bu;- ding. O.. Submit Planning Board pprovall of comDleted size :,!an radu'rementS. 3! For east:nm bu"'dings (prior co Apr-l 9, .195/) noII-conforming uses, or bui_dings and ITDre-e_-isz=ng" land uses: 3cci:rate survey Or oroper—y snow'_'lg a!_ OroDerty _=nes, Streets, Ju_d'=g and unus-uai aat::ra' Cr =opograpnz c reatnr es. �. A DrODer_v compl etaC aDDl Cat?On and conseur ro signed by the aDDliC-nt. r_ a Cer_�=caza 0' OcCuDaIIC17 -s den-ea , cae 3u_=dam; asuector s:�a__ scare tale reasons =erazor _n wr__in2 t0 c:.e arDi_canc. ees Cart==-care oT 'Occupancy - 4ew dwelling S25.00, dd-cions co dw2i'__'g 25.00, a1ter?t10IIS t0 dwe1 -g 525.00, Sw:L Ong D_ OC! z20-00, �c^-essorV bu='QL;Q S25 .00, addiZyOns co accesscr-T bu 'd=ag 525.00. 3usi�esses =- Certi=.iCate Of OCCUDr—=7 OII Y Ze-e``Z i'szing Du_ d?nQ - �100.00 CODy O= Cd?-t==C to Of GCC:I.D=7 - 25r-. Updated Cart===cate of Occupancy - 550.00 _ TeMPOr ry Cer====Care Of Oct Dancy - tZeSldeTlt.a?' `_�''.��OO, Co=arcia 5' .00 Date . . . . . . . . ✓1/G/ . . . . . . . . . . . . . . . . . . . . ea Cons r=sct=on. . . . . . . . . . . 0_d Or _ .s=srIg 3u_ d a.. . . . . . . . . . . . . . . . . ocarion of Property. . 1/©b . H'Y/I.gyl. day . . �. : . . . . . �o:�?o}` C/r f Cf/OG1✓9j N�� j3s Rouse No. Street aamLer j- rower or Owners of Property. �/��co.D`� N!? . . /11'��!7.1�. . .�. ?.d�l.C. . _ . . .- . . . . . . . . . _ . . : _ . . f 7 r :ounty Tay. Mau Vo 1000, SectiOII_ . W. . . . . . . .Block. . . . . . . . . . . .mot. . . . . . . . . . . . . . . . . . . . . . ubd=v;s_on. . . . . . . . . . . . . . . . . . . . . . . . . �L.. _ . . . . . .�=i ed Hap. . . . . . . . . . . .LOr. . . . . . . . . . . . . ... . . . . . . . emmir _do. _c�. b. .7- •Date Of ?e=_4,:W! 1.�� . . . . .�pp 4Y1�_ seal t�l Dept. 'Dproval . . . . . . . . . . . . . . . . . . . . . . . . . ; nder-,=__tars ADprova�.. . . . . . . . . . . . . . . . . . . . . . . . . 'Lann=ng 3oar. =pprova.. . . . . . . . . . . . . . . . . . . . . . . . eQuest for: 1_'2MzQ .=_? . . . . . . . . . . . _ =aa` . . . . . . . . . . . =e SL'O :_cd. � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =DDT Tl.c`�!1 A Town Nall, 53095 Main Road Z Fax (516) 765-1823 R. O. Sox 1179 Telephone (516) 765-1802 Southold, New York 1197141, OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C 'E R T I F I C A T I 0 N DATE: Building Permit No . 2 3 a �/ 2- Owner: AA, Roi-4 NC Vic 14 (please print) CP Plumber: � i ���( �1V�rnD1�y�� C'►NSco,e %0 .: (please print) � I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. W (P1 ers Signatur ) Sworn to before me this day of . 19� Notary Public, -'�uFFOI, /C County '4� � 5,qp,q # e. k l?',e/Clk� IV o rn p y F'U L3L Y C �T�T off' AI C-W 119le No, QVAL T F E0 Z'n/ JVFGoG K "VIV rX T&,gym 5x)gxgEs .T[>n/E .3.) 1? ?F � ,A.. AA►7�./� � 4�F R� ' .. "'" :_��. tee, r '� �Q5 0 r i A ELECTRICAL.INSPECTIONSERVICE 5 DUNTONAVENUE EAST MTCHQGUE,NEW.YORK 11772 (S16)286 6642 ;.: :11494 DATE 7/3/9h APPLICATION No.ON FILE vri[AGE CUTCHOGUE Town: SOUTHOLD' ADDRESS. lIM FIAYWATF.R4RnAn ISSUED TO AARONNOVICk INTRODUCED BY LADFMNNELECTRIC INC LICNo: 4141-E was'examine d on ' ; 7 3.96 and found to be in compliance with the National Electrical Code ----------------------------------------------- LOCATION .:- Base. .YX I st :! 2nd ' 3rd Attic Det.Garage Not Pool Slf=HES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR.COND. 11 16 1.2 ;s 1 EXHAUST. 1 ... DISHWASHER DRYER CGQTNESWASH GAR.DIV. RANGE OPEN SMOKE DETECTOR: FURNACE ";' OIL`' GAS CIR " MOTORS BELLTR.4N SERMEDISCONNECT EQUIPMENT... IFAN 2 DIMMERS' BASEMENT RENO.VA7ION UGO S. :SURDI PRESIDENT.. , B UILDING PERIITIT No , ; b Tlus.catificatemustaot snared in any manna �f �,; . Inspectors may be identified by their credentials BLUE ORIGINAL . YELLOW COPY,: PINK COP'OFFICE ass-iso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ PrROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE & CHIMNEY REMARKS• DATE INSPECTOR ZJ'� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [L]'INSULATION [L.]�FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY REMARKS: DAT INSPECTO / 765-1802 BUILDING DEFT. INSPECTION [ j FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL N [ ] FRAMING INAL [ ] FIREPLACE & CHIMNEY REMARKS: �!CZ7 da 0 /, DATE ,� INSPECTO DAT11,* I'll; Qm HA T I Oil I s'l VOWIDATI Off 2 fit) eD-4- IMUGII FRAHE. & - - - .._ I ��--- --- . _Vic__--�-----..���/�----•----- -- INSULATION VEIR N. Y . STATE. 1,'Hl,"j(Gy CODR, ------ ------- --------- --------------- ------- smv- �47 --------------- F I IIA I. ------------- ----------- - ------------------ ------ ------- ------------- ADDITIOUAL COMHI?N'US: ............. ............... ....... "—�- 3 SETS OF PLANS .�.--.....s.••~_' h--� a FORM NO. 1 . . . . . . = r . . , SURVEY c . . . . . . . . I . . . . . . . . . TOWN OF SOUTHOLD BUILDING DEPARTMENT C11ECK• . . . . . . . . . . . . . . . . . . . . b TOWN HALL SEPTIC FOIZN a MAR 1 219.,E _ . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 _ TEL.! 765-180 N DT I PY I _ . .l CALL Examined_ 19 7 hA It, TO . . . . . . . . . . . Approved . . :%G IJ. , 1910Permit No. 3.`�G� i . . . . . . . . + . . , . . . _ . . . . . . . . . . . . Disapproved a/c (Building Inspector P LICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . .. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s7cts 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 nor 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 Pernilt•to.the applicant. Such permit sliall 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�flie Building Inspector. APPLICATION-IS.HEREBYIMADE 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-au-iliorized inspectors on premises and in building for necessar ' spections �. . . . . . . . . . . . . . . . . . . - (Signature of applicant, or name, if a corporation) . PL ,�©X . . ! . . .4. if p,�ar, r (Mailing address of applicant State whhegther, `applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . . . . . . . . . . . . . . . . . . . . . . . . . Na-Pie of owner of premises i!�.j2,� j-( . . . !�� . !^/ .�.� 'Ih�. . . . . . d�.l C . . . . . . . . . . . . . ... . . . . . . . . . 1 •� (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. .�. . ,�1. . l:/• . _ 1. Location of land on which proposed work will be done. . . . . • • • • rrAT [-louse unvGer Street Hamlet County Tax Map No. 1000 Section '1;7•.? �r . : . . . . . . Block 3, . . . . Lot ®. , . . . . . • • • • • Subdivision . .19z.®N Q. . . �.f�-. . . . . . . . Filed Map No. �'. Lot . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use/and occupancy of proposed construction: a. Existing use and occupancy . . . .�.�.�. . . . �'L�h'1 �4� . . . . ih . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . `? !`7° • . . . . fqT. . . . . . . _ i :' . . . . . . . . . . . . . . . . Y� V f,W,, .1 3. Nature of work (check which applicable): New Building , . . . . . . . . . Addition . . . . . . . . . . Alteration Repair . .. . . . . . . 11. Removal . . . . . , .. Demolition Other WE Ork' : c,p,lA Qt�y �� � re escription) 4. Estimated Cost ,�I, �ao•, o o 81gTHA00 -\ FeexE�Cls� , . . , , (to be paid on filing this application) 5. If dwelling,number of dwelling units . .0, , . , , , . • . Number of dwelling units.on each floor . ... . . , . If garage,number of cars , , , , , , , • . " " " " , , . 6, If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front . . . . . ... . . .. . . . . . Rear 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 Height . . . . . . . . . . . . . . Number of Stories . . . . . . 9. Size of lot: Front . . . . , , .., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . , , . , . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . ... . . . . . . Name of Former Owner . . . . . . . . 11. Zone or use district in which premises are situated . . . . . .nance. . . . . . . . 12. Does proposed construction violate any zoning law, ordi or regulation: 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. . . . . . . . . . . . . . . , Name of Contractor . , , ,5. Is this property within 300 feet of a tidal wetlanlh ?*yes. *If yes, Southold Town Trustees Permit may be required. " • No, . ' . , ' . . ' ' PLOT DIAGRAM 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 anterior or corner lot. UNDERW ITERSRED CERTIFICATE REQUIAP RO ED AS NOTED R DATE:'3 /S B.P.# �Gq U i A, fin; o L?� BY: Pam, FEE: NOTIFY BUILDING DEP T = � ' � it,` % i�� i 765-1802. 9 AM TO 4 PM FOR THE `'s L FOLLOWING INSPECTIONS: G � , �� �� ry 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. HOUGH - FRAMING & PLUMBING `� ' - 3. INSULATION 4. MNAL - CONSTRUCTION MUST l6 Copper tubing is used BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET for water distribttting THE REQUIREMENTS OF THE N.Y. SYStGm; piping shall be VATS CONSTRUCTION & ENERGY Of types K or Lonlv CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS MNGW�7 0pB��I®• •fpg�'.,ryq•�d�'d Fb�" CONTENT3T n �fl� ALL PLl1MS1NG 1A/ASTEFN J�- n &WATER LINES NEE® 9A .��r� ��s ��,����6,�3�VCY TESTING BEFORE COVERING SOLD R SE- JA# WA TER EXCEED 2110 Of 1% L A D. STATE OF NEW Y II��,,�� 'OUNTY OF . . . v • • • • • • • • • • •r �xizow • • (P�� �Ck-• • • • • • • • • • . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. ;e is tile . . . . . . . . . . . . . . . . . . . . . . . Peck�u erg/. . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ;)plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the •pork will be performed in the manner set forth in the application filed therewith. worn to before VNOTARY thi . . . . . . .` .day o V�1�Ccv(� - 194 �46 `otary Public, Og�RT'I.SCA ,'' County PUBLIC,State o .Y,.4725089.Suffolk ou ty . . . . Term Expires May , l9 (Signature of applicant) '4i �� i t ► P. 3 3 �.n,' 1— e ' I - -T- -r;;. -- 'r+—T'-- ----r ,�r-r r I � yY� lIi rv� nm�M'; GC�.NGL. 1:,`.�1/ G4 F.IIZ S - • ..!_., I � � . a , GYP.. !�A: ,,,f 0 + � •� _, �� '.� V to�:�, � , :�_� • _ � ;-. r PROVIDE O-PENIN.GS FOR — ' EMERGENCY ESCAPE AS 9 = cE r--�QvlhD BY PART. 714 OF , 11 -- ---__ — - - - d N.YA STATE BUIlD G"C0DE: ... A � ---- — — - - — 2'T1�`!• �.T`19i i yu �G,t. r,W ! t _ .f j ��_ __• ------ 2�Ilf�,°._i �Coa Id•4 , _ Q 'i � !✓ �- ' 4at3 I Ti, 411y l�P--�'N� 7-o`I 3`- i'-o! Cetit4`f. FrM ► 1 a I j 2S,c G, G?jZ2.T e.P Coog (�ot�e2 d p�PROVIDE OPEN1N �R �' -I SELF, al-o5++6 y L- IMERGENCY ESCAPE AS ' — - 1J,-F o t REQUIRED BY PART. 714 OF STATE BUILDING CODE. .r 17 �'P iL it `�� �, y:• �P4'? •Tl.t::�: :.;+'�=�.0 �li���.•}..c! �\ 1. 77 Lfs.- pm*,-, pool' � C t,4 W'`"f F T 5. 4r V C