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HomeMy WebLinkAbout20886-z N FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20926 Date AUGUST 11, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 4560 VANSTON ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 10 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1990 pursuant to which Building Permit No. 20886-Z dated AUGUST 11, 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to ARNOLD & KAREN BLAIR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A O� Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20927 Date AUGUST 11, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 4560 VANSTON ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 10 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1990 pursuant to which Building Permit No. 20886-Z dated AUGUST 11, 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 ACCESSORY BOATHOUSE STRUCTURE AS APPLIED FOR. The certificate is issued to ARNOLD & KAREN BLAIR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-159254 - NOVEMBER 5, 1990 PLUMBERS CERTIFICATION DATED N/A it ing Inspector Rev. 1/81 TOED[ 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) N°N° 208862 Date ........ P"......!!.............. Permission is hereby granted to: to ...4-o.^.�s1!!..!...% t.-....�4 . ..... ..... .....r...I j u ......... ..... ..........."!�S^ 1.. P .. ..GA m" ..... ...... . -..►' ......................... .... .............................. at premises located at .... a. ........I4 AAcDxx..................... .Frt,C. �.......... ................................................................................ ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section .......V �.......... Block .......!.d Lot No. ..S.. ...1. ... pursuant to application dated 0.5� .S,,. L.1................ 192 '? , and approved by the Building Inspector. Fee S3 '••• •••• .. . . ..... .. ...... ............ ui ding Inspector Rev. 6/30/80 - THE NEW YORK BOARD OF FIRE UNDERWRITERS PAhF 1 U1[)138t BUREAU OF ELECTRICITY F 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date NOVEMBFF: OS, 1991`1 Application No.on file 000 71319(1i911 N 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 ARNOLD HLAIR, VANSTON RD. , ('UTHOGOE, N. 1 , in thefollowing h•,a tion• Basement ❑ (.[Ff. ❑ 2nd Fl. OUT Section Block Lot 48 w2 9, 1340 as examined on and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST MNS OUTLETS ACLES SWI7CHE5 INCANOEXENT FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS o OIL H.P. GM H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NSYSTEMS AMT. WATTS .oc rEEr SERVICE 015CONNECT NO'OF S E R V I C E NAT. AMI. TYPE METER 1 X tW 1 X 3W 3 X 3W 3 X IW NO.OF CC GOND. A.W.G. F A.W'G' NO.OF NEUTRALS EQUIP. PER 8 NO.OHIAEG OF CC.COND. Of HIiEG OF NEUTML OTHER APPARATUS: FANEIBOARhti: 1-8 fIR. 1(1p JODY PUMILLO LTf. It 231)0- 17 fAT t ANE MATTITUCK, NY, 11952 GINIMAAL MANAGER 9 -, 11 Per s tiY) 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. Al an maI-EMMMIMM k COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _ r Form No. 6 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 2/10 of 12 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. ' 3. 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 dwelliag $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 . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . /. .. Location of Property. <N_40 . .QUA'4�WT&!� .. . . . . . . . . . . . . . . .1 tM . . . . . . . . . . . . House No. Street Hamlet )nwer or Owners of .ounty Tax Map No 1000, Section. ... .IIJ . . . . .Block. . . . . . . . . . .Lot. . . T f.. . . . . . . . . . . ;ubdivision. . .pppp.//. . . . . . —�� .. . . . . . . . . . . ../�. .Filed Map. . . . .�.7.�L,ot. .`./.f. ! . . . . . . . 'omit No. A.P.k� . Z�.Date Of Permit. . :f . . . . . . . .Applicant. (JJ�/FGL��I . �t!� 4�A�T ?ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . . . . . . . . . . 'ee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . %f l� ZI//7_:�( . Q�L ItI SS D . .APPLI CT Form No. 6 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 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. ' 3. 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 p Date . . . . . .0... . //:.f.Lam. . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . Location of Property: q*Two - .� a Ix! .` . . . . . � 4 .'. . . . . . . . . . . . House No. Street Hamlet /J Jnwer or Owners of Property. . , . . �0 :ounty Tax Map No 1000, Section. . . . .IIJ . . . . .Block.. . . :-y-16. . . . . . .Lot. . . r(5, . . . . . . . . . . . ubdivision. . . ...p. . . . . . . .-�:� . . . . . . . . . . . . . .Filed Map. . .`: . .��pp.��Lot. .�.. . . 'ermit No.ZOW, Date Of Permit. I—&.. .. . . . .Applicant. ( I"jg4 . . �v tealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . .. . . . . . . . . . . . . . . . . '.equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . 'ee Submitted: $. . . . . . .. . . . . . . .. . . . . . . . . . . . .. ,BJ � Co a- I ^C•'y7S/�S�// APPLICAI3T• • • . , • • • • • L .2d o2V ;fPILuTf 5 FOUNDATION E1st ) t c 'OUNDATI0:1 _ M. (2nd ) M. — — v G 10UGH FRAME & � •PLUMBING • t m =NSULATION PER N . Y. STATE ENERGY CODE ' 8 n i v-Qc a • —J r m FINAL l _ +r_ ADDITIONAL COMMENTS : s � ' s�,.�.a�.� �,., �a • � cos ... � J H • A • O ^o H FORM NO. 1 TOWN OF SOUT HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined(. �VI! Lq.kn . t3 ., 19 9?-- Received . . . . . . . . . . . , 19 . ApprovedrLu g poo` V' . . !�. ., 19 T?: Permit No. . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . Oct. 19. : . . . . . . .,.199.0 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans,accurate plot plan to scale. Pee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 permi 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 Occupano 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in building for necessary inspections. 1 6 1?.f . .1 .&. . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) 122, .F1;gnt ,$t,. . .Grepnport,. .N.Y... . . 119.4, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder . .Arch-istect. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . Arnold ,Blair, , Kdren, Rtl�spA ,$lair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�4�.P. . . . Vans tori. .Rd..,. .Nassau .Pt...,. . . Cutchogue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I ouse Number Street Hamlet County Tax Map No. 1000 Section . . . . III . . . . . . . . . . .Block . . .10. . . . . . . . . . . . . Lot . . 5. . .�. . .16 . . . . . . 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 occnoancy . . . residential. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy residential , . _ . . , , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . , . . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work Re1pc-1tigA,, re—construction, and landscaping (Description) 4. Estimated Cost . . $1Q.0QQ,QQ. . . . . . . . . . . . . . . . . . . . . . . . Fee .75 (to be paid on filing this application) 5. 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 . . . 24'.2". . . . . . Rear 29 '.2'.'. . . . . . . . Depth 16 ! 3!'. . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . 24.�.?1.1. . . . . . Rear . 24.x.?... . . . . . . . Depth1,6 ' 3" . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . 1,24 . 07' . , , , . . . . Rear .133 . 15 ' „ . . . . . . . . . . Depth`41.1. 21 .. . . . . . . . . . . . . 10. Date of Purchase . . . N�A. . . , , , ,. . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . Residential. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12, Does proposed construction violate any zoning law, ordinance or regulation: . , NQ . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . No . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes N< 14. Name of Owner of prenlises Arnold Blair . . , . , Address Vanston. Rd, . . . , , , Phone No.7.34-.73.40. . . . . Name of Architect Fairweather—Brown Address 122 Front st. _ , Phone No.4,77-97,52. , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . .. . . . . . . Phone No. . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions fron property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. (see site plan attached) STATE OF NEIV YORK, S.S COUNT OF :a�. . . . . . � � . . . 1� !`�. . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that lie is the applica (Name of individual signing contract) above named. �y He is the . . . r (d l.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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 tl application; that all statements contained in this application are true to the best of his knowledge and belief; and that t work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . .19th . . . . . . . . . . . . .day of. . . . October . . . . . . . .. 19 90 . . .Suffolk.�. . . . . . . . . . . . . . . . . . Count Notary ublic, . . . y ZZ_ . . . . . . . . . . . . . . . . . . . . . . . . . .p� . . BABETTE CORVINE (Signature of a Lica otary Public, State of New York No. 5792800 Qualified in Suffolk County Commission Expires April 30 , 1992 issues/revisions. N /. r1�vr�iiaNS G,4�1 S9, Lf! tl IJdNFilaL /WV p�z /4 25✓fl � IR _ Z i _ � I J W I Will • W Z cri�va tiny* �azrvn, W S. I C3 —- \ \ f arrN ueN M NOT£ea's"'0% ` \. Z T �� i spy DATE:10 B.P tl�/ FEE: 7S• ' ' BY -_Yll \ 7T NOTIFY BUILDING DSPAgFME1=T 766-1802 S AM TO It e,ik FOf, ifIE ri�`At'/N4f�a vB /qL I� . FOLLOWING INSPECT ION`{ TIA11 _ _ 1. FOUNDATION - nGOUlbdll r- Marty�� W FOR POURED CONCRETE 2. ROUGH -"FRAMINGi0 PLUAtl RING ' 2 N (Ex/SfiNGJ W 3. INSULATION _� - 4. FINAL - CONSTRUCTION MUST ', ' \ / 46. r—I „ '�, y_ — � - - BE COMPLETE FOR CLO ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y. Iy STATE CONSTRUCTION & ENERGY \ CODES. NOT RESPONSIBLE FOR II �1YaMf �` Z /0 DESIGN OR CONSTRUCTION ERRORS • rI t i I" _-- i I Li k Vill _ 1 , client/owner. , 1 / r Pl Aft*ll C4 - I LA HLrr*Nlh A. /FAIR, ©' 6 o I I Pick j '�/icr, ( ray ew" "A m VANaifvN/2vAti � S' a� j I EvyriN�, s ryaig� I c I - ( AWLt°fmNOK //Ay�iA� s j tniva I \ - - V! Grfcfragv8, /WP411 I 701104 ,, I /��a'°�-, �r�un�.v � . - ; - ; givr�erke Z W project title, I I-iT � J � � ANri siva PANCY OR Eir��/ON� W OCCU / _ I IUSE IS I - - -.L kI 'I mYo I , Ne,w anmrrazuav4G5 CERTIFICATE c,mraw, 1� drawing title.ITHOU7 OF OCCUPANCY Gri �\ -- - - tel ll/o�G1X// //y1l/GLI?Ylr!/ date. scale. 0 vlllPf{ !/01/x° �/lo�v5c� /MP/ty✓EM�IrYS, I�i?s9G�rN�i � 1b CO issue. y,, SUW✓COY 0Y lWeVN/G .��/e_0"/v ¢2NGt5F � //d/ `/. W drawing no. 5GYJ1/ivG>✓z rY°/oct7 -��/�ro- �✓�g = p�. eF-a Ro oa Q r W - - - 6341 _AO@� ref.no, �1 O N -Moo{