HomeMy WebLinkAbout15640-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18321 Date AUGUST 29r 1989
THIS CERTIFIES that the building RELOCATION & ALTERATION
Location of Property 4135 CAMP MINEOLA RD. MATTITUCK~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 123 Block 05 Lot 27
Subdivision Filed Map No. Lot No.
conforms substantlallF to the Application for Bulldlng Permit heretofore
filed in this office dated JANUARY 16z 1987 pursuant to which
Building Permit'No. 15640-Z dated JANUARY 27. 1987
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 RELOCATION & ALTERATION TO EXISTING ONE FAMILY DW~rJ.ING
AS APPLIED FOR - ZBA APPROVAL ~3553.
The certificate zs issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
EUGENE & GEORGENE BOZZO
UNDERWRITERS CERTIFICATE NO. N-081117 - JULY 18r 1989
PLUMBERS CERTIFICATION DATED JUNE 8r 1989 - MATTITUCK PLUMBING & HEATING
' ~ J B~lding Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
fi.HiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ ~5640' Z
Permission ~s hereby gr~nted to:
...~..~......,~.,.....~...~....~..,..
.~;~,.~...~..~:....!.!.~ ~ ..t .....
,o .....~....~....~.....o~....~.~.....~...~ ......
~-~,~ ~,~~.--, ~.~...~.~...~.....~.~..~......~..~..~ ........ ~~ ............... , .............
....... ~ .................. ~..:. .........................................................................................................
................. ~. .............. ~~. ..............................................................................
~un~ Tox ~ap ~o 1000 S~ction ....... ~.~ .... Blink ...... ~.~ ...... Cot ~o..~ ............
$uildln~ In~p~or.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SODTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .................
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
HOUSE NO. STREET HAMLET
O~ner or O~er~ o~ Propert~...7~ ..~..: ..................
~o=~ ~ ~ ~o. ~000 ~o~ ./..~. ~o~ ..~.~.
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval
Request
Fee gubm;cted:
for Temporary Certificate ....... Final Certificate ................
~...?.<0..~.q~. .......
APPLICANT .~ ..........
rev. 10/14/88
~ooooe~ THE NEW YORK BOARD OF FIRE UNDERWRITERS
PAGE 1
BUREAU OF ELECTRICITY
~t~ Application No. on ~l~
THiS CE~IFIE~ THAT
~ BOZZO, CAMP MI~ RD, MA~I~CK, N.Y.
~ exami~ on and found to ~ in compliance with the r~ui~ments o~
RXRJ~ MXTU~IB RANGES OVENS EXHAUST FANS
OUTLETS SWITCHES
8 3 8
GUSTAV BARTRA
R.R tl
227 E. BREAKWATER ROAD
IO. TTITUCK, NY, 11952
bIC.l1529-E
This certlficat~ must not be altered in manner; return to the office of the Board if incorrect.
11
be identified by their credentials.
TOWN OF SOUTItOLD
OFFICE OF BUILDING INSPECTOR
P O. BOX 728
TOWN HALL
SOUTHOLD, N.Y 11971
TEL. 765-1802
CERTIFICATION
Date
/please print)
Plumber ~,~',~c_L ~o,~ ~,~ 'q-~//~"'-9 ~-----~"~
~'' (please print) ~ ~ ~
I certzfy that the solder used zn the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
~/~// day of %~/~
Notary Public,~/f~z~J~
(plumber' s sign~
County ~ F. ~
No.
· Tem~ Explrea Feb. ~, 19g0
City Building Inspector
Town of Southold
P.O. Box 728
Town Hall
Southold, N.Y.. 11971
Eugene Bozzo
48 Foothill Lane
East Northport, New York
11731
3une 23, 1989
Dear Victor,
I am sending a copy of the plumbing certificate.
Recently I was advised by your offzce that I needed to submit a
plumbing certificate, underwrzters certificate and a final survey
in order to receive, final Certificate of Occupancy.
I am enclosing the plumbing certificate the Underwriters certified
and survey will follow as soon as I recezve them.
Sincerely yours,
Gene Bozzo
OUNDATIO?; { 1st)
OUNDATION ( 2nd )
OUGH FRAME &
PLUMBING
~SULATIO}~ PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
76S-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
J FOUNDATION 2ND [.] ~TION
I FRAM~IG~ / ~]~F'INAL
/ ~ /- . - ~ ,
/ ~ / . / /r~
DATE ~~ INSPE~O"~ ~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[~1 NAL
DATE
INSPECTOR~
BUILDING DEPT.
INSPECTION
FOUNDATION '"ST [ ] ROUGH PLBG.
FOUNDATION
FRAMING
2ND [ ] INSULATION
[ ] FINAL
DATE '~*~ INSPECTOR.:~~
March 31, 1989
Mr. Victor Lessard
Town of Southold
Town Hall 53095
Building Department
P.O. Box 1179
Southold, New York
11971
Dear Mr. Lessard:
As per our conversation I am enclosing a copy of the
engineering report. I am in the process of having the
chimney repaired and as soon as the repairs are complete
will advise your office.
Sincerely,
Eugene~ Boz zo ~
48 Foothill Lane
East Northport, New York 11731
September 27, 1988
(516) 288-6201
!
Mr. and!Mrs. Gene Bozzo
48 Foothill Lane
East No~thport, New York 11731
Re:
Letter of Certification - Chimney
4135 Camp Mlneola Road
Mattltuck, New York 11952
Town of Southold
Building Permit No. 15640Z
Inspection of the above referenced chimney was made on August 25,
1988, in accordance with your instructions.
The purpose of this inspection was to examLne the referenced
chimney for structural integrity and present an opinion as to the
servlcegblllty of same.
The following observations were noted:
1. The subject one-family residence is of wood frame construction
which has apparently recently been relocated and renovated.
The referenced chimney is of br~ck masonry construction set on
a sound footing located on the east exterior side wall of the
house and serves the fireplace.
The interior front face of the fLreplace evidences a hairline
crack. The lnterLor of the firebox evidences cracks Ln mortar
joihts on the back or east side and the north s~de, which
cracks step from one course to three courses above the f~rebox
floor and vary from approximately 1/8 to 1/4 inch in width. A
crack or gap was in evidence about the juncture of the firebox
f~re brick and the front fIreplace face brick work. The
chLmney masonry above the firebox appeared sound and of good
Integrity.
Page 1
Mr. and Mrs. Gene Bozzo September 27, 1988
4. TheI exterior north side of the chimney evadenced a miscellany
of poantang patchang of an apparent crack which stepped up to
approxamately f~ve courses. A loosened brack was noted at
thas patching. And, a second crack whlch stepped down from
nane courses hagh and varled from approximately 1/4 anch wade,
a the chimney juncture wath the house to 0 inch wide. The
chamney masonry above these cracks and at the remaining east
and south exposures appeared sound and of good lntegrity.
5. It ~s reco~ended that the aforementaoned firebox and exterior
cra~ks be repaired by a combInation of repo~ntang and/or
resettang of affected brack work an accordance with acceptable
goo~ standard practace whach would both insure and preserve
theI structural antegraty of thas chimney and restore the fare
resastlve properties of the f~rebox.
FurtherI Thas is to certify that I have examaned the brack
masonrylchlmney construction at the referenced sate and to the
best of]my knowledge thas chlmney ~s of adequate structural
antegrl~y, capaclty and stab~laty to support loads amposed, wath
the condition that the found cracks are repaared right and proper.
Respectfully submatted.
Very truly yours, /~
/Frederlc-k---M. Showers, P.E.
Page 2
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765.1802
Approved .,~t34..~_.~..!,19 .~-}1. Permit No ./..,~.~..O..~.
D~sapproved a/c ........... ~ ..........................
..../9
....................' ' ' ....... < c 5 ..z -
(Building Inspector)
A~PLICATION }:OR BUILDING PERMIT
Recexved ...... . . ,.. ,19
Date ........ ,19
INSTRUCTIONS
a This application must b~ completely filled in by typewriter or in ink and submitted to thc Building Inspector, w
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 premisea or public st
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a
cation.
¢. 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 Penmt to the applicant. Such pc
shail be kept on the premises ,w~ilable for inspection throughout the work.
e. No building shall be occupied or used In whole or in part for any purpose whatever until a Cemfieate of Oecup
shall have been granted by the Braiding Impeetor.
APPLICATION IS HEREBY MADE to the Building Departmeut for the issuance of a Building Permit pursuant t,
Braiding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinane
Regulattons, for th* constructi on of buildings, additions or alterations, or for removal or demolition, as herein deserl
Ft~e apphcant agrees to eompl ~ w~th all applicable laws, ordinances, building code~ housing code, and regulations, an
adtmt authorized inspectors on ~remises and in building for necessary inspections~/
(S~gnature of applicant, or name, ff a corporation)
Garrett A. Strang, R.A.
(Mailing address of applicant)
State whether appl;cant is owner, lessee, agent, architect, engineer, general contractor, electriciau, plumber or buil
.......................... e. ...........................................
Name of owner of premises .. '.g. t3g.o.n.e...Bg.z.z.9 ................................
(as on the tax roll or latest deed)
I£ apphcant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Budder's License No . .N.o.',3. Sele.c.~.e.d. Yg.t
's License No " " "
Plumber ..................... ~ ....
Electrician's License No " " "
Other Trade s Lmense No ......................
Location of land on which proposed work will be done .......
/]/. ~.J..~. Camp Mineola. Road ' .Mattit, uck, New York
[louse Number ~ Street , Hamlet
County Tax Map No. 1000 Sectmn ...... '..112.3. ...... Block 05 Lot ~.7. ..
2
Subdivision ................................... Filed Map No .............. Lot ......
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a Existing use and occupancy ..... $.t.~,g[~. Y.~X .Dive. ll,$o~. :.. p~¢. ~.~ .., :;~ ....................
b. Intended use and oc, 'v ....... Sane ........... ~o,r,C.. $,~, . ~ % .......
3. Nature of work (check which applicable):
Repeat ............. Removal ...
4. Estimated Cost ........ 1 ~5 ,.0.00. O.Q
New Bmlding .......... Adoltzo .......... Alteration .. x
......... Demohtion .............. Other Work .........
__~ (Description)
................. r¢~ . . . .~¢. . / :.~. . 9 .....................
(to be paid on filing this application)
5. If dwelhng, number of dwelling units One Number of dwelling units on each tloor..
If garage, number of cars . .I ...................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of uso ...................
.' Rear 2. 7: Depth 5 5'
7. Dimensions of existing structures, if any: Front..~.7 .. ....................... ... .... ...
Height 2 4 ' Number of Stones 1 ~
:: 2'7' ......
D~nenmons of same structure w~th alterations or ad&tlons Front ....................
6 8 '. I Height 2 8 ' Number of Stories 1%/'
Depth ...........................................................
8. Dimensions ofenhre new construction: Front ............... Rear ............ ... Depth .......
I.o ...................... : ..... :' b;i,i ': ?.°.I ............
S~ze of lot' Front .. , .' ...... Rear .......· .......
Dat~ of Purchase ....... I .................... Name of Former Owner .......................
Zone or use district m which premises are situated ...... ~-,..'7. ,R.e.s.i.d..e.n.t.x..a.l.,..A. gr..i.c.u. 1..t.u.r.a. 1. .....
Does proposed construction yiolate any zoning law, ordinance or regulation ........................
Will lot be regraded .... ~.o. .................... Will excess fill be removed from premises: X Yes t
Name of Owner of premises .~9~.e.rt~. IB.o.z.:~ 9 ..... Address 1~.., .hlg~'.t.12P. 9 .r.t.~.I~ t YPhone No..~ 6t5.'-.~ l ~;~
Name of Architect . .Ga.r.r.e.t..t..A....S..t.r.an.g ..... Address .SP.u.t..h. 9.I-.cl.,...N:.Y.: .. Phone No..7. ~;.5.-.5.4 5 5
't~Qt: .S.~J,.eCt, qO Address Phone No
Name of Contractor ...........................................
10.
11.
12.
13.
14.
PLOT DIAGRAM
Locate clearly anti distinctlyI all buildings, whether ex:sting or proposed, and. indicate ~11 set-back dimensions fr~
property hnes. Give street and block number or description according to deed, and show street names and indicate wh~tl
interior or corner lot.
See Attached
STATE OF NEW YORK, S.S
COUNTY OF..Su f fD. lk .......
Garre,tt A. Strang being duly sworn, deposes and says that he is the apphca.
(Name of mdwidual signing contract)
above named.
He is the ............................. .A.r.c.h.i..t.e.c.t. .......................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th
application, that all statements contained in tins application are trlie to the best of his knowledge and belief, and that
work will be performed in the maturer set forth in the application filed therewith.
Sworn to before me this
..........................· '~'~' r- day of.....~.c~ , 19~.-'
.................. County
,0,~r,v_~_~ ~,~f ~,~,.~.' ........,>z..: .%'rwr...~,'.~ ~..: ............
~t~ /
~rm ~'~1~ ~,~t_...~ (Si~ature of apphcan
GARRETT
A. STRANG
architect
Main Road RO. Box 1412 Southold N.Y, 11971
516- 765 - 5455
DATE
' architect
Main Road P.O. Box 1412 Southold N.Y. 11971 ~.~ "
516- 765 ' 5455
FO~'N DAT I,ON NOTE. , .S:
1. ALg FOOTINGS SHALL IEAR UPON UNDzsTuRBEO'$OIL, #AVZHG
TO PLACEMENT O~
2. CONTRACTOR 18 TO VERIFY ~LL FXECD ~QNO:~T~ONS PRIOR ~0
~ CRE~RNCIE8 TO iHE
~' ~. Ac'..CONSTRUCTION eILL CON~ORF~ TO ALL STATE & LOCAL CODES,
~ 5. &LL RASONRY' KORK SHALLCOHFORH ~L:~ ~."NR'TZ~NRL cONkKRETE
~ 6, THE ULTIMATE COflPRElSJVE STRENGTH OF CONCRETE a Z8 DAYS
~_ ........ ~ ~ZLL BE: FOUNDATION & FOOTINGS -
, FLOORS I SLABS '
FEi: ?s'-s~ er. ~.~. ,
F~NOATION ~0 R~O~RED
~ ~ ~ ROUGH FRAMING & PLUMBING
~ ALE CONST"UC~ON SH~LL MEET
~ ~ W~ ]~ r~~L~ A~ h4,~.~, ~IGN OR CC~STRUCTION ERRORS.
-~---*-~J~ ~ P&UMBER CERT/F/C4 T/O~
Ot~ ~ ~ . ON &E4D CONTE~ BEFORE
CERT/FI~TE OF OCCUPANCY
SO~DER USED/~ W~TER
~UPPLY ~Y~TEM
EXCEED 2/~0 of I~
I I_~D I~ I ~. n.~, ,,
WITHOUT CERTiFiCATE GARRETT A. STRANG
for ~t~ dis~ib~lng
~ W~ ~or L only Main Road P.O~ Box 1412 Southold N.Y, 11971
516 - 765 ' 5455
, ,~.'.,~" 17'-X" ., m.Z . d~¢~'e~ FOUNDATION NOTES:
J L , ~ 1. ALL ~GOTZNGS SflAL~ BEA~ UPON U~STURGED SO~L* HAV]NG
:.: . -, C*AP~CITY ~i SOIL =; JJ VE~I~IED IY THE CONTRACTOR PRIOR J I ,~l
-* · " x
I ~ ~j ~) ~ 1 /1~1 ~1.~ ~g~ll --,~1 r . h, / = = ~. CONTRACTOR ~S TO VERIFY ALL FIELD CONGZTZONS PRIOR TO :,,
, -~ I ~ ~ ~ ; ~-~~--~' ~ I~' ~ ~ BEGINNING OF CONSTRUCTION & IS TO REPORT ANY I ALL DIS'
~ ~ ..... ~'--~ ~ ] I ~ ~-~,~;,~ ~ _, j I CREP~NCIES TO THE ARCHITECT.
: ~ I)~ ~ I , . ' , ;, / ~-~ ~ ~l~] ' 3. ALL C'ONSTRUCTIOH ~ILL C~NFOflH TO ALL STATS S LOCAL CODES,
~1'' I 'l~l[~ N~ ~ ,, ~:,';~ ~i ~'~ ;~"~ ~ ~ _~ J . HASONRY 'ASSOCIATION STANOAROS", LATEST E~ITION, .
, ]]/ , ~ ~ ~, %--'~ ~*1 ,- , G. THE UkT~flATE CGHPRESSXVE riRENGTfl OF EONCRETE B 28 DAYS
- ~~ ...... ~,~i~'~4",~. ~_~,~'~, ~'~__.. ~';~'~~ ........ %~ ~' : ~/LL BE~ FOUNDATION I FOOTZNGS - 3,000 P.S.Z.
I I ~~-~.~ xx~ i -- _~ , ~. ! 7. COkCRETE SLABS ~ILL NAVE EXPANSION OR CONTROL JOINTS AS /Il
OCCUPANCY I)R I ~* i~~ ~ .....
USE IS UN~'NFUL ~ J~i -~' , ': ', ,?'F~ ;~1 A ,,
WITHOUT ' -' '* ....
CE[fflFICAT[ ~.~ ~-~,~" ~ ,~+ ~ ' ~.~'. ~XI~I; .
, ,,~. .. . , / / ~, ., .. ~J~*_y . ~,,., .,.,,.~..,.
.... ,, ,., . ~
,
PLUMBERCERTIFKATION , m~ ~ I ", , ~ t I ~ ~ / ' . ~'~ :
CE~'IFICATEOFOC(~P~CY ~ ~ ..... ~~-;'~ "~'~~ ~ "~ "~ J'' ~ ~ ~ ~ ~,~ , ' Il ~ ~l~
~--'~ ~r .,,'~ .... / ~ il ~-:~ :
..... ~ ,~ , x' ~~4~). '
VALU~ Oi ;69 & A ~XtHU~ ZN.FZLTRATIO~ n~TE O~ .5 C'F~tR 5. THE O~ESTZC U~T~ flE~TtR SHALL HAVE A ,AX/~UN TEmPERATUrE
~*~ GARRETT A. STRANG
LOCATION
architect
Main Road P.O. Box 1412 Southold N.Y. 11971 ,,,, ~, ~ ,~
516 - 765 ' 5455 ~.*w.,~ ~,~, ,r'
..o~ .~ ~,~ I ~,~ .,~
GARRETT A. STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516- 765 - 5455
GARRIETT A. STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516- 765 - 5455
/~'~ ,-'~, ' '
££
f
T:} 'J:. -' b=_ '-
! '-' DAR'B ~LL
I 'TrUSS-J~T
t: ' HTEST ,.,",
; 13; ,.PROV3
!6~ Provx~E
l,' ,,', OF' ALL,
E~UIPMENT'. R(
(R=25.2), t~Ax*$P,&l , ;~ON
FINZ$fl FL~O~E. " , , ,' ":,
,20, ALL,WIND~8 $~A:LL:BE' INSULATE~ GL~.S;iA~U~INU~'
AS MANUfaCTURED BY .MARVIN,
SHRUBS OR OT~ER PROTE,CT~VE~,ME~'NS',TO
~[TR OPEN 'CASEMENT W~DOWS, .~A, SE~NTr ~SH"AR I~E~
~ESE CONOIT~ONS ARE,~O~PLI,ED I,JITH. '
21. ALL' WIWD~W$ & EXTERIO~ ~OQRS TO
F~NISH AS SELECYED BY OWNER,
, . ~TN STYLE & F]N/SH,.AS 5ELE~:~ BY
ALL DECK STAI'R STR~N~ER$:~O eE 3" x'}g'!"~R. '"
TREADS TO BE 2-2"X6" ,~!
,,.,
;'~' PLETIONi ' !] ; ' ,t :,., ' ~ ',,
Road RO. 80× 1412 Southold N.Y. 11971
5't6 - 765., 5455
~ ~3:. Ri:O~ ~iCOIl $tlfCll'S AN~ RECE~TACL!t ~IITH flESPECTIV~
EL~OT'R,~ '~,~N~.RA~ TO PRE'~IR~ TELeVIsIoN, tNTER~OR
1~.
F,OR
.~ F~R~ .G~T~TIG~..IyST~RS, AS ~I.~CT~ B.Y ONN~8 O~ ARC,HtTECT.
GARRETT A. STRANG ~~_ .~~~
', Main Road P.O. Box 1412 Southold N.Y. 11971 o,, ~, [~,,b? ~. t
~ 516' 765 ' 5455 ,,,,.., ~,~,