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HomeMy WebLinkAbout16143-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18391 Date SEPTEMBER 20~ 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 450 INDIAN NECK L~/~E PECONIC~ N.Y. House No. Street Hamlet County Tax Map No. 100O Section S6 Block 4 Lot 1.7 Subdivision PECONIC BAY CO,CE Filed Map No. 7159 Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1987 pursuant to which Building Permit No. 16143-Z dated JUNE 26, 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 WIT~ ATTACHED GARAGE AS APPLIED FOR The certificate is issued to FRED & BERNADINE BAUSER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-36-AUG. 28~ 1989 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-010966 - AUGUST 4~ 1989 SEPT. 13~ 1989-H2M LABS~ INC. Bu~-lding Inspector Rev. 1/81 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) NO- 161,43 Z Date / Permission is hereby granted to: ..?..~.:.~J. ...... ~.~...~..~ ................................ ........... at premises located at ...~....~.._~.......~......~.....~...~.,:~~....e~.. .................. County Tax Map No. 1000 Section ...,.c:~.,..~..(a ......... Block .....,,~,,.,~, ......... Lot No ......~,,~, ............... pursuant to application dated ...... ...~. ~.L...~ ...................... , 19..~..~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ¢I.DG, DEPT. TOWN OF SOUTHOLD TOWN OF SOUTUOLD BUILDINC DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 -- 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ................. NEW CONSTRUCTION -..~....OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Locatlou of Vroperty....qSO. ..................... HOUSE NO. STREET HAMLET Owner or Owners of ...................................... . County Tax Map No. lO00 Section .~.~.. Block .~ Lot' . ]. ~.. P~r=~ No. Lt~!.%3. Z..~te o~ Per,~ Health Dept. Approval ........ ~' ......... Underwriters Approval....~. ......... Planning Board Approval ...... ~. ......... Request for Temporary Certificate ....... Final Certificate ....~. ........... Fee Snbmitted: $ .......... APPLICANT ..~ff~ ......... .......... Co~ Ig3~ [ rev. I0/14/88 FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~ ~LL 765- 1802 APPLICATION FOR CEETIFICATE OF OCCUPANCY INSTRUCTIONS A. '~is application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. 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-dlsposal($-9 form). 3. Approval of electrical' installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IZ lead. . 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. . B. For existing buildings (Prior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" laud uses: I. Accurate survey of property showing all property lines, Streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company whlch shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Bate of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Laud'Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single amd separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: I. 3. 4. 5. 6. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -Businesses $50.00~ Certificate of Occupancy on pre-existing dwelling - $100.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 Vacant Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev. 10/16/88 CULLIGAN WATER CONDITIONING RFD ~2, BOX 35 516 727-6600 RIVERHEAD. NY !1901 Da~e . Auqust 1~ 1989 Thim is to certify that: N~nne Mr. & Mrs. Fred B~user Stree~ 450 Indian Neck Lane, Box 52 Town Peconic, NY 11958 has had The following Culligan Equipment installed above location: the One Mark 59 ion water cop~ttioner capable of removing 5 ppm iron and manganese. And, one 10 gal. per day Reverse Osmosis System. Very Truly yours, Robert H. Krudop THE NEW YORK BOARD OF FIRE UNDERWRITERS ~¥~: ~ ~OD~(~(,'[ BUREAU OF ELECTRICITY SS JOHN STREET, NEW YORK, NEW YORK 10038 Date Applkaflon No. on fiJe THIS CERTIFIES 'THAT onJy the electrical equipment as described below and introduced by the applicant named on the above application nu tuber in the premises of · ' 'o Section g 9 Blockg Lot tt~s examined on Gt~ [# 2 ~'~ ~ t)} ~ t) and found to be in compliance with the requirements of this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE SWITCHES OUTLETS DRYERS SYSTEMS ~0. OF FEET E DIMMERS OTHER APPARATUS: 1,tO'fOR~: 2 q;' E R V I C This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ~ ~their credentials. COPY epR BUILDING DEPARTMENT· THIS COPY OF CERTIFICATE?UST N~T BE ALTERED IN ANY MANNER. TOWN OF SOUTtIOLD OP[:ICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN HALL SOUTIIOLD, N.Y. 1197t 6. 3, TEL. 765-1802 To Whom This Ma~ Concern, We are unable r.o complete your Certificate of Occupancy because ~of the following reasons. / /_~/ An application for Certificate of Occupancy is not on file. / o Underwrzters Co. rtlflcnte on fxle. /~lhe check i:;(~/not on file.) /~ No Health Dept. Approval on file. /-j/ No final inspection has been made. Please contact ()ur office on Thank you for your cooperation. Ih~ildir',g Perm.it Building Dept. *~/~Ho Plumber solder ( this matter. Certificate on file. all permits involving plumbing being issued after April 1,1984 ) TOWN OF $OUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1 179 TOWN IIALL SOUTIIOLD, N,Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. / /_~/ An application for Certificate of Occupancy is not on file. /__~/No Underwriters Ce~.~ificate on file. /~'/-' '"[lie chock .i:~ (.e~:~trr~/not on file.) /~ No Health Dept. Approval on file. /-'/ No final ~' ~ _ ~ns[ octlon has been made. Please contact ()ur office on this matter. Thank you for your cooperation. lh,ild~t:g Permit # ~_ .(~ _~_ .~ .3 Z Buitd ~ng Dept. ***/~Ho_ Plumber fielder Certificate on file. ( all permits involving plumbing being [ssucd after April 1,1984 ) WHAT CAN YOUR NEW CULLIGAN DRINKING WATER SYSTEM DO TO IMPROVE THE WATER YOU DRINK? The Culligan Drinking Water System is not like softening, simple filtration, or any of the typical methods of treating water. Reverse osmosis, the heart of the system, is a proven and established technology in which Culligan Is a recognized leader. The system reduces undesirable impurities from municipal or private potable water supplies. Among these are tastes and odors, chlorine, sediment, asbestos particles, brackish water mineral salts, nitrates, sulfates and sodium; dissolved metals like arsenic, barium, cadmium and lead; and organic contaminants including detergents and some pesticides. Your Culligan Man can give you information on reduction of other impurities such as THMs by utilizing certain recommended accessory components. The system is NOT intended to make non. potable water safe to drink. The substances reduced by this system are not necessarily in your wa ter. WHAT WATER TREATMENT PROCESSES DOES THE CULLIGAN DRINKING WATER SYSTEM INCORPORATE TO IMPROVE YOUR WATER QUALITY? No method using a single component can be as effective as the three-way Culligan Drinking Water System. You enjoy the results of these separate, compact components: 1. Fine Filtration -- Removes particles such as sediment and dirt, as small as 5 microns. 2. Activated Carbon Adsorption--Removes chlorine from chlorinated water supplies. H-83 Series systems only. 3. Membrane Micro-Filtration and Reverse Osmosis Impurities Rejection--Substantially reduces dissolved impurities and suspended particles. 4. Activated Carbon Adsorption--Controls tastes and odors, reduces small molecule organics that may have passed through the RO membrane. The convenient, fingertouch faucet is all you see of the system. Components tuck out of sight wherever space permits. The pictures and drawings in this pamphlet are used merely for illustration. The actual method of installation may vary due to ac- cessibility at the installation site. 3 BLDG. DEPT, TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: I would like to request a six month extension on building permit #16143 Z for the period of Dec. 27, 1988 to June 26, 1989. The permit is for a new home construction at 450 Indian Neck Lane, Peconic, New York 11958. Thank you for your assistance in this matter. Should you have any questions, please feel free to contact me at 718-456-0534. Sincerely, Bernardine Bauser UNDATION (2n~) UGH FRAM FLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: o ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: ~FINAL DATE I~f y~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION []FRAMING ,r///] FINAL REMARKS: ,~ ~'~ DATE 765-1~0Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ J FOUNDATION AND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE /G/y3 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~*~~,~ 765-1802 BUILDING DEPT. INSPECTION ].~NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL BLDG. ~EPT, TOWN OF SOUTHOLD TO WHOM IT MAY CONCERN: I would like to request a six month extension on building permit ~16143 Z for the period of Dec. 27, 1988 to June 26, 1989. The permit is for a new home construction at 450 Indian Neck Lane, Peconic, New York 11958. Thank you for your assistance in this matter. Should you have any questions, please feel free to contact me at 718-456-0534. Sincerely, Bernardine Bauser 3 SETS OF PI~ANS -~-~ .... 'FORM NO. I SURVEY o ~-.~', .... TOWN OF SOUTHOLD CHECK [z~..4f~.-:-~. .. BUILDING DEPARTMENT SE?TIC FORM ~; ./~.-. ........ : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL Examined .~.. e~..~., 19~7]. Approved..~(,?~t..~,~ ~.., 19~.~. Permit No./.~..k ~ .~.~. Disapproved a/c ..................................... MAIL (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ..~. t,L.q© ............ 19~47. 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 inspectj.o~as. , ~, ~ · Vf.. ,~/-.-.-:~,~...~F.,k~/~ / //"3 ~..~..~;~,,.. ....... (S~nature of applicant, or name, if a corporation) ..... ?.8:4.1.. 23...P. ~e,c e~..~ &0d~}.*.,..~.Y. Jt .24. 5.. (Mailing address of applicant) State whether applicant is_ owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i)co~ e r- ............................................................. Name of owner of premises . ~.r.e.~ .I-.~..~...~... ~;k~5.e..~ ........ ~X;f.'%r).Gt.P. 4., .~.6.....I9 :..~.Ot..25 .h?& ~ ............ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST l~lg SUFFOLK COUNTY LICENSED Builder's License No .... 4'9.. ~.e.. ~e..4g.v~.i.o.~.c,)... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... : 1. Location of land on which proposed work will be done .................................................. .... ........ ,:.ap.. .&. . . l ............ : c . o. ,: c_ ............................... House Number Street Hamlet County Tax Map No. 1000 Section .... .~..(P. ......... Block ...('./ ............. Lot... [.'..7 ........... Subdivision.?~CO.q/.ck 'i20&~C°k/~- .... Filed Map No. "/(5c~ Lot ,-~. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~/0t.P-.qt.n? .... .L.~..~ ................................................. b. Intended use and occupancy ... ~.O, .ha. iiSI .'.~.eS.,'~e. 0c~ ............................................. Nature of work (check which applicable): New Building ....~. .... Addition .... ....... Alteration .......... Repair .............. Removal .............. Demolition ............. '. Other Work ............... (Description) Estimated Cost O.~.j O-'O--O Fee ' ' (tq be paid on filing this application) If dwelling, number of dwelling units ... :J,- .......... Number of dwelling units ~n each floor... 4)]4 .......... If garage, number of cars .......... 2,..; ......................................................... If business, commercial or mixed occupancy, specify nature and extent of each type .of use ...,~];q ............... Dimensions of existing structures, if any: Front.. ~J}4 .......... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front .~14 ............. Rear .................. Depth ...................... Height .............. }, ....... Number of St,?ries ............ , .......... -8 Dimensions of entire new construction Front Gq (~ Rear &.q, /~ Depth ~. ~ . ~ ,, · . . . ~f .............. : ........... Height . .Z.~..~... Number of Stories ...:~.t-./~ ..................... : .......................... 9 Size of lot Front ..... t~..O.' ............ Rear .../,qO.' ............... Depth .~.ql.~ ................. _O. Date of Purchase . ..~.~}~..iZ.Og.g.~. .... ~ Name of Former Owner J,.~¢~ 29..~o..~..G.~.~.~q3 -]1' Zone or use district in which premises are situated../f.'e.~.;~.¢ n. ~ l'~1 .......... i,.. i i ........... i. i i... i.'. i -12. Does proposed construction violate any zoning law, ordinance or regulation- h/o ......... -.3. Will lot be regraded ... 1.'4.O. ....... ~aa}-o~ · V~jI~! ex. cqss fill be removed from ~remises: Yes No 14 Name ofOwnerofnremises Fvet~' ecg 15 i5c~- ~d~i~e?~'*.~..~.'R I '~3 Place O e,d~l~q~'~o (~18) qi{~ l> , -, .... ,..., ................... ........................ ...... , V/Name or Architect .~t~.~ /~..~1¢.m. ............ Address !q~.0..~...m~...ekd...Aq !?[f!~e No. {~,5./97 .Z. ?.2..Z.~. ~.2: Name of Contractor .......................... Address .... : .............. Phone No ................ · 5. Is this property located within 300 feet of a tidal wetland? *Yes'. .... No ..~... · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buHdings, whether existing or proposed, and, indicate ail set-back dimensions from ~roperty lines. Give street and block number or descr/ption according to deed, and show street names and indicate whether nterior or corner lot. 3TATE OF NEW YORK, S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) rbove named. ~e is the .............................................................. : .......................... (Contractor, agent, corporate officer, etc.) {f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tins ~pplication; that ail statements contained in this application are true to the best of his knowledge and belief; and that t'he york will be performed in the manner set forth in the application filed therewith. .:. ;worn to before me this ~otary p,~r]~,]~ ..... ~.. '~[.;il..J~/.*-v..(.~.d~f,,... County ... ~oz z I~. 0 ..J ~ 8~,® L% nI V ig BLDG. DE TOWN OF 1 4 fp• t . I 1 n - 2'X6' $ 1611c. PA,PUN � It 10•/ Ir- ME' YVALL - S TO AGE e-3• V.T l6EXIS TING 161= tri SAW. `'^ HOUSE 9 s^ ' EX1SMG 2706^ C$ 16 QC. 312'X12^ 1t41cXnuG 3/4• K VO11D mr.. •sac C3mlxl R19 2•X10' FJ 16-QR , RJ9 EXZSTJM 3-1/21 LALLY-.`OLLEb'Y .•• ��I, I� . ON 21 24' X 1P' P,tw 77NFa EXIS TING UJARAG \ ' 3•-r x 3 PLATFORM LV riARArAE . x SEC TION THRU GARAGE tc) "E"Ei dog ROBERT fI NrffF AN,P.A' •• + I t} �wP h�!* IT/77Yla0."f,A:Y. IiJMY ¢ z +m+ 1/4'=1'-0' A"MMWAV �r1�L.RUSSO s� y .un 10-11-8a °ApoFEs �P ,A� THE BA USER RESIDENCE w A..E. TOWN OF SOUTHOLD 4. ` ABO06-2A i } I ' ' �• � I� ' M RdO UtrYYs-~M /1K " °yI�N1iBs oE F T �lI ijII lII rIII lI H—jii�I 'ItII �rIIi,I II II , I1I IIIII iI'i ❑_i'./-�_1;/, �I1-�•.IIIliE I'.',�_a.-.�j,'_�IIIiII1, P i I II 1iII I I„- 1 -I1 a- 1 1 - I IIi11liII III It 1 - -�I-- iIIII t ¢to iSVA0� ✓'k� 7E QOoo I,'o.F+Iq (#E'6.- El 1-1 WWI 0011 HSTD7S4ICef El ❑❑ 143 a o WATER SOLDER USED M CANNO SUPPLYSYSTED. u 9GLE 0 XCEED2 PLUMTIFICATION' BERVN ORE ON LEA CB Y TE OCCUPA CERTIFIG5.OI'wS1�6 USES UNLAWFUL WITHOUT CERTIFICA OCCUPANCY OR OF OCCUPANCY aRov� AS awrEc l "1 1 NOTIFY BUILDING DEPARTMENT AT 766-1802 4 AAb TO 4 PM FOR THE FOLLOWIN : INSPECTIONS: FOUQnA rILuY --1 REQURED OPOUR�-L, i;ONCTE ( & PLUMBING � N'H a, / F�oA�r -94 , �V .0 W�w � r SCAM �,✓� . . oveuer d4WN 1, 4, FIN k CO NSTRUCTION MUST BE i:01I.41:1 ETF- FOR C.O- ALL COFaSI`RUCTION SHALL MEET THE RF.,XlIR.MENTS OF THE KY STATE CONSTRUCTION & ENEH61' -CODES NOT RE81!91IIISIBLE FOR _ - "'GNI OR CON$TkUCTION' ERRORS, , - 7 7 44 lit -<w4 -mw 4*V* vi a, litt eco M-W 2w X/f It 1 OW F" W. f . lz t It 11 It IM Ii)F NEW - A�DEESSIONP.' 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