HomeMy WebLinkAbout15446-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. ,z-16085 Date August 20~ ~987
THIS CERTIFIES that the building .... 0. N..E..F.A.M..I .L.Y..D..W.E.L.L.I..N.G ......................
Location of Property 935 Wells Avenue Peconic, New York
House No. Street Hamlet
County Tax Map No. 1000 Section 063 .... Block 07 .Lot 017
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
October 30, 1986 15446 Z
...................... pursuant to which Building Permit No ......................
dated...O.c.t. °..b ?.r.. 3. ~02.. 1. 9..8.6 ........ 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 WITH ATTACHED GARAGE & PORCH AND WOOD DECK
EDWARD KOWATCH & MARY KOWATCH
The certificate is issued to ..................... [~,rfe~,l~7.epr~Tra~ ......................
of the aforesaid building.
Suffolk County Department of Health Approval ... 86- 8 O- 135
N822093
UNDERWRITERS CERTIFICATE NO ..................................................
August 17, 1987
PLUMBERS CERTIFICATION DATED:
Building Inspector
Rev. 1/81
FOR,~ NO. B
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, iq. Y.
BUILDING PER~IT
(THIS PEPJv~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 15446
Z
Permission is hereby granted to:
.............. i ......... P' ........ "'"' .......... 1 ........... ~"
........ ........................
...~..~.~.,....~...~. ........LL.'2.~..~. ...............
.....
at premises located at ,..~..~..~. ...... ...~......~....(~..-~/..~~.'..~:,' ..........................................
County Tax Map No. 1000 Section ..... .~.~..~ ...... Block ..... ..~..~ .........Lot No ..... .~..J.,~l ..........
pursuant to application dated .....~.....~..~..~ .......... ..~..0. ............. , 19.~..~:~., and approved by the
Building Inspector.
Fee $.....~.. ,~, .'~..~...~.....0...
Building Inspector
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. i 1971
TEL. 765-1802
To Whom Th~s May ConCern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
/Z/ An application for Certificate of Occupancy
is not on file.
/5~' No Underwriters Certificate on file.
/Z/ The check is(outdated/not on file.)
/5/ No Health Dept. Approval on file.
/5/ No final inspection has been made.
Pleas~ contact our office on this matter.
Thank you for your cooperation.
Building Permit # I 5 q _~.¢ Z
Building Dept.
***/ No Plumber Solder Certificate on file.
('all permits involving plumbing being
issued after April 1,1984 )
Occupancy or use is unlawful without a Certificate
of Occupancy. Clear up this ma~ter as soon as possible
so ~hat legal action does not have to be taken.
Thank you for your prompt attention.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~.0(:~:L3~9 BUREAU OF ELECTRICITY
~- ~h B5 JOHN STREET. NEW YORK. NEW YORK 10038
THIS CERTIFIES THAT
only the olectrical equipment ~ ~scribed below and int~uced by the appl~ant ~med on the a~ve applicotlon number in the premiss o[
Ed~'~r~i ~OW~tC~ 935 DT~l~ Ave.~ Southo~.d~ ~,T,
inthefollowlnglocation; ~ Basement ~ IstFI. ~ 2nd FI, ga~ege Section 06:~l~k 07 ~917 .tl
u~s examined on Jk1 ~,~ 9 ~ ]. 9~7 and found to be in co,npl ance u,l th the require.tents (~f this Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
9 4
ORYERS
SYSTEMS
NO. OF R~ET
E
OTHER APPARATUS~
E R V I C
41o
NO OF HI-LEG
OF HI-LEG
OF NEUTRAL
2/o
Majestic Electric
25 T%ylor Ave.
Centereach,
11720 lic.%3040E
GELNrr,~AL MANAGER
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentlals.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE NtUST NOT BE ALTERED IN ANY MANNER,
STATE OF NEW YORK
COUNTY OF SUFFOLK
AFFIDAVIT
WHEREAS, Section 905.5 of the New York State Building
Construction Code requires that the lead content in solder used
for soldering copper tube soldered joints shall be limited to
.2% when it has been determined by the Town that a higher lead
content constitutes a health hazard and
~outhold~
WHEREAS, the Town of Kx~x~x adopted a resolution
declaring that the use of solder containing more than 2/10's
of 1% lead content in interior plumbing, is hereby declared
to be a health hazard and
WHEREAS, the undersigned is the plumber responsible
for soldering the copper soldered joints or directly supervised
the ~oldering of the joints within the job listed below,
IN CONSIDERATION for the Building Inspector of the Town
Southol~
of RRN~ issuing a Certificate of Occupancy for the subject
premises, the undersigned hereby deposes and states that the
solder used in the interior plumbing of the below listed job
contains no more than 2/10's of 1%
Sworn to before me this
/7 day of~ , 1987
/tary Publis
dg. Permit No 483-P
Job No. 935 Wells La. Southold
Job Name Kowatch
NOTARY PUBUC, ~r~ate of New York
No.
Cmmm ~i n Ex,,ir~ March ~, 198~
lead content.
~e~lPulm~negH,~aats-Rite
781 Route 25A
Rocky Point, New York 11778
MODEL OFFICE TELEPHONES:
365 Sunrise Hwy. Service Road North (516) 874-3507
Manorville, New York 11949 (516) 874-3537
8-17-87
Town of Southold
Building Dept:
As you had requested enclosed find letter of certification
from the Plumber doing work at 935 Wells Ave Southold. Heat-Rite
Plumbing and Heating Corporation 781 Route 25A Rocky Point NY
11778.
Please process Certificate of Occupancy. Re:15446Z
Respectfully, _
Thomas J~ M~
Quality Crafted Homes Inc.
'OUNDATION (1st)
~OUNDATION (2nd)
tOUGH FRAME &
PLUMBING
iNSULATION PER N.
STATE ENERGY
CODE
Ye
FINAL/
ADDITIONA'L
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
REMARKS:
DATE .~ INSPECTOR
765'1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS: ,,4
DATE
[ ] FINAL
INSPECTOR
,, I
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined· C~ ~...~P.., 1 ~o.
Approved .?..e~....~.~,~..~.O., 19 ~.~. Permit No./. ~ .q'.~.~...~..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
rr 3
Date 10-2__5-86 19...
INSTRUCTIONS
a. Tins 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 tins 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 aiterations, 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.
QualJ_'ty oral%ed f~e~es of Long island Inc.
(Signature of applicant, or name, if a corporation)
.565 Sunrise lllghway Servlce ~d. No~th
Manor.rAJ. i.e.,..~.'.ew..Io..r.k..l.l. 9.4.9. ..................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Builder
Name of owner of premises ...Ecly¢.~lTql. ~.o.w~.t.c.~ ......................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
· .Thoraas. Me.lley., ........ Px:esiie.nt .........
(Name and title of corporate officer) .
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
~,,,~ Txade s License No ......................
Location of land on which proposed work will be done... ~.. Wells Ave. - h
.................................................. .............
House Number Street Hamlet
County Tax Map No. 1000 Section D.65 .............. Block .... 97 ............ lot ...... .°!?. .........
Subdivision ..................................... 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 .. ~/aeanL..Land ......................................................
b. Intended use and occupancy ,Single Family Dwelling ...... ~. ............
3. Nature of work (check which app!icable): New Building ..... }(K. · · Addition .......... Alteration ..........
Repair ...,...~ ~. Removal .............. Demolition .............. Other Work ...............
(Description)
4. Estimated Cost .l~D.,.000 .... i ............ Fee
" (to be paid on filing this application)
5. If dwelling, number of dwelling units .... 3. .......... Number of dwelling units on each floor ................
If garage, number of cars ..... 2! ..................................................................
6. If business, commercial or m~xed Occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, i~f any: Front ............... Rear .............. Depth ...............
Height .......... Number of Stories
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Dept ...................... Height ...... ~j ............... Number of Stories ......................
i .... · · epth .2?.£~z.,.gxx~,. .
8. D menstons of enare new construction Front .. ~) . .f.e. ~.g. .. Rear . ~3.0..~ ~.t ...... D ' '
Height .... .~.7...~?~.~. ~.~lumber of Stories .... 2. ...........................
9. Size of lot: Front .~??.:?~.... i ......... Rear 13.'~, 10. De,~t~" 'i~;'0'(~ .............
10. Da~eofPurchase .'.k.O.-.2.~.Tb.6..i .............. ii~a~d;f~'o'r~e'r'6~v~;;' v .... ..'"'ii'"ii .....
11. Zone or use district in which premises are ~ituated ......... ' ....... i ......... '~ ..........................
12. Does proposed construction violatb any zoning law, ordinance or regulation: n.o.
13. Will lot be regraded ...y..o..s .... i ....... ' .......... Will excess fill be iemoved from premises: Yes xx No
14. Name of Owner of premises . .E.d..W.a?.d...Kg?.a.~.c..h' . Address .¢55..~13~[~k.~.~..P~.o.. Phone No ................
......................... a,~droo, Hawthorme NY 3.05'
Name of Architect .: .......................... ~one No ................
Name of Contractor ...... i ............... Address .... : .............. Phone No ................
15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .....
· If yes, Southold Town Trustees Permit may_ be required.
PLOT DIAGRAM
Locate clearly and distinctly all b¢ildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block nulmber or description according to deed, and show street names and indicate whether
interior or corner lot.
See attached sur~ey
;TATE OF NEW YORK,
2OUNTY OF .......... .~
......... Th.c~mas. iV~allo.7 ...... : .................. being duly sworn, deposes and says that he is the applicant
(Name of individual signinglcontract)
.bore named.
{eisthe .C. qpg?.a.t.e..0££icer ,of C~uali. ty Craf~ted Homes o£ Long Island
~ (Contractor, agent, corporate officer, etc.)
~f said owner or owners, m~d is duly authorized to perform or have performed the said work and to make and file this
pphcat~on; that all statements contmned m this application are true to the best of his knowledge and belief; and that the
~ork will be performed in the manner s~t forth in the application filed therewith.
.worn to before me this
.~.?. ..... day of ......~-~//-~..~.. ......... 19.
BB~Co ~ %a~o~.., ..............................
,O~.~a~0~¢~ *u, ~ (Signature of applicant)
George
~38 O0 '~'
18§.00'
Lot II
AR~A:~,7$~ $.E
S~rr'm"OU{ GOUI',IIY DEPAI~TMENT OF HEALTH
APPROVAL OF CoNSTRucTION ONLY
DATE HS REFo NO. , ~.,
&I~OVEO ...........
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
# SUFF CO. T~P mly~oo SECTION 063 ~CK ~ LOT 91TII
· · MONUMENT 0G PIPE
SUBDIVISION MAP FILED IN THE OFFIGE OF THE CLERK OF SUFFOLK GOUNTY
ON MAY ?, HJTE AS FILE NO. SSIE
SURVEY FOR
EDWARD J. KOWATCH & MARY H. KOWATCH
LOT II, "MAP OF SOUTHOLD GARDENS"
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
dULY 7~1986
DATE: SEP~ 28,1982
SCALE: 1":40'
NO. 82-547
GUARANTEED TO:
CHICAGO TITLE INSURANCE COMPANY
EDWARD d. I~ MARY H. KOWATCH
II
YOUNG e, YOUNG
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.~S. UCENSE N0.1284~
HOWARO~YOUNG~ LANO SURVEYOR
N.~S. LICENSE N0.45893
R AVENUE
NEW YORK
~ N. 85'38 O0 ~
EXPIRES ~0 YEARS FROM DATE O~PPROVAL '
SURLY FOR
~ ~ ~T~ENT OF H~LTH SEff~ICR~ EDWARD &. KOWATCH & MARY H. KOWATCH
LOT I1~ "MAP OF SOUTHOLD GARDENS" ~ULY 7, 1986
~ ~ ~ CONSTRUCTION ONLY AT SOUTHOLD OATE: SEPT. 28, 1982
. H ,, --~ SUFFO~ COUNTY~ NEW YORK No. a2-547
' ..... ~U~N~IZE~ AL~ER&TION OR&D~ITION ~ ~IS GUARANTEED
~ N[~ ~ORK S1~E [~C~I~ L~ CHICAGO TITLE INSURANCE COMPANY
reCOPIES ~ ~S ~V~V NOT ~An~6 T~ ~NO EDWARD d. & MARY H. KOWATCH
HEALTH DEPARTMENT-DATA FOR APPROV~ TO C~STRUCT THE ~R~. FO. WHOM THE SU~EY IS
N ~ co. ~P ms~oo SrCTIO~ ess .~CK 0T LOT 91TII X~e~, AND TO ~[ ASSIGN~S 0F THE LENDING
imE~ ARE ~ ~[CCi~l WITHIN IOO FEET OF T~S PflOPEnTY IHSTIYUTI~. GUARAHTEES ARE ~T T~SFERASCE
' C I ;~~] ' ~AVENUE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ALDEN W, YOUNG, PROFESSIONAL ENGINE ER
ON MAY T, II1~ AS FILE NO, 6ell ' AND ~ND SURVEYOR N.Y.S. UCENS/NO. 12845
HOWARD W. YOUNG~ LAND SURVEYOR
fl ~ L~T~ ~ W~L(W), ~PTIC ?AKKISTIa CES~OLS(~) SHaH ~a[~ N*~ S. LI CENS E NO. 45893
~E ~ FIELD ~aTlOHS MIO OR DATA ODTN~ED FR~ OTHER S
nor or £ormerly George
Brid~
105.00'
O0 E.
Lot I~
AREA =22,~,$~ $.F..
; SURVEY FOR
EDWARD J. KOWATCH ~ MARY H. KOWATCH
;~ LOT II, "MAP OF SOUTHOLD GARDENS" duLyMAY 187 ,' 19871986
AT SOUTHOLD DATE: SEPT. 28, 1982
' ;,, TOWN OF SOUTHOLD SCALE, 1"=40'
,t ? SUFFOLK COUNTY, NEW YORK NO. 82-§4?
N UHAUTHOR1ZED ALTENATION OR ADDITION TO THIS GUARANTEED TO:
, ! NEW YORK STATE EDUCATION LAW NCE COMPANY
HEALTH DEPARTMENT-DATA. FOR APPROVAL TO CONSTRUCT AND ON HIS BEHALF TO THE TITLE COMPaNy, GOVERN-
N NEAREST WATER EtAIN Htr. e NSOURCE OF WATER:37.0',~I/PRI"~TE--IPUBLIC-- MENTAL AGENCY AND LENDING INSTITUTION LISTED
N ~UFF CO, TAX MAP DfS~"~O0 SECTION .~.~.~_ BLOCK ..~.- LOT , HEREON, AHO TO T~E ASSIGNEES OF THE LENDING
NTHERE ARE NO D¥/ELLINO$ t~ITI~IN I00 FEET OF THIS PROPERTY INSTITUTION, GUARANTEES ARE NOT TR/~ISFERASLE
OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
AVENUE
,.L. YOUNG YOUNG ",VER" AD,.EW
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ALDEN W. YOUNG~ PROFESSIONAL ENGINE ER
ON MAY 7, 19?S AS FILE NO, 681E AND LANO SURVEYOR N.Y.S. UCENSE NO. 12845
HOWARO W. YOUNG~ LAND SURVEYOR
~TH~ LOC&T~N OF WELL(W),SEPTIC TANK(ST)a CESSPOOLS(CP) SHOWN HEREOt~ N.Y.S. LICENSE N0.4§893
OCCUPANCY OR
OV OCCUPANCY
I! co~' tubing b u~d
for water distfibutinO
sV~ten~ plpinO shall be
\0-o Y, \o - o /~
~o~
~.~p~ovEo As ~OT~
?~.lg02 ~ AM TO · PM ~R THE
FOUNDAtyciN ~0 ~U1RED
2 ROUG~ FRA~ING & pLUMBING
ALL CONSTRUCTION SHALL
m~IGN OR CGNSTRu~ON ERRORS,
PLUM~ER CERTIFICATION
ON LEAD COIIITEIWI' BEFORE
CERTIFICATE OF OCCUPANCY
SOl,DER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 of 1% LEAD.
BEECH C. c:EK, PA 1682~
l
$'YAMP OF
WILLIAM B. EfMJCKE
CIRCUIT CIR BREAKER WIRE
DESCRIPTION # SiZE SIZE
REMARKS
15 Amp 14-2 WIG
15 Amp 14,2 WIG
15 Amp 14-2 WIG
15Amp 14-2 W/G
15 Amp 14-2 WIG
t2-2W/G
20 Amp
SYMBOLS
17
CIRCUIT
DESCRIPTION
CIR BREAKER WIRE
# SIZE SIZE
REMARKS
15 Amp
14-2 WIG
15Amp 14,2 WIG
15 Amp 14-2 WIG
15 Amp 14-2 WIG
15 Amp 14-2 WIG
15 Amp 14-2 WIG
15 Amp 14-2 WIG
20 Amp 12-2 WIG
20 Amp 12-2 WIG
20 Amp 12-2 WIG
12-2 WIG
20 Amp
20 Amp
20 Amp
12-2 WIG
15 Amp
15 Amp 14~2 WIG
25 Amp 10-2 WIG
12-2 WIG
20 Amp
30 Amp
1{~3 WIG Optlon,I
30 Amp 10-3 WIG Optional
20 Amp 12-2 GFI
SYMBOLS
I L~¢
LAV
L,/,,,)- '
Li~J~
FLooR_ pL.~h/ FO,R. EXACT LAYOOT