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Home My WebLink About20547-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22181 Date MARCH 8, 1993 THIS CERTIFIES that the building ADDITION Location of Property 2715 BRAY AVENUE, LAUREL NY House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 9 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31 1992 pursuant to which Building Permit No. 20547-Z dated APRIL 14, 1992 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 ADDITION TO EXISTING ONE-FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN WRIGHT & WIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NfA UNDERWRITERS CERTIFICATE NO. N 255086 OCTOBER 29, 1992 PLUMBERS CERTIFICATION DATED FEBRUARY 22, 1993 Building Inspector Rev. 1/81 FORM NO. 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) N2N? 20547Z Date . /..f 199 Permission is hereby granted to: Rtt ?......I.......... . "73 k.......1 to 4,A........ 4.:+:i.... ...P a- ID. . at premises located at ~2y4fµ 4..... County Tax Map No. 1000 Section Block Lot No.....1..~- pursuant to application dated .....~1. Q :A........ 3.1 19.74::., and approved by the Building Inspector. Fee S•..b :Z....... Building Inspector Rev. 6/30/80 Form No, 6 f~~)~ 2 TOWN OF SOUTHOLD ° "BUILDING DEPARTMENT TOWN HALL a *MAR -51993 . 765-1802APPLICATION 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 19. lead. 5. Commercial building, industrial building, multiple residences ant 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. 1. 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, 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 :w Construction..,,,,, Old Or Pre-existimp Buildin , ication of Property:....,P- 15 House No. Street Hamlet ~p 1111fU///// war or Owners of Property.;;!rt;IG#-7-~(- )F unty Tax Map No 1000, Section Block Q,~y Z- Lot idivision......... annqq .~./..F led Map.. .Lot 'mit No. / (~71/7 7',... Date Of Permit.. 1. Applicant. P. 11th Dept, Approval ..Underwriters Approval.............. .nning Board Approval........ uest for: Temporary Certificate...... Final Certicate.• Submitted. Jac ~S~~j~ APPLICANT INSPECTORS Victor Lessard SUFfO(r~ 00 - cps Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor t J Senior Building Inspector co Thomas Fisher Southold Town Hall P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 Gary Fish`~Oj ^s,r; Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JANUARY 19, 1993 AMERICAN EXTERIORS FRANK POLISTENA P. 0. BOX 667 MATTITUCK, NY 11952 RE: JOHN WRIGHT 6 WF To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. XXX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20547-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: JOHN WRIGHT s WF c~~~FO(/~ TEL. 765-1802 TOWN OI,' SOUTHOLD 3 OFFICE OF BUILDING INSPECTOR rn P.O. BOX 1179 p c?, i TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No. 2b Owner 70 (A)C16,Ll" E (please print) Plumber nl w 1 ,(FE: 'Ltq 'iiU d f ~1~ 7)N~ (please print) Z certify that the solder used in the water supply system contains less than 2/10 of 10 lead. (plumber's signature) Sworn to before me _thi_s /f Ca v~ My of _Mcc ? CAF/` 19 Notary Public, T D- (//County Notary Public CLAIRE L. CLEW Notery Public, State of New York No. 4879505 Ousiffied in Suffolk County Commission F.Vires December 8, 78 THE NEW YORK BOARD OF FIRE UNDERWRITERS n F7,ee Af?>~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTOBER 29,1992 Application No. on file 77874192/92 N 255086 THIS CERTIFIES THAT &0 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of HR.& MRS, WR1'GHT, 271.5 BRAY RVE, NA I T'TTTUCK, N,Yin thefollowing location; ® Basement ® I.st Fl. a] 2nd FL OUT Section Block Lot was examined on OCTOREW 23,1,902 andfound to be in compliance with the requirements of this Board. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER PMi K W. AMT K.W AMT. K.W. AMT K.W AMT. H P 10 1.7 1G T_0 1 Y 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 AMi, qMP AM}, AMPS TRANS. qMi N P SYSTEMS NO. OF FEET AMT. WATTS E SERVICE DISCONNECT NO.OF METER S E R VI C E AMi. AMP. ivPf EQUIP. IX pW 1%3W 3%3W 304W NO. OF CG. COND A.W G. - AW.G PER % OF CC COND. NO. OF III LEG OF HI LEG NO OF NEUTRALS A. W G. OF NEUTRAL OTHER APPARATUS: HOTORS!3 F I1.f. PANFLBOARDS t 1 -12 C'TR. 100 SHOTB DNTECTORT-2 ELfCTR'IC 1'NC. I1TC,3$23 F.O.6OX 518 LAUREL, MY, 11948 GENERAL MANAGER 11. I This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors maybe identified by their credenta Is. Z 1!1: M: 1: 1111111 111,11,111''1 Miff 1'! 11101111! C A E ED IN A Y MANNER. iiZ*lLNT^ L 93 i. 3 m O FOUNDATION (1st) ~I ^a 'OUNDATION (2nd) M. • ?.b 2 ' hai ~ 9J :OUCH FRAME & 1!'i .PLUMBING Q r rL 3. y INSULATION PER N. Y. y . STATE ENERGY I~ CODE y II O Cr~SS . FINAL ADDITIONAL COMMENTS: \ ~ /9 T^3 pC 9 ~Jll ~V O '•O W H ; -v H y ( ~Y f i r rn 00 {VI'I` i yS~` ey 15-rim U }9t 4 ~ r + Ni +ae 0 ~y/p r t + ' i t i i ~y ~~ro f~ f Ty .n6.....+ vRee+a~uhy«Hq - xas uwa a ~+.eui 7 rrap..rm 17 - ? (,W*LlC IA11'. Cab T C I ~t tn1 f I u W 'w fhr firb k C 1dU E C14W n, I ( 5T,t.d.fx } ~ 1 f I i f i o r d $ I f ~ 4 C ' (f ~ i AMEMCAN EXTERIORS Box 667 MATTITUCK, NY 11952 (516) 298-4625 f x.nyq~1 ~ n- fwH M t ~ ~3 Fes: .....,..v t Ki. 1 w+~.J~ ~y~ ..._..~..W........a.......~.. ,•r~+t.u i-, .e+-.iw 4 Yfw.xw m- p Rjt znh ry 3 _ RYp j ~ i _ V h 1 d r w' U / E'1 JM ~ e ~ oU~ O 7X l~" _ _ 4 '~6 r '.,w ~ 'r e d cam Or '~,,w ¢oJ ` 1 ,t x 1-M 1 n) t; i,.. 1 U U O T~ L 0 e 2 ~ ee 0'+. 1 ~ x ,xv 13 ao, J a V_ 13. kit t1Y Ixf 1 tit ~ Ili ~ f+ Y3N11:10'A11?N?jl'v+ I~~ t r=•s ~.,.ft'S ;'~t,7°A~W7lCsi m 0'09 ~ a~ :1p~htaN ? K _ € r ~ 4 mt t t Y V Vy LL.. o a t't _ , . . 0'OS 7Jd A1914 tlNV I IU «OS .9*. OZ *N -qnN9ne_ AV*4 q " a r Q hz l { j ENERGY CODE REVIEW (non-electric) t 78144 (Part 5) 6,000 degreeedays For Per Dwgs ~e ii 17) Dated Envelope Component R-Value Exterior Wall R-18 Roof/ceiling R-19 Floor R-19 Foundation Wall R-10 Slab Edge-Insulation R-10 Glazing R-1.7 Entrance Doors R-2,5 All I1VAC Equipment to meet requirements of 7814.11 All 11VAC.COntrok Systems to meet requirements of 7814.12 All Duct Systems'to meet requirements of 7814.13 All Ventilating Systems to meet requirements of 7814.14 All Piping Insulation to meet requirements of.7614.15 All SerVice Water Cleating Systems and Equipment to meet requirements of 7814.21 Al1,Electric Systems to meet requirements of 7814.31 To the best of my knowledge, belief, and professional judgement, these plans are in compliance with the code jo~ NEW)" rE M. r'- esz;~s i ~ Y l r 765.1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~1 PION [ ] FRAMING [ ] FINAL REMARKS: _ DATE d INSPECTOR 7 711;5' M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 64-kAMING [ ] FINAL REMARKS: DATE 3 y1NSPECT 77 ids-1so2 ILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAT ON [ ] FRAMING [ INAL REMARKS: DATE l/ S~ v iINSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATI [ ] FRAMING [ INAL REMARKS: DATE v INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ IN LATION [ ] FRAMING [ ;FINAL REMARKS: G DATE ( INSPECTOR pp~ M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST ( ) ROUGH PLBG. [ j FOUNDATION 2ND [ I INSULATION [ ) FRAMING [ FINAL REMARKS: DATE / -INSPECTOR FORM NO. I TOWN OF SOUTHOLD Q~ mAR 3 11992 ~tl BUILDING DEPARTMENT TOWN BALL ~ 90UTHOLD, N.Y. 11971 TOWN O,~ TEL.: 765-1802 Examined..... (T 10 Received 19... Approved 199.. Permit No.. . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date l.........., 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, hous g code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe tions. l4& AMERICAN EXTERIORS (Signature of applicant, or name, if a corporation) Box 667 MATnTUCK,NY11952 (516) 298-4625 (Mailing address of applicant) State w her applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. lcx~~. 01 • . .•.O. . Name of owner of premises .....9m'. (as ion the tax roll. or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate offfficerp)~ Builder's License No. ~~~~.d. t' Plumber's License No . Electrician's License No. ..&uc . Other Trade's License No . 1. Location of land on which proposed work will be done. oC~~S .....m...a..... House Number 5tre Hamlet County Tax Map No. 1000 Section f.~~°°. • • • • • • Block ' Lot Subdivision Filed Map No?."............... Lot (Name) 2. State existing use and occupancy of premises and intended use d occupancy of proposed construction: a. Existing use and occupancy ....A.etc!'kh0l. b. Intended use and occupancy . 3. Nature of work check which applicable): New Building , . Addition!) AIt ratiofi' Repair Removal . Demolition Other Work ` (D 4. Estimated Cost d I , (Description) Fee . j ` (to be paid on tiling this application) 5. If dwelling, number , number of of dwelling units Number of dwelling units on each floor . , . If garage . 6. If business, commercial or mixed occupancy, specify nat re and extent of each type of use . . 7. Dimensions of existing structures, if any: Front Rear , Depth Height ...............Number of Stories.......,...,............................................ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear . , , Depth Height Number ofStories 9. Size of lot: Front Rear Depth . . 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: . . 13. Will 14. Nameo graded . . . .t be re of Owner of remises ' • • • • Will excess fill a rem ved from premises: Ye ? No p Wit Address 417/u Phone Name of Architect x(/..... . Address gyn. Phone No........ . Name of Contractor ..~~~rl N. ~ v . ~C~!~f 'Address ,E701ti Al A147 Phone No. 4. 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 j i STATE OF NEW' S.S COUNTY OF ~1. J; . C•~~d S TE NA being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.........0ti~1 (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 kno le a 4ief and//tJ}~t the work will be performed in the manner set forth in the application filed therewith. ge V f~/~ AA_ Sworn to before me this CA J~ ~ kww POWA mno Yak ........3J ,day of i!',i'.~ZA... , 19 /.7,Q\ Pa. ~f55 Notary Public . l K........... County X22 (Signature of applicant) I I £ II l -j 1 1-J i r-7 _ i Li- OTI- . ~ - ~ I ~ tsrlt?,+u ~ r 1 SZ - lop~p egg cW,,~ i i i i xYxt GrxtirI W3 cAxo cbn c e f " / ~i - - - - - _9'x3~6as~t V I I , OF NEW), 0 E M. e 51.5ny~, - rA l,d C~,. C,vNC. ME?, i - r ry:r'slIA\,oa 3-2,0's GtR~t~eR ~at'~t' I I w 44 css ~e__- l ~V WITF ms s?, 1 PLUMBING PLUMBER CERTIFICATION ALL PLUMBING WASTE FEE _q;j rd 'I1E ~YR'7 , y 3~1 / e wt SK 1N yxh' I r{G ON LEAD CONTENT BEFORE & WATER LINES NEED 98 CAA L~r hGr Ux` 'P ICERT/F/CATE OF OCCUPANCY STING BEFORE COVERING ~i t - a. its EKING i0 101 ! 1. ` fo COUNJ"a „_nt n~,G dcC2UIRtrG - OW SOLDER USED IN WATER riiti F(M fRZ SUPPLY SYSTEM CANNOT UNDBMRnm CERTIFICATE IHCATE PIIdi>e 4','70400 Main ft z. rxYjnl~ - Fssn;oLtio ~ rrLUMe!, G ~ REQUIRED EXCEED 2110 OF 1 %LEAD. a. INSULn;IC.N GR F.EN''_i71t'F, P~.Y 4 HINA :O'JSTRKTION MUST =4T _r OCCUPANCY OR Par t)(IN P! F I F FOR c O -_•~-"_7'_ 7~, 7L CONCTRUCTION SHALL MEET BOOPW;ubing is Used USF IS UNLAWFUL TI iC R`r0U!RFO.ICNTS OF THE NY. ~ ~l oC rONSFRUCTION & ENERGY °S'=L-4,, 'i[ S. Nlk. 'r_ ° fbr *111111' distributing WITHOUT CERTIFICATE I ATE COOES. MOT RESPONSIBLE ~OR FIJUNi1P,-LION SYsteer vlpina,11811 be OF OCCUPANCY ' rjr: !tah°, ON CONSTRUCTION ERR 5 t I I. . - ~ ~}p(jE YENS - . I. I Rl~ -ril 7 ,I SE pF NE{yY _ _ _ _ ~tP "GEM TL 09~ . t ~r 6M:a _ 4 •T f, SS.I, n r ~b J O.,l_h~-~ a~ I Op AOfEg51p6~ _ - _ - _ - - - nom./ I j ---I I I I ~ i I I I `lL L RLK .~T ZEOF s'`ae~NEIryo~ ~4gl ,GEM .0 lp ~ti L9 Pllon~477-0400 t' =s~'' Main 121r_aii Q a l GREENYORf,NN 11944 I pgOFES84UN~'~~ N~~!ti.3i__l.~ e' ~ nlrv. ncrsw5 - )IJ6 2 a°N - F - - I I /-cuiNS 1~7 ~ N NU, rr, n~ t `~Q LLC `.L'T ' I e Vj~ gkO4wF,1 --''l' ~ Z G IU kICPi.F9 ' Uses l 111 ,,.f~ ~ Ki7uls I KI;u~ICN rx7wid I I ~ s. ;^,T5 I }N~ Y Jy"L ~ N 1 F{r R'y fhJlltS i ~I I~ a if d ~pf IJEN'Y f ~Cf fo.e:pu.P~ I PDC'r_ A~I I 1r- ~ Phon 477-0400 ? Main vIm i CREFNPOR F. N Y. 11944 i q`N6 01 'IN SCALE 1 [it r:a T u ?V,- V, Ti ~11v. i pih,,; Lots' - oc ~Z~r ~ 2tI0v164:~ 1 Zr4 BLUL%. 1 i ~ L 1 i P.~k OF NE{p iXS, ^"~Glc / RIO( i~~~ RI!)SF. 2x6 - ,CE M Yoy~~ PL. / 1~4 "PLY n,',,.4 u OLB h 240 La _[-~R!DG1NG - r BR1LXs1!~tG- 2x6ter- - Ix6 Ess to RA DBL 2x., R19 / -97 1 soFIT w~`JENi j z ZAI ut :iNL ~~-'l=zl2uHiEL ~i2"•x,Fn Et4T " i ~ 1 ' ~ 2+b I n Y, i S$~ % PLY i , -RP3 F19 PLY - gP1ty,1NCs I. I z)O- W,' Zvi - n,t~ Q Iff z3' 1'/i FNV,1I F~iip;.lNli i, . TAP 2yb , s:r DgL '4yb 5~ 3'k Ma T 1.a fij, _vCl?_I~:iIJ i~IQ i ATD Ttph~ 3'h -L a.zs~M ~V~ J L P,19 5'r ~ R1y - T. kG ~u,~cVEV'urcOr 2 b snob _ 'Lfb SrKiE i BQ.;pF,tbUr t ZS - ~~g EXIST!N(Y -AWWC 1L PLt R19 m~Nd 32r8 c>~a.U'~ - RI 1 _ n~• ~ ~sAMf' P0.~coLtnv ',Ito N_iC, -cc A z%v ,ILL gryo < _ TeR1917e~/=~! ~ ~E AI- .~°~qNC g{Umc1A•P - - A+QF}yjR&A'[ ~ + q //{r`V 1 el-o. .ihl ii: -2`d,i ci ~o yi Main Road FCYJT{PdCS - >;'~x+~~ ~ Fc~a=iNC= Phone 477-0400 ,env GREEN PORT, N.Y. 1] 944 ',,xon e~nr OWr, _ ..J~ I y av $Cn LE