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HomeMy WebLinkAbout15804-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No. %16747 Certificate Of Occupancy Date March 30, 1988 THIS CERTIFIES that the building. 9.n.e.. f..a.m.i.!Y...dEe. ! .1 .i.n.~ .. ....................... CUTCHOGUE Location of Property.ou~e"" 7. .2No.9. 7?..~ .~7.w.q 9 P. ?.q .Ap ...... '~'t/e~i ....................... h~rhiel County Tax Map No. 1000 Section 137 .Block 5 .Lot 4 MAP OF S . .. Ravatone Realty Corp. ubdlvlmon ............................... Filed Map No. 539 .Lot No. conforms substantially to the Application for Building Permit heretofore fried in this office dated March 20, 1987 pnrsuant to which Building Permit No..1.5. 8..0.4.Z .............. dated ...H...a.r.c.h...2.8 .... ! .9.8.7 .......... 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, porch, deck and attached garage. The certificate is issued to STANLEY AND CLARE SLEDZ (owner, ~X>K l~l~E/X X X XX X of the aforesaid building. Suffolk County Department of Health Approval 86-S0-145 March 22, 1988 UNDERWR[TERS CERTIFICATE NO ..... 1,1853566 Feb. 16, 1998 PLUMBERS CERTIFICATION DATED: John Finger 2/3/88 Building Inspector Rev. 1/81 ~OEM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 15804~ Z Permission is hereby granted to: ...~:... ~. ..... ,. ...... at prem.ses located at ..../..~...~. ....... .~.~~....., ,.~-.. ............ ~~.~ ...... County Tax Map No. 1000 Section ...... l...~:~...~. ...... Block .....~ .......... Lot No...i.~. ................. pursuant to application doted ............ ~......0. ............. , 19..~...'7.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- t802 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 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 comp{eted 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 mrvey of p~'~perty 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 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 $25.0OALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10,00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5. Updated C. O. $ 50.00 Date ... March. 3,. 19~ .......... NewConstpucti°n .... ~.%O~ld or Pre-existing Building ............ Vacant Land ............. -C/C Fleetwood Road Cutchogue Location of Property ................................................................... House No. Street Nam/et Stanley and Clare Sledz Owner or Owners of Property ........................................................... 5 4 County Tax Map No. 1000 Section 137 Block .~ ..... Lot ..... ~, , 539 Subdivision . MoD .qf, .R.a.v,a.t,o.n.e..R.e.a.l.t)'..C.o..r~......Filed Map mo ...........Lot No .............. Permit No..],5.8.Q4, .... Date of Permit 3/28/87 .Applicant Rodick Construction Com.p,any Inc, .~ Health Dept Approval 86-SO-145 Labor Dept Approval Underwriters Approval ... N.853566 Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .25,QQ ....................... Construction on above described building an~it meets all applicable codes and regulations. Apo cant ......... 2 ............... Rev. i0o10-7a OUNDATION q' OUNDATION OUGH FRAME PLUMBI~ iNSULATION FERN. Y. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: r~FINAL INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/,/]~INAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST []ROUGH PLBG. []FOUNDATION 2ND []INSULATION []FRAMING []FINAL DATE 7GS-XS02 BUILDING DEPT. INSPECTION [ ] ~UNDATION 15T [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE: ~/~/~//~ INSPECTOR, ~~,~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :~ND [/~ULATION FRAMING FINAL INSPECTOR~,~/~.~ 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST []/..................ROUGH PLBG. / [ ] FOUNDATION 2ND [~ INSULATION [ ] FRAMING [ ] FINAL 'NSPECTO"~,~. ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION ~/~MING [ ] FINAL ~ ~ 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ]~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~MING [ ] FINAL REMARK: ~.~ ~ DATE INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ UNDATION xST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT.* INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKs: TOWN OF SOUTLIOLD OlqqCE OF BUILDING INSPECTOR P.O. BOX TOWN IIALL SOUTIIOLD, N.Y. 11971 February 23, 1988 TEL. 765-1802 Rodlck Construction Co. Inc. 428 Route 25A Rocky Point, New York 11754 To Whom This May Concer~, Re BP #15804 Z STANLEY & CLARE SLEDZ We are unable r.o complete your Certificate of Occupancy because .of the following reasons. /_~/ An application for Certificate of Occupancy is ilot on fi].o. (ENCLOSED) /_--X/ bio Underwriters Certificate on file. /~ Tho check i:;(~K~Xnot on file.) $25.00 /_]~ No lie:al, th Dept. Approval on file. /-'/ No final inspection has been made. Please contact our office on hhis matter. Thank you for your cooperation. ih~.[ldir',g Permit II I 5 8 0 4 Z Building Dept. **~Y/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) in the followlng Ioca£~onl [] Basement ~eloruary 11, zoooesa. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8D JOHN STREET, NEW YORK, NEW YORK 1OO38' ~' Ihg Februaz~ 16~ [988 503730/87 ~ ;" THIS CERTIFIES THAT Cutcho~te, NY ~lst FI. ~2~d Fl. Section Bl~k Lot and found to be a coo pliance a'ith the req~ire~ teats qf ~his Board. 48 43 1988 FUTURE APPLIANCE FEEDERS, RANGES DRYERS FURNACE MOTORS COOKING~~tSH WASHERS S v I C E 1-348 OTN~ ';a ~ ppliance feeders: 1~2~12, Motors: 1- lhp., 3-G.F0C.I. 2-Smoke detectors EXHAUST FANS DIMMERS AW, G. North Electric Co. 121 Acacia Road Rocky Point~ NY 11778 Lic~a90E GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by COPY, FOR ~BUILDING~ DEPARTMENT. THIS, COPY OF CERTIFICATE~ MU,~T~. NOT~BE,; ALTERED~ N ANY MANNER TOWN OF SOUTttOLD · OFFICE OF BUILDING INSPECTOR P.O. BOX 728 · TOWN IIALL SOUTHOED, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date 2/3/88 Building Permit No. 15804 Owner STANLEY arld CLARE SLEDZ (please print) Plumber JOHN FINGER (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this I7 . ay , Notary Public, r-J~/~~ County 42B ROUTE 2SA · MILLER PLAr"E~ N. Y. 11764 Hatch 25, 1985 Town of Southold, Building Dept. Town Hall- P.O. Box 1179 Southold, NY 11971 Dear Sirs: Re: BP #15804 S/S Fleetwood Road~ Cutchogue NAR $1988 I TOWN OF $OUTHOLD Enclosed please find Final Survey of the above property along with Final Board of Health approval, NY Board of Fire Underwriters, Plumbing Affidavit, Application for Certificate of Occupancy and our check #3564 in the amount of $25.00, C/O fee. Kindly mail this Certificate of Occupancy to our office at the above address. Thank you very much for your cooperation. RODICK CONSTRUCTION COMPANY INC. Encl. DESlGN ER~: BU I LD ER~ 42B ROUTE 25A · MILLER PLACE, N. Y. 11764 July 21, 1987 Southold Town Hall Building Dept. P.O. Box 1179 Southold, NY 11971 Dear Sirs: Re: BP #15804 S/S Fleetwood Road~ Oatchogu~ Enclosed please find Under Construction Survey of the above new construction. Sine, ely yours, Suzan~ Sonsky RODICK CONSTRUCTION COMPANY INC. Encl. 428 ROUTE: :~sa · MILLER PLAOE, N. Y. 11764 February 5, 1988 Southold Building Dept. P.O. Box 1179 Southold, NY 11971 Att: Mr. Gary Fish Re: B.P. #15804 Sledz Job at Fleetwood Rdo~ Cutchogue PER YOUR REQUEST, WE HEREBY CERTIFY THAT THE GLASS IN ALL THE PELIA WINDOWS AND DOORS USED AT %HE ABOVE JOB DOES NOT EXCEED THE MAXIMUM ALLOWABLE "U" FACTOR OF 0.69 AS SPECIFIED ON "HEAT lOSS OF COMFORT ENVELOPE" ENERGY SHEET PREPARED BY THOMAS E. TULLY, P.E. ~rd H. CK CON~ FRUCTION COMPANY INC. / 0 .( v 9~' "\.'x '"x / //q? ' :'""x " x, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . .~...~.. ,~..~.., 198 7 Permit No./..~7 <~ 0~} '~ ~g,O~ (~..~ ........... q Disapproved a/c ..................................... 3~r-cc ~'~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .... .~OrCh. ;I-8, ....., 1987. INSTRUCTIONS 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. · .R. od. $c. k.. C. o.n. ~ t. r. u. c. l;. J~or). ¢QrOpOBy. IBC ............. (Signature of applicant, or name, if a corporation) Ro~t.q 2.5A · .4.2.8. .................................. Miller Place,...NX...lj~7.6.4. ................. ........ ~giifng address of applicant);uil~e~. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Builder Name of owner of premises .... S taaley .&. Clare. Sledz ................................................. (as on the tax roil or latest deed) If~t is~a corporation, signature~duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No....1.5.8.P .................. Electrician's License No .... .8.9.0.E ............... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. S/.S..F.1 .e .e .t .w99 .d..R9 .ad.,' 2.4.8.: 5.5. '...E/O.. kI .ar0. $.1 t. o.n.. A.v.e.n.u.e. .............. C.u.t.c.h.o. gu. e. ......................... House Number Street Hamlet 5 4 County Tax Map No. 1000 Section ...... .1.37 ......... Block .... ~ ........... Lot.. ~ ............. Subdivision ........ .d .e .s .c .r .~ .b ~ .d .................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy vacant land b. Intended use an.d occupancy .... .tg. 99.n.s.t.r.ug.t.o.n.d..1.n.h.a.b.i.t..a. 9.n.e?.f.ar9. ~..ly..dye..1.1.i .ng .................. 3. Nature of work (check which applicable): New Building ...x ...... Addition.. 'i ....... Alteration .......... Repair .............. Removal .............. Demolition ............ ,.. Other Work ........ ....... (Description) 4. Estimated Cost..<~0.Tv.~.., ........................... Fee ..... 1 (to be p~id on filing this application) 5. If dwelling, number of dwelling units ......... o. rlq... Number of dwelling unitsI on each floor ................ If garage, number of cars ............ 2. ................................ i ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ 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 ........ 31..4... Rear .... 7.5....! ...... Depth . .%6. ........... Height ............... Number of Stories ..... ~ ....................... i ........................... 9. Size of lot: Front ..... 50 ............... Rear ...... 50 .............. Depth ...2OQ ................ 10. Date of Purchase ............................. Name of Former Owner . .i ........................... 11. Zone or use district in which premises are situated .......................... i ........................... ' 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... !.rlQ ........................ 13. Will lot be regraded ..................... ....... Will excess fill be removed !from premises: Yes No 14. Name of Owner of premises .~ar~ley..& .~l~re~lec]ZAddress .i~J, clclla..V.~.l.l.a, ge. i, Phone No 2.12n916-5003 . · Name of Architect Thqm~s E. Tully. Address 91 Robin. son Av¢~'trod ~o~ct ,,' g~5-'~JfJ ..... ' ' '1~ ;' ' ........... ' ...................... · ..... °P~_ne N ................. Name of Contractor oa~,ck Construct~.on Eo. Inc~-~428-Rte 25A, M~,ller,l~l. ~ ~^ 928-5440 ' 15. Is this property located within 1.00 feet of a tidal wetland? * '/es ..... No .X.... · If yes, Southold Town Trustees Permit may be required. ~ PLOT DIAGRAM i 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 indicate whether interior or corner lot. See Survey ~TATE OF NEW YORK, 20UNTY OF . $~ffolk ........ S,S ..... Richard. H.. Lucchese ~ ........................ being duly sworn, deposes and says that he is the applicant (Name of individual signing Contract) tbove named. ~ te is the .................. Contractor .................................. ........................... (Contractor, agent, corporate officer, etc.) i )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this tpplication; that all statements contained in this application are true to the best of his kn6wledge and belief; and that the York will be performed in the manner set forth in the application filed therewith. ' lworn to before me this : ;~ : ~. ': :' .................. day of ............. .... . .............. County ~ola~ ~bllo ~ata of Hew Yo~ ................... ~ ................... ~. ~2~54237 Suffolk Cou~ q q (Signature of applicant) C I- 0 ~r p~ ,..q ~, -r