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HomeMy WebLinkAbout23412-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24753 Date NOVEMBER 20, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1455 MARRATOOKA LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 4 Lot 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 20, 1996 pursuant to which Building Permit No. 23412-Z dated MAY 6, 1996 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 2ND STORY ADDITION & RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL & THERESA MILESKA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-395525 — AUGUST 28, 1996 PLUMBERS CERTIFICATION DATED NOV. 15, 1996-HARDY PLUMBING & HEATING .str ilding Inspector 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) Date ................ /K'..............................., 19... NP 23412 Z Permisslon Is hereby granted to: ..e4wle................ .ee).......,v..L�?r........../.�f>1�........r... to ....�L.l�,lr1tLl�.....��........... 7.........�JTd . .. . ......../� ��....... ..... ..... .......��......... ........ ...�r�f! :.... ......................................... ......................................................................................... .............................................I...................... /� ' fG, sr 9................................................................... at premises located at..........��0( .../.'( 1Q 7Ka�•••••/e ......................................... ..............................................................� ...../....................................J.......l............ County Tax Map No. 1000 Sectlon ......�1 ........ Block ........tf.154........ Lot No. .../...�../................ pursuant to application dated ..........�!= .......� .. .................. 19.A....... and approved by the Bullding Inspector. 77 Fee s—, V.7............ ........ ....................................... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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. 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 BuildinR - $100.00 3. Copy of Certificate of Occupancy - .25�, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1L5.000, Commercial $15.00 Date /. . ,4. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . �yOld Or Pre-existing Bu 1J$i-ng. L�. . . . . . / Location of Property. . . �.{ 5 r . . . . . . . .�!fNf(.a &. � . . . . . . . . House No. Street, Hamlet Dower or Owners of Property. .�LLo.a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ��Jf County Tax Map No 1000, Section. . .V6 . . . . . .Block. . .Ur. ./. . . . . . . . . . .Lot. 11.1 . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C./Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No�3 / /�.2.. . . .. .. .D/a�te Of Permit,-/*f . . . . . . . .Applicant7w..� CCC .4 . . . . . . Health Dept. Approval. YVJ . . . . . . . . . . . . . . . . . . .Underwriters Approval. . .r, q. . . . . . . . . . . . . . . . . Planning Board Approval. ."4. . . . . . . . . . . . . . . . . . /"j/ Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .Y. . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . C � . . . . . . . . . . . . I . . . . . . . . . . o a y ) 3 APPLTC T THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE ,1 000121 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date AUGUST 28,1996 Application No.onfile 11861896/96 N 395525 THIS CERTIFIES THAT only the electrical equipment as described below and introduced.by the applicant named on the above application number in the premises of PAUL MILESKA, 1125 MARArTOOKA LANE, MAI�TTITUCK, N.X. in thefollowinq location; 11 Basement Ellst Fl. 12 2nd Fl. OUT .Section Block Lot was examined on AUGUST 2,3,1996 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K.W. AMT K W qMT KW AMT K W AMT H P 11 25 21 11 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS S►ECIALRECPT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. R.W. OIL H.P. GA5 H.P. Mr. NO. A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMT HP SYSTEMS "T WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E MIT. AMP. ME METER I.0 2W 1 SW S A 3W :I 1 AW NO.OP CC.COND. AWG FDUI►. PER 9 OF CC.GOND. NO.OF HbLEG OF HI LEG NO. NEUTRALS OF NEUTRALG. OTHER APPARATUS: PADDLE FANS-3 WHIRLPOOL BATH-1 MOTORS:3—F H.P. G.F.C.I:-3 SMOKE DETECTOR:-4 PAUL R. BURNS LIC.##3897 T P.O.BO% 1061 GENERAL MANAGER SOUTHOLD, NY, 11971-0932 ss 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. TEL. 76=-1802 "MI CUIy TOWN OF SOUTHOLD �. OFFICE: OF BUILDING INSPECTOR o !•.y T;=•'t P.O. BO:: ',28 to y �� ••,� .� TOWNIi.;LL O SOUTHOLD, N.Y. 11971 ^c C E R T I F I C A T I O N Date / Building Permit No. 5?3fyy1J > Owner IV-rr (lease print) JJ Plumber rg,v� rr. t -2�i/ IKnj_ - (pl ase print) V - — I certify that the solder used in the water supply system contains less than 2!10 of 1% lead. (plumber ' s signature) Sworn to before me this �� (( day of 19 4 1 Notary Public Nota:•• I'LOlic, �bL1� County MELANIE V.BROWN Notary Pubk stale o1 New Yak No.49W12 Oualified in Suffolk County Commission Expkes Oct.19,19 io VOMIDA 1 1011 FUMIDA I MU ---------- —------————-- ---.,,,.,,mem,.----x,-a...-v. X .�M RMICII FUME, 1'1.1111111 IIfI ----------- ----------------- --- --- ----- ----------- ----------- IIIS(II.A11011 ti I A I IV 1;111; ----- ............... .......— VIIIAL ----------- ADOIJIOIIAL --------------- ---- ---------------- ---------- — ----------- ............. M-1802 BUILDING DEPT. 1 NSPECTiO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] NDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R MARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ l FRAMING [ INAL REMARKS: ' DATE INSPECTOR A4,1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU BG. { } FOUNDATION 2ND [ INSULATION [ } FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: „ DATE SPECTOR � 3w �- -�:7- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR BOARD OF HEALTH . . . . . . . . . . . . . . . FORM N0. 1 3 SETS OF PLAN . . . . . . . . . . . . . . . L. LS U TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . . FEB 0199 � ; TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . ry i SOUTHOLD, N.Y. 11971 ' -_w.._......... d....6 TEL: 765-1802 NOTIFY: BLDG. DEPT. � A � TOWN OF SOUTHOyIJ) CALL MAIL TO: . . . Examined.......` 1`......, 19. � �4 . . . . . . . . . . . . . . . . . / a3 Approved.........�.G...., 19...� Permit No. ................ ........ . .............. Disapprovedarc .................................. , '' .................................... ...................................................... (Building tor) APPLICATION FOR BUILDING PERMIT 'Date. . . a�. � . . . . , 19.�� INSTRUCTIONS a. This application Bust be completely filled in by typewriter or in ink and submitted to the Building Inspector witl 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 mist 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. APP[ACA'nON IS UEHE-BY 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, Neta York, and other applicable laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for re Nal or derolition, as herein described. The applicant agrees to camply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorived inspectors on premises and in building for necessary inspections. . .... f . ......... (Signature applicant, or name, if a corporation) �� A-: (Mailing address of ;p4-icant) State whether applicantisowner, lessee, agent, architect, engineer, general contractor, electrician, pludier or builder. `: .................................4 ............................ Nare of owner of premises ......./ ..�'�..�.�!.r:rF4 u........................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ...V _ L ................. PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. /Y's-s-............... � ..4.:............. �� �-'? ............. ....................... (louse Number Street hamlet Canty Tax Map No. 1000 Section ..Z/J........ Block ../............. Lot ... ....... Subdivision ...................................... Filed Map No. ............... Int ............... (Nave) 2. State existing use and occupancy of premises a_nddmintended use and occupancy of proposed construction: a. Existing use and occupancy .... �������`f .L?/�" P/................................................ b. Intended use and occupancy ..../x! !6" L?..../ ................::....:............... I. Kilure of work (dieck whidi applicable): Neii Building .......... Addition ....Y..... Alteration ..... ..... Repair ............ Removal ............. Dental 1tIon ............ Other Work .................................. (Description) �� 4. EsClnated Cost ........�� � �.1...... fee .............................................. On Le paid on filing this appli at Ion) 5. if doelling, ixnier of dwelling Unita ............ flay er of dwelling units on eacAi floor ................ Ifgarage, n tber of cars ...................................... fi. If lxusiuess, ctmnercial or mixed occupancy, specify nature and extent of each type of use...................... i r , 7. Uinmensinms of existing structuresif any: FrcmL...1�y........... Rear ..7t?......... Depth ..: '. •, . `�-',—""�--.._,mow .�. _�-.:, ,:_..._._.,F � .';r- F e , PROVIDE 11 NO. FIRE ' r RATED SEPARATION TO i ARM 717a 1 &L STATE BUILDING of r DUIIDING CODE. w PROVIDE OPENINGS FOR � EMERGENCY ESCAPE AS REQUIRED By PART. 7110F -' - -•, _ _ N.Y STATE BUILDING CODE PWM81NG ALL PLUMBING WASTE i+ '.., _ TESTING IREPGR&WATER ES NEED E COVERING € . If copper B I6 used }t rtubin t i � � � '( �� ' . �' 'w��ti3' �� �'''•�-✓11._._x. .; ik' for water distributing , w syBtem; piping shall be SGf�L '7Yr�/�{fir of types K or L only UNDERWRITERS CERTIFICATE AM REQUIRED TI PLUMBER CERT/F/CAT1ON � r ONLEAD CONTENT BEFORE CERT/F/CATE OF �- OCCUPANCY SOLDER USED /N WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. K _ LLzu1:a' OCCUPANCY OR USE fi WITHOUT CERTIFICATE OF OCCUPANCY `, y+ APPROVED AS NOTED DE NOTIFY BUILDING DEPARTMENT AT , // 768-1802 B AM TO 0 PM FOR THE FOLLOWING INSPECTIONS: I'„ 6 ,�,• ,�' j It � �',ly �; W',{'� (\ —" IAS p `/# y��.�+ �} ^., h 1 s.F 1. FOUNDATION - TWO REQUIRED ti'•a. tti�-! 7+A7 ee„ - _ ,, '1 !.-i ..- -}+E". 1 �a�+EAV' '±E� � ¢ ,+ _ '+ FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 'f k • Y^. TION SULA • ,,. _ r s -� ,. � � ��- `- • � �`� - CONSTRUCTION MUST 4. FINAL BE COMPLETE FOR C O. TL` MEET ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE N.Y. ENERGY STATE CONSTRUCTION & CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS n r : CG 'r X ` �✓444 �7, ` uN 17 - M11 'My -6199G IF T°WN F' Ur' 1. n F , 1 M1 It lot ', � , fG , e � yy .,� Qiw a r'F n �. s too JJ y, -1ir.ViM1J'1 t — ;,ry . - WJALJV � - .0 ' '.I ' r; . "„• - ,. .: ;. .� � . .� -'Y � � .-. ^�:, '"',.� i . ...r.'o-"""Y.y»^�<..4�.-_.., ;��,. 4 .++w.,y'„�: u...-w� k+,, _�.� 'v, N I nz M car s 6 4 }/+ L : I I rTAWI b I } I It v V£C , .. ;rt. Yv / Ll i 4 r t z a , a' i n �', -1'. - r'- r _ A 1 r -- ' r IP - '- �: ^„ Y I ' _ I �, ' ' ', _ _ . { ,11 , _ f 1 fi - " 'I '- ?, : I r ,, it r _ - - - ' '!' 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