HomeMy WebLinkAbout25749-z FORM NO. 4 -
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26860 Date: 12/29/99
THIS CERTIFIES that the building ADDITION & ALTERATIONS
Location of Property: 1865 NASSAU POINT RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 104 Block 13 Lot 2.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 13, 1999 pursuant to which
Building Permit No. 25749-Z dated MAY 25, 1999
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 SECOND FLOOR BALCONY ADDITION, REPAIRS TO AN EXISTING DECK, AND
ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to DREW & LOIS LEVY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 509855 12/15/99
PLUMBERS CERTIFICATION DATED N/A
,
Bu' ding tnspector
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 25749 Z Date MAY 25 99
Permission is hereby granted to:
DREW & LOIS LEVY
PO BOX 1118
CUTCHOGUE,NY 11935
for
ALTERATIONS, 2ND FLOOR BALCONY ADDITION & REPAIRS TO AN EXISTING
DECK ADDITION AS APPLIED FOR (NO DIGGING/EXCAVATING WITHOUT PROPER PERMITS) .
at premises located at 1865 NASSAU POINT RD CUTCHOGUE
County Tax Map No. 473889 Section 104 Block 0013 Lot No. 002 . 003
pursuant to application dated APRIL 13 99 and approved by the
Building Inspector.
Fee $ 75 . 00
GAY��"`�—� ��Gs✓G,
Authorize Signatuzb
ORIGINAL
Rev. 2/19/98
3L :,D. Nc D.»RTIMZI .
2=3
BLDG.DEPT.
T'O:Nry Or SOUTHOLD :ror_C-1:O@! ?JR c3:"=1-. := OT OC li:r`_dC"_'
.-. -.._S atp__catior must - -_-'_=_ jc t.rDewr-t_r OR La's atic submic:ac
the =oLiow=^2 ___ a=-w or .dew use:
_ . =_.a_ su-aev of prcperty w_t.. accurate `ocat=on o-- aouc_c_.n_S , ?rope-ty :,.as,
s:ree:5 , and unus-uai naturalor :opograpni-- :ea Cures . ^
-40roval _rom aelz" Dept. of watar sucaLy and sewerage-,4isposal(S-9 =ora) .
_ . ,ovrovai o' inscallatior_ from Board of _ _rz Inde---:zrs.
Swam statement)=rpm plumber cer===-'_ag that :he solder usea 1= system contains
_ass tzars 2/10 of 1 Lead.
Commerc_ai buiidiag, induscriai bu a ag, multiple resiaeaces and s liar buildings
and installations, a certi-�icata of Code Compliance =ram arcni:eCt or engineer
responsibla for tae bu'sdiag.
o. Subm=t Planning Beard approval of completed site pian rzauirexeats.
3. Por a_x=sting buildings (prior cc April 9 , 1957) non-conforming uses , or buildings and
"pre-=, sti,.g" land uses:
1 . CCnrata survey of property saow-img a-?
��SOFFO(,�c
hoo °may
Town Hall,53095 Main Road c .�� Fax(516)765-1823
P.O. Box 9 W Telephone(516)765-1802
Southold,New Yorkk 1 11971-0959 O � ��
y�ol � Sao
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 26, 1999
Ron Morizzo Builder, Inc.
P.O. Box 789
Southold, NY 11971
RE: Levy, 1865 Nassau Point Rd. , Cutchogue.
1000-104-13-2 .3 .
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.
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 # 25749-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ;"FINAL
ION
FRAMING
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE yL INSPECTOR
�P a 5`i Lt
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
1000343 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NV 10030
Date DEMMER 15,1999 Application No. on file 19522299/99 N 509855
[FIXTURE
IS CERTIFIES THAT
ly the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
EW LEVY, NASSAU PT RD. , CUTCHOGUE,�ygNY
the following locati n• Basement P 1st Fl. E 2nd Fl. OUT Section Block Lot s,
s examined on 06'199Y and found to be in compliance with the National Electrical Code.,
RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS II
OUTLETS INCANIIESCENT FLUORESCENT OTHER AMi. K.W. AMI. K.W. AMi. K.W. AMT. K.W. AMT. H.P.
2 1 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT, AMP. AMT. AMPS. TRANS. AMT. H. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO-OF S E R V I C E
METER NO.OF CC COND. A.W.6, A.W G. A.W.G.
AMi. AMP. TYPE EQUIP. 16RW 10 SW 303W 304W PER0 OF CC.GOND. NO.OF HI-tEG OF NI-LEG NO.OF NEUTRALS OF NEUTRAL
-W_G_
OTHER APPARATUS:
GOODALE ELECTRIC LIC.#7831 l__.
7355 HAIN ROAD
HATTITUCK, NY, 11952 GENERAL MANAGER
11
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 credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] R GH PLBG.
[ ]
FOUNDATION
2ND [ INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARIf,S:
DATE O INSPECTOR
-
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[ELD=INSPECTION RYi' 'O==RT= DATECOZQfENTS=========--------
OUNDAT ION ( 1ST)
N
OUNDATION (2ND) N
N ,
OUGD FRAME &
PLDMBING
9
u
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u
NSULATION PER N. Y.
STATE ENERGY ___i
CODE �!
�— N
N H�
iv
N
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N N
SINAL
N
ADDITIONAL COMMENTS:
f
i
BOARD OF HLAIAH . . . . . . . . . . . . . . .
NORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . .. . . .. . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY* Z
Q� CALL . . . . . . . . . . . . . . . . . .
Exmined... .. 1977MAIL
'/ MAIL TO: . . . . . . . . .. .. . . . . . . .
Approved. ..... "Z's_19`./. Permit No. ..:......Y .................................
Disapproveda/c .................................. .................................
...................................................... .....
Q C l� IS � ���� I} j '� ' (Building In tor) .•
llul� APPLICATION FOR BUILDING PERMIT '
81999 IIL.oi 'Date. . .Ahxil. 12 . ... 1999.
BLDG.DEPT. INSTRUCTIONS
TOWN Or SOUTHOLD
a. Ms application mist be ,comp etely filled in by typewriter or in ink and submitted to the Building Inspector
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan stowing 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 mist be drawn on the diagram which is part o1
this application.
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 issue a Building Permit to the applicant. Sud
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 MALE to the Building Department for the issuance of a Building Permit pursuant to the
Building Tone Ordinance of the Town of Southold, Suffolk Canty, 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, homing code, and
regulations, and to admit authorized inspectors on promises and in building for necessary inspections.
Ron.M4r7?.7R.8uildex..Inc...............
(Signature of applicant, or name, if a corporation)
.F,Q,..Bnzc.7.$9.x.SOuth01(i.,.NY..1.19.Z1..
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil
........................ ..............................................................
Nameof owner of premises ......RXI?N..IrlYY................................................................:........
(as on the tax roll or latest deed)
If appli t s ration, sigmat�u/// of duly authorized officer.
... G .. .....
( and title of a officer)
Builders License No. ..... 7.7. JiI............
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
I. Location of land on which proposed work will be donne.............................................................
.......... ...................Nassau..P4�xt�..gvad...................Cutchosue.......................
House Number Street hamlet
Canty Tax Map No. 1000 Section ...1 04......... Block ......U........ lot ....2.,3........
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
Done 1 1 iiln ........................................................
a. Existing use and occupancy ..........
b. Intended use and occupancy .......P.VP;1IinJ..wzth.Ra1CQMV.a"T*Mk aAsin.................
ft'yW--`.yP!G2, Iti4MYPATC44
ytnuo;Y >fit'14'' ETPLi,CFTBr0.py
3. Mature pf. work (check wllids applicable): New IArilding ......_... Atklition .......... Alteration ..........
X
1 •tor , ,... Panvval .............. DenanlitIon ............ Other Work .Ba1cony........
...............
�1IJtG�Llwv+ ) t ^^) D S'ha�ier (leacriPcinn>
4. Est invited Cost 20,t000;00......... fee ....$75;00..................................
(to he Paid on filing this application)
5. If dwelling, nnber of dwelling uniLs ............ Rafter of. shell Ing units on eadi floor ................
Ifgarage, umber of cars ................,......................
6. If Inusiness, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Uinensions of existing structures, if any: Front................ Rear ............... Depth .................
height ......................... Rofrer of Stories ......................
Dirnensions of sane structure with alterations or additions: Front ............... Rear ...............
Depth .................... dleiglrt .................... Rafter of Stories ...............
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Ileillht .....................:... R>tder of Stories .....................
9. Size of lot: Front .................... Rear .................... Depth ....................
10. Date of Rtrdhase ...................... Mane of. Forner Owner ................�....'...................
11. pone or use district in whidn premises are situated ...............................................................
12. Does proposed construction violate any zcxning law, ordinance or regulation: ........................
13. Will lot be. regraded .................... Will excess fill be removed from premises: YNS ND
14. Maines of Owner of premises .Drew LevX Address Nassau Point Rd . fl�ne No. 734-417
CutchogllA';NY.........
Mareof Ardritect .................................... Address .............................. Mine No. ..........
tL•hme of Contractor Ro}i.,Morizzo •Builder . Inc.hklress P:.O: Box 789 . Southo 765-577
.......... Artie lb. .....I...
.
15. is this property within 300 feet of a tidal wetlanl7 * YES .......... NO ..........
*IF M, sl1UN1tm Tufts 71d mm-s mmrr NAY w Fuptm-m.
PLOT DIAGRAM
locate clearly and distinctly all buildings, aieLher existing or proposed, and indicate all set-bads dimensions
from property lines. Give street and block mitier or description according to deed, and sthow street nares and inlicaLe
whether interior or corner lot.
SEE DRAWING
SI'ME OF RW YMK,
LIJtIN1Y OF ..........Suffolk
..._...Ron.MoxkAZ4..................................Ireithf; duly sworn, deixhses asxl says that he is Lle applicant
(N-.ne of individual signing contract)
Filrove trained,
liei, the ........Cant raetox............................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, wad is duly authorized to perform or have performed the said work and to make and file Lhis
application; that: Fill sLaLoneaLs contained in this application are true to tire lest of his knowledge and belief; and
that the work will Ire performed in the nrnmrer net forth in the,appl.icatior filed therewith.
Sworn to before me_ this
P�
.........day of:/- (.. .�....19........ /
Notary linbli �j�� !(.
�J //
ELIZABETMASTATNIS ✓ (Signfit unLu
[..........y! .......
NOTARY PUBLIC,State ofNOWY0Af
N0.01 ST6008173,Suffolk 2R
Term Expires June 8,2RI f
i
LL
✓sem 't'O,0 � S � [1
APPROVED AS NOTED
DATE:
FEE: BY:
NOTIFY BUILDING DEPART ENT T ---
- 765-1802 9 AM TO 4 PM FOR THE — V
FOLLOWING INSPECTIONS: Z N�
1 FOUNDATION • TWO REQUIRED
w m
FOR POURED CONCRETE W o
2. ROUGH • FRAMNA 1 PLUMBING in mon
3. INSULATION
`/1 q 4. FINAL - CONSTRUCTION MUST
-T-7J BE COMPLETE FOR C.O. O o�o w m
ALL CONSTRUCTION SMALL MEET z
--- THE REQUIREMENTS OF THE N.Y.
tD� f--� 12,x J Htr- 1 F{ Ooh
STATE CONSTRUCTION l ENERGY d00
CODES. NOT RESPONSIBLE FOR 0xv
DESIGN OR CONSTRUCTION ERRORS 22
&
iv p4050 -2 1 r 2tYR3 'P4o5°-2 GI 1�45-�- I Fw& Pio(o® — (q•45 -2 0 PUCUPANCY
UR'
---
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'(a kq'�a M� eM � HD� �•Z) Q..k In doR (Z) 2KIO IYPR+ � USE 9S UNLA-l��nfFUL v
UTo- sa04
NOY
OF OCCUPA
IGITcHE:Nl rDRc'< m a
x W
PROVIDE OPENINGS FOR r
w I w I EMERGENCY ESCAPE AS "°T
VREQUIRED BY PART.714
- — —1 N.Y. STATE BUILDING CODE.
- a
UNDERWRITERS CERTIFICATE
rL
tctREQUIRED
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