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HomeMy WebLinkAbout14233-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17954 Date APRIL 18~ 1989 County Tax Map No. 1000 Section 113 THIS CERTIFIES that the building ONE FAMILY D~LLING Location of Propert~ 2110 COX NECK ROAD MATTITUCK House No. Street Block 10 Hamlet Lot 002 p/o Subdivision TOTJ.~WOOD Filed Map No. 175 Lot No. 72-73 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 2~ 1985 pursuant to which Building Permit No. 14233Z dated SEPT. 5~ 1985 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 DW~J~.INGWITHATTACt{ED GARAGE. The certificate is issued to THO~S F. & SALLY J. BURNS (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO-132 APRIL 12~ 1989 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N725964 DECEMBER 11~ 1985 WALTER L. DO[~f~ JR. FEB. 6~ 1986 Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14233 Z Permission is hereby granted to: ,.--. ~ .......................... ................. .....~.......~..~......~o ~ ................................................ ......%....~....~.;.~.;....~.!..~..~..'..~ ..... ~,~ ~,~ ~ .~. ' .... ~ ....... at premises located at .................... ~ .............................................. ~ .................. ..~:..~. ..::...~: ~ ........................... · -- Block J. /-P Lot No County Tax Map No. 1000 Sectto, p~....,.l...~ ........... ....... ............ ....................... to application dated ..~.~ ........................... , 19.~.~.., and appr~ by the pumuant Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN RALL SOUTUOLD, NEW YORK 765 - 1802 11971 U?HOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ..... ' ..... .;. 93. ROUSE NO. STREET HAHLET County Tax Hap'-No~-Ii .on Block . Lot Subdivision ....................... Filed Hap ........ Lot .......... Per.it No. - ..... .ate of PermltgZ.~:~.~.o.Applicant ............ Real6h Dept. Approval ................ Underwriters Approval Planning Board Approval Request for Temporary Certificate ....... i Fee Submitted: $ .................... Final Certificate THE NEW YORK BOARD OF FIRE UNDERWRITERS 10013~1 BUREAU OF: ELECTRICITY ---O,~85 JOHN STREET, NEW YORK, NEW YORK 10038 .,,,. ~ 11, ~8~ ~,,.,,,,.,,,,.. ~o.,,.~,. ~4~/85 N 7 2 5 9 6 4 THIS CERTIFIES THAT mdy tile td~ctric~d ~lU~me~t ~ deseri~ad be[o~ and introduced by the apldiCa~t nam4Mi on tile abo~ application number in the premises of in the.following location; [] Basement ~lst Fl. [] ~nd Fl. Section Block Lot was examined on ~ 5, 1985 andfoundtobeincompliaflcewiththerequirementsofthis~oard. RXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 29 55 39 29 DRYERS FURNACE MOTORS FUTURE APPUANCE 1~8EDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS HO. OF NET SERVICE DISCONNECT S E R V I C OTHER AFPARATUS: 2~, 1-~ Da~'~_,,~'tx~ I i I i JOC~ ~:~ttllo 11952 Lic 2800 Per 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 ~OWN OF ~OUT~OLO Building PermitNo. Owner r~ (please prin~) Plumber ~,/;X_7-~F~ Z. Z~)O,,9","~ ~-m. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. - (plumber~ ~ ~~ ,~ ~g~atur~~ Sworn to before me this Notary Public, County No. 4889960 Qualified in Suffolk County Commission EXpires March FIEi TION COMMENTS FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION · [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] 'FOUNDATION 2ND [ ] INSULATION [ ] FRAMING //~FINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTROLD, NEW YORK 765 - 1802 11971 TOWN OF ~OU'I:I:/OLD APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ .ous~ ~o. "5' "; "s~ ...............~.~,~ ...... Connty Ta~ .ap No. '000 S~ctio~ ..~V. ~loek Lot ..~ ..... Subdivision ....................... Filed Map ........ Lot .......... Health Dept Approval ~.s~ /~ Under~riter~ Approval. Planning Board Approval ................ Request for Temporary Certificate ....... Final Fee Submitted: $ .................... Certificate ................ rev. 10/14/88 TOWN OF SOUTIIOLD OUI:ICH OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUI'IIOLI), N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are urlable to complete your Certificate of Occupancy because .of thc follQwing reasons. /~// An application for Certificate of Occupancy is not on file~. /--/ :;o Underwriters Certificate on file. /~_~,'l'he check is(outdated/not on fil_e_~ /~No Ilealth Dept. Approva'l on file. /_--/ i'k; final inspection has been made. Please contact our office on Thank you for your cooperation. Permit ,, ,.[, ~ X ,%3 .~ Z this matter. Juildinq Building Dept. ***/~/ Ho Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,19S4 ) VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 23, 1989 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Mr. T. Burns Mr. R. Boscola 2110 Cox Neck Road Mattituck, New York 11952 Re: Building Permit ~14233-Z Suff. Tax Map 9113-10-2 Dear Mr. Burns & Mr. Boscola: During a review of our files, it was noted that the above building permit has expired and a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold XIV, 100-141 and 100-144 a Building Permit is needed for construction of a new dwelling and it is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. We have the underwriters certificate, and plumbers certification. What is needed is the application, which is enclosed, a check in the amount of $25.00, and your final Board of Health Approval. In order to avoid any legal action, you must correct the above violation immediately. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BLDG. DEPT. Vincent R. Wieczorek Ordinance Inspector VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 23, 1989 Mr. T. Burns Mr. R. Boscola 2110 Cox Neck Road Mattituck, New York 11952 Re: Building Permit 914233-Z Suff. Tax Map 9113-10-2 Dear Mr. Burns & Mr. Boscola: During a review of our files, it was noted that the above building permit has expired and a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold XIV, 100-141 and 100-144 a Building Permit is needed for construction of a new dwelling and it is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. We have the underwriters certificate, and plumbers certification. What is needed is the application, which is enclosed, a check in the amount of $25.00, and your final Board of Health Approval. In order to avoid any legal action, you must correct the above violation immediately. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BLD, G/ D~T. Ordinance Inspector TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 December I0, 1987 TEL. 765-1802 A. REILLY & SONS, INC. BOX434 MATTITUCK, N.Y. 11952 Dear Norm: RE: B.P.#t4233Z T. & S. BURNS 2110 Cox Neck Rd. Mattituck I am re'turning your application which you sent to us 2/6/86 along with the underwriters and plumbers.cer- tificate for the above permit. Check is now outdated. To date we have not received a final Board of Health approval and therefore we could not do a C.O. Please get the final Board of Health approval for us. Return it to us along with a new application which I am enclosing and your check for $25.00 so that this can be cleared up. Thank you. Yours truly, Secretary ? ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,, ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined....a~. ........ Approv . ..~.., 19~.~. . Permit No ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... Date ................ 19 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 hall 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 ~hall 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. ~he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, dr name, if a corporation) (Mailing address of applicant) Itatearchitect, engineer, general contractor, electrician, plumber or builder. whether applicant is owner, lessee, agent, ................. . c9 / z- Z> e . qame of owner of premises . ~:".. ~..O.~..~.O..~.4~ 7 ..... .~":. /~..LJ,~.A/...~.. ~ ................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate qfficer) Builder's License No ...... ./.3 ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ,~ [/ Location of land on which proposed work will be done.. ~....(..O..~....~. ?...C..~. .... .~..~.. ............ House Number Street Hamlet County Tax Map No. 1000 Section .//.3 :..O.O..Q ...... Block ../. O..~.O.O.O ..... Lot. O..O.~... ~ ~.~ .... Subdivision...'~.6-~..~..5..~.. .............. Filed Map No.. ?.~.. ....... Lot '7.2.3 (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ............. . ......... ~,.~ t ~ 3. 4. 5. 10. 11. 12. 13. 14. N i~ut~'~fwork (check which applicable): New Buildmg .... .~". · . . . Addition .......... Alteration .......... R ~4tF{ . .~111~,_ ~, _.. Re~val .... Demolition ...~ ........... Other Work .. I[ll ~[ ~ , ,l',~ : (Description) '~g~OY ,' (to be paid on fihng this apphcatlon) It .... ~'~ ~i~, number of dwelling units ............... Number o f dwelling units on each floor .............. If garage number of cars If business, commercial or mixed occupancy, specify nature and extent ~f each type of use .................... Dimensions of existing stmctules, if any: Front ............... Rear .............. Depth .............. Height Number of Stofles D~ensions of same structure ~ith alterations or additions: Front ................. Rear ................. Depth ...................... HeiSt ...................... Number of Stories ..................... Directions of entire new cons :rncfion: Front Rear~. Depth Ho~ght ........... ~u nber of Stories ............................................. siz~ o~ ~ot: ~ont ... ~ ~~.~ .3 e ......... ~a~..//~. ? .... ~ .... ~Vt~ P ~ ,~..' /ZO.''"~.-~ .... Date of Purchase ......... ' ...... Name of Fo~er Owner ............................. Zone or use district in which p'cruises are situated Does proposed construction vi~ date any zoning law, ordinance or regulation: ................................ Will lot be regraded ~ . . Will excess ..... ~ ................. fill be removed from premises: Yes N~n~ of Architect ......... ~ ............ ~ ..... Address ................... Phon~ No ................ Nm0 of Contractor ~..~ ~ . ~. Address .~f~2 PLOT DIAGRAM Locate clearly and disth~ctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocf number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. ;' S.S ..... ~. ?.. ,~...,~...~..~....,4~. i...,~..~./..~, f' .~.. ..... being duly s' (Name of individual signing contract) above named. yom, deposes and says that he is the applicant He is the ..................... i ............................... ,~ (Contractor, agent, corporate o; l'icer, etc.) of said owner or owners, and is drily authorized to perform or have performed the said work and to make and file this application;that all statements conltalned in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Swum to before me this ........... .o? O,~ ...... day 9f .... ~ , 19 .. cou t, ' ~ ' ~ (S~gnature'of pl~hca'~(t) - ,~1_ o , ,' ~/ form bO the standards of the Suffolk 9~ ~lll N. ~ z$~ ~20 W. ~,0~'~,~ County Oep~ of Health Services. ~ ~ Il/ Services- or approval of Construction ~ '~a~ ¢ : ,.t'., Owner's Adclross: ~ ~ Tese Hole Seal BOHN & BONACC! P.C ~.,0.~. v.~ ........ ~TiQN TITLE NO ,3 I~ , 7'T ~ ~ *¢ ' o o E... P/o LOT 75 F BON~CC~, SURVEYORS tt PLANNERS l JOB NO DATE ~'-11-¢5 l) i. Owl I , ' ~G~--~ ~ooP ~ · ~ .... BONACCI BOHN &, , P.C. 'T~¢~¢~¢~A-VIOLATION~~OF ~O~ULTA~Ts I ~URVEYOR~ · PLAN~NERS~~* ~AP,Of:' ~ ~ ~ ~ ~ v~yo~'s S~GNATUR~ AND ~ILBD: '~U~P~ CO. ]~'~[~NO, tT~ .~ANKO, BONACOl DONSlOEREDAVAUDTRUECOPY ~'~'~ ~' ~"~ uo~ NO, 89~O~'~ ....... DR,~ '6H ..... SCALE 1" ........ ~¢' DIS%/%%'A~ .[pOd SEC. (~.OO BLK lO. OO LOT O0~.OOO,;,,, , APPROVED AS NOTED D~TE: c~/~-~.~- B.P ~ /~'~'~- N[OTI~Y BU~LU~' 76~-1802 S AM TO 4 PM ~R THE =OLLO~ING INSPECTIONS: 1 FOUNGATION 'i~NO REQUIRED FOR POU~ED CON~ETE 2 ROUGH ~RAN,[NG & PLUMBING 3. iNSULATION CO?~S~RUCTION MUST ~, FINAL ' ~ 0 ~ CO~.~E ~OR C. · ~L~ CONS~RUCT~ON SHALL MEET REGUIP~MENT5 OF THE N.Y YHE & ENERGY STATE COnSTrUCTION CODES. NOT RESPONSIBLE FOR OESiGN OR CONSTRUCTION E~RORS, OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIRCATE OF OCCUPANCY PI. tlMIER OER?IRCA TION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY ~ t~ED IN WATER SUPPLY A'Y~EM CANNOT EXCEED 2/fO o~ 1~ lEAD. 6 ¸iL