Loading...
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^[� [ �� .~, _~ � ------------ ---------- ----------------- A7 AgIr�- -1 -------------------- CODRI ------------------- �--_-_-........ _-_---_---_-''_----' -''- ' ' -� - -_---_�-----_-----'- '' '-' ----_� '_-- _'-------__'_-----_---_---'_'�-__---_ ----'---_-_ __-'-'-----_-_---_----'_--__-- �� | " 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 '2-7->1 X I v NFav 2-ZK$i I'LUSfI —._.. - I I NEADEIZ �cLG. x'' __ I j 2xCocpi�`oc I ` --- �_— I STUD WALL I I ALIGN I i �7 ti c-"Pp4 r tL;,1)9,r1 Fix 4B!' „ ..,.f •.A s.�.• N Y- II If �I --- --- . 'v�, ntcr tit }g S�4r3C] . . -- 1I j-sX(� ., �'O�f.lt�!_�Sr`�ie"� L-hE, +f , K or L�- only tNC7(•Es !'_ E2 WASH r fr - iPhov+De przyFiz D Y xl_ 1ry LIKING tzoon� 'VE"r IAITV wnu I - -- T+-ev rooF� --— w ♦ i j � ,.,1,m,•-. �^,,»_ . ,.R. l's••n,w. .�,pr,,, B I �r�I � � lS I { � 9�1�• I Id j rat c sT 1/J G H-A L t. c =E1�r v p a,r � ,••l FAPR12 I I 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 141MFE� LIN S N'EED API A N—D---U5� ffiQv Ib� R 3v O, C-x+S7- 3eorzoo'q 7V'3 coV E P,,N,a 0121yI= _ Q NEW SK y N�• - - -- — • --- ------ -- - _ CHAF7 ,� - ----..-- --- --- - / I I � �1��•5a I 'BA TH N°'1 --—/e+l IN SC,��• �. 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