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HomeMy WebLinkAbout22949-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23831 Date AUGUST 24, 1995 THIS CERTIFIES that the building ADDITION Location of Property 560 LITTLE NECK ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 07 Lot 26.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31, 1995 pursuant to which Building Permit No. 22949-Z dated AUGUST 17, 1995 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to STEVEN & VIRGINIA MARQUARDT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-043217 - NOVEMBER 2, 1994 PLUMBERS CERTIFICATION DATED N/A /,�Ild:i�ng 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) Date.................. . .. ................... 191 N2 22949 Z Permission Is hereby granted to: ... .... J&99.414-0 �� �....., rrr ..... .....a /....... � - ........//9.35 to .... y�7..........O' Ac-'e—1 ........A ...� ... ...............2........ ................ R/ ......./' r. /.:........a...................................................................................................................... .................................................................................................................................................................. ...................................:.....................A144_0. ..!M.2. ............................I............................... at premises located at....... '.��. ......... 1 ......../' F .....s'�.6... .............. .. r ' Tt-�fl .... . .,,��.............:.......................................... County Tax Map No. 1000 Section ... ............. Block......0.�......... Lot No. ...... I--?- / ) C� pursuant to application dated .............. .(. .. ......3.1'............... 19..../...5...... and approved by the Building Inspector. Fee$... .... .... .......y........../..' ............................ uilding Inspector Rev. 6/30/80 f Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN KALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building 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 Deft. 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 Mess than 2/10 of 1•7. lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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 and "pre-existing" land uses: 1 . 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia $15.00-, Commercial $15.00 a� I qqS' Date . . . . . . . .T. . .). . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or r -existingBuilding. � . . I- Location of Property. . . . . � . � . . House No _ Street Ham' Oncaer or Owners of Property. 1. . . . . . . . . . . . . . . . . . . . Sounty Tax Map No 1000, Section. . . . . .��. .! . . . . .Blucic. . . . . . .I . . . . . . .Lot. . . . . . . . . . . . . . Subdivision. . . . . . . FJI.ed Hap . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . QQ 77 i No. g4aZ. . . . Of Permit. r � Applic: lit. . . . . . . . . . . . . . . . . . . . . . . . . . . . .'ermit Date health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval . . . . . . . . . . . . . . . - . . . . . . . . . 'landing Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / �Zequest for: Temporary Certificate. . . - . . . . . . . Final Certicate. . . . . . . ./. . . �p0 -ee Submitted: . . . . . . . . . . . . . . . . . . . . . . . Q.wc.SO�D 11 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8050659 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 - IDate NOVEMBER 02,1994 Application No.on file 06587794/94 H -043217 THIS CERTIFIES THAT t only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of STEVE MARQUARDT, 560 LITTLE NECK RD. , CUTCHOGUE, N.Y. in the following location; ®Basement ❑ Ist Fl. ❑ 2nd Ft. GAR/OUT- Section Block, Lot was examined on OCTOBER 27,1994" and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES ICOOKING DECKS_ OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT I OTHER AMT. K.W. AMT. I K.W. AMT. I K.W. AMT. I K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS 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 AMT. WATTS __SERVICE_DISCONNECT, .NO.OF S J. __ R V_ I- _ C_ E __ METER' ._ ....._. ,a _.. , AMT. AMP. TYPE EQUIP. 10 4W 1.0 3W 3,0'3W 3,0'4W NO.OF Cc. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL _ I OTHER APPARATUS: 'ENO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the fi premises indicated. " "No obvious unsatisfactory condition was found. AMOUNT PLEASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE NEW FEE PAID YORK BOARD OF FIRE UNDERWRITERS STEVE MARQUARDT RISK OF SENDER Y MAIL WILL BE AT 560 LITTLE NECK ROAD CUTCHOGUE, NY, 11935 - 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 r65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ � FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS DATED �� �a INSPECTOR ,� - �`r LAC-� � .� .'� .__.!_ �r,s.__�-__e.__-_....._ °.�""_ Ems+ d g}n \ `v � . �-� mil,i �, ! X � � r r� 7j Ill n 1 "1"/il' 1� 'j j; / 1 \ .. ` •�.' s � R t�,,� 'Q � � `tee ',. I �iUitl I UI ll Lit I_ Ill FOnM NO. 1 3 SETS OF 1'I_,l'rt5 TOWN 0f= SOUTI'101_D S1111VEY . . . . . . _ . . . . . . . . . . . JUL 1 41995 BUll_DING DEPAHTMENT CIIECI: _ . _ TOWN IIAI_I_ SEI'TIC F011tl _ . . . . . . . . . . . . SOU1I101_1), N.Y. 11971 7T El_.: 765-1802 tl()'F 1 FY c/ � � �0 CALL 7 l.Xamined . . . . .dy • . �19 HA 11. 'ro . . Approved . . . . .d��.�. . . . ., IJ. I'ernlit No. . ,/ . . . . . . _ - . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ) (l3 lildine Inspector) APPLICATION FOn 13UILDING PERMIT 11 ,- .Date . . . . . . . ., IOr . INS"I'RUCTIONS a. "Phis ;Ipplicalio►1 must be complelely filled in by typewriter or ill ink and submitted to the Building Inspector, will) sets of plans, accurate plot plan to scale. I'ee according (o schedule. b. Plot plan showing Igcalion of lot and of buildings on preniises, relationship to adjoining premises or public sheet or areas, and giving a detailed description of layout of property must be drawn on the dingranl which is part of this apply cation. c. The work covered by this application may not be commenced before Issuance of 13uilding Per►nit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to file applicant. Such perm; shall be kept on file premises available for inspection throughout (lie work. e. No hrlilding shall be occupied or used in whole or in par( for any purpose whatever until a Cerlificafe of Occupanc shall have been granted by the Building inspector. APPLICATION IS IIEREI3Y MADE, to fife Building Department for the issuance of a Building Permit pursuant to ill, Building Zone Ordinance of the Town of SOu111o1d, Suffolk County, New York, and outer applicable Laws, Ordinances ( Regulations, for the construction of buildings, additions or alterations, or for removal eft, demoliiiori, as herein describe( 'I•hc applicant agrees to comply Willi all applicable laws, ordinances, building code, homing code, and regulations, and t m1mil au(hmized inspectors on premises and in building for necessary ins ections. (Signature of )pliyrfit, or name, if a corpolation) (Mailing address of applicant) Slate whether applicant is owner, lessee, agcn(, tirchi(ect, engineer, general contractor, electrician, plumber or buildc. I/ObFP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . €. Nanlc of owner or prclllises ✓E�. . . . . . J.I. b[��I t . . !7� t . (as on the lax roll or latest deed) lI it ) )Ilcilnt IS it COr )OI'i1t1011 SI �Ilillll)'0 of(Ills All AS NOTED I b y a110106ied officer. DA : B.P.#. . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . .(Nanlc, and title of corporals officer) . . . . . . . . FE �: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . FOLLOWINGINSPECTIONS: 1. FOUNDATION - TWO REQUIRED I'Innlber's License No. . . . . . . . . . . . . . . . . . . . . . . . . FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Electrician's License No. 3. INSULATION 4. FINAL - CONSTRUCTION MUST Olhcr 1'radc's License No. . . . . . . . . . . . . . . . . . . . . . BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. I . Location of land on which proposed work will be clone. . . ... . . . . . . STATE, -CONSTRUCTION ENERGY• • • • • • CODES. NOT RESPONSIBLE FOR `! . . . . . : . . . . . . . . .DESIGN-OR.CONSTRUCTION. ERRORS. . . . . Ilouse Number Street r� Ilamist County fax Map No. 1000 Sccticin . . . : . . . . . . . . . . lllock . . . . L. . . . . . . . . . . . . Lot .0M . . . . . . . . . Subdivision . . .. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . ... bile( Map No. . . . . . . . . . . . . . . lot . . . . . . . . . . . . . . (Name) ?: Slate exisling use and occupancy of premises and inlcnded Ilse and occupancy of proposed construction: a. I.xisling Ilse and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended Ilse'. occupancy n�! ®2. .c�ecK. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . �•.il.u: , •. ..... 1a.�...l.l. �.lu.,a ail 1,�1�.•�u1Cf. l4e1Y LU Liu IIIj. r1 thIlou . . . . . . , . . . Iation . . . . : . . . . . Reliair Rel.u0vaI . . . . . . . . . . . . . . Denr oil lio11 ' � � .. .. . • . . . . . . . . . . Other Work . . . . . . . . . . . . . 4. l;slinlaled Cost . . ��. o-� (Description) . . . . . . . . . . . . . . . . . . • . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this applica(ion) 5• If dwelling, number of dwelling units . . . . . . . . . Number of dwelling units ou each floor . . . . . . . . . . . . . . If garage, number of cars . . . . � � . . G. If busiiress, coil,I 01,exis(iIlg or ruixed occupalrcy, specify nature and extent of.eacl► type of use . • . . . . . . • . . . • . . . . . . .7. 1)inrensions of existing structures, if any: I7rotrt • Ileiglrl . . . . . . . . ](car . . 1)elltlr . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . Dimensions of sane slrrcfure with ;illeralions oi- additions: Front . . ' " ' ' ' Depllr . . . . .• height . . . . . . . . , , Rear . . . . . . . . . . • . . . . . . f3. Dimensions of entire new construction: [ ronl N(rrrrber of Stories . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . • I(e;rr . • . . . . . . . . ... . . . I)ellllr . . . . . . . . . . . . . . .. . Number of Stories 9. Size of lot: Front . . . . . . �`�!O • . . . . . . I(ear . . . . ��� . . . . . . . • . . . . . . . . . . . . ._ . . I . . . . . . . 10. Dale of Purchase . . . . . . . . . . . Dcpth . . . . . . . . . . . Name of Former Owner I I. lone or use (lislrict in which premises are situated , ' • . ' ' ' ' ' ' ' ' , • • • 12. Uocs propose(! construction violate any zoning law, ordinance car regulation: . . . . . . . . . . . . 13. Will lot be regraded � . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes. . . . . . Ialo Nanre of Owner of premises . . . . . . . . . . . Address Narne of Architect . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Address . . . I'hone No. Nanre of Cor►lraclor . Address . . . . . . . . . . . . . . . . Lh:l.s properly wltll.ln 300 feel of a Lldal. 'weLl.ancl? *Yes. !'!rune No. . . . . . . . . . . . . yes, . . . lC es SouLlrol.cl Town '1'rusLees PerwiL way. be required. No• • - PLOT DIAGI(AM Locale clearly amd distinctly all buildings, whether existing or proposed, all(-indicate all set back dimensions from property lines. five street and block number or description according to (feed, and show street names and indicate whether interior or corner lot. III r STA"I•Ii O1' COUN*h OI • • • • . . , . . . . being duly sworn, deposes and says (hat he is the applicant (Name of individual signing coiltracl) above named. Ile is tile . ... . . . . . . . . . . . . . . . .��1�"�%�. . . , . . : . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . Wontraclor, agent, corporate officer, e(c.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make an(I file Ibis application; lhal all slalelmenls conlaiued in Ibis application are (rue to the best of his. knowledge and belief;and (flat the work will be performed in (lie manner set forth in the application filed Ilrerewith. Sworn to before file this day of . . . . . . .'. . ., 19 R. Notary Public, . . . . . . �. . . County HELENE D.HORNE . Notary Public,State of New York . . . . . . . . . . . . . . No.4959364 (Si nature of a > Ilicanl) Qualified in Suffolk County O� g 1 I Commission Expires May 22, 19_L-4 1 LF o !`, JUL I�14 19% ! VACANT ------- __II L/T.TLE NECK ROAD Fo. 5.14006'37"E. 140.00 SET JTK. I O J eessroo� 00 Q AREA�PfSf.PI�ED'FOR 00YmG.�o � It FOSS/BLE DEDICATION TO TOWN OF SOUTHOLD O FOR ROAD IV/0EN/N6 '6 Q �9 I YZ STY. N FR.DyJL'tL - �i y � i DATUM ASSUMED LoTAREA-40,040 $4.F7 s W o 00 NEAREST WATER ` 4 MAIN IN EXCESS k WELL. .14 Q N cv �0 of 500 FT. i Ci � W m m h o cn FD. o'l-0) STK, N.14 006'37"PV 140.00 STK. IleTHE 'CONIMONS AND OPEN SPACE `VACANT N 37-,Z- 1975 ...DYVE.LL. UNDEK .CON57 4-Z9-1978 -FINR�:.SURYEY .WC�lOtJ 0417-WELL.4 S�1f1Q1l.Ry_SYS7 T SUFFOLI- COUNTY THE ---WATER SUPPLY.,..&, SEWAGE -NAME DEPARTMENT OF HEALTH'," DISPOSAL FOR THIS RESIDENCE SERVICES FOR APPROVAL WILL CONFORM TO THE STAND- ADDRESS OF CONSTRUCTION ONLY ARDS OF THE SUFFOLK COUNTY DATE HS REF NO DEFT. OF HEALTH SERVICES APPROVED _ TELEPHONE TH4 OFFSETS (OR DIMENSIONS) GUARANTEES INDICATED HEREON J08 NO. 77-64 9 f'I LE NO.L/TTLE NECK SHOWN HEREON F R 0 M T H E SHALL RUN ONLY TO THE PERSON STRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE- PROPERT/ES LINES ARE FOR A SPECIFIC PUR- PARED, AND ON HIS BEHMF TO SURVEYED FO R;STEAIENP -4l1/19G/N/A A. MARQUARDT POSE AND USE AND 'TH.EREFORE THE TITLE COMPANY. GOVERNMEN• ARE' NOT INTENDED TO GUIDE THE TAL AGENCY AND LENDING INSTI- ERECTION OF FENCES, RETAINING TUTION LISTED HEREON. AND T^ LOT NO. 4 WAILS, ADDITION PATIOS. PIILDI GS THE ASSIGNEES OF THE I APE PE MAP OF L/TTLE NECK PROPERT/ES AREAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTFIS AFF. OR ANY OTHER CONSTRUCTION. NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT S I TU AT E D AT CUTCHOGUE . UNAUTHORIZSD ALTERATION OR OWNERS. ADDITION TO THIS SURVEY IS A COPIES OF THIS SURVEY MAP NOT VIOLATION OF SECTION 7209 OF BEARING THE LAND SURVEYOR'S TOWN- OF SOUTHOLD -SUFFOLK COUNTY, IV, y. THE NEW YORK STATE EDUCATION INKED SEAL OR EMBOSSED SEAL LAW. SHALL NOT BE.CONSIDERED TO BE SCALE 1" _ 50 DATE /2-9-/977 A VALID TRUE COPY. _FILED MAP NO. ,6048 . DATE //-30-/`/73 GUARANTEED -0i 1ZY. TO.. ........... _ . . BO OK K N.O..,,.: . I .: -,,-; PAGE 300`7/10LD SAI/INGS BANK USL/f',E.-?/TLE /NSU.RANCE CbMPANY HAROLD F. TRANCHON JR. PC. ST£YEN P;:$.(//RG/N%A A.MARQUAROT LAND SURVEYOR SUCCESSOR TO• WILLIAM -G. MEIER NORTH- COUNTRY- ROAD- WADING RIVER �""�"�^:: F• �" NEW - YORK 11792 . HAROLD F TRANCHON JR. N-Y. LIC. NO. 04,8992 PENN. LIC. NO. 21115- E (516 ) 92 9- 4695 ALT. 47 3- 362 6