HomeMy WebLinkAbout25135-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26375 Date: 04/14/99
THIS CERTIFIES that the building ADDITION
Location of Property: 6986 SOUND AVE MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 121 Block 5 Lot 1.9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 8, 1998 pursuant to which
Building Permit No. 25135-Z dated AUGUST 27, 1998
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to GLORIA KRETSCHMER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-475471 12/30/98
PLUMBERS CERTIFICATION DATED N/A
uil ng Inspctor
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. 25135 Z Date AUGUST 27, 1998
Permission is hereby granted to:
GLORIA KRETSCHMER
PO BOX 322
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
at premises located at 6986 SOUND AVE MATTITUCK
County Tax Map No. 473889 Section 121 Block 0005 Lot No. 001 . 009
pursuant to application dated JULY 8 1998 and approved by the
Building Inspector.
Fee $ 75 .00
BuyringInsp ctor
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT l
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 all 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'.'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 applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
r"
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 Building - $100.00
3. Copy of Certificate of Occupancy - _ -251�.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . /�i9�lf. .e Z. /1./. 5�. . .. . . . . . . . .
New Construction. . .X. . . . . . Old Oiq Pre-existing Building. . . . . . . . . . . . . . . . . /
Location of Property. . . . . . . � . . . .. . . . . . -S0c7/�/lp. . .✓.96
. . . . . . . .... 7�/r�GIS . . . . . . .
House No. �t Street // e1 Hamlet
Onwer or Owners of Property.. . .!? �7�(/rC . L .�P�d1�� . . [1�G: G�l. �. . . . . . . . Iy . . . . .
01 'County Tax Map No 1000, Section. . . . �o? . . . ..Block. . , OOb S. _ , ,Lot. . . . �. . .. .... .. • • . . • .
Subdivision. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. .Filled Map. . . . . . . . . . . .Loto . .,r . . . . . . . . . . . . . . . . . .
Permit No. S �3 5 rZ. .Date Of Permit. . rS. ?. /. R.Applicant.�" , ....61 t7
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . .✓. . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . .
F,ee Submitted: $. . . a-}.-,00
C3.ec .SG6 q� . . . . cori/� , /�2crrz . . . . . . . . . . . . . . . .
W 75 APPLICANT
Co �
o��gpFFO(kCo
o� Gyp
COD
Town Hall,53095 Main Road 1 Fax(516)765-1823
P.O.Box 1179 oy • �� Telephone(516)765-1802
Southold,New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
March 9, 1999
Gloria Kretschmer
P.O. Box 322
Mattituck, New York 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
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 # 25135-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
'1=LD I"S" ^TIO& COMMENTf
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=OU14DATION ( 1st)
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?OUNDATION ( 2nd ) —
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INSULATION PER N . Y.
STATE ENERGY
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M-1802
BUILDING DEPT.
INSPECTION
[ZOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE INSPECTOR
M-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION IST [ ] RO H PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
/l
DATE ll INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOSMIDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: �
DATE e IS 99 INSPECTOR �-�-
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSPLATION
[ ] FRAMING [Al--'FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: c _
04
DATE4/99 INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1205030 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date DECE11BER 30,1998 Ap�ltcation No. on AIM 17111098/98 N 475471
THIS CERTIFIES THAT k'1'+KNIT NO. X51352
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
ARTHUR KRETSIMER, 6986 SOUND AVENUE, POLE #296, MATTITUCK, NY
in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on DECEMBER 21,1998 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 IAMT. I K.W. AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. H.P.
2 3 3 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT. TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS
AMT. I K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT, H.P. NO.OF SYSTEMFEET S AMT. WATTS
SERVICE DISCONNECT NO.OF - S E R V 1 C E
METER ry0,OF CC COND. A.W.G. A W G. A.W.G.
AMT. AMP. TYPE EELUIP. I 0 2W I 0 3W 3 0 9W 3 0 4W PER a OF CC.GOND. NO.OF HI-LEG OF HI-LEG NO.Of NEUTRALS OF NEUTRAL
OTHER APPARATUS:
TWIN FORK ELECTRIC LIC.#3488El,. LP.O. BOX 48
JAMESPORT, NY, 11947 GENERAL MANAGER
11
EPer
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 MUS- BE ALTERED IN ANY MANNER. .
N W 4�%
BOARD OF HEALTH . . . . . . . . . . .. . . .
FORM NO. 1 3 SETS OF PLANS . . . I . . . . . . .. . . .
TOWN OF SOUTHOLD SURVEY . . . . .. . . . . . . . . . . .
BUILDING I)PPARTMISHT CHECK ..':.:�.• •
TOWN tOF1SOfT D„ 1 TOWNHALLSEPTIC FORM
SEPTIC
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 NOTIFY%
y� CALL . .�zS. ..Y .��. . .
hnmmined.... >f�...., 19. MAIL TO. . . .. . . . . . . . . . . . . . . . .
nl>t,rovexl... .... 19 .� Permit. No. . ..13 ....................................
Disapproved a/c .................`.... ...............
........................................:...........
., ....{'�/. ... ..ns Cor ....
APPLICATION FOR BUILDING PERMIT
Date.. . . ... . . . . . . . . . . 19. . . .
INSTRUCTIONS
a. 'anis application must be caupletely filled in by typewriter or in Ink and sulmitted to the Building Inspector wi
3 sets of plans, accurate plot plan to scale. Pee according to sdadule.
h. Plot plan slnowlag location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, aril giving a detailed description of layout of property must be dram on the diagran Whirl/ is part of
this application.
c. The work covered by this application may not be co nenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector wilt issue a Building Permit to the applicant. Such
permit shall be.kept on the premises available for inspection throwlout the work.
e. No building shall be occupied or used in whole or in part for any purpose -whatever until a Certificate of
OcWncy shall have been granted by the Building Inspector.
APPI.ICRPI(N IS HEREBY IW)e to the Building Department for the issuance of a "Iding Permit pursuant to the
elnilding 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, six]
regmdatlong,Iand to admit authorized inspectors on premises and in building for necessary"inspections.
..........................I......................
(Signature of applicant, or name, if a corporation)
...................................................
(Mailing address of applicant)
State whether applicant is owner, leasee, agent, architect, engineer, general contractor, electrician, pludner or builds,
.................................................................................................9......................
Nae of owner of premises ............ '{ ('�... � $ 7 l� ...............
.. ... ......................
(as an tine tax mull or lateaC deed)
If applicant is a corporation, signature of duly auChorized officer.
..... ....................................
(Name and tie of corporate officer)
Builders License No. ..21.r.9!o::.Jt.r....
Plu bare License No. ... .3�.0 2.P
YElectricians License No. ..... s2-(F ...
Other Trade's License No. 9...................
1. location of land on whidn proposed work will be done............... ..................................... ....
i�.�.��.....✓c�uv .... L!............??�/a 7T1.7?!GIS..................................:....
Bouse Punter Street lWalet
County Tax Map No. 1000 Section ....(.4 ...... Block ....C S .....'. Lot ....l.: .......
Subdivision ........................I............. Filed Map No. ................ Lot ...............
(Nam)
2. 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 .............................................................................
3. Mature of work (dwAidiidt e 1
t>n icahle)t Now Building .... AdWiCi Al uixAlian $.
Iteiwir ............ ltanoval ....till ....... Ikmrolition ............ IJork . .. '
Other .. .. ..........
5 �. I
(Deal Ipti�)"'" � ... .
It Eatiawted Cost j ... ..... ...... fee .... ...... ' Y
(to be paid ell filing title application)
S. If dwelling, umber of dwelling �xnita ............ Mrdler of ch4elling units on elicit floor ..... ....,
If garage, unbar of care
A. If lxhahesa, commercial or mimf occupancy, specify nature and extent of earl type of use......................
7. Disenalo s of existing structures, If anyt Front... j 1'*
.... Rear ... ....... Dep[h .... Z.�.�.....
Rulght ........ ............. Mnber of stories ...1.... ..........
Disenslons of sale etnteture with alterations or 'additlonst Front ............... Rear ...............
Depth .................1.. lleldl t . Mnber of stories ...............
S. Dhtenalota of entire new constnletion: Front ........`........ Rear ....2�� ....... Depth ... ./../... ....
llelgitc .......Z��............. Naber of stories ....�................
9. size of lot's Front ...........11........ Rear .................... Depth
10. Daie of Ptudhase ..............:�...... Noe of Fortner Owner ........................................
11. Zone or use district in wbldt ph`emisea are situated ..............................................................
12. Ibex proposed construction violate any zoning law, ordinance or regulationt ........................
13. Will lot Ile raced' ......./..�......... Will excess fill be removed from prenisew NO
14. Nares of Owner of promises , hCly1�7//f.. �tCG/�/;S'�Y �??Address ..
.r
fr% oevru-b a 4V Nacte No.
fNote of Ardiltect .F7i. F? (.......... Address .....M?KT7ft....g4AJ40-... more lb. 4W.43,1.6
Ferre of Contractor ��Att�LS.f/�� ��? 47........ Address .��.C�cc/uS� nmo mtt.....111one No.
•• g4c �Nt d3.�r�
15. Is tide property within 300 feat.of a tidal wetland? * YES .......... N) ..........
*IF wRS, Swnr D 10NN 12#M8 muff MAY sg M. AJIMM.
M
PLOT DIAGRAM -
locate
IAGRAM -locate clearly and distinctly all buildings, whetrer existing or proposed, and Indicate all aet-back dimensions
from property lines. Give street anclllblock nailer or description according to deed, and allow street nems antl irxlicnte
%Aletller interior or corner lot.
I
SI'Rilt Ur NEW YORK,
s5
l'XIIIMIY (1P .......................
........(�..... ,.. . .••buinll duty swcxnxts
, delea six[ says that be Is the appllcma
.. .... .....
(Nan: of hxlividkwl signing contract) j
alxrve rimed,
Ike is the ........ � C � ........
(Contractor, agent,-co� rporate officer., etc.)
of said (mer or waxers, nix[ is duly nathorized to Irer.fonn or Iwrve inerforaed the said work adxl to make and file Lhis
0140 lentiohh; that kill statements contalned in title application are true to the (rest of his knowledge slid belief; nix]
that File work will be performed( in tlrel nenhrer set forth in the app((cation filed therewith.
9A)rn to before tretitle
...,..........day of lll.....19.i.. .
Notary [lhblic .:✓..°� � 4 Kms :. .
}iELENE D. HIpRNE (S 'Inters of ppl,icant)
Notary Public,State of New York
No.4'351364
Qualified in Suffolk County 9 q
Commission Expires may 22, 19--,C
SAY 1 - 11�
Nam 26'
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SUFFOLK COUNTY WATER AUTHORI7
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SURVEY OF PROPERTY � 6 \ w° STAKE
SITUATED AT
MATTITUCK \ \�
>r \
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK \ \ \\ m6c \ 2
S.C. TAX No. 1000- 121 -05- 1 .9 \ \
SCALE ,19 i \ °
APRIL 233, 1996
DECEMBER 2, 1996 FOUNDATION LOCATION \ 5 £ \
MAY 27, 1997 FINAL SURVEY
AREA = 121 ,460.44 sq. ft.
2.788 CO. \ d
25' N�N°GGEi�O'N�D� \
\ / i GNB NN?' qqq 3
CERTIFIED T0:
TICOR TITLE GUARANTEE COMPANY
ARTHUR KRETSCHMER OT 3O \
\6I'D s. \
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NOTES: \ m
1 . LOT NUMBERS SHOWN THUS: LOT 3O ARE REFERENCED TO y \ T°P OF
MINOR SUBDIVISION MAP KNOWN AS RUSSET ACRES
2. ELEVATIONS SHOWN THUS: a0.0 ARE REFERENCED TO TO AN ASSUMED ELEVETIONS.
3. ZONING USE DISTRICT: R-80
4. TEST HOLE DATA TAKEN FROM MINOR SUBDIVISION MAP,
5. S.C.D.H.S. REFERENCE NO. R10-96-0038
\ \
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TEST HOLE DATA
RIP SOIL /
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LGAM \ /
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COURSE SNND
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PREPARED IN ACCORDANCE WITH THE MINIMUM • • i / y, 4 YL/ / / / /
STANDARDS FORTITLE SURVEYS AS ETABUSHED
BY THE UALS
AND APPRMD AND ADOPTED
FOR SUCH USE BY THE NEW YORK STATE LAND '
TITLE ASSOCIATION. A / L Gf=,I,{7(G
N
IgD et, G I LOA
JAL
IN0�9 UOC s
A
LIN
w s , .�•y PIS:
�! N.V S. Lic, No. 49666 / FP / Y� +92�„ ` + " £q,,� .�Op Eo ,
�J k A, y Yi 4 - r
GGoy. () " r x w,Ty o v,D
UNATHORIZED ALTERATION OR ADDITION 6y
TO THIS SURVEY IS A VIOLATION OF y i my At 4
SECTION 7209 OF THE NEW YORK STATE / r 5
EDUCATION LAW. 9 £ W Y Z 13 t<
Joseph A. Ingegno COPIES OF THIS SURVEY MAP NOT SEARING
THE UNO SURVEYOR'S IN ED SEA. OR Ja 8 S
Land Surveyor EMBOSSED SG SRALL NOT BE CONSIDERED t 9 } L n 1
EM BE A VALID TRUE COPY.
NOT
CERIFICKTIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED. AND ON HIS BEHALF TO THE
TRUE COMPANY, GOVERNMENTAL AGENCY AND 2'Y. N/0/F
LENDING INSTITIRION LISTED HEREON, AND
Title Surveys — Subdivisions — Site Plans — Construction Layout TO THE ASSIGNEES OF THE LENDING wsn_ x SUFFOLK COUNTY WATER AUTHORITY
TUTION CERDFlCATONS ARE NOT TRANSFEPABIE •b G
PHONE (516)727-2090 Fox (516)722-5093 n9�
OFFICES LOCATED AT MAILING ADDRESS THE E%ISTANCE OF RIGHT OF WAYS
Square P.O. Box 1931 AND/OR EASEMENTS OF RECORD, IF
One Union 5
q ANY, NOT SHOWN ARE NOT GUARANTEED.
Aquebogue, New York 11931 Riverhead, New York 11901
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