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HomeMy WebLinkAbout21816-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24263 Date APRIL 8, 1996 THIS CERTIFIES that the building ADDITION Location of Property 450 DEEP HOLE DR. MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 12 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 1993 pursuant to which Building Permit No. 21816-Z dated DECEMBER 4, 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 ONE STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EVELYN TURCHIANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. M-325749 - SEPTEMBER 2, 1994 PLUMBERS CERTIFICATION DATED N/A /'-l -----_-----i~ uil ing Inspector Rev. 1/81 FORM 140.3 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) p 4 Date ...........L.. 19... N2 21816 Z Permission Is hereby granted to: .....v L ll~ P........ s bf..'e ....../f.fq.4 "C........ ~ ~/X r r ,~........sue .............-~.f~a to ....1.'..;`..:...>c~,Fi; 6.........~~% . .........G .d< ..°~......Axe at premises located at ......N... . County Tax Map No. 1000 Section . Block Lot No. pursuant to application dated ...................il l 19... ,...a...... and approved by the Building Inspector. { Fee 2r!S .~q... . B ing Inspector Rev. 6/30/80 ~~qq Form No. 6 j? g I TOWN OF SOUTHOLD (1w" RRR fJ i~ BUILDING DEPART^ENT r- G~ I CZ Vj APR ' 51996 765-1802L ~q'96 TOWN fDEP1SOUTHOLD 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 17 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 Cert ficate 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. ;Temporary Certificate of Occupancy - Residential $155.~.00, Commercial $15.00 Date ~/(7.A New Construction.... Old Or Pre-existing Building... v location of Proparty 7.'Sp..~/f V. o~C~... A2/7s..........1./ -;;,r. UC' House No. Street Hamlet r Dower or Owners of Property N v~C//4ry U County Tax Map No 1000, Section Block ~e Lot...Q? 5 Subdivision ....................................Riled Map............ Lo//t...................... Permit No. Date Of Permit. Applicant.~~`'`t 7~?..~cilzC/.li7... .....5 Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval , / :eauest for: Temporary Certificate........... Final Certicate...Y....... =ee Submitted: Lam'°G' k . . 64z, S l 03 APPLICANT eo t aq ac~3 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001105 BUREAU OF ELECTRICITY F 88 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEP173413NR 02,1994 Application No. on file 84605294/94 N 325149 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 JOSEPH TURCHTANO, 400 DEEP HOLE DRIVE, POILE #50, HATTTTUCK, N.Y. in the following location; 1:1 Basement LJ lst Fl. ? 2nd Fl. OUT Section Block Lot was examined on AUGUST 29 , 1994 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMi K W AMT K W. AMT. KW. T. K W WT. H.P 17 16 11. 11 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. MIT NO. A W. G AMT. AMP AMT AMp3 TRANS. AMT. H. P SYSTEMS NO. OF FEET AMT. WATTS 1 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP TYPE METER I,e 2W11 03W130 3W 3,e AW NO. OF CC COND A W O. NO. OF HPLEG *111 LEG W. G. NO OF NEUTRALS A. W. TR EQUIP. PER 9 OF CC.COND. OF OF NEUTRAL 1 200 CB 1. X 1 2/0 1 2!0 OTHER APPARATUS: 30 AMP SURGE PROTECTOR-1 G.F.C.IE-2 31,70KE DETWTOR t -1 WII.DWOOD ELECTRIC LTC.0563-E 401 STREET P.0.130X P08 GENERAL MANAGER WADING RIVER, NY, 11792 11 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. j COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU&ti[$OT BE LL DIN ANY MANNER. 4.c'Ic*D IS:'EC:ION 11Dn4E I~ COMMENTS FOUNDATION (1st) c p~+ FOUNDATION (2nd) _ m 4 2. t z~ o ROUGH FRAME PLUMBING 3. 7 o co ru INSULATION PER N. Y. y r-i STATE ENERGY CODE m a 4. ~ H FINAL ADDITIONAL COMMENTS: m x 4 a\K\\ H O r, z vy1 [*J r\ • H • b. [*7 "tl H I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. SUL N-- - [ ] FOUNDATION 2ND [ ] ;INAL [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO a l Pf6 765--1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL - REMARKS: f 4 I t t ft i i k ? g Y r DATE 6! ` INSPECTOR AJ4;'~ A4 r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION i [AIF~RAMING [ ] FINAL 86 REMARKS: i f t I i v { t i EFk f { t DATE INSPECTOR 1 t ~o~gUFFO~,~-~O COD x Town Hall, 53095 Main Road 15 • Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765-1802 Southold, New York 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 5, 1996 Ms. Evelyn Turchiano 21-60 E 36 Street Brooklyn, NY 11234 Re: Building Permit #21816-Z Premises: 450 Deep Hole Drive, Mattituck Suff. Co. Tax Map #1000-115-12-5 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. P.p tat. CQEEk _ _T'Il*10k2 BULICHEAD 8.5 a2a. f K* SAND- atAI14K ( tl C1 { TI'MEiE 7 - I (j i..1 ~ FLA STowr- i I rn I pia tea` ~ No ~.~n... _T I 1 + t r O~ ,off. FP _ _ ( ~ m 6._. „A ~ I, fs C', z ol. if; I 1,_.,__ ~ ~G\ n7 " ti ~ t. 7 ms W + ~l 7 t M 0>1 e4d4d'W, 414-28 m NEW IC, 50.0 SUPF AVE. DEEP HOLE DRIVE J ' } _ F Y U' are „ a - • s i -N °ee..a i f V BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK > . . . TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 TEL.: 765-1802 a-, -4 FY L S 5 7 l CALL Examined 19C{~ p MAIL TO: 7/~, ?77-n/'L L Approved 19 ! j Permit No. °z 1 U ~o Z~ . Disapproved. a/c dOV IJ'1990 . r Ad il' nspector) g- . t` • ~hb.'4~ib vd~• id f.f~Sl~~r'i, aT~OWaxnxvs~'a.^aw~nrc APPLICATION FOR BUILDING PERMIT j 4 Date..////? . 1973. INSTRUCTIONS A 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 in ectio((n~ss. ( gnature of applicant, or name, if a corporation) H?,t~.l?rf P//v 12iz/vv-,. A7'Tii (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. f6Prs.r..) Name of owner of premises ~z??,•€,~"~r!y, , , /~,/y -P.///<1 h (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 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 . //157e-A€ p~L.../~i2t!! ° I%irrn-uc....................... House Number Street Hamlet County Tax Map No. 1000 Section ...:.1/:~7 Block .......1 Lot ...s?' Subdivision Filed Map No. Lot (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: f a. Existing use and occupancy .....Qe!iA ..rl?ri~.~/v.. t7W.eAA/~. e . ' b. Intended use and occupancy .V./T P.oq...lo 3. Nature of work (check which applicable): New Building Addition • • • • • • Alteration Repair Removal Demolition Other Work If W- (Description) 4. Estimated Cost ......Z t'?,. oc?e%,.ee.y Fee ..7. ..4.~ (to be paid on tiling this application) 5. If dwelling, number of dwelling units 6? rl.,C..... 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 existing structures, if any: Front Rear 2 z......... Depth Height ....?:-t Number ofStories 1...f.9.'Tf,I L.......~z). L........... Dimensions of same structure with alterations or additions: Front Rear ..4X Depth .......6.4). Height .......:..Number of Stories E~KS( 8. Dimensions of entire new construction: Front ?-.d.7 Rear Depth ...Z./......... . Height ......i. .'.....Number ofStories I 9. Size of lot: Front Rear P............. Depth P 1 . 10. Date of Purchase e.9 0 Na`of Former Owner 11. Zone or use district in which premises are situated !KA-y t 9/* o. %t n F . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded H4?..... y Will excess fill be removed from premises: Yes 14. Name of Owner of premises ev.4lT~t • //<,t'AAddress .V-79. DfRfl'/~a". 4-7. Phone No. ?4F.-.4£ 7 i.:.. . Name of Architect Address Phone No............... . Name of Contractor Address Phone No............... . 15. Is this property within 300 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. STATE OF NEW YORK, S.S COUNTY OF .......d'? F..4 , . /V. z.c d -fr.!~ f..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lie is the... ~6r.?7.........: (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 set forth in the application filed therewith. Sworn to before me this d o 0 r/` v L lz Votary Pu lie, i. County CLAIRE L OLEV1f NoWy Public. Stets of Now York No. 4879605 (Signature of applicant) t]uoNfled in Suffolk County 8 Commission Expires December 8, 1 /~r+ tiloT~ad = ~oNl I~~~r~= I 2 N/a71~L>"~ ~ S. Aii}iomk sfial.l,,;oRly with Federal, State and Local Building Codes and >s HPI-~ ,4 wTrT *s'J L ft m;nlsmmmlent of work, the Contractor shall furnish the Owner with pjya "rp 1 K 'Sd~)i~is oN'all riNryatred insurance certificates and names of all sub- ~~A_ e~Ytshy a@#Mk s. m G~ i 7iC6 Ot/Ar+G~ i'~4C~ bt 3. 110 CenCracter shall be responsible for all dimensions and conditions on To N1a~fiH U(• the Jab and the Architect must be notified of any variations from the. tta.>~ uz~ 414"tions shown. s- /'TIMIEE~L YrM' ~-t~ - 4. The Centroc ar shall supply all labor and material shown on the drawings 6PA ) unless otherwise noted. ® p~ yil• 1n• yj~ofw Wa- F'l ~f7Vf Gl/ q'~Ir 1• Ili 5 I Z'+I 5-..'flie C44trattah• shall be responsible for adequately bracing and protecting Wi.TEF M.«r, 411 AWk dmring cen;truction against damage, breakage, collapse, ® _.r,~ _ .rc.t '..d'~s#Ort4hN'and mlaealignment according to applicable codes. I ;Hlil 4,04WK,tor ;haft? pay for all permits, fees, and costs related to the mM *,oif Wit contract. Contractors shall initiate all required h ~ H ':3jmlWti4r; of all work completed under this contract. j(JM N~ ; 7:,Ap mOrWter shall at all times keep the premises clean and shall be ;i*0p0"ibJW for removal of all rubbish for all trades from the building. • / ~r(t7t ALIT N ~~~~1~Y i'~I t'~NlOUG.pNUYI~f rf;"' for CMOM or legitimate unforseen conditions shall be 14-1 ( ~W~7r~ l~Yl f-it:?=/-4-~vJ 4(,;, %Omm - aaf£h tba coot for approval by the owner or his Agent prior to `T^ ' v.Hr Nock. F~~/~ i l~€fmp'44im 00100841 y4 yf+SK IC'f ~ g ,;l k Cool,40or shall submit shop drawings for all special work (millwork, - •:}Mrsy,~*,) ,4i1r Architect's approval before work is started. -T Nh K~_ \ r. ~ t3 161 1 ° - ~p "Told.-1 /r ~rbVrkalgi 11. y/ ~ ~.r+i? n~ , ~ri<ca<~s UPI 1T Q t7' eo b V.// e4-450 dJ1r~1 M WAW, C7y / H • 2!~JxGlb~~oa~ L o Wow/ '`jvNO•n&i-t Vex Q -~~~i~sl"641• W~ 4°iudl~ o i:xx © oylh- rok2 ~'ni= 2'lo"x~~8" r 66-* (!~-WvJ. ~OP~ INnH Cu~nrrTcu,;KK) Q w~ ~vv /WF v? 1531/0T 4W er( i2 o t,wleo(~A. L4 V r>•2'•ta'la` ~anv~ ' „ glo. o' ~b•a`f(/ ~ai/~K~t~ L~~PIrrNg~rh'j IiGW ~Gltay>~ U/Nr~~ IJEaa/GA.~aaN - u/~4"~' G,Mh' '4• le 4zIGIY7 I I,* TV Z' f,1400/ AF4~Or- Yr l~ 4*T tfGb>~ ~''i~L Gu/ 1~ ®Gv? 2 r Q G 2~v y~~~ -30 fib y044924 luf+ rp`PF- I I vieF -1. J I ` I - 4'1 ~~N1+T~1. Nr.a~ rl UNDERWRITERS CERTIFICATE REQUIRED i T ~xr- 1 1 w i1 1«ul4b4lN(i Et- t'N~• G 0 \I 77j'r$~1..1 111• 71 oc uppps tcy O LAVITUL I i Gl~tl CERTTICK[E i !ejom iG 16'0.6• ne-; . L _ -LNG I I i 1 APPROVED AS NOT? DATE' B.P^ # d FEE BY., okrlo I, ff Tool. NOTIFY BUILDING DEPARTMENT AT 765-1602 9 AM TO R PM FOR THE • I ~ ICI i ~ I ! FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED L FORPOURED CONCRETE ~ I o 2. RDOCH . FP.ANIIING 8, PLUMRIPIG ~ UvF-1c",c .deA~ 3. INSULATION 6 IRNAL CONSTRUCTION MUST RE COMPLETF- FOR C.O. ALL CONSTRUCTION SHALL MEET ~ THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR G i - - 1 to DESIGN OR CONSTRUCTION ERRORS ~.p~o0~1E19)IOP~~ ~ 1 *Aor ~e'~ ~Nrc i~urpTOy~o II 4A l~ l- way °p~ fop I~ 1 14A HT r~T~ s_ -oex , ' tM tMGY{ ~ `y6 A II IE I "x 10 I ` ~G Glwww"M TYM}- - - i--,Y--:-~I~ I ~ ~HGi LTrf') T 7, EU- T ~1_L -4~(A -T II _TLI d ' r - - { - 1 I r t' Ii :..L- -1f-r1 f - . ~ ;..I L!_ ~ ` %?L.-gyn. Jti`..w~ A ~IL 1~ ~11~ P