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HomeMy WebLinkAbout21429-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR%R~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22714 Date NOVEMBER 10, 1993 THIS CERTIFIES that the buildin~ Location of Property 3375 OLE JULE LANE House No. County Tax Map No. 1000 Section 122 Block 5 Subdivision Filed Map No. ADDITION MATTITUCK, N.Y. Street Hamlet Lot 19 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18~ 1993 pursuant to which Building Permit No. 21429-Z dated MAY 21~ 1993 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 2ND STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. ELLIOT & SANDRA SPAR (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-286249 - AUGUST 13~ 1993 PLUMBERS CERTIFICATION DATED JULY 29, 1993 - E.M. SANDORA Rev. 1/81 rOR,M NO. 0 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°_N? 2142J Z Permission is hereby granted to: ..... ~:...~...../...o..~ ......... .... .~.,. .......................................... '../...~ ......... .....~ ,o ...~ .............................................................. :~ ................... :~ ............................................ ................................. .'-.~ ....... ~..~.. ......................... -/.,i ........................ at premises located at ............. I..~.....~..Z~ ....... ~.......~...~/~...~..~..: ........................................ ............................................................... ~..4. .z~.z~.~...< ............... :_~ ................................... .................................................................. ..................... :..... ................................... County Tax Mop No. 1000 Section ....../~..~ ......... Block ...... ...~?~ ...... Lot No ....... .~,~,. .......... pursuant to application dated .............. ~Z.~... .......................... , 19 .... , and approved by the Building Inspector. /~llding Inspector Rev. 6130180 Bo '6. Form No. 6 TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN ~ALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be figled 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 2½10 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. Submit Planning Board Approval of completed site plan requirements. 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 t9 accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 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''''f..~..'''''''' Location of Property...3~.~.~. .......... .~. ~..~.~. ~.~...~. ........ ~...~...~.~.~.c~.<< .~. ?.... House No. Street Hamlet Onwer or Owners of Property...f~.gf~I..*~..~..~.'~{~.~..~ ...... .~.C~. ~ ...................... County Tax Map No i000, Section .... /.~..~. .... Block ...... ~ ....... Lot ...... ~. ............ Subdivision .................................... Filed Map ............ Lot ...................... ~ermit Xo.gT.. 9. ..... Date Of Per, it .... .~.~ ...... Applicant..~Z~.g~r.~...~.< ~ealth Dept. Approval .......................... Underwriters Approval...~.g~../.3. ............. Planning Board Approval .......... ' .............. {equest for: Temporary Certificate ........... Final Certicate.....~...[.. TOWIy OF SOUTJ~OLD OFFICE OF BUILDIHG INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 Building Permit No. (please I certify that the solder Used in the water supply system COntains less than 2/10 of fl'lead. (plumber's signature) S. worn,~t~ b~fore me, this --~ay of ~ ' , NOtary Public, County _ '. _O~MI~ '-' in 8uffoll~ _(~. /~/q-~ Notary Public INSPECTORS . Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 29, 1993 SCO'IT L. HARRIS, §uper~,lsor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mr. & Mrs. Elliot Spar 3375 Ole Jule Lane Mattltuek, N.Y. 11952 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) No Underwriters Certificate on file. The check is (cutdatcd/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 9 BP# 21429Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. john a. jacobsen associates architectural design · engineering 2150 smithtown ave., ronkonkoma, n.y. 11779 · (516) 737-1200 June 25, 1993 Town of Southold Building Department Main Road Southold, NY 11971 RE: Second floor addition for Elliot & Sandra Spar To Whom It May Concern: I have investigated the structural framing for the above referenced second floor addition and find that all structural members are adequate and meet all construction design JAJ.~ national engineering certification - license: new york - new jersey -pennsylvania - connecticut - georgia - ohio -florida - new hampshire "'0', LAND SU RIVERHEAD T~ ~BY ,Y, SURVEY FOR u,,^u.~o~m0 ^L~..',o. o, .~o~.,~. · FRANK X. BATTERSBY ~ MAt: s~c~o~ ~0, o *~ ~w ~o~ s~*~: ' MATT IT UCK ~o,,,s ~ ,,,,~ ~r.~,~ ~.~ .~ .~.~ TOWN OF SOUTHOLD NOTE= cu~,~c~s ..~.~;'~ .~,~o~ ~..~ ,~h~ SCALE ' J ''= TO ADDITIONAL INSTIIU?ION~ O~ ~u~S[QU~ 7 ~" J O{ ~ ' .lC, HO, ~OUIIDATION _~(1at) ~OUNDATIO~'; ( 2nd ) ?. TOUGH FRAME & .FLUMBING ~DDITIO~;A'L COMMENTS: .I~SULAT!O~'~ PER N. STATE EHERGY CODE FIX;AL ..? PLUMBER CERTIFICAT/ON' ON LEAD CONTENT BEFORE CERT/FICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. PLUMBING ~ PLUMBING WA~'E & WATER UNE8 NEED TESTING BEFORE COVERING UNDERWRITERS CERTIFICATE REQUIRED ~ //," ,© f " YOUNG & YOUNG " ~' . 400 OSTRANDER AVENUE, RIVERHEAD, NEw 'tOR~ SURVEY FOR FRANK X. BATTERSBY MATT ITUCK ~dd .~,',,'~ ,~" "%, TOWN OF SOUTHOLD SUFF. CO., N.Y. ~~:;;.' .,v~.~2~'~:~-- 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ R/OUGH PLBG. ] FO/UNDATION ZND [ ] INSULATION FRAMING [ ] FINAL 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] R~L~PLBG. FOUNDATION ZND [/2~INSULATION [ ] FRAMING FINAL DATE ,~~//~ INSPECTO~~/ THE NEW YORK BOARD OF FIRE UNDERWRITERS: ~ 1 [0~? BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK '10038 Date A[~(~[~? ~,},~3 Application No, onfile 812~3~/~3 ~ ~f~6249 THIS CERTIFIES THAT only t~ electrical equipment ~ ~ri~d be~ a~ intro~ced by t~ applicant ~med on the a~ve application no tuber in t~ premises of in the followlng location; [] Basement ~ Ist FI. [~ 2nd FI. ,Section Block tc~s examined on A ~ G U ~ ~~ ~. 0 ~ ~ 9 ~ ~ and found ta be in ¢ompliance ~rith the National Electrical Code. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 10 DRYERS 12 OTHER APPARATUS: G,~'.C, 1:~-1 E R C NO, OF HI-LEG AWG OF HI-LEG OF NEUTRAL 1015 ST, JO}INLAND ROAD K]:NGS PARK, NY, 1 ) 754 GENERAL MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF C~RTJHCATE ~VSTNOT I~ ALTERED IN ANY ~ANNER. MAY I 8 lgg. Disapproved a/c .................................... . . FORM NO. 1 / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 (B~ng/Inspector) APPLICATION FOR BUILDINGPERMIT B~ARD OF HEALTH .,.~.... suRv ....v ......... Cll:C ¢f.O.S SEPTIC FORH ............ CALL q.~T ..., .... HAIL TO: Date ' 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 2 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 sti'eets or areas, and giving a detailed description of layout of property mu~t 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. Sucl~ l~ermit I 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 '~hall have been granted ~y 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. _ ...3.., xztv. .. P.,... (Signatur~ of applicant, or name, if a corporation) · (Mailing address of applicant) State whether applicant is owner, lessee., agent, architect, engineer, generai 'contractor, electrician, plumber or builder· N;meof.ownerofpremises ..J'~4.~Z'.'O../.-'..'~. t.~.,,~.t,?O/~'~. .... ' AP ROVED AS NOtED ....... . ' (as on the tax roll ~ iate~l~il'~B.:ra~r.. ~ ~"7~ r' # ,.~.~.~'~J.z'~.~ If up'lc'ant iSr9 c°rp°ratj'cLn' signature °r duly auth°rized ° fficer" ' FEE: ~',f'~, ~:2 !1,~: ~,,,.~_,c,~ j~Q..,,~ .... . .... )I;:2 ...... :1.2; ')l,t ............:2 "'," ......... . '76§-!802 G 'AM TO 4 P~/FOR 'THE : (/u'~ame anti utle(,l~/corporate officer) FOLLOWING INSPECTIONS: ' · .' · B dder s Lmense No .......... Plumber's License No .................. ~. ..... Electrician's License No ...... .8.? .~T ~-~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done. 1. FOUNDATION -. TWO REQUIRED FOR POURED CONCRETE 2. R, OUGH - FRAMING & PLUMBING 3. INSULATION · 4, FINAL CONST~UCTJON MUST BE COMPLETE FO~ C·O. ALL CONSTRUCTION 'SHALL MEET THE REQUIREMENTS OF THE N·Y~ STATE CONSTRUCTION 8~ ENERGY CODES. NOT RESPONSIBLE' FOR House Nora her Street Hamlet Co,hty Tax Map No. 1000 Section ...:/g?~o~ ' Block ....... ~. .... :..-Lot ...... /.~. .......... Subdivision ...................................... '. Filed Map No ............... Lot .... ........ ... (Name) Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... /../'~/~ ' · 3. ature of work (check wh~c~ applicable): New Building ~ .... Xaa;,~ ~, _ ' ' ' · Alteratmj, .2. 4. Estimated Cost... > ~ ' ' · (Description) ~ ............ Fee .................................. lfd lli~ N (to be paid on filing this application) 5. welling, number of dwe ng units ............... umber of dwelling units on ea ocr., .... . If garage, number of cars .. ~ .......... · ch fl .......... 6 Ifbusmess, coFmerc,a X ~; i~;fify ................. ure'f~d ~t t~f~ t};;'' ' ' ;fade' 7 Di i lormt edoccupan , nat e en each · mens onso existingstmc res, any: Front ............... Rear .............. Height ............... NCmber of Stories ..... ~ ............ ' · Depth ............... ~ itl dditi F ....................... lmenslons of same structure w l alterations or a OhS: rent ............... Depth .... ~ ............. i.. . He;,h, .................. Rear .......... menmons of~eqt~re new constmctmn, r~,~ / ~, ~o~S]ones ............ L . ~. chi .... ~ ........ ~mber of Stones ...... / * ....... Depth .~ .......... 11. ~one or use &strict in which premises are situated ........... . . 12, ~oes proposed construction vihlate an ...... :~ , -. ' ............... · ..... ~ ............. [..' Will 10t be re-faded -, ~ ~ ~,,,-~ mw, ormnance or regulation . , ~ ~ . ' .... 14. Nme of Owner of ~remi~a~ r~;r~ ~".' ~m e~s nll be removed from premises: Yes Nme of Architect . ~ ...... ! ............ ~ .' .... Ad~es~ ......... , .... Phone No ...... -'. i PLOT DIAG~ Locate clearly ~d distinctly ~i bufld~gs, ~heth~r existing or proposed, ~d. indicate M1 set-back d~ensions from property Hnes. Give street ~d blocklnumber or desc~ption accord~g to deed, and show street n~es and indicate whether ~te~or or corner lot. . ~ ~TATE OF NEW YORK, . i 20UNTY OF ......... 8.4 (Name of individual signing ?ntract) .bovenhmed, ,', ..... being duly sworn, deposes and says that he is the applicant ie is the .... ;. . I ontractor, agent, Corporate officer, etc.) ...... f said owner or Owners, and is duly anthonzed 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 'ork will be performed in the manner setl forth in the application filed therewith. worn to before me this ...... : .... .... :..day.or...i ' ' ,-...'... 197.3. · . County ,JOVe M. WILK NS ' ' . ·.. .,.~.¥-..O([.~,b~"~,t,,. ' " ' Notery Public, State of Now ¥orlt · ' ........ /1 ..... · ............. No. 4952246, Suffolk Coun~. [j 'Fcrm Expires June 12, 19...,~ of applicant) .