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HomeMy WebLinkAbout23489-z~01~ NO o 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25198 Date AUGUST il, 1997 THIS CERTIFIES that the building Location of Property 775 LEGION AVEND"E House No. Street County Tax Map No. 1000 Section 142 Block 2 Subdivision Filed Map Ho. MATTITUCK, N.Y. Hamlet Lot 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1996 .pursuant to which Euilding Permit No. 23489-Z dated 3DNE 11, 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 ACCESSORY ABOVE GROUND BWII~/ING POOL WITH ATTACHED DECK AS ~PLIED FOR. The certificate is issued to GERARD & JOHANNA WELLS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFTCATION DATED H-056431 - AUGUST 8, 1997 Buil~g ~nspec~r Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 23489 Z Permission is hereby granted to: ....~-~.M...~..~:./..'/../... ................. ...Z.Z.~....?..~..~,.....~..~.~..: .............. ~.~.~z~.~:...?.. .. ~./... .,. .. . .z /. . ~. , o . . ./. . . .~. . . .~. . , ,. , . . . . ~. ,~. . . .~_ ~ ....... ~ ./. . . . ~ ~ ...... ~ :~./. . . . . . . .~. .~2 . . . .../)..4~ ......... ~,~. ..~....~.z....: ......................................................................................... at premises located at ........ .Z ................ ~..~.. ........................................................................... ....................................................... ~..~......~.....~....~ ...................................................................... cou.~ Tax Map No. ,ooo Sec.on ....X..~ ......... ~lo~k .... ~ ............. Lo, No ......................... pursuant to application dated ....... ...~....~..~.......z/-~. ..................... . 19.Z~. and appmv~ by ~e / Building Insp~tor. Rev. 6/30/80 API'I,ICATIoN FOIl CI£RTIF!_CA'I'I~ OF OCCUI'ANC¥ A. 'l'hfs 0PPlicatlon must be Itl.Led in by typewriter OR i.k and submitted to the building I. Fi.at survey o[ property ~4J. tll occur~te .locntton o[ all bu~J¢lf.g~, Droperty idms, 2. Fine[ Approval from Ileal. I Dept. o[ waLCxr supply nmi sm.~erage-dispos~l(s~? form}. 3. Al'preva[ o[ 'electrtcad. InstalLation from Board of Fire Underwriters. /}. Swot{i statement [r°m/l>l.omber certifying, that the solder used in system contaU-s loss tim. 2/10 of 1% lead. 5. Commercial bu~ldin/%, industrJ, at building, multiple residence~ a.d similar bulldi.gs o.d installatmo?s,~a certificate of Code Complin.ce from architect or engi.m,r respo,~slble for the bsilding. 6. Submit Planting Board Approval of completed site plan t'equire.mnes. g. For existing btil. dings (prior to Apri.[ 9, 1957) no.-conformi.g uses, or bull. dings and -p e exzstz g land uses: I. Accurate survey of property showj..g all property lilies, streets, buildl.g tmusuai ~atural or topographic feat.res. 2. A properly completed applicatioll ami a co.me.t to i.spect, sfgned 'by the applicator. If ,a Certificate of Occ.pn.cy is deuicd, the Buildi.g I.spector shall sL~*te the reasons therefor in writing to the npp) C. Fees . 1. Certificfike ~f-OccupnY, cy - Ne~* dt~elJ, isg $25.00. Addttlons to dwelling $25.00. * Al. teratious to due].li.g $25.00, Swj..mj..g.poot. $25.00, Accessory buildi.g $25.00, ~ Additio.s to accessory build[.g, $25.00. .Busine~sses $50.00. 2. Certif.icate of Occupascy on Ut'e-existing guildin~ - $100.00 3. Copy of Certificate of Occupo.cy - $20.00 4. Updated Certificate o~ Occulm.cy _ $50.00 5. Tc.,porary C-rt~fJ. cate of [)cnupancy - Residential $15.00., Corem iai $1 .O0' Ilouse No, Street ' }lam] et O.vcr or Om,ers ,.,f Property ..... ~ O ~q ~ ~ '2.oO county Tax Hap I'Io I000, 8ection./.q ......... t~nc~..Og..9.Q t. ot. OoZ. ooo .................. Filed Hap ............ Lot ...... I)ept. . q~a l. th ApprovoI ................ Uuderwri~ers Approvo~ 'lmml.[ llo;~rd Approval ........................ '::. . ...................... " THE'NEW YORK BOARD, OF FIRE UNDERWRITERS I--- 85 JOHN STREET, NEW YORK, NY 10038 O.t~ AU6UST (¢~8,1997 ~pplicatlon ~o. THIS 6E~IFIES THAT O~y f~ electric~ ~uipme~t ~ ~SCH~ be~w G~RA~lJ & JO~A ~LLS,' 775 I.~ION ~s examined on ~UGO~'~ (~ e [997 and found to be in compliance with the National Electfic~ Code. G.F.¢,i~i . , ,,, , *(SWITCHING P~L) This cerbificate covers compliance at the ~late of environments it i,s advisable to EXHAUST FANS OIMMERS ~ave frequent ~eSt&ond Per GEN, E'RAL MANAGER This ce~iflcate must not be altered in any manner; ~turn to the office of the ~ard [{ incorreO. Inspectors may be identified by t~ir credentials. COPY ~OR BU~LDZNG DEPARTMENT, TH~S COPy OF C~RT~F~CATE HUS~ NOT B~ ALTeReD ~N ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ' 65 JOHN STREET. NEW YORK, NY 10038 ~y t~ e~ctric~ ~uipment ~ ~ be~ e~ int~uc~ by t~ ap~icant ~ on the a~w application number i~ t~ p~m~es of ~E~D & JO~{~NNA W~TLLS, 775 LEGION P,~EN~, ~s examined on AUC~UST ~34, i997 and found to be in compliance with the National Elect~c~ Code. R V I C E EXHAUST FANS DIMMERS I 11 ,GE~ERAL~., MANAGER This certificate must nat be alt~ed in any manner; return to the office of the ~ard if incorrect. Inspectors may ~ identified by their credentials, COPY'EOR BUILDING DEPA~THENTo THZ$ COPY OF CER~IF~CATE,HUSY NOT'i~E ALTERED IN ANY NANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ROUGH PLBG. INSULATION [~FINAL~/~ REMARKS: INSPECTOR~~-~~ Town Hall, 53.095 Main Road P. O. Box 1179 Southold, New Yon 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 29, 1997 M&M Gerard $. Wells 775 Legion Ave. Mattituck,N,Y.11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23489-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I' utlill)/~ I' I ()11 765-Z802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~glJLATION [ ] FRAMING [ ~'~INAL~~'~/~ [ ] FIREPLACE & CHIMNEY INSPECTOR '~EDIATELY" ~-g~FORE ~ Examined .) ~ ..... , 19~ Approved~. ~Z ..... 19g~ Disapproved~, fc ............... FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1803 Permit No .......... BOARD OF IIEALTII 3 SETS OF PLANS SURVEY CIIECK .. CALL ................ HAIL TO: State' whether applicant ~s owner, l~ssee, agent, architect, engineer, generai contractor, electrician, plumber or builder, ..... ......, ........... ......... '. ............. ..... -. .................... latest t eed) or If applicant is a corporation, signatur~e of duly Builder's License No, Plumber's License No .... ' .... ~ ..... Electrician's License No ...... : .................. Other Trade's License No 1. Location of land on which proposed work will be done ..... . ............................................. ........... ..... ..... '....' ...... ........ '.: ............. House Number Street Hamlet Cotmty Tax Map No. 1000 SectiOn t~2, O.~. ........ mo~k .O.a .,.~ P .... . :... ~ot. O P ~'.P.~ .9 ...... Subdw~smn ................. ~ .................. '. Filed Map No ............... Lot (~ame) ...... : ........ State existing use and occupancy )f premises and intended use and o~cupancy of proposed constructiom a. Existing use and occupancy '*I ................ *" '* ........... } ................................. '. b. Intended use and occupancy (Signatur~ of applicant, or name, if a corporation) Let~,,~ ' ' '~ ' .. ............. - ......... .c...ff!~..~. (Mailing address of applicant) INSTRUCTIONS a. Fins apphcahon must be conipletely 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 olf lot and of buildings on preinises, relationship to adjoining premises or public st?eets or a~eas, and giving a detailed descrfpt[on of layout of property mu~t be drawn on the diagram which is part of this appli- cation. · c. The work covered by this ap!~lication may not be commenced before issuance of Building Permit· d, Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant· Such permit shall be kept on the premises availabl~ for inspection throughout the work· e. No building shall be occupie~t or used in whole or in part for any purpose whatever until a Certificate' of Occupm~cy · shall have been granted by the Building Inspector APPLICATION IS ttEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Bufid~n~,~Zone. Ordinance of the ToWn of Southold, Suffolk County, New York, mid other applicable Laws, Ordinances or ~R. egulati.0.ns; for' the construction of~ build/rigs, additions or alterations, or for removal or demolition, as herein described. the applicant-agrees to comply wit~ all applicable laws, ordinances, building code, housing code, and regulations, and to dm]t attthonzed inspectors on premmes and ~n bufldmg 3. Nature of work (check which applicable, x,~,., ,~.,.m ...... ~ ~,-j . ~ . ,, / ........... ~ · · ]: .... ^aamon .......... ~teratiq~, ...... ~i.. , r~epair .............. Removal ......... . ....: DemohtJon .... : ......... Other~Vo~l~c~"~)~.4.c he.O( · ' ' .' ' ..... [ (Description) 4. Estimated Cost Fe- ~ (to be paid on fit'~g~~~o~i.7~'': 5. If dwelling, number of dwelling units ................ Number of dwelling units on each floor ......... ; ...... If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of,each type of use -. .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories .... Dimensions of shine structure with alterations or additions: Front ........................................ ................. Rear .................. Depth .... ' .......... ~ ....... Height ........... . ......... ... Number of Stories ........... ~ .......... 8. Dimensions of entire new construction: Front .............. : Rear ............... Depth ...... Height ............... Number of Stories ......... 9. Size oflot: Front .; ....... , ............ Rear ................ '..i... Depth ...................... 10. Date of Purchase .- ............... ............. Name of Former Owner ...~ .................... ~tq,': ~7~-o~',~: a?'u~e ,flstD-et !:: ,vh!ch pcemNcs are s tu-ated-~ ""~ ~ : ~: '/~ - ~ 12. Does proposed caustruction violate auy zoning law, ordinmme or regnli~tf6n: .......... - ..... :- ' 13. Will 10t be regraded ............................. Will excess fill be removed from premises: Yes No :14. Name of Owner of premises .................... Add}~ess ................... Phone No ................ ' Name of Architect ........................... Address ................... Phone No ................. Name of Contractor Add~- .......................... ess ................... Phone No ................. 15. I~s this property within 300 feet of a tidal ~Fetland? *Yes ........ No ......... · If yes, Soutbold Town Trustees Permit"may be required. P LOT DIAG RAM 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 accoMing to deed, and show street names and indicate whether interior or corner lot. AS NOTEI) DATE. 1-180~ 9 AM TO 4~M 'FOR THE - ~0 REQUIRED. ~AMING & ~B~N~' .' CONSTHUOTION MU~ ~ FOR ~.0. CONSTRUCTION 8HALL REOUIRE~ OF ~E N,Y, CONS~N · ENERGY ~ 'RE$ffiNSIB~ FOR COUNTY ..... .~....~. h..C-{ .~..~..o,~.....~...~.';(' (.5' .- ......... being duly sworn, deposes and says that he is tim applicant (Name of individual signing contract) above named. He is the (Contractor, agent, cor'porate officer, etc.) of said owner or owners, ~d is duly authorized to perfom or have perfomed the said work and to m~e and file this application; that all statmnents contained h this application am true to the best of his knowledge and belief; and that the work will be perfomed in the manner set forth in the application filed therewith. Sworn to before me t~s~ , ............. Ndta~ Public, .~.. ~~.~. '.'"" .......... · .............. ~ ~mmi~n gxpiros Oe~mbe( 8, 19 ~ . . ~ (S~gnature of applicant) CERTIFIED TO~ GERARD S. H/ELLS JOHANNA I¢£-LL$ AMERICAN RESIDENTIAL MORTGAGE CORP. SECURITY TTTLE ~ GUARANTY CO. SURVEY FOR GERARD S. WELLS & JOHANNA WELLS A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1oo0 - 142- 02- 02 Scale, 1"= 40' Dec. 8, 1992 AREA= 43,061 sg. ft. Prepared In accordance wllh Ihs mlnlmum standards for t/tie sgrvej/s os es/ob#shed f; the L.I.A.L.S. end opproved end adopted r such use by The New York Slate Land Title Assoclallon. PECONIC SURVEYORS, ?.C. (516) 765 - 5020 P.O. BOX 909 MAIN ROAD SOUTHOLD, N. Y. 11971