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HomeMy WebLinkAbout24754-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26897 Date: 01/31/00 THIS CERTIFIES that the building FOUNDATION Location of Property: 1250 SECOND ST NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 7 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 1998 pursuant to which Building Permit No. 24754-Z dated MARCH 6, 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 ALTERATION & NEW FOUNDATION UNDER EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PETER & HELEN PURIC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 24271 01/05/00 PLUMBERS CERTIFICATION DATED 07/20/99 IGNAZLO ACCARDI, JR. t t ori ed Signature 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. 24754 Z Date MARCH 6 98 Permission is hereby granted to: PETER & HELEN PURIC 69-47 228TH ST BAYSIDE,NY 11364 for NEW FOUNDATION UNDER EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1250 SECOND ST NEW SUFFOLK County Tax Map No. 473889 Section 117 Block 0007 Lot No. 023 pursuant to application dated JANUARY 5 98 and approved by the Building Inspector. Fee $ 75 . 00 Buildintf InspectoOt ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC A. This application must be filled in by typewriter OR ink and submitt?,d_ to the builditl, 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 co to ns 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. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a• "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 applican 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 - 25�. 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. I S® . &C .. . .. . . .(.(. . . . . . . . . . � . . . . . . . . . raL House No. Street Hamlet PErc,� /. #Ec &Z V P 41#q �f, Onwer or Owners of Property.. . . . . . . . . .. .. ... . . . .. .. .. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section, .! . . . . . . .BlocA .®. .L . . . . . . . . .Lot. . . .r�. .". 3. . . . . . . . . Subdivision. . . . . . .C.J. . . . . . . . . . . . . . .. .. . . . . . . . .. .ttF��illed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No 34 75; /. .'. .Date Of Permit3f6�. 1.". . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . .. . .. ... . .. . . . . . . . . .. .. .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . ... . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Fina Certicate Fee Submitted: $. . . . . . . . . . . . . . . . . . . . .. . . . . . . . Q�9C,.Jr�yl9 . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT o-�a6gg7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE_ ! INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �G ✓ DATE_ L INSPECTOR �"�1 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 0 ^H"IMNEY / REMARKS: l DATE_ Y/V. INSPECTOR 2. � 5�7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY L REMARKS: c DATE_ lllXh0 INSPECTORxlo 765-1802 BUILDING DEPT. INSPECT [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ale D Q,uJ G 07 c r1 nom" DATE,Z/d �:1120 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION,-1ST [ ] ROUGH PLBG. [ ] Fp ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ✓ z _ v� �j DATE_ �© �� 0 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: i ,- (� T DATE INSPECTOR - i� C J .q MAR - 31998 , BLDG.DE?T. /✓6`35 3a 'OF ell FIN N Sodow z?!,o V l 6�GSD LAp49 ori 0. LEW,q�O,0 OGXllcw:' /4✓ �$ F O� P� a, . k<1 CGwr voow�K.' AG90&Fa e• ae-,rlC, '110.2E.V/ Dolle G.�.vo ��seY6✓cze /�o.8ax-vaB A EAV-Ovl.coZr: XWWe f;g�urhIM47,N,>! Al K AIY7/ due✓e-Y,:5 em-ix,/9B6 �<rr�r.�cJs ,c�d'�uprYx3,/yam �9C6•/iii aXj . C �/Oc�-JfTo7�L h�o�oS��Foc��oGy Town Hall,53095 Main Road y 2 Fax(516)765.1823 P. O. Box 1179 �+0 • .� Telephone(516)765-1802 Soulhold, NOW York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Buildin Permit No. Owner: _ rr—2.- ; 7 CGAo �Clkl; Ci (please . ,print) �7� Plumber: ? Q c6-- /A1 TIL ease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. rY (Plumbers Signature) Sworn to before this �/� day o 19 Notary Public, U`-- County 8�r.°M"MO mwnrar law ELECTRICAL INSPECTION SER VICE INC. 375 DUNTONAVENUE EAST PA TCHO G UE,NE W YORK 11772 (516)286-6642 DATE: _1/5/00 24271 APPLICATION& ONFILE. VILLA GE., New Suffolk . TOWN; Southold ADDRESS: 1250 Cerhnd Street ISSUED TO: Peter Puric INTRODUCED BY.• Klein Electric Inc. ' LICNo; 4423-E .- - tvas examined on —1-5-00-- - , and jbeind to in campdiance withilre National Electrical Code- -- ----�---- LOCATION; Base.. Isi - " x. Ind x 3rd Attic Det.Garage Hot Tub - " Poo[ SWITCHES RECEPTACLES11 FIXTURES HEATERS FANS 13 21 16 G.FL AIR.COND. DISHWASHER DRYER CLOTHES WASH. GAR.DIS P.1111210:RANG6E OVEN SMOKE DETECTOR 1 20amp FURNACE OIL GAS CIR., MOTORS BELL TRAM 4F SERVICEDISCONNECT � ]� METER AMPS PHASE OTHER 1 150011 EQUIPMENT - Outside,Res. 8'under counter lights 1-30amp 125v special 1-20amp 125v special 1-20amp ac outlet 1-hood DYE f GO S SURDI PRESIDENT - BUILDING PERMIT No. This certificate must not he altemd in any manner BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE Inspectors may be identified by mei,credentials bBOARD OF HEALTH FORM NO. 1 // G 15 D 3 SETS OF ANS f!. . . . . . .'. . . . . . TOWN OF SOUTHOLD SURVEY. . . . . . .. . . . . . . . . . . . JAN - 5 BUILDING DEPARTMENT CHECK . �s�C . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . .. . . . . SOUTHOLD, N.Y. 11971 BLDG.DE T. Tm.: 765-1802 NOTIFY: � � CALL Examined..ry...,...... ./ 19. q� u MAIL TO: . . . . . . . . .. . . . . . . . . .. Approved.... (A .lq.... 19 .P Permit No. .�?5 .7- � ............................I....... Disapprovedale .................................. .................................... ...................................................... _ ...... ... Z........ ...... . (Buildi Ins or) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'Ibis application oust 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 slowing 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 of this application. c. 'Ihe work covered by this application may not be coanenced 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. APPLICATION IS I0IERY MME to the hkhilding Department for the issuance of a Building Permit pursuant to the Building Zone 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, housing code, and regulations, and to admit authorized inspectors on premises and in ng for new I inspections. ................ ..:.....:.... ........... ... (Signature of applicant, or nam, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. n Wlu�R- .......................................................J.................(,..................................... =- = AaDAS NOTEDName of owner of premises. E .... ................V..........................(as on the tax roll or latest deed) DAT : # If applicant is a corporation, signature of duly auUto —d officer. FE `� BY. NOTIFY BUILDING DEPA MENT ..................................................... 785.1802 8 AM TO 4 PM FOR TH (Name am] title of corporate officer) 1FOFOUNNQ . FOUNDAQiON • TVYO REQUIRED pp pp 4fF R POUM OONCRM Builders License No. d�.1.U ..[!-� ....... 3 NSG Plnnbers License No. ......................... 4. FINAL • CONSTRUCTION MUST BE COMPLETE IN C.O. Electricians License No. ..................... ALL CONSTRUCTION SHALL MEET Other Trade's License No. THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION SE ENERGY 1. location of land on which proposed work will be done..........................COSIES..-NLT[.AESPgNS1914.FQEI. 1250 9 6�C 0 /1/ & SI �V&>CC � 41IZ = � ' RUCTI.......WS mW STRUCTIQN ERRORS ................................ ... ......................n........n..�......'� ♦. House Nudner Street Hamlet Canty Tax Map No. 1000 Section ...11.7......... Black ... 7........... Lot .Z3.......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing nese and occupancy of premises and intended use and occupancy of ZToposed construction: a. Existing use and occupancy •.. . tO ('... .. a .. ...�% ... .... ..1-... O- (-:- ...........(C-t .....�./..................................... b. Intended use and occupancy _5 S!,�.... . ..... jQ l�( ( Ovlywy Afom'�^' �',aitdth<�.grs61 Vino.')*4,14rp eon C104 .OSA ..,.r.,...,.,lE YtPel eshigz3 eshrirT 1 v .. Removal ; t......... i '. rh ;. 3. Nnlulc of work (rineikwliicin applicable): llama ittiion OtleriWot$ lltpr6�ion 14� < r � i .. i n tt6t li. Estimated Cost .L./.fot,QY:.�,., ..i,.., fee .......................... ... .... <�..,,,.... (to be pard onfiling Lhis a tication)'l:il .l7llll d)tSttl'cs;7,!4r ,rrt{ 5. TL ikaelling, madmen of dwelltry; units Tlnber of dwelling units on each ftrio"r:........ ....... 7fgarage, rxnlrer of care .........i............................ G. If husin: ss, Lomiercial or mixed occupancy, specify nature and extent of each type of use...................... 7, Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileiglit ........................• ttnbrer of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... ileigint il................... Nanber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. !!eight ......................... tLni)er of Stories ..................... 9. Size of lot: Front: hear .................... Depth .................... 10. !kite of Purchase .................'.... Name of Former Owner ........................................ If. Zane or use district in uliich premises are situated .............................................................. 12. Dares proposed construction violet9 any zoning law, ordinance or regulation: ........................ 13, Will lot he regraded ............1....... Will excess fill be renwed from premises: YES No M. Names of Owner of premises ...... Address .............................. Miorne No. ......±....... Name of Architect ...............1.................... Address .............................. Phone No. .............. Name of Contractor ................................... Aikiress .....Mnone No. ......:. I• . . . .. .... ...... 15. Is this property within 300 feet 1 f a tidal wetland? * YRS .......... W .......... *IP YLS, SDIINUD lum 1131SIMs PGld1Cr MAY BE IGonin. PLOT DIAGRAM Incate clearly aril distinctly all buildings, whether existing or proposed, and itxlicate all set-bank dimensions fmm properly lines. Give street and block number or description-according to deed, and show street names and indicate whether interior or corner lot. j I I it b 010 fl',I3 Y'lit" ml AI As,)l M4 ► tit' PAA 11 ;iibtf3l'Y03'4fJ54i FdD1ilAJQ L,lt?7 ;I'JRIUDAA W Y1Ci1TAd11111JCJ4 f (xJ11NIY N' . U + KAM . Us�iR4 u mbi a� 5.1il "Y3rifA'31e14w 9fY1dT9tSfj'IcefNCt'T'.1d """""""" •••being duly sworn, deposes aril says thaC be is Like appliranC (14TV010idtaii 13'i &4r ft345iFr f D'VMMWA WNTa1111781'IO'3 3Ti1'r R04 3181 IUVI83R TOX .83001) IkeliAM1Il ....................................................................... (C"WracLor, allent� corporate officer, etc.) of said owner or owners, and is duly authorizer) to perform or have performed the said work and to make and file this appiication; that all staLeoenta contained in this application are tare to the best: of his knxrwied6e and belief; and LhaL Lhe work will be perform it the iminner set forth in the apptication filed therewith. Sworn Lo before me this ..... � u .......day o' ... .,1936'k ... n Notary Rdrli ... ...... ... ... .. • v2 ROBERT II ............cant.............. .SCOTT (Signature of Applicant) Notary Public,$tete of ew York Qualified in Sutiol ounty No,01SC47 UM bon"May „ i j— �✓ �`,xq-"�zir � �:`xa'��-roue � j ---- -�I;�G� N� tz� z.���12� u --- �cl�(t l�iD OF 4v-Y WTD N � n N � I OF NF ���� co t r Poor 1'o1210 04 1' I fii ¢ X `R�r r�� �x4xP�Jr rO tCtLL4E ---- 2 pU: �1� f�2J Z `12 r � � 1219 %t (,�(,DFi IUl.k7'1GN YZ 74 r7 � $ N XI OF NFA A. �o 4�`4 Fogr-ro qtr r hvFfbj, ,NY itIit17'ioted n_y -on or Ico tr-I i:t -, ,7, "At tar tII .iontt4Ct*t AbAll 4- i ­h tUt t IA U, Imq fL am'sumod. at 2- it tit- r ,;Zo b xv* I'*too, _44 b-q!L W 9 k*d k4-7-f, Iitiii, iT_ to #�4&dars tk :Z- t ..........ior ititIlona: rUtan,d.fI14 2 ititt-fig Pr -hl tv�wid4 uddW a u--.Ik -all �6in�t h t,k,te I .... ......110,%*41 Kid.- Iv_r�n>fz titIN .. ............A"M D AS NOTED .............4 00 P.# tC BY. N AT Now OWING DF S AM TO 4 PM FOR TH E VISPEMONS:TWO REQUI ERWRITERS CERTIFICATE RED REQUIRED po p0UM CMCRETE tt1. NOUM - FP.&MNG & PLUMWA 4. j:INAL N M%W CONSTRUCTIO BE COMPME FOR C.O.UMBER CERTIFICATION pLuMBING MEff ALL CONSTRUCTION SHALL ON LEAD CONTENT BEFORE TE AL pLuMBING WAS TW REOUIREMENTS OF THE N.Y* &V�iA7=r,t WNIES NEED CERTIFICATE nr Or%^UPAN C_Y Sni TESTING BEV:,OR CODES. NOT RESPONSlm-� v- rOR WI-DER USED IN TER DESIGN OR rO"11-SUPPLY SlZnTEMf%A NNOT ff copper tubing is used E-AD.itEXCEED 211 0 of 1'710/ L tA Ifor water distributing PROVIDE SMOKE-DETECTING system; Piping shall be ALARM DEVICES of types K or L only AS TO PART. 721.1 UNDERWRITERS CERTIFICATE REQUIRED N-Y-S BUILDING CODE ItNEP IV LU 0 1,two im i No W NIB,000,011111 F j' Mw,.. • t a t 1\ , t , s ] t ' - 1 V T^ , -.- • J1"-- � i 17 rr i P { t f Fi FF �� k E 1 t s i f ]. f 4 i s ! l F E lE n� 1 t 1 T i 1 ,q , ' �.�... ...... _ -.- �' iy+}[i�t ��� � Y ! 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