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HomeMy WebLinkAbout21705-z f FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23523 Date MARCH 3, 1995 THIS CERTIFIES that the building ADDITION 510 HOMESTEAD WAY & Location of Property 66685 COUNTY ROAD #48 GREENPORT NY House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 2 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 27, 1993 pursuant to which Building Permit No. 21705-Z dated OCTOBER 12, 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 AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NED AND FRANCES DEEGAN (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N303891 FEBRUARY 3, 1994 PLUMBERS CERTIFICATION DATED MARCH 2, 1995 X & K PLUMBING & HEATING w B ing 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® 21705 Z Date 19...~~. t Permisslon Is he~~e~~y granted to, ,y to...... 4',` ...:G-1.........,"...< ems' f.......... t G / i C at premises located at........l/'?........... 7 a tOtr . j County Tax Map No. 10,00 Section Block 2 . Lot No. ..../3 C pursuant to application dated 19...x' and approved by the Building Inspector. i Fee ~.1... k i i l I Building Inspector Rev. 6/30/80 Form No. 6 L %O " j TOWN OF SOUTHOLD 2D B / S J c~GJ~~ ~NG / BUILDING DEPARTMENT 0 `JO 7d' TOWN HALL JU.d (4Iv~!1 765-1802 6;_12_kZ_2V11~ /Z ,U-Y APPLICATION FOR CERTIFICATE OF OCCUPAN 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 19 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 ti~'' Date VS'V <..iQ New Construction.... Old Or Pre-existing Building.... Location of Property....141.Q..I.Z4l7 House No. StfeetHamlet Onwer or Owners of Property..N... County Tax Map No 1000, Section.... Block ?i....... Lot..... 3........... Subdivision ................................../..-FillQed Map............ Lot...................... Permit No..; «Z Z ...Date Of Permit. .~~l.~~ll/. ...Applicant.l...`A I&. 9,2Qg.4-4.11C , Health Dept. Approval ..........................Underwriters Approv ~Gr~...~... Planning Board Approval 1995 A 19 Request for: Temporary Certificate........... Final Certicate..... ~'x G. Ot?T. Fee Submitted: Z p TOWN OF, SOUTHOLD 49 I'D LP AP LC rn-. • ,......:.N.~_.:•..,.ro;.rFlrea..daM E:ik¢;'wiiyi"- 7Zi ~~gUFFO~kco =moo Gyp Town Hall, 53095 Main Road WD = Fax (516) 765-1823 P. O. Box 1179 1X Telephone (516) 765-1802 Southold, New York 11971 41 col ~ Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD TO:Ongioni & Borrelli, Attvs P.O. Box 562 Greenport, N.Y. 11944-0562 Your Building Permit application is being returned as incomplete for the following reasons; Building Permit Application needs to be filled out on both sides. Need fibre detailed Construction Plans certified by engineer. DATED: Sept. 14, 1999 ar w^.-nr P?Yi r n r wms..r. ;2.r~ m•a-m `te.r ~ ]f''("~~ f2t {,t:t.' I W~! ' " i...t, t"•'~' 2 tUF~F L}}pgA(.I?...,~.'!°•)r1VA,+..+v...,.,e-k. 2fr4> 1!'~e~' tY P 9 Y} Yt~~ fl1 fy-x}44lt tk1 i Y Y 3' Y Y ! 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BOX 728 i i i p t9 AT TOWN HALL SOUTIIOLa, N.Y. 11971 c. m MAR 21995 y 8 ....r~ r ",f'r, C 6 It T 1 F I C A T I O N „"rein~~eSU - - _.yt irfC3Lt? ,1 ~ rh J ~ i i Date Building permit No.~ J Owner 1~2~ c peaeprntl a ~ • Plunsyer~ V r\ • (Prase print) If a[ , I aortiF1that the soldAr Used In the water ruppik ryrtlkM Containr 14188 than 2/10 of 18 lead. a#d rl'. y+• as r C' f ti (plumber's signature) gaorn to brfora mo this ; d_c,P day of 7)1G~ce~ k- j 19 i'S 1 Notaiy Pub q (lokatrt It 1 t ublld~ County LINDA J. COOPER kLe-d Notary Public, State of Now Ydrk No. 4822563, Suffolk County s - s } 3 Term Expires December 31 t9' t yff N ' h~o~OgpFFO(~~oGy o ~ Town Hall, 53095 Main Road y x Fax (516) 765-1823 P. O. Box 1179 W Telephone (516) 765-1802 Southold, New York 11971 .j. 0! viol ~ ~a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 19, 1995 Mrs. Ned Deegan 410 Homestead Way Greenport, NY 11944 Dear Mrs. Deegan: We received your check (#5633) today, January 19, 1995, and we are returning your old check (#5171) dated January 11, 1994. We are still unable to process your Certificate of Occupancy because we are waiting for your Plumber's Certificate. I am enclosing the application that must be filled out by a plumber and notorized. Thank you very much for your cooperation. SOUTHOLD TOWN BUILDING DEPT. SUFFOLk~oa y~ Town Hall, 53095 Main Road °y Z Fax (516) 765-1823 P. O. Box 1179 WO Telephone (516) 765-1802 Southold, New York 11971 'App ~ ~0 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 12, 1995 Mr. Ned Deegan 410 Homestead Way P.O. Box 417 Greenport, NY 11944 SECOND NOTICE 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 (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21705-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. INSPECTORS ' Victor Lessard itFF04 Principal Building Inspector C<9 Curtis Horton z'' SCOTT L. HARRIS, Supervisor Senior Building Inspector C= 7 Southold Town Hall Thomas Fisher In Building Inspector P.O. Box 1179, 53095 Main Road Gary Fish Southold, New York 11971 Building Inspector Fax (516) 765-1823 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 January 5, 1993 Mr. Ned Deegan 410 Homestead Way Greenport, N.Y. 11944 To Whom This May.Concern: We are unable to complete your Certificate of occupancy because of the following reasons: xxx An application for Certificate of occupancy is not on file. (Enclosed) xxx No Underwriters Certificate on file. XXX The check is (•e ed/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. XXR No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # BP# 21705Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. N qq O ~ N f 32 ~ v G F_ a K v W d p ~ u V' ~ W y ~ « Gd N N rc z C W ~N w .D ink m r, 'tl S Y ~F~m z M Y C m ~O LLO A f W W s o Co C w ; W S < 4 J+ W F v E w W " Q O •cr ~ ~ N ~ _ i n ~ Z pm ~ x $ H Y~ ~ ~ G 3 Y i ~ R' ~~r, tof m Z Y O ~a Y ~ M OOl 8Y s V s LLI li ~ 3 ~ ~ `i d f d t)p C M U w00 r9 3u ? h Yid Q' z u 3 s m au o Q LL. O J0 tc~ e 'O = < v uni b m Y o 3' a. ~u W O LL C u M 'tl N U~ V Q a Z o qhi' a 3 0 o O ¢w 8 Ng .2 El ~W a a° Z o m mF C C 2 < g R e z z m < v v w to gm ~ C n a ° w W m S M m E - v z w ei z W F O aC W OR 4 14 2 .3 x c2 4 i s o e=a F r O N K= F 43 V U Cc N FLLF e o $ of $ ? , th w ca E a {q O W~ ~ C E ~y N rc Y _y d ~ ~ w V u 60. y,•, p Ot W t m O N i' .c d 2 > > 765-1102 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. s FOUNDATION 2ND [ ] INSULATION [ l FRAMING [ FINAL REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE 11 3 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: t 0-41 - DATE INSPECTOR. ~l Z© S Y M-1802 BUILDING DEPT. INSPECTION [ kj FOUNDATION 1ST ( ] ROUGH PLBG. [FOUNDATION 2ND ( ] INSULATION [ ] FRAMING FINAL REMARKS: DATE G INSPECTOR +_S lELD iJ:S:' Ciiu;J ~IDATE COMMENTS FOUNDATION (13t) ti FOUNDATION) (2nd) m m O 2. 2 0 ROUGH FRAME & PLUMBING H 3. ~ m INSULATION PER N. Y. STATE ENERGY CODE m r3 4. -3 FINAL o z ~ ADDITIONAL COMMENTS: x m • x~ x ~ a o z~ • x m v m ro H B0\RD OF HEALTH ys ° ~ - FORM N0.1 3 SETS OF,PLA:NS yds TOWN OFSOUTHOLD SURVEY SEP 21 19333 - BUILDING DEPARTMENT CIIECIC • . A~J . . I~ TOWN HALL SEPTIC FORrI t;-- %i, DErr; SOUTHOLD, N.Y. 11971 'OWN OFSOUi'EJ,D TEL.: 765-1802 r:DTIFY; ly CALL .L077 l 70? . Examined , , , , , , , 19~~zz MA I L TO: Approved IAr. Permit No. 7e~6 . . Disapproved a/c 4. d p ) r i1dX O Ins ector APPLICATION FOR BUILDING PERMIT Date 3~i 2 7 19 f,5 , . 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. ROBINS & SPEED, INC., - (Signature of a licatR ffi cation (Mailing address of applicant) Staattel whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N ~lZfl.(. .1N~12 . . Name of owner of premises NAF.b..A10'L T W4-. . ! .4,) (as on the tax roll or latest deed) If a plicant is a corporation, signature of duly authorized officer. (An d title bf orporat~~ Builder's License No. 1 Z 9 `).fv.. ki f Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . A-1 / .t.,..~~ 1tlR?47 !9... M 7 House Number Street Hamlet County Tax Map No. 1000 Section ~4.0...... Block Z...... Lot l3.......... . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended .useQandd occupancy of proposed construction: a. Existing use and occupancy LSI~A?!C b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration E Repair pP Removal Demolition Other Work x (Description) 4. Estimated Cost 1.21...60- I Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units O!1'k•... , Number of dwelling units on each floor If garage, number of cars . g mixed occupancy, specify nature and extent of each type of use . 7. Di gensions of exis in structure, if any: Front 4.. , Rear ~.4. ! Depth .....26. , . 6 Heihtn.. commercial ..or Number of Stories oNr,••,••,,•.•,•.,.... Dimensions of same structure with alterations or additions: Front ...44 . Rear 69 Depth . . . . . Number Height Number of Stories o,,b,..... 8. Dimensions of entire new construction: Front MOW. /7.1, Rear . .~Z/ . Depth k ! Height . der of Stories QrU 9. Size of lot: Front !'............Rear 00 Depth . . . . 0.............. 10. Date of Purchase Name of Former Owner 11. Zone or use district in tion which premises are situated 1 re 12. Does Does lot be proposed regraded , ,strucdo to any zoning law, ordinance or regulation: /V° . p • • • • • Will excess fill be removed from premises: Yes No 14. Name of Owner € }titeet of premises • C6S.~E2 AASAddress 1°.k~9Mb A.GJ j~. Phone No..4-27-..2.94 y Name of Contractor . $ INS.' Address .d M.. / Phone No I.Z S1? f (NC...... Address •p...4z7k. ~.7&~.`r(?t Phone No. .4.7-z- -.7aa- . . 15. I this * property within 3, 00 feet of a tidal wetland? *yes........ No......... If es, 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. got V 2J A RQ q AS NOTED DATE. B.F.. N V17a FEE:. By.. v ' •aa I5I j f11OTIF ANG DrRAOT - T AT '?65•'I802 9 AM TO 4 PM FOR THE 0A qn~'t ~ r1 ,E3~;i~ FOLLOWING INSPECTIONS: 1. FOUNDATION 'IWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMINti 84 PLUMBING 8. U ULATION 4. ENNAl_ - CONSTRUCTION MUST BF CONIPLETE FOR C.O. ALL CONSTRUCTION SHALL, MEET HE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS • i II STATE OF NEW YORK, S COUNTY OF S • • `1v •'•eD•sw. s. • C°l T'D. ~ .7 i idual ~ being duly sworn, deposes and says that he is the applicant (Name of indiv signing contract) above named. He is the . . . . (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 manners et forth in the application filed therewith. Sworn to before me this ........day of . ~ a.lsc t t_, 199 Notary Public,/+C ounty HORN u- ,State of NawYork • • • Sao. 4951364 (Signature of applicant) 'ii in Sultolk Cdun i e ~ C~ xpires May 2~~, 19 i -._140 -S,D, MI. _j~oOF °aHIN(jLES I SI' A.TC N_. -;u a q Ir PEST L_-1 NOTF_'. FLOOD 1!'. HE KjryTS Zn Y'S-76" 6C„ I OF EKISTiN( ANO NF-w _ ~Q - lL"CD~c SNEArHy ZX4-SHOE I ANSiToM RAE To MATCH:. -Z9s C A sYLC . _ -19-INS, ~ -_SLLLSEAt_ MON. Z" SKIMC069 M7.N LQ" ~TEZMi7E S4A46_ ~ 7YP,:g"c,z7,u. I pAMPPQ~INy Tl Wwv, 'Ty MIN 3'"D"~jyF_c I FIN.AL GNAbE CROSS SFCTI OM1I ;cA~e ~/y ".I'-o" FROM FLct/AT FLc~/ATION - - - - - - - - SLALS Icy"_ I o PLUMBING ALL PLUMBING WASTE A WATER LINES NEED Extslim Tw skoom ' TESTING BEFORE COVERING I~ > i U ! REr rvE 6~isriNy I! I N OOPPer tubing is used for water distributing i Aagt ~ CwSE 3 N ACCESS / O}'_Frf~NC~- - aystel"; Piping shall be of types K or L on - _ NEW cA5EA OPFNI I 11 ` x CRAwL sp CE N IN , 8 c~p.~~~_-7--- o ni 2" s M 4 3k PL JMBER CERT/F/CATION ~ M KI . COAT. I 7Y'P lb'X t3l hE` FNAL A6E C, G:"J LEAD CONTENT BEFORE Ew L - TYP S!, C. M, U, AREA boaq, $aT" E Nall- EA CER7'1F1LATE OF OCCUPgNCY SOLDER USED IN WATER SUPPLYSYSTEMCANNOT tb . EXCEED2/10 OF1%LEAD. --------I hi&W~SV~pIOOw N 'A;E~oc?ST.E'.E~u5RN4/ T6 -1~1ATLn FxIST~Ny SISTINC~ ON I NNOW / FOUNbAT/ON PLAID.( I\i,TS, FL00K LAYOUT- N.T.S. OCUIPANCY N USE B P4~'~R~BX~,97 MTHOF CE TIC&&t~: f; ROOF La rout n-r 4r+~RQ9 x,97 PlrJ3E'lb OF OCCUPANCY - FF-F 76~ Ry NO r,' R0111_MMG'P/nDM ~-DY R71'LVJINO IREP.~ARY TAT FO MA NG IVISPECAIOI 2 21 AM TO 4 PM FOR THE tlNG INSPECTIONS: UNDERWRITERS CERTIFICATE d. FOUNDATPOW - RA DATPON - ray? RROUIRED REQUIRED FPWC POURED CCNU: FUSED raNMTE LROr ICH - FRAM NNG ;H - FRAM NG & FLUM81Ne ; =saL~~nRurml -hl H)N 9F C4N WLkM POk C. {I0,NSTCUCT+i1N mts',l r INWLkM PO1R CS1. ML COVS7RUCT10I45 E K'RU;:TIOI'S SHALL VOE l - '6FIE RE041iREPAENTS s ~EE,~A/-r R=5,N cE 341iRE11flENTS OF THE eV .'v: CON4TRU¢TION ;0N4TRLjC-iION 8, ENFRiW 140T RESPOP PF'7IGW OR CONSTRUCT 140T RESPONSIBLE FOR OR CONSTRUCTION ERRORS n:~A7iGy rh A/-r. 75.TS77,77 RAN Ivk+~+.°.' Y e/rr ,ati o..nvis/pn/5 i~w