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HomeMy WebLinkAbout16659-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southo'ld, N.Y, Certificate Of Occupancy No. Z-16998 Date June 15, 1988 THIS CERTIFIES that the building .... O.N.. E...F.A.M..I .n.Y..D.V.E.L.L.I. ~? ...................... Location of Pronertv 400 Wilson Road Cutchogue, N.Y. House No. Street Ham/et County Tax Map No. 1000 Section I 0 3 .Block 04 .Lot 4 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 16, 1987 pursuant to which Building Permit No. 16659 Z dated .. D..e .c.e.m.b..e .rI .2. ~..1.9.8. 7. ........ was issued, and conforms to al!. of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ONE FAMILY DWELLING WITH ATTACHED GARAGE & ATTACHED WOOD DE~K* The certificate is issued to CHRISTOPHER & MADELINE SPOR (owner,/~l~,lt ~P:Xt~t$t{~ X X of the aforesaid building. Suffolk County Department of Health Approval 87-S0-220 - May 25, 1988 UNDERWRITERS CERTIFICATE NO....~ 9.1.2. 7. .5,1..~..I.I.I.M.ay.. ! .6 ,.. 1. 9. .8.8 ..................... PLUMBERS CERTIFICATION DATED: June 20, 1988 -George Martinek *MUST MAINTAIN WATER-RDN OFF Building Inspector Roy. 1/81 FO~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERAtlT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~16659 z Permission is hereby granted to: ..~.~.~.,~...~.~, ................. . ~,. ~. ~: ..... / j v,_ j.~.....~~....W....~......,~..~ .... ..~.....~...~.~.~.....u.:.~.,....u..~.~.~.:. County Tox Mop No. 1000 Section .... l...O....'~ ....... :. Block ........ .~)...~ ..... Lot No.....~..~.. .............. purs,on, to app,icot,on dot~ ...1~.~~.......)..~ ............. , ,,.~., and opprov~ by ,he Building Inspector. '" Rev.~ 61301~ 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 m~ 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 featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal--iS-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 responsibie 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, occt3pancy 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 $25.00, Accessory <$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $1~.00/ 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ................... NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. · ..... .... ............................. Location of Property House No. Street Ham/et Owner or Owners of Property ,. C~I.'~.~.~.....'~.. J~'~. [°_.~~. .... ~ .~)()..~. County Tax Map No. 1000 Section .... t.O~ ....... Block ... O.~. ........ Lot..../3~'.<~. ........ Subdivision., ~d..~.~. ~..,..~ ~3.~_,~. .......... Filed Map No. '~.~.l ..... Lot No. , .~..~. ....... Permit No. I~0~.5.~ ..... Date of Permit Hea tb Dept. ^pprova,.. .7. .2.o .Labor Dept. Approva, Underwriters Approval . . . '~.. .................. Planning Board Approval ,,v~, ................... Request for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted $ ............................. Construction on above described building and permit meetS) applicable codes and regulations. Applicant ............................. Rev, 10-10-78 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- OwnerCs~P~ + ~ (please print) (please prin~) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature)/ Sworn to before me this ~0 .day of Notary Public, County Notary Public ANN HE~BA ·~ r'OUNDATION FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FI'N A/ ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]~ROuGH PLBG. [ J FOUNDATION ZND [ ]INSULATION [ ] FRAMING [ ] FINAL REMARKS: '* ,~~/', DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~UGH PLBG, ] ~DATION 2ND [ ] INSULATION [~I=RAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOU/.~TION 1ST [ ] ROUGH PLBG. [/.,,J/FOUNDATION 2ND [ ]INSULATION ~ ]FRAMING [ ]FINAL REMARKS: ~-~/~~ INSPECTOR//~~. _~~~/~ 765-1802 BUILDING DEPT. INSPECTION [ ~ F~~OUNDATION 1ST [ ~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE /~///7 ,NSPECTO 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND [ ] FRAMING REMARKS: ROUGH PLBG. I~ISULATION /,~INAL DATE ]r65-~LS02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] ~IJLATION FRAMING [/] FINAL DAT~ INSPECTOR -i E. N W .,YORK, BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICrrY BB JOHN STREET, NEW YORK, NEW YORK 10038 I~,t(. Iffy 16,1988 ~ppli~.ti,~'o. onJ'th. 52993.588/88 ]4 012751 the ~t~4~,d quipm~t 4s d.~l~d ~ mid latrodut~d by th~ ~p~i~mt Mm~d o. t/~ ~ q~tlo~ a#mber ~ ~ examin~ on and f~nd to ~ in ~m~ian~ ~t~ the ~ui~me~fs o~ th~ ~. Rxzu~l RXttNII$ RANGES OVENS FANS 3~ 18 41 SIRVIC! DISCONNECT S E R V I C · SHOKE DgTECTOlt :-2 1 O~ CC. C~D. 2/O 2/0 PRUb R, BURNS 275 TOHN HRRBOR bANE $OUTHObD, NY, 11971 , morn'mr; return to the office of the Board if 11 Per ~ ~ Examined~..~-.., 19~.?. Ap p roved .l~)~.c~x~&..~.. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1802 ., 19~..~.. Permit No. l.~..[°.~.-~...~.. BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date IN STRUCTION S 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 codet hous. u~.g c/o~, andf/egulations, and to admit authorizedinspectorsonpremisesandinbuildingfornecessaryinspections..~..~ ]~.L~.~- ''' iJi'g~i~r'e';~ J3plicant, ~r ~&~n'e] i~ ~ '~po~itio'~)} ' ' ' State whether applicant is owner, lessee, agent, architect, engineer, ge~rai co~ electrician, plumber or builder. Name of owner of premises .e.~(S .'~02fl(~...xf-..~../~./~.~ ............................................ (as on the tax roll or latest deed) If appl0~, a c~%~ of dT~. author~.~ed officer. ALL CONTRACTOR'S MUST BE SUFFOLK COUI~TY LICEI~SBD Builder's License No .......................... Plumber's License NoG~ H~7.(~./(-~ ./.~.C-. .... .... N Electncmn s L~cense o. Other Trade's License No ...................... ---_t 1. Location of land on which proposed work will be done] .'~....~J.[.~ .50Id..~..0... ~~ ............. ....... .e<. .................. ............. House Number Street Hamlet County Tax Map No. i000 Section .. !.0~. ............ Block .. 0. ¢ ............ Lot..4~. ............. Subdivision...~).0.~...S t~m~.~....~.~. ¢~5~ ..... Filed Map No. ~.~.;~J ......... Lot..'~ ......... 2. State existing use and occupancy o£ premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .~0~..~. ...................................................... b. Intended use and occupancy ....... I.(/:~ .~..~..~( ..... .~'7. I~.}~1t4 {~- ....................................... 3. Nature of work (check which applicable): New Building . .~,.' ..... Addition, ......... Alteration ' Repair .............. Removal .............. Demolition .............. Other Work ............... (Desc p ion) 4. Estimated Co ,..~r..'. ......... Fee ' (to be paid on filing this application) 5. If dwelling, number of dwelling units .... , .--trw.. ....... 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 .................. h ' ~fS Dept ...................... HeJght ....................... Number tortes ...................... Dimensions, qf entire new construction: Front.. ~.d/ ..... ..... Rear... ~.~ ........ Depth ./~.~ ........... ' Height ./.C/- ....... Number of Stories ... l .... t ..... [~.~ R [~ h ~ t ............ 9. S~ze of lot Front ear .............. , Dept .............. 10. Date of Purchase .~.0.~,..[..'/~...,:.; .[.~. [~. ........... Name of Former Owner! ............................. 11 Zone or use district in ' ' · which premises are s~tuated 12. Does proposed construction violate any zonin~ law ordinance or rer, ulation' 13. Will lot be regraded ...q..~-~. ............. Will excess fill be removed from premises' 14. Name of Owner of premises . . .~.P--.~ .~q .g~.~...-:w-... Address ..... ~ i Phone No..--r. . . Name of Contractor/~-/~t14~ :0~..~ ~. ...... Address ~.7,~/h~t/~.~. !.~ne No.2/Y75.'~.~.~;.~./.~ ..... 15. Is this property located with±n 300 feet of a t±dal wetland? *yes ..... No ..... · If yes, Southold Town TrUstees Permit maybe required. ..f PLOT DIAG1;[AM Locat.e. clearly and distinctly alI buildings, whether existing or proposed, and. )ndicate all set-back dimensions from property lines. Give street and blocl~ number or description according to deed, and slq ow street names and indicate whether interior or corner lot. STATE OF NEW YORK-~ ,, ~ ~.:~ '~ ......... . .......... ......... ~(k;:m: .~a~.c::;:ac:(,,. ~ ~~ ---- -, being duly sworn, deposes above named. and says that he is the applicant He is the ........ (Contractor, agent, corporate officer, et~.) of said owner or owners, and is duly authorized to perform or have performed th~ said work and to make and file ttfis application; that all statements contained in this application are true to the best work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .................... ~. ..... day of ..................... 19. Notary P. Ul~lic ..... ~ .......... ; .... County · { i i · ... _ ' ............. tis knowledge and belief; and that the ~nature of applicant) liJ LOT I ( VACANT LOT II ( VACANT ) 150.00' LOT 14 VACANT ) N. 79°15' 50''E. I00. 00' LOT 15 LOT 21 (DWELLINe) lO0.00' I ~. 786 WI L SON ( VACANT ROAD AREA= 20,000 SQ.F'[ CERTIFIED TO, NORTH FORK BANK & TRUST AMERICAN TITLE INSURANCE CO. CHRISTOPHER SPOR MADELINE SPOR ~tandards for ~e ~ m ~ti~ by the LI.A. LS. and app~ a~ adopted ~ ~ ~ by T~ New Yo~ State ~nd T~ ~-~n. ' l. LIC, NO. 49668 ENGINEERS , P.C. IP. O. BOX. 909 JMAIN ROAD ISOUTHOLD , N.Y . 11971 FILED SURVEY OF .LOT 22 " MAP OF SUNNY SHORES" AUG,:50, 1960 FILE NO. 32:~ AT EAST C UTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. IOOC~ I 05 - 04- - 45 SCALE I"= 30' OCT. 16, 1987 JAN. 5, 1988(UNDER CONSTRUCT/ON) APRIL IZt, 1988 (FINAL) 87 - 813 LOT 14 ( VA'CANT ) N.~9 ~ §O,'E. .OT 1:2 VACANT .OT 2.2 I00. 00' LOT 15 DWELLINW ) LOT D~ELLII LOT' II V,AC AN T {50.00' { DWELLING ) AREA= ~0,000 SQ,FI: CE IFI EI~~ TO AMERICAN TITLE INSURANCE CO. C[ SPOR MAI~ELINE SPOR The waJer supply & sewage (~isposal terns fbr this residence will standards of the Suffolk County' Deparl- me~t ef Health Services. ~. LIC, NO. 49668 601 20' W S C SURVEYORS & ENGINEERS , P.C. 516') 76'5 - ,5020 ...o. eox: eD9 $otJTHOL Y ' -D,' N. 11971 ~ROP, 607 eULTtVATEO FIELD ANT ) F LED =oPrepared in accordance with the minimum --~tandards for title surVeyS os estobiished by '~Dthe L.I.A.L.S. and appro~'ed and adopted ~'for such use by ~ H~w y~r~S~ate Land I ~Title Assocmtmn.. :. R-O'A 'D ' t00.0 0 ,OFr LOT '22 ",MAP OF SUNNY SHORES AUG',30~ 1960 FILE NO. AT EA$-T C UTCHOGUE 45 TOWN: OF SOUTHOLD -SU~OLK COUNTYR N. Y, '10~0 d ' I 03 - 04- SCALE I",= 30,' oc?r., 16 , 19 87 THE LOCATION OF WELLS/:NO CESSPOOLS SNOWN HEREON ARE EROM EIELD OBSERVATIONS AND OR FROM RMA OBTAINED FROM OTHERS, 87 - 813 LOT 12 ( VACANT ) LOT II ( vACANT ) Z LOT 15 LOT 14 / { VACANT ) '~1~' ( OWELLINe ) N 79° 13'50"E. I00. 00' /'~" LOT ~1 0 PROP, HSE. 20' o S.70o 13'50"W. ~ I00.00i~ ¢~ [ 786 WI L SON ,vA*A.',, R 0 A D AREA= 20,000 SQ.F'Ii CERTIFIED TO : AMERICAN TITLE CHRISTOPHER SPOR MADELINE SPOR INSURANCE CO. FILED IOOO SURVEY OF .LOT 22 "MAP OF SUNNY SHORES" AUG.30, 1960 FILE NO. 3231 AT EAST C UTCHOGUE TOWN OF $OUTHOLD SUFC'OLK COUNTY, N. Y. - I 0:5 04 SCALE I% 30' OCT. 16, 1987 45 PECOI (5~6) P.O. BOX. 909 MAIN ROAD ~0 f,S. LIC. NO, 49668 IS ~ ENGINEERS , P.C. SOUTHOLD ~ N.Y.11971 Prepared in accordance with the minimum standards for title surveys as eCablished by the L.I.A.L$. and approved and adopted for such use by The New York State Land ,',rim Association. - 813 E I.[Z.L:_2,_ ._, If copper tubing is used for water distributing system; piping shall be of ~Ypss K or L only OCCUPANCY OR USE ~S UNLAWFUL '- wrrun]~T C~RTE]CA ~"~ OCCUPANCY , CERTIFICATION BER ORE pLUM ENT BEF nN LEAD coN__~ ,,ccUPANCY ~FiTIFICATE Ur u IN wATER ~,r:~'~ ~,,°°'' AIt:~OVED Alt NOTED 765-1802 9 A~ ]C ~ Pt~ i~R THE 1 L~.r;--'i- EUEVA'F'I Oki Unauthorized alteration or addition fo this document is a violation of sc=Horl 7209 of STEVE O. TSONTAKIS ASSOCIATES I~~'4" ~ 632 ROANOKE AVE., RIVERHEAD, N.Y. {516)727-7411 ~ -.'3 5' Tut~ CL LI',/INCr ~OOl.~ d '- cD' -© cO ,,, 3 r 0 N (3 FLOOR PLAI, J 2 ~ I I I , / iL IZ" pc. co~'~ wo ¢ F FOOtqD~T tOt.l PLAk4 b violation of section 7209 of the New York 5r~fe Education be considered valid copies. ~E%\oEMCZ' ~'oOMDAT~ Or4 PLAM STEVE G. TSONTAKIS ASSOCIATES . · 632ROANOKEAVE.,RIVERHEAD, N'Y' {5t6)727 7411 J ~... '1 ~ -, .,,...., m~ I scA}~ .~v I~ l I B f NOTES: 1. ALL WORK SHALL COMPLY WITH TRE NEW YORK STATE UNIFORM FIRE PREVENTION AND BUILDING CODES. 2, ALL LINTELS SHOWN ARE MINIMUM SIZES. 3. DOUBLE LINTEL JACKS FOR ALL OPENINGS GREATER TNAN 6 FEET. 4. DOUBLE FLOOR JOISTS UNDER PARTITIONS. 5. DOUBLE RAFTERS AT SKYLIGBTS AS APPLICABLE. 6. THE NEW YORK STATE ENERGY CODE SHALL BE COMPLIED WITH ON TIlE BASIS OF PART 5 (ACCEPTED PRACTICE AND IN PARTICULAR AS FOLLOWS:) 7. PROVIDE SEPARATE }{EATING ZONE CONTROL 'FOR EACN ~LOOR. 8. FIREPLACE DAMPERS SHALL HAVE A LEAK RATE OF LESS TBAN 20 C~M OR BE FITTED WITB A GLASS DOOR & FITTED WITH AN EXTERNAL COMBUSTION AIR SOURCE. 9. THE KITCHEN EXHAUST ~AN SHALL BE FITTED WITH A DAMPER OR BE NON-VENTING. 10, ALL HEATING, HOT WATER, AND ELECTRICAL EQUIPMENT SHALL BE AS APPROVED BY THE NEW YORK STATE CONSERVATION CODE. INSULATION SCHEDULE (MINIMUMS) FIRST ~s~coN __ T~OTAL~ WALLS ~ :[9 DOORS 155L c - u ~ 0...~9 - u ~ 0.40 PIPES - R = 4.6 VENTILATION ENE~ yz95 STEVE O. TSONTAKIS ASSOCIATES DWG . DATE SCA~ REV .... I