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HomeMy WebLinkAbout23421-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24949 Date MARCH 20, 1997 THIS CERTIFIES that the building ADDITION Location of Property 445 OSPREY NEST ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 6 Lot •32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1996 pursuant to which Building Permit No. 23421-Z dated MAY 8, 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 CONVERT EXISTING CARPORT INTO A GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RALPH GRANDINETTI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-407355 - JANUARY 3, 1997 PLUMBERS CERTIFICATION DATED N/A dzt� L lyi76g 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) �i� NG 23421 Z Date.................G% .............. 19. Permission Is hereby granted-to: A4.01 e *.......................... .......... . ..... .. .. ...........' .� ,....1.1..r`'�K< ........ to ... .. .... ..... ... .... ... ............. . . �. SGC-..Y.-...�a?�..4.��JJ�`�'. ..�..�..����..�.�.... ............. ....... ✓.. ............................... ...........................................................................................................................................I...................... ............................................r...I........................................................................................................... at premises located at..............7.r4� .✓ � ..... % ............................... ..... ........................� ....... ... .......................................... County Tax Map No. 1000 Section ..........3, Z... Block........4e........./.. Lot No. �J. ............ pursuant to application dated ............12s ! ... Z.. ........... 19..Fjke�p...... and approved by the Building Inspector. Fee$....(.. `............ .. .. . .................. ............ .... ...... ......... Building Inspecto� Rev. 6/30/80 Form No. 6 L5 IS Q Ui� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG.DEPT. TOWN OFSOUTHOLD IPPLICATION 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 17 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 c6mpleted 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 - .25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . ..✓. . . . . . . . Old Or Pre-ex istli�Ing Building. . . . . . .v. . . . . . . Location of Property. . :2�� . . . . . .VSP.rf.Y. .4E"PL-44. . . . . . . . . VX(P �. . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . .(; ✓MVJ ,1 Af . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . .Block. . . . . . . . . . . . . . .Lot. . . . . 3-�-- . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .�FFileedMap. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.�33 W.Z, . . .Date Of Permitha.: . Cl . Jlq. .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Tempprary Certificate. . . . . . . . . . . Final Certicate. �. . . )� 0-0 Fee Submitted: $. . �-zp] ?0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c V 9 V// APPLICANT r c 1001071 THE NEW YORK BOARD OF FIRE UNDERWRITERS' PAGE 1 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date JANUARY 03,1997 Application No.on file 13123997/97 N 407355 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 RALPH GRANDINETTI, 445 OSPREY NEST ROAD, EAST MARION, ,N.Y. in thefolloLcinq location; ❑ Basement 13 Ist Fl. ❑ 2nd Fl. GAR/OUT DECEMBER 27 1996 .Section Block Lot was examined un F and found to be in compliance with the National Electrical Code. FIXTURE -FIXTURESECEPTACLES SWITCHES FIXTURES RANGES OUTLETCOOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT-FLUORESCENT OTHER AMT. . K.W. AMT. K.W. 6 4 4 4 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS S►ECIAI REC'PT TIME CLOCKS UNIT HEATERS MULTI-OU1lET AMT. K.W. OIL H.P. GAS H.P. AMT. .NO. A.W.G.. AMT. AMP. AML AMPS. TRANS. DIMMERS AMr. H.P. SYSTEMS NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF 5 E R AMT. AMP. -METER V I C E TYPE EQUIP. L-W 7W 3 X�w NO.OF CC.COND. A. . PER O Of GC.w.GGOND• NO.OF HI-LEG A•w•G. - NO.OF NEUTRALS ANN.G. - OF HI-126- OF EUTRAL OTHER APPARATUS: G.F.C.It-1 *+ G & S CONTRACTOR LIC.#578— L L E w BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER �+ 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. 1 na,(wii�,rr•,t'.11Uu �u�;l'(�III unlh: ffll11111 A"1'1011 ----------------- m „ a IIUUCII VIlnlll! d - --�- ----------- ...---�--- --... .. z 111.1111111110 IS ------------ -- v,-----..--------------- ....__._.._._. Iq 11!i IILA 1'11111 I'Ii II 11. Y . _ ___-_._.____—___._..__..._...._.._ _.._._.. 1 _ _..... .._ .._ ...._ _. i11 „fAlti F.IIIS IICY .1)111: -101 - - ------------ AIMI' OIIAI. Cplll11!11 G`i: 0. ------------- ... .......... ..------ -'---'---------------------- III 23'1 i �--- 1211 10'2 i I 10'11-- =1 2'-v i 1- I KITCHEN ' SLAB o ! L`�'-" ! co, e=D m o i i LIVING PROVIDE % HR. FIRE AREA RATED SEPARATION TO PART. 717.3 (f)(1) OF _! APPRO ED AS NOTED N.Y. STATE BUILDING CODE. DATE: B.P.# �3 FEE: - -=---SY: GARAGE NOTIFY BUILDING DEP 765.1802 J AM TO 4 P FOR THE FOLLOWING INS?ECTIONS: 1.' FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2-2x10 HEADER WITH 1/2" 2! ROUGH - FRAMING & PLUMBING • PLYWOOD TYP. _ I 3i INSULATION 41L FINAL - CONSTRUCTION MU ST ------ ------, C01'+9PLETEFOR C.O. ---- B E rI LL CONSTRUCTION SHALL MEET TFE REOUiRE144ENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY F mCODES. NOT RESPONSIBLE FOR DESIGNOR CONSTRUCTION ERRORS L_H UNDERWRITERS CERTIFICATE REQUIRED ,�--6.4 70.5 84 — 23'1 9.10 No/b• 1:vF 11tMoroivi fhswf '� _ ?t'" �� S �. 6' i`:i, .s: ? '<�^{. ':v:, :.• '%r'r;fh`4,.:t ,y?•�t-a:}`''•Y.. yi, n neFa' Jn�' _ � .��„c � � ,. i,. _ -�i��~�' �•r,: ` ... •r -- ._ .. is ��'T �=��A4� r+f S � / '- y.�I.++ T� 'Vl z :.r`' :.��, ro Wdj_ 'e . `• ' -,. f ` �i�a �C•.,.+Rwc Ea..S�+•k'a � _ .. ,. �v5'L.a. _'.'+' . 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G4�+rh'ed�la.#!r ..G N(•� ° ArMsr'kdn.TTHe ti 1`• TOWN OF N.Y. .. rldpr.lo tfn! ; ,het -r y - _ •:1l .� SauHrPk,{,SgVtLa�' �.d' o r ..v.r 2!'yg7`(Y• _s4'�'•_a��"' - '.. !. KtCK Vont TG vt', P. "- - 5� ,• x Ma Sot . Di3t, /000, cf.0�5,8}xr(n,/�h32. c5/.sdrpor'h New York ' ' , .,;'c• :qL r; i 70-1802 BU WING DEPT. I SPECTION 64-1 OUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE�j& CHIMNEY REMARKS: C/ DATE INSPECTOR Y 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ } FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 46), y Lifsi�✓.azG:rz,�az.� C���z -� DATE INSPECTOR �% i M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. j ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE/A CHIMNEY REMARKS: r DATE INSPECTOR �"'�1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [Z41FRAMING [ ] FINAL REMARKS: O DATE INSPECT ] z69sz910, t J s' ap tl AhHga laeF n'arMvi/! eksvvn roue• +n`y � { �,. L c�.. ��°�� S-Gy � \ 6 9 �. t , : �Yr + �+� a Fib r$� ._ 'O r - C ,.#` t r- 7 ..` .P ao • '�; \\ ` .>7 '.{� t i'r''x�� ;��� r; r ti. � ' ,,."`:"€.,y '° '.c .:1.vCt,-5�` �j -15a^��,"r=4 PLslay' Zr "�57 vi Scatr_a 10 (4tv '°_>i f r $ fir. d � - "- wwuwrtis umiu*m" :d avaraaw`;- o,xr ro lru xasor.ws wxpN t.0 nav+C MAP 0� P2OPE27Y mu'rcoM�..m nova evnni n "n:o YED 1�•�aC IMK,MiRNpM 151®lGRp1.I.M ormaory.vrslt,;"- j' .: 2ANOWETTi .,��- m mlOw1�611,Y0i16 Oa L61pIBM bra a �nr�rzT :., s►�. � 7r+ie; ape } 1r • yN`- r_='M' _ y/. - - - 75 Q� ,N.Y. 1 .-t'�:rte,+a !/a � � .. .. - - .. .i-rte-.:.. as .�„J•147'7�: :, _�:?�.,y= m- LAGOON - __��� Swff"otk,to, xMo# bnsesr — Jrksw York ' BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLAYS . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . : . . . TOWN HALL SEPTIC FORK . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY Examined . . 4 r. ,, 19/.(G' CALL 1 1 1 1 . _ . . . . . . . . . . . . . ` �je /f q/ � HAIL T0 : Approved . . . 1 1 1 1 v Ij /j . ., 19kt? Permit No.04.11./• .�/ Disapproved_a/c . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1111 1111 . (Building Inspector) LIGATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 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 must be drawn on the diagram which is part of this appli- cation. e. 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 issued 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 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, 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 ins ct'o S. . . . . . . . . . . . . . . . . (Signature of appy atC�r naorporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. eI ..weC.!.!. . . I . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . .>�-��, _ , . . ane . . . .��. . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a c000'rporat'ott tgnatu a of duly author'zed officer. 1111 . . . . . . . . . . . .�. ..�.� . . . . . . . . .�. . . . (Name and title of oL' rporate officer) Builder's License No. . . 2U� ��� . 171Z, Plumber's License No. ;, APR 2 4 1996 i I Electrician's License No. BLDG. DEPT TOWN OF SOU' HG'J x_w _ ..�. Other Trade's License No. 1111 . . . . . . . . . . . . . . . . . 1. Location of land on whicchr proposed work will be done. . . . . . . . . . . . . . . ':J:•"•. • •i� . �. . . . . . . . .� eY�. ..,. . . . . . . . . . . . . . . . . . . . . 1111 1111 . . . 1111 . ... . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map o000 _Section . . . .... �8... . . . Block . . . . S. . . . . . : . . . Lot . . . — 3 Subdivision . . . .� �-. Cl2��. . . . . . . . . . .'. Filed Map No. Lot . . . . .7 1 1 1 1 . . . . (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: l a. Existing use and occupancy b. Intended use and occupancy . . . . , , , , , , , , , Q%11 � , . . . ..' . I . . .... . .�. . . 3. Nature of work (check which applicable): New Building . . . . . . . . ✓, \ Repair Additibn . . . . . . . . . . Alteration . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . .,. . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . . ,� .°�?_ (Description) . . .... , , , , , , . Fee (to be paid on filing this application) 5. If dwelling,number of dwelling u its . . . ,. Number of dwelling If garage, number of cars . . , c.o— .� units on each floor . . . . . . . . . . . . . . . . 6. If business commercial or mixed occupancy, specify naturt, and extent of.each Htype of use . . . . . . 7. Dimensions of existing structures,of an Front . . . . . :. ear ? .?-, , , , Height . . . . . . . . . . . . . . . Number of Stories , , , , , Depth . . . , , , , , , , , , , , • Dimensions of shine structure with alterations or additions: Front :: ? . . . . ' • ' ' ' . ' ' ' . ' Depth . . . . . ...? . . . . . . . . . . Height . . . . . . . . . • . . . . . . . . . : . . Number of Stories Rear . . .? .? . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . .Height Rear . . . . ... . . . . . . . . . Depth . . . . . . . . . . . . . . . Number of Stories . . . . ... . . . 9. Size of lot: Front Rear . . . . . . . . . . . . . . , • . . . . . . . • • • . . . . . . 10. Date of Purchase 9 Dep4h . ..pN,me of Fon' . . . . . GL . . ., . . . . . 1 1. Zone or use district in w rich premises are situated . . . �+ r Y� F' 12. Does Proposed construction violate y z�mg law, ordinance or regulation:er Owne 13, Will lot be regraded . . , , /7v. ' • yWill excess fill be rem 14. Name of Owner of premises , , �`r+`nvl 5�4s removed from premises: Yes No Name of Architect ddress . . . . . , , , , , phone No. Y77-lQ�Y, Name of Contractor . Address . Phone No. . . . . , • • • • • • • . . Address !°�• . .X 5?l ea z' phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes.• • • � • *If yes, Southold Town Trustees Permit may be requred.) No. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 6) C+4� �' °� L'i�/.,c_t�'' '.•l�fd�G- ('u:+,4.K.�.Qc1�,c�.¢4Ge,.y .r-4`' ��a��z.�� .�a��,�� .�.�-yam .�• ..,��-,.,-�,(�,T`� �,r�/ STATE OF NEW YORK, COUNTY OF . . . . S S ' N ' 'A• • • • • • • • . . . , being duly sworn, deposes and says that he is thea heame individual ning contract) applicant above named. fle is the . . . . ��LL . . . . . . &,Z' e,- (Contractor, agent, corporate officer, etc.)' rf 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 his knowledge and belief; and that the ,vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this --. . . . . .day of. . . . . . . . . .. 19 Jotary Public; 4 QQ..,,,,, 4, HELENE.B..HORNE �� Notary Publlc,'5tate of Now York No.4951384 ignature of applicant) Qualified in,Suffoil<CoUnty � Commission Expires May 22, t9