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HomeMy WebLinkAbout15282-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. c~KTIFICATE OF OCCUPANCY No Z-23546 Date MARCH 14, 1995 THIS CERTIFIES that the building. Location of Property 35260 MAIN ROAD House No. County Tax Map No. 1000 Section 97 Subdivision ADDITION cuTCHOGUE~ N.Y. Street Hamlet Block 2 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2, 1986 pursuant to which Building Permit No. 15282-Z dated SEPTEMBER 19~ 1986 was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TOANEXISTING ACCESSORY GARAGE AS A~PLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ANTONE J. & ROSE~-RY T. WYSOCKI N/A N/A Bulldxng Inspecto~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ¢.IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15282 Z County Tax Map No 1000 Sect,on ..... pursuant to apphcatlon dated Building Inspector Fee $.¢~ ....... Building Inspector Rev 6,730/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographmc features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Complmance from architect or engineer responsible for the buildmng. 6. Submit Planning Board Approval of completed site plan requirements. For existmng buzldings (prior to April 9, 1957) non-conformzng uses, or buildings and "pre-exzsting" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed appimcation and a consent to inspect signed by the applmcant. If a Certifmcata of Occupancy ms denied, the Buzlding Inspector shall state the reasons therefor in wrzting to the applicant. C. Fees I. Certmficate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory buildmng $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Bulldlng -- $1OO.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 '~ 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date M rc? 2, addition to accessory bulIdlng Mew Construction ........... Old Or Pre-existing Buildmng ................. M~i~-Road Cutchogue Location of Pro~ert'. .......................................... House No. Street Hamlet Antone J. Wysockl Jr. and Rosemary T. Wysockl Onwer or Owners of Property ............................................................ . .. . . . County Tax Map No i000, Sectio- 097 00 _.. ~;~? 004.000 n ....... : ...... ~±ocm ....... ....Lot.... .................. Subdivision .................................... Filed Map ............ Lot .................... . . Permit No ................ Date Of Permit ......... Applicant ............................ . Planning Board Approval ........................ / / Request for: Temporary Certificate ........... Fmnal Certtcate.~. ......... / Fee Submitted: $-.~:qq..-GAR~£~NN[~t6IN,.£$Q. * ~.~~/~/~_ / , ....... .................. ~,,,,a<.~ ~.2... CUTCHOGUE, L.I., N.Y, 11935~ ~PLZ~ 1ELD INS[~ECTION DATE COMMENTS 1. ~ ~ · FOUNDATION (lsg) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ~NERGY CODE FINAL ~DDTTIO~L COMMENTS · APP:~OV'DD A~ NOTED N~]TI~ L/ dL, ILDING ~]EPARTMENT AT OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ,:,~ OCCUPANCY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 ^pproved I 19 Permit No. l Disapproved a/c .............. (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19. Date , 19. INSTRUCTIONS a This application must be completely filled m by typewriter or mmk and submitted to the Budding Inspector, wltl~ sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc sire, or areas, and glvmg a detailed description of layout of property must be drawn on the diagram which is part of this apr- cahon. c. The work covered by ti'ns apphcahon may not be commenced before muance of Bmldmg Permit. d. Upon approval of this application, the Building Inspector will issued a Buddmg Permit to the apphcant Such peru shall be kept on the premises avmlable for inspection throughout the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA~E to the Bmldmg Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of bmldmgs, additions or alterations, or for removal oi demohhon, as hereto describe The applicant agrees to comply with all apphcable laws, ordinances, bmldmg code, housing code, and regulations, and admit authorized mspectors on premises and m building for necessary inspections. {S~ ng_ng_ng_ng_ng_ng_~re oJ apphca.n~or?ame, if a corporation) ...................... "' State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmlde c) .(. .......... Name of owner of premises ........................ (as on the tax roll or latest deed) If apphcant is a corporation, s~gnature of duly authorized officer 2 (Name and title of corporate officer) Builder's License No, . ~ ............. Plumber's License No Electrician's License No ........... Other Trade's License No .... Location of land on which proposed work w~ll be done House Number Street County Tax Map No 1000 Section ~?7..~r- .. Block .i2.4.,.C'?.' . Lot .<~ .... Subdivision . .. Filed Map No .. Lot ....... (Na~ne)' State emsting use and occupancy of premises and ~ntended use and occupancy of proposed construchon a. Existing use and occupancy ~. ~ ............... b. Intended use and occupancy ~ .a:~ ................ 3. Nature of work (check which apphcable) New Building Repmr ..... Removal 4. Emmated Cost ...... ~ .......... 5. If dwelling, number of dwelling units . If garage, number of cars .. / .. Addition ,..~/.... Alterahon ..... ...... Demolition ....... Other Work .......... _.~ ,~ (Description) ......... Fee ..~ ~ · / (to be paid on fihng this application) ...... Number of dwelling units on each floor ............ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............. 7. Dimensions of existing structures, if any. Front t'6~ ' 7" -' ......... Rear . .dp. ?.".... Depth Height ./ "' . .. . Number of Stones ..... ~. .... .~' ..:,. ...................... Danenslons of same structure with alterations or additions Front ..... -? ...... Rear .... ./:; './. ~' . .... Depth . .. ~2 ./.. 7 ..... Height 1-9/ .... Number of Stones..../. 8. Dnnenslons of entire new construction Front ..... Rear .............. Depth Height ........ Number of Stones. ./ 9. Size of lot Front .. ¢.. .... Rear ...... ', ~ ........ Depth . -~.. ;..-~ ¢'. .... 10. Date of Purchase ...~...~..'?¢.~ ............ Name of Former Owner ..~./~.'L.^,,y..ff.I.J../..,,:,:[.t.' ...... 1 1. Zone or use district in which premises are situated [(~.C... 12. Does proposed construction violate any zoning law, ordinance or regulation' . ............. 13. Will lot be regraded ..... _~ ............. Will excess, fill b,e,r~emoved from premises: Yes I 14 Name of Owner of premises J~, ! ./j.,ff¥.,~/~ .,1~ ..... Address [.r~a t.~:-[ q,. t, ,1,;¥,:-~. ~,//".,'Phone No.. Name of Architect ......... Address .............. Phone No ........ Name of Contractor .............. Address ............... Phone No ........... 15. Is this property located w~thinl00 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT D]AGRAA4 Locate clearly and dlstmctly all buddings, whether existing or proposed, and, indicate all set-back dnuens~ons fro property hnes Give street and block number or descnptlon according to deed, and show street names and indicate wheth interior or comer lot. STATE OF NEW YORK, S.S COUNTY OF ~ ...... ~ . . ~(Name o°f lndiwfffial stgnmg contract) above named. · bemg duly sworn, deposes and says that he is the apphca He is the ............................ (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl apphcat~on, that all statemgnts contained m this apphcation are true to the best of his knowledge and behef, and that t work will be performed ~n the manner set forth m the application filed therewith Sworn to before me this ......... .~. ....... day of .,. Notary Pubhc, . .~..~.~. ~. '~.. A~PgOVEb Ai~ ?~1~2 9 ~M TO ~ ~ ~R THE FOLLOWING INS~C~ONS: ~UNDATION ~0 REQ~RED ~R ~ED CONCRetE 2 ROUGH FRAMING & ~UMBING 3. INSULATION 4, F~AL CONSTRUCT~N MUST ~ COMPETE FOR C.O, ALL CON,RUCTION ~L M~ T~ flEQUI~MENTS ~ THE N.Y ~A~ CONS~UC~ON & ~D~. NOT ~N~E ~R ~IGN OR CCNS~ON PLUMBER CERTIFICATION ON LEAD CONTENT £EFORE CERTIFICA,TE OF OCCuPANcy SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD. ~ , Fam/Kit , ' T ~ I';: / I~ /', l~(~x 1 3-0' Garage dn 21-8x23-4 Great Room up dp Vaulted ' ' OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY GENERAL NOTES Main Floor -~0~' s~ft. 7~_g4T ~Et... Total MATERIALS LIST FRONT ~ SDEWN. K WHEREREQURED O SITE PLAN-~ ~ ~l' NORTH -~VERFY REQUtRBMENTSAND EASEMENTS SETBACK SYMBOLS Oltlll or Section Key Sheet Olr,¢tlon of Detail ABBREVIATIONS ri. J L BASEMENT AND FOUNDATION PLAN NOTE8: FOUNDATION SECTIONS L c~F ~...~g.Z) k is '¢ MAIN FLOOR PLAN ~0/ ¢ F)M./KIT~, '~ ~"'"'* ¢'~-',I DINING GREAT ROOM 'C MASTER BEDROOM 4 BEDROOM 0 BEDROOM O© UPPER FLOOR PLAN EMERGENCY EGRESS~ FRONT ELEVATION lEFT ELEVATION (~5~-) REAR EL£VATION(N~"r~) RIG~HT ELEVA~IO~ O0 I I KITCHEN MAIN FLOOR KITCHEN. UPRER FLOOR ELECTRICAL PLANS (~ PWDR (~ FIREPLACE INTERIOR ELEVATIONS ~ ~"-~-~-- ,~4"-- I'-~, .... ELEC. KEY NOTE BASEMENT (~ BATH (~M. BATH O© L TYPICAI~ WALL / TYPICAl2 FLOOR O© A-A B-B BUILDING SECTIONS C-C J I --STAIR SECTION STAIR DETAIL~"~T 5F::CTIo N A-A (~} STAIR DETAIL ~ ~___C K DIETAIL (~ HANDRAIL DETAIL (~ PROJECTED SILL (~),~RNICE (~) CORNICE ~71LEVER DETAIL DETAIL (~ SILL garage' ~L DETAIL ("R-~ SILL DE:TAIL ~ STE BEAM'&' ~R DETAIL (~ ,.S.[L,L DETA~ ~HOUSF_ZG~A'eE) ./