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Home My WebLink About22303-z FORM NO. 4 , TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25763 Date: 06/08/98 THIS CERTIFIES that the building ADDITION Location of Property: 4875 NASSAU POINT ROAD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 9 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7, 1994 pursuant to which Building Permit No. 22303-Z dated SEPTEMBER 8, 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 RAISED PATIO ADDITION TO AN EXISTING ONE FAMILY DWELLING AND INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to SELIM & JUDITH SAMAAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 364763 09/27/95 PLUMBERS CERTIFICATION DATED N/A C L Buil ng Inspe or Rev. 1/81 i 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) N° 22303 Z Date........ 0............................................. 19.9..i~... Permission Is hereby granted fo,, . //93.5 l l~rj....... . to...~..... r 57 04~ . at premises located at......T0..7":d ........Y.... County Tax Map No. 1000 Section Block Lot No. pursuant to application dated ..........iO/ 19.. ,7 and approved by the Building Inspector. Fee "r~.• ,r•, sf... ulidng ctor Rev. 6/30/60 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT -~u~ TOWN HALL 765-1802 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1. 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. a. 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. y~. If a Certificate of Occupancy is denied, the Building Inspector shall state the r 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 - .251~,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date lzg -lew Construction Old Or Pre-existing Building.... \ce 3S t~ ...-J...... Location of Property. y S SS ~U A~F . House No. Street Hamlet ~.Q .r . . Inver or Owners of Property < County Tax Map No 1000, Section LU Block Lot... Subdivision ....................................Filed Map............ Lot...................... Permit No..~.)~"~ .....Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: ~ `nd ~ ~ ~r I ~ I APPLICANT O~OgUFFOIkCID Town Hall, 53095 Main Road °y 2 Fax (516) 765-1823 P. O. Box 1179 1 T Telephone (516) 765-1802 Southold, New York 11971 • OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Sept. 22, 1997 Mr. Gene Chituk P.O. Box #9 Cutchogue, N.Y. 11936 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 not on file. (Enclosed) X1~ 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22303-Z (SAMAAN) Please contact our office on this matter. Thank you for cooperation. 3HE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195099 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPTEFffiER 27,1995 Application No. on file 87676195/95 N 364763 THIS CERTIFIES THAT m onty,the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of EUGENE CHITUCK, 4875 NASSAU PT. RD., POLE 121, CUTCHOQUE, N.Y. in thefoltowing location; ? Basement ? let Ft. ? 2nd Fl. GAR/OUT Section Block Lot was examined on SEPTEMBER 13 , 1995 and found to be in compliance with the National Electrical Code. FIXTURE K~ACIK SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INGNDESCENT FLUORESCENT OTHER MT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. H. P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEMRS SMOAL MC-RI TIME CLOCKS sets UNIT HEATERS WATI.OUTUi DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. I. SYSTEMS MT. WATTS NO. OF FEET SERVICEDISCONNECT NO.Of S E R V I C ! 11 MITER w. NO. OF C[. COND. A. W.O. A. W. G. A. W. G. AMT. AMU. TYPE EOUIF 1 / tW 1 / TV S e' SW S R Av NK a OF CC. C D. OF HI.IEG or 14~ NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: JIM SAGE ELEC. INC. 350 HARINE PLACE O@NRAS MANAM GREENPORT, NY, 11944 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. .THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY 7 BS JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTEMBER 27,1995 Application No. on file 87676195/95 N 364763 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 EUGENE CHITUCK, 4875 NASSAU PT. RD., POLE 121, CUTCHOQUE, N.Y. in thefollowing location; ? Basement ? let Fl. ? 2r3d Fl. GAR/OUT Section Block Lot was examined on SEPTEMBER 13,1995 andfound to be in compliance with the National Electrical Code. RXTURE ACUS SWITCHES RXTURES RANGES COOKING DICKS OVENS DISH WASHERS EXHAUST FANS -OUTLETS INCANDESCENT fLUORESCENT 11 OTHER AMT. K. W. AMT. X. W. T. R.W. NAT. K.W. AMT. H. P. 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE MINES SPECULREVPT TIMECLOCKS REU UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. an. H. F. GAS H. P. Mr. NO. A. W. G. AMT. AMP. AMT. TRANS. AMT. H. P. SYSTEMS AVS. AMT. WATTS No. Of NOT 1 20 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE IMP. t AT tW I p 3W 3 H 3W 3,9 M' ND' ~PFR 4DOND. OF CC . G. NO. OF HIAEG Of NI . IEGC. NO. OP NENRALS aj 'NEUTGRAI OTHER APPARATUS. SWIMMING POOL-1 TIME CLOCKS-AMP. 40-1 G.F.C.I-1 *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual 'environments it is advisable to have frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 GENERAL tAMASEN " 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. OCTT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: D& f~ DATE c INSPECTOR ~'G - H W r'OUt1DATI0N (1st) =OUNDATION (2nd) 2. I z 0 ROUGH FRAME & PLUMBING ti 3. '-3 x m m INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL 3 ~ e o ADDITIONAL COMMENTS: m x S x x a ~ H1 H O ' x r . y~ b H THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 195099 BUREAU OF ELECTRICITY 88 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPTEMBER 27,1995 Application No. onJNo 87676195/95 N 364763 THIS CERTIFIES THAT only the efme,leal equipment a described below and introduced by theappllcant wmisedon the oboe, sppliestion numb" In the premims Of EUGENE CHITUCK, 4875 NASSAU PT. RD., POLE 121, CUTCHOQUE, N.Y. to theJolbwinll loeotion, ? Basement ? let FI. ? Snd R. GAR/OUT .Section Block Lot Ras examined on SEPTEMBER 13,1995 mrdfound to be in compliance with the National Weetricot Code. FANf m C-) wXnm AOFS SwROES FIXTURES FEES COdtltiG tlfGXS OVENS dsN WASM/ER ERRANT OUilfTf mcAPIR%am Plupa)Rm OTHER .1. K w. AM*. • w AMr _sw AMI_ _A w_ "I x r ~.j 1 1 1 Tj~~ GM DRYERS 11ANAC! MOTORS Kom ARI IKS M DEN RROAt NT TIME GtOCKf aFla uNIT NRARSS NYlT1.OVTIRT DWAU" m o "T x w at He ass x r. AMi Ho. w w o AMi. AMr AMr is 1l11Nf. AMr x P NO. SYSTOFEMS C ART mi wATi! 1 20 G~ SERVICE MSCOHMM NO.Of S E It p_ V _I C E M,1. W. nR 1/]W 1/M' )l)a )1 )w NG M%tevn dcc C&M rwwwttG HO, wvFUnu3 „ 4`- `mil Ot11E wtufik U SWI124ING POOL-1 TIME CLOCKS-AMP.40-1 G.F.C.I-1 '(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 OB/ERAt /MNAOIII This cenifkote mot mi be olterW in any interior, return to the office of the Board if incorrect. inspMors may be identified by their credential,. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195099 BUREAU OF ELECTRICITY F BE JOHN STREET. NEW YORK. NEW YORK 10038 Due, SEPTEMBER 27,1995 Application No. onfile 87676195/95 N 364763 THIS CERTIFIES THAT ~J on& the oloctrkulequipment. described below and introduced by the spplteant nomad on the abir. oppncelion ,camber Ia thepremisn of EUGENE CHITUCK, 4875 NASSAU PT. RD., POLE 121, CUTCHOQUE, N.Y. in thefollowinX bication; ? Basement ? let R. ? end Ft. GAR/OUT Section Block Lot raw examinedon SEPTEMBER 13,1995 andfound to be in compliance with the Notional Electrical Code. RXTWE X AlEf Nw1CHff RANGES COORmOOECXS OVENS NSHWASINS EXHAUST FAR$ Quidis t' In[ANpIKWr ItudtlRm OTHER mi, Kw. "T. X.W. AMT. K.W -.w AMI M P. _-DRYERS FURNACE MOTORS FUTDN AlIllAtef:R Alptl S/KIALRRC'R V rLS eBt ImIT 7T ES AWllA0U11lT ONOURS AMr K.w at x.r ws H P Mni v0 A w c eat uo. .r. Anti. TRANS AMT, TfNf .1, wAiw N0. R!T -law= flIOONNM tI0.M f ! R v 1 C l mr Aw. me hung . 1 N )w I I nv M ),e aw Ho.w cc6i65--o. 4 ,ro w wwe A,w o. Ho w murx.ts A w E as OIMER ARAaATVf: M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE& CHIMNEY REMARKS: GA,c DATE ~~INSPECTOR .~o' M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1 [ ] FRAMING [~NAL I [ ] FIREPLACE & CHIMNEY REMARKS: DATE 9 If INSPECTOR ~J .101 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: e~~74 ®Y q n DATE / ~ I INSPECTOR 130.16O OF HEALTH -J r"°- - FORM NO.1 J SETS OF,PL.1tfS.:::::::: 1111 TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORK CLDDEDEPT SOUTHOLD, N.Y. 11971 _ ^rCnin..e ° Si - CALL ' m ^ TEL.: 765-1802 t: Examined ! . ~iV-- 19F/ NAIL TO: . . Approved 1191~~. Permit _ . Disapproved a/c . . . (Building I ector) APPLICATION FOR BUILDING PERMIT Date ...O J, 19' INSTRUCTIONS a. This application must be completely tilled 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 street 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 aI i,nn may not be commenced before issuance of Building Permit. d. Upon approval of this applic.._ - e Building Inspector will issued a Building Permit to the applicant. Such permi shall be kept on the premises available 1.: :spection 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 Ordit tnce 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, a d r ulations, and tc admit authorized inspectors on premises and in building for necessary inspectio . . (Signs ure 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. Name of owner of premises 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. , . Plumber's License No . Electrician's License No . Other Trade's License No . I . Location of land on which proposed wort:will be donne..` . ~j~Crl~J` ................../V04~52.c1..f?.... Z..........tU House Number Street Hamlet County Tax Map No. 1000 Section,`... Block f Lot Subdivision . eR/%r7.. F..ZWA... Qyt/~... Filed Map No. ..Z56....... Lot . 3C): ~1..... (Name) State existimg use and occupancy of premises and intended use an'd/ occupancy of proposed construction: a. Existing use and occupancy ..v5..~'f.....cre Se ..!!~~tR...... . i •t, r.n. :~~.y.. ~I a t b. Intended use and occupancy 4...../r~ta~~..~~?.. _ j~) r?7 a~Kf`Q, • , r4/1 ~~-yfrfd Repair Removal New Building Addition Alteration 3. Nature of work (check whit Demolition thcr Work yX171y 4. Estimated Cost .UIUf? IC~ (Desctiin)j 5.. If dwellin number of dwelli' (to be paid on filing this application) rig units Number of dwelling units on each floor . If garage, number of cars • , , 6 7. Dimensionsofe . If business, commercial or mi,zed occupancy, specify natur~ and extent of each type cruse . . u s N* res, if any: Front ..S5 Rear . Height . ber of Stories , , . . . . . . • • • • Depth . ~'tJ. 3• • • , , , Dimensions of s'amer structure with alterations or additions: Front . . . • • • . " " " Depth . Height . Rear . 8. Dimensions of entire new construction: Front . • • • ' ' ' • : • • Number of Stories . • • . • • ' ' ' Rear Depth Height Number~pf Stories • • , , . 9. Size of lot: Front /.%,,lp D Rear . , . , , . 10. Date of Purchase "J. r• • • • • • • • • • Depth . 3..7$r Q,bf Name of Former Owner , ] I- Zone or use district in which Premises are situated . ' ' ' ' ' ' ' ' ' • • • : • • • • • , 12. 13, V 11 ]otrbe~e coded constructi violate any zoning law, ordinance or regulation: . 'Q . . Name of Architect Will excess fill be removed from premises: Yes 14. Name of Owner of premises ./;~y,,L,~,j,!I,-4,, Address ess lF.?r• .Phone No. 7./; Name of Contractor Address Phone No........ . ,e we , ~r ~c 57t i30. • f /i"s ...Address s?a a+,9 ~igµ t , , Phone No. . I5. Is this property within ''300 feet of a tidal wetland? *YesJ *If yes, Southold Town Trustees Permit may be required. " No......... ' PLOT DIAGRAM Locate clearly and distinctly all buildings, wk. t ~r existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block' number or o,2 . :on according to deed, and show street names and indicate whether interior or corner lot. S NOTED DA'E: .p. w -2 2- 30 3 E~: Y: AP 41; t,ICflIF RUDEPART 65.1802 S AM TO 4 PM FOR THE F'li-LowmG INSPECTIONS: . i. RQUNDATION - TWO REQUIRED FOR € OURED CONCRETE . 7,. ROUGH - FRAMING A PLUMBING 4. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 'TATE E :OUNTY F , S:S 4~ F • ~ ~ • ~I~ • ' • • being duly sworn, deposes and says that he is the applicant f individual signing hove named (.Na e o contract) eis the I........ (Contracto ,agent, corporate officer, etc.) said owner or owners, and is duly autho o 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 Drk will be performed in the manner set forth in the application filed therewith. vom to before me this , ....day f l Mary P County CLAIRE L CLEW otery Public, State of N New York No. 4879608, ' Oualffled in Suffolk ouMy~ _ rgnature of applicant) Commission Expires Dece~ber S, RoAD `ARpEN is LpT E~g cwa• fie' N' :F~v'~• yfpj~¢ l +xt 3' Y~ ''4~+tR ls,~#~~r'~F ~ p c fEpCE ~ 7..YE " < 1 20u of \ Q' N 78~ 98 II ~rE Or lq~ OWK I P e2tr po0 PM ~ A D 41 r3 SFFENOE9 PAT, fo~V ft oN n ~ , nJJ O J ~ .t O V W a r > AN W~000 e.~ Ca k±: _ r- d,r +i- GRAORIVEYAY tl 40,3' Yom` - K •01 r aYl o. v_'U < r2 LW i TO! ~ TIE L% n p Z a ,.t. TOE- ti ~ o /4' y ¢ t 1.3 • 7 J M n{1 X11 a 1 is o f3n,~ ..~'Ak) . • WALL c 7- 929.001 s O rt r tI L BLDG. DEPT. TOWN OFSOUTHOLD LOT Nl/MBERS RfFL" OF NASSAU POINT" '-~•fi~;: ''"M SUFFOLK COUNTY Q NO. 166. Prepered in acoordanoa with-the-minimum standards for title surveys as established AREA 67,000 S f t. by the L.I.A.L.S. and approved and adopted The Now York State Land q, for such ch use #on (TO TIE LINE) ~T W - - o - - - - - - - - b~qT/~Q,F - - 1 - i- - - - - i R, I ' i 70 N OF C 7i~ ! t 6dr 'o of yo ` q~{oo 3 G d ~9v WDERIMRITERS CERTIRCATE / teao REQUIRED F C~fa~.~ Liti~ 4H7N o&,1' " IMMEDIATEL ' 4m~F Zee oocum vmTio co - g IUMN WON *%VAM" fli.> l~t~lJVjt.~y ~~iNi'tih,J -c~L GJiLL Ze 60A)6,-Ren ~ oP FEEL ( *L 6 cJi~i+t f/ U/NYL L/ ER IWI ~ uYu f/ ,4z ~f Plrt. a,;~u«> LLr- 4j4-;o c ' -1.)ee ",4,4 4"' 01/ 1 111WIAl L?AAA~ cJi~N -'feer &et~VA4 4,00 IOA,> .SELF Lr/7l!lliug,' Gov? ~ , F.~ t3LDG. DEPT TOWN OF SOUTAOLD