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HomeMy WebLinkAbout22292-z e. l of FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23783 Date JULY 20, 1995 THIS CERTIFIES that the building ADDITION Location of Property 18450 COUNTY ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 96 Block 4 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 1994 pursuant to which Building Permit No. 22292-Z dated SEPTEMBER 1, 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 AN UNFINISHED, NON HABITABLE DORMER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE S. HELINSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A < 07sr~~ ild ng 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) p Date 19... r.. N® 22292 Z f! Permission Is hereby granted to: 1..8..` 5 ....(a......... ta......4T..t`~d~/ ~~..../`~~.....,''.'.£?r1!. ......~~7 ./2 ......,1~..Z?I4./"gtc__ (00/4yi i~~..........~.n!.........~.~~.~..t.5.~.~~~..1...w...~e.~(..i~..~...~5...... /4- L at premises located at.........`.Y-(~- - s.....,....(.Y............T r!~?.. . County Tax Map No. 1000 Section 1. Lea....... Block Lot No.. pursuant to application dated .1-.... 19.<5. and approved by the Building Inspector. Fee r Building Inspector Rev. 6/30/80 E 'm4l Q e,(bor 3s If 1rn_..N_r..~_.W~Form No. 6w ~~y•I~~ L t TOWN OF SOUTHOLD JUL 7'1 BUILDING DEPARTMENT e ~V TOWN HALL 765-1 802 F .i .:,wt)Uv'tl0i.D _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. TB. 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 $15.0`0•, Commercial $15.00 Date New Construction .........Who Old Or Pre-existing ~lBBu)i~ldin~gl Location of Property.. t"111 .1 ....n! 45-?L• (C.............. House No. Street Ham et Onwer or Owners of Property.G.'Ay....d.Uverle....~~~1Y1go County Tax Map No 1000, section... A ........Btuck..~ LoC.~-.a.................. Subdivisi.on.................................... Filed Nap............ Lot....J....~.].~~IHS.1~ Permit No. y. o1JJL...... Date Of Permit. .4'!.lf Applicant~Cg4p.... IT Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ Cl~ APPLICANT 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY C` REMARKS: DATE INSPECTO 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FO ATION 2ND [ ] INSULATION [/;/FRAMING ] FINAL M RKS: e L4wl~ l~~Pczo t ti DATE INSPECTO er as OW0O I w 90 S rutq O Specivifinations For Dormer 2 X 10 16" O.C. rafters. Pitch - 2" rise for 12" runt all newly constructed. wails to be 2 ° b material, Hoot sheathing ^ i;`" "da plywood, Existing back roof will be stripped down to rafters - 3/4« piywooO tooting material Brie torch down root, 2 Bay windows as drawn (30-C135-20), using 2 x 10 headers for support. 1 center awning window A-31), siding to remain as existing, Dormer will _wnii cedar bovell ad siding - 4 to weather, interior to be finAhed at a iaren date. 1c:LD IIDAT- ~I COHMGNTS 7UNDATION (1st) N )UIIDATIOII (2nd) 11"AR ' Awe r e ~f ~6aJ .r ~0 )UGH FRAME fi , wrr V • ( y-.: I ; F H m m ISULATION PER N. Y. II ^3 t STATE ENERGY CODE Qxq, FINAL I a ADDITIONAL COMMENTS: x • x H 'vv H m • r . y • v w m •iti A 4. i±'2r4s c..•t t:' wl u.• - BOARD OF HEALTH • FORM N0.1 /////3 SETS OF PLANS TOWN OFSOUTHOLD l SURVEY ~ BUILDING DEPARTMENT 'ICIIECK _ • • • • 7 ~f if i ~g9~ TOWN HALL SEPTIC FOR:1 SOUTHOLD, N.Y. 11971 BLDG. DEPT TEL.: 765-1802 NOTIF•1; _ OF SO OLD 19g'Sc' CALL CSAIL .TO: Approved J... , I5A I Permit No - • . Disapproved, a/c Building Inspector) AP I ATION FOR BUILDING PERMIT J~ Date ...EC,UGUS7 INSTRUCTIONS a• This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stieet, of areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appii cation. C. work covered by this application may not be commenced before issuance of Building Permit. d. pproval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permil shall be It i the premises available for inspection throughout the work. e, No padding 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 housi o admit authorized inspectors on premises and in building for necessary insp tions. a4co e, and regulations, and to . _ (Signature of applicant, or name, if a corporation) ~?~x 35. l?uri ltoGvi Ny.?1135:003g (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . U,~uNc~„ttN~..4t,n1~2Ft; , Cyts-iTZ(~C"17>i2 Name of owner of premises ..y" ER1?CaG . S. zt J r . C14 LI NSIG 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. r, ,1'7, D Plumber's License No. Electrician's License No . Other Trade's License No. 1, Location of land on which proposed work will be done . . U 1DDLE IZDFl~ LUt`CIfOGU~ House Number " " " " " " . qq~~ Street Hamlet County Tax Map No. 1000 Section Block Y Lot, Subdivision filed slap No. . INamej Lot State existing use and occupancy of premises and in tended use and occupancy of proposed construction: a. Existing use and occupancy .66lio 9tS Ip NCE b. Intended use and occupancy .J)NG,It t1aM11 1..~ iZlitAF1 y...t~tSt ENCt _ •3. Nature of work (check which applicable): New Building . Repair Re Addition ..X• . , , Alteration _ Removal Demolition . Other Work . 4. Estimated Cost. (Description)- ; . 5. If dwellin number of dwelli (to be paid on. flibg;;tliis-application) n+ n units nd . If garage, number of cars Number of dwelling units on each floor . 6. If business, commercial or mixed occupancy, s(~ecify nature and extent of-each of use • . 7. Dimensions o' ,existing stnrciures, if any: Front ' ' ' ' Rear ` Height , Number of Stories .a- . sar.......... Depth ,v2~,`, , , , Dimensions of same structure with alterations or additions: Frontv2~ ' ' ' Depth . A'.. Height ...f9 Re r .3~ r . 8. Dimension of enure new construction: Front . Number of Stories , ~ .c~. , Rear Depth . . Height `.M.. Number of Stories . 4. Size of lot: Front Rear .uzDa , , . . 10, Date of Purchase I kd>~Q Y,, ~ hA3... • , Depth Ud • • , Name of Former Owner . M,~1?Y • ?(grZRl , ,E,SrQ'rE Zone or use district in which premises are situated . , . 2. Does proposed construction vlo)ate any zoning law, ordinance or regulation: ..NV,' . • . • . • • • • . • . • 13, Will lot be regraded ..Np. , . Will excess fill be removed from premises: yes 14. Name of Owner of premises .C~OgGC ,"~..FJ61 rN816t ..Address PD)3oX35. LutCt~rlr~Ufr Phone No..74V,-,(u/y Name of Architect Address . Name of Contractor ..S 1~M<n . . • . • . • • • • • • • • Phone No..... . 15.• Is this property within 3,00 feet of a tidal wetland? *yes " " " " .Phone No. *If yes, Southold Tiown Trustees Permit may be required. No.X ' ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex.'% .q or proposed, and, indicate all setback dimensions from property lines. Give street =d blvok number or descriptio. 'ing to deed, and show street interior or corner lot. names and indicate whether aoo~. i IJ bor mcC i Zv1~~aK~ ( , -~ID' 13iO~~~.L boo' f j~ 1-- ~l~wFt f VI j6V11 0 - ;TATE OF NEW YORK S.S i :OUNTY OF.. . Surf At.j~.... . • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) Dove named. e is the , (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner set °fort4i in the application filed therewith. :orn to before me th* . dayOf... `U 191.4 • Mary Public, •e-w~lX••-•F~~-•~~~~.. County ^GLEW 1 Notary P`ablio Sta a of Now York 6 "C V No. 4(379605 (Signature of applicant) Qualified in Suffolk County Commission Expires December % Is 14/ i OlOH100S i0 NM01 1430'9019 1 0-IONlo 9 'hl 1 ~ 91 93j ~ U Yd34 9 MOY ~ntx WALL CIO A - t }o ,~i,nyaxYd21~Ic j t. t At,4ecra i X11 ~aA n1lc~ai-Am n~imCalffi,a6 ! ~!©~r +o ~'A~1e( ; I i i lkv~Iw+rca(. Ra~hFS ~ ~ l M.N£c~ SITQkC ^1SM~A-O - - -Al j 'RtTbY'~;1 1, 1 - z 1 n i r s f~ 1 1 s / I I./ / T~aD/ 4-O A7'Trcr la~'i fl1~Ow I J ~ ~ ~ ~ 3 f -l/ T AT aen to a '~pp~~~}}Qf~' f.i x F- i i-) y j T1 - Y § ° t +n a" "Gi ~i 1t +r} rf f ai - n t L 3 Wks i + r t to e ? Y f J't v JA jY~ a.r e q a t v , Y": I J ^F a > ~ a U'l'` ~ ~t*,~ ~ Y ' y r Y ~ ' t y . t' T r f ° r' ~ ` Y tt w K r. n ~l v t,~i- zt tL i Tdi 3kc4 A~A~v a,L yj``i~ R4'Pu^f yAj Sy iF" r i `Y ri1k~.. SA b A f 't ~ ~ ~ n r ~ ~ ~ _ i ~ °Y6 J[6)t,1 6,&AM r 16"o..4 i I I I i I ~6b Orr) 11 l ! p LwIt~GRoam STmfs- I ! SF" - 11994 i 6 l BLDG. DEPT. p TOWN OF SOUTHOLD l RIDS i I GI0S6T CLOSET II CHIMNEY I I i I I i I~ n q' GATE: APP VEDD AS p NoTf~D B,P. f1C '1r II ' ----CKW-- rf1CIV- --I-. _I I- FEE: pE D ~ooM ! li N077FY BUILDING UP 786-1802 9 AM 70 4 PM FOENT AT P- N ROOM R THE j FOLLOWING INSPECTIONS: 1. FOUNDATION FOR POUR TWO REQUIRED Ep CONCRETE 2 ROUGH - FR =,MINr PLUMBIN 6~ ~ j 6 3 WF;ULaTI, G C Frrl.ll ALL n r . - TLt?^) AIL l.`YFT I L FHr- q L' ,,V'ISSIR LIC)RC,E s. H L NSKI DORMEr< q~ni on__ f t s "Y fim nms rm. x ae ~ ~ • ¢ '.:"d v p f.^r ~'i'7'y."~,-..m ' y.. se , - f _ ~i+i N yr y~ryry"- 'A3 r ro - _ a«a 1^ - & M''~• x,'21' '.ice r.F ffA 11 t f 4 4 1 ~ f ~ - } I1, - .K ryL 77, C Y aY.~fp rr u ma I 6..1#611-. tsITY._ ~9LrlTfo ID RAFTEI A co TlaN.QwS 4tml! VEt L. - A A6, Lev;W4ALs ..t>k~nFr~Rc~u 6 . i . o 11-9 OYED AS Nm DATE E L P. III FEE: ~B@a ' NOTIFY BUILDING 'DE JT!A~T~ 785-1802, 9 AM, TO 4 P P -.h FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED' FOR POURED CONCRETE _ 2. ROUGH , FRAMING & PLUMBING, . 3 INSUI,'ATION 1 4' FINAL' - CONSTRUCTION MUST BE, OMPLETE FOR CO, - ALI. CONSTRUCTION SHALL MEET EgkL Tt 3 PLUMBING - THE RFOUIREMENTS OF THE N. Y. STATE CONSTRUCTION & ENERGY „ - - , x ALL 'PWMBING WASTE - - CO iF;4 R [1 RES;-ONSIBLE ' FOR & WATER LINES NEED - 6`...z:% 08 CONSTRUCTION ERRORS' - - TESTING BEFORE COVERING - - LUMBER CERT/F/CAT/ON OCCUPANCY OR N LEAD CONTENT BEFORE N copper tubing is used - CERTIF/ra7c nc n^^l......_._ u....._.__.,:_. 0 ~'.IC 11101 AeAiri io _ - yr V(. (.UYH 77:-1 1N UlvLmv rUL A SOLDER USED /N WATER s SUPPLY SYSTEM CANNOT EXCEED, 2/10 Of 1 % LEAD. VVITHQUT CERTIFICATE CCCUPJgNCY ~f REQUIRED Qb~ Ile a,10. 2 1s9Q. Y '"t.° Li1r iI £ 14" rr~v'. 15 i. 4 •w f 7 -"1 w .a"''1 x f Ti >~v`r"*+*„r'f r 5.~m ds rs k' ~Y i"'~,~i ront'e. F ~~~•t'I, 1 Ads l^yf V, Fihx ~r w.rah`" +~w a s a F ~ r. x~ ~ Y1oa t°y~rl a "t. ny+~M1'a yq - r! 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