Loading...
HomeMy WebLinkAbout22355-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25141 Date JULY 18, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 775 LEGION AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 142 Block 2 Lot 2 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. 22355-Z dated SEPTEMBER 26, 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 ALTER EXISTING KITCHEN & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERARD & JOHANNA WELLS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-049096 - MARCH 14, 1996 PLUMBERS CERTIFICATION DATED N/A Build, g Inspec r 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 19.. N® 22355 Z Permission Is hereby granted to; .r........1,.1/s ~.,~'...r...~ J...... t~........ ......y...... ...rrrrrr.... r.. to .../~~S~f~- ..........././.1. G.,rrrrr.... ~1-! ,..........~,r% / ' " •1. ...r..r..T.TTr...r.rrr .................r.rrrrrr...........r..rr.r..rr...........rrr........................................ .................r......................................................................................................rr...rrr.................................. r.. r. .r.rr..r.....rr....rr...........r.r...r.......r..........r....r... r...r ..r....................... I........ I............ •.r.......r ...............r.........................rr.......... r.........z. ......T..... r.. I r....... at premises located at 75......... ..........................................................r...~ County Tax Map No. 1000 Section ...IXZ.......... Block OX .....QQ.... Lot No....... pursuant to application dated 19...(...., and approved by the Building Inspector. .....~..........r.... Fee $ . Build ng Inspector Rev. 6130/80 i I Olin No. 6 '106111 OF SODUIOI.o uuu,ulric ufl'nilrrlerrr 'IOIIN HALL 765-i8o2. APPLiCA'rION FOR CERTIFICATE OF OCCUPANCY A. "flans aPDl.ication must be f.il.led i.u by t.yl>ewri_ter Olt i.nk and submitted to the bui.laling inspector with the following: for new building or new use: I• final survey of property with accurate location of e11 buildings, property .(roes, stre(Its, and unusual. natut'al or topographic features. 2• Final Approval fr ona llcI-th Dept. of water supply and sewerage--di.a:posal(S-9 form). 3. Approval of e.lectricatl installation from ISonrd of Fire Underwriters. It . Sworn statement from plumber certifying Lhat the solder used itl system contains less than 2/10 of 17 lend. 5. Commercial- buildin))" .indusLrial building, muitfple residences and similar buildings and instal latiOns'l%a Certi.Cicate of Code Compl.i.auce from architect or engineer responsible for the building. 6. Submlt Planning Hoard Approval of completed s.1te plan requirements. B. for. ex1rcing buildings (prior: to April 9, 1957) non-con(otmi.ug uses, or buildings and n pt'e-exi.sti_ngn land uses: 1. Accurate survey of property showi.ug all property lines, streets, building and unusual natural or topographic f.eitures. 2. A properly completed application and a consent to inspect signed by the applicant. 1( a Certificate of Occupancy is deul.ed, the 6uildi.ug inspector. shall state the r reasons therefor in writing to the; applicant. C. Fees ~i. Certificate or Occupancy - New dwel.l.ing $25.00, Additions to dwelling, $25.00, Alterations to dwel..liug $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building 525.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-exi.stinp L'ulldine - $100.00 3. Copy of Certificate or Occupancy - $20.00 4. Updated Certificate of Occupancy - .$50.00 5. Temporary Cea:ti.f.icate of Occupancy - RestdeuCiai $1''.00, Commercial. $15.00 New Construct ton. 94V Ol.d Or Pre-existing Ilarilding..... r t- Z ea a Location of Property....."/ 19/ -C.. House No, SCeeeC 1lamlet Onwer or Owners ~J Property........~R'n'~ V~hq,rJNry W LLS 1' u County Tax llnp No 1000, Section. 1~• ....Uloclc. ©'z-.. U U ( C7~, 0100 Subdivision ....................................Piled Nap............ Lot................. :'errni.t No ................DaLe Of I'crmit................ Applicant.............. . gealih Dept. Approval ..........................Underwri.ters Approval.................. '11111111111 Board Approval lvgoest for: Temporary Certificat:e........... 1'.111a1 Ce.rlicate........... ce Submi.tLed: $ C, .s5/6-3 ; . 02 c9' 3.5 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8090974 BUREAU OF ELECTRICITY 7 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date MARCH 14 t 1` 96 Application No. on file 86410894/94 H 049096 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 GERARD WELLS, 775 LEC}ION AVENUE, MATTITUCK, N.Y. in thefolloming location; ? Basement Q Ist Ft. ? 2nd Fl. Section Block Lot ens examined on MARCH 11, 1996 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT K W. AMT. KW PMT K.W T. H. P. 7 4 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EEII UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W G AMT AMP. MIT. AMPS TRANS. AMT. H. P. SYSTEMS AMT WATTS NO. OF FEET 1 600 SERVICE DISCONNECT NO.OF S E R V i C E AMT. AMP. TYPE METER 19 tW 10 3W13 d 3W 3,e' 4W NO.OF CC COND A. W. G. NO. OF HIAEG A. W. G. NO OF NEUTRALS A. W. G. EOUIP. PER .e' OF CC COND. OF H1 LEG OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 MOTORS: 1--F H. P, WELLS IX5 775 Li:GTON AVENUE MATTITUCK, NY, 9.1952 GENERAL MANAGER 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. ~o~~gUFF01~- Town Hall, 53095 Main Road C4 2 Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 col ~ ~~o OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 11, 1997 Gerard & Johanna Wells 775 Legion Avenue Mattituck, N.Y. 11952 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 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 # 22355-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. o~OgUFFOLkC O Gyp Town Hall, 53095 Maln Road co = Fax (516) 765-1823 P. O. Box 1179 • Telephone (516) 765-1802 Southold, NewYoik 11971 ~jol ~ Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 11, 1997 Gerard & Johanna wells 775 Legion Avenue Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: c// 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 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 # 22355-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. (j -1 IIJn1.~^. ~I .......,_~ai.•~_r• - ~n-~..... COHMENT~ W J11DATIOu - `3 _ (tst) { 111DATI01! (2nd) o ~ JGH FRAME :ULAT20;7 PER N, Y. y STATE ENERGY CODE I _ r m FINAL R. - o ADDITIONAL COMMENTS- s • H '6l`' ia`i~.~.r:v'.i^'_]S. +uuu-•. i.: 'i l'u..'..:. ,-7 ...IS .tia t M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL (fflo~ [ ] FIREPLACE & CHIMNEY REMARKS: i' DATE INSPECTOR `7~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. NSULATION [ ] FOUNDATION 2ND [ /]FINAL FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR A24 ~ a < A~l _y rR n~ i ! I ~ n j u a POST- oeff tore ~r ..F P / ~ . a. _s ~ i 1 ~ s _ _ f ~ i g ~ a i, ° R i e f ~ ~ a i E ! ~ p ~ l ~ i ~ d ~ 1 j y r , 10 Y R i v Q ~r t d ~ n, w l { 6 C G~ ~ ~ r m e e /V r 0 , E,,,rf ~ rJ 'y., o f x K Fah if t. ) M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION n~ f [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE -7/f//9 -7 INSPECTOR BOARD OF HEALTH . FORM NO.1 3 SETS OF PLANS 'i' TOWN OFSOUTHOLD SURVEY 7 199 BUILDING DEPARTMENT CIIECh _ TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 Exaaiinc BLDG. DEPT ti TEL.: 765-1802 f:DT I FY 4 TOWN FSOUTHOLD,J CALL A, , Examined ...19.~•/ MAIL TO: Approved 19 Permit No.°3~ -266 . Disapproved a/c _ . (7H_VZ_-?Inspector) APPLICATION FOR BUILDING PERMIT ~J/ Date (./1........., 19 !,I, 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 insp Lions Jeelpl~ (Si ure of applicant, or name, if a corporation) (drdress of applicant} States whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. L!(JU/~C/1._...........~.d Name of owner of premises (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 . 1. Location of land on which proposed work will be done . ~l7,5f ~F~.la.N... ~,4 /N. I-louse Number ) Strict Hamle County Tax Map No. 1000 Section / Block C Lot . Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and in tended use and occupancy of proposed construction: a. Existing use and occupancy ......Ki. rf! F-.IY . . a rag"a: ,n ; b. Intended use and occupancy KA t. N r' 'I 3. Nature of work (check which applicable): New Building Addition Alteration Repair pval . Demolition ,Other Work . (Description) 4. Estimated Cost . . . . 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 .....1 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 of Stories . Dimensions nnons o . . ions o same structure with alterations or additions: Front ' Rear Dl Height Number of Stories . 8. Dimensions of entire new construction: Front Rear Depth Height Nun;berofStories 9. Size of lot: Front ...........I, Rear Depth 10. Date of . Zone or Purchase use . in which ~ • • • • • Name of Former Owner rmisesaresituated proposed P 12. Does 13. Will lot be construction ate any zoning law, ordinance or regulation : . . : . regraded Will excess fill be removed from premises: Yes No Name of Architect premises ,,viol' 14. Name of Owner Address Phone No................, .........11 , • • Address Phone No............... . Name of Contractor . . Address . Phone No. . 15. property 5. Is this within 00 feet eet of a tidal wetland? *yes,,,,,,., No......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all I!! 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 _ I i II I I li I STATE OF NEW YORK, COUNTY OF S'S being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyl' 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 bef/ore(~,m~e this da of .II....... . . yf 19... Notary Public, / V ; ~VV , County OYCE M. WILKINS GC%i.. . . Notary Public, State of Now Vbrk . . • • • . • • • • • • • • • • No. 4952246, Suffolk Coa (Signature of applicant) Term Expires June 12,1904 \ TZ pR ~ T g10 \ RpOER ~~'r 90011 PRq~1~ 0 10. ! N 33 00• E O a NN o~ 7P { 30, - y F~,t ku .Y 5' y1660 1 0 2-- ~9 gym. o D Y qd T p , ` J A' c^ d~oaP i•'Q ~ P w ~ Nom. \ 30 cn 31 p m to g y960 ~ ? ,.a --1 ~ ~ zo NN 4 pti m NC CERTIFIED TOE GERARO S WELLS 6 JOHANNA WELLS o. 30y6 AMERICAN RESIDENTIAL MORTGAGE CORP. SECURITY TITLE 8 GUARANTY CO. 4 e~~ aP oo P 3000 00 d m/ y960 S• SURVEY FOR V GERARD S. WELL S & JOHANNA WELL S A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 142 - 02 02 Scale: 1"= 40' AREA= 43,061 sq. ft. Dec. 8, 1992 14° xa Fr * N.Y.S. LIC. NO. 49618 Prepared In accordance with the minimum slondards for lllle surveys as established %eS YORS, P.C. by the L.I.A.L.S. and approved and adopted f 0 for such use by The New York Slate Land 09 Title Association. MAl D SOUTHOLD, N.Y. 11971 PP-.3! 5 AININb R0o`M b.PEN PC } PC ~ k r 4. Q 0 KITCHEN = W rt II ~R AS F71 NQOIC pRiNb WPL~ ~ I ~~HWb a GIRDER HELO'^~ II " 2 x_.., NEW (nO"S)-IDER Ev.157 15C ABLE END 8LLEND _-ff oappm tubing b used - I I for waw dimftdlnp sysum; piping shall bs of types K 0 n UNDERWRITERS CERTIFICATE UHMMITIM lp~ FUTE - REQUIRED RPM OCCUPANCY OR PLUMBER CERTIRCATION CROSS SECT101.( USE IS UNLAWFUL ON LEAD CONTENT BEFORE WITHOUT CERTIFICATE, CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER OF OCCUPANCY j SUPPLY ^YSTEM CANNOT EXCEED 2110 of I% LEAD. / ~KtST- REM /+i N ups.. FEE' Y~-~-~lY' 1{Y1__ - - - _ -l2EM OV t= NOTIFY BUILDING DEPART ENT AT - - - NEVI[ 755-1802 B AM TO 4 PM FOR THE FOLLOWING INSPECTIONO REQUIRED tlT' hEK iU S CRNbtTttlµ,S 1. FOUNDATION - FOR POURED CONCRETE 2. ROUGH - FRAMING 6'PLUMBING r h 3. INSULATION "TIra MUST Y r. 'A C\r taw *N e/ q, FINAL - CONBFRUC710N BE COMPLETE FOR C.O. Phone 47 7-0400 ALL CONSTRUCTION SHALL MEE 19~o plain Read THE REQUIREMENTS OF, THE N-Y- STATE CONSTRUCTION, bi ENERGY CODES. DESIGN OR CONSTRUCTION ERROR$ O F26D WLLL:S GL-'~AItD Wk1,L,$ f"~t"~f . OtNb ALTE`RA710t-( PLAN NO 'SCALE 1/4 , j p J erI