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HomeMy WebLinkAbout23489-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25198 Date AUGUST 11, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 775 LEGION AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 142 Block 2 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1996 pursuant to which Building Permit No. 23489-Z dated JUNE 11, 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 ACCESSORY ABOVE GROUND SWIMMING POOL WITH ATTACHED DECK AS APPLIED FOR. The certificate is issued to GERARD & JOHANNA WELLS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-056431 - AUGUST 8, 1997 PLUMBERS CERTIFICATION DATED N/A i BuiljWng Inspec r Rev. 1/81 FORK NO. f 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° 23489 Z Date ......... .a. ..1/..................................... 199 Permission is hereby granted to: ...C2l,. .....:f.. ... ................... .... .5�.... .. cn� .....��.�. .............. ro . ..ce ..... .. . ... zv ;...... r::� i:....... .. �..........e: 2 ... ..:........................... at premises located at .........71 ......f.—.f v✓✓.........! ................................................. 000 ....................................................... .. . . ...................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .. :........ Block ....n ......... Lot No. .....©.4......... pursuant to application dated ....... y .....11...................... 19.4 0, and approved by the Building Inspector. Fee $.� f. ) S .... ....... ...7 ildinjgi� rnspector......................... Rev. 6/30/80 Ho. 0 TOWN Or SOjj-j-jj()j.1) jjjjLjj)jj,jG 1)17 I 'I'll �ih VAR ID TOWN HAU, 765-11102 A ITI.1.C AT J.O.N FOR CERTIFICATE OF OCCUPANCY A. This application Must be fjj' e,j ill by t -1-11rPector withYPewriter OR i ll ifl� a (]Chia Col.lowir,g: t te(I to the fill j.).(l SUUVey of propp for Ilew btljj�lijlg or new11se': _rt.y wi.tla accurate streets, and jocatioll of all buildings, property .lines, 2. or topographic features.Fitial Approval froll, I,(-, 3. Approval of -ple th Dept. of w-riter. supply and , ctrica`11' itir'tallat'arl from 130--.Iud Of Fire Underwriters. 10 1-in) Sworn statement from 1 e plumber certifying that the solder used in system co,,L;Iil-!_ Jess thail. 2110 of 17 1 ea d 5. Commercial buildill iiidustrial buildizip and 'llstallati011s, a certificate , multiple resi(lelicer, atid simil-ir s Of Code COTIlj)ji,.IIjCp froin architect or migi.twer g responsible for the builditig. Submit planning Board Approval of completed site plan requirements. B. For existing buildings (Prior - to April 99 1957) imil-cotilOtIllifig uses,Pl-e-existilig" uses: or bui Id j.11gs and Accurate survey of property s1lo"i'19 all. property IiTies,. streets, building and IIIIIISLIal natural or topographic f(,,qtl.il:es. 2. A properly completed application and a consent to ills,) rt e e sipled 'by the :applicant.t .If P Certificate of Occupancy is (jellied , the 13uil(-I:i.tlp 1 . reasons therefor ill writing to the ,pDj..[cajIt. Inspector shall St.--JL(' Lhe C. Fees 1 . CeT-t--'r;c'.1te Or QCctIPITIcy - New dwelljmg $25.001 Additions to dwellitit $7-5-00, Alter-it '01's to dwelling $25-00, Swinnni.iig -pool. $25.00, Accessory building $25.00, 2. Additions to accessory buildirij, $25.00. Businesses $50.00. Certificate of Occupancy all pre'-existillp 1,41ildirl I p- $100 3. Copy of Certificate .00 of Occupancy - $20-00 4. Updated Certificate of Occupancy _ $50.()0 5. TeTTII)Orary Certificate of Occupancy - Residential $15 00-, ContIT iercy 00 e-11,1 Date 7 ;Jew COIIStrLIr-tiozl. �06.t- — . . . . . . . . . . . . . . . . . . . . . . Old Or Pre-exisLitig Building. "Or-1tiOl, of Property. . . . .�?, 5 Le. . .Cu-d a,;,� . . . . L . . . . . . . . . . . . . . . . . . . . House 140. .. . . . . . . . . . . . . . . -co . . . . . . . . . . . . . . . . . . .. Street la Ili 1.e t 0"Wer or Owners PT.opertyG, �R� U0 )'C4,1j ( 5-- . C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax rijj) 1000, Section • 0 111ock—P Z. a 0 . . . . . . . . . . . . .Lot. 0 Z, I-()C) . . . . . . . . . . . . . . . . . . . oubdivi!;ioll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fi I.ed t1:11). . . . . . . . . . . .Lot it 1.1 o. . . . . . . . . . . . . . . .Date Of Pe rmi.t Dept. Approv,11 . . . . . . . . . . . . . . . : . . . . . . . . . .Ulidel-writers Approvzij 13ojr(I Approv.11 for: Tvinpor.lry 'PrtJfi.c.lt:e. . . . . . . . . . . Final. ce Submitted ! $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . THE NEW YORK BOARD , OF FIRE UNDERWRITERS PRGEE 1 8067233 E UREAU OF, ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Datp AUGUST 08,1997 Application No.on file 1441 4897/`37 H 05(5 3:1 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 GERMEi fit J'01 iMA VIE,11,S,- '7"7 5 IBG IOIN TiVL NLTE r _1,,MTT 1_TU.C1-', PN.Y.. in the following location; ❑ Basement ❑ Ist Ft. ❑ 2nd Fl. OUT Section Block Lot was examined on AUGUST 04,19017 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES 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 T. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER. NO.OF CC.'COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1'p 7W 1,B'3W 3,�JW 3,t'4W PER AV OF CC.COND. NO.OF HI•lEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: NBOVE, GROUND 941141ING POOL--I (110I.Ter.3 c::Offl►51:l.,ctnce .at. the date ,of inspection only. BBC'-:w_'e 0-f vli'flx:,nal. environm2rits it i,,,, advisable to Halle frequent. LesL./anfl or repairs n►acle 15�7 a cjualafi��s1. 1,erscsl}. 7C�14 L GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST, NOT BE ALTERED IN ANY.MANNER. THE NEW YORK ' BOARD OF, FIRE .UNDERWRITERS . 1 �t 8@67233,. BURE'AU.OF ELECTRICITY, 85 JOHN STREET, NEW YORK; NY 10038 Date 'ALTGast 09,1997 Application No.on file 14414897,197 H 056431 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 G�'.,RARD & ula�-fc"�t�NT1 WELL`., 775 UGION N TN 1', �IMT`PUC4, N.Y, in the following location; ❑ Basement ❑ Ist Ft. ❑ 2nd Fl. OUR Section Block Lot was examined on AUGUST 04 r 1.9n7 • and found to be in compliance with the National Electrical Code. FIXTURE ECEPTAUE9 'SWITCHES FIXTURES R6LNGE5 COOKING DECIcs 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 AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H P NO.OF FEET SYSTEMS AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE "METER 1-0 2W 1 0 3W 3 0 3W 3,0'IW NO.OF CC COND. A.W.G. � NO.OF MI-LEG A•W�'• NO.OF NEUTRALS A.W.G. EQUIP. PER,0• OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: ILIATi'ITUCY, NY, 11952 GENERAL MANAGER llizm Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ® ® 52MEW MORM MEW COPY"FOR BUILDING DEPARTMENT. THIS COPY OF CERT"IFICATE 'MUST NOT ,BE.ALTERED IN ANY MANNER. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [&,�FlNAL�j�,��,.P � [ ] FIREPLACE 8 CHIMNEY / REMARKS: r � DATE 71,7W S INSPECTOR / �� 72 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL���� ) [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE G // � -INSPECTOR o��S�FFO�,�cO c� Gyp y 2 Town Hall, 53095 Main Road `e • Fax (516)765-1823 P. 0. Box 1179 �jL �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 29, ' 1997 M&M Gerard S. Wells 775 Legion Ave. Mattituck,N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. 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 # 23489=Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. tl r{Illllt)AI'Il,u ....... ....... . ruu _ . ........... ... . ........... -- (� IIIJIIUII I:IIn111: (, _ I'I.IIIIIIIII(I IINIII.A VI MI 1'1ill it . Y - Cmw 1 1 ' _..... .. .. .._ ..__...... _ ---__----__.._...__..____.-_•__.___ .. .,, ..,,..e, .. ..., .............�...,..,,.,ADI)I it I DIInl, ........... -•---........... . .................... tj c I , 1 i w.. i Mr• I i r ( : I #Si i NM EDIATELY E '• CL SE POOL TO CODE, �. UP N COMPLETION ORE"IMgTER'• r� i i { BOARD OF HEALTH . . . . . . . . . D _ ,, i FORM NO. 1 3 SETS OF PLAN's . . . . ... . . . . TOWN OF SOUTHOLD SURVEY . . . . . . _ _ . . . . . . . . . . . IAY '1 BUILDING DEPARTMENT CIIECi: . . . . . . _ _ . . . . . . . . . . h TOWN HALL SEPTIC FORK _ . . . . . . . . . . . . . ® SOUTHOLD, N.Y. 11971 F TEL.: 765-1802 t:tTi i F1` u CALL . � L ��•� „ � . . Examined . F/c 19•� P1AIL T0 : Approved . . . 19 .�Permit No. �` i . . . . . . . . . . . . . . . . . . . . .Disapproved. . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . _ _ . . . . . , . . . . . . (Building Inspector) APPLI ION FOR BUILDING PERMIT r Date M. Y. .1.0. . . . . . . . ., I91 INSTRUCTIONS a. This application must be completely filled in by typewriter 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 public streets or a�eas, 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 Permit to the applicant. 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 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 authorized inspectors on premises and in building for necessaryjispections. . . . . . . . (Sicynature of applicant, or name, if a corporation) j . 7 S eua+.Xm�. . ... . . . .. . . . . . . !�. 1. l`t,1�'Z (Mailing address of applicant) State: whether applicant is owner, lessee, 'agent, architect, engineer; general contractor, electrician, plumber or builder. `. . . . . : . . . . . . . . . . . . . . {. .. . . . . . . . . . . . . . . :. . . Name oP owner of premises ' . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature ofduly aut Qrjie4,�of a ,ztl _ . . . . . . . . . . . . . . . . . . . . . . . . . . Mn-,QT. V Xs-OX I-, (Name and title of corporate office-° '3 Builder's License No. Plumber's License No. _ Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . . 1. Location of land on winch proposed work will be done. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�.�:C . . . . . �. . . . . . . . :. . . . . . P .A ��.` `".�� . . . . . ... . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section 1411 �0. . . . . , , . . . Block .CQ.�2: U . . . • , ; , • • Lot .Q Z .0.0. . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . ... Filed Map No. . . . . . . . . . . . . . . Lot : . . . . . . . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . : . . b. Intended use and occupancy . . . . . . U . ,�. . . . . • • • , 'Nat of k check which a er� .ure work ( applicable): New Building . . . . . . . . . . Addition . . . . . . . . . Alt era doRe air Removal . . . . . . . . . . . . . .. Demolition ; v=:. , . . . . OtherVo . p C�� l (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . i C!(klo (to be paid on filing�-thls-'a'poication) 5. If dwelling,number of dwelling units . .. . . . .. . . . . . . . ..... 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 .: . . . . . . . . . ... . . Rear. .. . . . . . . . . . . . . .. . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase Nam . . . . . . . . . . . t e of Former Owner • h PtltlP-Ises_are situateii . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. ' Will 16t 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 N:�. . . . . . . . . . . Name of Contractor . Address . . . . . . Phone No. . 15. ' Is this property within 300 feet of a tidal 'i•:etland?� *yeS„ No. . . . . . . . . . . . . . . . . . . *If yes, Southold Town Trustees Permit may..be required.. � � � � � � � � >: PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing,or proposed, and,indicate all set-back dimensions fr6m property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. f� M 01114 PRO D AS(NOTED DATE: B.P.# i FEE: OTIFY' BUILDING OE AT 7 -1802 9 AM TO 4 M FOR THE 1 FO OWING INSPECTIONS: =1. O.UNDATION - TWO REQUIRED OR POURED CONCRETE ' OUGH - FRAMING PLUMBING 3. NSULATION , oil 4. FINAL t CONSTRUCTION MUST E COMPLETE FOR C.O. AL CONSTRUCTION SHALL MEET. TH REQUIREOF 'tHE N.Y. ST TE CONSN & ENERGY r, C DES. N RRONSIBLEFOR D SIGN OR R S "IMMEtOATELY':' ENCLOSE POOL TO COOS: UPON EFORE"WATER" STATE OF-ME, OR S COUNTY l .\ . . . . . J' �• • • -. • • • • • •JC''.�"� . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . ... . . . . . . . . . . . . . . C . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this*application are true to. the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before met is . . . . . . . . . . . . .�.3. . . . .day of. 19(. . . Notary Public, • . . . County CI.AIRE L. Notary Public,Statea of of New York No.48�9505 .. . . . . . . . . . . . . . . . Qualified in Suffolk County (Signature of applicant) Commission Expires December.8,19.L. n & R a6' 510OR ,a %A. O � 2 tAlAF 0 o 2°33' =c� In �� C>� o� r 20 ,A T 0r m7-LL �c A 0 59 00 a fah �'��� R T cp •� s, tS�� ` � 5 U -� Q '`•. d oho i `iJ �.�i � ��� '�o p� ' �� �� \ ` r `�' �\ � �Y„`� •� of � ��'�^ 11 ?s S. 6 0. O \ c m CERTIFIED TO, 009 GERARD S. WEL L S JOHANNA WEL L S �•� u '` 1 �� o. r 2 .5 6� ..'..._.. . . AMERICAN RESIDENTIAL M 3ORTGAGE CORP. \ C� ` a 3. �' ` 0 � SECURITY TITLE & GUARANTY CO. _;-N tip3 on OO. \ 1t � 1 00r 00 P 5• �01 01, SURVEY FOR GERA RD S. WELL S & JOHANNA WELL S A T MA T TI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 142 - 02 - 02 Scale: 1"= 40" AREA= 43,061 sq.ft. Dec. 8, 19.92 N �FNEW Prepared In accordance w11h the m/nlmum 4.i N.Y.S. LIC. NO. 49618 standards for We surveys as eslabllshed ONIC SL/R VEYORS, P.C. by the L.I.A.L.S. and. approved and adopted PECEC 765 - 5020 for such use by The New York Stale Land Title Assoclallon. P. O. BOX 909 ,�116 MAIN ROAD /9a- fiec49 c SOUTHOLD, N.Y. 11971