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HomeMy WebLinkAbout21887-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23503 Date FEBRUARY 17, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 1800 EVERGREEN DRIVE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 1 Lot 4.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 1994 pursuant to which Building Permit No. 21887-Z dated JANUARY 25, 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 WITH ATTACHED GARAGE & WOOD DECK AS APPLIED FOR. The certificate is issued to WILLIAM BEEBE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-RIO-94-0001-FEB. 10, 1995 UNDERWRITERS CERTIFICATE NO. N-320704 - JULY 18, 1994 PLUMBERS CERTIFICATION DATED FEB. 1, 1995 - MATTITUCK PLUMB. & BEATING, e Building Inspec or 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) r Q Date ...................../f'''...................,....,., 19.? N® 21887 Z" Permission Is hereby granted to: >.©r... L 11f, 4 to t ST /..........S.Td EJ w ~~ii?G I /fTTf~~i!r~'d...........T..wt~.......... ~~G...,................................... at premises located at.,..... . ...e I .~Q........................... County Tax Map No. 1000 Section Block Lot No. ~'G'........... pursuant to application dated 1911........, and approved by The ! Building Inspector, I r~ an f Fee $..1,.1K y Building Inspector Rev. 6/30/80 r - c1m,~I d? ' ~+-r1~C a')'7)9S as` Xis 00 64c-~*- 91 -7317-?a96 r Form No. 6 TOWN OF SOUTHOLD EBUILDING DEPARTMENT TOWN HALL 765-1802 r BLDG. DEPT. p TOWN OF SOOTLIOLD 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: 4. 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. ilr. 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. 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 . New Construction.. Old Or Pre-existing Building.. j Location of Property... 1.~ !G'!? 0 1,g house No. Street Ham et Onwer or Owners of Property. W ~.Ij!om... Ace . ..........................~.J..~............... County Tax Map No 100~0~,)Section../O.01 Block 0/ •7....... Lot..../°./ Subdivision U.1 . S................. Filled Map. 2,2/./........Lot Permit No. ~5.~ .....Date Of Permit. ~..l. Applicant .ll 1111.tihn.Ae Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..~.. Fee Submitted: C. .©a o ~23sa "u#dee~k.x.. uawA._.: y..;.. r.:;,aw,,, ...,~s APPLICANT .,.~:AVw.zw~.?•.Y.,seataa" M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( J FOUNDATION 2ND [ ] INSU 'Z`ION FRAMING ( INAL [J REMARKS: 0 { I ~ t I i i DATE INSPE I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [)FRAMING [ INAL REMARKS: Z11444 DATE INSPECTOR 765-1802 BUILDING DEPT: INSPECTION [ ] FOUNDATION 1ST [ ) R GH PLBG. [ J FOUNDATION 2ND INSULATION [ ] FRAMING FINAL REMARKS: r f i f I 4 X, DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ] OUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS:. - i I r i E f Q DATE / INSPECTOR r M-1802 BUILDING DEPT. 1 NSPECTIO [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE V X~X~7/ INSPECTOR 1 i. .Ci :'r 1 U ,.....,-..._ar:ar:..^-?<... -t^ v„nt.,•"' _ 'Jl(DbTE ~I COMMENTS FOUNDATION (1s ) y FOUNDATION ti (2nd) z' _ _ m 2. f z o~ ROUGH FRAME & PLUMBING ` 3. h Mm INSULATION PER N. Y. r., y STATE EMERGY CODE a L / - 4. r`(( H~ FINAL i ADDITIONAL COMMENTS: x e _ ® [+1 roA ' H 9 V \ m ~ a O • r G ^o a O c i /Yr~o . •w i~ ~ 1 ~ ~ ~ /l ~ f ~ NSI'Ei~'' Ok y , Supervisor C2 'v Southold Town Hall Thomas Fisher Ro. Box 1179, 53095 Main Road Building Inspector Gary Fish ' a 4a a`1`r So Fax (S 6New York ) 765 1823 71 Building Inspector Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE : Building, Permit No. Owner • please prior Plumber: vv1=~ ~v? ? t ~av please prsnt ~J I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. lumbers S g u Sworn to before me this FF/Q 7~ day of A 19~. Notary Public„ ~G/G_ County Notary Puhl" EtlRNf.JNYC80N Natry NW Ya& Nk 40M Tam 6~ini~ F b. it IM 4 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1125065 BUREAU OF ELECTRICITY F HS JOHN STREET. NEW YORK. NEW YORK 1003E Date YULY 18,1994 Application No.onfile 84159094/944 13 320704 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 MIKE ZUHOSKI, THE WOWS, CUTCHOGUE, N.Y. inthefollowinglocation; ® Basement ® lst FL © 2nd Fl. GAR/ATTIC/OUT Section Block Lot? teas examined on JULY 11 ,1994 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER PMT K W. AMT. K W. Al KW. AMT. K. W AMT. H_P 40 42 45 40; DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECPT TIMECLOCKS FELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi K. W. OIL H. P. GAS HP AMT NO. A W. G AMT AMP. AMT. AMPS. TRANS. "T. H P NO. OF FEET N/`T. WATTS 2. - 2 1 SERVICE DISCONNECT NO. OF S E R V I C E METER NO.OF CC COND A. W O. A. W G. A. W G. AMT. AMP. TYPE ~Ulp 1 S IW 103W S A' 8W 3 $ 4W pER .e' Of CC COND NO.Of HI-LEG OF 41-LEG NO Of NEVTRALE OF NEUTRAL 1 200 CB 1 X Z 2/0 1 2/0 OTHER APPARATUS: MOTORS:4-F H.P. PANELHOARDS:1-1 CIR. GO G.F.C.I:-10 SMOKE DETECTOR:-I a LAKE ELECTRIC LIC.l41845-E 17 FOREST `.GRAIL RIDGE, NY, 11961 GENERAL MANAGO Per 11 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, Lei I 1 r- fca ~~0!'q' BOARD OF HEALTH Lt. ~ FORM NO. 1 3 SETS OVPL ANS . . TOWN OF SOUTHOLD SURVEY A 131994 BUILDING DEPARTMENT CIIeCI:'....... 4 TOWN HALL SEPTIC FORM •--r : SOUTHOLD, N.Y. 11971 TEL.. 765-1802 t: aT I F Y . CALL 9 Examined .....~./.a~ 19 MAIL To: Approved ~J./,!t , 199KP rmit No.. 5fWo ,e . Disapproved a/c (B diHglnspector) APPLICATION 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 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 cbmmenced 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 inspCeections. 4!d. ...U. !~`!~S . (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. ..............1'f~+ei* ...C eN Name of owner of premises ...*rn... Q 4R 1~ - . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer.) Builder's License No. ~S'C-.", ,3 . ,D.?l. Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . . . . g Q 6;0 0em..4114.........C~?~~ w House Number Street Hamlet County Tax Map No. 11000 Sections . ..:~Q . 10.x..... Block O~ Lot ...7. :J........... . Subdivision .flf~..Wwd. <I`.4 197.449 Filed Map No. 9.9 f.? Lot 17......... . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...//As IQL/ . b. Intended use and occupancy , . /..~s~r~:/ k:.: „ . •J ti w I 3 Nature of work (check which applicable): New Building , Addition Alteration i . , Removal .I Demolition Other Work D; 4. Estimated Cost pscription) Fee . (to be paid on filing this application) S. If dwelling, number of s dwelling units Number of dwelling units on each floor , If garage, number of car , 6. If business, commercial or mixed occ pancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front . Rear . , Depth , , . Haht f Stories . . Dimensions of same structure with alterations or additions: Front . Rear . Depth . . Height Number of Stories . 8. Dimensions of entire new construction: Front ...44 , Rear Height Depth 9. Size of lot: Front , umber of Stories . , Rear ..OLI Q Depth al ~Q ~ . 10. Date of Purchase .........p , , , Name of Former Owner , . 11. Zone or use district in which remis is are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded Will excess fill be removed from premises: Yes 14. Name of Owner of pre ises 6V . lNlLll~q~!n. , GZ Address Phone No. I~.~ ./.f Y 6aC~;1. Name of Architect Vf2!F- , , , , , , , , • , • , . Address Phone No. ~6 -.(3."/... . Name of Contractor ' - u i?t>..... , Address Phone No. ?.3,X-. 4 P1 . P 15. Is this I proPertY Southold Town feet of a tidal wetland? Yes,,,,,,,. No......... ye se, 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 tt STATE OF NEW YORK, COUNTY, OF C S d (Nme of indivi u I signing. . . • • ' ' • • being duly sworn, deposes and says that he is the applicant contract) above named. He is the , C-!.. (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )pplication; 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 het forth in the application filed therewith. iwom to before me this 1.3- ....day of . •0 19 . lotary Public, , . , C1/ ~ ( .County JOYCE M. WILKW9 . ' . Matary Public, State of No-IN York (Signature of applicant) No. 4952246, Suffolk Coup Term Expires June 12, tl8x;~ r m M P C) lu 6 y'Y. W W V 1, ~y` 1Txl YI ( +t •F \~~I~j r U) DMA, 5:716 T.Q vJ, rJp^ (4 c~ u. 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O N E •z•~Q ' V~0 Nb~ty - O N j r o'b ~ y O ~ , ElIROhy CIA) li itrv 11.{1 (11011-P.IOcLrlc) 7014 (Pail: 5) 6,000 degree nlnye For ej, eel b Per uuga ~.eor5. //S It uacea _ 2v /2 z2 PJ 611velO )e CanpouenC R_-Value rxLptlot wall It-I11 Itoof/Celling It-19 Floor II-Ig f•ouodatlo0 Wall It-10 51ab Wge lCAU1aL1en 11--10 clazing I1-1.7 r"Lrollce Doom 0-2.5 All IIVAC Cqulpm a to t"PRE tequltemente of 71114.11 All IIVAC Col,trot Systend to meat regoltP111"Ln of 7014.12 All IAIcl, Syetems Lo p1eeL requlm,,Ita of 7014.13 All VentlloCLlg Syntemn LO Met requiremonLe of 7014.14 All P1 1,111g lnnulntlou Lo meet regal YemenLa of 7014.15 All Sr_rVlce Wa Let IlaaLlng .^•yatena and Glollxneul: to meal: teg0lteemtll:a of '71114.21 All flecLtlc 5yaLem0 to meet requltemenLn of 71114.31 'Ib 010 beat of my knowledge, bo119f, tllld profeaalonal Judgemebt, LLene pln0s are 10 calhllalwe w1Lh the tole i r of fJEMJ VS i Pt1:~y W+ . 1 <1-f-1~ y - I I - L -4-1 I - L F-~ r - i I I ill r FNON-F ELE-VAT H -\-T+ 10 N it AN ~I t /AN 2i'Z I I ~ I / ze ~a \ I I.I APPROVED AS NpOTED L E S I DE DATE: i 2J, B.RC I FEE.O-±V ' ° -BY: - NOTIFY BUILDING DEPART 4ENT AT tk aF NEhy0n 765-1802 9 AM TO 4 PlIl, FOR THE tiP c~cE r~ 71, PLUMBER CERffF/CAT/ON MCAT/ON FOLLOWING INSP.- DONUT PROCEED NT BEFORE r. FouND; anuIRED UNTIL 2nd SURVEY OF P` OCCUPANCY OR If Wop tuNng Is „M, ON LEAD CONTENT BEFOR PLUMBING for wow dis&Wieg CERTIFICATE OF OCCUPAM FOR E XCUPANCY 2. ROUrr PLUMBING FOUNDATION LOCATION Jr G` HAS BEEN APPROVED USE IS UNLAWFUL ALL PLUMBING WASTE &WATEq LINES NEED svet«a phft shall be SOLDER USED IN WATER IN WATER 4 WL ]I. FRUCTION MUST CANNOT PIE cOp Fon C.O. "OFESS V/ WITHOUT CERTIFICATE TESTING BEFORE COVERING of eras. K or L only SUPPLY SYSTEM CANN07 EXCEED 2110 of 1 % LEAD. I1 ALL CON.:' .4;TION SHALL MEET t~jJ~J f LEAA THE RFO!IIMEMENTS OF THE N.Y. OF OCCUPANCY STATE CONSTRUCTION & ENERGY UNDERWRITERSCERTIFICAI'E CODES. NOT RESPONSIBLE FOR REQUIRED DESIGN OR CONSTRUCTION ERRORS It XIN3 I'll I ;1 9.9 r V r-I T 10 r,r WM 3L L- ~ I` --71 I 2ucr ~ Y. II .Z, vK,. F, m -aN j pNEY CA'. A-*L all T tF ~ SIC . ML. 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WC q~9193 5Z - - - _ - - ..----f Z 36 14 2 zv 1 12 /o' _ 3042 I Lf > i -7 0 Ii I * SELP 1'1) 3 ? m ~ r' J 1 C~- i NTH L r' N ON 11 -A o /e o ! g7ri~ Y ~O I _ Rioac uNE ' HALL 21 ?1 3Y L RAiI r! DO Zt-t ~ N ~ a C ~y OVIK F"Cp- EE D ROAM P of 0 N. I ~I I F1A5TER BED 11 0 ~DONI""1 t`' ` w= e L ~ I I I ems. N 1 5`9„ 401, r - ~`"1 Rooe I O" 9 O' 3o~z 304-2 ,f - 'i° I (~%OF NEWy JT 1- L 2 ~tiP ONCE TL ~9 I j ¢ "11c ~~YP oO O32254 q p9~FESSIO S C C Qhj L F-L00r<l L 33~ k, xo ~J~r Nort VERIFY Drr}pl~sra..il~ d-0 l ~m/y3 WM• OPEBE SECOFiD FLOOD PIPN - " - M = I 0 `-f ac;J //~y~~ 2KIP K~DGL IB 'KP-Ll., U J ~'a~r ty1N lz ~ ~=~IP RPnERSV N„N ft79' li I~ Sol', jL, I P I i 0 -Ern„ Il - I I I~ Al - I I J -3'5 %e" ' / PLlrl 2ftH ' I~ l ~ I lit l1 , 1 1 11 J SIP i 50- I ~T ~l.Iwl zt) k- U-P Ir_ 1 ~Nu.ic ~uvr,~ ~r _ , PlPi FORH~ I I _ ~ S STL. COL cn ~ GF~'I c pflnflH~ dOt ih i I I Y' 7 I6~ I r, n G ~'p 1 i { - \ ~ 7 Y~- I I I i I Ir I lan7r.crz I_ ~ ~ I " L3 PLAr aR OF NEWY ONCE or-nunin4 3of6 soru~e tm a _ .K i2 guN l ni C• I it IIII C 6 h T~ ~ n ~ 1 v~ih w j , 032254-1 U PU7 Ftn oh, ~FP `i 36 ~ ~FESSIObP k I h~-' ~I NO~c ~ V4 RiiY Ont[n~e~nns III i WF'i I_vE rR05q_s4 CTipn__ "-fb 3E,:1 H OUSE FA l L MN K 9?)( f CCA 2X4 FLPSH - _ - - _ wG ae LT 511 CeDA R 2K ~'PICKFT (p e.c FLO DEGKIL.IG FLOOR XCCIA OR CCA 2xCCA I6.OC. O 7 Ratios Coroe. 1 r P 0 3.0.. IS•~ G"" G 0 3046-2, i CN095 S1rr;Tl oN - A~ TH 3 S7n1{ G/+RAGt - RAroGt _ F/At.~ 1 L~L_ FZOOM Ff lT c !1 Ent of NEw Fr; 4W~ TYl'ICAI O ~ is ~oN eor"nG 5rcp 2 X 1 D ~br-TED TD 4x f rr °+i$ ',\,w~ 41 ~FM NOTE , i z b ~ Zli~ 93 _ PLANS FOR, DEC.K TO ADMENP - - 8O 0I- BUILDING "PERM (T 21 SS3? L , , WNO T(ON TLAir T-0 AD-D THIS DEC< ON TO y,p T1iE j+60.5e `P),AN STAMPED HOU6E'VPF 900 EVE'R6REEf*-I 1j RIVE ( rY;PPICAL .10 C U TC NOGUE I N Y. _ ~KIO- CGL J ~b o G J 5~Y CEDAIK ~ECKIK6 - I A /7 o cr,,~A 2xt 0 l FA Ap J LF GEaRGE_HFfSHER WN 765-365 y~yplMC»S(arr 2'{6-95 WM. -BEEBE- ,DWK AbDITIO-K %v=(b ? OF