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HomeMy WebLinkAbout23294-z a a FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24668 Date OCTOBER 1, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1320 NEW SUFFOLK RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 6 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 1996 pursuant to which Building Permit No. 23294-Z dated MARCH 12, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to WILLIAM & JEANETTE LUKERT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #12953 - AUG. 14, 1996 PLUMBERS CERTIFICATION DATED N/A ui ing 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) Q� Date ........... ............. 19.f1Q.. Na 23294 Z Permission Is hereby grant t � ....< , <............. r.. ?.i..10 ...... ./.�.fC ........................ to ...x . at premises located at............ 7 ., 1... ...1.. ............./( .f !.! .. . ,............................... ............................. ..................................//................ County Tax Map No. 1000 Section ....../..... Block.............�........ Lot No. ...�l................... pursuant to application dated .................... `crl• .�.., 19.....l.. ,-Gt., and approved by the Building Inspector./ Fee$... •d..,.v.... Building Inspe or Rev, 6/30/80 Form No. 6 y 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 ofpropertywith 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 - .25e,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . Location of Property. . . � . . . . . . . . . . !�EG✓ ?UF�FOU< 0 : ?TdlOGVQ. . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . PPti. . ?f . � NE f_ UKE T IAG! . . . , . . . . . . . . County Tax Map No 1000, Section. . . .M. . . . . . .Block. . . k. . . . . . . . . . .Lot. . el. . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . t`. . . . . . iled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . O3 lgy'�-e. . . .Date Of Permit. . 6��r/.'� . . . . . .Applicant. . . 7cE cT. . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . �q . . . . . . . . . . . . . . . . . . . . . . APPLICANT j ELECTR[ rNf .'INS f.3C, 1Q1Y aJLr. Y�k� ,t1Y ., .. 9791)U�VY'C,�,t1,TAVENUE, (316)2$6,;6642 i 12993 ..'"... 17?4TE 81/41,96 � �. �r. rtraLdeaEb©av2ro oNEtr.� �r _••L � jf'i l-AI L.VYYU.V4E.': �YY1V ,r U©ll Ltll/1lLl 7SSV319TC}r BILL Li3CKERT �]MODUCEDYy LADF,'etiG&NELECTRIC INC. �'- �No 4141- - i wasexainrned on 8-74-06,' 4nd,bum3ly be to comjllianceitvfktheNvkon4tEle@trsealCvde i. Ci LTION: "NQSPi ,ASC ..�x �I(N Y ,y rTd 6. .. .._. De!'Gardge'. ;.H'nt Tub " Paal;, » dofiF'bn v K A 4 +«. _ SiVf 13E6 " �2EC'&PTACT,ES_ ..F�Y�'C7kE$.-' AEs1TAt6'. "FA'NS G.F.I. '�Comg. '` ?DISF/WSFIER DR CLOTf1�3WASF7` GAR D!5'P IL3E OT�E�7 5'i4ff1KEDETEC '(Jlt ,Q.lG." ,- GAS.'; OIR '''. 'MOTO1iS;.'. .BELL2Ytr1Y>7 :''EERT�ICE.{7.T5ONNECT . - =,1dg�2P.tt {iA4PS PYfA3X 9 ttlll6lE T a; w 2 � 3 ^` :�C11Ll7i�G'PF,Khl�T1YA:'. � rl�are3dearessiwKnot�es�jtiree�innyme�� " '$[J g$It3IIJAL YmIa W GCPY PINK COPY OFFlCF _ { , A 66 r � s o��SUFFO(,-cD c� Gym y Z Town Hall, 53095 Main Road p g Fax (516) 765-1823 New York ox 9 11971 y?10� � Telephone (516)765-1802 Southold OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 27 , 1996 Mr. William Lukert Jr. P.O. Box 1041 Cutchogue, NY 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23294-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. fIf1.0 IIL'iI'-@l;t'lOtl lwrult'l DA'IV cutlFllilll'S ,. � n=,:=-=,ea=y_,»a-ae,,,n--==eye=d==., PIINIIDAI'1011 U PvurO)nl1Imeoe(?!1f1>e-omm me4-=e-1, =m==-,=a=a= vA-----== a===aa-_ame_=_ea_m-y --- IU)III:II FItAFfli d I PLIIMII I NC I + INSIILA'I'IOII PER N . Y . 5'I'A'1'li I'.Hli ltf:Y � f,0111? ------------------- ,./_ ----------------------------- F I HAI. ------------ 1'It1A1. - -� ------------ o................Aan»armee -ANOI F I OIIAI.=COMFIEN't•S----------------------------------- b \ ----------------- - '- 1 fi MAP 07 —Ot°E2TY f rY LFED a TJ44 �4fIV ` A L) F - •"���: . � Q - � 11 Gor I Q � 1. r Z sfy. PJ t I lz rQ ' r r i i v - _ i— ; C_a�OnfE2d fs� 'ri0 /n{or-rowsiyT'tla T;1 W ns .::rreved w'o.a'rs6Pr.�3,1970_ _ m � V4 V r? N 1 ....� • 1 T i / •mil. �....� .'�. 1 r+.• 'tea"' �J, \-k / .• �;• .,'��� .;._ � � ' ,' "�• ;,gyp � Y _ �nIf F-1l'� s.. i I .t•r'�.t it I rt.htr r `• ., t ; �t 4 :� k pfd' }, 1� .2, r �' I {p. iif �rf n}Sf4M ah�Ca i- .n 1 k:11r � 1�, l�M t :dl I St� � atrtL Qk . s M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE S CHIMNEY REMARKS: _ DATE �� l INSPECTOR "7A BOARD OF HEALTH . . . . . . . . . . . . . . . -��y � I�2� � �� ! FORM N0. I 3 SR'1'S OF PLANS . . . . . . . . . . . . . . . l I " TOWN OFSOUTHOLD SIIRVRY �p •�. . .._ 1' BUILDINC DEPARTMENT CBVCR 4.(�.�. . . . . . . . . . . . . . . . . MAR " 61996��.._ TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . �' _�1i SOLN.Y. 11971 TEL: 7 4.�-•^�•--- 'fEl.: 65-I802 NOTIFY: SLDG.DEPT. s TOWN OF SOUTH0- " — CALL . .. .. . .�9 9° . . . . . MAIL .:t.l..d..r � B:x d... l ., . . . . . .. � / �.... .. Approved.- 119 9Permit N .a /�( . ....... Disapproved a/c ... .................................... [k.Alding Inspector) .. 'P CATION FOR BUILDING PERMIT qq� Hate. . . . . . . .3 7. . . . , 19. /. . INSTRUCTIONS a. '11118 application 'most be completely filled in by typewriter or in ink aril submitted to the Building Inspector with 3 Pets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing 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 most be drawn cm the diagram which is part of Ods application. c. Ille work covered Iry this application Pay rot be cnimenced before issuance of Building Permit. d. llpon approval, of this application, tine Building Inspector will issue a Building Permit to the applicant. Such permit slnll be kept on the premises available for inspection throughout the work. e. No building slhall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by time Building Inspector. APPLICAIION IS HER[KIIY KU E to Ube Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tam 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. 'lbe applicant agrees to comply with all applicable laws, ordinances, building code, lousing code, and regulations, and to admit authorized inspectors on premises and in buildi , for necessary ' specti s. [_:. GV, ...:�at!i.. ... ...... ...................... (Signature of. applicant, or name, if a coupnration) /�U„lSox Idyl amu..,jU;..!. .:..!L%,�f .... (Mailing address of applicant) State wlmether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................................... ........................................................... � s Name of weer of premises .... ✓LL/gym,. LUkf�-T: .lA ..ti:...J6f4oT e .. ..................................... (as of the tax roll or latest deed) If applicant is a corporation, signature of choly aut:lorired officer. ......................................................... (Name and title of: corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... OtherTrade's License No. .................... 1. I.ocat:ior of land On wlhich proposed work will be donee.............................................................. /�20 ......l�Ew $uEF011L /�n.........�t/tic.�oci�E.1.I../.. ........................................... .........S... House Nurioer Hamlet (kxnty •I:ax KIP No. l000 Section .....1QC....... Block ....0........... Lot �........... Subdivision Piled Kip No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use anal occupancy of proposed construction: a. Existing use and or_cuparcy ............................................................................. b. Intended use and occupancy ....Rlf.cle...hpv r OPS................................................... I(e eir .... k %Ad dl ."iicable): N.�J Iknildint; .......... A(klil'ion ... . ... Alt ration .. ... ... .. l ....... Il .......... Iknrrlit,lon ....I....... Other Wolk 1. 1„uwe of' rxak olx:ck r�lU(Jn n : 11 Estinunlml O)SI ...�f�. fee ...'.. (lo Iic lurid an fllIng Ihis nll)licntion) 'i. If (kx:lling, nnler of ciaellinfl'it lil's lFnix:r of tW-lIing unit's on each floor ............... . Ifgarage, Ixlnler of cars .......... ............... ............. 6. If losinsas, ccnsercial or mixeil occupancy, specify nature mel extent of each tyle of use.............. ........ 7. Dinensioru: of: existing struw.wrps, if any: Fr(o L....... ......... hear .... .......... . Depth . .. ... ........... IkIWIL ......................... Nnler of Stories ....... ........ ....... Dinennioos of acne structure wi4h all'erat)cos or .xlklitions: Front, .......... ..... Rear ..... .......... Depth .................... Ileit;l,nt .................... Nnler of Stories ............... 0. Dioensioos of cnLire new co nsLrocti o: Front ............ .... hear ....... . ....... Ikapth ... ........... IleitJnt ......................... Nnler of: Stories ............... ...... 9. Size of IOL: Front ........... ........ Rear ............. ....... Ikplh ........ ............ Ill. Ihnie of Ihrrchane. ..............i...... Raise of Forner (.ser . ...... .............. ................... 11. Zcxre or use district in which ptelnines are ss Luated .................................... ........ ....... ........... 12. Nes protoaoxl c(ostr(xaion violid:e any zoning law, ordh:mx:e or regulation: ........................ H. Will lot be regrooled .................... Will excess fill Ile renrrve(I frost prenifies: YES N) , 14. Names of (weer of prenises ........................... Acklrean ......................... ..... Mone No. ................ Nine of Architect .................................... Address .... ... ....................... hone No. ..........:... Nme of ('col.raclor .................................... kklress .... ...........................Iloce fk) ............. . 15. is Ihis properly within 700 feel: of a tidal r4etlmxl7 * YES .......... N) ..�'... .. *IF wS, -0X111"D lam '111I191ER4 I'EINIT MAY 12 Mi(II111:D. PLOT DIAGRAM locate clearly aril distinctly all loildinga, %dither existing or proposed, aril inolicare all set-Isa:k diurnsions Fran properly lines. Give street aril!block nyder or (lescription acconling to (lee(l, lux] allow street: names mill inlical'e rdnellner interior or corner Inc. .•,�1'KIE IF N1J 1T111NIY (None of i1Nli ld�an� :ignninig co :� leing duly cwcn-n, delosen aril says that he is the applicant: Axwe nrned, .. . ; e .......... ............ ......................................... Ile is Lhn ••••"'�Q)ntractor' ris�nC ol��orlor'ate officer. etc.) of said (xAK!r or ("ton, soil in duly riulhori7kNI to lerform or have Iel"Twirled Iho said wsk nal to nialm mel file Ihis application; Ihat: fill stale(nents contsired in Ibis opplicslioo are tree to the leas of his knxrled(se soil Ixrlief; mel that the mnk will le lerfotsed in th4 suloer set: Porth in (lie spillical:ion filed therewillt. %xnrn l0 1 :fore °Y..dats ! �7.:.v I! ..... 19. y of Nnary hill is ... .. .. . . .. .. ..... .... CLAIRE L.GL.EW (Signature of Applic+nit Notary Public,State of New York No.4679505 / Oualified in Suffolk County /�/_ Commission Expires December 8,19 183Nn1 i . ; 1 41 /'//, ✓'B$T' ISt.Prtela, G,raoEK. +, i'l V :' ies-tfiA pyxh. _ a r r,.. w ✓r x p yl ^ it til '6`P bt 81.0�tT .'Gi J. �,: ',r 'i '; �r c-61STINF wi 1thy ' a (y �d�9 �I "✓ c�A a%g TXeooce Nd9 �t /r' �n �1 �,; � 1.41J E t: j Il ¢ WITH �yS. I ..SIu 'blx.� }t � � pC' q Ff % l.{ - _ 5�� i-` _ / / % -_ o' I} i�' �.Y rrl .f/", \ dam , .1 "-.'1tl, !. - " , r J r � f6� S3 1 KCtiI ��.Jd { � f � ;;F IA O'IJF'�r / fT CCA_�>!I %fir - I 1 . t o% So / + . 14 ^—_ IK0 f#EE' ,� f 'NFtCNL (' A 2Y'IY+ �i'1 _ i CT 1 - "t / . r . . .. UNDERWRITERS CERTIFICATE REQUIRED TYFICAL ,., yy P RO AS NOT OAT `` B.P.NJfi.' FEE: �BY. NOTIFY BUILDING P NT AT - 765-180$ 9 AM TO FOLLOWING INSPECTIONS: 5,, r1 ` _ "•�c 1 ' - ht `j`(fJ ���`- ,r / ^r ?% r - 1 ��y -�I(— � I I - ' - 1. FOUNDATION . TWO REQUIRED f +. {i{ - '�,'ti-T.._"' ^f. x / !.n"a F� F •i FOR POURED CONCRETE - j "✓, r 2. ROUGH - FRAMING A PLUMBING 14 3, INSULATION' _ _ :, _. R. FINAL- - CONSTRUCTION MUST �{j txf!' - - -' '+ter �,!BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. -� STATE CONSTRUCTION A ENERGY FL U '�-},, �'y r` - �pYrRN r+ L. _ _ 1 —% ' Lam+ 4 v 4.- / .. I _ �'— $y.nar.1[ STA YO N� . CODES. NOT RESPONSIBLE ' FOR ('-J'� k �yI (� ('� "f`', i Y ? nOC't 7 t DESIGN OR CONSTRUCTION ERRORS. ?..lL' Y .U<. --� - i _z,1 f'-' l F�l 71.( - rly % !`� - - tsc--'r4`:-. -'='=:• --'�--",-- ^.-a'^,._.---�`""""=T'`=^"-�-^-kr'�-@ _ � - � ' SL=C /XS' 4-�0 I ' t P 4A � ! � - �, - . _, V ' � -.. � ��k .T... .,� �' .. � date 41- _ - 'I ��—T �I I I�Jf� - ) t! • I YPe�.l'IrJd 'y ' c ^ .,,.— M• �— i yLJ'wt ^ .._. rn . .� ,. .' - �. —' µ ._ioo'.tiv__._.p�"S'r".�.E'F�����-a i t I � � 1 _ ..� --3 '.�. . /rt'., � �i�?<�, � t,r'.�yspT"r `�, n;=a x t,.y ,x W S r�v5 '� JSS', f --•-7 I r . -�j _ r, �, - �� I { � r ._ �- .r (.i �>/'��,�,� I h, „ } .rrt,.:� � - �/i'`,s'.,4, T nt"�^����A. e'er /)�'.� 1 - ^ �� � � (�,_.� � �/��: � ._ .. . _ __ .. _. .__ _ •-- - ._. -._ _ CO 70TF NAk y WA 1 � FERI'aAYLF a ,. µ� _ s �,-,v7, �zuy Rnl4 /rtf^ Uv _ -.yzY ! cal r ✓' PL l�I�Y 1 5[ d !u h.�C,k FpC� A t .cam ixb ,moi , arac4,,t.z ;• 5'/i ' k, n ay ✓ 11t'.,k O PEPorIArE; F05- - yXx{ F rG '[6A 2%1$ - - CaU� EF '� nCA 7ar�1 _ IM - SCI �+1. a/5{9 Y .. . . <