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HomeMy WebLinkAbout22198-z IN FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23259 Date OCTOBER 4, 1994 THIS CERTIFIES that the building NEW DWELLING Location of Property 2345 PEQUASH AVENUE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 12 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1994 pursuant to which Building Permit No. 22198-Z dated JULY 21, 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 ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to WARREN C. & BARBARA J. YANTZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-R10-94-0038- OCT. 3, 1994 UNDERWRITERS CERTIFICATE NO. N-327812 - SEPT. 22, 1994 PLUMBERS CERTIFICATION DATED SEPT. 21, 1994-BERTSAND PLUMB.&HEATING,INC ldi 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) Date ........J~rSr. ~Rl ..................19Q./...1••ty... NO 22198 Z 't Permission Is hereby granted to: i t.Jj ~'/a....../ v f2 7 I~'?e d .:fad....... to,,...... /-9.....,C 1... ems..... J??.,l..R 1 All- f8-- I i at premises located at...... [ u-~ fT!!'- 1 ....GC . L .®.~~'.t.~ ~.Yf................... t County Tax Map No. 1000 Section ......./..42.3...... Block ......../a Lot No. ....1.J prf I pursuant to application dated "!../u'V~'.....d?.0........ 19.../..7 and approved bythe f Building Inspector. Fee $...~..oA.. Bung Inspect Rev. 6/30/80 i 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 =l~ 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. 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 . 0 0 , over 5 years $ 10 .0 0 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date NewConstruction..x Old or Pre-existing Building Vacant Land Location of Property 2345,Pequash,Avenue,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,'apl9m..,, House No. Street Hamlet Owner or Owners of Property Warren, C., And, Barbara, J.-. Yantz, (formerJ-y, ;?Iaaf), , , , , , , , , , County Tax Map No. 1000 Section 103, , , , , , , , , Block 12........ Lot ~5.... . Subdivision .................................Filed Map No. ..........Lot No. Permit No. .22198... Date of Permit Y?1ftpplicant .East Isle Custom Builder . .....s, Inc. , /Fleet Health Dept. Approval RIP-94-. M3 ..........Labor Dept. Approval Underwriters Approval ........................Planning Board Approval Request for Temporary Certificate . ...............Final Certificate Fee Submitted $ .25•.44 Construction on above described building and p rmit meets all applicable codes and regulations. EA ISLE CUS BUILDERS, INC. Applicant. Rev. 10-10-78 Co -L 93a.5q 7, f; 4 L P"W 7 -5- I I g~FFOLMI' T140 7*14,02 ~O O TOWN OF SOT =OL,D. OF01Cb OF BUILDING IN.VW' OR P.O. BOX 728 pqF SOUTIITOWN HALL QW, N.Y. 11971 C E R T I F I C A T I O N i Date September 21. 1994 building Permit No. 9 g .Owner OJ 'Z S ~ (please print) PlumberBertsand Plumbing H + (please print) ing, Inc. I certify that the solder used in the water supply sY contains IOUs than 2/10 of 14 lead. Alumger's cignatl~re) Sworn to before me this 21_wst„~day of September , 19 94 O>® Notary P b~IO~~•••~,•~•,,," Notary Public, Suffolk County EILEEN M. ROACHE Notary Public State No of Newyork - No. 4828942 Quslified in Suffolk County Commission Expires Jenuery 31.19 - THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1035018 BUREAU OF ELECTRICITY F 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMBER 22,1994 Application No. on file 85460494/94 N 327812 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the preiniaea of t. YANTZ, 2345 sFLEETS,NECK ROAD, & DARTHMOUTH PL.,,CUTCHOGUE, N.Y. f in the following location,',, R) Basement ®!st F(. ? 2nd F1, ATTIC/OUT 3ertson ' Block Lot -SEPTEMBER 16,1994 andfound was examined on'_, to be in compliance with the National Electrigtl,Code. RXTURE ` FIXTURES, RANGES COOKING DECKS OVENS ' t DISH WASHERS EXHAU$ FANS ECEPTACIES ~SINITCHES OUTLETS III I ? INCANDESCENT FLUORESCENT OTHER„ ANT. K. W. AMT.. K. W. AMT. K W i L ...AM} F ` ,K: W Amt. • l m =W. P. L/~ 9 Zd l e 3~ 10 1Y 3- DRYERS -'FURNACE MOTORS FUTURE-APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNITNEATERS MULTI-OUTLET DIMMER SO SYSTEMS AMT. K W ON{ M. d., >GAS M.P., I AMT..: NO.: A.W.G. T. AMP. PMi. AMPS. TRANS ANT. 11- Of 'r,' F. , 1 2.: H00 3 SERVICE DISCONNECT NO. OF S E R V 1 C I E'.:,. p METER „ t NO. OF CC.COND. A.W.G. A N' AMT. AMP. ' 'TYPE m, EQUIP. I X RW 1 p 3W 3 9, SW J %!IW PER a OF CC. COND W: HO. OF NIAEG OF H1.1G:.«<E6 e• mi OF NEUTRALS AW_G: Of EUTRAL 1..~.. 100~Bg 1 4 as OTNER'APPARATUS: " G.F.C.I:-3s3 SMOKE DETECTOR:-1 ri PETER CHARBONNEAU LIC.#2697-E 35 SHEPPARD LANE SMITHTOWN, NY, 11788 "GENERAL MAN GER Per " This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be.i enti d by their credentials. 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Box 1179 Telephone (516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 4, 1994 East Isle Custom Builders Inc. 278 Jamaica Avenue Medford, New York 11763 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) No Underwriters Certificate on file. XX The check is not on file. $25.00 XX 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 # 22198-Z (YANTZ) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. oorl curs _a ?OUIIDATIOft (1st) - •-7 'OUNDATIO11 (2nd) c o to OUCH FRAME •PLUMBI t 1F"''- / • IJC; I- oL s y ;7SULATIOf1 PER N. Y. m S. M H STATE ENERGY v . CODE r1l © _1 y r FINAL I _ ADDITIONAL COMMENTS: . - ro x H n ` a „ ~7J H O Q • y C7. ODD00000 _ m~ m-a zo~ z m4 o~,> a C •rp D 'o N N Z -p r R~ a g N 0 N >I~ 0o r K r 1-,K 1 N Z D. a p r c' N r io 9 N gm z" ] D D D D 0 f---s'0"2 ~ a g ~W ~N -4 m J OOOOD000 INI (D gN 'Oa R~17 m R c p N >z rn•Y mm :{Y \FL1 i*IG 9 1 p Ito 9> N m IQ C+ r"uk £ E E • • Y to I~ m ~~Ea#Ej~p m= o" m A 5 cn N C_ c 2w A C+ CL npn -4 1 IRS p 4 E~ N ,so cm M-4 C bgE M z en m C Fz FRa moa ° N z{~aE #i:s x a N z s~ m FBsE p 4 -n lgl~ Hill q ~c ~ v SN • s ru z mm m •n SEIs¦E¦ E~jES9'B ° r m~ i x -ion g Z NN N i.R! ~FLRR ~ ru Nr j~ 'O • C i L ~ sm s s~il C' 8 R '111191 I 6 N f g `{1 ~br5in 'fnm Am fr~R4iifs& •4q' { ` nml GoQ Cl) 3.. C23. ZNM aN fi ::Si XYEJi~ I ;nf7'3 NZ Dz . z d ml- W, 3-40-4 - , y V -i r. H>CR ND m c d O _ OC1~o 'n SN(y~ O rn~ t - yy Y~'r:. E O Z O! tnx- O~m zo C)m 1,m 3- 10 Vin, o mr• •oo w 100 n 5 n z M' o ooc nAt~c9 m + 71 r r f~'• r r VOfN/lRI --~I p ¦ `J z o O N •O a) z E 'n r N~O tJ1 V O V N b ' no zr v SE-4 > is is AS. R irny+ xXHTI , I Nis ' X - a - 't. .k-. •-~4'i. 1 o.~hYi s" 1~ I~ry4Y~}"~"^k~ _ „i Y~. Ss)3.~i%~~~},~.~s. ~fTt'3FJR'~y `n"Fnn'Y~~, v~i ~'NiTlt+lt , e*~`. ~ f~F .~fti.F.' y~ R W ate. C6. Ft: _ ~ y. Y,. o~ `l~I¦id ~•~'~C ~T1~7 ~Yly~a':WJ ~1'~f5~'~`"rt~~~~f'~Nf' fx 42 ~ " FORM NO. 1 TOWN OF SOUTHOLD JUN U 1994 BUILDING DEPARTMENT- " TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ...J Y. (:2/.I 191.y Received........... , 19.. . Approved . r 19?.1(Permit No. a/c (Building Inspector) AP L ATION FOR BUILDING PERMIT Date ..............t 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 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 build ng for necessary inspections. BARTTAT,E CUSTOM BUILDERS,. INC............... (Signature of applicant, or name, if a corporation) 278 Jamaica, Avepiat?,,, Medford, . NX.117jy3....... . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. guilder/agent Name of owner,of premises ,$velyn,s, 7 eeC . (as on the tax roll or latest deed) r , If applicant is a corporation, signature of duly authorized officer. u~,. Ju,'a ` (Name and title of corporate officer) Richard Oppedisano, President Builder's License No . Plumber's License No. , . W7P................. Electrician's License No. MTV . . . . . . . Other Trade's License No . 1. Location of land on which proposed war 1 be ne. . . . . . . . . . . . . . gas . -~'.s . c~a m aoPiace cukChogue........ House Number Street Hamlet County Tax Map No. 1000 Section .....103.......... Block ........12 Lot 15 Subdivision ......Big, Green, Acres, , , , , , , , , , , , , , , , Filed Map No. .5,7,5.7........ Lot 1........... . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , vacant land S - .................................i....... single family dwelling b. Intended use and occupancy . . . 3. Natuie of work (check which applicable); New Building X........ Addition ..............Alteration _ . • • • • • Repair • • Removal Demolition Othir Woit . 1...,......... . (Description) 4. Estimated Cost ..4~.6(~.: Y." . Fee . (to be .paid on filing this application) 5. If dwelling, number of dwelling junits .....3 Number of dwelling units 'oon ~C " If garage, number of cars =Oe 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 ofStories Dimensions of same structure with alterations or additions: Front Rear Depth ! Height Number of Stories . . 8. Dimensions of entire new construction: Front Rear 42.......... Depth .....24'....... . Height . 16.'...... Number of Stories ......1 . . 9. Size of lot: Front . 193! . Rear Depth .....2Q~ . 10. Date of Purchase 9(30(86, , • • , , , , , , , , , , , Name of Fortner Owner Eve1Xn Sample Fleet alnd, , , , 11. Zone or use district in which premises are situated Charles Sample Fleet 12. Does proposed construction violate any zoning law, ordinance or regulation: n9 • • • • • • • • • • • • • • . 13. Will lot be regraded Y9s..:: Will excess till be removed from premises: . Yes N~ 14. Name of Owner of premises . , EYelyn ,S s .;Fleet , , , Addressc/Q, builder......... Phone No Name of Architect Richard Wandoloski , • . Address ROA 9,71,, Riverhead. Phone No...7.27•-072• • • • • • Name of Contractor . East. Iale. Custom ,Builders Address278. Jamaica, Aypr , • , , Phone No..7.27.-6/ 23... . Medford 11763 r PLOT DIAGRAM Locate clearly and distinctly all!, buildings, whether existing or proposed, and, indicate all set-back dimensions freon property lines. Give street and block !number or description according to deed, and show street names and indicate whether interior or comer lot. SEE ATTACHED SURVEY • I ~NVI l~Y( I STATE OF NEW YORK, S.S COUNTY OF .r 191r .RICHARD OPPEDTSANO , • , , , . , , • • , , , , , • • being duly sworn, deposes "and says that he is the applicant (NaMe of individual signing contract) I above named. President of East Isle Custom Builders He is the Ipc;,,,the.$u>7dez/.egent.... ; . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 9? Notary 1f i , . y Y PAO"IC, g 8• ot719t/rr7tWefl0 . . . . . .,G~. Quallflod in Suffolk County . . . . . . . . No • ' ' . e of ar•• No 52-46131884 J3~ ichard O o, Pres. . (Signatur• Exphee S~ llbmm'ss m M-1202 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 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Q~YII S {}yy { SOLDER USEb IN WATER y. t ~lIJII l0 Rt y$ 1. / 1 t1 f {.)F1• V ~'R t SUPPLY SYSTEM CANNOT Y F t C3, jl~ EXCEED 2110 of 1 % Lfs~ s _ __.r f it" z,' GbuG. -elf" JP r A'k}{f r b 1 ail J t / t ALL PLUMBING WSM A I n-le BWATERUNESNEED (646 s 5 y r err i C t a." 1 r o 14 "A I TESTING BEFORE COVERING r k Y ~t f t 4 Nf N copper tubing is Used i ` i~ 74 c - ` for water disu~botirp r, + **arm piping shall j of too* 9 or 14 4. ~ i y~y y d y 4 d 1 t V Yyf ~ ! y i it N i 4 d t 1 1 l Oki G - - t 4~~' ~ 1{ , r a ~ I •f ~ ~P.,~ 4-: f~'S" (a. f...r/ /11.x.. C9 t. J ,~q kJ" 4~ w~ w ~``~,G 9'_ . - » i _ UNDERWRITERS CERTIFICATE 6 REQUIRED 1 1{fib fa y F L { #0 t '1 ti t .iA ~.aV !may 1 a. ~d-I cp ° I r ~y y~w S , Tr Vlf ^j 4 _ L>7 alt j .1. l 1 4 f A ~ rz v y- F•y$f(~~~ r+. ~ %i Y } ~ Er. 4 ~T.,ri :AxY n f 1 ' 'Uy~ i J tiN4V ~P t t' y Yf l ~b i L ° ~ t PtiF ak+x .i t 4. 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