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HomeMy WebLinkAbout21303-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22746 Date NOVEMBER 23, 1993 THIS CERTIFIES that the building ALTERATION TO ACCESSORY Location of Property 1355 BAY HOME ROAD SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 5 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 1993 pursuant to which Building Permit No. 21303-Z dated APRIL 5, 1993 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 ALTERATIONS & TERRACE WITH TRELLIS (PERGOLA) TO EXISTING ACCESSORY BUILDING ADDITION FOR SLEEPING ONLY The certificate is issued to BARBARA SELZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-288611 - SEPT. 7 1993 PLUMBERS CERTIFICATION DATED SEPT. 16, 1993 - PERFECTION PLUMB. & HEAT. ild ngng Inspector 1/81 roses NO. s 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) NN? 2130 Z Date ..:..4 195?3 s Permission is her y granted to: (aa, ~Fa4e4v 4 to 4-w k r) S....fT~~I.~Y.Q..........t at premises located at D,7 ..................................................L e••................................................................................... County Tax Map No. 1000 Sections lf~....... Block Lot No... pursuant to application doted 010 . 19..s.:, and approved by the Building Inspector. Fee $ ..l C=~~ uil Ing Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ftw~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 (ply 5.Updated C.O. $ 50.00 Date)...:..... NewConstruction...... OldorPre-ex istingBuilding Vacant Land Location of Property 3J5 . *a.{ ` ~;~'d House No. Street ~C7`N/l Hamlet Owner or Owners of Property ! !A~. o, V-C~.... 2. County Tax Map No. 1000 Section Block Lot. . °3....... . Subdivision ........................./........Filed Map No. ..........Lot No. Permit Noa.1.0 32- Date of Permit Applicant Health Dept. Approval ........................Labor Dept. Approval Underwriters Approval ........................Planning Board Approval Request for Temporary Certificate .....................Final Certificate Fee Submitted $ Construction on above described building and r it meets all applicable codes and regulations. Applicant Rev. 10-10.78 O c3". - N 7 19 0 INSPECTORS 61rmaz' SUFFol jr .ti 1 . SCOTT L. HARRIS, Supervisor C= 7s x Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector Gary Inspector Southold, New York 11971 Building Fax (516) 765-1823 Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765.1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE : 17/(O 14-3 Building Permit No. .2,13o-3 Owner: JeZZ (please print) Plumber T'f"P. A," 6,,'9 (please print) I certify that the solder used in the water supply system contains less than 2/10 of IX lead. ( (Plumbers Signature) Sworft,tp before me is day of~ 19~ Notary Public; - ( County Notary Public CLAIRE L. GIEW Notary Public, State of New York No.4979505 Qualified in Suffolk County Commission Expires December 8,19 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 EJUkEAiJ OF ELECTRICITY F SO JOHN STREET, NEW YORK NEW YOkk idwb Date SEPTEMBER 07,1993 Application No. on file 80594093/93 N 288611 THIS CERTIFIES THAT only the electrical equipment as described belote and introduced by the uppficorsl rp" on the libove opplicaiton number in the premises of BARBARA SELZ, BAY HOME ROAD, SOUTHOLD, N.Y. Basement ®lat Fl. El 2nd pl. Section Flock Lot in the following location; IN GAR/OUT nos examined on SEPTEMBER 0 2 , 19 9 3 and found to he in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS 11 DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. k. W. AMi. k.W. AMT, K.W. AMT, k.W AMT H.P. 16 18 22 16 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS ,gEll~ UNIT HEATERS MULTI-OUTLET DIMMERS mt. K. W. Olt H. P. GAS H. P. AMT. No. A. W. G. AMT. AMP. AMT, AMPS. TRANS. Wt. R. F, NSYST SYSTEMS FEET AMT ' WATTS SERVICE DISCONNECT of S E R V I a C E AMI. AMT. IYPE METER T $ LW 1,11`3 W L $ 3W t $ ~W NO OF GC COND. A. W. 0. NO. OF HL LEG A' W' G' NO. OF NEUTRALS A. W G. EQUIP. FER b OF CC.C ND. OF HFIEG OF NEVIRAI 1 200 CB 1 OTHER APPARATUS: ELEC. ROOM HEATERS:1-1.4 K.W. FEEDERStl-3 N 4 BASEMENT TO BASEMENT MOTORStl-5 H,P.,4-F H.P. PANELBOARDSsl-1 CIR. 60,1-15 CIR. 100 G.F.C.I:-2 SMOKE DETECTORT-2 G & S CONTRACTOR LIC.4518-E BOX 215 SOUTHOLD, NY, 11971 0 ERAL M RAGER Ai PiY This certificate must not be altered In any mannei; return to the office of the Board If Incorrect Inspltlors may, 66 Identl is by their credentials. INSPECTORS. Victor Lessard r a;+)~F04,^ Principal Building Inspector~p Curtis Horton +..r ' s ? SCOTT L. HARRIS, Supervisor la'' < , Senior Building Inspector Thomas Fisher Ze Southold Town Hall Building Inspector "F P.O. Box 1179, 53095 Main Road Gary Fish pN- Southold, New York 11971 ) ax (516) 765-1823 Building Inspector F Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD November 9, 1993 Ms. Barbara A. Selz 1355 Bay Home Road Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: xx% An application for Certificate of Occupancy is not on file. (Enclosed) x%% No Underwriters Certificate on file. The check is (owed/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. %x% No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # BPIF 21303Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1 LD U.-(i9LNI H OUNDATION (1st) OUNDATIOIJ (2nd) o ool OUCH FRAME & I V) -PLUMBING I V\t` - cn ~a~- 9.3 H t H INSULATION PER N. Y. STATE ENERGY CODE oll FI;JAL ADDITIONAL COMMENTS: x Z=k ro H eee a rq • r En • m .a H M-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ J ROUGH PLBG. [ j FOUNDATION 2ND [ I INSULATION [ ) FRAMING [ INAL REMARKS: X14 DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUCH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ `]-ARMING [ ] FINAL REMA S: G DATE ? INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R H PLBG. FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: 'j,"4 ~c3~ fnL DATE qlq M INSPECTO SUPERVISOR John M. BredTRUSTEES emeyer,111, President O~OSUFFO(,~COG SCOTT L. HARRIS Albert J. Krupski,Jr., Vice President - y~ Henry P. Smith y x Town Hall John B. Tuthill 0 • 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 30, 1993 Nancy Steelman 25325 Main Road Cutchogue, NY 11935. Re: Barbara Selz SCTM 456-5-36 Dear Ms. Steelman, The following action was taken by the Board of Trustees/at their regular meeting of September 30, 1993: r RESOLVED that the Southold Town Board of Trustees approved the request for a waiver to for the construction of a new terrace (bluestone pavers on concrete) on the water and east side of the house as shown on survey dated July 16, 1993. The Board recommends placing drywells at said site. If you have any questions, please call our office. V y truly yours, John M. Bredemeyer, VIII President, Board of Trustees JMB:djh New York State Ueparment of Environmental Conservation Building 40-SUNY, Stony Brook, New York 11790-2356 '4or /9! 2 ~~~.yr6Qrq DATA : C/ECe x L ~~y /~orre f~~ad Re: 4WW Thomas C. .toning .44llc~iffo/~ ommfssioner soUfho/d /V. //9 AIM S,i992 Dear /~5 5~3 ®t!f'S~~c IUo•/-5~y38 ooGZS/°®ao~-L~ A review has been made oL your proposal to: / ~l~oY~7<~ 9~7d 9~~ TG5 ~XrS iJy i B~i~e/!e~ WAY Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the _ parcel project is: _ Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure G'4//C/~fe ~/~OG~ f'P(/GJjt1er/ greater than 100' in length which was constructed prior to 9/20/77. _ Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. _ Landward of the topographic crest of a bluff, cliff", or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Erivironmental Conservation Law). PI - be - i ""v'e'Fr t'h'a't 11 ssaiaar~ o~ the 14- L r r.~_._^^~~et33C S.t s . pe ^ i-t - it is your responsibility to ensure that all-necessary precautions are taken to prevent any sedimentation or other alteration -or disturbance to the ground surface or vegetation in this area as a result of your project. C a.>}~ 4.3.©AS--IQ~y 1-AG~Il-Ede--B~OsZ1d-.L-n~dd•efTtla l-P fin L L..--.fi-..th.~y.... L -wide Ln , --cep-eoirr---o-r, -tonsigLaghic--e-eest.and._-the--pr-o--j-es-t H.:e:--~ ~~'-to' s~ut~-tion are~Tr-e-reetion-o=-a temtro'raz'~-£en~e°; `barrrer; or- ay- Please note that anv additional work, or modification to the project as. described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours,. G~ ~lJ• ~~Te~~//~!~/I Deputy Regional Permit Administrator ..re of work (check which applicable): New Building Addition Alteration ceepair Removal Demolition Other Rork 4. Estimated CoSA j-Dt0Q.......................... (Description) 5. If dwelling, (to be paid on filing this application) e, number of dwelling units . Number of dwelling units on each floor If garage, number of cars ..4X~a}1 .G V G'...24 CDr 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...t)a . . 7, Dimensions of existing structures, if any: Front . ..~{J... , f ' ' ' ' , , • - Height ...11 Rear Depth • Number of Stories Dimensions of same structure with alterations or addition Front t Depth . Height ( 7. tnYCL' Rear . . Ntfmber of Stories °T O . 8. Dimensions of entire new construction: Front , . Height Rear Depth Number of Stories . 9. Size of lot: Front 1~(al•.Q Rear . . 70.'~.•~?.'.......... %P. . . 10. Date of Purchase ~p ' ' it Name Former Owner. . . 11. Zone or use district in which premises are situated , , . 12. Does proposed construction violate an zonim • . ' ' • • . ' • ' ' ' ' ' ' ' ' ' • • • • • • • • • • • . • • - 13. Will lot be regraded any e law, ordinance or regulation: , yb , • , , , , , , , , , , , • . of 2 premises ' ' ' ' ' ' • • • Will excess fill b removed from premises: Yes No 14. Name of Owner e .......Address 71,CjIT Phone No. ~2..: , . , , • ; • , Name of Architect ` YYaI 3~ ~VY~kb Address Name of Contractor rO, ~ • • 'Phone No.. ; . , 15. Is this property within 300 t feet of a tidaldwetland? Phone No. I *Yes *If yes, Southold Town Trustees Permit may be require 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 interior or corner lot. c Cale nsh ATE OF NEW YORK, AUNTY OF S'S \ • ' ' ' ' ' ' ' ' ' ' ' ' • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ve named. isthe (Contractor, agent, corporate officer, etc.) ;aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the k will be performed in the manner set forth in the application filed therewith. ~m to before me this J day of 19 9 3 try Public, C/%x C Y ` IdJA NotazyPWlfc,Star~ Yak . ~ No. 4985863, SutfolkCounty (Signature of applicant) Term Expires Sept. 3, 1,4-; B0,\RD OF HEALTH . as.. FORM NO.1 13 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . BUILDING DEPARTMENT CIICCK . . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765.1802 t:oT I FY ; CALL Examined 19 . . NA IL T0: \PProved ..71. 14y. Permit No. ~J'U . Disapproved arc m• ;i•" , i . (B ddin~spector) L•„„~~^.)ltiNpF ,ve3 APPLICATION FOR BUILDING PERMIT Date 19~~ t INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 As 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- rtion. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applicatio In, the Building Inspector will issued a Building Permit to the applicant. Such permit call 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 call 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 gilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 1e applicant agrees to comply with all applicable laws, ordinances, building code, hSS sing code, and regulations, and to 'mtt - authorized inspectors on premises Mn and in buildi ng for necessary Aur5d applicant, or name, if a corporation) 2 . Nhln. P4. he , N, . (Mailing address of applicant) I IqS :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....I~ ame of owner of premises . (as on the tax roll or latest deed) 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. Location of land on which proposed work will be done. j~ . . ............1, [louse Number treet Hamlet County Tax Map No. 1000 Section 1~ Block t5 , , , • • , , , Lot , . Subdivision Filed Atap No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed consttrruction: Existing use and occupancy p`yV•t Qnl b. Intended use and occupancy / /'l.. ....Y4~•t++. J yol W/~rrrG1~. uYwoNlon:c2: Idu9: J 74:5 pr C.O. Cad (~q