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HomeMy WebLinkAbout22271-z A ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23389 Date DECEMBER 5, 1994 THIS CERTIFIES that the building NEW DWELLING Location of Property 1600 MILL ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 1 Lot 2.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 1, 1994 pursuant to which Building Permit No. 22271-Z dated AUGUST 19, 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 AS APPLIED FOR. The certificate is issued to GARY & DAISI PETERS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0049-DEC. 2, 1994 UNDERWRITERS CERTIFICATE NO. N-333175 - NOVEMBER 10, 1994 PLUMBERS CERTIFICATION DATED SEPT. 20, 1994 - ROBERT BERTORELLO uilcing 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 August.. 19'.... 19.94 N2 22271 Z Permission Is hereby granted to; Riverside Homes, Inc. a/c JAMES H. COHILL P.O. Box 274 Riverhead, N.Y. 11901 ! to CONSTRUCT„ A ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. . NOTE: LOT (SUBDIVISION) IS SUBJECT TO C&R'S OF THE PLANNING BOARD 1600 MILL RD. MATTITUCC, NEW YORK at premises located at t County Tax Map No. 1000 Section ]07.......... Block ! Lot No. 2,.5.......,........ t AUGUST 1' 19..............., and approved by the Building IInsppector,_ Fee 5.. iA...,. 7 Building Inspector Rev. 6/30/80 P 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 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 $ 5.00, over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date NewConstruction. Old or Pre-existingBuilding Vacant Land Location of Property .~~c?d........... House No. Street Hamlet Owner or Owners of Property "~/a1•`dL rF-~S County Tax ~Map No. 1000 Section Block Lot Subdivision lf~.71.rC . 9 ..Filed Map No. Lot No. Permit No.~ ~Z J /Z Date of Permit X//A K Applicant Tr! UU ~tS?~l~ !C?S 5A.~ , Health Dept. Approval &Q-c4V-. 5? .........Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval Request for Temporary Certificate .....................Final Certificate !l/.............. . S cc, Fee Submitted $ ..-7-.1 . i Construction on above described building and per ' is all applicab a codes and regulations. Applicant L2~r !~~f Rev. 10-10.78 4n &3 RIVERSIDE HOMES, INC. Co E:a33Kf ~~o~OSpFF~(~COGy o ~ Town Hall, 53095 Main Road °y Z Fax (516) 765-1823 P. O. Box 1179 - • Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 30, 1994 Riverside Homes, Inc. P.O. Box 274 1159 W. Main Street Riverhead, NY 11901 Re: James Cohill Prem: 1600 Mill Road, Mattituck 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 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 # 22271-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. JOB NO. 1188 , Date g~ao~gy Building Department Town of Southold Town Hall Southold, New York 11971 Re: Building Permit No.: 22271 Z Owner: Peters (was Cohill) 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 -71 Sworn to before me this aof day of S~~frmh rr 199Y. o ary is Notary Public EILEEN M. ROACHE NotaryPublic, State of New York No. 4826947. Qualified in Suffolk County Commission Expires January 39, 99.1.re _SLJ I:::,. Ems:: n ~I ~I m so ~90 FOUNDATION (1st) 01 rOUNDATION (2nd) _ cn m 2. / 7 _ Off.- lJ~` - o ~ ROUGH FRAME & ,~„~y~ oa PLUMBING 3. Q y x m INSULATION PER N. Y. STATE ENERGY CODE 3 4. H FINAL ADDITIONAL COMMENTS: m x H ~ x H O ' r y .T. s _ M V 316 727 3411 POl pe?~*010 oHlees 2862 R4 1h 11!' Mq&0, Now Vaek 11769 812 68+6800 F" 1018) 864.004 AMR November 19, 1994 Tnwn of Southold Building Inspector Ito: Hullding permit 022271 out isle Caet9m RtMers - Lot 01111 To Whom It May Concern. r We have inspected the repair to the floor true, located under the bathroom, In the house on the above tokeneed lot. We certlty that this repair was done correctly Old in accordance With the detail which we supplied to the builder. ILI Sincer9lx H1 NOV 21-M4 ~1 Thomas Flaherty TOWN OF SOUTHOLD Executive Vice President Riverside Homes, Inc. G~ceto~c Taira P. O. BOX 274 _ 1159 West Main Street Riverhead, N. Y. 11901 _ Phone: 516 - 727-3395 AALZV U ~ ~ a ly 29, 1994 i 1.94 Building Department Main Street Southold, New York 11971 Gentlemen: Enclosed please find application for building permit, together with our check for the fee. Since ly, , Eli t Cannazaro 1 Enclosures / ~~OCNiIUN pMG o Y'MEMBEP o s wNCrsuNO M RIUS AtS IN~ST~~ ~~BUILUFL~A40L $ 516 727 3411 Pol TRIANGLE BUILDING PRODUCTS CORP. 2599 ROIIrE 112 • Meox*o. NEW PORK 11763 • (616) 654.3!00 • FR (S 16) 634.9204 rz__ November 17, 1994 1994 Town of Southold r,' Building Inspector Re: Building Permit N 22271 Fast Isle Custom Bldrs. Lot# 1188 To Whom It May Concern: We have inspected the repair to the trusses which we supplied to the above referenced job. We certify that this repair was done correctly and in accordance with the detail which we supplied to the builder. Sincerely, THOMAS 1. FLAHERTY EXECUTIVE VICE PRESIDENT $ 516 727 5411 POI Riverside Homes, Inc* p. O. BOX 274 ! 1159 West Maim Sheet Riverhead. N. Y. 11901 phone: 516 . 727-3395 October 13, 1994 Southold Building Department ATM: Joma BoUFIS OCT 1 31994 Re: Permit No. 22271 Attached Please find information explaining the areas of the trues cut that you questioned. The trues is manufactured as sham in the attached truss design. If you need anything further, let us know. Sincerely, 3 GR><6, esident C Snclcaure 0 NI IdV'BWID ~ f M f $ 516 727 5411 II II P62 D DDDDDDDD o „ n~ m r, -c 4-11-14 D Z D i I.l ~~~~J/ NNN / ti ! 0 DDDDD 9 a W9W D DppOODDDDD.'z" ; -w :low •GCii~~'T'1 ~ ~ Nm nl ptlR-afn ca ulx x th T Y 6R ~=LpR°- z e3~fit ~s ~N yy F e~a .0. ca IU O 11121FIM tie-Il~~s~ ° '"sz s ry ~yry 3e~isa:CttR b ° iJ~ 3199A 1u x salt:'' $9 x Nri D Ln ~-C S7.r ~t~Fa ~ Oy q~y~a~Lf€•~•~ N 6~;-3t ~ ~Dg s $ e 1---_C e~+"_ -amm° Fj¦fis' ;11 ' 111i: saW ro i Cw" 40 o x w°js m 'A N t t mc7m -+uim r N N Y nyylm3-m ¦ ° ~ in4ti~ ww=s m x ~ v -4 w ° y¦>rnnn ~Y1yy >orrrr REVc C w to pp1111~~ N p 2.2 r N~ (,Tp V100 N0 v 19 0000 O _ •r'f• ••t ~ ..y. '~,ISw..~a~'.~,'a•...: ...y,•f` C, l1, ''•~.f ~ * ' • OD6'1 m tOS6G2?6_ ?Dr_tlSlnd it M-1802 BUILDING DEPT. INSPECTION e,j FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: c i F ez- DATE INSPECT prp- M-1802 BUILDING DEPT. INSPECTION [ ] FO NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION l [ ] FRAMING [ ] FINAL REMARKS: C DATE, q d' G I, V INSPECTOR -71 ` M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION afRiAMING [ J FINAL ALI, REMARKS: c'"_6> DATE 10 l ?407~~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROU BG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMI [ ] FINAL REMARKS: DATE W/ INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ /9° ANAL REMARKS; Na DATE I INSPECTOR f 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: _ R DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS r-Ar> a 103501.8 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date NOVEM m 10,1:994 Application No, on file 85948094/94 N 3331.75 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 1 IDVO PETERS, S/W/C( MILT, ROAD 5L GRAND AVENUE, JOB-1168, 14ATf:tTLIC.K, H,Y. in thefollowing location; © Basement ® 1st Fl. ? 2nd FT. GAR/011T Section Block Lot was examined on NOVEMBER 07,1994 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT. K. W. AMT. K W. AMT. K. W AMT H P 10 30 14 1.0 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 AMT. AMPS. TRANS. AMT. H P SYSTEMS AMT WATTS HO. OF FEET 1 F 1 2 3 SERVICE DISCONNECT NO.OF S E R V I C E METER Of CC CO ND A. W G A. W G. A N. G. AMT. AMP, TYPE EQUIP 1 Jt 1W 1 je 3W 3 a 3W 3p 4W N O.pEcc. Of CC. COND NO. OF H4lEG OF MIdEG NO. Of NEUTRALS OF NEVTRAI 1 100 Cri I X 1 4 1 4 OTHER APPARATUS: MOTORS:2-I' H.P. G.F.C.It-2 SMOKE DETECTOR:-1 PETER C!'IARBONNEAU LIC. #2697--E 35 SHEPPARD LANE sm:rTHT0l1N, NY, 11786 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 01007 - nt.. t,FS,6/ ri ~ i u, I Z a, r Inr y Z It 9~ ~ t t ~ .1 a ~ ca; :q b I 'avo p tIl L ~ f~ t i I AR 40. 1 ~ I - 0 I-,Ld'S I• • t g5'L~~ ci prof it ~ , y j~ 15 An o a t o, (J n o ;l tt' 00 ~m FSV . :a i0 1~7~' G. ~iJ, ~tf3 0cm A A .1• A..• lid T. N 'j 'J~. 11? 1 1 ^ O D 2° n, N N N nw_ m ~ Z t. O N 9 N .D{ ZIA M T Z. y m ~ -4 ° m r. N T A m N m N m m m E m • + r rm ~m ~m ~ Or ~3D m x -.D O m'~ Can x D 7 N m O o C, N n 00 ON O r O O ON D n N t.t On Z D m v x z0~ ti ym=-< 3 z xm ..)SiW S)^. v rp D Nr I,N Y An. 3 O N 1/i Z 'i H t ~..r v i r v D v S Z A N m O O t i•t 'm cLv O m v "r O m m Z v ~t ~~i I $~Kw y .t ]1 y A° D m ff< i q L~ O O S p m M Z D A D m x O M O - r m u+ n O m m 1, g G rn- Z 'R r m I r L r j a x 0 m r r FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT, TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined O/ .,19Received.......... ,19... Approved ..l.1 191/PermitNo..t~~ 01 Disapproved a/c Q !6 tJ Q L5 r k ( ilding ector) SOl1THOLD DEPT. TOWN APPLICATION FOR BUILDING PERMIT OF Date C.., 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 building for necessary inspections. RIVERSIDE HOMES, INC. (Signature of applicant, or name, if a corporation) PO Box 274, 1159 W. Main St., River13ead 11901 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder/agent Name of owner,of premises James. a' . Cobill (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ty"~ d tta~le off co at officer) . orlon, Presiocen Builder's License No . Plumber's License No. 14B7P Electrician's License No. .697E Other Trade's License No . 1. Location of land on which proposed work will be done . I.......SWC.M 11, Rd.ana.Crana.Aye ,House Number Street Hamlet County Tax Map No, 1000 Section ? 7.......... Block Lot ?:5 Subdivision Mattituck, Creek, Estates, , , , . , , , , Filed Map No. ..9203........ Lot 5....... . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , vacant land . dwelling b. Intended use and occupancy ,single . family . 4 3. Nature of work (check which applicable): New Building x.'..... Addition Alteration Repair. . Removal , Demolition Other Work a . (Description) 4. Estimated Cost ...FDA DObll.a Fee . ° (to be paid on filing this application) 5. If dwelling, number of dwelling' units Number of dwelling units on each floor If garage, number of cars Foe , , . 6. If business, commercial or 7. Dimensions of existing str mixed occupancy, specify nature and extent of each type of use . . Ys, if any: Front Ste...... Rear , -V*,!` Depth ..°31Y , . Height .W,.,,,........... Number of Stories ....°.I . Dimensions f n~stacture with alterations or additions: Front . Rear Depth . Height Number of Stories . 8. Dimensions of entire new construction: Front 54'........ Rear 54.......... Depth . 24 Height 16 . Number of Stories . 9. Size of lot, Fro{t 1,54'1 Rear 2:,0.49'.. , • • • , • , , Depth 200: . 10. Date ot` 3/,?$/!$5 Name of Former Owner Joseph Krupski, and.Anthony. 11. Zone or ase'distnct in which premises are situated • . , • . * - . • • , , Kr.upski: : : • • ; ; ; 12. Does proposed construction violate any zoning law, ordinance or regulation: no . • . 13. Will 14. Nameot of Owner of be regraded premises yes I i • . • • • • • • • • • • ' • • • • • • Will excess fill be removed from premises: Yes 910es • i-• gghklk , • , • Address , c/oOf builder, phone No Name of Architect Richard Wandoloski , Address Box , Riverhead Phone No.. 727-3395 Name of Contractor Riverside Homes, Inc. , Address box 274, Riverhead Phone No. , 727-3395 PLOT DIAGRAM Locate clearly and distinctly all,' buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines, Give street and block ',number or description according to deed, and show street names and indicate whether interior or corner lot. SEE ATTACHED SURVEY I ;i I Oil WW ~ ~ LIht~Pl{4hiSTATE OF NEW YORK, CT,JNTY,OF.Iq??OLx...... IS.S • • ( ,Gt~jq DQ~. I . • . • • being duly sworn, deposes ahd'says that he, is the applicant (N#Te of individual signing contract) ~~I : . above nai~gt]ed. ii. He ie th~P• t?u~c~id? i. . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and rile this application; that all statements conta'ine in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner s t forth in the application filed therewith. Sworn to before me this 19~,/. . Notary i? County c strtesrn A, Yo t e• l Now Ausu e _ l~it6ed in fuffdk CoLmy nPSsotasa7f~~~ (Signature of an _ , ' T 47 ~I . At # o T ~ Ir11a 00 C:m A~l j c O 0 (n -r x p2 BE~~aA "n u }M g 4 y d n1 DISC e. 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I 3r G C... el TIA 10 47- 3040 x M~ 2ova~yza p4 jv~ AS NOTED X1:8". - wSUF2h•~6G~ DATE: 998.P.# r •,~~f~,n'~A.b$~u 40 :r+'~. ~ fir. areru pv-.a-d ~ eaR'+~ww~ rvsw..~ xi.dr.~.,y x i ' ~ - mDTVFYBUIDEPART AT 765-71802 9 AM TO 4 PM R THE, OCCUPAI FOLLOWING INSPECTIONS: USE IS UN OCCUPANCY VOR 1. FO>UNDATION - TWO REQUIRED, USE IS UNL,4WF'~L 'W, ~ u 'N~ M 1 Q -i 1 FOR POURED CONCRETE WITHOUT CEI VITHOUT CERTIFICATE N iaF a ~~Gs 2. ROUGH -FRAMING &,PLUMBING OF OCCUI OF OCCUPANCY 1 I I p- 3 INSULATION 4 - i Y 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. I ~ l I ALL. CONSTRUCTION SHALL MEET _ _ - ~tt pad THE REQUIREMENTS OF THE N.Y. 0 STATE CONSTRUCTION & ENERGY I ' G L. L~~ fil 2~ ~r tuaw 0 ~,c C OiE5. N RESPONSIBLE FOR D SI NY3FNSTRUCTION ERRORS f ~ e f I LLI w~~Drw~O~~ N~O~T SU IOCEED RVEY OF PTf~ ED /,J f / Y OF I i FOUNDATION LOCATION MON 1 c HAS BEEN APPROVED WED l y+v f~ f - i t { & I ~ ~ y ~"x s~~•" PIS vlaL,L.~ , c~.l h wl~ bras -1 c- Prxa. _ I i 40 I sr, I i { il f 1'x 7 q ~ 1 J r ! n~~ A N ~ I 40 ~ ~ r r +7 t opB 5 fait x _ '.rLL. _r I ?a ~ .a, ,y, .I _._wx ....nm •.::~+W~tl'~Jn SnJ`Y~rv ,o-