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Home My WebLink About21218-z i . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22543 Date AUGUST 23, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 275 MAIER PLACE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 4, 1993 pursuant to which Building Permit No. 21218-Z dated FEBRUARY 11, 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 CLOSE IN EXISTING ROOFED OVER PATIO (PORCH) ADDITION TO DWELLING AS APPLIED FOR. The certificate is issued to JOHN & DIANE LESICA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-036417 - AUGUST 13, 1993 PLUMBERS CERTIFICATION DATED N/A Building inspector Rev. 1/81 roses NO. s 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) , WN° 21218Z Date f~/ 19 s t Permission is hereby granted to: ~ r lr /.......1. . to ....(~t,Z.... dlf~~I. fem. .4i at premises located at ....a`~.7 -Z F f County Tax Map No. 1000 Section Block Lot No...... :4r. pursuant to application dated ......c.................................... 19. , and approved by the s Building Inspector. 4 3 Fee 3...... t r Iii g mr I i Rev. 6130180 Form No. 6 A 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 2110 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 z .9? New Construction....... Old r Pre-e//fis~t~ing Buildin X~ ~j / Location of Property. a. Z5.. f.. ~~.,~~o.? l j ~1 House No. Street Hamlet Onwer or Owners of Property.... ~l~N INQ / County Tax Map No 1000, Section...: Block.....~P..........Lot.... ~ Subdivision..... .Filed Map.........../.Lot.. ~j Permit No. 0 e~ . ,Date Of Permit.a////* 1`& .....Applicant. Y.~~/~,3`c 1/19~I?~ f GsfC Fj Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval X Request for: Temporary Certificate........... Final Certicate.....)!,.... Fee Submitted: b p r :WC ..V~ v~RJC GQ / APPLICANT a eo aas~~ Or, I)STMTTORS U s. Victor Lessard Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector a rro Southold Town Hall Thomas Fisher ^Y . S ' P.O. Box 1179, 53095 Main Road Building Inspector 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 JULY 16, 1993 JOHN & DIANA LESICA 21-06 21 RD ASTORIA, NY 11105 RE: PREMISES @ 275 MAIER PLACE, SOUTHOLD 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 XzWUdzX1Wnot on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21218-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8042224 BUREAU OF ELECTRICITY F 83 JOHN STREET. NEW YORK, NEW YORK 10038 Date A1OWP 1„,149;} Application No. on file t'~dR'1 ,~/e9'~j'32 H ?1;J QI +?1,7 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JOHN MICA, 275 MAYER PLACE, 5'0UTIfOhD, N.V, inthefollowinglocation, 11 Basement E Ist Fl. ? 2nd Fl. LIAR/A'I"TYV 101IT Section Block Lot was examined on AUGUST 09,1991 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACIE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W AMT. C W AMT. K.W AMT K. W AMT. H. P. 12 1 S 12 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W Olt H. P. GAS H. P. AMT. NO. A. W G AMT AMP. AMT AMPS TRANS. AMT N P. SYSTEMS NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO. OF CC COND A W G A W G. A. W G. AMT. AMP. TYPE EOUIp. 1.0 2W I,e'3W J.e'Jw 3,6'dW PER .9 Of CC COND NO. OF ITIEG OF HbLEG NO. OF NEUTRALS OF NEUTRAL OTHER APPARATUS: 1,101PrON DETECTORS..; MOTORS c 2 F H' P1 LESI.Ch 2106 21: .t 21'1' ROAD A S T O R I A, NY, 1110S GENERAL MANAGER l:k ;3t 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. I COP11 FOR BIJOLDINdY DES Af$'u"9V9F"k~ P. X93@ ~D OL9~ fib°9~Ad c h UST NOT BE ALVEKPED IN ANY MAii9909EN. INSPECTORS Victor Lessard UrF - Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor 0.7 Senior Building Inspector ca N t'k ± d Southold Town Hall Building ng InsnspSherector P.O. Box 1179, 53095 Main Road ? Gary Southold, New York 11971 Fish ax (516) 765-1823 Building Inspector F Vincent R. Wiecwrek 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 JOHN & DIANA LESICA 21-06 21 RD ASTORIA, NY 11105 RE: PREMISES @ 275 MAIER PLACE, SOUTHOLD 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) ZXX No Underwriters Certificate on file. gxx 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 # 21218-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I INSULATION FRAMING INAL REMARKS: ~ . or7 DATE INSPECTOR I M FOU11DATION (1st) c FOUNDATION (2nd) - ¢N-+ 2. `o ROUGH FRAME & .PLUMBING kill y H VI :11SULATION PER N. Y. STATE ENERGY CODE I T 11 Mm A~; 46 X~ 60 zk ' y 1 FINAL I } ADDITIONAL COMMENTS: x ' x H "J • O m • a O•~ ^v y f~ { - 3010 E, m . } ' y8 µ - S C1 I 5P IC AFL; i ~ t I ROD ,rtc ~ ~ n, oc~ P,9 .7 1 S iA IUI t r• 0 ~ x _ 00 BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY _ _ . BUILDING DEPARTMENT CHICK . FEB -41993 TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 yf/fX~I19N& G~d~Caq TEL.: 765-1802 t:OT I FF , .......,19 C A L L Examined.01 h1nIL TO• oZ~/ y~ a?/ ;Q ~ZOst~o Approved 194.7. Permit No........ . Disapproved a/c (Buil ng In )-c tor) APPLICATION FOR BUILDING PERMIT Date ~CY~~t ! [ 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 hall 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 ;hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, an d other applicable Laws, Ordinar+cee or - 3e2ulations, for the construction, of buildings, additions or alterations, or for removal or demolition, as herein described. Fhe 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 inspectio/s. \ (Signature of applicant, or name, if a c rporation) 101 1 4( ....1 :........~,R4. (Mailing address of applicant) hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .....:.....C?wee . .....................11.......................................... lame of owner of premises DlQ O. F1.. ,IBC ~e,CO!~ . (as on the tax roll or latest deed) f 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 . Location of land on which proposed work will be done. . House Number Street f . / Hamlet p County Tax Map No. 1000 Section ....,,j `a , , • • • Block K7............ Lot P?4 I ^~T.. • • • • . , Subdivision Filed Map No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..-A ! . b. Intended use and occupancy ............1. .4jeli1N 3. Nature of work (check which IPPlicable): New Building Repair Addition Alteration . oval Demolition • • • • • • Other 1Vor:&T10. y~ 4. Estimated Cost (Description) x•00 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling' units . If garage, number of cars Number of dwelling units on each floor , , , , , , , , , • 6. If business, commercial or mixed occupancy, specify tu~a nod extent of each type of use . . . . . . Height l 1 g Number if any: Front ...Y9,a$~ Rear v?S , , , , , , Depth .D Dimensions of existin structur of Stories t ~A 7 ' ' ' ' Dimensions of same structure with alterations or additions: Fron.t . , 5<T~1E' , , , • , .59.. Depth 5Z,4Ma....... . Height , , , , Ilea; `Jgl11E... r • • Number of Stories ~i?'!11€,/ . , )i, 8. Dimensions of entire new construction: Front pi .r . j &;4J~ Rear . /I!~l~. , , , , . , pth Height n /A. , , , , . Nurrlber of Stories . y-J • De /7( 9. Size of lot: Front ....14o . Rear . lGd, Q~ 10. Date ofPurchasc . r V Depth . q~~•~ • Name of Former Owner w `Y ~~d~/ vU ~ 4• 11. Zone or use district in which r'mis s aref situated • . . . RCS iZ~.P.,z l % .Q.l 12. Does proposed construction violate any zoning law, ordinance or regulation: IVU . 13. Will lot be regraded b.Q , , , , , , , , , Will excess fill be removed from remises: Yes 14. Name of Owner of premises )4N4. 8 ~tll C . Address At ( & .4 p / No Name of Architect ' Address Phone No.y. ~.-~o?r4 a 7l~ Phone No........ , Name of Contractor Ibob. -k4kj.'. MtAddresscV.$M,CAiVl~(1gi~pone No... 15. Is this property within 300 f , a idal wetland? *yes.. ~ft~ o Southold feet of h *If yes, 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. ask sae_ • ;TATE OF NEW YORK, J/.~JI O .t:'4y (Name of ua r bn~..... ~a (l~`l o . • being duly sworn, deposes and says that he is the applicant ontract) bove named. c is the . n.fiLE4~2n. . (Con actor e ,corporate officer, etc.) • ................said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 'plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the mannerseti,forth in the application filed therewith. vom to before me this .......day of .:7txl~ 19 Italy Public, County . MINNIE t. HONG . O Notary public, state all New Yak y........ e rn,Di •I's~: : No. 41.4975319 Qualified in Queens County (Signature of applicant) Commission Expires 7`Yy) i-•- -T`7~r ~J I - T 1 FR U`yi _ EVf Tl.7ni f CERTIM r v u olcy - - - - - - - - - _ = _ rAP VED AS NOTED DATE. X13 B.P. # ~I~IB FEE' 7BY' NOTIFY BUIL ING OEPART T 117 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPEC110N6. I FOUNDHTIGNI iw(_, =1FOUIRED FOR POUryCD CONIC RETF 2. ROUGH - MAiV A6 14 FLLJMBIN+- 3. INSULATION - 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. - ALL CONSTRUCTION- SHALL MEET - THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY - - CODES. NOT RESPONSIBLE- FOR DESIGN OR CONSTRUCTION ERRORS - I, I ~ 1 _ - _ _ _ NNDERWRREQUIRED rv Y. r Mfai)t'-Jk6~ ~a Iox'kp 0'0' a ,i 4)J 4 i 1. I It C Er1'}4'FY f , N.Y; 1 t y~~~ - I 4 1 } } I- -I _ . e YrE+,dsM?.r r , ~ F L; ~ - 1 i _ , } ij s i+a,p} ~ 1 ~ _ 1 ?t y, ~4 t 2 i. v .Al"}1HT4~~5 S~klS _~bQ, ~ r.. . , . ' 1, i 1 4N=6~ t ---.-T_--~-._._'_ .,Z~. 2 b... ~I i 'I .f r ,I FF y i ,I~ ~I i ~ Y=O~_~- k ~ i J ~ a^,A~ I~ I I I ~ iti PO Co N4 F~(>. I, I 'N i ~ I i ~ ~ ~ ~ ~y"CUn/C. SLnE ~ I ~ ~ I ~ i WWW ,I i I I ~ i' ~ exlsr,~l EX~ST~n/c• Fo~i~r~npor-/ ~ II it I II ~ ~ i D(1VP PTC tak 16~d. 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