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HomeMy WebLinkAbout22755-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23886 Date SEPTEMBER 18, 1995 THIS CERTIFIES that the building ADDITIONS Location of Property 785 FISHERMAN'S BEACH ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 1 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1995 pursuant to which Building Permit No. 22755-Z dated MAY 11, 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 AN ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JANET & JOSEPH GOLD (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N361939 AUGUST 28, 1995 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 l 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 19?/ NG 22755 Z Permission Is hereby granted to; Q,...f'.........© &Caw e-....... 1 (!.X~ ......./..1... g, .y1 .e ~f.~ 1 .......44 / x.12..- I.....~~ ......,...............................T...~.."¢ at premises located at........ 7.pQ..,5~ ..•..<.•••1 '•`••e~o~~/~s . Cdt,•••••........... rX~.(......... County Tax Map No. 1000 Section Block Lot No. pursuant to application dated 14Y..1.1 19....I.-~....., and approved bythe Building Inspector. G~ Fee Building 1nsec Rev. 6/30/80 loan No. 6 a TOWN OF SOUTHOLD _ BUILDING DEPARTMENT TOWN HALL 765-1802 AUG 2 4 X995 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the-building..;ti„- inspector with the following: for new building or new.use: 1. Final. survey of property1wtt4 accurate; location 4f,all`buildings, property lines', - streets; and unusual natural or 'topographie Jeatures. 2. Final Approval from.Heal'th 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 - $5.00 over 5 years - $10.00 4,, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...9. New Construction.... ~~.r Old Or Pre-existing Building, p Location of Property.{{~~,l.Y.S.....4:.5k.QkhMnrNS ~eise0 2~{.......... ()Ctw House No. Street Hamlet 'Onwer or Owners of Property... , J~ County Tax Map No 1000, Section.... A...... Block I........... Lot.... 31 SubdivisioP.C0.4.' C.~?~~ ..P.9~Q'PQ ...,...Filed Map...,-. ~O .'L7o~t...~?- Permit No..p~. 7,5~ Z Date Of Permit. /9.~..... Applicant.1 +I:Y: !l" y Health Dept. Approval .``~II1 :..................Underwriters Approval........ Planning Board Approval:A P Request for: Temporary Certificate Final Ce ticate. ti_ Fee Submitted: ~a,..... ~~tl X015/ s... ~380U THEW" NEW YORK ABOARD ~OF ~F.IRE UNDERWRITERS 1001093 .il, aq Fi i¢ ` Ri lP , BURE`AU OF ELECTRICITY 4 83 JOHN STREET. NEW YORK ',NEW, YORK 10038 Pq fR ( f' AUGUST 28 1995 as j~ hT f Date ApplicationNo.onfile i 88624895/95 N 30 190 9 THis,CBRTIFIES THAT_ Dp h i i only the electrical equipment as described below and introduced byr the applicant named on the, oboes application number t'thepiemises14_ JOSEPH GOLD, 785, F~I-tSHERMANS BEACH ROAD,.CUTCHOUOE, N.Y P nf.s !-R in /hefollalrtnq locationt 11,Busemeat "E Istf(. El 2nd F'l. OUT 'Section Black" 3 $d iLat 41 was eimnined on AUGU$T 25 r 1985 a ; and found to be Fn compliance with,th¢ National Electrical Cod¢,,,, xa gy.. TALC.. `°"dP iSS" 'FIXTURE ; c + ' " PI%TURES ' RANGE ' COOKING DECKS it OVENS DISHWASHERS 1EX AUS ANS OUTLETS " ECERAClES SWITCHES INCANDESCENT RUORESCENT' . OTHER "AMT. " K. W. . AMT. R. W ` MIL K.W ' "PMV K W I I, AM M W. 0,"; DRYERS RIRNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS ,'FELL UNIT HEATERS MUITI.OUTIE .'^DIMh1Epsv' AMi. K,I W. OIL 'H. P. OAS H P. 'MIT. NO. A. W. G. AMT. AMP. AMT. • AMPS. TRANS. 'qMF LP , „ SYSTEMS I pM1T : t I WATT$ t NO OF IEET' as a r~ p '1 - SERVICE DISCONNECT' NO.OF S. E R •'IV 11° C'.. JFC 'METER NO. OF CC. COND. A. W, 0. • ~A, W. G.. 'W.O.' , MIT. AMP. 1YPE EQUIP. 1 A 7W I p J,W J.9' ]W 3,F AW NO OF MFIEG NO.OF NEOTRAI PER a OF CC. CON OF HI-lEG OF NEUTRAF OTHER APPARATUS- a sl d r ~F l ~ ,t IR"~ 5 ~ y." R Y DOROSICT-ELEC. INC a LIC.#2941 D' t{ 425'MONSELL LANE k, i-..,•„a CUTCHOGUE, NY,. 11935. GENERAL: MANAG This certificate must not be altered in any manner; return to th6'office'of the Board if incorrect. Inspectors' may be identified .by Tth n tredentlals., O~~gOFFO(~cQ o~ Gyp 1 = Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. 0. Box 91971 y~Q~ ~.ao! Telephone (516) 765.1802 Southold, NewYork 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 14, 1995 Environment East Inc. P.O. Box 190 Peconic, NY 11958 Re: Janet & Joseph Gold - SCTM#1000-111-1-31 Prem: 785 Fisherman's Beach Road, Cutchogue 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 (outdated/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 # 22755-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIf4tT? I "PECTION REPORT IIIIATF II COMMENTS ro n n - 11 II N FOUNDATION ]ST) _ _ n II ~ ,'y`I1 it !I C FOUNDATION (2ND) It 11 M d 117 /11 ROUGH FRAME 6 ii PLUMBING It ii INSULATION PER N. Y. m STATE ENERGY CODE It ii It II u It II II II I II II II FINAL 11 11 11 p if ADDITIONAL COMMENTS: o re ~ rl 0 x H t 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 7ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R UGH PLBG. ( ] FOUNDATION 2ND ( INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE* CHIMNEY REMARKS: DATE / 11 r INSPECTOR 76 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ `-F NDATION iST [ ] ROUGH PLBG. 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Y, ~J 4 L , r..,.. i ...~.7 n. r+rnr .,..x..w w...,,h ~.ANu ' ~ KEW.}l.~Vt:3 X [ ~ ' I E d 1 ~ t J h~ S ,yM1'.Y T /tP.OP/1 (/trLt Q.dt G ~ ti r N/~UA.L = Environment East, Inc. 3075 Indian Neck Lane P.O. Box 190 Peconic, New York 11958-0190 [=J 516-734-7474 August 8, 1995 Southold Town Building Department Town Hall Southold, NY 11971 Re: Permit # 227552, Gold Residence 785 Fisherman's Beach Road, Cutchogue Dear Sirs, please note that we'd like to modify the above permit to include a small 8 x 14 deck between the existing deck and the new addition. The entire structure will be built to code and falls totally between the existing structures and does not project into any side or rear yard--areas. Please le "us know if there age any additional fees or questions. a Sincerely, Peter R. Stou}t2xflurgh t ) President i~ Environmenat Inc. h Encl. PRS:jm a c go,. 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' ~ f i rP? t f of ~ a~f ~(4<~ t~} ~ Vi x 1 two, RES ~ f v{ ii f f f f yr~f yV4ys'~t1 f f it JAI . w' { ~ as stfd F' lll~~~~~~ - .D FafppQfr i dde fd I Pq~t 4 fl tt t u{ f f M m { ~1s Y'1z r all l, y(~ w l j4 i ,i, < t r1 gw~ ~r . lot JIM h ' s I {ti`E ~.1' ~lly. i'a r 1 I'' ~ r c +'S ry~ i - F 1 i~ J I rt I'. i~ 5 A Zi i I( 1,k> t I ~ rk 7~1 i~TR r I ~ I c .l r a 7r b~ i 17i ~ ~ x; I,~.~ ~~~tf 4I4f iislE+ Pill ~V V ' I i I \ r „ al R~ VIA G I I FI~i ~ I'~ , I r 11 i S i td I _ ~ t i ~r C ; 11 r y r. y r rt r m. ~~`~'I I p y 1 I ~ a 16~ L~ D YYY 1 1 ~ L.. ~ ~4VI I~ 1 ^ Sr 5 l am ~'M'y { Q1 X' r e _ 1 ITI 0 c" 01 Fq I a ~ . t ,I G I S. u,crlon /s UY r„ ex Now York Slate Educy u Haluhmt of .il+:;,' '.;:-Caaiss of this Orion law. , ey mo real p not hearing the land surveyor's Inked „ever.. r;' t';.L 1j +'ri ••'rp or mnbosdfeal filet' hof be considered to b 4r, Guoronleer or cxrliflcallons in e a valid copy, dicated h person for whom the survey is Prepared, shall run only to the t'•dr `';i title comparty, 4oVBMmenlol agency are and,d and lending his behalf to the r, hereon, and Institution listed i'•.. to the assignees of the lending institution, Guatanleer ~~M•'• ly+•I' or cerllllcollonr are "4 kit, i,, not hansfetable to additio na `'''r~i•' J ,('1,: subloquenl own l Institutions or ~,.~9; .i r . tf6 • h,ll .(fi,,i:,'yl,"bj.~ ,l~yl!t I' y4~'Yli i•~~'~ , , t r!, g 'If`. J'W Ant' ` yy 6i4" C rQr, 42 St';i.,I \v1j ,O?- 0/,~ as P1?;l;rtll~?; 'v. 7 a ~-y i' ' 'O :r~. ^t / r"a ff~r ',a., :fir.. r~o m, af' eh\yo ~4 K 4~. / / Q~~V '.'+,•`ifr~~ r rr V ; i gL':1 rear m jitr fitTy;tl.., 'I^ 84 fir c'ys't' D 4 t``'>' .i a " "tA .u^llf'I .lsl~'I~jF 54,i I q 'I:, PRE,< ~ ~ I, r r i ~ Yf o(1 ' u )~i'f' +r'r Y "1 y'i.il, 1 1 k+ s T ff. + x ,p All dislanees to wells,ond cess pools are by location from house owners and field observations, since most wells and toss- ' rje? pools are not visible these dimensions ca'not be certified. MEY, , FOR ip -r i REFERENCE # ; EPH s JANI~T GOLD PECoNIc oo•"w I[s INC.' i,q,. FILEO AP l~ltv',hry?i'%.' IA,5S POINT, .N,anQlF;$.OWTH0 Lp AUARAN E6C K':COUNTY N.Y. CHICA TL ' %4 10$EP JAN N op RAILYt,J i+.rs';:/{',i i`.?'i•. s ,I''ll R•~QI , + •I 1:'iZi Q• li tr alP lib rlsaY'~1.1 i~ f `ids ~ ~ ~ ~ ' t~ I''~~Q~i°/•°~i4~~1 i~..~l i~~ t+.; $ ..t ,y.: ~;,I l:'1 ~~,sir tf v.; .`1 trr I SY; r. 'r~'!''.{ f ;r , NS~O rf1 • (fr~~~',Yy VEYOR + t hYis,i ' x7 RI ~R '1S'•r' ,I ir'~'. ~'4:•,i• .:r; .i •1';": ' .y, ~.rr,i,i f,f: p ~,;.5i <,f2„'~i' ~ +rtrM't'2^'..'.SY:.S~Y:- ~...-_...•W0013Q4i•91'-".^•..C'.:Gtl`..LS'.'SL"..:..~--~u.___._. wn , f BOAFO OF HEALTH ~S C~ I t f FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY ' NRt BUILDING DEPARTMENT • • . _ - "APR 2 41995 CHECK TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 7651802 rtDTIFY: _ ~p C Examined .G~..., 19.J ALL Q MAIL T0: Approved 191.E Permit No. 4v J Disapproved a/c (Building Inspector) AP L ATION FOR BUILDING PERMIT Date 4?A . 19 .W. 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. 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 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 inspections. (Signature of applicant, or name, if a corporation) ~0 B.K i.*> )-x-f J.1S~S:zt . (Mailing address of applicant) State whether applicant is owner, lessee,, agent, architect, engineer, general contractor, electrician, plumber or builder, ~ovJ~ca. Name of owner of premises wr e d TyseC . . (as on the tax roll or latest deed) If plic a0 n ure of duly authorized officer. (Name and title of corporate officer) Builder's License No. }+x......... . Plumber's License No . . . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . . . . . eQmr~r?'s..&e, Ac.-k. -PS, u.-Q 'House Number Street Hamlet County Tax Map No, 1000 Section , Block .....Q I Lot. .31 . . SUbdivisionV~ CO~J;c.,, 1INY. flROPeAkI E? 8.......... Filed Map No. Lot A a... (Name),, L State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 7l, ,tJlIe j.l. il . . . . b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition ..ll....... Alteration Repair Removal Demolition Other Work ^ ( 4cription) 4. Estimated Cost . Fee ..,1.. (to be paid on filing this application) 5. If dwelling, number of dwelling units 1... , Number of dwelling units on each floor If garage, number of cars ! _ 6. If business, commercial or mixed'l occupancy, specify nature and extent of each t pe of use ...h'C 7. Dimensions of exisstpg structures', if any: Front fJ........ Rear ° Depth . , 1 q • . , , , , , , Height z.7...... Nunnller of Stories . Dimensions o same structure with alterations or additions: Front Rear .....S. Q Depth Dimensions of entire new construction: j • Height ....Z/ Number of Stories cFront f.C......... Rear . G...... Depth ZO......... Height ....l.'.1 Number of Stories . 9. Size of lot: Front 6 Y ......11 Rear ~~A......... Depth ....../..7.r...... , 10. Date of Purchase Name of F rmer Owner . 11. Zone or use district in which prey jiises are situated , , , , , , , , , ; , 12. Does proposed construction violate ay zoning law, ordinance or regulation: . . 13. Will lot be regraded Ly. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address Fs-) hrMn "A& A Phone No. Naive of Architect . Address .":~110:...... Phone No. . Name of Contractor L1J~iR AL?411~ r ..C Addres0062Y&P . Phone No.~V.v t~ y?.? 15. Is this property within 390 feet of a tidal wetland? *Yes........ No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all 1 uildings, 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. i I I I STATE OF NEW YORK, OUNTY OF S (Name of individual si vin f. • • • • • ' ' . • being duly sworn, deposes and says that he is the applicant g ~ ntract) above named. (Contractor, agent, corporate officer, etc.) >f 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 soft forth in the application filed therewith. iwom to before me this `.L~.~.....dayof. i, .......,19~ lotary Public'~:~:K-f~tj„~.0 14~+•: j ountY HELENE D. HOR E (Signature of applicant) Notary Public, State of ewYork No. 4961364 Qualified in Suffolk County Od---- i Commission Expires May ~2, 19 i I I ~ I i i 1 I I I f I I I I~ I I I I -Y rgn~bTiNG ~ \ E71 ~ ~ y yJl ~ UYY~ I~ r ] C EX15TI I 11), 9"! TRR'( CCIL ~ l:.h ISfII~G E'k~5'TK6 T I r T Y I I I ,~E.W 17OCJ(:.J . / ! III I I 'i r i w K-10 ~A'Y[ r:~llL ~ i ON 3-Zx ,D Grytz.utft ON cj/t P1 LC9 f - q ~ - C~r;n e:r- F'o ~TJ I I j -~r- i I i. I 3 D MAN TD I 3-`1x~o C~~avrck. I _ '1X5 RkrItC5 L b '.JC $t LC'O FM"on1ll'1' Fri, ' @ cvn.,.r~~Pn<c. I 2,.Q Co LLAK- TI mac, ~ I Ui 2y (p ~r U.V. ET VQ.~ I ~Z'' ~0'F =NE.AT+-11NG i I ~ E~E~AT Iron -70 NIA"IUl q~/ .BAT i IrJSU;~ IY ca slow I OC°'" PANCY OR N APPROVED AS NOTED Dough .1.\CK~ L'RN' ~ <TUpS i USE IS UNLAWFUL DATE: ~2P. tl FEE: B CY WITHOU 1 CERTIFICATE NOTVFV BUILDING Di_i C1 i Q 20 755-1802 9 AM TO 4 PM FOR THE FOL OWING INS: j ~!I OF OCCUPANCY 1 . FOUND TIONP- TWO REQUIRED .!1 T~ FOR POURED CONCRETE . 2. ROUGH - FRAMING & PLUMBING 3. INSULATION ki) 6) 4. FINAL - CONSTRUCTION MUST (Q 'v1 BE COMPLETE FOR C.O. N ALL CONSTRUCTION SHALL MEET N N Of q - I ~ I THE REQUIREMENTS OF THE N.Y. c4 ' E q STATE CONSTRUCTION & ENERGY h Z - CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ZZ I N~ DO NOT FRAMING NOT PROCEED WITH RJ r F FOUNDATION` SURVE? PLUMBER CERTIFICATION LOCATION I I LEAD CONTENT BEFORE PLUMBING AS BEEN APp(IpVE0. STE CERTIFICATE OF OCCUPANCY ON &LWATER BINGINES NEED r ~ ' I r I ~ I SOLDER U.SFn IA/ Mie MrC TESTING BEFORE lb O' SUPPLY SYSTEM CANNOT EXCEED 2/1 P of 1% LEAD. for "copper °OpPar water tubing is used I I distributin of sem• Piping shall be <'ev, 41In.ZE, ra°9, 4 nl apPOFFSS,ON ~ i HA y.S'(F:. APPp ED 0V ~ i ~ H EA,D ER _ _aoup~E J~.~~ STOPS x~, 69 WALE DRAWN BV V~ DATE aaito iT i SAE SiAtEDp DRAWING NUMBER EN trice SALT Nc- 2,4