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HomeMy WebLinkAbout22450-z }v FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23900 Date SEPTEMBER 20, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 3750 BRIDGE LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 84 Block 5 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1994 pursuant to which Building Permit No. 22450-Z dated NOVEMBER 4, 1994 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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to RICHARD & LAURA BOZSNYAK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-046955 - SEPTEMBER 13, 1995 PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 FORM NO.3 TOWN OF SOWHOLD BUILDING DEPARTMENT TOWN HALL SGUrnotia, ~v: r. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date 4'ag......./ 199. N® 22450 z Permission Is hereby granted : ' ~ . ~ ................Vie- -~.c- ` . to .........C~ S.S S,....ZV....... t-.~~ . S.S.~?,.......... a to... 117.......... r.4............ ~<..~fi~~'.4..... ...........ri...l1/.............3-mot 1~. ~ Y.1/... ...g................. at premises located at 5...... ../fA!~: .......F..,...................... County Tax Map No. 1000 Section ......y....... Block Lot No....1 pursuant to application dated 8'•........... 19., r.... and approved by the Building inspecT9r Fee ,,7..4,.., llaawa,~ Bullding Inspecto Rev. 6/30/80 r _ L Form No. 6 MIA?/ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN }TALL 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 of, property with 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. in. 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, Buildi.ne - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000 Commercial .$15.00 Date ..':1.:1v! New Construction .../'.....11.~./~Old gpfr/e`-existing Build'ng....g 'I l Location of Property..3./.aY....'!~J......-!C!(!1!i?~?2-:Q- House No. Street Hamlet Onwer or Owners of PropertyNo~. 0...... County Tax Map No 1000, section. 1U .........Bloc:k.....~........Lot.. © Subdivisi.on.11.t.-~ .................................Filed Hap............ Lot...................... Perinit NoV) ......Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriiters Approval.......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: . ~'l\ -?-A?,gno AP KT CANT _0 cm CA Town Hall, 53095 Main Road W- Fax (516) 765-1823 P. 0. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 25, 1995 Mr. Richard Bozsnyak 3750 Bridge Lane 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 # 22450-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. !D i;. .u:! IPATE ~I OHMENTS~ _ _ II a 7DATIOU (2nd) o .H FRAME ~ • - ~ •PLUPIBING' • II n L:,TI0:7 PER N. X. II • • y ~J STATE EIIEROY II (0 CODE I f } m -3 . FI;L4L ADDITIOPIAL CO!.1`fE17TS: rq • x H H H • O - r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE k//6~INSPECTO --5 o 2-zH 15 v THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r8056181 BUREAU OF ELECTRICITY I 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMBER 13,1995 Application No, on file 10100395195 H 046955 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 RICHARD E. BOZSNYAK JR., 3750 BRIDGE LANE, CUTCHOGUE, N.Y. in thefallowing location; ? Basement ? 1st Fl. ? 2nd FT. GAR/OUT Section Block Lot was examined on SEPTEMBER 07, 1.995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS CEPTACUIS SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT. K. W.. PMT KW PMT. K W. AMT. H P. 7 6 5 2 5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT 71ME CLOCKS RILL UNIT HEATERS MULTI-OUTLET DIMMERS I AMT 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 C I 1 2@ I SERVICE DISCONNECT NO .OF S E R V I C E AMT AMP TYPE METER T Ar 2W I ff3W 3.e 3W 3,e dW NO. Of CC. COND. A. W. O- NO DF HT LEG A. NO OF NEUTRALS A. W G EQUIP. PER .e' OF CC. COND. OF HHIEG OF NEUTRAL i t OTHER APPARATUS: PANEILBOARDSt1-8 CIR. 200 { G.E.C.IT-2 `t f 4 Y RICHARD E. BOZSNYAK JR. 3750 BRIDGE LANE CUTCHOGUE, NY, 11935 GENERAL MANAGER 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 BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY (7(,i ? B 1994 BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM Li_DC. txt r. SOUTHOLD, N.Y. 11971 rov N r7 sourtaot.r t: aT I FY TEL.: 765.1802 JJ qq c"yam CALL .)3 V: 7 (trf~ Examined 19 ~J 2 MAIL TO: 2 Permit No.. ...7~ . Approved , 19 Disapproved a/c ........I - Ol. (Building Inspector) APP C ION FOR BUILDING PERMIT Date . 19ov'--~ 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 necessa 3"P,09, t lF!~ (Signature of applicant, or name, ' a corporation) ? • a' Cori vva 0_?-?,.. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........4•/.wmm Name of owner of premises ..R ~ r•••••••••••••.••••••••••••.•••••••'••••.. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. I ..?..C`~vr (Name and title of corporate officer) Builder's License No..(~ Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . J~ J YJ,`. Ll? \Cl~JS • . House Number Street Hamlet County Tax Map No. 1000 Section K. . L. AP, • • • • Block Lot to Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....r.......C~?T? lv.~ . b. Intended use and occupancy "`b- • • • . 3. Nature of work (check which applicable): New Building • • • . • • . Addition , Alteration Repair Removal , . , Demolition , Other Work , . ~r (Description) 4. Estimated Cost.... U, Fee............,...,,.,.................. (to be paid on filing this application) S. If dwelling, number of dwelling units Number of dwelling units on each floor . . I garage, number of cars • , _ . 6, If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . 7, Dimensions of existing structures, if any: Front . Rear . , , Depth , , . , . , . , . Height . Number of Stories . Dimensions of same structure with alterations or additions: Front , , , , , , , , , Rear , , , . , , . . Depth ~ . Height . . Number of Stories . 8. Dimensions of entire new construction: Front . Rear , Depth , . Height Number ofStories 9, Size of lot: Front Rear , Depth 10, Date of Purchase .......Name ofFormer Owner 112, Does Zone or r use district proposed in construction which viol preraises are situated . . . . . . . . . . . . . . • , , , , , • , , , P P ate any zoning law, ordinance or regulation: . . 13, Will lot be regraded . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . Address , , Phone No............... . Name of Architect . . . . . . . Address Phone No............... . Name of Contractor . . Address . Phone No.. . 15. Is this property within 300 feet of a tidal wetland? *Yes.. No.. *If yes, Southold Town 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. i I II I I~ I~ STATE OF NEW C AUNTY OF ........h S S , F > ~5~ , being duly sworn deposes and says that he is the applicant (Name of individual signing contract) above named. He is the Q.wo>~-w........................ (Contractor, agent, corporate officer, etc.) of 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 tru$ to the best of his knowledge and belief; and that the work will be performed in the manner stet forth in the application filed therewith. Sworn to before me this da f..!' 4-l >Q^~?^! l o~ Notary Public, . , . Count ROBERT 1' ate of N.Y. TeTm FxpU9l. SCO , Jof No. 472508 , ffolkCou ignature of applicant) re¢0 ay 31,18 k A t l l~ 1 L r - r r f _ Airfq 71T'~ NOTES: 1. ALL MATERIALS USED FOR CONSTR~ 3 FOR CONSTRUCTP IN - SHALL BE FIRE RETARDANT AND SH. IDANT AND SHALL _ 14 1' i `I C ro IS+~~ MEET ALL STATE AND LOCAL BUILD I LOCAL BUILDING CODES. o A 2. ALL WOOD FRAMING SHALL BE FIRE SHALL BE FIRE .y 9 RETARDANT P ND SHALL BE STRUCT ,LL BE STRUCTURAL . GRADE 1200 PSI. ALLOW 3' MINIMUN - - '"!r+ T'J - BEARING ON ALL WOOD JOISTS.DOUi iW 3' MINIMUM I _ )D JOISTS.DOUGLA, - W ! - ;?,i. ; '1 THOA/4 FIR/SOUTHERN PINE OR EQUAL. IR EQUAL. i 3. ALL JOIST HANGERS AND TI M 13 ER \ND TIMBER BE I C.B.G n r $'f _J' Q CONNECTORS SHALL BE I C.B.O APPROVEDAF USED ON EXTERIOR V EXTERIOR , - B7 - a L, 1 q THEY SHALL BE ZINC GALVANIZED GALVANIZED : COATED. !1 I _ ~ J, ALL CONCRETE WORK SHALL BE 30C C SHALL BE 3000 - I I 4~ I ~z~6`~ toe. coLV,eYi~s PSI (MIN) SLAB OR SKIN COAT TO BE N COAT TO BE F'" Z - • I si = ! PLACED ON WELL COMPACTED FILL NPACTED FILL,959 COMPACTION. (=I r' P - V 5. IF MAS(nN'N' WALLS ARE TO 8E CON ARE TO RE CONCRETE. _ BLOCK, ONLY QUALITY CONCRETE E 'Y CONCRETE BLOCK a ~G LIi _r F SHALL BE USED. MASONRY UNITS S BE SPLIT R16 1500 PSI. CONCRETE )NRY UNITS SHALL s a ~fE'GO m ' 41 BLOCK LAID UP IN RUNNING BOND CONCRETE NNING BOND ALL - Y-Y aJ VERTICAL RIBS TO LINEUP. WATER dE UP. WATER - - RESISTANT STUCCO TO BE APPLIED O BE APPLIED ON - - i3 EXTERIOR SI gdFACE. DEC I 6. PROVIDE STANDARD GALVANIZED [ GALVANIZED DUR-O-WALL 3 - r REINFORCING © EVERY OTHER BLO( _ M OTHER BLOCK COURSE, j FR Qay ^b s \ #9 GA. WIRE MESH. CONTROL JOINTS - A DUR-O-WALL 'RAPID CONTROL' JOIN INTROL JOINTS TO BE - - 2ONTROL' JOINT OR - EQUAL. - I;~ I P,- ,a f>s v~l -+1 /Y 4 `3 1, H44// fi-FF To SEsa TO 9eo-R OK p7 .-1- al P i: -7 Y~~GINpP ~µDISTU3EO 71STL1 ~3 EO ~j0 L oa 2 o~v~l~"~ L 3 fLIN C.~ c°PP6C1Ty' . fOoJ!~ I ~ I IL I ~ Q ss ~k o m I r a I j I` ~ ~ N° g'.~~'f '-0"oJeRNr~ '.d °a~/ N m ~ 17 CI ---Jbl xl al a^'~G~G~ WELL k lr r ! r.Y / w Jr 5 `5 Yt=7 r 7 N4P U f97 FXY` I~•r~ eve i oII C~ f; rrl .r 'Y•~F~ ~ '°l 'T~a• ` 3' 1/41_11,01 '/41-1' 0'1 + i ~ v JG Ix5 -2192 o Asa .fY~rG al No. Revisbn Date By APPRO E4 AS NOTED 7 j / 1-2.G'E 4,°j'ot WLLW t14S - iL LP.~1:[/C- :{Glli±' DATE: B.P.#~ U P.ro&t _ k v FEE:_ ~ B:_. 1"'R ~-I,Q5 A~ - - - .FJ r-- NOTIFY BUILDING i crvl m 755-1802 9 AM TOD4 R THE bE 4N. .5;tP..-J~i ,v~19;yBB ~44i ? Iva iibrl; Nl ~a FOLLOWING INSP 1935 ECTI CUTC l/OG 7 F0liN0ATION TWO REQUIRED _ 19 FOR POUtct4 CONCRETE =Q -L~ F+Gx~°-7 I~+ /blL i II °~°u~ '~v~+~uv od y, L 2. FO^JGH FRAMING & PLUMBING _ W 3-INSULATION Drawing Title ^Ig~ 4 FINAL CONSTRUCTION MUST yyy / 5 BJ4DI~4 `eeT c I, by E BE COMPLETE FOR C.O. --~Y/~ ~r C-4I7 (3/-7ZR"67' 2Npl-III>~ 12 12 I1- ~f,'' f''4 bF~ Rh'rt ALL: CONSTRUCTION SHALL MEET THE EWIREMENTS OF THE N.Y. STAT WNSTRUCTION & ENERGY Project No Date 9' C064_. NOT RESPONSIBLE FOR 2z? 115 4 Fv ro v DESIGN, OR CONSTRUCTION ERRORS 1 n-- p Drawn By scale " p, UTIG tD:l U7, I o - 'p ~ ~ ~ fy.;vi,~tsioN J~uT ~TtP) G c~uC nP T`TCa ~u~ i "rTw CMS 4 FILL L S~ i ~ F II ~ KAKyI~i - f i 411 1 ~Q } - - Floor Drawls 21 Drawing No. ism d - x C lo elan, WO p off T -ij A'~ A ~Ir t - a P~ i ~~o ~ - r ~ r T-r to ` ? - _ Y S r, l - 'i Y Now