Loading...
HomeMy WebLinkAbout21334-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23031 Date JUNE 8, 1994 THIS CERTIFIES that the building ADDITION Location of Property 1050 SEAWOOD DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 8 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 1993 pursuant to which Building Permit No. 21334-Z dated APRIL 14, 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 GARAGE & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK 6 JOAN SOKOLICH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-039554 - FEBRUARY 23, 1994 PLUMBERS CERTIFICATION DATED JUNE 8, 1994 - FRANK SOKOLICH Building Inspector Rev. 1/81 PORSi NO. f 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) NN! 21334Z Date ........J~i 19~- Permission is hereby granted to: ....J~ ~...Y~° ..x....1....1../"/r' to ~i.. ~'J at premises located at .../d....iZ~ ............/`ll~ 4. 4 ~1wi1 . County Tax Map No. 1000 Section .....V............. Block .......6f.... Lot No...,,~5.................. ~~AA pursuant to application doted .........T.17 19.2, and approved by the Building Inspector. Fee r ' Ing inspector Rev. 6/30/80 OIOHI- 0 JO NM01 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT Q vw S _ 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction........... Old Or Pre-existing Building Location of Property ...r d.~ . 4 wmu~ . J~ House No. Street Hamlet Onwer or Owners of Property.. 4 ~T County Tax Map No 1000, Section.... Block ................Lot..~7.. ...G Subdivision ....................................Filed Map... ......Lot. ggrr ~ n Permit No.dsl. ..Date Of Permit.. Applicant VR~Lee Health Dept. Approval. .........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate............ Final Certicate..eF'-~ Fee Submitted: $ EV4& ~b ~a303 APPLICANT . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8042298 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date FEBRUARY 23,1994 -4 Icarian No. on ile 80825293/93 H 039554 THIS CERTIFIES THAT P 'RI T' NO. 2~334'l, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of FRANK SOKOLICH, 1,150 SEAWOOD DRIVE, POLW O , SOUTHOLD, N.Y. in thefollowing location; © Basement ? Ist FL ® 2nd Fl. GAR/ATTIC/OUT Section Block Lot 15 was examined on FEBRUARY 07 , 1 9 9 4 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECK5 OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT~FIUORESCENi OTHER AMi. K W. AMi N.W AMT. K.W. AMi K.W. AMi. N P. 14 9 14 13 1 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W OIL H. P GAS H. P. AMT NO A. W G. AMT AMP. AMT. gMPS TRANS. AMT H P SYSTEMS MT. WAiiS NO.OF FEET SERVICE DISCONNECT NO-OF - S E R V I C E "T. AMP. TYPE METER I A' 4W 1 ,a ~W 3 $ 3W 3,70 OF CG COND A W G A. W. G A W. G. EQUIP- PER a Of CC. CON D. NO. OF HbIEG Of HbIEG NO OF NEUTRALS Of NEUTRAL 1. 200 CB 1 X 1.(0 1 2/0 OTHER APPARATUS: FEI;DERS-NO.OF.CON6.3,A.W.G.4-1. HOTORSI2-F H.P. G.F.C.I:t-7 SHOKK DETECTOR:-1 FRANK SOKOLICH 1350 SFIAWOOD DRIVE SOUTHOLD, NY, 11971 GENERAL MANAGER 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. INSPECTORS „,oz 1rFD(; fc~ h~ . G SCOTT L. HARRIS, Supervisor Thomas Fisher W i ( a Southold Town Hall v ! - `s Building Inspector P.O. Box 1179, 53095 Main Road 8 t' b~ Gary Fish Southold, New York 11971 Building Inspector = t Fax (516) 765-1823 Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. •C/j-~ Owner: - (please print) Plumber: 2z"Z--L (please print) I certify that the solder used in the water supply system contains less than 2/10 of IX lead. (Plumbers Signature) Sworn to before me this day of 19f Notary Public, Coun(ty~ tar Public JOYE M. Notary P blic.StateofNewYork No. 4852246, Suffolk Cour~y~ Term Expires June 12,18-'e- h~O~~Sr,FfOL,t~OGy Town Hall, 53095 Main Road °y x Fax (516) 765-1823 P. O. Box 1179 W Telephone (516) 765-1802 Southold, New York 11971 Gp O! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD JUNE 3, 1994 Frank Sokolich 1350 Seawood Drive Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is 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 # 21334-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 15LJ is: : z .1J: ~Pil-E I~ :fi9 L N I AV, FOUNDATION (1st) , c y 'OUNDATION (2nd) 91, V3 COUCH FRAME & .PLUMBING y H JW~ m r-7 f-11SULATION PER N. Y. 3 STATE ENERGY CODE o° FINAL ADDITIONAL COMMENTS: x . M \ x H • ,j p k m a • r _ H H 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: /c S DATE w INSPECTOR i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS - TION [ ] FRAMING [ FINAL REMARKS: P J ? v DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR AAA-~U M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING FINAL REMARKS: GL Tl-i DATE S INSPECTOR ,qqq 765-1802 BUILDING DEPT. INSPECTION [ F HDATION 1ST [ I ROUGH PLBG. ( FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL r REM RKS: -ILI 7 DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: - ' , G r~~`~'-eBtiJ DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ e-4OUGH PLBG. [ J FOUNDATION 2ND [ I INSULATION [ ] FRAMING [ J FINAL REMARKS: DATE / INSPECTOR BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS Apia 7 190,TOWN OF SOUTHOLD SURVEY _ . _ . BUILDING DEPARTMENT CHECK _ . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 t7 TEL.: 765-1802 CALF. Examined . .~T((.~~.......... 1gxf NWIL- TO:....... • • . • . • . Approved , 19~ 0 TPermit No. Disapproved a/c . uildi Spector) APPLICATION FOR BUILDING PERMIT n Date.AfRL..~] 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 stieets 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. r,. 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 ins ec ons. (Signature bf appli~ame, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. AC~C.H.I T C C . . 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) Builder's License No. V. ,p W rl , , , , , , , , Plumber's License No. IW Electrician's License No. jV)? Other Trade's License No. I. Location of land on which proposed work will be done . 3 Q ~SeAW.oOP....~'r\, NI. s5pu -~©Lp.................... House Number Street Hamlet County Tax Map No. 1000.Section ...:TJ.......... Block Lot 35 RAIP S........ Subdivision . U Q (?S GCr t • , , , Filed Map No. J-75 7 • • • . , , , , , (Name) Lot.) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy I L~ . b. Intended use and occupancy 0I`1G.. FR N1l.(,~~, -HQQQ 3. Nature of work (check which applicable): New Building • • • • • • Addition ..X Alteration . Pa . Removal , , , , , Demolition Other Work . 4. Estimated Cost.......... (Description) . Fee.................................... (to be paid on filing this application) S. If , dwelling, numb of dwellingIunits ©NG...... Number of dwelling units on each floor If garage, number of cars . .Q..CAR ..T?2.C?PP.SELF . . . . 6. If business, commercial or mixed occupancy, specify nature . and . . o . f•e . ach . . typ . e . of . use . . extent . . , 7. Dimensions of existing structures, if any: Front , ..:3 1 , , , , , , . Rear . Height 1O.' ; Number of Stories , 01l!a . 9 Depth .30.1.. . ...............1 Depth . Dimensions of same structure With alterations or additions: Front ~,IQ Rear , , g . new construction: Height , eaNumber Stories . Dept . _ cFront ; R Rear Depth - 8. Dimensions of a tare new , her of Stories Hei ht 9. Safe of lot: Front (O.Qi Rear 100 Depth 150.' . . 10. Date of Purchase I, • • ~7-t•......... Name of Former Owner 11. Zone or use district in which premises are situated , (Z , y'0 , , , , , , , , , , • , , • • • • • • • . • • . • • • • 12. Does proposed construction violate any zoning law, ordinance or regulation: ...NO • • . , , , , , , , , , 13. Will lot be regraded ......NO . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises FI?Adt<~.~QI%N S.E?k t,i(NAddress 1450 S~gWppq N, Phone No..7~ 5.'.1310 t • Name of Architect . 5p R(O.IQ . , RA, Address 33. M%6 $PP.G I F.. Phone No. eo74 : `1 J 41 • , , Name of Contractor . -~Y.4?wti,rwlz,.. , • , , , , , , , , Address Phone No.... 15. Is this property within 300 feet of a tidal wetland? * " " I. ' *If yes, Southold Town Trustees Permit may be required, No....... 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. 15~1~ < Ua I It_ 301 / U° W tS LL. /FRAME p_T > O 4'- 1 louse r. JW , ~'ROPaS~ ` PRoPOaiD O 0 ' !ad9A0- 9GC4 (D4°04'20" W STATE OF NEWCYQR~ COUNTY !~l"I S'.,S Nam of i dividu signing • • • • ' ' • • • • • • being duly sworn, deposes and says that he is the applicant g contract) above named. He is the (Contrac or, agent corporate officer, etc.) of said owner or owners, and is duly, lauthorized 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 day of. 19.[3 Votary Public, , , County CLAIRE L GL Note el f Public, 879505 BwYork County ? (Signature of applicant) Commiselon Expires D;mbor 8,10 I I , x 9'~'~L I"I 2)zx i2 ` o__ _ I i \ y ~ ' ' VVINN111111 film HIM k ` EA g „ ~ ~ II J II - II I ~ I i 2x (o, I (o o. ` ~ ` p' 7:1 s R x Ge~c 6~11~(L. - - T{3) 2X 12 LU5 H 7t DE(Z, $ - ~ S - _t. 1._ - _ .1 ` I X 9 i i v . is a ~ as `c~' ` \ ~ -Or 6 0 0 0. x ` ~ i \ , \ 1 - - ~ I' `r I Ioin1 LI~m \ os~ I~„ _ x Q s ~ I I I ~Yi / I I st - } al' 3~iA~ ~rtCxld qq In T i I 1 ~ I ~ II 2f 0. ~ I ~ 1 I ~ I ~ I ~ 2X (7, I(o O.G. PLU nglNG axa Z r)2x12 ri4K9'Pobt ` i v A I ALL PLUMBING WASTE' ?05-1 k WATER LINES NEED X12. oc \ ~ ~ RIDroEv6nT TESTING BEFORE COVERING 12 O ~ \ \ ~ ' y~~rf3 dAg& _ i \ . i. - -I ; I I 4X4 Post 4xa-~ if oopper tubing is used ?OS? - - - for water distributing system; piping shall be of types K or L onl rvl~~~ i , I 2X 12, 149 1 fI,ASH~tilo , PLUMBER CERTIFICATION 2K 12 i ON LEAD CONTENT BEFORE CERTIFICATE f OCCUPANCY SOLDER USED IN WATER _ SUPPLY SYSTEM CANNOT EXCEED 2110 of I% LEAD. i - - LW 24-( 'LW 24-Z OVC~LHgti~. I 11 - I 1~- ~ _ ~P., II.6 3-5' AI~TO.N~~'IC' 2,<121'1EAD XCUPA CY OR I14 ~1 I H0 I 1'] ~ I OI USE IS U MPVFUL VI T ROUT CERTINCATE - CCUPA OF OCCUPANCY ROOF- PEA r °i ED AS NOTED DATE: P q.~J B.P. S .5: FEE:-BY UNDERWRITERS CERTIFICATE NOTI% BUILD G DE PAR R THE REQUIRED - 765-1602 9 AM TO 0. PM FOLLOWING INSPECTIONO:REQUIRED 038038 - f, FOUNDATION 31VOIJIIM30S8311RM830NO FOR FRAMING & PLUMIBING 2, BOUGH - " IJIED , S 3 INSULATION ' q. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C-0- ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTR RESPONSIBLE EF09 f CODES. NOT DESIGN OR CONSTRUCTION ERRORS n z. ti 41, 'I> q QOs S 2 > tR AT 2x o. , T .COLO !o clew Duk (2) JA 'M T n S-0 µ Z VIF 17 ID 4Y tERIDK CFA EOFEXISTVJ C2 ZA TR A ' LA. sre s loe I - r NEW TSTEPS - ' I I G1~W L 48ouE ~ 1- QV _ AL . I SPACG- v / ~j- ~N&WI 4~ pVC,- _WPST~ 11~ O ~ l~ EX 1511 N ~ 6IICANC.R~' & 5LA6 DN ~RAP& J m _FOI1ND(a'(lDhi 3C) oo#_cQrlGwlfoxl6w,wM. i~ ICI PosT NEW 6AFAGE 4x4 4x5, - Post 77 I I P I NL~'('F~z 13'~IPN1 _ I ~ I ~~~~1SPl'2 'I NW PAMF.I. U.1 jD(ArPD I ~-U! IBEX I.Z 'p"~.F.Y o / 3L?_00~* C.ONGtZESE j ° M ~'(ER _ 1?D~'(OM OF F~'fIdlo ~ I - / f 11NII~1~M 4'-0 -5EwVJ 1 i~E J..GARAf E~J..~ARA(~E DOER ~ PANEL -r r A ..(3 2x l i - -1~ - WATE({ P(i~f _ r r~ ' -1I ~(3 2xii Ro= i~-3 o n 0 IZ IC 1-7 1 C> L~ EL PLAN AN - rr FOOT=NG-~ FOUN_QAIION PLAN- SGA~Ci 11 = i~,o~~ % ~G~SSERED ARpy s~'r eia7ao f QF NEW - R,j k r f I I I } q xzi>?~~ ill I r ~I All c ~ 6XIS'f Roof EXIST Alf IG I ~ 'BEDROOM ~ 1a~PSrJN1 FSD,°,CMIN~ 2,%IZ I OG -'4 ~ v ExisT a /min RM RI< R19 MIN . 6Z"~CLZ ~Q 6AIZAGt; -yzf~Rlp1~~p ~I L~LIJE2T~ hl~"CLGQ..7D~0,RS'' t CO ('1 SLpa w 1 w 77 - I k) o '5 I f _ h ~j(IStll`I(~ ~UNI~'00 I L_J SEAT (oh i I ,a I 4 , a I I~ 11 / t D T1 i ~ i I I I I I I I I ~ I I.I I I ~ ~ r Jr ---I I- I~ LJ L1 --11-~~----L1---- 1------_ LJ LJ - II ~_1 ERED AI?Cl,T Ui SDD~' v. 7-7 'rT (147 D' .F - 4 yr 'ATE. OF NEW YOR '..0