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HomeMy WebLinkAbout14552-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTM~HT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUpANcY No Z-23541 Date MARCH 13, 1995 THIS CERTIFIES that the building Location of Property 405 SOUTH DRIVE House No. County Tax Map No. 1000 Section 106 Subdivision ALTERATION MATTITUCK, N.Y. Street Block 11 Lot Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated FEHRH~/~Y 14, 1986 ~ursuant to which Building Permit No. 14552-Z dated FEBRUARY 24, 1986 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 ALTERATION TO FINISH 2ND FLOOR ROOM & BATHROOM The certificate is issued to STANLEY CHASE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. l/S1 N/A H-044550 - MARCH 2, 1995 DEC. 6, 1994-MIKE JACUBI PLUMBING & HEAT. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTtqORIZED) 14552 Z Courl,¥ Tax Jv~op No. 1000 Section ..... /...0...~.. ....... Block ....... J..L .......... Lot No....g;~...~.. ............ pursuant to application dated ..... ~..~~......./..~.. ........ , 19.~O.~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 --- BLDG, DEP]: 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: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic 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 Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '3pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant~ If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate 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 building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 March 7, 1995 Date ...................................... .. . X New Construction ........... Old Or Pre-ex/sting Building ................. Location of Property., ........ ~g~ ~qg~ Q~iY.q .......................... ~atti~uck ........... House No. Street Hamlet Stanley Chase Onwer or Owners of Property ............................................................. . . . .. County Tax Map No 1000, section..%Q~,.O.O. ..... Block...%l,P.0. ....... Lot...02O...~O0 ........... Subdivision ................................. Filed Map ............ Lot ................ , 14552-Z ' Stanley Chase Permit mo ............... Date Of Permit ............ Applicant. Health Dept. Approval ....................... . .. Underwriters A~ .... ............................ v,1 attached Planning Board Approw~l ..................... . . . Request for: Temporary Certificate ........... Final Certicate..%X..i .... Fee Submitted: $..~..00 ... Town Hall, 53095 Main Road P. O. Box 1179 Soulhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765- ~ 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: .AII ~l (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( umbers ~ature Sworn to before me t~~ day of ~ Public' State of New No, 4879505 Q~lifled in Suffolk CounW WILLIAM D. MOORE A~toraey at Law 315 Westphalia l~oad P.O, Box 23 Mattimek, New York 11952 Tel: (516) 298-5674 Fax: (516) 298-5664 March 9, 1995 Town of Southold Building Department Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: Premises: Allan Geschwind / Stanley Chase 405 South Drive, Mattituck, NY Dear Ladies/Gentlemen: Enclosed please find the following: An Application for Certificate of Occupancy Underwriters Certificate Check in the su~ of $25.00 payable to "Town of Southold" David Saland at Saland Real Estate 722-4990 may be contacted to gain access to the premises. We would appreciate your issuance of (1) the Pre-existing Certificate of Occupancy and (2) the Certificate of Occupancy for the subsequent work as quickly as possible· If you have any questions, please do not hesitate to contact us. Thank you. Very truly yours, Wii%'iam D. Moore WDM/mr Encls· cc: Stanley Chase Allan Geschwind, Esq. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 7, 1994 Moore & Moore 315 Westphalia Road Mattituck, NY 11952 Re: Allan Geschwind Prem: 405 South Drive, Mattituck NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 14552-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS 85 JOHN ~TREET. NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT o~y t~ electrtc~ ~uipment ~ ~scdb~ be~m o~ int~uc~ by t~ ap~icant ~med on the a~e ap~i~gton number in the pr~m~s of ST~Y CH~SIg, 403 ~OUTH DR~Vff~, ~ATTI~UCK, ~,Y, u~s examined on F~U~ ~ 7 ~ ~ ~9~ and found to be in ~mplianve ~ith the N~on~ Elect~c~ Code. )THER APPARATUS: *NO VY~BU?i~ DEFECTS, "An electric~l ~urvey has been made of the e~posed electrical equipment in the premises indicated." "No obvious unsatisfactory condi%lon was found~ 315 %~;STPHALIA ROAD P.O.BOX 23 erNSt tdANASa[ HATTITUCK, NY, 11952 11 ): [his ¢e~ificote must n~be dltered in any manner; return to the office of t~ ~ord if incorrect. Inspectors may b~ i~entlfied by their credentlals, copy FOR I~UILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT HIBBARD, 4~5 SOUTH DRIP, HATTITUCK~ in the following location; [~ B,sement ~ Izt Fl. ~ 2nd ~7. O[IT Section Bilk Lot ~s e~amlned on JA~[I~Y 3~, 1995 a~ found W be in ~omplianre with the N~aal E~ct~cal Code. EXHAUST FANS DIMMERS JCAR INC. 20 WASHINGTON AVE,, PORT JEFF. STAT., NY, 11776 LIC.#493E 6 GENERAL MANAGBR Per _ - This certificate must not be ahered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentlo~s. COPY FOR BUll. DING DEPARTMENT. THIS COPY OF CERTIFICATE M~ST HOT BEALTERED IN ANY MANNER. FIELD INSPECTION FOUNDATION FOUNDATION ROUGH FRAME & PLUMBING (2nd) COMMENTS INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 0 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~UGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~RAMING []FINAL , REMARKS~: .~ ~ // DATE INSPECTOR ~ .~.~.~ rail FEB I 81986 ![JJJ TOWN OF sOUTHOLD South Drive Mattituck, NY 11952 February 11, 1986 Mr. Victor Lessard Building Department Town of Southold Southold, New York 11971 Dear Mr. Lessard: Thank you for meeting with me last week and helping me thin~ through how to fill out the Building Permit Application. Enclosed is my Application with the check for $50.00. I am away on business through the 18th and I will call you when I return. Again, thank you very much. ~ AllT~n Geschwind q. 0 ol Examined ~,4,~... ~. '.&.q. Approved .~r.~.~..~. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 .,lg h ., 19 ~./o. Permit No. ! ~.~.~.~.".&: .~'. · Disapproved a/c ..................................... '[OWN OF SOUTHOLD Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERIVlIT 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 heroin 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. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...h~..1.ap...C?.s.o.h.w}.n.d ......................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 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.. ~1.0.5..S9..u.t~.' p.r.iy.e,..M.a.t.t.i.t.ug.k.,..Np.w. 79.r.k ............ House Number Street Hamlet County Tax Map No. 1000 Section . . . .19.6 ............ Block ..... .1.1 ........... Lot.. · .2.0 .............. Subdivision .... .S~.o.r.e..A.o.r~.s ...................... Filed Map No .... .4.1 ......... Lot . ?.l.o.t..D ........ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Finish 2nd Floor Room b. Intended use and occupancy . . .B.a.S, .r..ochre. .......................................................... 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ' . Addition.. ~ ....... Alteration X Repair .............. Removal Demolition ....................... (Description) Estimated Cost $.8~ 500.00 F $50,00 * (to be prod on filing this application) If dwelling, number of dwelling units ............... Number of dwelling uniis on each floor ................ If garage number of cars If business, commercial or mixed occupancy, specify~nat~ure and extent of each type of use Dimensions of existing structures, if any: Front ..... ~..v.- ......... Rear ....3.87~ ....... Depth .. ' ~-~' ' ' Height ~OTQ ..... Number of Stories Two Dimensions of same structure with alterations or additions: Front i Rear Depth Height Number o fl Stories Dimensions of entire new construction: Front ............... Rear ........ ~ ....... Depth ............... Height ...... Number of Stories .. $..an. k9 .as ~7 Size of lot: Front .... .1.5.5:.8.9 ............ Rear'. i .1~.~:.~.~i i i i i i i i i ...... Jl~;~i~ ' ' ' ~)'.~'.~ ....... Date of Purchase . .NP?.~.r. .8.,. .1.9.8.3 ............ Name of Former O~v~;~' .Dq..n~.ni~ '~.' 'd~i~r~6 ......... Zone or use district in which premises are situated ......................... i ............................ Does proposed construction violate any zoning law, ordinance or regulation: ... ~9 ............. ' ........ Will lot be regraded ..... .No ..................... Will excess fill be removejd from premises: Yes No NameofOwnerofpremises , ..3~.J-.a~..GO..s.cb.w.i.n.d Address .8.o.u.~ Dray. e_, . 'PhrmeNo (516) 298-5464 Name of Contractor ' Address ' Phone No PLOT DIAGRAM Locate clearly and distinctly ali 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 street names and indicate whether interior or corner lot. ~ F. x2ope of Alteration: I. Replace 2 existing windows 2. Install 2 new skywindows 3. Install new full bathroom Size and brand as noted on floor plan STATE OF NE~.YORK,I / /. : cou ¥ OF .... s.s Allan Geschwind ' p ................................................. being duly sworn, de ~oses and says that he is the ap ]icant (Name of individual signing contract) - above named. . .O~n. er He is the ................................................................................ .......... (Contractor, agent, corporate officer, et :.) - -- ~ and is duly authorized to perform or have performed thb said work and to make and file this application; that all statements contained 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 ............ /..~/f.~. d a,V"~f · ~. '~ .Y~.F4. ~./..4/f~ .... .ff., 19¢ '- ' ~.. Notary Public, . .~. ? .~. )~..~.~.. ;2~.~./.~. 17~'/~u~y ~~~,~.. ~ Oa-11[llStl~l~.~-~ ~ ' (Signature ofap;1};ant) ., , , ~,:~mml~eion ~lq~lffi8 Ma,mn~,~u, ~'- '