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HomeMy WebLinkAbout21937-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ' No Z-24743 Date NOVEMBER 15, 1996 THIS CERTIFIES that the building ADDITION Location of Property 200 WILLOW POINT ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 5 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7, 1994 pursuant to which Building Permit No. 21937-Z dated MARCH 9, 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 ADDITION TO EXISTING GREENHOUSE ATTACHED TO ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEVE & MARICA DONADIC (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-396693 - SEPTEMBER 10, 1996 PLUMBERS CERTIFICATION DATED N/A /Build ' g 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 .......................`3`Y........................., 19...(.,x••• N® 21937 Z /y] Permisslon Is hereby granted to: ~~r/~ ~~J~(51 G ...........w...77!......................... ./..3s r. to.....,C-t tk,-r ...............c?^~............K.. s ,®C~, .,.o,..... .cP ......rs S~ . ...........cam............................ i-! at premises located at `lam f County Tax Map No. 1000 Section Block 5.....pp.... Lot No. ? pursuant to application dated 19...4~ and approved by the Building Inspector. Fee $ uilding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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 Location of Property . . . W Q: i.zfl 5r\UT 1AOL_~ . Wo . . . LA House No. Street Hamlet U Onwer or Owners of Property... c 1 M . ~C.. County Tax Map No 1000, Section ...&G .......Block.. V ...........Lot..10 Subdivision ....................................Filed Map............ Lot...................... Permit No. ....Date Of Permit ................Applicant. ~E.. a. I i(}RiCq f~~C Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: Z S t C3 CS `r ~O \ APPLICANT ,.F .w SOFFO(~-earn. yp N y. Fax (516) 765-1823 Town Hall, 53095 Main Road W - Telephone (516) 765-1802 P. 0. Box ewYork 9 11971 Southold, N i OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 8, 1996 ND Mr. & Mrs. Steve Donadic 189-25 45th Drive Flushing, N.Y. 11358 Re: Building Permit #21204-Z, 21937-Z & 22309-Z Premises @ 200 Willow Point Rd., Southold, N.Y. Suff. Co. Tax Map #1000-56-5-32 Dear Mr. & Mrs. Donadic: We have received the Underwriters Certificates for the electrical work done at the above premises. However, we still cannot issued the Certificates of Occupancy because your checks are outdated. I am returning your checks #5940, 5994, 5995, & 5996. Since we now have all the necessary paper work, please send us one check in the amount of $75.00 and we will be able to issue the Certificates of Occupancy. Sincerely, SOUTHOLD TOWN BUILDING DEPT. Gar ish Building Inspector GJF:gar encl. THE NEW YORK BOARD OF FIRE UNDERWRITERS P.AG.N 1 1001071 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEMBER 19,:0996 AppplicationNo.onfile 12921196/96 N 396693 THIS CERTIFIES THAT "F''TSMIT NO. 219312 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of STVE DONADIC, 2001 WILLOW POINT ROAD, SOUTHOLD, N.Y. in thefollowing location; ? Basement ® Ist Fl. ? 2nd Ft. Section Block Lot was examined on SEPTEMBER 05,1996 and found to be in compliance with the National Electrical Code. FIXTURE FcFPTACIES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT fWORESCENi OTHER NAT K W. AMT. K. W. MIT KW. MT K W AMi. H.P. 6 6 4 G !l I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS . G AMT. AMP. AMT. PS TRANS. AMT. H. P. SYSTEMS AM pMi. WATiS T. K. W. OIL H. P. GAS H P AMT. NO. A W AM NO, OF FEET SERVICE DISCONNECT NO' OF S E R V I C E 7 X NO.OF CC COND. OF A. CC. W.O. COND. NO. OF HI-LEG AOF II. W.fLE. NO OF NEUTRALS A. W G. AMT. AMP. TYPE EQUIP. PER .6' METER I,e' tW t ,e SW S,e 3W AW GO Of NEUTRAL OTHER APPARATUS: PADDLE PAN-1 MOTOR8:1-r H.P. G & S CONTRACTOR LIC.#578-E Id t L L BO% 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER 11 a5 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 SE.ALTERED IN ANY MANNER. o~~SOFF01.t Gym y x Town Hall, 53095 Main Road p • Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. Box ewYork 9 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 6, 1995 Mr. & Mrs. Steve Donadic 189-24 45 Drive Flushing, NY 11358 To Whom This may concern: We are unable to complete your certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. The check is (outdated/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 # 22390-Z, 21204-Z & 21937-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. S L 1 .Ci s b : UII .I~D . II ,.........:.a::t.'.-.et..s.-.. r, frt^. ~w .~,•.s..~+.n..,. 'E COMMENTS m ~ FOUNDATION (1st) - G FOUNDATION (2nd) 2. ~z o ROUGH FRAME ~ PLUMBING 0 U 3. y m INSULATION PER N. Y. y ' STATE ENERGY CODE .4. rq FINAL ` I o J, p~ ADDITIONAL COMMENTS; m r x- • ns H A . H H O . m tv rn a 765-1802 ILDIN DEPT. SPECTiON l FOUNDATION 1ST [ ] ROUGH PLBG- [ ] FOUNDATION 2ND [ J INSULATION [ 1 FRAMING (J FINAL REMARK C A) IV-el ~ C DATE Xy/'INSPECTO 765-1802 BUILDING DEPT. INSPECTION /FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ J FRAMING [ ] FINAL c REMARKS: i k i DATE INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ I ROUGH PLBG. [ J FO NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL ,J REMARKS: LP DATE 13 d 7 INSPECTOR 110,1RD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . BUILDING DEPARTMENT CHECK . . . TOWN HALfL "81 Tt°e.,F=6R:1 _ SOUTHOLD, N.Y. 11971 TEL.: 765-1802 YoT I FF ; Examined 3~1 19?, E6;.Cr^LL . . . 3~/ t1AIL TO: .<<,. Approved P"a 199 Permit No. ~~9?~ TOWN' Disapproved a/c . . . bus - 718 361 - 7r8 35'~'237~ (B ild' g Inspector) . APPLICATION FOR BUILDING PERMIT Date ..hee 199. 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. (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. o Lt) N.eyL ' `j co N.T~ e o . . 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. ....rya M P-1 t N Electrician's License No. . . Other Trade's License No . 1. Location of land on which proposed work will be done. , , , , , , , , , • . 200 WI Ilow 9,0[t-4i PQ0 . our j-OE. D House Number . Street Hanilet County Tax Map No. 1000 Section Block ~5 Lot 32' Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Z IN Cs ~C IMf~ R,c ~(PZtit~g_ b. Intended use and occupancy (N~tp9 s: 3. Nature of work (check which applicable): New Building......... , Addition Alteration Removal Repair Demolition Other Work . . . . . . . . wo 4. Estimated Cost (Description) 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 6. If business, commercial or mixed occupancy, specify natu, , and extent of each type of use . . 7. Dimensions ot'existing structures, if any: Front - , , ~6r' ' Height Rear Depth X. b . Number of Stories ...19Ni Dimensions oflsame structure with alterations or additions: Front . A`{ ~ , , , , , , Rear • . , . , , • , • , Depth ...~.3.7*1 .............:..Height 7.0 Number of Stories . e 8. Dimensions of eptire new cns pruction: Front -,~p, Rear ..it7 Depth I.7`. . Height ....1.1'., ber of Stories . 0,7~ • • • • • • . . 9. Size of lot: Front . . . . Rear Depth epth 10. Date of Purchase 11. Zone or use district in which pre mises are ' • ' ' situated ' .'.•.•...N... ame ..r awns. , . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded . , . Will excess fill a re oved from premises: Ye No 14. Name of Owner of premises ,~...*14 I . ! ddress 2~0 (1 Phone No 'A5?'.. S/e . 8 Name of Architect Address . - - Name of Contractor . ' ' . • ' • • • ' • • • • • • • • • Phone No.......... . •••••••••••.....id.l Address wetland? *Yes Phone No. ~1 * 15. ' Is this property within 300 feet of a ta No......... If Yes, Southold Town Trustees 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. WIU.ow 70114f Raa;, NIT, 5'foe '70. 0000 00 to I ~ c fi~ST~N ~ N I~p~S ~ X1,.1 ~ N ~2ga STATE OF NEW YORK, "OUNTY OF S.S ' .....r sing duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. i fe is the } 01:19 (1ht~ (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this oplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. wom to before me this .......................day of.......... ........,19... otary Public . County (Signature of applicant) I c_ s , oil 1 0 r i I - , - - - - o \V y r~ 211 II i \1, nII jI- ~I I -L= ~ I I IU - - 1 I I I i - J'.e 4 - - '..s d ]1t W~ 77 t r 1- J y LL" l.i~f i '1 t S ; ~~If~ING E, t~ L.IVI_NG Y J" PPer tubing (a used for water distr(Duting 8of etn: ,(pine shall be . r _ -FIz- RArtluhi CID' h KITCNE(~ Nues KK ort PLUMBER CER&ICATION - i i ON LEAD CONTENT BEFORE . z o, y a z f ra" R ! E i. CERTIFICATE OF OCCUPANCY SOLDER USED Ik WATER ON O C)Dtrl -C~ - - BAIFJ_« 1f ALiwc I- r - " . SUPPLY SYSTEM. CANNOT 7 - EXCEED 2110 Oi 1 % LEAP. _ of _ - l~ _ ~LLL-..-~~-__LFFF«i1111LL.{Y{Y{Y - 4~ ~_`rr r~ ~I' . c r' 1 A'4 t E i'l i QUIOE - I / t3 % Z OCCUPANCY nR USE IS UNLAWFUL . - Ei- r O r 6+ ~,}I. q ~1 Ito )1S4 WITHOUT CERTIFICATE , E OF OCCUPANCY ~ t rya 1 , 3 o i t or d, E AD Polovi - b [ APPROVED AS NOTED DATE: 3//G B.P.-4 FEE: 7rr'U 6y; tr fff _ NOTIFY BUILDING DEPARTMENT AT 786-1802 9 AM T6 4 PM FOR THE C a FOLLOWING INSPECTIONS F-f~S - } SI~~ A l 1. FOUNDATION -TWO REQUIRED - FOR POURED CONCRETE - 7 Lill I 2 ROUGH - FRAMING & PLUMBING` 3 INSULATION 4 FINAL - CONSTRUCTION MUST _ Q~zir r r2~ ~I 14 I J ' BE COMPLETE FOR C.O. i t ..ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. - S1.QTE, CONSTRJCTION &i ENERGY CODES NOT RESPONSIBLE FOR .p DESIGN OR CONSTRUCTION -ERRORS y .1 fill r 7 I - wr tt~: „cav}r vas . !,#SYA-4`~£ ~A~i~cNd ?'~':tf4r~••E3.12 1 fr < I , FIRST { PLAh1 tBa~d uenavrotr1 I' 10, ~ - DAg+VgxyG xvascx fi < z 3 0 0 ~ i t / A I L c u c ~ i - n `C `C O m ~fi1 l FEE -~~j >+tfi r ,t `C p I I ~iJ I ~ ' v 6; ~ ~ f`t m i r Llma or 6tariv& Cx=aN t/oof L-_ I I Ol '1'..........~ f i i t ill !t, Mill - - - - - - - - 7 11 ~ ry , sr-R.-`~.. /41, ; 1` _ C", -