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Home My WebLink About24494-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25799 Date: 06/29/98 THIS CERTIFIES that the building ADDITION Location of Property: 850 THIRD ST NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 8 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 7, 1997 pursuant to which Building Permit No. 24494-Z dated NOVEMBER 18, 1997 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NICHOLAS J MANDUSIC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N456971 06/23/98 PLUMBERS CERTIFICATION DATED N/A �/lr Ins ector 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) NOVEMBER 18 97 24494 Date.............................................................. 19........... Permission is hereby granted to: NICHOLAS J MANDUSIC ................................ .............. ...................................... P.O. BOX 227 .......................................................................................... NEW SUFFOLK,NY 11956 .......................................................................................... CONSTRUCT A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY to..............1..........•......I......................• .............................• . ................................................................. DWELLING ASD APPLIED FOR ............................ . ......................................................................................................................... ...................t................ ...................... . ...................... ............................................................................ .................................................................................................................................................................. .................................................................................................................................................................. 850 THIRD ST NEW SUFFOLK atpremises located at............................................................................................................................... ............... ............................................................................................................................................. 473889 117 0008007 County Tax Map No. ........ ............. Section ........................ Block ........................ Lot No. ........................ OCTOBER 7 97 pursuant to application dated .......................................................... 19................ and approved by the Building Inspector. 75.00 Fee$.... . .................. tt ...... ............ ..... . . .•. ............................... Building Inspector Rev. 6/30/80 Form No. 6 fi r w TOWN OF SOUTHOLD BUILDING DEPARTMEN'' J��{ 5- /1956 TOWN HALL 765-1802 � c APPLICATION FOR CERTIFICATE OFaOCCUPANCY 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 frg4 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. C. Fe!es 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 - _ .25e,. 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..'e.5-A. .. ... . .... .Z7/X 4.. .. . . . ... . . . . . . . . . . &. .��f`. . . . . . . . . House No. ,�/ 1� ` Street Hamlet Onwer or Owners of Property.. . . !!/�G!?�! .. . . .�!. `SIC.. . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. ../l . .. . ...Block. . . . � . . . . . . .Lot. .?. . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . .. . . . . . ... . . . . .. . .. .. .Filed Map. . . . . . . . . . .. ./Lot. . . . . . . . .. . . . . . . . . ... . . . Permit No.-M:-N. Z . . . .Date Of Permit. ?.7 . •Applicant.�li!c/ • S• hdrtI14uS/G Health Dept. Approval. . ... . . . ... . . . . .. . . .. . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . .. . . . . .. . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. il. . . . . . . . Fee Submitted: $ . . . .. . • . . . . . . . . . . . 40?JW skli-C.'S I . . . . . . . . APPLICANT . . . . . . . . . . . . . . . . �� C�S 7 Q� THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1001034 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JUNE 23,1998 Application No. on file 15924798/98 N 456971 THIS CERTIFIES THAT PERMT' 'N0. 24, only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MR/ MRS.NICHOLAS MANDUSIC, 850 THIRD STREET, NEW SUFFOLK, NY in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. GAR/OUT Section Block Lot was examined on JUNE 15,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P. 4 1 3 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT 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. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OFA COND. NO.OF HIAEG OF HI•LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: G.F.C.I:-3 STENGEL PAUL LIC.#1923E (_ L P.O.BOX 915 WATER MILL, NY, 11976 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. 70-1e02 suiLuiNo uByr. INSPECTION [ ] FOUNDATION 18T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: D -s DATE l �17'17 INSPECTOR BUILDING DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ 1 FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ol �.�"� �• O� R DATE �f 9� INSPECTO saL.uINa nEr►r. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG PLBG. J FOUNDATION 2ND NSULATION ( 7 FRAMING [ ] FINAL REMA Ss DATE —INSPECT BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CFIIMNEY REMARKS: AA-Vt,� - DATE � � �g INSPECTOR v M-iso2 suauINa DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � � / � INSPECTOR ' 1 41:1.11 IIl;i1'1;1:I 1ml IlP •F .1'1111fw _r16-�__.__ •---«_.____._.._._....__ ----•---•----l:Ulllll:Il1';iw«.._. ...----••--•----- `�-�- t, ca !:VUtllln'f -------------- ------------------------- - ------- - -_««-www_----_-._.,----..__.. •._...----- -------------------------- ------- ___ ^. ,w 1 11!;u1.A•r 1 nll rlat 11. Y !!'PATI'. ICIII;111!Y ------------ - _ _ _ 115 1 -•••.'•^-••-.._•►._«www..-w w..r+•....•__..ww -------- «._w ««r.__ w..«w-«-.w.w ..w __. U • r -------------------------- - A11111'1'I(MAl. (;(N1111;IYI'Ii! _www-_--w- �I I � i IV BOARD OF HEALTH . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY .. . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . 7 j997SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . .7 3 L/. .9'3�.. .. . . _ 014 /ri��/itS /�1Jysic Examined..l1. ............ 19P ,� MAIL TO: . . . . . . . . . . . . . . . . . / j� Approved....1.f. ./..1... 19Pernu t No. ......��T..� .��D..SI:..�Q�.z�7........... Disapproveda/c .................................. ...................................................... (Bu' d' I pector) APPLICATION FOR BUILDING PERMIT Date. A . . . . . . . . . 19.97. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 promises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be cammrenced 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 HEREBY MALE 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 dewlition, 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 buil�dinjg� for necessary inspections. ....:[! ! 49....................... (Signature applicant, or name, if a corporation) r . .. ........ . .......................... . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or builder ....................©tJ.v jz ......................................................... ........................... Name of owner of premises In. `....................................................... (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. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. ............................................... ................................................... House Number Street Hamlet Canty Tax Map No. 1000 Section .....03 ...... Block ....5.......... Int ....7.......... Subdivision A.5..r...�DOIP ..SeS.J. ........ 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 .....q�nlp:................................................................. b. Intended use and occupancy ...................� G4�t�.......... ...................... .... ................... 3. Nature of work (dwck wlridr applicable): New Building ('�:'��`Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. /� (Description) 4. Estimated Cost ..rl..!!•DO.O........... fee .................T........................... (to be paid on filing this application) 5. If dwelling, mmber of dwelling units ............ Nni)er of dwelling units on eadi floor ................ / /�,1, If garage, rxnt�er of cars ....... .. .......................... 6. If business, commercial or mixed occupancy, specify nature and extent of eadr type of use...................... 7. Dimensions of existing strictures, if any: Front................ Rear ............... Depth ................. height ......................... Umber of Stories ...................... . Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... height .................... Number of Stories ............... 8. Dimensions of entire new construction: Front .....�.f....... Rear ..... ..... Depth ? ......... Height ......................... Nmber of Stories ..................... 9. Size of lot: Fruit .................... Rear .................... Depth .................... 10. Date of Purdiase ..................... Name of Former. Owner ......................................... 1. Zone or use district in which premises are situated ...... Pr-::T/4 G ........................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ......:1 0 13. Will lot be regraded ........:............ Will excess fill be removed from premises: YES 14. Names of Owner of premises Pl4jall*5..ROA'W$l A.... Address-3AP./.: Phone No.'I3y............. Name of Architect .................................... Address .............................. Phone No. ............ Name of Contractor ....l�i oil F..� �.l4�'11u.f��....... Address & �. dP. S!.,,udu!.5,(69 (�Plxxre No. 2,.�:-7131 . 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .h....... *IF YES, SI7tM11D 10WN 112USIMS PERMIT MAY BE MAJOR Mi . PLOT DIAGRAM Incate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block amber or description according to deed, and show street names and indicate whether interior or corner lot. 91'A1r 01- N-W YPW, /1001. SS ODUNIY Or. .. ............ /V/Cf/ojds,•T,,M�9;�acls/G...... .... beim; duly sworn, delx)ses_and says Lhat he is the applicant (Name of individual signing contract) above mored, �. Ile is Lhe ....�wu�R�.�aTiPpc%O/( .�4r.c�.+��!?....................................................... (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 statements contained in this application are true to the best of bis knowledge and belief; arx] LhaL the work will be performed in the manner set forth in tie application filed therewith. Sworn to before me this a�7 .... ....;day o D6i,gtzll.....19.1.yl... Notary Public . ....... ` .` SAN (Signature of)Applicant) Notary Public,Stat of New York No.4896735 Qualified in Suffolk County CmnrnWm Expres Mr 26. or J w t f ` r VRa Pose] '� :✓ J ,y - I ! Art,�cpEb � � S3 + 1� k _ , { Ya -Saab ' h Out UNAUTHORIZED ALTERATION OR ADDITION c s TO THIS SURVEY IS A VIOLAT;ON OF _ , '�� r • ._-- -""`-_ SECTION 7209 OF THE NEW YC kK STATE CO:'1FS OF t�:- 'FY.Y ltA?NC;'Fx kK+`tG - THE LAI D � � v.._J -Al,OR TO BLI A VAL= GUA. SHALL RUN FO Tui /oF g { l �= r UNDERWRITERS CERTIFICATE REQUIRED jIT OCCUPANCY OR 'ROSE�i .itRE i USE IS UNLAWFUL , Wm no"ro WITHOUT CERTIFICATE I FARE 7173 to(l)OF OF OCCUPANCY FEE: NOTIFY NAam R 7W111101 S AMID 4 M M FOLLidIIIIIIIIIIIS , c?) O�J 1 F+OIM>M • 1M x011 POUF aON� { , Z_ ROUGH • / Nl •IAS u 3. INSUL0111= 4. FINAL - C MT I�� = -o BE COkVI.ETE PON CA. ALL CONSTRUCTION SMALL MMMT _��to DI THE REGUMEMENTS OF 11Mt N.Y. STATE CONSTRUCTION S t•INAY 850 34) CODES. NOT RESPONSMU POR DESIGN OR CONSTRUCTION 01RORS d, i Q�r43 Q2 I �a 7d j " a Ylo et P'sk q 6� oc i o6� c\ M � p_S�Q-NIfAo 702 I )�k41NrX� f /. 3oG4 j -- - � 8� i ------------- 0 I � 1�s151 I n�C �UJS� i ' t �W I 9-3 r Op I r�