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HomeMy WebLinkAbout24110-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25276 Date SEPTEMBER 22, 1997 THIS CERTIFIES that the building ADDITION Location of Property 790 VANSTON ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 12 Lot 10.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1997 pursuant to which Building Permit No. 24110-Z dated MAY 9, 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 SCREENED PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & MARILYN HEINS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-426644 - JULY 24, 1997 PLUMBERS CERTIFICATION DATED SEPT. 18, 1997 - ROBERT A. MURRAY l Buil ing Inspect-or Rev. 1/81 FORK NO. H 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) N? 24110 Z Date ................�... .............................., 192. Permission is hereby granted to: ................................ to 4�,�✓ �.w........ ,y.......��'/ �..... .� . .... ...... .......%9!!!.......... `rCh 71�.:: ....... ....... '. ....... .. .....rE��%%. 09 I......... ........ ................ . ..../............................. ...................... ./... .................................................................. ............ .......... ..... at premises located at.....1.. .... .. /?��/l4✓!!'......1. /............. .� f .................... County Tax Map No. 1000 Section ®pp7 ............ Block ....1...� ......Cq..... Lot No. � !.��........ pursuant to application dated .....1: l ......... ......... 191..1, and approved by the Building Inspector. Fee S...... .. ...... uildi g Inspector Rev. 6/30/80 Form No. 6 e6 (2)0�6 1Q9� TOWN OF SOUTHOLD c4 ckrL r (1 BUILDING DEPARTMENT �' d TOWN HALL /Ic3s 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. 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 - _ .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . 5a;rT 2 2 � .1 r' �1 :7. . . . . . . . . . . . . . . . . . New Construction X . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . C Bch cgz. -,.e . . . . . House No.. (( Street Hamlet 7 5 Onwer or Owners of Property. . !>.,. �_. ?V . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .l.®` f. . . . . .B1ock. . Ag . . . . . . . . . .Lot. .tf?,3 . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. 2 . C� .: . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. �'.4;,h`.`—r-a. . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. X. . . . . . . Fee Submitted: $. .02 y:. �J. . . . . . . . . . . . . . . . . . isO ! . . . . . . . . . . . . . . . . . . . . q�,�,S3 iPaZ APPLICANT co ?_ as 7� �..✓', �ItWR�+ '�' '^` ""• '."'r -#.+�:_'y�' ef'-!��r+ "yrF''.*""" ,..: r t ;a (,�' � • � t�. .� S^� -.��a �•� ; a"� ,u,=. �r r' 0 '2 4199 r .. `�.W:r .._;...--..a..Mh4,.�y.•'w./'i"Kr+n.e,I...,........A-�.�.. �.» --,�+n+.w.�.w-r.. ..._.- --. '-~I '. - .. .. j �. } i; 39�`t rra►a �► a 'i-qo 777 1 -�, 4'•'7A„�'- w�Jr�rM.-e..� Y,r...- ..I.•.:� 1 ,. Ca�NQr!.�V'k1 t�4�� �t.N `' M ��.wltl I�� •J��'�'��Y��Y y, ,w'4 r° W�ry/�*Kam 'r t t© ', ,.' Q-:' 'ti.{� �1 ( Ta'Q•n ''iG'/� 'T r .. ., bthk�llnaYYlltAslMblld � � r r ,' �,. Semonnw9rgrlwrirlcgliM ,' d�.(,ll' F `J'tf4 foeamwn LM ke lanp sunwjO t b*W Md 9t +a+�bgewd reel MW 1101 braaeluld�sl/s:r J t4 W a v0d Um Go&. � *..s' r,, �r .:a► a "'�/ tSwranteAs r>dic*W WNW I An, A4't i6 ;. Cray to the.PM ^hMime often .. Y► �I�F M r, ` * �' fife Mh' +s pre�red,end.Pn ONMM 'pa'K. OC1j3CnY,QpVtlf1111afMai lan;ix�i�stitt^.:onliga4lNlaQI1Md'+ '� • ' �µ lF , tc t:C f ,gt os�1be irMilp ' r ': r.15 tuna. cradeesar�nutfilaMNwRl� to'&ddi40nal wtstilWW�s W Ml�la/4UIK '" "" ; a . - e'A y .. a. 'a -. 4, k'-.-, pC ,.t� ►;-A'Rr ayv!'r�.Y+e. Yr ro � LAWRENCE M. FEELEY, JR. ARCHITECT ARC F11 TECTU RF PL, r N tit (.; DE.S €G June 12, 1997 Town of Southold Department of Buildings Main Street Southold, N. Y. 11971 Attention: Building Inspector Re: Proposed addition to Heins residence Dear Mr. Boufis: As requested by your Department, this letter is written to confirm a change in the construction of the Porch addition at the above captioned residence. According to field conditions and owner requirements, a four foot wide window has been replaced by a three foot wide door. This door is located under the structural ridge supporting the Porch roof. In order to accommodate the loads, a double 2x12 with a ih" plywood spacer will be provided spanning the three foot opening. Double jack studs will be provided at each end enclosed in king post studs. The bearing load will be transferred from the structural ridge via a 4x4 post with a galvanized connector. If you have any questions, do not hesitate to call. ery truly yo lrs, AGNS', RFD ARCtiT wrence . F eley, Jr. 3 Architect 1-9714-bd Imf 15589 ,F qTF OF NEW 15 Case Court Sayville N. Y. 11782 516 . 589 . 6171 11,1;1! -Ill:i l'I;1,111111 III;I'Illll PIN 11: _ .... .,•...._.. _ _ _ 1'_UlI11P 111'1' T� Illi IMA l'I 1111 A 1 p� Ulltlll� I"lull (11111) �"_•�--- --- -- � (� m....n mn "."n' -------- .._..ten........................... �� �� —! Ilii❑i FRAPW 6 1'LI111111 HI! — .n.rnmmnn.....nn.n,nn,r.rm..nnr rn.r .M,.nn-r.,,nr nnr.nn nn.rrm..vrr.—m,.�r..,r-nr.•..mvv,...nnm..�.I--------- ..r..r,,...•,..vnr-....,. 1; I!t IILA'1'11111 I'F.II 11. Y . •—r..._.,x.,u.u..n,..w. „-„��—�� — 't' !FIAIP, I' 1 IIA I. M—p- ADII I'I'I IA1. (;(11111111 I"1'll l °'� -- n_ i 0 1 SUFFO(K�o A Town Hall, 53095 Main Road y 2 v . Fax (516) 765-1823 P. O. Box 1179 Q Zr,q� Telephone (516) 765-1802 Southold, New York 11971 -T a0�- �l -T OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N " DATE: 1B 5,V T Building Permit No. /� �f/�a - Z Owner: V"6 h"�-d ��� i' 5 (pleaseTprint)�✓pv�1 Plumber; Apo ��/fl���� `\ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signa re) w/ Sworn to before me this day of 19 Notary Public, County 61VA &" ws Tam E><91M Oat 3 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000926 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 24,1997 Application No.onfile 14321.297/97 N 426644 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of HEIN2E, 790 f VANSTO��Nryry ROAD, CUT�CHOOUE, N.Y. in lhefollowing location L':J Basement n Ise Ft. El Fl. OUT Seetioh Block Lot JC1;LY 21°1997 andfound Erns examined un und to be in compliance with the National Electrical Code. FIXTURE FIXTURES I RANGES ICOOKINO DECKS I OVEN [DISHWASHERS EXHAUST PANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT I OTHER I AMT I K W, I AMT. K.W. AMT K.W. AMT K.W NAT. N.P 3 1 6 1 4 1 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECPT 71MECLOCKS BELL UNITHEATERS MULTI.OUTLET DIMMERS AML K.W. OIL H.P. GAS N.P "t. NO A.W.G. AMT. NAP. MIT AMPS TRANS. AMT H.F. NSYST SYSTEMS FEET AMT, WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 11.9 3W 1$3W 3 6 3W 3,#IW NO.OF CC COND. A.W G- _ NO.OF H AEG A W G' NO OF NEU1RA15 A.W.G EOUI►. FER OFC .COND. OF HIAEG OF NEUTRAL 1 200 CB 1 X 1 210 1 210 OTHER APPARATUS: PADDLE FAN-1 MOTORS:1.-P H.P, I WEST BABYLON ELECTRIC LIC,#930-E 1060 LITTLE FAST NECK RD. ITRI BROS. WEST BABYLON, NY, 11704 GENERAL MANAGER 11 f III='. 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. ,1- C* Town Hall, 53095 Main Road A-V Fax (516) 765-1823 P. 0. Box 1179 Southold, New York 11971 Telephone (516)765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 29 , 1997 Richard Heins P.O. Box 1254 Cutchogue, N.Y. 11935 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) XX 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. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24110-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 411L 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ]/FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA KS: DATE INSPECTOR M-1802 BUILDING DEPT. [ / INSPECTION DATION IST [ ROUGH PLBG.( t-14-) [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA S: Ge/ talc , DATE 3 7 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] rUNDATION 2ND [ ] INSULATION [ V] FRAMING(, `) [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �/ �Z �� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ } FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;'FINAL INS LATION FRAMING [ [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ kt OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION [ ] FRAMING [ j FINAL [ ] FIREPLACE A CHIMNEY REMARKS: — e DATE INSPECTOR FORM NO. 1 3 SETS v> r t TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . .. . . .. . . . . . . . APR2 41997 , L J4 BUILDING DEPARTMENT CHECK . .. .. . . . . . . . .. . . . ... . . . . . 4 TOWN HALL SEPTIC FORM . . .. . . .. . . .. . . . . . . . BIOG. D[P'1, SOUTHOLD, N.Y, 11971 L —TOWNOFSO�T101_R-� TEL: 765-1802 ' NOTIFY: +p pp CALL Examined...... 19./. MAIL TO: . . . . . .. . . . . . .. . . . .. . Approved.............. 19-.f�! Permit No. i! -�� .................................... Disapproved a/c .................................. ............I....................... (Buil ..tor) APPLICATION FOR BUILDING PERMIT 1 Date.A;.7t,J. . t { . . . , 19 ? INSTRUCTIONS a. This application must 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 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 mist be drawn on the diagram which is part of this application. ' c. The work covered by this application may not be co wnnced 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. APPLICATICN IS HG16W MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tom 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. ;tt L ....................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0� /n-er ................/,....,/.............../............/,/.........,..,....,..................................... Name of owner ofprem sem e �s.....,......... ................................ (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, Pludpers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed (work will be done.............................................................. z./ Vw,�s�mn KcE' �c ©�t R .................. ........................................ ....................... House Number Street Hamlet County Tax Map No. 1000 section ..��y........ Block ..� °� ......... Lot .!.©:.......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: F �.l ��e(l,',� a. Existing use and occupancy .�.......�Y.. ..((.....,.�.......r..........................:.................. b. Intended use and occupancy ,SS C e C? �4..;r7. ........ .................. $mV WIM to Afsfe,me son rafow WAUOp f01od1uP ni d uiYslsazQ �'bOdSt&.`12 i'd't.pM �Jt VOM R01443 mug __.., auaee;k alaida applicable): New Building ,......... Addition ........,. Alteration .....,.,.... Repair Reauval .. .......... DMIC)I tio0 ............ Miter Work v F„tanated Cost � (I>zsc:ription) P ............................. ............... (to be paid on Filing tills application) 5. If chaelling, ntdher of nkaelling 'limits ..........., llunber of &elling emits on eadt floor ................ Ifgarage, nnber of cars ......'}............................... 6. If business, co mercial or mixed 'oceirpancy, specify nature anxl extent of each type of use...................... 7. Dinensiovs of existing stnacture4 if any: Front................ hear ............... Depth ................. height IMniher of stories ...................... Dimensions of save structure with alterations or additions: Front ............... Rear ............... Depth .................... Beigltt ................... Umber of Stories ......... . i S. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Ilaight ......................... Nnber of Stories ..............,...... 9. Size of lot: Front ...............J.... Rear ..........,......... Depth .................... 10. Date of hirchase ...................I�. Name of Former (leaner ........................................ 11. 7Axae or use district in eAridv premisea are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regradedV, ..F .. ... Will excess fill be rernuved from premises: YES M14. Nacos of (parer of premises ,) .d f�:l4Yt.��i/1'Z.±l.?�.h`�. Address fimf..la3�.�Y.T�? �4.!u:��I�Rwre No t6.7��f.�`�1 J. Nrne of Architect ....................t............ ... Address ...,..............,...I.,...... Ciwre No. .............. . ....... hklress Locv9T�ve bn hlttypo y6uaa-tLfIl .... Nrme of Contractor nT?I7;�C5,c� .��.�.1�1:�.:.°r' .. `�r.............. ....�,...Pixne No. ....... I 15. Is this property within 300 feet of a [{' dal wetland? * YES .,........ N0 X....... *LF M. "MUD 7"%N imsm s PCMrr PAY RE RE(?111R1,. PI.OT1 DIAGRAM incate clearly and distinctly all buildings, wihether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nun e)er or description according to eked, and allow street moires and indicate ubetber interior or corner lot, 1� I i i I I l Sum-L or Nis YtAW� , 00NN/LY� ......... t7.......................', �...being, duly sworn, deposes and naya that he is the applicant (Name of individual signing contract) II alhove named, tieis Live ...............................(7 YJ.W4.....li,.......................................,..........,.. (Contractor, agent, corporate officer, etc.) of; said caner or (wnx:rs, 411KI is eptly authorized to perform or have performed I.he said work and to make and file this appi tcation; that all statenenta cnhtaine.d in this spill.it Ption are true to Lae best of his knowledge and IKilief; six) that the mirk will be performed in the manner set forth in the application filed therewith. Sworn to before me tills ...... K .....tiay of . 107.... I fftbi"Ik Notary Milk . . .....:1.S (Signature of Applicant) Stn OW YW% a 18C472 Atm Erpim LZ 31. 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'! 3'" APF O� "7RII�IMPA - --- � �- - - - - - -- - I --_ CEGl41'2 COLLMF�I LT, -.. -- --- ��- ---1 LT - - --`IFN g A'N AIA E, NC1.D�r-.�LID�=` I 41 ? ,� - �� ---- _LtLUM GLAD 2x 8 C!� -- - - - `' a r�lA ��CUPANCY OR C.C* COLUMNS TRIM, d„y, - eV),2x� H» 6 USE iS UNLAWFUL 9GK �1J 4K4 i.4 �' i IV/ 12 'r0 �" W,,� ] WITHOUT CERTIFICATE AC4 , �c _ OF OCCUPANCY _ IDP_G{GII�I�J�TR2.X� CoI NORTN /�ITRJ ___ CEI�`K CAP TKIM P� WD COMP Cd^�K _ �. � - ce - - rcH -- - �� ��_ - - J� -_Il __i % COL.11MIJIN� 1"+ fo' i - _ APPPO ED AS MOM 71 I n DATE: VI/CDR PpP.CiG .._ - _ - - - _ Ci`GL��. 2 r0 1L` I _ J-_ - _ -- - - _ - - - - _� _ 1 r�uNo L -L - _ - - + J- L_- _ _ ._- --___ -_ -_ I 1� \\. __- t✓iRaGKETS3TTP NOTIFY ' k to°mN_'Ii e'm mod � IOO _ �- lom eA 1 7c:. U L'' e76£G -- - _ -__ - _ 2. 5 Vf4f�T rLf�//\TION ro 12^ �o N �h-T f1 �L �VATIOI`1 x4 cr�o� T[u � n. F� a : 5T t -- -- or cow 7YP BaC. f.1.1 N /-° II ¢ - TGo a ALL E :��' 'lL II. 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