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HomeMy WebLinkAbout16355-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18939 Date MARCH 30, 1990 THIS CERTIFIES that the building. Location of Property 2120 BUNGALOW ROAD House No. County Tax Map No. 1000 Section 123 Subdivision ADDITION MATTITUCK, NEW YORK Street Hamlet Block 08 Lot 17 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 1987 pursuant to which Building Permit No. 16355-Z dated AUGUST 21, 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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED EUGENE BECHTLE JR. & GERARD DEMPSEY N-0~4067 - JULY 28~ 1988 Rev. 1/81 / Bu~ilding Inspector FOB, M~ NO, ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 16355 Z Permission is hereby granted to: ~..~.~.~ .............. ~....... ............... ~ ..... ~.'..~.~,~4..*.~.~.~.~. ..... ........ ~.. ~:.~......(.! s.r~) ~~ at premises located at-.e~,/,.,,;;~, ,O.,...~~.~....!~.; ....... ...tr,.~,..~,.~ ........... .~...~.+..~.£.~,.~.~.V..~....~ -" ................................................ ~ ............................... County Tax Map No. 1000 Section ...... 1..,,~:.,.,~, ....... Block ....... ,,~..,~, ...... Lot No...~.,~, ................ pursuant to application dated ...... .~-A~.....~...~.......'~. .............. , 19.'~..'~., and approved by the Building Inspector. Fee $..~,,~.. ............... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART}lENT TOWN HALL SOUTHOLD, NE~ YORK 765 - 1802 11971 BLDG. DEPT. TOWN OF SOLq'HOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ -... HOUSE NO. STREET HAMLET O~ner or Owners of Proper~ .F~ ~c<//~, ~ /~' ~4, / ~ gT.,,,.. 1////~ Permi~ No. c :-~.;/. .... App~ican~ ................. Realrh Dep~ Approval ' Planning Board Approval ................ Reques~ for Temporary Cer~iflca~e Underwriters App . .~..~/. ~.'_~. Fimal Certificate ................ Fee Submitted: $ .................... APPLICANT..~~ ......... APPLICATION FOR FORHNO. 6 TOWN OF SOIrlqlOLD BUILDING DEPARTMENT 765 - {802 CERTIFICATE OF OCCUPANCY INSTRUCTIONS This application must b~ filed in typewriter OR ink and submitted to the Building Inspector with the foll~vlnE; for new buildings or new use: I. Final survey of property with accurate location of all buildinEs, property lines, street~, and unusnalinatura1 or topoErnphlc features. Z. Final approval of Uealth Dept. of water supply and seweraEe-disposal(S-9 form). 3. Approval of electrzc~l installation from Board of Fire Underwriters. 4. Sworn statement froml plumber certlfylnE that solder used i~ system contains less' than 2/]0 of IZ leadI. 5. Co~erclal buildlnEs!, industrial buildlnEs, multiple residences and similar.' buildlnEs and installations, a certificate of code compliance from the Architect dr EnEineer responsiSle for the boil'dins. 6. Submit PlannluE Boar~ Approval of completed site plan requirements. For exlstlnE buildlnEs !(Prlor to April 9, {957] non-conformlnB uses, or buildlnEs and "pre-exlstlnE" landi uses: ]. Accurate snr~ey of p~operty sho~inE all property lines, streets, buildin§s and unusual natural or tDpoEraphlc features. 2. A properly completed! application, a consent to inspect siEeed by the applicant and a certified abst:?act of title issued by a title company ~hlch shall sho~ sinEle and sepa'rate ownership of the entire lot prior to April 9, ]957. · If a Certificate of Occupancy is denied, the BaildlnE Inspector shall state the reasons therefor in ~ritinE to the applicant. 3. Date of any honslnE.'cede or safety inspection of b~ildlnEs or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certzfl'cate of Occupancy: ]. An application for ~acant land Certificate of Occupancy shall be submitted, and a certified abst:raat of title issued by a title company showlnE sin§lc and separate ownership ~f ,the entire 1A~ prior to April 9, ]957 shall also accompanF the application. If a Certificate of Occupancy is denied, the Buildin shall state the teas,oas therefor in ~itinE to the CERTIFICATE OF 0CC~CY - New ~elllnE $25.00, Additions ~o ~ellins $25.80, Alteration to ~ellinE $25.00, S~i~inE Pool, $25.00. Accessory buildin~ $25.00 Addition to Accgssory buildlnEs, $25.00 - Businesses $50.00. 2. Certlfica~e of 9acupancy o, pre-exlstinE dwelllnE - $]00.00. 3. Copy of CertiflCata of Occupancy - $5.00 - over 5 years - 4. Vacant Land Car~iflaaCe of OccupancF - $20.00 5. Updated CertifiCate of Occupancy - $50.00 6. Temporar~ Cartlf~cate of Occupanc~ -$]5.00 Co~erclal .FEES: I. ]o/;4/$8 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~000329 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK '10038 Oat, JULY 28,!988 AppNc,tlo, No. onfN~ 51646087/87 N 0240~7 THIS CE~IFIE~ THAT o~y the ~al equipment ~ ~scrlbed below and introduced by the applican t ~med on the above application number in the premises of L~t 22.! DRYERS RANGES OVENS DiSH WASHERS EXHAUST TANS SYSTEMS NO. OF FEET E ELEC. ROOM HEATERS:7-1.5 K.Y.,3-1.0 ~OTORS:!-! H.P. ELEC. WATER EE~TER$::'~-4.5 K.~. G.F.C.I:-g S~OKE DETECTOR:-! TRACK GEBHARDT ELEC, CO,~R I~AYDI.NG :~.EADOY ROAD ......... O%;N, NY, 2.1787 $ E R C i 2/0 ~ 2/0 K.W. ,3-.5 K.Y. GENERAL MANAGER LICENSE NO. 176 E Per_ ~ IiX. ..... This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. TOWN OF SOUTtIOLD OViqCE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN [{ALL SOUTIIOLD, N.Y. 11971 January 23, 1990 TEL. 765-1802 Mr. Eugene W. Bechtle Jr. 310 Hempstead Ave. Rockville Center, N.Y. 11570 To whom This May Concern, We are unable r.o complete your Certificate of Occup,,ancy because ,of the following reasons. /k4 An application for Certificate of Occupancy is '~ot on file. (ENCLOSED) /~_~//~,,;,o,Underwr{ters Certificate on file. /-~ The check [:;(~/not oi% file.) $25.00 No Health Dept. Approval on file. ins[ ocr. ion has been made. Please contact ()ur office on this matter. Thank you for your cooperation. Duil(1 in9 Bu i ld Lng * * PermJ. t # I 6 3 5 5 Z Dept. rio Plumber ,)olde~_ Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) UNDATION (1st) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~/? ~ 7ss-18o2 ~~-~ INSPECTION ] FOUNDATION 1ST [ ] ROUGH ] FOUNDATION 2ND [~SuLATIoN FRAMING REMARKS: FINAL DATE ,/'//,~//~ INSPECTOR 76S-1802 BUILDING DEPT. NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~ULATION / FRAMING [,/~ FINAL REMA~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ~'~ /~/~' · REMARKS= '~ ~ . // ,NSPI:'CTOR .'~. '/,~ 76s-zso- ~.~ BUILDING DEPT. ~ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING FINAL DATE LOT NUMBERS REFER TO "MAP OF MARRATOOKA POINT "FILED MAR.9, 1927 IN THE OFFICE OF THE SUFFOLK COUNTY CLERK AS MAP NO. ~531 CERTIFIED TOt CITIBANK N.A. .I SURVEY OF PROPERTY AT M A'/'T'I'/'U CK TOWN OF SOUTHOLD SUFFOLK COUNTY , N. Y. I000 - 123 08 P/O 22 SCALE I" = JAN. 8, 1987 MAIN ROAD SOUTHOLD ~ N.Y. S. LIC. NO. 49668 11971 )RS & ENGI. NEERS~ ~C Prepared in accordance with the minimum standards for tltle surveys as es?ablished by the L.I.A.L.$. and approved c~nd adopted for such use by The New York State Land Title Association. 86 - 827 - 2 LOT NUMBERS REFER TO "~?.AP OF MARRATOOKA POiNt "FILED MAR.9, 1927 IN THE OFFICE OF THE SL,:TOLK COUNTY CLERK AS MAP NO. 331 ,CERTIFIED TO~ CITIBANK ,I °27'W. 65.00' ~ / ~ SURVk'Y OF ~>~OPERTY AT MATTfTUCK TOWN SUFFOL ¢, 3©UHTY . I000 Y 125 - O~ "P/O 22] JAN. " ~ (5,~ · O. BOX ~' xt ROAD $O,,~Tr~OL, D ~ N.Y. 11971 S LIC. NO. 49668 the L,I.;', '.,C. c }, .~ ,*~d (~opte~ '[ille Associallon - 86 ~ 82'/'- 2 Exami~M~,~ .~..~.' J. · Disapproved a/c ................. BOARD 3 SETS OI~ PLANS ....... 'FORM NO, 1 SURVEY .......... , TOWN OF SOUTHOLD CHECK ';i ....... BUILDING DEPARTMENT SEPTIC RM ............. : TOWN HALL NOTIFY 8OUTHOLD, N.Y. 11971 TEL.: ~65-1802 CALL ................. MJ~IL TO: ., (Building Inspeqtor) APPLICATION FOR BUILDING PERN'tlT Date ....... INSTRUCTIONS a. This" application must be completely filled in by typewriter or in ink and submitted to ~he Building Insp6~tor, with 3 sets of plans, accurate plot plan to s'cale. Fee according to schedule. b.' Plot plan showing location of lot and of buildings Qn premises, relationship to adjqining premises or public streets or areas, ay~d 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 tNs 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 be kept on:the premises available.for inspection throughout the work. e. No building shall be occupied or used in whole or in p~t 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 South01d, 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 code, housing code, and rj}gulations, and to admit authorized inspectors on premises and in building for necessarLjl~pections. __ ~ ' ,//',~.~ ~ (S'gr~nature of applicant, or name, if a corporation) ~ /. /~laili~g ad.dl~ess of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, elec/rician, plumber or builder. , ' ", - : '~' Gera,rd Demps. ey & Helen,Dempsey,his wife,as, tenants by the entirety and as Name of 0wner of premises a. ken ,a~k .in ,~orm~.n .w, th .Eugene .W.-Beoh,~,te < O~ f ;& · ,MC, rfc...M~'l'en 'Bech~cl~,' hit .... · wife,as 'tenants by, the entirety, (as on the tax roil or latest deed)each tenant in 'cor~ron · . owning, an equ~l one-~lf share of~ ~ceer premises. If apphcant is a corporation slgl~ature OlOUly aurnorlzedoInce . · ~ (Name and title of corporate officer) · A~L CONTRACTOR' S MUST ~BE ~UrFFOLK _COUN_T_Y .~_ICENSED Builder's License Nh: '. .... ..-.'~ .(~. ~.~: ........... . Plumber's License No ........ ~ ................ ~ Electricianfs License No......~. ..... . ........... Other Trade's Licens; No. ,. ~., .......... ~l~ / ....................... 1. Location of lana on which proposed work will be done. ,... [~,~i ~.~./~:... ~ . .............. B. ............... ........... House N~mb~r~ Street 'Hamlet County Tax Mai? No. 1000 Section .... (~. ~ ........ Block ..... 0.~ ......... Lot.. f ~ ' ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of woi'k (check which applicable): New Buildifig .', , Additiou Alteration pa/ q .. ..... D6m I/ti , ' "Re r '..; ......... , Rem vai . ..., o on ...... ' ........ ~er~,gork .............. ' , 'i ' , ' ~a .~ -. (Description) i ted C , 'E: Fee stlma est; ............ ~ , , , .............. .., . . , ,, . ............ ....... · , , . : , [to be paid qll fih g this apphcatmn) 5,, If' dwelling,'number of~dwelling ~nits '. ;:, .'i~.' .', ,, ~ Number of dwelhng units on ;~cl~ floor,. :.; ......... ' Ifg~ra *,numberofcars .~)~) . 6.. If business, commercial or m~xed oceupa~g.~.~3 specify nature and extent of each tyte of use ·, '. · .'~,..'. ~ i .... 7., Dlmensmns of exmtmg structures, if agy ~I~ont...o~. (;.', ~. ..... Rear .. R~,.. ~; ..... Depth .... ~..~ ...... ,, ' Height .,. 1,~.. ;... ]. Numiber o~i~St~ies ..... /''"' ....... ........ r" '~?; ...... ' .....i :, ..... 't"-' ~2' .... Dimensionspfsar~q~cture w!th alterations or additions' Front ~,O.. ~; , . Rear ... ' ' h 7~' ' ' " ........... : . Dept ....... c{..~ .......... ~.', Height ...... ~.'.~. ,,,..; ..... Number of Stories ...... ~ ............ 8.. Dimensions of entire new. constriiction: Front . ..../.."~..r,,i'.... Rear ,./..~.../'. ~,...... Depth .... ,9<.,:/../ .... .. ,'' ~.eight ..... .9.7/.~' ,r. ..... Numiber of Stories ...... i .'~..,,, ........ ; ....................... k' ......... 9.: S~zeoflot Front ,.,/..O.~..l .... ...'.,.~..~;.,; ....... ~eptl)_ i. 10.1,DateofPurchase ,i , .,,' ..... Rear, ' r . : , ;.:'.Zone or, use d~stmct in which pmm~ses are situated ................. . ......... ¢ ........... ~ 1'2, ~ D.o. es proposed construction vi.°l~.te any zoning law, ordinance or regulatmn: .,, ./~.O ........................ :'13; .Will lot'be regradeid ., .... .~,~r). ........... ',~. , .~ ..~V!.ll/~.x~c~0s~ fill be removed from premises: 14..: Name of Owner of premises:.~., ~...£~{racr~rte_ .... _.~, .... ...... Phone No, ! ;· Name of ArchiteCt'. , ~ ............ Address .i ..... ; ...... ..PhoneNo ........ ..,. . · ,' : Name of Contractor, .,i..<~'¢: ,[.ff.' ,., ..... '.. .... Address....; .......... ,P~ae No ........ ,, ...... tS;i iS thi~ property located wi'thin: 300 feet of a tidal wetland? *Yes . ',, *If yes~ Sou?hold T6wn Tru~ees-Permit maybe reouired. : ,' : ~ PLOT DIAGICA. M , ,Locate clearly and dmtmctly all ibuildmgs, whether ex~shng or proposed, and, red,cate all set-back d~menmons from , ~roperty lines, Give street and block: minber or description according to deed, and show street names and indicate whether iTATE OF NEW ..... being duly sworn, deposes and says that he is the applicant g contract) tbove named. , ~ . ~:~te ~s the ................. ..... ;: ,,, ............ ./..-,-~2~1 ..... . ........................................ ' l, (Contracto~agentfleorporate officer, etc.) )f said owner or owners, and is dul~, ~iuthorized to perfor"ff~or have performed the said work and to make and file this york will be performed in the manne~ set forth m the application filed therewith. .pplication; that all statements contained in th!s application are true to the best of his knowledge and belief; and that the ;worn to before me this 'i