Loading...
HomeMy WebLinkAbout22600-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23749 Date JUNE 29, 1995 THIS CERTIFIES that the building NSW DWELLING Location of Property 5250 BERGEN AVENUE MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 1995 pursuant to which Building Permit No. 22600-Z dated FEBRUARY 24, 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 NEW SINGLE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to DOUGLAS J. ATTRIDGE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-R10-95-0014 JUNE 21, 1995 UNDERWRITERS CERTIFICATE NO. N355747 JUNE 21, 1995 PLUMBERS CERTIFICATION DATED MARCH 28, 1995 BERTSAND PLUMB & HEAT y~ uildi g 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) 19 Date N® 22600 Z Permission Is hereby gr ~ed to: /i Ate...K~e te~ . at premises located at....... C7t.oL.O..... ...l r.~ . /v...,TY..!!....." ..f County Tax Map No. 1000 Section ,l/..... Blo(ckk....... Lot . pursuant to application dated 19.... and approved by the Building inspector Fee ~f Building Inspect Rev. 6/30/80 E FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted = army to the Building Inspec- tor with the following; for new buildings or new use: ? 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual / natural or topographic features. V 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 6 5.Undated C.O. $ 50.00 Date NewConstruction...ZOldorPre-existing Building Vacant Land Location of Property (a 7. a .......S~JILG .................%ZTiTGG~~ House No. Street / / A \ Hamlet Owner or Owners of Property ..r County Tax Map No. 1000 Section Block .....7......... Lot . Subdivision SC......°... 2.. .Filed Map No. ..........Lot No . A 41 Permit No. ~..ppDate of Permit a/4?' Applicant Health Dept. Approval ......Labor Dept. Approval Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted a.S Construction on above described building a pe iJCUM l applicable codes and gulations. Applicant P,................ RICHARD NO, PRESIDENT Rev. 10.1078 EAST ISLBUILDERS, INC. ea37~~ PG, Date March 28, 1995 Building Department Town of Southold Town Hall Southold, New York 11971 Re: Building Permit No.: Owner: Nj 71?-t)6~ C WAS k((C U4,94- Gentlemen: I hereby certify that the solder used in the water supply system for the captioned job contains less than 2110 of 1% lead. Very truly yours, BERTSAND PLUMBING AND HEATING BY /0~ Sworn to before me this 28th day of March , 1995• ZZ Notary FLID11C EILEEN M. ROACHE Notary Public, S ate Of NOW York Qualified in Suffolk County 31, 99. Commission Expires January M THE NEW YORK BOARD OF FIRE "UNDERWRITERS PACE i 1035018 BUREAU OF ELECTRIdITY If 98 JOHN STREET. NEW YORK, NEW YORK 10038 Date JUNE 21 1995 ApplicationNo.onflle 87675895/95 N 355747 THIS CERTIFIES THAT only the electricatequipment as described below and introduced by the applicant named on the above application number in the promises of ATTREDGE, S/S BERGAW AVE.., MATTITUCK, N.Y. inthefollowinglocationt ©Basementi o Ist FI. ? 2nd Ft. GAR/ATTIC/OUT Section Black Lot was examined on . JUNE 16 , 1995 and found to be in compliance with the NationaGElectrical Code. RXTUR! RXTURES. RAN6ESI " COOKING DECKS OVENS . " DISH WASHERS EXHAUST FANS OUTLETS KEPTAtaES SWITCHES INCANDESOINT FIUORESCENI OTHER NAT, K. W. AMT. K. W' AMT. K.W, AML" K. W. AMT. N. P. 16 27 19 16 DRYERS FURNACE MOTORS PUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS Agn UNIT HEATERS MULTI.OUT19T DIMMERS AML. K. W. OIL H. P. 'GAS " H. P. ; : AMT. NO. A, w. O. MT. NAP, NAT.' .AMPS. TRANS. AMT. ji, P. SYSTEMS NO, OF FEET 'AMT. WATTS 1".F 1 DW' 1'2- e SERVICE DISCONNECT NO. OF ` S E J R V I C' E AMT. NAP. trPE - M!TlR~ I A tW I A Sw 3 B JW I,e tW Na. GF co. ONE, ' ` A. W.O. NO. OF HIdEG A. W' O' NO.OF NFUTRAIE A. W O. EQUIP. P,# OF CC. COND. M4U0 _ OF NEUTRAL 1" 100 C6 1 K 1 4.. 1 4 OTHER APPARATUS: ' MOTORS11-F H.P." G.F.C.Is=2. SMOKE DETECTOR:-1 PETER CHARBQNNEAU LIC.#2697-E'r '85 SHEPPARD LANE s SMITHTOWN, rY yi., 117.7 WHOM It Peh ibis certificate must'~'ot be"altered lin any 'manner; return to the office of the~Board if incorrect. Inspectors maybe identified by their credentials. East Isle Custom BUIldere, Inc. 278 Jamaica Ave. Medford, N.Y. W63 727-6023 wf 49 T R A N S M I T T A L 9S ~f. DATE: May 8, 1995 T0: Southold Building Department FROM: Richard Oppedisano MESSAGE: Enclosed please find the under construction survey for the ATTRIDGE residence being constructed under permit #226002. (previous owner's name was Andreas) Please leave a message at 516-727-6023 when it is ok to start framing Thank you. I SIGNED 4Richard $ 516 727 3411 POl Gist we Cwtom 5WIC10% Im 279 Jemalca Am. MAY 5 f995 WOW, N.Y. 11763 T R A N S M I T T A L DATE: May 3, 1995 ~ ~ a 6 o U ~ To: Southold Town Buildim Department fe {'Mt4 EROMs Donna at East Isle MFSSAGEs Paxirw herewith ie an under construction am=. i am mmilim the hard copy to you as I understand that you cannot accept a fax. I would appreciate it if you would call and leave a message when you receive the hard copy; so.I'll know when its ok to start framino. Thanks. SIGNED 10 516 727 3411 P02 C MAY 03 '95 14:3P N F PRESS;51647715590• 1/1 •m _ • • -A ~ C VFKAFIY'} I{1 Y kz: 72 1 1~f rr, i / X17 pq' ,;r. ti';= , s > M. y'• • ~ j "r < 2. X, ' i' i:r.. ~ Irl [ ; ~ 'jS} 'v.. •~`,I . k~ O R~ .,.grQy.D~r \ ' ; „ v4:;"'. :8,. ~ iii IELD ISPFf,TION REPORT DA _ COMMENTS 17 n H H FOUNDATION (1S n n ~ l- IlA - ci FOUNDATION (2ND)---------~~~ P _ z Q~ l _1 ROUGH FRAME 6 PLUMBING II ll 11 INSULATION PER N. Y. ll STATE ENERGY CODE If II H IllI - /Q~ el-V N_ ,l FINAL Il n ADDITIONAL COMMENTS: x~ O r ~ L , Y n nonnao,na o ~ ~aaaao ~ n s a v I^-- 4' 11.14 N I a V00000000. % v a 0 o .N H ~ ~ k a ~N a rd#vzs rtzgyt o All E o i l ~ ? q N • $ °pa6/ ~ ~ ST A R Z Q9 oa 1p}~~y AevP~ i b ar 9 ..C`Y C. ryryY1,mr. 'ii' ^ilia $$i~A " ~7r >70 Lm7~ Gr mrCw t$E~ii4t~i ~P9m q ¢ y~em I w v m mCC~ M uc x x 1 Plop S nnnt~~ m w y n 1*3 t nN 0 Q~noocirti© WPM • SN N W Yr 4 Neuv ' da O J6 mw l tl 7 as ' .,,rp6rM to v i /QI 9UTAW ~B111UIS11Rl~ XB) pUS1q „.lj'Md ~ 2~ 765-1802 BUILDING DEPT. ,INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: - V. ell~ DATE INSPECTOR 7e--- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] 7 UGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE J INSPECTOR 7A 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ) FOUNDATION 2ND [ ) INSULATION [ FRAMING FINAL REMARKS: y DATE INSPECTOR 0-4A A pp~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4 DATE ~2G b~J INSPECTOR AA r (p? ul~ 80AFD OF HEALTH 4' FORM NO. 1 1., - ] SETS OF PL.1:75 ~i TOWN OFSOUTHOLD SURVEY FEB _ $ 1995 BUILDING DEPARTMENT Cllcctl ; TOWN HALL SEPTIC FOR:1 _ _ . . . -B 0 . PT. OLD SOUTEL.: 7 -18 1021971 TOWN , N.Y. 7 7~ 7 / TEL.: 7G5-1802 CALL U Examined . CALL 1 . ! ..W.. • • • . 1• 19 / HA I L .TO: Approved I~14SPermit No,5;~4ti Disapproved a/c _ . (Building Inspector) P CATION FOR BUILDING PERMIT Date 19... 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 stieets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- c'!ition. 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. Ca4g~;.L.Sc~ Ct~cSc;t~z~,~i•7•te~.,~.~~:.d?s.-:r'~ (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. ~~tt (LAG:= SZ ............................re........ \'ame of owner of premises (4A5.) (as on the tax roll or latest deed) If applic nt i a co r ion, signature of duly authorized officer. (Name and of corporate officer) ~LtC N~~~ C~PP~~t3~vu>U, ~~e~St7~ov6 Builder's License No . Plumber's License No. • . • • • . Electrician's License No. Other Trade's License No. . Location of land on which proposed work will be done. tS~`-'.~U { Ck . ..q C Cox Ce tc ~ O ?Z/T.C House Number Street Hamlet County Tax Map No. 1000 Section Block . 7 Lot .3 Subdivision C SC 5k01? riled n1a No. p 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 1...~~....! 3 Nature of work (check which ~PPlicable): New Building . , Removal . . . . Addition Alteration ^ . Demolition Other Work , . ~U P7OZj 4. Estimated Cost '(Description) Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units . If garage, number of cars , C(~ Number of dwelling units on each floor. z , 6. If business, commercial or mix~d occupancy, specify nature and extent of each type of use . • . 7. Dimensions of existing structures, if any: Front . ' ' ' ' • ' ' • • • , • • Height Rear Depth Number of Stories . Dimensions of same structure d Rear yith alterations or additions: Front Depth 8, Dimensions of entire new cons i.. , Height w . Numbe7r 9 Stories . . construction: Front . Rear Depth ZYr Height . . , . Number of Stories r~ • . . . y ' ' ' ' 9. Size of lot: Front IS?C?~, Rear „zo.. 10. Date of Purchase /UUU • • • Depth L Zone or ±sr . F~.. ~°lg.'~....... ; :Name of* f Former O..,r,r ~?~LS , - '•s` c.rr..ict !A which premises are situated . 12. Does construction vi proposed ,te.any zoning law, ordinance or regulation: , • • • . • • . • • . • . • . • • • • • • 13. Will lot be regraded Will exLj,, s fill be removed fr Yes om pre rses: 14. Name of Owner of Kermses ,1[ f -c 1 Addres Nr Name of Architect a ?GJ.fQdLr~, [e~~{v~D~oS( rf~~ PhoneWb. Address i. Phone No.:727•-&o7Z Name of Contractors i,:40 [G Sdi7zcc~'1317j~~5 AddressZ ~~~K~4[~/rtyQr~c z7- l~ri'L 15.' Is this, property within ~00 feet of a tidal wetland? * l~:5,C4 No. ` *If yes, Southold 'own Trustees Permit may be required. o PLOT DIAGRAM Locate clearly and distinctly all lbuildings, 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 I ~ . j I TATS OF NEW Y~?R :OU S' Y OF off, • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing! contract) )ove named, e is the , ep , (L~E~ ~~~UC (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly a'' thorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner set forth in the application ffled'therewith. :om to before me this day of . . 19 Mary Public, County MARY PUBLIC, bbN !of Fppy Cf~ ~ W,U 52 • 4502420, $uHntb Ciao 4 l; iWA a (Signature of applicant) s ~~A~, i ME'NDOZZX IA,NQ. -51 . d 9 tat;,~• 94- .y L 44 lop, F ("zik D c > E f Al t -Alf KI, z o~ rrl i IA 0 -n Z0~ Z k. ' Ilk) N t~. S A 6 a•d fl _ b K b LL vl~ n o -n £ r ON ~ - " _ - - AQ Me~G*~'~Al~1J, ' P 01" 17 ~vl rA~ r- SS, i x { ZMj n '07 n _q Z, Oft-1 y~ po 4 V+ 1 9 z N x m 2 to 7r ~0 0 $ ..C JR113 18O",~ 4J F s` P tFi Z- OZ A._.$tANO. r ~ ca N.14:415 50 W,, ~r jilt ~Cti N I - E." 0 54 OIR-1E, to 'a 10 T F j m st j() (1) f g ti P r fR -4 a 4A nt rn p mn. d©~ n m i , ;4 o o n m y~ 31 o'^o~ no 6Fprt~ " C a m S m a i t t C {3 i/i q I ~.C7 @ G i -1 M tSC I'77 A ON Y >ax~ r4 x r !z L l~±'tEEfT ~EJftT(~ICAT/QN ~ ~ 1 -co r8EF0 If I DA r PA r , I-OA y j d ~ G 1~ ~ 4p I ~ ~ ~ _ - t pp r 1 f_ f 'rl Pw. kubiny la ww it 1 . L ,r ry e' d }ikuT' OCICUFANCY OR a ITw H 7 n1. it, p y nn ~x USE IS UNLAWFUL a VIT O11T CERTIFICATE i E~ n~ ®"OCCUPANCY J1r2 rL~ I,~<, A 4,V7 ~EIcI~ ti _ 0i6, = s lirni S L 4 mw": ~1ltyliAR< uA~ Ail ' r ,{tn A 1 ('TF~r!ry;Am~~IN U"L SURD ti yf fVtlNDATION UnTION N APPROYEp M V.. s~4'~'?" u 3 _ - '(:'.aGaJ Ta F:r,ui r74'U S v~ f@1.M.'f nw7 }t 6 APPROV DyI~NOTED - 1 a 3 / it x ak < fi DATE: BP. # _r ' ME.f1A.ICi~L(fK ;,W-L to 'N FEE: ` a t ~rqf~r)y Y''E.A~', r .'!vl i C~_ `s NOTIFY BUILDING AT! jly dk p4~'.G."3' '~rvYY1tA ' 2+~ I o-" ' 765.1802 9'AM TO 4 FOR,THE I~r'ry3's' N `r 5 * st 1 FOLLOWING'INSPECTIONS: " 1. FOUNDATION' - TWO.REQUIRED - FOR POURED CONCRETE 2~y','ROUGH - FRAMING PLUMBING 9 _ z a a SA r L ~1 t4 1 . INsui.Al IQN drAf! ~J-,. »11Q~~~rl :4FINAL "CON'$TRUCTION Mr4,15T ' V 01 44 ,in °,~~>u,~,„y 'r r1A n4 '.r BECC)MPLEfE FOR'C.O. t - k bF w' ' - ALL. CONSTRUCTION 'SHALL: MEET • ' Q~`3xt,rK~ '1r'ir THE°REIDUIR9MENTS OF THE N.Y.. s STATE; CONSTRUCTION N ENERGY . l I - r ,$Ij3A~ M,p,=.+T r _ . p tTM ,'Rl1 " 'r{ ^ y s ,',CODES.' NOT RESPONSIBLE` FORiDESIGNOR ; ~ r--~ CONSTRUCTION ERRORS' F~ I i 1 r . y i# a 0' . ~ A 1x ~~I xi t t , A VI:if4 Y 'ti lT~V+° F4. stir. 7 ~ 19.! ~0 3 rye 3 1 1 3-. _ _ _ _ _ t d.~g+ht i "aY "7.1 ]A p ~ l I "'f AQN 1 F~,I J ~ kl ~T~ 1'.4~ ; AID 4yt '1 ~ 1 it r a 4 ilk A a K c'.W~'ak t d. din , ` ~ ~ •3 ~O p Ar I'!., pN 12'-pn Co co F r 04, . 9t• -0 - r r is ME x r.c-. wpws I 1 i ~J i i r r l 7 r~ 8 d- - w 4t. P~ f'r V flq ~ ~~x r~'fi ~ I. b ~ I. R l N W d M ~lfiY~ I 1 11 ~)1 I ~ ~ f u 4 llx;t ai 4, „F, ~ a w , t f....o 2~0 ~•m~ _ tG'-`L _ _ ,i~- r_ S'. i ~ 1 ,IE 't z sn 1 o - I 1~ i I _ t k itw' r~Ci'k _ 4 ~ blwAtJ(' ~ .i f 1 1 h Ilk PRO IDf'OPENINGS FOR' 'ELIE GENCYESCAPE A~' Eli r 1 " EQ01 ED BY PART. /1yOF ~ $25o B .Y:S TEBUIL¢1NG DE ry'at'° lit l5Tag~ x el III a s tou~XGAJATP„L zAs ri kE. Q r S 4008 7k' lit r ROVIDEOfENINGS run u MERGENCY ESCAPE At r , a~ xrq QuiRED'bYPART.714DF r wII I, 1 1 Y, , i d. , M• . STATE WILDING CODE.: all aft y rC 1~ 1 F LS S ) Y A^P _ 0070 rz.. w PROVIDE Y ~{t~+'~P`"' ~'a ? i_, w ~u ~,r -1~ X11 PROVIDE % HR. FIRE HATED SEPI `r RATED SEPARATION TO I r 4" n r - r1 ' F f)` " d 2 ' e - 25o R t - 1"' t b . ( MNT 717.; PART.717.3it?(1)OF -.g x ggC- ',11A i,L, 404067 Ot ? - -12 Ba. _ .Y. STATE BB _ r' vr ra.l, N.Y. STATE BUIDING JCOD --1 " C-0 I'F14 a~ ~F ¢~A " , y, ~w ~ ~sz?y ~ x - ~ ~ ~ _ ' -1 n'~, 0.i ftl1' - iry~"wy :tir .4' ps ) +11~ ` 4 l~l•/ju _CD 4v ILA' Z o'' iy ` ~E+q`~ ~I,, 14~*r Yp'v~, -..r•.~._. _ -,-{su..-•.•-.~=-'-----"--' IZ _ 4~' a" w ~'y3ry1. '~E•~3~[,-~,'" 4.~x t ` lyfi 1 - - - . - ~.~r 5' q tf T^')'Tr PAP 11 1} ~ - • MI r~ r 1~3v~`~n1t ?Wy~.]~M~ ~ LI~'4:J'AV 'i". u~. . ..n