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HomeMy WebLinkAbout25865-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26556 Date: 07/12/99 THIS CERTIFIES that the building ALTERATION Location of Property: 3505 WICKHAM AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 9 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 6, 1999 pursuant to which Building Permit No. 25865-Z dated JULY 12, 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 CONVERT EXISTING TWO CAR GARAGE TO NON-HABITABLE SPACE "STUDIO" AS APPLIED FOR "AS BUILT." The certificate is issued to BRIAN BOECKMANN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 07/06/99 PLUMBERS CERTIFICATION DATED N/A /Bi�1ng I pector 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. 25865 Z Date JULY 12, 1999 Permission is hereby granted to: BRIAN BOECKMANN CUTCHOGUE,NY 11935 for CONVERT AN EXISTING TWO CAR GARAGE TO NON-HABITABLE SPACE "STUDIO" AS APPLIED FOR "AS BUILT. " at premises located at 3505 WICKHAM AVE MATTITUCK County Tax Map No. 473889 Section 107 Block 0009 Lot No. 009 pursuant to application dated JULY 6 1999 and approved by the Building Inspector. Fee $ 35 . 00 9 , 11 A ori d Sig ature ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT TOWN HALL --- -- ` ': 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY l 1 i f� ' ,NL 1 2 X99 :i A. L,s application yuus be filled in by typewriter OR ink and submitted to the buildir i .pee�3-poF �c tr-th$ f llowing: for new building or new use: X01 1' ygrm' s)of . operty with accurate location of all buildings, property lines s reets, 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 buildi and installations, a certificate of Code Compliance from architect or engineer responsible for the building. �. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings '-'pre-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 applicar 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25t,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property.. 5 w{ !6 0 , A t/t !�l TwGI House No. Street Hamlet Onwer or Owners of Property.. . . .L . . .. . . 2.. .. . . . .�K!=ar✓�• •• • . .. . . ' • • • " " " County Tax Map No 1000, Section. . . /. . . . _ .Block. . . . . . . . . . . . . .Lot. . ./. . . . . . . . . . . . . . Subdivision. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filqed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. . S v S. . . .Date Of Permit..1./: .-2 /. . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .lk. . . . . . Fee Submitted: $, , z r . . . . . . . . . . . . . . . . . . (�J o --2: 2�SS(P ?6 . . . . . . . . . . n _ c_ �(':�) 3 APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 $076325 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 12,1999 Application No. on file 15530999/99 H 064977 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of STUDIO/GARDEN STORAGE, 3505 WICKHAM AVENUE, STUDIO, MA.TTITUCK, NY in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JULY 06,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT I OTHER AMT. I K.W. I AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WAiiS SERVICE DISCONNECT NO.OF S E R V I C_ E METER NO.OF CC GOND. A.W.G. A.W G. A W G. AMT. AMP, TYPE EQUIP. 10 2WIT 0 3W 3 0 3W 3 0 4W PER 0 OF C0.COND. NO.OF HL-LEG OF HILEG NO.Of NEUTRALS OF NEUTRAL OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. BRIAN BOECKMANN L L 1920 HARBOR LANE CUTCHOGUE, NY, 11935 GENERAL MANAGER EPer 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. • �3�-AS- 6� �y SURVEY OF PROPERTY J, AT MATTITUCK TOWN OF SOUTHOLD e SUFFOLK COUNTY, NEW YORK 1000-107-09-09 SCALE: 1'=30' MAY 24 1999 2 \ \ ?>1 ------------- �y3\' . -. CERTIFIED 70. */°�� r. "�� +•<y4 \ `ry'O 1G ARTHUR CONNOLLY `4 >. 4 LORRAINE VICAREW CONNOLLY 441 44Q. \ \ ✓/ '\ \\ NORTIEST MORTGAGE �t yE"� S' FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK AREA - 32,988 sq. it to tie line III-MONUMENT k'y4� _ }� �Gp St R,To ffil a 4.1.�< ;Qh .^.F 4�J.v�Jr } •M/C SViAv:` IJ < V.:R4il Ql. y �.. ' ` _. l\' C 496:8 ' __iin., _ [' 0•- �•l N:N .�A✓ i�F$ 'J'J_<I:n.� tPd d \� ! �� 4 "�� =` ::C°- £'' Y':mn. ': F-suBD.P$'OC L. 'Fv'FI[: •.lr. _qs V s=I[ a --COPIES gi Fa r.<q�U-RE R0. . `. .65E. SC4, prSei rF•?u NG �- _ __ _-__ __ _;_. 99-21 r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION f ( ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATEINSPECTOR i 3 9�9 I I Data Filing Code . . .. . ... . . ... Calc BY. . . . . . . . . . . . . . . AA,` ,)..;,:, Sheet No. . . . . .Of . . . .. . . _ .p .e - -. Chk•d/APPrd.BY . . . . . . . . i—__'__.__�- .� G 6 H Job Subject . . . . . . . . . . . . . . . . ./.. .�.. . . . . .. . . . .. . . . . . . . . . . �... .. Ret.Dw9./Spec.No. . ... . . . .. . ; l 1p � t t k l � � to • � +. a . . - I r_ ago BOARD OF HEALTH . . . .: . . . . . :: :: FORM NO. 1 3 SETS OF PLANS . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . . p0., TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . 0� SOUTHOLD, N.Y. 11971 TEI.: 765-1802 NOTIFY: CALL Examined.................. 19.... G t MAIL LrO: F. . ! t . . . . . . Approved.................. 19.... Permit No. v ...... ................................... Disapproveda/c .................................. ................................... ...................................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT q q Date tJ. . �� . . . , 19. f. 1 INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 most be drawn on the diagram which is part of 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. 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. APPI.ICATICN IS BERM 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. 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) �....... °� �....... ............ (Maili address of applicant) l/`j 3S State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ..............................................................................I..................... .F��/.e i./ d g-,G/_/`?.tl�✓n� f�6.oiz�' ('-L�9.Cl^//✓•,lac�-�P Name of owner of premises .................. ...................�........,1..... .............. ... ........... as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumiuers License No. ......,................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on wiuich proposed work will be done.............................................................. -��oS ..."AlC�'J� A ..................................../�/.�TT�iic/� ....................... House Neuer Street qHamlet County Tax Map No. 1000 Section ...6.�!�.... Block ....7 .......... Lot ....f........... 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 ...........................................:., .,'a:.i.:,.:,:...,.,................ b. Intended use and occupancy ..d`; �!�J6 /c�'/�!Z ?✓ Ja>L "r ......................... ' s, ....,...� s 3. Nature of work (check wlhidh applicable): New Building ........... Addition { ,I .. Alt�rpEhon .!:�.!.�. �P Repair ............ Removal ..!........... Demolition ............ Other WQ& .....:." 4 (1) crip(i 0', 4. Estimated Cost ..���cC�:��4'iF........ fee ........ (to be paid on filing''tbis application) '^/ ,e, 5. If dielling, rrnber of dwelling units ...N,'�7 ., lihrrber of duelling units on each floor ..........:�:... Ifgarage, hxnber of cars ..✓`,A............... ............ I \ rF 6. If business, comnercial or ndx occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front..2S'8/.... Rear ,Zg;. �i/'a./... Height ...� ?ra�............IL Nurber of Stories .:Z .............. Dimensions of sane structure with alterations or additions: Front ..... Rear ...... Depth ... R14 ........ Del' ht ...;54ME.......... Ntnber of Stories .. 9! 1 ..... � .entire tion: Front .. X�:.B/... Rear ..z�:8/.. Depth 8 ilenightLons of a ire new const Nuber of Stories . 6 `�� ........:... 9. Size of lot: Front .f?;.rT-q'3 � Rear ....... Depth Z�Z:`)rl��2...7• 10. Date of Purchase a / � ��q, (, Nam of Former Owner A L 14 ,.(fig?u a� ....... II. Zone or use district in whicb premises are situated ..(2Es7 ?G"Jt .....................I......... ........ pr Po , ordinance or regulation: .'6.................. 13. Will lot be regraded ..... ......... Will excess fill be renoved from premises:/ YES NO 12. Does n sed construction violate any zoning law, �� �1 14. Nares of Owner of premises ....i.:a '.t' 11i 10 �Addresa /.9.?O L�^�a !L!° ....CdJpthahs No Nam of Architect .../.. �... ....................... Address .............................. Phan No. .............. Nam of Contractor ... ..................... Address Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YfS .......... ND .......... *IF YES, SOLMUD MN 9ImSlIIms PGRMrr my BE REQUIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, wlhetber existing or proposed, and indicate all set-back dimensions from property lines. Give street andi block ember or description according to deed, and show street nares and indicate whether interior or corner lot. SURVEY OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD e v SUFFOLK COUNTY NEW YORK N 2 � o 1000-107-09-09LE: 1'.30' ** 2 SCALE: 1'=00' NAV 21, 1809 I I A>W D2. se\ \ f S k y A � LGm[o m. O 15 y'w MW4X[�NOMpII[Wx v �k \\ P C�� J� LL M{ih.SW{IPFN�IIM1[Ix{UPW¢LWPM'YRN[W b 11e llvW y 4® `p EOf NFWy �yT, e.Y0NN1ENf bO� J F W � rOq> S[ANi OF N-V Yow, 5S Ob 4p. h ^ v 'ANVS LCL NO 19618 auN(Y OF SV F.FQ A-X........ 99-219 ......LXX/!1,1�..'VO / / .f)./f .�'i,....................being duly sworn, deposes and says that he is the applicant (Nave of individual signing contract) above rased, lieis the .....wv.!✓E!Z:..........Ii....................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that: all statemnts contained in this application are true to the best of bis knowledge and belief.; and (list the work will. be perfonmcl in Che'nmanmer set IQ' th in the application filet] therewith. ,bourn t/o-beuf re ne this ......! .........day of Y�u�t 19.99... Notary Public ... ....... .... (Signature of Applicant) JANETV.ST�WART 01 NOTARYPUBLj:(,S*OfggNelv%rk Sc^�a144681Jo9 o 30,20 ,4 ' ! / �''' . SURVEY ,OF PROPERTY \ s AT MATTITUCK TOWN "OF SO UTHOLD SUFFOLK COUNTY, NEV YORK iop 1000-107--09--09 SCALE: ' 1'=30' MAY 24, 1999 N / / 2 / • Ir \ 4Y \ \ / \ �►\ 9 lF \ t ° / - J CERTIFIED TO. ,4 P , • / •� \h �w ARTHUR CONNOLLY 4p_ \ 1 LORRAINE MCARELLI CONNOLLY NORWEST MORTGAGE FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ,� �'� �► AREA = 32,966 sq. '.ft. to tie line ,.. pF NE e=MONUMENT � S `p,� t. ME,Iey�•P� �• ��� . ',�.� �3�• - �V Y.S. UC. N0. 49618 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ':`x` OF SECTION 7209 OF THE W. r\ P, CON - •, P.C. NEW YORK STATE EDUCATION LA ' EXCEPT AS PER SECTION 7209-SUBDIWSION 2. ALL CERTIFICATIONS � X7659��5 HEREON ARE VALID FOR. THIS MAP AND COPIES THEREOF ONLY.1F "� 4& �C SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF ,THE SURVEYOR 7. 12 TREET WHOSE SIGNATURE APPEARS HEREON. 21 ' — SOUTH N Y. 1 X971