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HomeMy WebLinkAbout21488-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22556 Date AUGUST 27, 1993 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 40 LAKE DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 3 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 17 1993 pursuant to which Building Permit No. 21488-Z dated JUNE 18, 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 ADDITION OVER EXISTING RAISED PATIO & CONVERT ATTACHED GARAGE TO HABITABLE SPACE TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ISMAIL EMEK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-283465 - JULY 20, 1993 PLUMBERS CERTIFICATION DATED N/A J =6~ 17,11 Building Inspector 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) Date......./ 1!Y....... 19.'9..-~~.. N® 21.488 Z Permisslon Is hereby granted to c ......./.~..~............~Q r I ~ ,y e-Vd '•........~~~......D.D. . at premises located at 4.....z...... 4 I y ~.T....Y. - County Tax Map No. 1000 Section ..........4F........ Block Lot No. .llo y,.v.........., and approved by the pursuant to application dated 1944~ f Building inspector f, Fee I °Lor Building 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 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 /~39 New Construction. O . Old O,r Pre-Visting Building /t Location of Property...~ ' ae- :..5 A. ...S.o~O/J- House No. Street Hamlet Onwer or Owners of Property ....s!nC ......e, / County Tax Map No 1000, Section..... ......Block ................Lot., Subdivision....94~G0?i 5~~~5.......... /J . . ry .Filed Map.. .L/ot.. Permit No.,f a,..... Date Of Permit Applicant..~C! ? ;ZL 6o 17 t1%4111' Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...~ „ v0 Fee Submitted: ~ H 6 )D'0 APPLICANT...... INSPECTORS mow..,, Victor Lessard Principal Building Inspector Curtis Horton Yih`^,v a ;b~• SCOTT L. HARRIS, Supervisor Senior Building Inspector ZZ 1 T' • z .i Southold Town Hall Thomas Fisher D". B P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 Gary Fax (516) 765-1823 Building Inspector - Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JULY 16, 1993 OLINRIBWICZ CONTRACTIN INC. P. 0. BOX 591 SHELTER ISLAND HEIGHTS, NY 11965 RE: ISMAIL EMER To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ffi An application for Certificate of Occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. ffi 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 # 21488-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: ISMAIL EMER ~LD...,iliSl' El,i 10N IIDA E 1, ~d1 L: 1Vlu b \ T_ H FOUNDATION (1st) FOUNDATION (2nd) 2. z 0 ROUGH FRAME & PLUMBING y H 3. x [rJ C P7 INSULATION PER N. Y. V STATE ENERGY CODE x a 4. FINAL Al o ADDITIONAL COMMENTS: IC ro c7 m ro H 'raw ~ AG ~ { i.~rti Ct N 2 E. k95,7_. 0 L ON t^ ~ 1 ~.7.~1~r~G' t°y vrh GO[.~fa n f 71, m m t7 Ty cG9 1F~o~ CrT i FJ, ~ ~ ~ a N TIE C-M TI) Ali a.g fig fl, 0 l00z lc~ t'77 i } p f l Jam'? ImK " 01. l so 1, f i t ~J Ef i V M-12 _ JUL - 6 8993 . B A` planners fdWN7G. DEFF. & besigno(s OF SOUTHOLD Tt~r~Ra ~ ~~uZ1~~la% hUEl.lt~lC~ I,P<k~. DNVP.. A.YTHc. UP 1J Y 1197 1 ~"~n.;~, rte. ~i~~~~ FTC. ~'~fir C_~d':s~, i:aflf'::~4t}? dam`-'FdC; r~~P'~Vf~~rr=i ~ 1Z' l(4 lx eie+~ cF, t a ~ C L.Af l t :d I Z t Itwc AJ ,1z'' To Sc ri nz_T ; to ilf t l f` TI) 1=14tA11-4XIE, ! C. tzcVl.A9 _Tc~x &l CLk)trTr=~ T~ Tijcn~r a?:,rw: f ea~E > i;"? r ~ ;..~:(%C,~t: i:`cv`u';) E.'Ki:~j~1C~ r~~Ut•~O~rr~l ..it-('~ 4p (NN N \°s'~, N~. 16s3~ p4~ ;l \ OFF NO r y -21,2-233-1010 BAI GrC~li(> inc • 1.~ (V7aidr_~'~ ~sr~e ° f~z~M1~ York, N . 100"38 ~ • Fax 212-233-5682 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [44- NAL REMARKS: 4 { i i 1 f DATE INSPECTOR -~'t ow M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ) ROUGH PLBG. [ J FOU DATION 2ND [ ) INSULATION [ FRAMING FINAL REMARKS: DATE ~ /(M~3 INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [kf--FRAMING [ ] FINAL REMARKS: 141 ` DATE ' INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 1'AG' 1195099 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 . ' Date JULY 20,1993 @117x3398/43 N 7tt3465 Application No. on file 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 I MAIL EMEK, 40 LACE 0111VB, POLE LTL 4, WUTHROLD, N.Y. in the following facatygrL;Y B," 7ent IJ I st Fl. ? End Ft. OUT Section Block Lot was ezarnined on J 11" L `7 , 1 "1 and found to be in compliance with the National Electrical Code. FIXTURE KEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORESCENt OTHER AMT. K W. AMT. K.W. T. K.W AMT K.W T. H.P 13 9 4 13 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS DIMMERS AMT. N. W. Olt H. P. GAS H. P AMT. NO A. W. G. AML AMP. AMC AMPS. TRANS. AMT. -1 NO. OF FEET AMT. WATTS k SERVICE DISCONNECT NO.OF S E R V 1 C E METER NO.OF CC COND. P. W. 6 A. W. G. A. W. G. AMT. AMP. TYPE EQUIP. 1 %1W l ,e' 3W J R JW 3,e' 4W PER 9 OF CC. COND. NO. OF I'll-LEG OF HI LE NO. OF NEUTRALS OF NEUTRAL I OTHER APPARATUS: i G.F.c,z:-2 E ~ JLM uAGh, Ef,EC, INC. L1:C,03635U P.O.A03! '3 it GENERAL MANAGER C,R~F;NpORT, NY, 11949 11 ,/{r~ Per V" f 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. i BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS MAY 2 0199 BUIOLD NG DEPARTMENT CHECKY TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t7 1~ CALL Examined ~0~............ 19?a MAIL .To: . Approved ../~P . ` 19 G? Permit No............ . Disapproved a/. %z~3. c%Sy - . ~ (Buildi g I ctor) APPLICATION FOR BUILDING PERMIT Date .7 Ig ,.t'. 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. i b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stieets 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. /rte E rG ..c . . . . (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. Name of owner of premises 7 S ? 7G (as on the tax roll or latest deed) /appli t i s a cor orat' signature of duly authorized officer. (Name and title o o ratte officer) e 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. SO(.i/~I J (CY . House Number Street Hamlet County Tax Map . 1000 Section ...:E-a......... Block Lot ~~,on........... Subdivision Filed Map No. . . . . . . . . . . . . . . Lot (Name) 2: State existing use and occupancy of p emises and intended use and occupancy of proposed construction: a. Existing use and occupancy - . • `3`r[:,"_~.:a b. Intended use and occupancy ; , , , , , , , , , , II I 3. Nature of work (check which applicable): New Building , . , Addition Alteration t~ Repair Removal Demolition , , • • , , . • , • Other Work I......... • . 4. Estimated Con/ /a (DeslLription) . oUl Fee .............................l...... . number of dwelling (to be paid on filing this application) 5. If If dwelling, garage, of cars units Number of dwelling units on each floor g g, 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 Nun]ber of Stories , . Dimensions of same structure with alterations or additions: Front Depth Rear.................. I Height Number of Stories . $ Heinsions of entire new construction: Front Rear ...............Depth ght Number of Stories . . • • • ' ' " " 9. Size of lot: Front Rear Depth . 10. Date of Purchase . Name of Former Owner 11. Zone or use district in which premises are situated . . O 12. Does proposed constructio v lte any zoning law, ordinance or regulation: , , , , , , , , , , , , , . 13. Will lot be regraded ..........Will excess fill be removed from premises: Yes No 14, Name of Owner of premises V~. C y , , , , Address , , , Phone No . Name of Architect Address . Phone No............... . Name of Contractor . <~lthli; p , , , Address Phone No. , 75 3z!~', , , 15. Is this property within '300 feet of a tidal wetland? eyes „y -o......... *l 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 fnam property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW` O, S~ S COUNTY OF• -w 4 • ' • • ' , • • -a ^?g3• • • • • • vS • 417 h`• • z- being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the , ,i c!. . . (Contractor, agent, corporat@ officer, etc.) of said owner or owners, and is duly! 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 before me this day of c~z Votary Publi~ IC. R. County CLAIR9 Public , State of o.48796Q6 GommNon cn lFNo. cembeN . Q~.....~ MY (Signature of applicant) 8,19 f MAY 2 01993 TOM% 014 0;ice I~ N~! ZQ"F3'J° NON-YE!•tfx-O ~,~L,~4`f - t-3ax4h"TloNVEN(~D T° i \ r ~`~~~_~e ~ i ~ r - ~ J - - - _ _ - - aR. - s _ i - - i ~L~ y~~df - -i- NOTES F 1. All construction shall most the New YorX State and Igcal Building Codes.and be j approved by a building--inspector. i 2. Contrectbr shall investigsta site and verify all dimenaions. Contractor 'shall 11 notify architect of any discrepancies before-proCcOding with any work. 3. Grades and elevations shown shall, be checked at toe site. 4. Do not scale drawings, all written dimensions 'shall govern. 5. All footings to be set on solid undisturbed earth and, exterior footing inset e5itesid. { ._R minimum 3'Q" below finished, grads. 6. Previde 95% cri*met~ioa for all, fill placed under floor slab. i (2) z'+9" Y" Cw) Lkf6i 151.6 J+~'NNTi1KFC~t? BELT 7. Hll concrete used shallteat-3600 PSI 9 28 'days and to be in accordance with A,C.I. spe1ce. ~p~y~(~ am G gwa Kv. I ~ • • - AsPF+M;i °++ir4GLE~ -0 Mxdr ~Ya'f 8. All elaotric and,piueb ng~~,~/ sha11 be in accordance with National Jawtrical and I ~ I ~i V *e'&, Ivor- i y~ ~ 'iq \ laAfJl NA+L G Pt'snbing bides latest mY}{~t.~ ~ wnu. cA~sfs. i ` 9. Ar*it.ot-~a drawings ChM be part of owner-builder 'cattractind-ia binding its all respect. I i~~i Jaw NN4(4r- 10. No l?iiwic changes Hey be%made' VUhout expressed consent of aAAW. -R?n IFK.t1L~;rG~l -rm ffLw 11. c~Ghtroctor to protect owner from all liens' that may bs filed *"t him. i _1uKEE - ~ 12. Mr6ent of contractors work shall be as directed by owner. y~-.X+'aw .y.~W ~ 1 ~ ~ ~4~ ~ ~ - j - I ' 13. C6per.reserves the right to reject any and ail work qot p: PT. in a workman like G-Jr.PC~E gbFS _J = i i manner per acceptable standards,. i iii ~ 3=9' ~ ItO~ 3'10 I " , weC c Wr Lf4' 14. All insulation to have bonded vapor barriers on warm '(room) side. - pVER FGtT' 15- All exterior details. materials and finishes shall match existing. 16. Al skylights to be "Insula-dots" non-vented modal. ' ~XY~' ~2~IHE"' ~l~ 17. Al windows and sliding doors to'match existing and have Perma Clean insect screen. i - GiRRllh'K Iowa 11 18. Al+' electric work shall comply with N.Y. Board of Fire Underwriters Code. IK 19. No extras will be honored without written approval by owner before starting work. I N I }'~--'~j ~_7~ it, 1 LLLL N 3h " . L.c. W~ i --!-~-~----+-----~.1,'j---ai-. 0 Coh~~sl G (E,y~~Irus'e.- 72"xIZ" I I ~ 1 I W/c lit'S1LFId$H "p~~y.~/',- ?y~Uf', -{pWONZ I O- W -44 I SIJb~~,IX/1~F~'!/JyJF10y~~3.> ~'D', I E'111LDI E'1/1LDI~ICa PA;'eF ml~ 1~ N I ~ / wqo.. -(o y~ V -L 'Irt Gp 1 1 ---Ili' fl.a~. eo '(i(fh7ro 1 I I'-~-la 1 -~-la JW~1bK¢a"1- ~I~ Frrr~ I I Erwf J I ' ~ ' K rasrr i IsC PRA ?K~,~l&D ' " ~ 5(a G 5/0 1~nX 54wTING . 1 _ tr~n ; Il7wc T MnTa+ N _.__y _ ~I 1 t ~clsr. NAILSyllK(FEAf) IN ZiA?" I IANE '(q kG-r~I,uRE 'If 0. 'If" BSryxj,,ro(t FY R vo AA-AL R fW,"-TToN eaLr I~ G © vhV -,7W rlSl ~a {J U 2'K~ - i~' ac. oN~xy(~~ryy~a Nnttporl - aoncATE UNDFRTI REQ REQUIRED r W5/,Y' Pnav c.p su~~ladr , - IN57AL VAtK tAOIFR oqf f~ 3.0• u W try ~x cauaF- T05 - i+r z-~ i N6W - - - M)loN JAI 1100 I DATE GATE / 1 V~-~ FEE. NOM YnjFA Q\ Na E AT 1w - f 765-1 755.1802 M TO 4 R THE FOLU FOLLOWING INSPECTIONS: ?Y'~-l-Il/ I l ' I 1. FO t FO 7. FOUNDATION - TWO REQUIRED ,Nj~ k~ pup ~x arrtEf 2. RO FOR POURED CONCRETE I i-- 2. ROUGH - FRAMING & PLUMBING 'i Olrrrr Pkqt~1104 To WAN T 3. INE 3. INSULATION I I~ gOI f~rrr /~~PfiTf'~RoyN~r ~'fo ~w ~k-xf~w~K a~~~,~ arflz~r 4. FIN 4. FINAL - CONSTRUCTION MUST l?`-JOP7V(VISk7Y`f NOW MG W~/ sfU17 N 'l~~F ~j1~ OCCUPANCY OR A BE COMPLETE FOR C.O. Of or Hy of c4k7Rf55 ,~EFtED AR R~wMaGNT Tv ~p fcN DFI~G LLEI ALL CONSTRUCTION SHALL MEET ~It w tN SufCOLK U?. CEKJE G} i i h ~v\SP A BAGS NEW 2'k4E' CJ;k91~ SNb ~A.~z'(I"(fofJ ~ hPr 5W~'(GN USE IS UNLAWFUL STHE I TATE THE REQUIREMENTS OF THE N.Y. 9 STATE CONSTRUCTION 8 ENERGY fly i'F/. ILIA Ct CODE CODES. NOT RESPONSIBLE FOR r,~x,~ ESIC WITHOUT CERTIFICATE D DESIGN OR CONSTRUCTION ERRORS ~ A ~ NL V ft" 4AP4 " WAFT ~PeA? IS} 43rCJF 1 SUILYE ( ~~f7ARQ tz? f G9 OF OCCUPANCY II