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HomeMy WebLinkAbout22478-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23623 Date MAY 11, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 1779 SMITH ROAD PECONIC NY House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 1994 pursuant to which Building Permit No. 22478-Z dated NOVEMBER 17, 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KLARI NEUWELT & RICHARD WASSERMAN (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N350195 MAY 1, 1995 PLUMBERS CERTIFICATION DATED APRIL 13, 1995 H. SMITH PLUMB & HEAT INC. Bui ding Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENr TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9 Date 19, NG 22478 Z Permission Is hereby granted to; ..3... ....f~~/fi. to o...... mac at premises located at .................z. zgg.1... ....leo'*............. County Tax Map No. 1000 Section.....!// Block..:Gl Lot No. 19..,~r and approved by the pursuant to application dated e.41 Building Inspector. Fee Building Inspector Rev. 6/30/80 i Form No. 6 - ` TOWN OF SOUTHOLD BUILDING DEPARTMENT C Q ' 3 TOWN HALL !765-1802 `"",!P~'t};zSL't1Tf;GP_D . 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. 1. 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. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...I .1ga ew Construction........... Old Or Pre-existing Building ...x Dcation of Property .....~.~7~...~41J ...51.44 1.~ House No. Street n Hamlet ` 1wer or Owners of Property.... C YY)f~f~,~. , , , , , , . )unty Tax Map No 1000, Section :/.r...... Block .........Lot... . ibdivision.................................... Filed Map............ Lot...................... ;rmit No..~ T./[....Date Of Permit. Applicant.TQM.forc)a4l ,alth Dept. Approval ..........................Underwriters Approval......................... .anning Board Approval .quest for: Temporary Certificate........... Final Certicate.ox Go e Submitted: . c~lc! ":Cali 3CRo2 j . APPLICANT INSPECTORS q~,~gpFFO(,r~co. o~ GAL SCOTT L. HARRIS, Supervisor Thomas Fisher W i. y 2 Southold Town Hall Building Inspector ~O ~np `i P.O. Box 1179, 53095 Main Road Southold, 6) 765or 11971 Gary Fish Fax (5 Building Inspector Telephone (516) 765-1800 Robert Fisher i 9 1~ [iir s' Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD AM 3 I C E R T I F I CATION DATE: April 13, 1995 Building Permit No. 22478Z owner: Klari Neuwelt and Richard Wasserman please print) Plumber: H. Smith Plumbing & Heating 'Inc. (please print) I, certify that the solder used in the water supply system contains less than 2/10 of 1% lead. bers Signature) Henry P. Smith, President Sworn to before me this 13th day of April 19 95 Notary Public, Suffolk County Notary Public :RNAOETTE L. TAPLIN MARY PUBLIC #4844893 State of New York " desiding in SUVdk CountY n,r assmn Expires Sept. 30, 19~ 0 %'af FOL/( Town Hall, 53095 Main Road C2 C43 ft Fax (516) 765-1823 P. 0. Box 1179 15 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 10, 1995 Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 Re: Kenneth Smith - BP#22478-Z (TM#1000-98-4-21) Prem: 1779 Smith Road, Peconic NY 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. XX No Plumber Solder Certificate on file."--~ (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22478-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. APR 1 3SM k : x s GLL£ + SAMUEL' STEELMRh RR~ 4 EC55 041 APR 11 '95 13:40 ~c6'T. Town Hall, 53095 Main Road o sie Fax 516)''65-1823 Te~lephCna (51'6) 765-1802 P. o. Box 1179 + Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOL.D April 10, 1915 Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 Re: Kenneth Smith - BP#22478-Z (TM#1000-98.4-2L) Prem: 1779 Smith Road, Peconic NY To Whom This May Concern: We are unable to complete your Certificate of O:;cupancy 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. xx _ No Plumber Solder Certificate on file. (All permits involving plumbing bein(. issued after April 1, 1984). BUILDING PERMIT 22478_Z Please contact our office on this matter. Thalilt you for cooperation. SOUTHOLD TOWN BUIL11):CNG DEPT, i;OfiMGNTZ 21DATION •y( 1.s t) I 17DA 4r _ TI01T~ (2nd) CH FRAME ~ _~,'••PLUI•IHINC.. I , • • INZ y 'mot II ~ C m JLATION PER N. Y. II a STATE ENERGY II CODE II y rr FINAL - •r• j t: ~``yy. ADDITIONAL COMMENTS: m 1 M ' H \ O • [7 . m e.,.,.~.. _rnaSr+.:.::a... . ^Sy... tv.:. ~ . •-L..~A.~1ns;+s(rw 765-1802 BUILDING DEPT., INSPECTION. [ ] FOUNDATION 1ST [ I ROUGH PLBG. FOUNDATION 2ND [ ] INSVLAflON [ ] FRAMING [ FINAL RE ARKS: r DATE 1' l INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROU H PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL RE AR S: DATE 1 INSPECTO THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 r BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date MAY 01,1995 Application No. on file 07128295195 N 3501135 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 NEUWELT-WASSERMAN, SMITH ROAD, PECONIC, N.Y. in thefollowing location- In Basement ~ Ist Fl. E 2nd Fl. OUT Section Block Lot was examined on APRIL 28 , 1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKINGDECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER PMT. K W. AMT K.W PMT. K.W. PMi K.W. AMT. H P. 17 28 16 17 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP PMT.- AMPS. TRANS. AMT. H P SYSTEMS AMT WATTS NO. OF FEET 2. F SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1'e2W 1b', 3W 3A3W 3,e IW NO. OF CC ::::I ID. A. W. G. A. W G. A. W G EQUIP. PER B OF CC. COND. NO. OF HbIEG OF H1 LEG NO. OF NEU1RAl3 OF NEUTRAL I --F OTHER APPARATUS: 5 FAN SPEED CONTROLS-1 MOTOR, 90-P H.P.,1-1.5 H.P.,1-1 H.P. G.F.C.I:-2 SMOKE DETECTOR:-1 G & 8 CONTRACTOR LIC.#i578-E BOX 215 SOUTHOLD, NY, 11971 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. rum COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE Mus NOT BE ALTERED IN ANY MANNER. BOARD OF HEALTH FORM NO.1 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . BUILDING DEPARTMENT C11ECK TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NDTIFY CALL . T Ce Examined l~/ly.... , 199.11-,- f p MAIL TO: Approved , r//./l.... , 19 ~~rmit No.~ J .?0..?~ . . Disapproved a/c r;. r1a F2 p...... u t1 U (Buil n nsp ctor) 1 a1PPLICATlO FOR BUILDING PERMIT ~ N t - 9 1994 L"11 Date 19 BC.DG. L)IPI'. 1-owN of sourHDl-D INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the building Inspector, with 3 eta 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 :wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to j dmit authorized inspectors on premises and in building for necessary inspection j (Signature of applicant, or name, if a corporation) t (Mailing address of applicant) Mate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. f....cH/zEC`? dame of owner of premises /~M&, . ~Yow-kr ! L GU~J'c(:t~f*q v......... . (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. .................I A4 (Name and title of corporate officer) Builder's License No . Bv7• 7`0 fWW,; Plumber's License No. A96,(L JnrJ p1eG1 6n! Electrician's License No. 4-WIY-/20 OA- 601VT/2/?CrC Other Trade's License No . Location of land on which proposed work will be done . 95 cfi! ff// k0AD CPS . House Number Street Hamlet County Tax Map No. 1000 Section ?4 Block 04 Lot ~l Subdivision .......~N~~/ 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 !f//V6G~ F/~hi(Gy, ~Z/OE7V ~I//rL d1+J'.4sF19~'1 E`Y~.$ b• Intended use and occupancy aa'Yistr3aS,;; . 1. 1 3. Nature of work (check which applicable): New Building , Addition Alteration . Repair Removal , . , , . , • . Demolition , Other Work 4. Estimated Cost /Oa/DaO . (Description) Fee ' (to be paid on filing this application) S. If dwelling, number of dwelling Units Number of dwelling units on each floor N/), If garage, number of cars ! &1.4 g ....p 6. If business, commercial or mixed occupancy, specify nature and extent of each~~typ c of of use !1!.:9; , . existing . Dimensions of s, if any: Front ...~R . CT,• , , , ,Rear . , , 5."f: t Het ht ~7 De th ....p 7 Dimensions of /Cr.. . structures, re if of Stories .........71 .110 . . . same a. . Nu with alterations or additions: Front ....~(!~1?> 6 Rear At*..... • . Depth Aeft OF......... . Height ?efM Number of Stories ..r"J~ 8. Dimensions of entire new construction: Front IVA........ Rear A~,J. , , , , , . Depth N/6 . Height /rA....... Nu~l~ber of Stories A/ 9. Size of lot: Front ~~t`• 3p ! T, , Rear . !.Te Depth 93 c ? ~C, ,l T 10. Date of Purchase 1 a? 9 Name of Former Owner ...47.0 . 11. Zone or use district in which premises are situated ........./e.,7 . . 12. Does proposed construction violate'any zoning law, ordinance or regulation: , /YiR 13. Will lot be regraded No... Will excess fill be removed from premises: Yes 14. Name of Owner of premisesNEY/WELT , S~S62/ IV Address . YoNN~. , Phone No. Name of Architect °p • •on•vew /fin/..... Address ...`Phone No. Name of Contractor . Address Phone No.... e 15. Is this property within 00 feet of a tidal wetland? *Yes... No......... f yes, Southold Town Trustees Permit may be required. C6' 5 ,geweu PLOT DIAGRAM ' Locate clearly and distin tly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street d block number or description according to deed, and show street names and indicate whether interior or corner lot. III ik 1N7r91e2R &6VOVI~T70 NS prYW - /Vo &XrE7Z10)e GUO,p/l ©X /NC2E.9JE To , 01e_' 011VC7 F00r10,'-!NT III';! III I I I STATE OF NEW YORK, S COUNTY OF C' 4%1..... t ' ' • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ....iL'C6(/TEf' ~ . (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 conta~ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner,set forth in the application filed therewith. Sworn to before me this ! 3... day of i.. _e............. , 19 Votary Public . County C`- 4>~~bl ~ ~ '\A ~V LINA FOHOM Notwry pft side of Now York No. 4988889, SAM Count I (Signature of applicant) Term EYPQ Seq. 3,195' ~ I wave/ cw~ nouLDINGi ~a 2"WIDE FAGS FRAME - Is" DEEP THK . i r E~T'P E N Er' I t t _WI/EGUE f+AND NCTi W Y 7 G~ILINC~ FA rJ 5 V O r , Z g W z G'fK'. p3P CEILING - ~xIsTIN~ i 0 "-5HK, j d~GK -r. sNEwIN4 W/EDGE CO) h W 17N p A Z I2~FLEGTEi~ CI-G. 1°I~N ~LE1/fsTI~N ~I~.sTe~ GL.. , U) a Vdu, I'-O" ~,cls-~NG cLOSL_T~ Ri EKI6.MNU EKTEk.IS• WALL GL1-C SEJS ANP f~'.F'L CE W~ -W o W 74 C~ ENCLOSURE. 3EKISTrGLzONE. NEW CJd5ET ~ 1 Z C'O^. (be L , V/ WELL ~ y 1--IJEwI CWIMNtEY / ~~L, RL t:-N1TR,Y PttcNIUE ADDITIONAL 2~(p ~ V CDA - _ _ "x4 2L i GHIMNEV y:(i gx 8" LINIEV L u FIO,aNIINIn AT I(oi1 o,c, MIN - FLUE. OtX 'p1-o" x r},'-6.' I~ W/ 12-19 GATT IiNSULATIUN S r-NCW F~LDhICa ANO NEW WA4L FINISH ' / STAIR IIW'-~E f CONIC/ Fc27t 1 NISI . STUDY R.L. 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E N W G F2 AME ' (y~ ~'r(~CA~,-~ BLDG DEPT; -^xREEIJ F'°NEL2 W~7~RON2E `i ~ TOWN OF SOUfHOLD 4•, „_v,>o i M °~GF'CESNIhJG, ~Er pPTAIL ~y, I m I NC Project No: X23 A ~ - EKI CH E£ T~ EMI.n Drawn By: S ' s , S " - - REPI,~ TWO FDRCr1 Ft75T OCCUPANCY OR Checked By: rs \ \ CINDER DFGK InV(axlo~A;WS~ ' USE IS UNLAWFUL Date: WITHOUT CERTIFICATE - Scale: OF OCCUPANCY _ 4_0„~- - If coppertubir - Sheet Title: If copper tubing is used for water dis for water distributing API AS . NOTED system; piping shall be DATE- BP.N '44 ~ k_..I - - - system;pipinH - 1. L - - - - - - of types K o of types K or L only FEE. 9y: _ UNDERWRITERS /4' = v ^ - - - EROYADE OrE1NN0E f0R REQUTA UNDERWRITERS CERTIFICATE NOTIFY BUILDING DEPARTMENT AT REQUIRED 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED ERERCENCY yW~AR M FOR POURED CONCRETE REQUIRED BY NK W OF C-2. ROUGH - FRAMING & PLUMBING N.Y. =TEN "In cm PLUMBER CER] 7BER CERTIFICATION 3. INSULATION 4, FINAL - CONSTRUCTION MUST Sheet No: ON LEAD CONTE AD CONTENT BEFORE BE COMPLETE For, C U, PLUMBING CERTIFICATE OF I 7CATEOFOCCUPANCY ALL COpe;TRUIT S:fAI_L `.=FT THE E QUI,,„ ni TI;L K Y ALL PLUMBING WASTE SOLDER USED DER USED IN WATER STATE cry ' r. : > 'y coos I .'LYSysTEMCANNOT TESTING BEPO E COVERING SUPPLY SYSTEI ~ EXCEED 2110 o ED 2110 of I% LEAD. d i PRbV a 2x4E ~LAa. DCTH PL C-FIG#~17. PPF. N2 FSID9 S5riCL[ R y ~t1,~1*ING RGt7r SHINC.ILES, oN I+Wl~ FRA ~SHF,~TNIN6 ?NO rt,.. ~'^E RS 2><4C~ Gol..t pLL,al2 TIES !),24,1 , \ To 12EWIAIN AND STUDS. ATTACH SEGla pl E TO IKtlOF GEI LI(~~+I FIg.~MINGI - F-f",Z IF PN? RE ~I.ACE - ToP aF Es<I STinIGi Gi~MNEY. MN EY. IZgMo~/E Ef~16T1W! GEILINA / J016'I'S h~Jt oEGKING . p-+~.iILJ~r NEW '~'kId GEI LINA fZEIN FORGE CqA 6LE ENb / JOISTS G° W VA' VA' PLYWO. WALL FRAMING W/2u<; Z ~GKING.AI~ IN IG .I \ I J v - W _ --E%ISTINGI ~sCTER Nli: FATERlOiz I ti EC TU IZEMAIi-I SRJG ~o1ST5 - _ r ` FIN I6 HEC TU FZE A-fTI G I - (,YPICr'1L.) 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'5i1.~ ~',.3o'H caWNF~SUppLy Checked By: rl g - I°R61 NQ7I[ 11.47 1=6 T" 1 _l.;,l_irrrl' I-TTF,,- Date: Ib/28/9 FaR T ~16iNT JoW ~1T' 1 T IrIT, r rtTrt -kEGE5SE0 - T - i-n" HJGN HATS 1 [yG1:31' MED T-~Scale: A6 BwOWi.l I 1 CPi_iNET Ta,~ ` P!'iWIDE NEW I REMAIN. li/~' i III WINNOW GA~INGI - -I~~LI°v.w-I-. ~ i l;. ~ I I ~ I ~ 1 1 ~ I~ ~ 1 1 L Sheet Title: L Nc~MULL10S 11 ~ ToWEL SRS I \ I TO W L D~I-,da I L C. 5 pI PJAR6 Fr- iT EocIST I I I I - ASE FAGS Or Z* Ph12 SST ICI ql I TL:BLET INT~2tol2 Kole SNUG PIT. - F'ED TPIL~j' L,C~/f - hEDEST/J.. ~ I~-L L LP~/r~-nOr~zY > ~ I I ' X ~ I I ~ ' TIc-6uE HOLC~EK - I ,I f L7~ i - ~GI6?1NG p.X71ToM ~II. Sheet No: L v E C ,..Tlowl - G vA! E, E Tot L I N C LLEVAT IDIJ D .~.T 1 ON D i • ~7+~+~t..i ZNp FL.o©2 GUesT ~TN~zcx~~l '6/6" . 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G'F'r'•I LIGHT FI?CTUtZE~Il.`•. ffL~GT~IC r-r2 jt- C FM A~I!"P~NNr~ ~aYou- PROvIDE TWo(2)THERMU3'WTICALY 6q !TR:)UFDf4,7 ~iT13J LIEDf>1l'G rAl~lS I~LA~1 g ~°f1L7v1G~E TWr~ OW"`'LrTf.~ ' I-l°~D rJl~S SMOKE CX.1'R.F.'~5 ecTic" YvUT Sheet No: 4