HomeMy WebLinkAbout23387-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25955 Date: 09/08/98
THIS CERTIFIES that the building ALTERATION
Location of Property: 420 CEDAR DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 9 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 12, 1996 pursuant to which
Building Permit No. 23387-Z dated APRIL 23, 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 & RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to DAVID J. & LISE MARINACE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-049948 05/10/96
PLUMBERS CERTIFICATION DATED N/A
/uil'ding 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 P 23387 Z Date....................� �......
....................
, 19...
Permission Is hereby gr�nted to;
(.I�....'� �s ....... .!@�i✓�3c .........................
...s.�............
.� ?/...................
...................
� , C
t0 ..... c'S !`-......t!".0�....... f.�.✓4'. .. . .............f. ...'!........ �tf/. G..........f. ..4rIC..
�.� J '1�C�i�
..............................................................
..................................................................................................................................................................
..................................................................................................................................................................
...................................:.......................... . ............................................................
,C
at premises located at..........� .....��-1 '!s?2. �......... ......�J......................................................
County Tax Map No. 1000 Section ...... ........... Block...... ............... Lot No. ......e..............
pursuant to application dated ........Allw.4.......1,;A................ 19...� ..., and approved by the
Building Inspector.
Fee $.....7J1''k .....
.. .... ,.
B ' Ing Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildint
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 buildiE
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 an
'-'pre-existing" land uses:
I. 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25r,,,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co ercial $15.00
/ Date . . . . . . ...� � . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . Old Or PCe-eexist/in�g Building. . . . .�. . . (}1� I ���
Location of Property. .. ,�T��)�o . . C�:/Je zC W.. l,�,!�. , , ,�() •F • ��_ `l . .I. . . . .�
House No.� Street Hamlet
Onwer or Owners of Property.. . ..`."... .I. ..TI. . , !`�;; , , , � ;L`;! , , , , , , ,
. .
County Tax Map No 1000, Section. . . . . . . . . ..Block. .. . . .! . . . . . . . . .Lot. . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . ..... .... . . . . .
Permit No. . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . .. . .. . . .. . . . . . . . . . . . 0
Request for: Temporary Certificate. . . . . . . . . . . Final Ce t cate. . . . . . . . .
Fee Submitted: $.C.D. . . . . . o . . . . . . . . . . . . . . . IN
_
. . . . . . . �!�.e. �. . . . . . . .
APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8060018 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
Date HAY i0,1996 Application No.on file 11629596/96 H 049948 '1
i
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 I'
DAVD I'MRI rdAC E, 420 CEDAR DRIVE, SOUTIiOLD, N.Y.
in the following location; ❑ Basement E /.vt Ft. ❑ 2nd Fl. O. Section Block Lot
was examined on INVAY 06 r 1996 and found to be in compliance with the National Electrical Code.
' I
FIXTURE FIXTURES RANGES"" ICOOKING DECKS OVENS I DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. I K.W. I AMT. I 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
AMT. K.W. OIL H.P. GAS M.P.. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET SYSTEMS AMT. WATTS
I-
y_SERVICE..DISCONNECT,_.. NO.OF
AMT AMP TYPE METER �,7W L 3W 3,Pl 3W 3 A•4W NO.OF CC.COND. A W.G. NO.OF HI-LEG A•W G. NO.OF NEUTRALS A•W G•
EQUIP. PER B' OF CC.C&M. OF HI-'LEG OF NEUTRAL
,I I „
d
OTHER APPARATUS:
i
.I
AMOUNT
f FEE PAID PLEASE REMIT BY CHECK OR MONEY
ORDER TO THE ORDER O THE NEW
YORK BOARD OF FIRE UNDERWRITERS
AS CASH SENT
DAVE MARIWACE'+ RISK OF S NDER.Y MAIL WILL BE,AT
420 CEDAR DRIVE
SOUTHOLD,. IN, 11971 {1
4 11
Per +
THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE.THIS BILL PAYABLE AT THE NEW YORK OFFICE,85 JOHN STREET,NEW YORK,N.Y.10038
3f7
765-1802
BUILDING DEPT.
INSPECTIO"
[ ] FOUND N 1ST [ ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ (FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
112
REMARKS:
l` h
DATE / / INSPECTOR �
765-1802
BUILDING DEFT.
INSPECTION _ -
[ ] FOUNDATION 1ST SRO PLBG.
[ ] FOUNDATION 2ND INSULATION
[ ] FRAMING [. ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE -� INSPECTO
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS
DATE � INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST ROUGH PLUG.
[ ] FOUNDATION 2ND [ ;",FINAL
IN ULATION
FRAMING [ �
[ ] FIREPL E 8 CHIMNEY
REMARK :
YL
2z�
DATE IN8PECTO - �
�
\/ It I: U^[� [ ��
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----'---_-_ __-'-'-----_-_---_----'_--__-- ��
|
" Marinace,David a Lise
'* 420 Cedar Drive
Southold,New York 11971
Phone 516 924-4433
Fax 516 924-1154
APR ` 8 1997
eLr3��,�..., .April 03, 1997
Building Inspector's Office
Town of Southold
53095 Main Road
Southold, N.Y. 11971
Dear Inspector's Office,
This is the request to extend the Building Permit issued to David Marinace on the Date of 04/23/96 to
the address at 55 Summit Road, Southold. Please note that this address has been changed in the tax
records to the legal address listed above. We request that this permit be extended for six(6) months.
I've enclosed a copy of the Building Permit along with the Permit ID number listed below in this letter.
Please contact us if you need additional information or assistance.
Again,thank you for taking care of this matter for us.
S' ce e
Da d J. Marinace
LM: djm
Building Permit ID: 23387 Z
,F
HOARD OF iHEALTH . . . . . . . . . . . . . . .
W R
' FORM NO. 1 3 SETS OF PLANS - - - - - - - - - - - - - - -
TOWN OF SOU'I'FIOLD SURVEY - - - - - - - - - - - - - - - - - - - - - - - -
! 11
I BUILDLNC DFPARTM9NT CHECK • • - • - - - • • - - • • - -
APR i 2 R% TOWN 11ALi, SEPTIC. . . . .FORM . . . . . . . . . . . . . . . . . . .
- "��'
SOU'THOLD, N.Y- 11971
G.DEPT TEL: 765-I I302 NOTIFY
F S UTHOLD �.
_._.� CALL .7.C�? .`f. � U�
Examined. 3, 19./ (o q MALL TO: . . . . . . . . . . . . . . . .
Approved. .... .... I9!,if: Permit No_ .����. �- ....................................
Disapproveda/c .................................. ....................................
...................................................... q /
(ikiildin� ssjpecfor)
APPLICATION FOR iUILDING PERMIT
Date. �1��L . . .�Z
INSTRUCTIONS
a. 'Ibis application mast- he ccmliletely fil.l.ed in by typm-triter 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 1xiblic
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
c. 1he work covered by this application ray not be cannenceol before issuance of Building Permit:
4 d- Upon approval of this application, the iluilding inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection thrargliout the work.
e. No building shall be occupied or used in whole or in part for any Hxurpose whatever until a Certificate of.
Occupancy shall have been granted by the iuilding Inspector.
APPLICATION iS [lE[tI-silY kVTE to the Building Department for the issuance of a Building Permit lxrr-suant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable i..aws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. 'Ihe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and
regulations, and to acknit authorized inspectors on premises and in lxiildinft for necessary 'nspections.
........ -�.:°>;�c ...........
(Signature of applicant, or name, if a corporation)
...................................................
(Mailing, address of applicant)
State wbether applicant i lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.........................................................................................................................
Name of owner of premises .✓f�Il T17. J_. ..L Ts� ! -L/ZJ :..................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nkme and title of corporate officer)
Builders License No. .........................
Plurbers License No. .........................
Electricians License No. .....................
Other Tride's License No. ....................
1. Location of land on which proposed work will,be clone. ..........................................................
.:12 0...0 D64e ..) -rV-E ........_�o vT�:Ot--�.................................................
House Ntnber Street Hamlet
Uxnty Tax Map No. 10O0 Section ........J-(.Q.�j.... Block ......H C� ......... Lot ..8............
Subdivision lGe >/_1.. ................... Filed Map No. ............... iot ...............
1 2-9
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...........5�. �?L�(. -. m�Z— ... ale...........................
b. Intended use arxl occupancy ........._..�i.�C�L� ` . t_ Q..] ;t;� ...... ...............
'I. Mittire of work Ww--ck raid: applicable); R:%4 Ikrildini; .......•.. Acklilion _......... AlteratiinsJ;.. t
Repkair ............ Removal DenioI ikon ............ Other Work
�"`// (Description)
4. Estinkated Cost �.J..LJ.�d.. ......... fee ...................................... a) Ya( R
(to Ix: paid on filing this alTpl.'tcation)
5. 11 (1wel l ing, rxidrer of &,ell ing units ............ Tirrd)er of chael I ing units on each floor .........:.::..:.
if garage, rxnlrer of cars ......................................
6. If Ixrsiness, camsercial or mixed occupancy, specify nature asxl exLen(: of each type of use......................
7. Dimensions of existing strtrcLures, if any: Front................ Rear ............... Depth .................
lleiglat . Urd)er of Stories ......................
Dimensions of sr.rse stnrch)re With alterations or rxkli Lions: Front ............... Itear ...............
Iktplh .................... lleitlsL .................... Mnlser of Stories ...............
8. Dimensions of entire new consLnacLioa: Front ................ Rear ............... Depth ........_.....
lleiwit ......................... Nrnlrer of: Stories .....................
9. Size of lot: front ..//...../...�?v...... hear .................... Depth .�Zt�...............
10. Date of l'sirc:hase .. !."?� ...... NM--nte of Former (lair ...0?6'A)Xf 4'�).0....................
I. Zooe or use district in which prenises are siLvatecl .....J"3-.- U
12. Does prolx)sed constroction violate any zoning law, ordinasx:e or regulation: I
B. Will lot Ire rellraded ../.11.C)............. Will excess fill. be removed fran ranises: YI?S
14. Mines of (lacer of,prernises �t/!p, L/c5�...... rl ss_...� -/.... j/1 '['1►�rrx� �b U�
Mime of ArcititecL' !.�J ��`... �.. ..... Ackiress 2-75—
G/�i�?' Ncr. ...7 -466
/
Mrrase of ContracCor l�Qb�i?... I6�:........_. Mlress ......... L�./ .Ilrone Ncr. �.!.1.
15. is this pml)erty within 300 feet of a tidal taeLlacxl? * YI:.S .,........ NO ..........
*1F YI3S, SCAllll(BD lutm '111lisild:S lti1tMl'1' MAY IQ-% RFdi(IlMd).
PLOT DIAGRAM
Icx:ate clearly aril distinctly all. Imildirgs, tdnether existing or proposed, aril irxlicate all set-Track dimensions
fran property limes. Give street and block nid)er or description according to deed, and show street winces arxl irxlicate
Miether interior or corner lot.
ti l'A'Ili (A' M M tlCSS
(XII)NIY (A'
.6�1t-rz) lk ...
•....... ..... ...... . �cl ..... .......Ixsinl; duly s;cacn-n, delxrses aril says that he is the applicant
(N;nxt of iaxlividtkal. signing contract)
alxrve rusrssed,
Ike i:; l.lse .................. C/
................................................................................
(('.cnntractor, agent, corlxrraLe officer, etc.)
of: said saner or cxax:rs;, nrxl is duly au(horizecl to lierfonu or have lxIrfonrsed the said work asxl to nrslte aril file this
appl icaLion; thal: all, statersents contah"I in this application are Lase to the Ixis;t: of his; knowledge arxl Ixtl.ief; asxl
Thal: the work will lx-- lx°rfonrsed in the imimier set forth in the application filed therewith.
aacrrn to Is��efA .
//re ura Lhis I
........I.l� day of ......
Unitary Nsblic ... ..
.. ....................
(Signature of Applicant)
CLAIRE L.GL.EW
Notary Public,State of New York
No.4879505
Qualified in Suffolk County
Commission Expires December 8,19-
UNDERt'I"tITERS CERTIFICATE
REQUIRED
Cf.Pr,PO!"E AS NOTE
D�
DATE: T�R.P.# 1��'
r-F:'E� __RY:
_. _ P�viUE -30 I7Jsv�-Ajlory NOTIFY RUILMN; DEPARTMENT
—) AtZovNO s4 U4NT .5KIPr 765-IS;?? g ArA TO 4 PM FOR THE
or�zot a,o. Ar SKyuGN7 �12i•aE�« FOLLG�W'dfG INSPECTIONS:
L.
Q Q v�4� AT FX15T% GE+uNG I 1. FOUI+!OATION - TWO REQUIRED
F- uq- Co'- E
i -- G14-- 3 --___ I FOR POURED CONCRETE
-- Ex+sI7u4 I: I i 2. I;OUG!i - FRAMING & PLUMBING
2 2x4 --- Z Zx4 i HEAD M� -- - �. . . __� 3. INSULATION
2-2)e10 HOFF- s - --- ( -- -_= 4. FINAL - CONSTRUCTION MUST
3 ZX1� V1 ( r— BE COMPLETE FOR C.O.
\ Po Sr I I — I -�L I ALL CON STRUCTION SHALL MEET
� „ - 1- THE REQUIREMENTS OF THESTATE N.Y.
l\6o X 45��Z vP�e,�
W I I I - INGL)L4D6mr I I CODES.0 N TRUCTION & ENERGY
'L Zx4 �.Io 1USTAi u NEN/' l �e7l.I GN T I e I
T RESPONSIBLE FOR
Posr.. C� FW►f 29Co8Al. I p'
4-1 x1i I DESIGN OR CONSTRUCTION, ERRORS
`r�. I I HINGEn ku
DOOR INI
I rC-H 15 r4
411
v 5T ----- EXISpN4 we1LL5 TV 1?E�tAW
N I 2 4 - I �. — --- - rI"KIS(1►vCr Tv 13G. 0CMoKt2
rxtSTIM(S IZIjGE R75T J�r1 eJ1,1L r_GG EW+ST OPNc, ALt
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—._.. - I I NEADEIZ �cLG. x''
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--- �_— I STUD WALL I I ALIGN I i �7
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tNC7(•Es !'_ E2 WASH r fr -
iPhov+De przyFiz D Y xl_ 1ry LIKING tzoon�
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a r BLDG.DEPT.
TOWN OF SOUTHOLD
- G q t.
C' +TN N�2 \ I�I.�I�. 7�rF TET IoN s To
ST'E M N GE. .
ALL
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A R C H 1 T E C 7 -
- I Residential
Ex1577Nc 13COzoom No 1 FAQ7TIAL. FLOOR FLAN � � �►. . ,�
_.
EX+Sr- Roo►H No z_ � . � ' ,. &� .�- Commercial
Industrial
—- -- r_„ o
n- n
- �223 0
S learview
rvi York Avenue
Mark K.Schwartz,A.I.A.
(516)765.4378
-
1