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HomeMy WebLinkAbout16575-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17937 Date APRIL 11~ 1989 THIS CERTIFIES that the building Location of Propert~ 305 SECOND AVE. House No. County Tax Map No. 1000 Section 67 Subdivision PECONIC SHORES ONE FAMILY DWELLING PECONIC Street Hamlet Block 02 Lot 22 MAP NO. 2 Filed Map No. 654 Lot No. 30 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 26~ 1987 pursuant to which Building Permit No. 16575Z dated OCTOBER 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 ONE FAMILY DWELLING~ 1ST STORY ~ 2ND STORY DECKS. The certificate is issued to of the aforesaid building. MARY ANN CREATO AND ANOTHER (owner, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 87-SO-103 ~k~ItCH 31, 1989 H007651 FEBRUi~RY 3, 1989 FRANK MEYER PLUMBING & HEATING 5/24/88 Building Inspector ~O~w NO. ~ 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) N._16575 Z Permission is hereby granted to: ..... ~.¥~.....~.~.~ ......................... .... ....-~.~...~ ................................................. .... ~.~-~......~.:~.,..m~..~ ......... ~ ,o .~~_~,.....~.b~;,~.~..,...,,,4.~.~..' .~.~ ..... ~.......~~.._~...:......:.~-~.- ,, - ,.~____ ..................... ~.~ ............. :,..,~ .............. !~ .................. ~ ..... at premises located at .-.-~.~..~......~.....~ ......... ~., .,~Or..~ ............. L/-..ej-.~.. ........ ............................................................................................ County Tax Map N'b. 1000 Section ....... ..~...~..~ ....... Block ...... ..O.....~:.. ....... Lot No.....~.."~, ........... Building Inspector. Building Inspector Rev. 6/30/80 FOHM NO, 11 TOWN OF S0[Pi'HOLD BUILDINO DEPARTMENT TOWN HALL SOUTHOLD, NY DR%; EL0 PMENT PERM'IT Pe~lsslon is hereby g~anted to: County Tax Map No. 1000 Section ~$_7. Block by the Building Inspector. Building Permit No. Building Inspocto-~, 4/80 STEVE G. TSONTAKIS ASSOCIATES Consulting Engineers, P.C. BUILDING DEPARTMENT TO~N OF SOUTHOLD Main Road Southold, New York 11971 June 30, 1988 RE: Foundation, 2nd Avenue Peconic, New York SCTM# 1000-067-02-22 I certify, based on the installer's Certification, that the referenced foundation complies with the requirements for an "A" zone flood plain foundation. SGT/bu Enc: Builder's Statement Mason's Statement Steve G. Tsont~k~s, P.E. P.O. BOX 1180, 632 ROANOKE AVENUE, RIVERHEAD, NEW YORK 11901 (516) 727-7411 ~EL~.2{)8-8950 DATE June 28 19 88 dOSEPH CRENSHAW MASON tVORK OFFICE- RTE. 25, P.O. BOX 1446 MATTITUCK, NEW YORK 11952 M Gene Csiesak Job 2nd Avenue: Penonte Foundation consisting of: 2' wide x l' high footing with 2 ~5 rebar l* wide x 4t high walls, 2500 PSI concrete *ith S4 rebar from footing extendin~ 20" EucsNs A. Cs~cs~u~ aox 429 MATTITUCK~ ~qEW YORK 11952 The assembly of the piers is as follows: I wired ~4 rebar to the rebar that stuck out of the top of the walls, then I laid the 12 x 16 concrete blocks When the piers were level I filled them with portland cement mix with gravel. I then installed 14" tie down bolts in the center hole of the blocks. 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 ~ 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 netura~ 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 completed site plan requirements where applicable· B. For existing buildings (prior to April 1957), Non-conformin~ uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~Oparty 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 $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.(30, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ......... Owner or Owners of Property ...... County Tax Map No. 1000 Section ........... Block ............... Lot ........... · · .................... Filed Map No ..... Lot No. ...... . .Applicant ................................ Permit No ..... Date Health Oept Approval · · .... Labor Dept Approval ...................... Planning Board Approval ...... . Underwriters Approval · · Request for Temporary Certificate ..................... Final Certificate ........... Fee Submitted $ '~..~-~. Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-7a · -' "THE NEW YORK' BOARD OF FIRE UNDERWRITERs 8~00~4~'[ BUREAU OF EL.EGTRK.~ITY ! B5 JOHN STREET. NEW YORK. NEW yORK tO~e ~1~ CE~IFIE$ T~T ~ez.~" ,7&~lI~RY 2~1.989 andf~ndtobein~mpllon~withthe~ui~ntaofth.~rd. ~ 19 31 29 EXHAUST FANS ~ u~..~mm., S [ I! V I C E SNORE DETKCTOR :-2 429 monner; mum to the office of i BUILDING DEPAR?MEHT. THIS C · THE NEW YORK BOARD OF FIRE UNDERWRITERS 8002461. BUREAU OF EL.EC~'TRICITY ~'- ~I~NUaI~Y 26~ ]9~ JOHN STREET. NEW YORK. ,~11Y~.~/~O38 l)~t~ Application No. on THIS GEI~i'IImlEH THAT PAG~ 1 ~.~ 2nd FI. F, eetioa Block Lot and.found to be in compliance with the requlr~meat# o.f this Board. SNOKI: DETECTOR :-2 F,I~IG F. tIE I~OX 429 MATT [TUCK MYl 119B2, '; )/.// Ptr l/?'/-// Em TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date May 24~. lgR~ Building Permit No. 16575 Z Owner Eugene A. Csicsak & Maryann Creato (please print) Plumber Frank Meyer P]~mbing & Heating (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbe~/S signat~e) Sworn to before me this 19 ~F County Notary Public FOUNDATION ~(1st) FOUNDATION (2nd) 2. ROUGH FRAM&~ .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADD]] COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~2~Y'~NAL REMARKS: DATE INSPECTOR ]65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [] FOUNDATION 2ND ~INSULATION []FRAMING [ '~/FIFINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION lST [ ] ~OUGH PLBG. FOUNDATION 2ND [~ INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~'~] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL 7Gs-zso, BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND[] INSULATION [~F~MING [] FINAL REMARKS: "DATE I ~'~ INSPECTO  BOARD OF HEALTH ~:.- 3 SETS OF PLANS ~-~ 'FORM NO. I SURVEY .. TOWN OF SOUTHOLD CHECK 4~..IP.~IL '.4 't~. i i~UILDINGDEPARTMENT SEPTIC FORM .U-..' ......... : TEL: 765-1802 CALL ................ Examined .¢~.~..O,~.~N. ih"l., 19 ~."l. Approved t~*-,.~.0-~AM... ~.-].., 19~.~.. Permit No.l .[~ .~...~ .~..~. Disapproved a/c ....................... ~ .............. ................................ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT MAIL TO: ~/ Date ................... 19.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appi cation. c. The work covered by tltis 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 perm 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 Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Per,nit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County", New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and necessary inspections. - admit authorized inspectors on premises and in building for (Signature of applicant, or name, if a corporation) ...... ....... (Mailing address of applicant) \ \o~,~_ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ....................................... Name of owner of premises . ty~..~., g.,l ~).... ~.~/h.~:~ ................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done'. ............................................... House N'um ber Street Hamlet County Tax Map No. I000 Section ...... .(-~..~. ........ Block ....~. ............. Lot...~.~ ........... (Name) "2. State existing use and occupancy of premises and intended use aud occupancy of proposed construction: a. Existing use and occupancy ............................................................. b. Intended use and occupancy ...¢.IN(~[.~ ~.~.l~..~q. ,~.~¢[[ ¢M¢ ............................. ' / 3. Nature of work (check which applicable): New Building · .&~'..' ..... Addition Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... : :' (Description) Esti ated Co { e~ ,oo ea F 4 ' ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... ] Number of dwelling units on each floor ............ If garage, number of cars uo ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use r4o. :. ................ 7. Dimensions of existing structures, if any: Front .... . ........... Rear .............. Depth ............... N ' fSt ~ ~ Height ............... umber o ories ......... '. ................. ' ...................... DimeBsionsof same structure with alterations or additions: Front ................. Rear .................. Depth ................... '... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front .. 25' . Rear ? 5' Depth 5Z- ~ Height ....,q~..~ ......... Nu[nber of Stories .. I. ~ .......................................................... Size of lot: Front $o' ~ Rear .5o~ · Depth / $o" 10. Date of Purchase ....~..qz. 7- 7 .~.~· .............. Name of Former Owner ,'~w~4&O.. t~'vq-.~.~..xYq.'3 ....... 11. Zone or use district in which premises are situated...~..'. T .............................................. 12. Does proposed construction viblate any zoning law, ordinance or regulation: t~o. ............................. 13. Will 19t be regraded ...'{.t¢:5. i .................... Will excess fill be removed from premises: Yes 15. Is this property locate~ within 300 feet of a tidal wetland? *Yes ..... No · If yes, Southold Town Tgustees Permit maybe required. .. , PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF .............. ~cJ&~,o~ A, C2.~A .~ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owneLor owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements cohtained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith· Sworn to before me this Notary Public ..... . ............ County NOTARY ~IBLI~, State el Now?~n No. 4707878, SuffolkCeumY~ (Signature of a~plicant~ Term ExL~es Marehi30, ~--~./ Application Received 19 Disapproval Issued 19 Permit # 19 FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD 1. Type o~ DeveLopment'Proposed: Addition and/or Alteration New Structure (lnc±udlng storage nanKs Flood Proof Below Base Flood Elevation Other (specify) Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement ~_ feet (b) In a V Zone, bottom of lowest structural men~er ____ 6 inches feet inches 3. FIRM--Flood Insurance Rate Map, 4. Owner of Premises N~f ~ 5. Location of Property: Zone designations House # Street Hamlet County Tax Map No., Dist· 1000, Section ~ Block '~ Lot(s) Subdivision ~_~_~ ~5 Filed Map# ~,S~ Lot(s) Permission to be granted: Owner as above __ New Owner Under Contract Lessee Contractor ___/ Phone tt ~ Name if not given above Mailing address Approval from other(s) before Permit is issued: DEC ~/~ Wetlands (Town Board) Health Services Building Permit ~ Planning Board __ 8. I, /_~o6g-~/~r ~. ~/C~,4;~ , the applicant, am the Owner .__, Co-Owner New Owner , Under Contract _~_, Lessee __, Agent __, Contractor and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contained in this application are true to the best of my knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. STATE OF NEW [ORK COUNTY OF ~_ SWORN TO THIS Notary Public Applicant's mailing address and phone # if not given above DAY OF ~c/5 H£LEN K. DE VOE NOTARY PUBLIC. State of New Yo~k No. 4707878, Suffolk County,, Ten'n Expires Mlrch TEST HOLE ¢ \ SAND WATER 21' - % NOTE: ~LL WELLS LOCATE9 ON LOTS 8 & 19 ARE I00'+ FROM PROPERTY L NE, SURVEY OF O LOT $0 " MA'P NO. 2 OF PECONIC SHORES " FILED SEP'E 15,1930 FILE N0.654 · AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. lO00 067 02 ' 22 SCALE I"= 20' APR. 27,1987 NOV. 17,1987 APRIL 1'4~ 1988 (FINAL) 004 ¢ AREA:,= 7,500 SQ.FT. ~ndard~ for title mmm~ em e~ablished by the L I. A, L.S. and approved and adopted for m~cb me by The New Ymdc ,~ate Land NO. ENGIN EE MAIN ROAD SOUTHOLD ~ N.Y. 119ZI CERTIFIED TO: FIRST AMERICAN TITLE COMPANY OF' NEW YORK MARY ANN CREA~O ' ~[1~ s~¢~ga dlspos~l ~nr; w'~t~r snpplv [z.c~[~5~s [or this other agef~ ' ' f Wastewa~er I NSURAN C E k TEST HOLE SAND WATER ALL WELL S LOCATE~ ON LOTS i;UPFOLk COLJNEY OEPAfiTMEN)' OF HEALIH SERVICES FOR APPR[ OF COr!STRL(CTION ONLY E~PIRES I'W0 APPROVAL % SURVEY OF LOT 30 MA'P NO. 2 OF PECONIC sHORES FILED SEPT I511930 FILE N0.6§4 'AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. lO00 067 - 02 22 SCALE I"= 20' APR. 27,1987 EXCAVATION INSPECTII)fl REQUIRED AREA-' '7,500 Se.FT. ~N Y.S.LIC. NO. 49618 ~ORS ~ ENGINEERS, P.C. 5020 P O. BOX 909__ MAIN ROAD $OUTHOLD , N.Y li971 FIRST AMERIC/~,N TITLE INSURANCE COMPANY OF ~dEW YORK MARY ANN Cf~EATO Prepared in accordance with the for ~uch use by,The New York State Land 87 -289 OCCUPANCY OR USE IS UNLAWFUL ,WITHOUT CERTIFICATE (~F OCCUPANCY o. 614~3~ ~ -,I