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HomeMy WebLinkAbout21789-z 't s FORM NO. 4 w TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23314 Date OCTOBER 28, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 350 LUPEN DRIVE CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 1 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 1993 pursuant to which Building Permit No. 21789-Z dated NOVEMBER 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 A ONE FAMILY DWELLING WITH AN ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to CHARLES & JOAN LUCARELLI (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 93-SO-57 OCTOBER 24, 1994 UNDERWRITERS CERTIFICATE NO. N325236 AUGUST 29, 1994 PLUMBERS CERTIFICATION DATED HARDY PLU14BBIING & HEATING SEPTEMBER 2, 1994 Building 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) N2 21789 z Date 19.... Permission Is hereby granted to: 9.lo. s . S{.!,`~... .....d.~P,J..... 1........ t0 . ......d. ..'....C/ / ..:p ~/.......~1. at premises located at...... County Tax Map No. 1000 Section Block Lot No. pursuant to application dated 19....4e ~ and approved by the Building Inspector. 1 ~ Fee $ ...,7r?..~.q~~ i d uildIng Inspector Rev. 6/30/80 i L . 2 a Form No. 6 3y- 7 ?a3. i :i 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. S 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 $15.00 Date .«/fib/ New Construction. Old Or Pre-existing Building Location of Property.... d,V............. ",Pg.1. /of.I'V.(? House No. Street Hamlet Onwer or Owners of Property. .4~'?r$, f.plc?a?.tCad211 'County Tax Map No 1000, Section ...IPuu Block 4........... Lot Subdivision............. ............................Filed Map............ Lot...................... / Permit No. R12 .C z....??Date Of Permit. )JIMI.9.3 .....Applicant.Ck~ /?,S. Health Dept. Approval. .lJ..7..41etl..........Underwriters Approval.M3ajS( Planning Board Approval Request for: Temporary Certificate........... Final Certicate., v. Fee Submitted: Jl 7 APPLICANT TEL. 76:-1802 r_CJ; Cvl TOWN O SOUTHOLD OFFICE OFBIJILDING INSPECTOR P.O. BO', 28 ra y ycO flr TOWN E..LL O SO11TliOLD, N.Y. 11971 C E R T I F I C A T I O N Date 9 y Building Permit No<J -Mlz Owner C ho.r It _c e' Tmau\ Lt/1C0.re-11 r (pleaseprintl) Plum:ber jlaL /ff~ll h~13 f 0.~ih (please print) I certify that the solder used in the water supply system contains less than 2!10 of 1% lead. ( lumber suture) Sworn to befor me this 0) day of~-o 199 Q ~Q/Su.~C Ilotary Public Nota•_, PuhliC, Coun'-y 44~ MELISSA ECKWOT Notary Public, State of New Yak No.4995913 • Suffolk Court Term Explrea May 4, 191 10 1015088 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date AUGUST 29,1994 Application No. on file 84247694/94 N 325236 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 CHARLES LUCARELLI, LUPEN DRIVE, POLE-LILC0#3, CUTCHOGUE, N.Y. in tkefollowing location- CJ BasemenI:J Ist FL n 2nd Fl. GAR/ATTIC/OUT Section Block Lot was examined mt AUGUST 22,1994' and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACIES SWITCHES INCANDESCENT FLUORESCENT pTHEfl AMi K.W. AMT. K.W. MIT. KW. AMT K W MT. I H P 41 48 43 41 1 10.6 1 1.4 3 r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UN17NEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P, MIT NO. A. W G . AMT. AMP. AMT AMPS TRANS. NO AMT. H p .ST SYSTEMS FEET AMT WATTS 1 r 3 - 1 620 SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYPE METER EQUIP- IX 2W I e 8W 3 a zW 3,e' 4W NO.OF CC. CONO A. W G q W, G. A. W G PER % OF CC. COND NO. OF HI-LEG OF M4LEG NO. OF NEUTRALS p, NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: MOTORSi1-1 H.P.,7-F H.P. G.E.C.It-5 v~ SMOKE DETECTORS-3 G & G ELECTRIC LIC.#3733-E 81 A SOUND AVE, / RIVERHEAD, NY, 11901 GENERAL MANAGER 11 Per ~J 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. 1 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE, MUST NOT BE ALTERED IN ANY MANNER. i 1-7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. FOUNDATION 2ND [ ] INSU TION [ ] FRAMING FINAL REMARKS: i DATE INSPECTOR I i LLL M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [FRAMING [ ] FINAL REMARKS: 7`2 Z C r DATE / INSPECTOR M-1"2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: c DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS:. yf DATE INSPECTOR ? Y~ 1SLD.:I::SPFC:ION JJDATE I~ COMMENTS m'l Y 0 - _ H FOUNDATION (1st) Ooz C/) FOUNDATION (2nd) 2. ovc . ' z or, ROUGH FRAME & PLUMBING \e l ~ y\ 3. 3 ra. m IIISULATION PER N. Y. H STATE ENERGY CODE v`1 x ~1 a 4. "C49 w -~m FINAL o ADDITIONAL COMMENTS: H ~ 9 H H z cn r r - - - t ~ B I I h i ENERGY (:ODE CALCULATIONS (For Non-E.l.ecLric lleaL) Design Criteria 6,000 Degree Days O.A. 10°F I.A. 70°F FOR: A 20C~ PER: a/R - DATED: /b /Z3 SUBSYSTEM AREA DESIGN THERMEL j 'U" RATING REMARKS Exterior Walls (Opaque) O 7e Glazing % Doors 36 qu Ceiling/Roof (Opaque) Skylights % Floor J ve j Foundation Walls Slab Insulation TO'T'AL Notes: Building Envelope Systems to meet requirements of 7815.2 HVAC Equipement to meet requirements of 7815.11 11VAC Systems to meet requirements of 7815.12 Duct Systems to meet requirements of 7815.13 Ventilations Systems to meet requirements of 7815.14 Insulation of Piping Systems to meet requirements of 7815.15 Service Water Heating Systems & Equipment to meet requirements of 7815.21 1sslecLr.ical & Lighting Systems & Equipment- to meet requirements of 7815.31 To the best of my knowledge, of NEW belief, & professional .Q~NGE r judgement, these plans are in yr compliance with the code. ° ¢ yr ~ W r / ~FO 032264-1 k~V\ / V / p9~EESS10pP l71~ i / . p t~i~$p 1I ~Y '~t i \i NlFOd .fir ~ M1 t. ~ \ ~ i sfi 1 Tt;,;~ : YI r +..~$7 $ w~ x' ~ ?4 ~~t„ ~ V ~ s a n Y ~ .I !SG~ lVV7 y z O O W In R W 1 z Q z al I K Q u a~ It x a a S a z n~ Q u O L~rt & gM Gb` 1 ds a 4 Q w a In C~ K - 15 1, a I] 0 101. .12 Z' N, } x Iwl p J v x u C. 8 rn t`{ u 3 t7 ~ 9 a as 41 LL O 6 µ U..1. 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JCt L ~`a t I rn, ~ a gW N (1 -1 z V) NOT R D. ^ SEF PILED MAC' *E c n A ~ IA . I' 0,0 'CSC O { ~4 w~ 7 .0 4Z' w X8 8 B o 211 U01 'N ~q to '.i t r y, w S HOARD OW'41 "'S ~ - FORM NO.1 J SETS L\Y TOWN OFSOUTHOLD SURVEY 'NOV -181993 BUILDING DEPARTMENT CIICCI TOWN HALL SEPTIC r0RA.1 . . . • . . . . . • . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:DTIFY: . CALL. Examined . 0 . • , . 19/92 NAIL TO: Approved 19y Permit No......... . Disapproved. a/c (Building I ectc r) APPLICATION FOR BUILDING PERMIT Date ..6........., 19 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 necessa i spe ions. L . (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. r 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) ,3)u.C. Spruce Builder's License No. Plumber's License No. r!<?!`~~~G~~....~... Electrician's License No. Other Trade's License No. ,1. Location of land on which proposed work will be done. '............~t,ee,...l-~r~t/~ ~....6u~a~ac .c .C " " House Number " " " Street Hamlet County Tax Map No. 1000 Section Block D. ja~?P Lot ..C7.Q!..Q~?4"% . V1 Subdivision YwkoTl ,/Ycl . yS C t 4yz gu e- Filed Map No. 5...... Lot I (Name) 21 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...t/. 49.Cl~t?7. , CO~?cl:' y . . . . . . . . } rW,M . CC \ fty 049 b O ? Am b. Intended use and occupancy ...JJ/k9 1Y , , FCLVv J-y- . ,(;l-cv-e.l/h.~ 4 €G.# gtmro3 t r. s ' 3. Re Natairure of work (check which Removal New Building Addition Alteration p oval , . . Demolition Other Work 4. Estimated Cost (Description) Fee 1 (to be paid on filing this application) 5. If dwelling, number of dwelling g units 5'1 ~ G ~wr vtii,~,l, Number of dwelling units on each floor , , , , , , , If garage numberofcars.! 6. If business, commercial or mix~d occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ' ' ' ' ' ' ' ' • ' Height Rear. Depth . Number of Stories . Dimensions of same structure With alterations or additions: Front • • . • , • ' ' ' ' • • • Depth . I , ~ Rear . Height ...i;;,,,,,,,•,,,Number of Stories ' ' Dimensions of entire new construction: Front . 6O Rear . ,COQ, , • • • , , , , , • Depth . 3.Q. / . Height . Nu~tber of Stories . ,c,>?„ , 9. Size of lot: Front . /3S• i............ Rear ! 3.S ) . 10. Date of Purchase I OI • . . Nam " of f Former "rmer " ' ' ' ' Owner ~ e~Eh Ash • • • ,~rSS ~ , , • , • r use district 1 11. Zone 2. Does ors seed const uwhich p*r O R 15Yirr7ty- remises are situated . •~1.~~l~(~•R~ • • . p p ate any zoning law, ordinance or regulation:' e ulation: . • • • • . . • 13. Will lot be regraded g am' p ::~~U • • • • • • • • • • • • • .Will excess fill be remgq,ved from from premises: Yes No 14. Name of Owner of premisesa rkieT. Lc~cnr~ll , Address . e'at dl , , Phone No.r~r/9Q :95.Y/, Name of Architect 4 5 . Address , UZI, u . Phone No..7YY. b666.., , Name of Contractor .)5/m c. •ejAW4rA. . Address t11e4 .1s~ne,4~va~ag~se.Phone No, .Z,~, ;$(qp, , 15. Is this property within 300 feet of a tidal wetland? *Yes No t- ^ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all!'I buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block umber or description according to deed, and show street names and indicate whetht;r interior or corner lot. s Cagy 1, d Su- -ti y ! ! " STATE OF NEW, YO 11 COUNTY OF. u F`~fl~ . S/.S • . 'Cn / S. '~V ' ucc 'l p tl • • • • . • . • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. le is the.... (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 pplication;. 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 s~t forth in the application filed therewith. worn to before me this If ........J' 19 3 ;scary Public, J~? • • • • • : -72 County WOMASI NotryPu6lbdNwYak l ' ~x tel. I1o,014733036 ' a S (Signature of applicant) 0jaw in &MA ft" C=mWW EVkas Feb. 28, 10-4- REVISIONS BY /0, Z6, q77 lvo'-O° OVeRAVL P71VG0 M P711.G0 Mo~EL G. 21'-4 I T171 'LA(Y' zo~i2 z 4W417 4f S Psi 5~0 ~ 2oy2 • X036 yooi2 IJ ~ T 1- N ~ ~ + - C WAYK OJr 'bb1'~~I o ^lnyou' N C1~' PROJIOF. tvt 10 Mot, K/lj. 111 C J I MIG120V4M ?1NI? ~ ~ i p ~~,ry zs yy{p,y~~~~"WIV' 2 1 1 j,~v~ r ~ o ~ x x ~ ~ o J ` k ~ OAcK w 2 "x!~ " ~tfUD et/Dd~L• (~i~2°f IO~FED.OL'K.. -ON ~1"%Ztl1`~IZ" ,O D U ° FRh.G. .O ~ l~lz'Llo" °FPh.G. I2~ 1`14L,,7/a&WL&M 6M. N z f'Ro~10e atrra~ 11-~" o ~ bh RF.R'b. ` w ~ ~ g 1 PRDJlOEYnl2"x ID" +V9Rul• ~ ~ 04t/.0vl;k`iy ~ ~rUP~KIll-I61 ,p Q TWO • G b42 d` II Z~,o„ ~ QG. ~La4!~ O x~ I Jill Coll .411 IV1 wl ~~,au ~ o o V ~'I N k 26 10 '~j10 O 16 N DONOTPROCEEDOi-r4 reAmlr& i UNTIL4W SURVEY OF rl~, N O i FOUNDATION LOCATION HAS BEEN APPROVED L 1~/ I IA ~M I I ,~SJ ~ I~ I r. „D('r..ti ~Y11_ik,A; o.d~l. V(r.Fy 3oy6 &A, 3naya 305v "rP I 'ITO P-~ If i r. 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To 4-rrY.OVS0 vJ TEi l f,4E LiEaA1b~E ~r(~''1 • ~"-NOUN T~°~4' GE vva~2-. PLUMBING RISER D] R DIAGRAM 0 X1.7. f DATE I 0- Z;7- q;i ~of NEW r NCE f`0SCALE 0 D'( Ev. 0 f oP ~qy DRAWN O 3 u, JOB a i S 0322M 1 ~yV SHEET 0 0,FESSkD'A OF 14 SHEETS STIXttGq.TFTIHG FOPM HO 10151 ~ REVISIONS BY 7D--Z(o •9~7 Y.-l ~u PG. ~~npi. • 2"x IZ" 21nyE %v. • FI%1%IZIgI.Avf/ RDOpII l(7 6:j411Oe4LEGi, 15#FFi ,T, 'l2" God( PL`~WOOrI 6iNEaT~-IIUC-{ oIJ ,~1 0 2"xiO" Koof Kb fTel"y oO 16" a.G. W N N ~ IZ U U~IEXGAVD-'`~~ • Z"x(p"GO~V6~TIFy/ E~E12`~ q'-p" _ rz1 ~IZ W C' Ito 0.& Q • '~l6" h G Pv(Woov'wff1T 1 W/ VF~1T Z"x4" INTEKIOR oP~!,r~2TI7T~~a~ w/'h"61YfhuM w;p. ail • 18'6EVbaZ FERFEGTID~JLi,T`(NEK,-~ ?7nti Ljl~~j• ~ w ` J FaDVlpO 7xsM PocKEf ~ KER'R' 111"69X Pj~-WOOE7 4MFA.T+111J6tor \ ro 2°x~° r?fu0 W6.W e I(o° p.G• ft~l~l\ H o Q ~ Z!`Yt0"-FG. ~~rfLi, c Iv^o.G. c1~ 2"x2° P91.OliKIi.IL~. "r(Pti G ODOR-,E ~ Z"x~f/i°G~,G~V`.T~~K~.-TFV 71 V, IIZ° (17hUM Fifl.~ 2"~lr" MN~ ~iUPI'azTwauL L W AWE of4wAa4-. 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Y.G, FTGy• 2~"x 1rl' x IV YU. fiy• w m x F,lF N Z'vlip" e I~ X o. o..T I~ IL J3 d d SECTION "I-HRU HOUSE ~ ~IEE 1J a'(g p" ~ N ~ c~ C~ILALL~ 110. 11 20~ ze-z o NOTES ~ ®PROv~ae 5/g,~~P.~ Rb-T~A 'f~(P~'~C~'(PrWM F~oa~237C~i 7C'i :M . f~aUf~ P~oolz -]o~~iT~i ~-iZDUI-~ ~T'fJ~IRW~I~ L' G~~V~42.. w f tE OF ME4y~, P e nq1 a f ° 4n lLL Ipp~ ~1 w DATE 10- V'7 -q-;) FOUNDATION PLAN SCALE OFESSWO DRAWN JOB 3 SHEET STOCKOgAFTIXG FORM NO 1065 OF 1 / SHEETS REVISIONS BY ~J~~~(^=(-~UG~.I~O~.I 0~'f/LYa}10U~2F./'I.TD MD•'TGIf jr,eOTM- 140e OF W1017007 E poOV- M ov.. fovtw 171NlF+ko44 00 IFLQF- pyba I~j• D~ =lz i2 - 12- IZ - _ 11 Z- FIR, z,r, EKlFLAejlj Ft,go Ill h+i l - - - - io 4 Cs7i~i P7p - - - w - z - e - Q FRONT ELEVATION RIGHT SIDE EEEVA-rl( A"rION w x/411 = I'-O' H ~IZIGK I~it1M~lE~{-'fl? Gi-~l~--3Z1171aE- PJ'f-M~~• - w T7 W W Ell - - - - - - - - - fib/ 0 LEFT SIDE ELEVATION REAR ELEVATION OF NEW DATE a ~~0. ytP Ncc r Oq -'7 L^ SCALE 0 DRAWN a A` 0322M. b~ JOB Op9OF65S10NP~~A SHEET iI NDRAFTING FORM NO 1.1.51 OF SHEETS