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HomeMy WebLinkAbout22719-z v fi FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-24676 Date OCTOBER 1, 1996 THIS CERTIFIES that the building ADDITION Location of Property 30 WEST LAKE DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 90 Block 1 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 1995 pursuant to which Building Permit No. 22719-Z dated MAY 2, 1995 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 DORMER ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOHN L. FRANCO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO.-H-047598 - NOVEMBER 2. 1995 PLUMBERS CERTIFICATION DATED SEPT. 27, 1996-JOHN FRANCO Gr lore Building In ector Rev. 1/81 r 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 7'. j N2 22719 Z Permission Is hereby ranted to; L'. y to ..4 . ~ A/J............ . " . . at premises located at....C?.......~1...°..GZ'...... ?:2L 1-?:2~ .r~r.. 1............... County Tax Map No. 1000 Section 9e-444.... Block Lot No. pursuant to application dated .........S-4/ 19, and approved by the Building Inspector. ti. l~N.....,. Fee $ .f. ~t Buil ing Inspector Rev. 6/30/80 OF 50uTHOLD Q 6. lG~ , ~4 J 3C>LDLYG Dn'ART%fZNT I@ TOWN HALL 763-1302 APPLICATION FOR CGRTIF='C T= OF OCCUPANCY A. This application must be filled in by typewriter OR Ink and 5uomicted to the building inspector :T1th the following: or new building or new use: 1. ;Anal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. '"anal Approval from Health Dept. of :Tamer supply ane sewerage-disposal(S form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from dumper certifying _hat the solder used in system contains less than 200 of A leaa. 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. 5. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior no 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 525.00, Additions to dwelling 325.00, Alterations to dwelling S25.00, Swimming pool 325.00, Accessory building 525.00, Additions to accessory building 525.00. Businesses 350.00. 2. Certificate of Occupancy on ?re-existing Building - 3100.00 3. Copy of Certificate or Occupancy: - . .250 A. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 315.00, Commercial SL3.00 Date .......1,-a?~.1. New Construction........... Old Or ?re-existing Building....'....... Location of Property.... l.a ~ST L? ...~IU .....01now f? House No. ,,LL F_40-&j Hamlet Onwer or Owners of Property.~,oe. i (...I_.-&j Wl County Tax Map No 1000, Section (Q..... Bloc'.k...... A ........Lot.... ~.I........... Subdivision.......... .......................Fi/led Hap............fLotr.........p. 2z? 19 Per-nit No.. Date ..Or Permit..... /??.g~.. ~ppi can*..~!d"1?/~!....7~Ri~ , , ~ , , Health Dept. Approval ..........................UnderTrit-rs Approval......................... Planning Board Approval Bequest for: Tnmpo=7 art-ficace........... Final Cart-s_w_........... Pee Submltta_d: 5 ~ y l_`-(l//~...../.......... Qom. Sa6o2- Co Z~~67~ s>JfgO(i Cp s Town Hall, 53095 Main Road FIR Fax (516) 765-1823 P. O. Box 1179N Telephone (516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE : ~N Building Permit No. 2-'L-71 Owner: 't/ d t l-tt/ rk&- co (please ~ print) !l Plumber: ~J bf(P/ T~K~CV (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. oumbers S ignatur ) Sworn to before me this ~y 5 day of 19% Notary Public, County R' SEP 2T 1996 HELENE 0. HORNE Notary Public, State of New York No. 4951364 ; t:i°,_) 1;1{ Li3 a Qualified in Suffolk County Commission Expires May 22, 1 A a C•1 H ~ _ y FOUNDATION (1st) ° FOUNDATION (2nd) 2. o ROUGH FRAME & PLUMBING H 3. ca r•7 INSULATION PER N. Y. ©F STATE ENERGY 0 \ CODE. 4. 7 04 FINAL ADDITIONAL COMMENTS: x f > x M~ a d tTj w H GEORGE B. MICROS, P.E. CONSULTING ENGINEER 101 Longfellow Lane Port Jefferson, NY 11777 (516) 928-8237 June 14, 1995 Building Inspector Town of 'Southold Town Hall, Route 25 Southold, New York 11971 Re: Franco Residence, Cedar Point Drive Dear Inspector: The addition of a 1/211 flitch plate to the header in the living/family room at the above noted residence is structurally sufficient for the proposed renovation to the second floor. If there are any questions please do not hesitate to call me. Very truly )IT rs, orge B. Michos, P.E. GM:ep cc: Shells Only, Inc. GBM File 95E06 y~PtE OF NEW Hp 4.O~kGE % * ON I 2 ZtPF ~O' 056206 A pROFt SS100PV C P 4, 1 I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE HIMNEY REMARKS: DATE /,~k----INSPECTO M-1802 BUILDING DEPT. INSPECTION [ >F ND TION 1ST [ ROUGH PLBG. [ DATION 2ND [ ] INSULATION [ MING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: av m ~ DATE INSPECTO -71 765-1802 BUILDING DEPT. NSPECTIO [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:8w 0/ 7 s DATE INSPECT a71 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: 0'e, DATE a 71Y4 INSPECTOR d 9 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ 144RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA KS: oed 7~- tzi DATE ~_INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 9. ( ~8054591 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date NOVEMBER 02,1995 Application No. onfile 88313095/95 H 047598 THIS CERTIFIES THAT PERMIT NO. 227190 only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of JOHN FRANCO, 30 WEST LAKE DRIVE, SOUTHOLD, N.Y. in the following location; ? Basement ? Ist Fl. ® 2nd Fl. Section Block Lot aws examined on OCTOBER 27,1995 and found to he in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FWORESCENi OTHER AMT K W. AMT. K.W 11 AMi K.W. AMT K W. AMT. H.P. 5 17 9 5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS RELL UNITHEATERS MULTbOUTLET DIMMERS AM SYT. K. W. Oll M. P. GAS H. P AMT. NO. A. W. G AMT. AMP. AMT. AMPS TRANS. AMT. H. P. NOSTEMS . OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E COND A W. G. NO OF HI.LEG A W. C' NO. Of NEUTRAl3 A' W G AML AMP. TYPE METER 1 R 2W 1 R 3W 3 03W 3e dW NO. OCR EQUIP. PER a OF CC COND OF HI LEG Of NEUTRAL OTHER APPARATUS: PADDLE FANS-3 MOTORSt3-F H.P. G.F. C. Ts-1 SMOKE DETECTOR:-1 JOHN ANCO 21 CARMAN 14PM ST. JAMES, NY, 11750 GENERAL MANAGER 11 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. I' l17 BOARD'OF HEALTH t' FORM NO.1 J SETS OF PLANS /SURVEY ~t.{~fnr ~ TOWN OFSOUTHOLD . BUILDING DEPARTMENT CHECK _ . • • • TOWN HALL r SEPTIC FORtl _ SOUTHOLD, N.Y. 11971 SArJFC7• CROCCO TEL.: 765.1802 NoT-4 FY; -7562-'2~ qrl . CALL Examined . l / NA I L TO • • ' Approved . 1V)- , Permit 7~-O Disapproved a/c r/V{ . uildi n pector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with, 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 stieet or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appL cation. 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 issued a Building Permit to the applicant. Such permi 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 Occupanc: 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 th. Building Zone Ordinance of the Town of Southold, Suffolk County, New orrk, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or mcval or demol' ton, s herein described The applicant agrees to comply with all applicable laws, ordinances, build g c de, housing co e, an regulations, and t( admit authorized inspectors on premises and in building for necessary inspect (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. .........................o- Name of owner of remises (as on the tax roll or latest deed) If applicant is .a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. 2S { f• Plumber's License No. Electrician's License No. Other Trade's License No. 1. Location of land on which proposed work will be done-.!~-..W, ~!?OT+IOL N House Number Street Hamlet County Tax Map No. 1000 Section . •'"/0 Block Lot . Subdivision Filed Map No. Lot . (Name) 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy YAVeJ l L Q h . 'l b. Intended use and occupancy • • . , . • • • ^ , , 3. Nature of work (check which applicable): New Building . Addition : • • • • • Alteration Repair Removal . Demolition , , , , , • , • • Other Work , . (Description) INA 4. Estimated Cost. Fee .............t.J . .(to be paid on filing this application) 5. If dwelling, number of dwelling units' . D.`.... , . , , , , Number of dwelling units on each floor ; , , , , , , • If garage, number of cars 6. If business, commercial or mixed occupancy, specify nit re and extent of.eac} Me of use 7. Dimensions 1 'existing structures, if any: Front . , , , , .hear, Depth height . 4 ! `P. Number of Stories I V?? . , . , Dimensions of sam structure with alterations or d'd~J'tions: Front ! f Rear z,•,~I, Depth 5'4 , . Height h`f r - Number of S ties 1.'77- 8. Dimensions of aqtire new construction: Front 7.Z . q . es : Rear ..~t7r.. Depth . f.. .Height , . , Nuar;ber of Stories 1 !/71 l ' • • ' 9. Size of lot: Front ...1.(2C9 Rear... "G Depth...../~ .5 10. Date of Purchase , • Name of Former Owner 11. Zone or use district in which premises are situated . • • • • • . • . • • • ' ' ' ' • ' ' 12. Does proposed constrLkcVon violate any zoning law, ordinance or regulation:, . 9.(~............................. 13. Will lot be regraded . N.Q , , , , , , Will excess fill be removed from premises: Yes 14, Name of Owner of No }lemisesTCDA F/4eft Address . Phone No. S~ - (7C?S Name of Azettttt±ct ~ a< , tJ 16A(?s Address ha~~i0 /SIT j~2 , , , Phone No..h13 ' iW Name of Contractor ~Nl(cn 3 00 f -o k.) , Address ,p 4. 15. Is this property withi hone No...1 ~ . yes, et of a tidal wetland? eyes,,No......... ' If 'Southold Town Trustees Permit maybe required. 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. STATE OF NEW YORK, S .......J (Name and signing A being duly sworn, deposes and says that he is the applicant contract) above named. ie is 1 . (Contractor, agent, corporate officer, etc.) if 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. iworn to before me this dotary Pub1 - a` County 'OEBORAH J. MILLER Notary'Publia• State of New York • • . No. 4981120 r: qualified in Suffolk Cougn/L} ` (Signature of applicant) ,l Corhfnission Expires May 6 r S„nw•i i5 b'a4o';rt!61 Oft, J174t ; r~~cetion Law not boating Cpn,E6 pf (hiII'H ' . m..-11%o. ~r kve 5-f L ake AZGdd ChC ry_ntl 9UM1'V:'p Gnaidafbd ento_^s`s., sbtit sh21; no: 6e Q to bb b void aN• tmE ppPY• all run t f']i~d np.epn U(V01 fsumenabs Ins , v,r,cm'ho c S. c 7 '2 s- '2 O "E. - 89'. 3,8 Ih^ (ic.:ipn to t~`¢ri :u :he to nNY pn hls ,•ctV bad ~ CCn:.'.i:n`!a i hGWpp Cas 1! 4i41b inai• a y 140rl~ftiiR'L°.{b1C. U{4tlbC~aP.dina ~ ~ to tM1¢t35~ (t, b597U0K O Q f \ :u:iG+, tsu~t;•nwas ere n Ot(SUr °to(abib `\N yl i' ` ~aronbl irc(innibns i yco s<. 1- hI ~ " 1 V . ti r L o t 125 lro, rp J t +1 ; t 4 t \ i 01.101, 1 1 I Ll r.)F A L.._ - , it brr/Khear~.ot ero~ kiq/i_,va7`cr a ?7\+?~Vq~ O~ - N.6 °g5'zo"W - /00.0/ Ay, cs zaF>`!•za`t' = w. ~ er r/ca s,•rrs PC cot 61 Ba1~ IV,AP OF 000pr-QTY suav~vcv ~oz 5k~IWLEY IV MA TE a •r °.BAYVlEVV"- 50UT1-10LL),N.Y. SGale: 30'-/" Guaranteed to CP1celp 7-1 . f1e a = Maesurnerf /HS Urunc< Co, and Southo/d 6avrrrgs $ank d6 6arVeyed Feb. 1l, 147.Z . ! a1 nurr/b er6 rEfer 1c rnafi of VAN TC1YL kj 't e 0# "ca del- Leacli Pdek;' filed /rr Su f f. 64. clerp-3 No. 90. Liceras~d LdKd Sur ?Cyars Greenrho+'t N, Y. r 'r I DE OpEIJINGS FOR PROVI, EMERGENCY ESCAPE AS T _ I REQUIRED BY PART. 714 OF CODE. N.Y. STATE BUILDING , ~ `fir ~ l!{~~ 97%{n'!d w N t 1j ak'~ y I~ p1~re u rM1 IM .Z, L_7- r I I r-7 4 f~ _ Al V UJ AW E~~ ant• ~ ~ _ q 1,6 * r i u~ 7 ';q r - - - - ~ wrhµ wrnw am ; urv, x { 11 4 y_` r a rw aw"+ mrm .m}ra u a1-~, _ - LL - boy fs.. + nr ~ I it 4 y ~ y R ~c c (/v- ~ I j., t r i - +o sl sl PROVIDE( PROVIDE OPENINGS FOR +k, _ ~ ' _ _ - ~ L'~~_ - - EMERGEN EMERGENCY ESCAPE AS P~ PLUMBER CERTIFICATION F REQUIRED REQUIRED BY PART. 714 OF ON LEAD CONTENT BEFORE i s N.Y. STAlk N.Y.STATE>BU).I,OINGCODE. CERTIFICATE OF OCCUPANCY m - SOLDER USED IN WATER" I _ k f ~owLf OR ! ~As1,1 i6,, 121A I ' SUPPLY SYSTEM CANNOT EXCEED 2110 OF 1% LEAD. _ T_T - f Iti I 60 ~AU* IIII jot °w ~ Crrt vo. lil PROVIDE OPENINGS FOR 644LO . EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. PLUMema - - - - - S ~ r IN BWWA Cmwm t Y r L ~ I ~ Y 1 y nro HL 25 O ~ L ~.JTY9T. PROVIDE k" ANCHoR,. f idAX ~ - $o-, ~P,RaYID; PBUs _ r _ rr'r r r~ i ~ i.f' ~Fe? ALL 0E;CTRIEOAS'+' Won' IIg TALL G$ FLOOR ISNQQR Z AND sTAIft tlPRNINOE AGCOAbAkCA WITH THE, N& YORK a+4 _ htCTRTCAD FIRE D0EbiNRITER9 - - BOARD 4 ALL PLOH91N0 NORR IR TQ; 49 10 AOCORDANM WITH THE NEW YORK STATE ' ' Jb y '•bNFT'Bk.N9'PxRR'C48CTPREVENT%oW ANN-FiOTLk1INC ',00bE TIJ i,1,'CQORYIAN~`£ TH THE NEW YORK STATE - . IGN k$ Ta as NI H~ 114' CA n <r ONIFO$H PxRE.$REVENTTON ,AND. $0IZb04 'l'OOR ll' E AY,L,'LIIHSEA It, To, BRA NIN:oF BAN FIR 4b RT;RVCTXON 7$/2x5 U-2 r1 P b=kk'90(1 PH Lx~50 RMTITY,YY,,yR NRER6 HITR E3,7 A OR FETTER r - fX- 1A~1.Zbg `U&tA 'a'lF,E9, 'I LQ''NOT SOALR'b~7'1yWxNOS tB,ItpW6IxA0gIONs ""o Y. " A#OWA KIN ,O$,I',35" Z9T#ARN 1OTTOH; P'PLOD R, JOTUT AND TOP OF - 6ORtE;h COAT 'OSI''FRa.TAE. der GRADE 4NH>bER x.. - _ . ..=r f 9 EkZSTINa PAR, TTTSON5 RO RHIfAEN, 1 1' / f -iti"'°h __IST,IRp PARTZTIDNs TO' RE R9NONEO' 'Ni'W PARTITIONS TO tE 0ON TRORTSD - YanaTaR To LERIPY A Nta-k RaxL,tiRARSNG,cArxaxxr OF Gaon $o- sr: YI 1y ik L!'NT,ERO1.A4k ITu"ER TH Ta' BR NANyFAb !t7AED 8Y'TAUS Jbk0 -,OORP., 0;,, OX 608 RATyTI 83P7 9~"&PPROVD0 EQUAL A L s i s 11 sl 71~h a; Y a _ - o 3'~ nc to "tA~~ti. 11~ ALL f OW d 42- ~7 '77 7 r r2 r ~Nt n { q?~ } L"ac MrAI cslxy.Y 40, Iva ~n rtkn~ WIN W:. KNX lzen ITT i PROVIDE OPENI Vh r DR 'r NGS f p EMERGENCY ESCAPE AS " r' rros,i,., REQUIR ED BY PART. 714 OF to lown 3, ky rnna rr- STATE BUILDING COD FE I a •r ~ i f 10 ~ I -__L E., ' t r 111'Is 4d, h t`, 10 w, I , I B ry .916 A G~ uv' k~Pfis4 , li' ` CIIAZ6N lF 1.bhC,0 ' II w C T., l ~+p I I r ie ~5E"TiQ7l~ ~41kd~ s L-7"' I' f r a ~q E NL ~t/VirP slt~ : (71 ih96 pll~ d I s MC~IPAH,GY 1'V',_M CTIOM P.Wr;TJ II s tail IS l9NI IMIFU f~a F,r ~slvsI s mil II m ~zl !'IwojoUTfC TIFICATE' CON;,rrUCTI N5RR,RS; 1-W 71, 1 ~F ~ccoPANCY y!. u UNDBMRffMCERINICAIE '~r ~a ti FOL. r REQUIRED IT OF NEtr, f> q~v .r yky~ OF NEi rMy i~~ `JIp .Fz{ t nr u~,iM,+~ r' k K d! r~' 0 5 ~ r ~ U ~oR +e ri L v l n r r i ~,n v 4•„q .j Tp, ~li_UUi A, T ~ Ev, I'~C.f0~lx,1~A~eUrJ - 04 O 2 t ',i'rtt s~~i, P M 1 M1~ JN B: o 0567•p6 ~A~ i i,, i ~ + v OFESS04 - arx r~ ~~OFE5510NPr;r,`s`"'t"* r iM 1"'P`"~''r'+ ~~t§ykay"7y7!'+' s u+ s wr Wj '^~~r - L As,~,.~,k ~ITT :f y k dgr i[ j' r , 5[s a r' IT, n s t YY s s a~., 4,~ t r.. ~.u e " P w a x r kt.°s tit a MOW ~,'S1 i 2,^ i 1 777 s y s + _ mix k. 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