HomeMy WebLinkAbout13589-zFORM NO. 4
TOWN OF BOUTNOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No: Z-25660
Date: 04/21/98
THIS CERTIFIES that the building NEW DWELLING
Location cf Property: 2245 FAIRWAY DRIVE
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 109 Block 5
CUTCHOGUE
(HAMLET)
Lot 14.21
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 1, 1984 pursuant to which
Building Permit No. 13589-Z dated NOVEMBER 29, 1984
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 ONE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE, ENCLOSED PORCH
AND WOOD DECK
The certificate is issued to CURTIS W. & AMELIA E. WEBER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-235
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
* This updates CO Z- 1348~ Dated
Rev. 1/81
N-690063
05/26/85 GEORGE MATINEK
05/22/85
05/03/85
985~
,
' Inspector
FO]LM~ NO. ,A
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
13589 Z
Permission is hereby granted to' - . ~'
..........
.~.~.~-~.~.....-.....~..:.~ ..................... ~ /
,o ........ ~ ~...~..~ :~...~/~....~ ........................
................... ~~.....~.'.~~ ...... ~~ .......... ,~ ................................ ~
......... ~....~.~~ ........ ~~ ............. ...~..~ ...............................
c~ To~ ~ ~o. ~000 Se~.o~ ..Z~ .......... ~k ..~.~ ........ ~o~ ~o..~.~..:~.
~......~ .............................. , 19~, and approv~ by the
pursuant to application dated
Building Inspector.
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.. Z.'1.5~89 ......... Date ..........
THIS CERTIFIES that the building-Z-: .lX19.w. . .Z~. 9~.l.i.~g ................................
Location of Property . 2~q-~ ............. .~.qS..~.w.8~...~.~.ixe' ........... ~..u~.e.h..qg.u.o. ......
House No. Street Hamlet
County Tax Map No. 1000 Section . . .~1.0.9 ...... Block . . Q~. .......... Lot . . . .0.~: .2.~ .......
Subdivision..tPP.5-.~.V.~Y. ?..~..~..~. .............. Filed Map No..G.O.~.~....Lot No...2.~ .........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...~.. 9Y.e.m..~..e.~. .! ....... 19.~.~. pursuant to which Building Permit No...~.~..~.~.9..g. ...........
dated ..... ~l.o.v. qr~'¢.o~... ~c) .......... 19~..~. , was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
......... ~. p;r:i¥~.~.e. Qr~.e.-~o¢i.~7. qt.~.ql..1.iD~.. ...................................
The certificate is issued to ........... ~1~$. W....8~. F~lV~L..IA..~. ~3.~.~ ...................
(owner, ~e~eu
of the aforesaid building.
Suffolk County Department of Health Approval ! .~r.S.O.': .235,.. 5[.2.2./..85.,..S..~.e~.e.n.
UNDERWRITERS CERTIFICATE NO ........ 31...~.~.QQ .G5 .................................
Solder Certification signed by George ~artinek, 5/26/85.
Building Inspector
Rev. 1/81
!I~ ~';~ BLDG DEPT.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOW~ HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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. F%nal 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 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.
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 ~nspector shall state the
reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~ming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate* of Occupancy on Pre-existing Buildinm - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .........
New Construction ........... Old Or Pre-existing Building .......·- ........
.ze.. . ...... .. . ..........
Location of Property ................
House No. / Street Hamlet
_ , .~':?~, /. .~'~/~*~,,~../,~ : .... · ......
Onwer or Owners of ~roperty .... ~-.~..c~.*.,./.~*. ........ ~. .......... . ............
./.<f a '- .. · .........
County Tax Map No 1000, Section .......... Block ..... .~..~ ..... Lot....~./--~.'~/- ·
2~./.~..f~..~...~..<.~.S .... Filed Map ............ Lot ......................
Subdivision
Of Appli · · ·
Permit No ................ Date Permit ................ cant ..........................
Health Dept. Approval ..................... .. . . . Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate .......... .. Final Certicate...~--' .....
Fee Submitted: $ ..................... - · -*---- /_~.~_~ "
~.oc. S~/'3a3 ~~ .... ....~- .............. --- ·
~~ CO'~ ~ S ~ ~ O' APFLICANT
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty 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 bu ildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion requ ired to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $ 3.5.00
3. Copy of certificate of occupancy $1.00
V/// Date ..................
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
ocation of Property .~. ,[../~..~r.~..~) & .............................. .~.~.¢. ,~..~../4/. · ·~.
House No. Z ' Street Hamlet
Owner or Owners of Property .... ~..~.~. ~...~,..'~. ·..~----~.fF( i~.".L'. ! .~.. .... .~....~.~ .~J~. · · .......
County Tax Map No. 1000 Section.. (.O.~ ........ Block ............... Lot ...........
Subdivision. ~,t~ [ ,~, ?,~,J~,~,.. E(~'~.~,~. ...... Filed Map No. ~V~ ..... Lot No... '~" ,l ......
Health Dept. Approval /.~. ~ '.~..~' .Labor Dept. Approval ,
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ ~-(~ 7 /~ ,.~6~3/
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date
Building Permit No.
Owner ~twdT' .~
(please print)
Plumber ~
(please ~int)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
~ day of ~77~/~ ,
Notary Public, ~.~L/~. County
Notdry Public'
UNDA d. COOI~'R
NOTARY PUBLIC, 8rate of New York
No. 4822563, Suffolk Ceur~tv.
Term Expires March 30, ~
TO
Two foot Copper roof over front extension has been eliminated,
charge for this item was to be $ 1~500.
This Dollar amount will new be used te offset extras that will be
added to house ................................................... ...- $
1,500
Actual Sales Price
$140,5oo
Items not included in Specs.
which are included in Sales
Price. & modifications &
Changes to plans& specs~...
(1) Kitchen Sink to be Porcelain (not Stainless Steel)
(2) Bathroom Vanity in Hall Bath to be Wood with a Formica TOP.
(3) Lavatory in Rec. Room to have a vanity. Door opening for closet in Rec. Room
to be msved to the hall instead of as shown on plan.
(4) Attic Fan not shown on Specs is included in the Sales ~rice.
(5) Termite Shield & CCA lumber to be used on sills in Basement.
(6) Allowance for fixtures has been increased from $ 500 to $ 1,000.
(7) If Electric Heat is used, Studding will be 2X6 with 6" insulation in the walls
and 9" in the ceiling. If Oil Hot Water Heat is used, Studding will be 2X4
with 3" insulation in the walls and 6~ in the ceilings.
(§) Shutters to be included on all front windewa of house including~he garage,
emcepting the Bay windowin the portico.
(9) Areaways to be installed on all cellar windows, as elevation has been changedo
(10) Front Entrancewayhas been changed. 1 glass panel on each side of door. increasing
the entranceway foyer by 1 foot. The interior wall has also been moved 1 feet
to acccmodate this change.
(11) Kitchen wall to be moved over 1 foot and Bathrooms Wall also to be moved over
1 foot.
(12) Entrance Foyer will have tile-Brick on floor similar to S/L built in Southold.
(13) Antique Brick or Jersey Brick under Portico & under B~y at front of house.
Bay windows are to be 5' Andersen Permashields front & back. All windows on house
are to be Andersen Thermoglass.
(14) Rear Kitchen Window& Door Have been replaced with an Andersen Insulated Glass
Sliding Door.
~agp TwJ Cou't. ~
(~) Add one window in Master Bedroom at M/E side of house near corner.
~aster Bath to be the same as S/L built in Southold. Plans incorrect,
Remove tub-W/C to be moved to sink area, & ~anity to be placed where tub
sh~ws on plan.
(17) Install a pocket door from Haster Bedroom to Master Bath, instead of conventional
doer.
(18) Closet in Bedroom #3, replace slider with BI-Fold ~leset door.
(19) Foyer Wall at entrance to be omly a 4ft wail witb spindles to ceiling
(20) Fireplace in Family Room - 36X30 opening with Antique or Jersey brick.
6'Wide Floor to ceiling with raised Hearth.
(21) Roof to be a 5/12 or if possible 6/12.
(22) Two Garage doors to be replaceOwith one 16ft insulated door, including
an Electric (Genie) opener.
EXTRA COST ITEMS
(1) Fiberglass sink in Basement with pump.
(2) Pump for Sprinkler system.
(3) Wood Deck from Kitchen - size to be determined
(4) Rec. Ro~9- Beamed Ceiling & T~G wood paneling over S/R.
(5) Automatic Ics Maker on Refg.
(6) Brick work under Portico.
RANDAZZO BU~LDI~O., ~INC.
VITO RANDAZZO, ~RESI~IT
CURTIS W. WEBER, OWNER
~A E $ ~'1 OWNER
loooz THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~-~' 85 JOHN STREET, NEW YORK, NEW YORK 10038
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
was exa.~ined on ~p~i~ ~ ~ ~9~5 a~td found to be in cotnpliat~ce with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE ~OTORS FUTURE APPLIANCE FEEDERS ~PECIAL REC'PT TIME CLOCKS BELl UNIT HEATERS MULTI*OUTLET DIe. ERS
; ~ 1 50 sYs,ms
~T KW OIL H.p. GAS H.p. ~,. NO. AW.G AMT. ~P. ~T AMPS TRANS. AMT. H p NO. OF FEET AMT. WATTS
I 1 600
~~~ner; return to the off,ce o[ the Board if incorrect. Inspectors ma
~~ ~n~..L_u~ !~ u~=~AI~ I NIENT. THIS COPY OE CER~IFI~CATE MUST NOT BE ~LTERED N ANY MANNI=n
. ~ · ,.. , ~_ .... ~ ...... .~:.:'"7-'"
FIELD INSPeCTiON
FOUNDATION
(1st)_
COMMENT~ ~ ~'
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
QODE
FINAL
ADDITIONAL COMMENTS:
7~5-1802
BUILDING DEPT.
INSPECTION,
[~FOUNDATION ~,ST [ ] ROUGH pLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS,,
FINAL
DATE
INSPECTOR
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
~ ,~ TEL.: 765-1802
Examined
Approved
Disapproved a/c .....
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received ........... ,19...
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 areas, 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 cpde, ~ousinlv~ode, and regulations, and to
admit authorized inspectors on premises and in building for necessary, inspection~-..---- ----- ---..~.~.~. :. "~t~"~ ~
(Signature of applicant, or name, if fJc6rAoration)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer ge~"~al c~electrician, plumber or builder.
(as on the tax roll or latest deed)
If applicant)sfi c,~orpora~i~n, signature of duly authorized officer.
(Name and title of c$'rporate officer)
Builder's License No ..........................
Plumber's License No..~.: .~..~ff.T'.(.~.~-....( .~.C.'.:
Electrician's License No..~?..~. .... .~...~.~. ~.~. ( r_-
Other Trade s License No ......................
1. Location of land on which proposed work will be done ..................................................
hg~;;~[;ngdr' 'z' ~' ¢~-[ - Street ........... Hamlet
~unty Tax Map No. 1000 Section ...lO.~ ........... Block...~ .............
(Name)
2. 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 ....... t .X~. . . . ~ .......................................
3. Nature of work (check which applicable): New Building ..... 'Addition ........ Alteration ...... , ....
Repair .. ............. Removal .............. Demolition .......... i... Other Work ...... , ......
4. Estimated Cost. O.,. O.t~.Q ........................ Fee ..~t~ o~¢. ,'..~:. ......................
~'~ (to be!paid on filing this application)
5. If dwelling, number of dwellin~hunits .............. Number of dwelling un!ts 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 ........... i ..... Rear .................
Depth ...................... Height ............. ............ Number of Stories ........... ,; ........
8. Dimensions of entire new construction: Front...7.~c ......... Rear....r/.~.i----. . . Depth .~.g ........
Height ............... Number of Stories ........... } .............................. ~ .............
9. Size of lot: Front ................ ~.O. 0.~. Rear. ,,~O1~ ................ Depth . .i~.e2.t? ...............
10. Date of Purchase ............ Name of Former Owner
1 1.Zone or use district in which premises are situated ........................ i ............................
12. Does proposed conStru violate any zomng law, ordinance or regulation: ... ~ ............................
13. Will lot be regraded . .~1 ......................... Will excess fill be remov{d from premises: Yes No
14 Name of Owner of premises Address ' Phone No
Name of Architect ........................... Address .............. ~ ....Phone No ....... . .........
Name of Contractor .......................... Address .............. , ....Phone 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, andshow' street names and ~ndmate' ' whether
interior or corner lot. ,
STATE OF NEW YORK,
COUNTY OF ............ t3 .... · S.S
(Name of individual signhhg~contract)
above named.
.......... being duly sworn depbses and says that he is the applicant
ute of applicant)
Sworn to before me this ~
....... ..... · .....
H
is
th
ent, .
of said owner or owners, and is duly authorized to perform or have performed the ~aid 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; ahd that the
work will be performed in the manner set forth in the application filed therewith.
.~ '~ Lot 20
£~ ~.~ _].~' S' a9°la 'lO'~. ' , ~0~00 '
I
,
~ tot
'l'~ ~.e~"m'w''~ ' ~oo. oo' ~'
i
I
' Lot ~2
' . ..... SUR~ ~0~ . ....-..-" . '
CURTIS ~ WEBS~. B ". 'E~E~IA
L ~ ...... t ................ S RVEY ~AVI ATION ~SECTION 7209 ~TflE
,~.~.m ~e m ~rig~'~RO~Y .~ I~STITU ~. GOARANTEES ARE ~T T~SFERABLE / ~ I
A'~ ~ , } .o.,...,.. o. ,o..,,....,o......
~oon~9~ '~. 0/i./.. ~ I ; - ' ......... ..', -',
' ' L Il 'A ~ I HOWARD W. YOUNG, LANO SURVEYOR
~~ DRIV~ WOOD WAY
~ Lot 20
~h i
· ~ ~.~ /~ S. 89~12 'I0'~. 20~00' ~,
/'i~ '''' '~'" '~ LOt 25
~ ~reo =~ ~3,6B2 sq. ft.
~ -o' ~ Lot
~ N. 89~IE ~0"~ ~00.00' ~"
Lot 22
s~ ~I ~ D~ SURVEY FOR .
HAY 2 2 1985 .. ~. ~. ~~~- CURTIS ~ WEBER 8 EMELIA WEBER
,, APR. 15, 1985
.... LOT NO. ~/ , " F~I~WA~ F~ME
feoilttt~ fer thi~ loea[to~ ~ve ~ee~ ~N OF SOUTHOLD SCALE. I" = 50'
ln~eo[e~ b~ EAts de~tm~[ ~ ~ SUFFOLK COUNTY, NEW YORK NO. 8d .I/88
~GUARAN~EES INOICATED HEREON ~ALL RUN ~LY ~
DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT THE ~RSON FOR WHOM THE Sp~EY IS PREPAeED
~ ~ MONMMEN~ ALDEN W. YOUNG~PROFE~IONAL ENGINEER
~$~0~ COUNr~N~./~,/~N~ AND LAND SURVEYOR N.Y.S. UC[NSE NO.
HOWARO W. YOUNG~ LAND SURVEYOR