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Home My WebLink About21556-z F FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Nc Z-22579 Date SEPTEMBER 10, 1993 THIS CERTIFIES that the building ADDITION Location of Property 2795 WELLS ROAD SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 4 Lot 15.1 Subdivision Filed Map Nb. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 8, 1993 pursuant to which Building Permit No. 21556-Z dated JULY 23, 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 DORMER ADDITION ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RICHARD MAGEE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-288348 - SEPT. 1, 1993 PLUMBERS CERTIFICATION DATED N/A lding 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) N Date 21556 Z Permission is hereb ranted to' .<...,.....i ta.~............ . at premises located at.... €9.71.~. . , `b......P.4rG'.r ........................................9 ~~`..f....... County Tax Map No. 1000 Section Block .,.........d...... Lot No. pursuant to application dated ........irk 19 f and approved by the Building Inspector, OV Fee S.•7 Gam!?.... r. ..rC... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD '~L • ~'~LSC.7~ 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 1 111*9 New Construction............ Old Or Pre-existinJJ Building Location of Property ....a~9,~„~{1J0„ /C~~.,..,rlG(I~........................... House No. Street Hamlet Onwer or Owners of Property......!,4~GUC~ qe . County Tax Map No 1000, Section....'? Q Block Lot...,~ 5 Subdivision ..Filed Map............ Lot.. rr~~ G Permit No...4Z~.J. „Date Of Permit. Applicant..,IVA0„!!e ~/I; KJU(1C~2/~~ Health Dept. Approval Underwriters Approval Planning Board Approval........... Request for: Temporary Certificate.........,, Final Certicate...__C_~ Fee Submitted: cK Nb 768'P Cb~ aas~~ _ -v. INSPECTORS Victor Principal Building Inspector O~pS~fFO[kCOG Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector y z Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector y O~ Southold, New York 11971 Building Inspector Fax (516) 765-1823 Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD August 24, 1993 John Bertani Builder, Inc. 2795 Wells Road Southold, N.Y. 11971 Re: RICHARD MAGEE 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 # 21556-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~~cLD 1::~ ~J .n i~ :.ALNr • I r U ~ H %OUI7DATI0;l ~ (1st1 ~ ty 'ooUoArlo;r t2nai o \ ZOUGH FRAME & PLUMBING • I - T e y i. H rl 'r3 lISULATI0;1 PER N. Y. I - "C • H~ STATE ENERGY ~I CODE I : T' f FINAL ADDITIONAL COMt4F.NTS: m O ~\\l n7 r •o • _ H A `Ay \ a p to ZA cn , ozyl, c tin o OCA~ Ov A Q~c ~ o WO v ~Z~~ :ia O ~ Z~ D r2 o~~~~ o a 'Al rn 2A fD 'Q _ y oqo~ ~ •DO /~c oZ'N f n rozm~ od~ ~y£ romp 00 & z M 3 Z' C, DM ~~b O ' P z C ai N t:" CO o . • m =oe°`^o Z r $ m ar \ N nom' 112 aoy O o \ 4e ' 40 O O O./'ad• ! w./gypp ' A ' aad ro n de/S .fi _ ~1 / 0i ODD g r' L/J~~ Q L- /O' ...4~ , ~ m y ook A0 ac s / c coo 2 n n y y y 1 - yLk92 5 v WM,.~ proa4N/°9 I'oow •£o Pall, -3 £Z . O 'S M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: C DATE 4 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOU ATION 2ND [ ] INSULATION [ RAMING [s ] FINAL REMARKS: i DATE L~V~ INSPECTOR z 765-1602 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND [ ) INSU ION [ ] FRAMING [ INAL REMARKS: c DATE INSPECTOR rc.c THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1601671 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date SEPTERBER 01,1998 Application No. on file 414965993193 N 288848 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 RICHARD MCGEE, 2795 WELLS AVENUE,, SOUT~pHOLD, N.Y. in thefollowing location- ~ Basement 0 1st Fl. E 2nd Fl. OUT Section Block Lot aws examined on hu Uu T 36 , 19 9 3 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 11 MAT K W. AMT. K W AMT K.W. AMT K.W AMT. H. P. 3 5 3 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEA7ER5 MU LET DIMMERS AMT. N. W. OIL H. P. GAS H. P. AMT NO. A W. G. AMT. AMP. AMT: AMPS. TRANS. AMT. H. P. SYSTEMS pMi. WATLS NO. OF FEET 1 600 SERVICE DISCONNECT NO. OF S E RV _ 1_. C. _ _E MIT AMP 1YPE METER 1 a, eW 1 ]W 3 6 3W 3,e' AN NO OF CC. COND. A. W.G. NO OF HIAEG A. W. G NO. OF NEUTRALS A. W. G EOUIP. PER B' OF CC. COND OF HI-lEG OF NEUTRAL OTHER APPARATUS: ..r SAP ~ 4 1993 , !l~ ~ , F}I.iG. ClEK'r. TOWN OF SOUTHOLD G 4 8 CONTRACTOR LLC.#578-E BOX 2.15 SOUTHOLD, NY, 11911 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. BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . 3 .-93 BUILDING DEPARTMENT CHECK . . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 yo NN 0 _ TEL.: 765-1802 t70T 1 FY ; CALL r 7&5.~:s~y.. Examined . , 19J# MAIL TO: • . Approved , 1923 Permit No..42~Sst2~ Disapproved a/c . (B rldin~ ector) APPLICATION FOR BUILDING PERMIT 19 Date ~ 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- caticn. 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. (Si ature of applicant, or name, if a corporatioLn~) (Mailing address of applicant) /l97/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~~2~... (G~47tv/GGl . vvJ , . (as on t tax roll or latest deed) If applicant isa corporation, signature of duly authorized officer. Name and title of corporate officer) Builder's License No. , , , , , Plumber's License No. !!`JIA Electrician's License No. f.S' .f~ . Other Trade's License No. 1. Location of land on which proposed work will be done . . House Number Street Hamlet County Tax Map No. 1000 Section ! Z!~ Block P. ~ Lot .......lJ Subdivision Fiied Map No. Lot .?C' . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy G /c~ . l lj • !4 t. . b. Intended use and occupancy PfL'-?2C:~ . 11 r 3. Nature of work (check which applicable): New Building Addition ~Ifefstio~ . Repair Removal Demolition Other Work (D diiption)- 4. Estimated Cost Fee (to be paid on filing thisAWlicafion) 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 nature and extent of each type of use . 7. Dimensions of exis;ing structures, if any: Front 77_ r Rear S~F`....... Depth , , Height .....?.2-........ Number of Stories . • • • • • Dimensions of same structure wiI th alterations or ditions: Front ...~I k& , Rear Depth . . Height c.......... Number of Stories . . 8. Dimensions of entire new construction: Front . , 4.. Rear . , !A . Depth Height Number of Stories e/ . 9. Size of lot: Front ,r XV . l Rear , V/, Depth . z6 Z J - . 10. Date of Purchase . Name of Former Owner . • 11. Zone or use district in which pre m ises are situated , , , V/~ , * • • • , , , • , , • 12. Does proposed construction violate any zoning law, ordinance or regulation: .........~F.~. 13. Will lot be regraded Q; , , , , , , , , , , , , , , , , , , Will excess fill be removed from premises: Yes 14. Name of Owner of premises Address . . Phone No. . Name of Architect Address Phone No. . Name of Contractor . Address . Phone No. . 15. Is this property within 3b0 feet of a tidal wetland? *Yes, 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. Ii i ~I ST it ATE OF NEW Y RK, . S.4 COUNTY OF... . . • • • • • • • • • •?1~~• • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant Name of individual signing contract) above named. He is the......r~I, (Contractor, agent, corporate 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 seIt forth in the application filed therewith. Sworn to before rrite this ...7..... dayof.. jc).. 19G.~ i Notary Public,, County i ~ n f RNADETTE L. TAPLIN / / jr w. r ; NJTARY PUBLIC 04&M&93 «c ~GII 111 f . State of New York (Signature of applicant' Residing in Suffolk CoufldY co'Aissiop Expires Sept. 30.19 j ~I Q . ~ EX/STiNC> DESK u 12 i 2XlSnNCS G2M cKisTNG G2N ~ y M?I ~~1 Rooa<- BITCH 1 ,JI~7~ F yylS' , 12 "N6 `EKI$~ING ~X~~ ty~ 2~8-lba. 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FIN[~L G R Apr dP{Z~ F ~~.OIJT ELE1!!\TION Q 4'EPpLc Y~ F•~ OCCUPANCY OR "i kV IRp PAS NOTED F 12 sT FLOOR ~l G-FZt~55 ~EGTIC)l~l USE IS .AWFUL unTE172 3 -B.Rrt 6d WITHOUT CERTIFICATE ~Pe 5 BY; OF OCCUPANCY IO5-11802 BI{AM TO N DEPARTSENT AT FOR THE FOLLOWING INSPECTIONS 1. FOUNDATION TINA REQUIRED _ - •_;3 FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING- 3. INSULATION " +B. FYNFS;- - ONSTRI.IC,TION MUST.. Al PF COMPLETE FOR C.0 d I ri WZTPIirrinm cwm eecc4 r'~1 THE REQUIREMENTS OF THE, N.Y, " GwIH/,-~r4 Gw1~1 LWI~r UN G-x+14 STATE CONSTRUCTION & ENERGY. 'G NOT RESPONSIBLE FOR OR CONSTRUCTION ERRORS y - - UpD01NRIlE~SCEAIIFICAiE H ~~ry~ ,y ~IRED' i H - tl , % ~I ~ 7~lD G6rur.rp wE,~.HT - 9 ?C6a I N I 2°% I I 41 ro~ •y It-Ae 6~ 1~ XNar- WALL Z N y~bt KNEE H/HLL 'p PRo~raE 1'-0" ~.~o F.c~cns ~ i~ ' UooA ro STOR AUS AREA 41 L_EF-T E- L_E VATIQN A EKLSTu-/6STI~~RS w/HPn10RPrL h ~ S~GoNL ~LU02 "Pt_Ai•.~ r Sc Ric-: 4"-/~ J F