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HomeMy WebLinkAbout21181-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23435 Date JANUARY 3, 1995 THIS CERTIFIES that the building ALTERATIONS Location of Property 2415 BAY AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 1993 pursuant to which Building Permit No. 21181-Z dated JANUARY 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 ALTERATIONS TO EXISTING SEASONAL COTTAGE AS APPLIED FOR. The certificate is issued to WILLIAM & LINDA MERCURIO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-244096 - JULY 23, 1992 PLUMBERS CERTIFICATION DATED DEC. 7, 1994 - WILLIAM MERCURIO , xz~ wilding Inspector Rev. 1/81 FORM NO. A 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 : N° . 21161 Z Date ~A 19 A Permission is hereby granted to: '440,414, . foe z Avee at premises located of Ll/.5, . County Tax Map No. 1000 Section .I./X.... Block .....7/ " Lot No....... i~-Ie/ pursuant to application doted 19., and approved by the j Building Inspector. t ' Fee S..T.. , ui ding nspector Rev. 6/30/80 4 0. Form No. 6 qn TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL i~ 765-1802 , DE~ C 2 9 1994t~f BLDG, APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF OF S(,UT UT O_FIOL!? 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-01 form). l 3, Approval of electrical installation from Board of Fire Underwriters. 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, dditions to dwelling $25.000 Alterations to dwelling $25.00, Swimming pool $25. or-y_bui7ding $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 ;?.`~l ',7, 4 ;ew Construction....... ? Old Or Pre-existing Buiildilnng. .ocation of Property ....2.. s ?!¢T.. TT~TL/If . House No. Street Hamlet nwer or Owners of Property ...,!!v/GG/A/~N/ ~ L/J/;l!/.... ounty Tax Map No 1000, Section... ~ 4 Block .....4 ........Lot ubdivision ....................................Filed Map........ /Lot . .j ermit No,'2(.2,..... Date Of Permit ................Applicant. / ealth Dept. Approval ..........................Underwriters Approval..4 44/& `J 9s lanning Board Approval / '-quest for: Temporary Certificate........... Final Certicate..:?/ ee Submitted:. oo Jf~zc•'f 69Sq . ' ~a 3(f 3s APPLI ANT r J. • Town Hall, 53095 Main Road m Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD zm r ` C E R T I F I C A T I O N u'v ) 10:` DATE : 7Z ~C 94 ~j r Building Permit No. ~/U/~ LiAM E ~iNl>i Owner: (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Srr77eT- Sworn to before me this C7 day of 19 Notary Publ' - ounty &tPJ u- Cs7 WRENCEJ.ROE ary Public, State of N Y04 No.01R04641820 Qualified in Suffolk County Tarn Expires June 30. 1995 L: #i~Y°~,eA+s+`«"v»-.-: •ti`+~1F:btkwk«. mw `±rwsn. . - ;v. x,s ~ ,r'3r.<f :aF.+~;i,3'vaw~b.>.+rr;aex,+ni~[:,.~3w.°s.tti,%±~c %of Four Town Hall, 53095 Main Road CD C4 Fax (516) 765-1823 P. 0. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 23, 1994 Boeckman Construction P.O. Box 1453 Mattituck, NY 11952 Re: William & Linda Mercurio Prem: 2415 Bay Avenue, Mattituck NY 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) xx 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 # 21181-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. II®A-7Z it S ley H \ 'OUNDATION (1st) ~OUNDRTIOF! (2nd) m o 9.9 ?OUCH FRAME & -PLUMBING LIlSULATIO;! PER N. Y. y STATE ENERGY CODE r FINAL ADDITIONAL COMMENTS: s" m j ' x H • a H v! H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: 4th e DATE p INSPECTOR ~1t~1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: 5` .ice T 1 DATE ` ? INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 1001381 F BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date JULY 23,1992 Application No. onfile 76419092/92 N 244096 THIS CERTIFIES THAT only the electrical equipment as described below and introduced Ly the applicant named on the above application number in thepremises of WILLIAM MERCURIO, 2305 BAY &VENUE, POLE #10, MATTITUCK, N,`, E ~p in thefollowinq loco , n gtent L"] /xt Fl. 11 2nd Fl. GAR/OUT Section Block Lot was examined on and found to be in compliance with the requirements q( this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS ' OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K.W. AMT K. W AMT. K.W AMT. K.W AMT. H P 7 13 14 7 ° i. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P AMT. NO A. W. G AMT. AMP AMT. AMPS TRANS. AMT H P SYSTEMS NO. OF FEET AMT. WATTS 2 600 SERVICE DISCONNECT NO. OF S E R V I C E _ AMT. AMP. TYPE METER t-e' ]W 1 ,a 3W q 3W S,e 4W NO. OF CC. COND A. W. G. A. W. G A. W G EQUIP. PER 9 Of CC CO ND NO OF HbLFG OF HI-LEG NO Of NEUTRALS OF NEUTRAL 1 200 (:8 1 H 1 2l0 P. 1/0 OTHER APPARATUS: U.F.C.1"t-1 JOLTY iN1MILL0 1 IC. #2390 E PAT 1,ANk1 KATTTTIJf:K, NY, 11952 GENERAL MANAGER 11 3 Per a 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 , 11101 15'al's, 111, 11 1, 11 111 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST N OT BE ALTERED IN ANY MANNER. FORM NO. 1 f;; ,.`,tal• a'• U; ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL JAN 6 SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~ v i.f,lf S? Examined./ 19.2 Recei"ved.....'..'....•, 19.. . Approved y . . . . . . 1972-Permit No.. Disapproved a/c (Bui g Inspector) ~ 9 APPLICATION FOR BUILDING PERMIT ~Jt Date... 191,5 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, housi g code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio (Sign re of applicant, or name, if a corporation) 'o• Ml.. TT, '.I (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~~~~~~/~~'-..........!.....:.`?SfL,....q./ Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. 1 ~~PK;N? ......JF!.r (Name and title of corporate officer) Builder's License No. e !>V e.p.. +4 x.- Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . a7. 4 .............tom ° hht ............M! C"4•"iZ x-w.................... . House Number Street Hamlet County Tax Map No. 1000 Section ..~.lC c ©l? Block . d . 6© Lot . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....V b. Intended use and occupancy C'~g`^~ 3. Nature of work eck which applicable): New Building Addition Alteration K Repair . , I Removal Demolition Other Work / (Description) 4. Estimated Cost .....rir/ d.~ Fee % (to be paid on filing this application) S. If dwelling, number of dwelling units 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 I ?7:-.,..... Rear ....1.~^ Depth ..Z.7 1c?..... . Number of Stories Height /Z . Dimensions of same structure with alterations or additions: Front . . . . `r . Rear Depth Height Number of Stories . 8. Dimensions of entire new construction: Front Rear . . . Depth . Heig t ht Nu - ber of Stories . 9. Size of lot: Front I q. 1........... Rear Depth i . depth .~Q.`~ 10. Date of Purchase Name of Former Owner . 11. Zone or use district in which premises are situated . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: • . Will fill 13. Will lot be wner e J I P Ik F?ZtQ AddressXg5 f moNNy~i from premises: Yes No regrad 14. Name of Owner of remises W. , Phone No.Z~t Name of Architect Address Phone No............... . Name of Contractor KM . C9i.` ' Address Phone No. Z~ . . 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. I STATE OF NEW S COUNTY,/q~FO being duly sworn, deposes and says that he is the applicant' (Name of individual signing contract) above named. He is the P ontractox, ent cor orate officer etc.)I of said owner or owners and is duly authorizerm 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 pplication filed therewith. Sworn to before me this ~j .day of.. 4 .,1993 .Votary Public, ~C wct • . County CLAIRE L GLEW ' Notary Public, State of Now York No• 48796 5 (Signature of applicant) Qualified in Suffolk my ~ Commission Expires December 0, 19 ~ ~ 'fin m~41 w lr Q~ I y ~ <~,1~ w@QI p ~W. i N y. 0 p s ~ o J ins`°'` Mt_ H•°aw k - - /44.79' of M~A_ G`ow k 3 w ~ ~E~~N G \V ~ rL.7.7 y li.f' e` I 1d _ _ p PFT/a ,/.d ~ J~ Q I i iq p STV.C~ / h i `N N ONrLL. N ff fG. /O.G a ~ I s~~o ro I ~ ~ ~ VT e ~ y Q ~W PaRCN N Q D `a \ ~ ~ ) O y l` e N \ ~ ~ \ h Q ~ ~ ~ o • e az ~ \ m \ m~ 4 v No W ~ sn~~Va .e p \ V N ti `U D V Val* \ \ ale' ~ f ~ ` \ o k2 \ .v 14, Ll"dt24'/V? V GJ \ ~ ~y~N oc B~ t NoT-~ '4A vr-411L hks ess+ sj ( R°~*eAl eR PLUMBING M" DAM Rp v1CmW ALL PLUMBING (W) f:Et>.ss T Z61.5 'rMi`%2Y OR LINES NEED uTUrts "C`: IS UNUTA-V n TESTING BEFORE COVERING G 3 z eH MrUff CERTIFICATE ~~ttmR'I~.l 1 P-ssap4~ol+y . PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2110 of 1% LEAD. 1 I - ~-l 0-f --{~+wY.Cfl. ~JAIbT9hlC-~ I Uel Y :d6 1 ab 4 Jcxtl?s I 1-.,1~.-}.-"-- } ~ ae~e7t 1\\emaw.~x-q ~ II ` C :27-0' ra l tk :~.c j -1~ . • I(t II JI II II ~4* UNDERWRITERS CERTIFICpI'E I~- •-II - Yi11L1461 f ~ REQUIRED _ 6~ ~ CR1~ °P~,.1. Yb R'wB7tlb'P.+ 1 - - I I If copper tubing is used for water distributing _ system; piping shall be n of types K or on AP R l - pss1n ~ Rczi } 1 - - - oy EDASNOTED i/ 9~s fl/ DATE: B.P. N ~ -Ekta+~.. R~urr•14 'S4.D 7S BY: 2-29° FEE: &I D _ 765?1802U9LAM TO 4PPM FORTTHE -L FOLLOWING INSPECTIONS. L~+Z, GW"•"z, C- I. FOUNDATION TWO RFOUIREO •t.}',~^....___L._._..__:. FOR POURED CONf.RETE 2, RO:JGH -FRAMING !4 PLUMBING --7 R INSULATION ITS i C-- 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. - - STATE CONSTRUCTION & ENERGY h CODES. NOT RESPONSIBLE FOR I, DESIGN OR CONSTRUCTION ERRORS , j FL NEw~)* \e o,c NEw~r*x~,s I ~I~~Ft€c Iq `zw _ i~sc.~~aa p jlII - - 4 - ' s 26210 i tip G.l I I F I I' p'~. I - l~f 4.~}~ - E>M~~In-ncx,j ~M`~1.~"i(,Y~wyi~ LL { L 5 Jd ~ J1 6RR M: DR1 R REVISED w pRAWING NUMBER