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