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HomeMy WebLinkAbout29459-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29540 Date: 06/23/03 THIS CERTIFIES that the building ALTERATION Location of Property: 820 GABRIELLA CT MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.25 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 2003 pursuant to which Building Permit No_ 29459-Z dated JUNE 6, 2003 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 2ND FLOOR ALTERATION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROGER T & CHRISTINE L. FOSTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1142473 06/13/03 PLUMBERS CERTIFICATION DATED 06/23/03 ROGERT T. FOSTER, JR. ""L , xzl A ho ed Sig ature 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) PERMIT NO. 29459 Z Date JUNE 6, 2003 Permission is hereby granted to : ROGER T & CHRISTINE L. FOSTER 820 GABRIELLA COURT MATTITUCK,NY 11952 for 2ND FLOOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (REPLACES BP 426224-Z) at premises located at 820 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 025 pursuant to application dated JUNE 5, 2003 and approved by the Building Inspector to expire on DECEMBER 6, 2003 . Fee $ 150 . 00 AuthorizL§5 Signa re COPY Rev. 5/8/02 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) PERMIT NO. 26224 Z Date DECEMBER 27, 1999 Permission is hereby granted to: ROGER T FOSTER JR 820 GABRIELLA COURT MATTITUCK,NY 11952 for 2ND FLOOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 820 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007 . 025 pursuant to application dated NOVEMBER 19 99 and approved by the Building Inspector. Fee $ 75 . 00 Authorrzted Sign bre COPY Rev. 2/19/98 r r_._- - Form No.6 (� TOWN OF SOUTHOLD l BUILDING DEPARTMENT I IT 5 1 , ,1N 24 V3 TOWN HALL 765-1802 JAPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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 I% 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 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 Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. 6-1-7-03 j� 2nd Stora. New Construction: Old or Pre-existing Building: (check one) _rin I.Shed a fi hov_�e_ Location of Property: 82 6abr(ej J.-t CoUr-t-" A((++ I+UCk fJq 11952— House No. / / St_re/ettom Hamlet Owner or Owners of Property: R60 W T 0// Suffolk County Tax Map No 1000, Section / 09 Block OOO�J Lot 007. 02S Subdivision Filed Map. _Lot: 21022�1� (o�ru reneu/P i Permit No. 2 L � Date of Permit. oPXM!t Applicant:_R i).34 Health Dept. Approval: �— Underwriters Approval: Planning Board Approval: _ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 25,0047 fr tt Applicant Signature �G �9L-f) 7�P Co t051/d o��suFFOI,F-coG o� s� w Town Hall,53095 Main Road p Fax(631) 765-9502 P.O. Box 1179 Telephone(631) 765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: PreviouS -It 262214-a Building Permit No. 5 Owner: � / TOSfe� �� (Please print) Plumber: 1ZOc�c� T /�ZSfP' Jr ase print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plumb s S gnature) Sworn to before me this _2� d/a�y,of�,�� 200 Montce Cerise �J ✓t vn-�[�u� .C���/�' NOTARY PUBLIC,State of New York No. O1ed 1,S 403 29 20 2 Qpmmjssion Exp res May P 1 Notary Public, �q LIC. County o ��ns�ns�n�rrr rr?n�n�nss��n�n�n���n��nrr�srr�n���rr����rs�s�s��n�r�ns�nrn��nrnns fflfflj 10 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 55 CERTIFIES THAT 5 Upon the application of upon premises owned by SROGER& CHRISTINE FOSTER ROGER& CHRISTINE FOSTER 5 5 GABRIELLA NY COURT 820 GABRIELLA COURT MATTITUCK, 5 MATTITUCK, NY 11952 c5 f7 Located at 820 GABRIELLA COURT MATTITUCK, NY 11952 SApplication Number: 1142473 Certificate Number: 1142473 5 c5 Section: Block: Lot: Building Permit: BDC: NS11 55 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: �5 5 Second Floor, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 found to be in compliance therewith on the 13th Day of June,2003. 5 Name OTY Rate RatiM Circuit Type �j Miscellaneous 5 2 PADDLE FANS @$5 ea 5 5 FINAL INSPC. 6-9-03 5 5 ROGER RICHERT 5 Alarm and Emergency Equipment 5 Sensor 3 Smoke �+ 5 Sensor I Carbon Monoxide 5 5 Appliances and Accessories 5 5 Exhaust Fan I F.H.P. SWiring and Devices Outlet 6 General Purpose •C�' 5 Receptacle 13 General Purpose 5 Switch 8 General Purpose 5 5 Fixture 6 Incandescent 5 Receptacle I GFCI 5 5 Dimmers 2 600 5 seal 5 5 5 5 1 of 1 SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. o s�������ns��r BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: ��i��✓� ;y �12Z7S �2 v �� Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1000 Section: JO?� Block: Lot: _7.�S Project1 Subdivision Location: S )-o G-a brie \� AFtL'(-�_ Name: Single&separate Required certification: Yes/No) Req Req. Zoning District: [Lot size Actual [Lot coverage Proposed_ ] Req. Req. Req. [Front Yard Proposed [Side Yard Proposed: ] [Rear Yard Proposed: ] Project Description: AU"y" 1ttJ, i- A Sly 51�t 'S /�/iµ•riir 1 AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A.. / NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ �-1' R GH PL13G. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: qj- AV DATE ) INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE 31zoldoINSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE A CHIMNEY REMARKS: L_".a. DATE 3 INSPECTOR. DATION ( IST) n y u I II II c fDATION (2ND) -.. — ---- - - -------------------- -- m -- -- o II II :fl FRAME ,¢,�� A PLUMBING N — _ °GCli'Q4�ffJ<8LL ----. II N I (0 ILATION PER N. Y. to H STATE ENERGY CODE N II II jj I� rjv� 111' — —JI IL __ II A —JI FINAL I n n N N ADDITIONAL COMMENTS: z 9 v BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . • � � TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . ')t SCUTWOLD TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 i TEL.: 765-1802 NOTIFY: n �j (� Examined.!'!'^" 2Z � CALL . .2. , 1�.�. . l �.� ///jp� 19.. - MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..IZ4' ..�A, 19.1. Permit No. ................................... Disapproved a/c .................................. ... ... ""'lf'cojipeit. 0b.ing. i-is-used. .... ...................................................... for Water distributing system; piping shall be of types K 2LL on OCCUPANCY OR <Liuilding I tor) UNDERWRITERS CERTIFICATE USE IS UNLAWFUL APPLICATION FOR BUILDING PERMIT REQUIRED WITHOUT s HOUT CERTIFICATE Date. . . . . . . . . . . . . . . . . 19. . . . OF OCCUPANCY INSTRUCTIONS a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shooing 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 application- c. the work covered by this application may not be con meed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sudo 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 arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS HEFM MADE to the Building Department for the issuance of a Building Permit pursuant to the Building 7vne Ordinance of the Tam 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 agrees to comply with all applicable laws, ordinances, building code, housing code, and EMER, NAYESCAPASaurhorized inspectors on premises and in building for necessary inspections. EQUIREP BY PART. 714 OF ..................................................... .Y. STATE BUILDING CODE. PLUMBING (Signature of applicant, or snare, if a corporation) 1OVIDE ANTI-SCALD AND/OR ALLPLUMBING WASTE i�20 GL(brle!laCOvr, ,MCATfI'tUCXAJ( &WATER LINES NEED IEEaRMeAL�SHOCK PREVENTING TESTING SECORE COVERING (Mailing address of applicant) /)952- �.Y.�ESTA�I Y ) owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder PART. (Ur{C'r ........................................................................................................................ �c er T foster,r and Chostrne L game of owner of premises ........� ....... .........................A D-A NOTED........ (as on the tax roll or latest deed) DATE: t s� 4 SA 0 ¢� [f applicant is a corporation, signature of duly authorized officer. NT�FEE *4FM TO THE (None and title of corporate oPLcUMBER CERTIFICATION F ON LEAD CONT,rNT BEFORE tREatRRED Builders License No. -CE'R71FICAT'E'•OF OCCUPANCY 2RAPAW • PLUMBINGPlumbers License No. .....� Lt {�� � 13 I , )NATER 3Electricians License No. is s - _ 4ONSTRUCTION MUST ' �� `' ' ?'yFOR C.O. trAUCTION SHALL MEET Ocher Trades License Nowa;,.,.s.� . .,I. . �. � z . f 1 rlLEADTDENTS OF THE N.Y. Location of lard on which proposed work will be dame..........................STATE.CON$.LRUCTIOK-&-ENERG•Y•. 02Q GGlb 1e (I(n CUUr4- Maf� OT RESPONSIBLE FOR ............................................................................... WMA.CQNST,9UltiT,IQN.ERRQRS.. 'House Number Street Hamlet Canty Tax Map No. 1000 Section ..... ..... Block ... ........... Lot . -. 2 5.... Subdivision ...................................... Filed Map No. ............... Lot .20......... (Name) State existing use and occupancy of premises and intended use and occupancy of pro" �.�E-DETECTING a. Existing use and occupancy ....... n'rin�she� ...M ARivl'DEVICES b. Intended use and occupancy ' h v p s f o 1 rs o t' house— AS TO PARL 721:1 _..._w. N.Y.S BUILDING CODE. I. Nature of work (check whici'applicable): New Building .......... Addition .....,/... Alteration ........ ,. Repair ............ Remval ............. DEMI ition ............ Other Work rIISh •V�?S r (r',S' .......... firrx,n{, (Description) 4. Estimated Cost .VJ O©..cam............. fee .............................................. (to be paid on filing this application) 5. If dwelling, mviier of dwelling units ............ Nudher of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, om nercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Nud)er of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Rnber of Stories ............... 8. Dimensions of entire new, construction: Front ................ Rear ............... Depth .............. Height ......................... Nunber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner .................................... If. Zane or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning lacy, ordinance or regulation: .................. 13. Will lot be regraded ................ Will excess fill be reamed from premises: YES .?O / � sl,re L - 14. Names of Owner of premises U rOSfC'I 7f tef�ress '220&?nc.((G.Cf Oaf h fu J�Riahe No. f,,,, /& ........... Nano of Architect .✓L.�✓.(.. ...�../................... Address ../& ....................._.. Phone No. .............. Name of Contractor AP.1,L...'.lB�i`.��-.4.!4n.4,�. Address ./.L............................Pone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .e-.�.... *IF YES, SQTIIM IM TROSTEE.S PERMIT MAY RE REQUIRED. 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 nacos and indicate whether interior or corner lot. - S+cam �. AXA _ y 3fiT 003 NN # OT :fKIR O�-� NV 140�C1fr3mb I . r� Ol1t0:19i11-Q3A Ory?' - oneTA01c"CJ�S r ..'3Y3lMJMGb SZ�MtIt?�AO'. 3f.': Mc7tSt)4u r ..h ...... .. I.1'.... :.......................being duly sworn, deposes and says that he is the applicant Rare oF;iwftivialaET.a1eV1g cohErbet)' )Ove named, h's the ... .:.,.. ........................................................................ } " (Contractor, agept,,,qorporate officer, etc.) said owner or ow .rs, and is (hhly3audnori.7ed to perform or have performed the said work and to make and file this plication; that, all statements contained in this application are true to the best of his knowledge and belief; and at the work will be perfonred in the manner set forth in the application filed therewith. )rn to before mm this ......7...........clay 14:x .... 19.7.!.... . iotary Public ..�- .... ........ 61-u PATRiCIA RICHERT of App l i.cant No!iryA6 1A State Of New York No.A F 741154 r r SUlfC:k Ua 'e tNMDt Ali'*.3MD ASID/DR P90VIDE OPENINGS FOR 7HER M" pRPAKINO EMERGENCY ESCAPE AS U 1►ICE AS TO PAtt 90iG(K) REQUIRED BY PANT. 714 OF X R PROVt�SMOKE•tlETfCTING *LAW DEM!ICES 4 T8 FARL 7�L ( S KLI fv)ll JAI L4 Win d6� -h-t-Xj wr�d 3q (/j chows b&At,stM uvirid�oj is 3q Kx 3 9"