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HomeMy WebLinkAbout22559-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-23733 Date JUNE 23, 1995 THIS CERTIFIES that the building ADDITIONS Location of Property 3895 WELLS AVENUE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 4 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 4, 1995 pursuant to which Building Permit-No. 22559-Z dated JANUARY 13, 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 A DECK ADDITION AND SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT G. HANNON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N355354 JUNE 16, 1995 PLUMBERS CERTIFICATION DATED N/A Building Inspec r Rev. 1/81 i 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. 5/ N2 22559 Z Permission Is hereby granted to, ..~>..3„"..... / -...4 . e....Y to 9-/VQ . .........L..s?l `w.. /ice.......- ..........................p..../.~............/.. at premises located at .............l..e?.. L A r...,....Nn.y............................. County Tax Map No. 1000 Section 0 Block ....~......el ...Q..... Lot No. pursuant to application dated 19.../.. 7, and approved by the Bull'ggInspector. Fee S...1..5 Building Insp for Rev, 6/30/80 Form No. (1Sd~~ 6 `W.' _ I \ TOl•/N OF SOUTIIOLD l`~??\1Y~nTllw/1, „_41 MAY 1 8 1995 BUILDING DEPARTMENT 9 f TOWN HALL ~o G,,_e.._.__... .a ~ L {a765-1802 W-Wh 'U'0lJ'CF 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 of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of ),rater 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 buildin industrial building, multiple residences and similar buildings and installations,% 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date -7. lF. y..e,~1?.T New Construction Old Or Pre-exi,~stin Build' ng...•.• . r s Location of Property...'3.4!!.~...,,,,,,•_ 4':~ ,.........~..•...•.•~l)J.- House No, ' Street Hamlet Onwer or Owners of Property. ,!~0,~ Stik~m~` F Count Y Tax Map No 1000, Section... Block ....~..........Lot......~ Subdivision.. ...Filed A1;rp............ Lot...................... Permit No.°7+~5'S~ pr... Date Of Permit. Applicant Health Dept. Approval ••••••.Underwriters Approval 'lanning Board Approval tequest for: Temporary Certificate......, Final Ccrticatc........... 'ee Submitted: • e2..f•' 3 3 ........,yam` c. . Town Hall, 53095 Main Road C4 Fax (516) 765-1823 P. 0. Box 1179 W- Telephone (516) 765-1802 Southold, Now York 11971 ~p OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 18, 1995 Harrington & West 665 Goose Creek Lane Southold, NY 11971 Re: Robert Bannon - TM#1000-70-4-2 Prem: 3895 Wells Road, Southold 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 # 22559-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIE D IPECTION REPORT (DATE n COMMENTS 11. _ li ~ ~q1/~ II- II vVel FOUNDATION (IST) II ii Q~ FOUNDATION (2ND)___ II II II --Jt- II II = - ROUGH FRAME 6 it A PLUMBING ii INSULATION PER N. Y. it STATE ENERGY CODE ii ii u it ii II II ~Xe4v~ FINAL l n ~~-~y~ yr - ADDITIONAL COMMENTS: 4 ~ l:i! lam- ~ - 7J M d ro H J 765-1802 BUILDING DEPT. INSPECTION H PLBG. [ ] FOUNDATION 1ST [ /FINAL F OUNDATION 2ND ATION FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: DATE S e' INSPECTO ,,368-1802 `BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ jj FINAL REMARKS: DATE INSPECTORS THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r1000121 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date JUNE 16,1995 Application No. on file 07293895/95 N 355354 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ROBERT BENNON, 3895 WELLS ROAD, SOUTHOLD, N.Y. in thefollowing location; ® Basement ® lst Fl. ? 2nd Ft. OUT Section Block Lot was examined on JUNE 12,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER MAT K W AMT K.W T. K.W. AMT. K.W AMT. H.P 3 5 4 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'?T TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS MIT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G AMT AMP. AMT. AMPS. TRANS. AMT. H P SYSTEMS AMT. WATTS NO. OF FEET SERVICE DISCONNECT NO.OF S E- R V 1 C- E AMT. AMP. TYPE METER 4TY t,e3W 393W 3,e AW NO. OF CC COND. A- NO. OF HI LEG A.W.G. NO.OF NEUTRALS A.W.G EQUIP. PER.b' OF CC. COND, OF HI-LEG OF NEUTRAL OTHER APPARATUS: MOTORS:1-F H.P. G.F.C.T:-1 PAUL R. BURNS LTC.#3897E P.O.BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER 11 Per 4 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 MLI3T NOT BE ALTERED IN ANY MANNE BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORtl SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NDT1PY 6~f©S / • • , , , 9 CALL Examined ///o- oo- lY'. PIA IL T0: ~ ~J cl 7 j~ S f//`l/L 5 Si Approved , . , , , 19~ Permit No. / 1941117Z :C-;~ /9;R I - Disapproved a/c 7cf/GY (Building Inspector) AP CATION FOR BUILDING PERMIT Date ....v........ 19 Z5 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the building Inspector, with 3 ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 hall 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 hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or I tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. -he applicant agtees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspe 2 ns. r........ (Signature of applicant, or name, if a corporation) • z-.5. x:35. ~.~I~RQ~e=rte.. ~~f7~/~:~,~,~.`~; (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor„ electrician, plumber or builder. . Fame of owner of premises . . . . . . (as on the tax roll or latest deed) _ £ r f applicant is a corporation, signature of duly authorized officer. D Q ~=JM41995 4 ~ i (Name and title of corporate officer) Builder's License No . . • BLDG. DEPT. TOWN OFSOUTHOLD Plumber's License No . iv ' LJ/GL j~~©2ds1/ Electrician's License No . r Other Trade's License No . Location of land on which proposed work will be done . . ? ~7~~..... S....?©° s®4<......c........ I House Number Street Hamlet County Tax Map No. 1000 Section Z'vr......... Block Lot . Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy / b. Intended use and occupancy (F/Z)6,!L:~.... . . . , zi+AY.waNtI v I I 3. Repair of work (check which ch applicable): New Building Addition Alteration . . Pair • oval Demolition Other Work . (Description) 4. Estimated Cost Fee . (to be paid on filing this application) 5. If dwelling, number of dwellingunits / Number of dwelling units on each floor , , , , , If garage, number of cars ly . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7 Dimensions of existing stru Lures, if any: Front a Rear "f.7 Depth , Z , , . , . . Height of same structure w ber of Stories .or.. Depth imensions of new construction: alterations additions: Front . 5 j , , , , , , , , , Rear ey?.~: , , , , • • • • • • . • I ..Height ~19JYl~........ ,Number of Stories ~~f/!?~ . 8. D auction: Front Rear Depth . Height Number of Stories 9. Size of lot: Front . , /DD Rear © Depth -2 Zj............ ,.7. , /~G,~L7~O J 1011.. Date Zone of or use Purchase district in which pr • • Name of Former Owner ~mises are situated . , X.:/-0 , . . p y zoning law, ordinance or regulation: 13. Will lot be regraded Will excess fill be removed fro~,m~s,f~rermsgL/ Yes No 12. Does 4. Name of Owner of construction remises vio sB$~~O Address ikt?X /?o7 l 0 le< I 1 one o Name of Architect S/J?~?.. , , Address Phone No. g(o , 14 Name of Contractor . . Address . Phone No. . 15. Is this property within $00 feet of a tidal wetland? *yes,,, No.. *If yes, Southold 'own Trustees Permit may be 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. OZZ Df/~wi~C~ S . III - II I STATE OF NEW YORK, COUNTY OF S's ~bb m~• • • • • • • • • U!~~~~ , being duly sworn, deposes and says that he is the applicant above named (Name of individual signing contract) He is the.: ....................III /TI~G/ll7c G7 (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly ll 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. iwom to before me this I 3arD..A?+p- ~o a Public, County NogiyP~u6t Yak , it.V .ZI.G............'... . No,49B5B&9,&MA (Signature of applicant) Tam Dow Sol* 3,19 m U m r ~ z~> W ~ Z j Q mm~l u ` ¢a0 4 IL O U) N MAFLL5 l O.40 W c a W 170 "ZO 00 E /O~.Op to 0 z 1u,, S ti ~o.e c 9 J I; Q s~.d' a 38.- v 23 Pr /%2sTy~ IgF7 u=~~ r p~ OEG ~ O 7 D o ~ v O m y ~1 coNC. W4GL ,tea ~vai~yy1 , ~ /D ~ 2l0 F o N _ Jo - _ 4 0 0 { o~ QQ \ a U YQaQ~ e 0 4 X ° vat ~aJ t-- 01 41 0 \j LL a ° 0 >~z W O Y M Q r C( Q 3 > a N° uj 0 0 Q Ian l~~ j~~ a U) w U) ca LCGZL I , `JNLLNIUd9nie NlOjinS. nVSSVN F r ogmg , - i 9 sly fly y iN s~~cdi • ~ ~~U~~~ ~ llr~~^~~y,-..~ ~5~~~ u o tT OCCUPANCY OR il Z Lo u AP RO ED AS NOTEl,,,,, USE IS UNLAWFUL J W 0 DATE B.P. # m~ 3~ wn WITHOUT CERTIFICr-. FEF: - d By. NOTIFY BUILDING DER ~iJDEiRSE~.! OF OCCUPANCY 14'-II° ~'-4" 755AS02 S AM TO 4% FOR THE cE0.+2 /RT14 NEW' b,~INr~Ohl ~iJDEiRs FOLLOWING INSPECTIONS: - `/E^IT IW/ .Y~L°EN ycTp~GM W~ ~2- 1 . FOUNDATION - TWO REQUIRED ~..c omom OL.D Iw~11.ItaGLJ gIr~ING coL LJAAW ce L.J^44 GOLLII.A.4 cOLUI Aj COLLJFAN FOR POURED CONCRETE PROVIDE I+IC;IAI 91 PING 2. ROUGH -FRAMING & PLUMBING lb MA'1MW EsI5TIWG4 STING Ca'-It" ,.n 7:p`I 4r REMOVE ExISTINa OEriK . FINAL WlNUO a,J TRll.d TO 8 A To duct Wrf1"J RLuaTINy S149J65 ¢ 3. INSULATION - COPSTRUCTION MUST NV•TcN Px19TINC{ COL.1J r~AN TREES As RS12UIIzF-v L©CS4TG E.xiSTINy SNNITAizY BE COMPLETE FOR C.O. y_OII ZW>•4 GID rCaA~L.E sYSTSd-A VE21Flr LOCp.TION 1 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. _ pE eL,yWCkDP /m TO A F&CHI-MC.7 O~JNE.JZ, f'poTEcT STATE CONSTRUCTION & ENERGY anal 2'~ 61-IE4TNn.lC~ UIJDERfiROLJ1JD SAN Ti~Rf uNE olltulJC, Lu .~G MATerI c1.4 Ex1sTIL4 CODES. NOT RESPONSIBLE FOR E o 9m-4 r~Dir6TR+-k"TI ON 0 DESIGN OR CONSTRUCTION ERRORS y,4 Ew p q,4p3.E- r~ - PROVIDE STc.F' 2Y4 MST, 6"5a. a - FL.4EHINcT 'I i,, C 7 '~.1w1 STRL1GYl~MI- ~IQ aca RIOO,E 3.2./i ueEV W/iw eN } b" d mIJC., FIL..L.EP j III - IN~~h~ N BSI I-Jew 9 ~ IRn R ZKB 3E~n..l ScJOTII P- r 270YI F'~"~ I3 / `11AIMER CERT/F/CATh ED a OF aft 6EI.oWp gLtiDE Z C 'y r J' FLAT GEILI1Jy sGr~E of ~~MIPS lblaitar, bEc KING ~ 'd ~ o" smJ.aa.e rn;~h' I x b T.14 ~~y~,~~y ~ . eam1cm 5.2x4 P06T j'~ i~IgT t{' ?1'DNTE/NTREI DEC~INy T - 51 tt O ' cEtY.R -IYP• l SOLDER USED IN I rm,, `.r P r, Pip? A I; a alp .L-+ SUAF'LYSYSTErr~/`°~;;'a a I rJ-S II ~I ti r U) A EXCEED 2/10 vF 1 % CEAl[). p rtz ~I a, A I f y(o~ z b1~ILL71N ~ a,1.~ i eto-u t~l L Pr _ M^I, . 0 If copper FK.E - sct 3 a _-e ~ ~ .z. tubing is used I' $•lwfp PKOVIDE 9TL, AW L.E LU 2rEs G.3 'rie. I for water distributing 'g C'mLfrrs o J J I *e-c' IsT arse "~IL~. 3E•M 3Yy"- VIS r VvW ~^V Q d•90~/E i• %y~ yo LTb EA•t Cr, > system; shall be EP:~H LE Po LTEO ~IJ ECIIot4 I Piping Gt 4 ZG I 6.ki P SoLTEP eoNNEGTION INA of types K or I. only ~R B iNA95vr l LU5 ZC IaMJCtER \P 6T , JLLATG ANgLtS A? N. ~ ` ii II (I I~ II ,NBiDE cop,4F-9 of y ?FiA'~6 7 Z :pwR G~KIOTI E L. ~ ~ f~ ~ ~ ~ I 'I I I. E RY d1 gD'ToM OF TIE beAM J LU AL•J Li W/4IxTD13A~^iJISTEIZa PLUMBING ALL PLUMBING WA 9 3JI DIJ[a O ' 1F 2x4 BOTTOM I~IL r & WATER LINE STE - _I_ ' S F^.cE O ~ TE5i1N0 REF R NEED _ d_ ORE COVERING , 'I P N YI ~ _ I _ ~i Ill Ali ~.~gT EL. E~/ATI©1~1 I W I~ I I I I I~~~' uof Ii n Q , /4 = I - oil I T IJ~ D 3 e L oopp ~.r , I'L~ILIN ~7 S z ~ i 6 _ GxISTII.Ih iEF - ~eles W .0 OM - O y7 rrp,' O 7 I INTER BFSTIN CI GIAfb LE9 T!~ P1E 0 0 - ~ I I' pIJILT DM TeP eF ~.sz RooFi _ I II m E IJBE 2xS m 16" Or tr B6T 00 - m I 2x4 FLhT'L 2iLJILT aATNeDFUL ceILINq ~IITN-IN M~'N i 1 TIE:.' 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I >y. 1xro crseD r;k-s4.~ Co.sev Drawn By: UT TILE FI.ILL NEST I ~ I ~ ~•GEOI GEOi.Fi Checked By: T6 f I j _ EX 18TIIJC' 3.2v4P06T CA4Fp N/ Date: 12/ 30 /94 _I..f_ Roviae I. GEOV~R 1 f Sc4EE44 R+sj&-s Scale: A ia awc _ry j WI1P CF r' r -r- -1-F co~16TWJCTIq 9~4 nb 9~4 x3 CErr.R TILED_~ IZEO-fllMD -a - t- - " ~h _I-~ FFUMI FpaMES Sheet Title: 5T -4--I - j- Ibfloti.l: 13ROIJZE. 2pl'Exl _ ' ct.t~eET -I FIRST - - 2xa FLOOR - To WEt- ~R ~ f - _ of pECF~ JolaT3 o i , -1 T- Lco PLAN 4 w =cA BUILDING IJoLJSE 9U6FL2b0. TDI, eF yEck- 'N ELEVATIONS DETAILS 47In1 -J P' E L~VATIQN °A" EL~~TtO.I ° P" ELEV~TIOIV "G" E .L~~Tu7N " 3o zxlo CgI12DEm Sheet No: GRADE I i k e k'8" or c *4c, FILLED EL E. V.~T I ©rJ S I I II ~ I ~ I I ,Sol.IO TIJIuG- 3'-6" 1 13EI-0W Ga 2^-GE I j r~ ' ~I.~ILI~ItJG~ 8~G7~OtJ'~% I I I 3 9 a