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HomeMy WebLinkAbout20904-z Y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22334 Date MAY 17, 1993 THIS CERTIFIES that the building RENOVATION & ADDITION Location of Property 1730 DEEPHOLE DRIVE MATTITUCK NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 12 Lot 23.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1992 pursuant to which Building Permit No. 20904-Z dated AUGUST 18, 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 RENOVATION & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARJORIE HEGEMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - MAY 10, 1993 PLUMBERS CERTIFICATION DATED MAY 12, 1993 - MATTITUCK PLUMB & HEATING Building Inspector Rev. 1/81 "RX NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. V. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) nn N°-N° 2090IEZ Date .......l s c ,krvalr ...I..a......... 191- Permission is hereby granted to: fMr!f? .....x 9 9 w? 4-v~ a9 g.?. fi... 1 . st..... ? . . ~.:.?X S .X]FL24lA.1J at premises located at .I..~2 4 . County Tax Map No. 1000 Secti Block ......1.L........ Lot No...p~ :Z--..... pursuant to application dated ..McA......~..a i9.c.~--, and approved by the Building Inspector. Fee S... 3-7A 0,,. Building Inspector Rev. 6/30/80 --~rVevcl`^'~- 0 0 0.14 B,uLt d a. Form No. 6 i i f nil i1fS2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL MAY 141993 S 765-1802 ~FT APPLICATION FOR CERTIFICATE OF OCCUPANC This application must be filled in by typewriter OF. ink and submitted to the building inspector with the following: for new building or new use: 1. Fiual 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 watur supply and sewerage-di5posal(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. Couunercial building;, industrial building;, multiple residences and similar buildings and iuzaallation:;, a CerliflC(LL,. . ut Cudc, Compliance from architect or engineer responaiblc for thu building. 6. Submit Planning Buard Approval of complcLud site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "prc-exisLing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unu:;ual 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, Couunercial $15.00 Date ...5' + l.I w Construction...... Old Or Pre-existing Building..X ~/~n ~q~• cation of Property ......::}f-~ House No. ` n Street hamlet wer or Owners of Property..... M unty Tax Map No 1000, Section... IY5 Block ~e2 Lot.... 75..2 udivision...f...qq.........~ ..FFiled Map............ Lot... r................. rmit Of Permit.. 18.11, ..Applicant...'~'~1N lth Dept. Approval........ ................Underwriters Approval......................... inning Board Approval guest for: Temporary Certificate........... Final Certicate... . Submitted: $ IZ 'V"^^"•' c91 .qs9,~j3 LICANf L{ r~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000343 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date MAY 17,1993 Application No. onfile 78789792/92 N 276229 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the promisee of LES HEGEMAN, 1730 DEEP HOLE RD,, POLE#r~41, MATTITUCK, N.Y. in thefoltowinglocotion• 8 ment Ist Fl. U Yad Fl. ATTIC/OUT Section Black Lot was examined on MA l1 1 ,19 9 3 andfound to be to compliance with the National Electrical Code. AXTIME RXTURES RANGE COOKING DECKf OVENS DISH WASHERS NAUST VANS OUTLETS ACLES SWITCHES INCNIDESCENr FL5F*i NT OTHER AMT. K. W. NAT. K. W. AMT. K.W. NAT. K. W. AMT. N. P. 49 39 41 45 4 1 1.5 2 F DRYERS FURNACE MOTORS MT ME AFNIANCE 1!lOERS SPECIAL RECUT TINE CHOCKS awL UNIT HEATM MIATI OUTLET DIMMERS AMT. X. W. OIL KP. OAS N. P. AMT. NO. W. 0. AMT. AMP. AMT. AAVb. TRANS. AMT. H.P. NO SYSTPTNEMST MT. WATTS O 2 F 2 1 1 600 SERVICE DISCONNECT NO. OF S E R V 1 C E GG~~ LKF. AMT. AAV. TYPE IN •re t R ]'M ] R ]`M ] / nV NO h~ 1COND. OF CC V-V. O. COND. NO. O N4LEG OI. WW ND. OP MUM" OP NEU ' TMI - 1 200 CB i B 1 2/0 1 "s 2/0 OTHER APPARATUS: 30 AMP DOUBLE POLE DOUBLE THRO-SN-1 MOTORSt3-F H.P. ie G.F.C.It-12 SMOKE DETECTORt-2 z2A GOOOALB ELECTRIC LIC4783 E 7355 MAIN ROAD ORSWU AIANABER MATTITUCK, NY, 11952 11 Per. - This eer8Hc4te matt 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 W ANY MANNER. TEL. 765-180 TOWN OF SOUTHOLD a ~c OFFICE OF 13U1LDItIC INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C ER T I 7 I C A T I O N Date .6h2,29 5 Building Permit No. 2 0L10~z Owner MP-f-,3O(uy- {~yYrPn~ (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. n Sworn to before me this -7Ttl6L,~~day of 19 Notary blic Votary Public, 66f!~~ County 10RlIf.jI01I10N ft4~ 9a v 74 i 4 ! firmKb Md 0 ~ New York State Department of Environmental Conservation Building 40-SUNY, Stony Brook, New York 11790-2356 taboo DATE: 173Q Re:~-~73~-VU3~/ Thomas C.Jorling y ® 1 C~ a Commissioner Dear U A review has been made of your proposal to: C-vt -aye 5 1-730 j2e~ 117171 -11 /J a.3 „ Based on the information you have submitted, the New York State Department ofronmental Conservation has determined that the parcel )~T project is: _ Greater than 300' from inventoried tidal wetlands. / Landward of a substantial man-made structure ~<t^L greater than 100' in length which was constructed prior to 9/20/77. _ Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact. this office if such are contemplated. Please be further advised that, ",is letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, 'odnt' AA c Wzo }21~ n Deputy Regional Permit Administrator 765-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ I ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ I FINAL REMARKS: DATE / INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ OUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: x~l f DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [1--INSULATION FRAMING [ ] FINAL REMARKS: ` Ole- DATE Y 9j INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST f ROUGH PLUG. [ ] FOUNDATION 2ND [ ] INSULATION [ZRAMING [ ] FINAL REMARKS: L~1 7 ' DATE D INSPECTOR 1c:LD IP;IT . II vi4i1LNL.:: H OUiIDATIOI (1st) a ' c 'OUNDATION (2nd) :OUCH FRAME & I / -PLUMBING I ` • s , CJ3 m V-3 ;37SULATION PER N. Y. 3 STATE ENERGY CODE I ' H FINAL I - 'S • f ADDITIONAL COMMENTS: X [ H a C H - rn ~ r c •-I v ^o H 3. Nature of work (check which applicable): New 13uilding Addition . • - • • • • . A Rcration . }X.... Repair RFmoval Demolition Svi=ing pool . . . Tennis Court Accessory Building Fence .......Other Work......... 4. Estimated Cost ~.b./. Fee . (to. be paid on filing this application) s. If dwelling, number of dwelling units . ,ON.e Number of dwelling pnits on each floor If garacc. number of cars 77 6. If business, commercial or mixed occupancy, specify nature and extent of cacti type of use , , . 7. Dimensions of existing structures, if any: Front Rear 2 i , , , , , , Depth ...7r~?, , , , , , Hci=lit Z.I.......... Number of Stories . , .......i Dimensions of same structure with alterations or additions: Front 32i Rear ...fir =!Z . Depth ....U0 Height Number of Stories . 4..~ t . 8. Dimension of entire new construction: Front i~. Rear , Depth Height Number of Stories j$ ' i 4. Size of let: Front r~Q Rear r5 ~.i.......w..... Dctpth IA* It 10. Date of Purchase T15 Name of Former Oncr Q, . le CA. FE 11. Zone or use district in which premises are situated ...rte: -+.V 12, Does proposed construction violate any zoning law, ordinance or regulation: ho.... • . • • . • • • . • ' . 13. Will lot be regraded • Will excess fill be removed from premises: Yc- ski . 14. Name of Owner of premises Rl¢ Address VVWftV (*}N)j~mT%X.Plionc No. - (60. Name of Architect mNAL.D (Fa. 1FE ktr. , , , , , , Address ~ ~ NJ.~p !Tt~KI'hane No..298 •+SZ$~~ - Name of Contractor .fk--N Address Phone No 15_Ls this property located within•300 feet of a tidal wetland? Y>5---•tID.X. *If yes, Southold Town Trustees permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all setback dune^.:ion', property lines. Give street and blocl: number or description according to deed, and show street names and indicate w::_:: interior or comer lot STATL• or -~,EY~Y;O~t COU, OF..SJ) ..c[_S.5 t J~~.~ t 9.. ` e1.4e r being duly sworn, deposes and says that he is the appli (Name of individual signing contract) above named. He is the (Contras agent, orporate officer, etc.) of said owner or owners, and is duly authorized to pciTtsrrPti"or have performed the said work and to make and file application: that all statements contained in this application are true to the best of liis knowledge and belief; and ilia work will be performed in the mariner set forth in the application filed therewith. S%vom to before me darof j q \otary Public, . , • County CSLANIE L GLM not"PUNiaa"ofNewWt! ~ (Signature ofappli . No 06 QusBfied In in Suffolk QKMW ~ Qemrtiisclon Ibphee Deowl w8, 10 BOARD OF HEALTH 3 SETS OF PLANS FORM NO.I SURVEY TOWN OF SOUTHOLD CII£CK . AUG f 8E J BUILDING DEPARTMENT SEPTIC FORK TOWN HALL SOUTHQUG, MY- 1127 1 NDT I FY ~ Tih a i " TEL.. 765.1802 CALL Examine 1911: MAIL TO Approve fi1t~. 199?TPCrmitNo..a09 C3.`)~ Disapproved a/c cGTnt Q . . (Building. Inspector) APPLICATION FOR BUILDING PERMIT Date I INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w 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 st or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a 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 pe 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 Occup.~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bu ldin.- Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descrit The applicant a_^_rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary .nspectic s. (Signature plicant, or name, if a corporation) (Mailiti.g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build RCA~ ....................C............................... ............c..,......................... Name of owner of premises .....r'` 1 rJ-..... 4~~- M N . (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No_ ......PIE- --D NC-j 11 Plumber's License No . ~t Electrician's License No . ' se Other Trade's License No . . Location of land on which proposed work will be done; Hamlet • . . • • • house Number Street County Tax Map No, 1000 Section Block ...J2 Lot. . , „ • Z J,', 2••..... •5 Subdivision ..............••(p Filed Map No. Lot lautc) • State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy... `1.~1lNGr_1.-F • •t• n1 L TAT t • • - y l N V t-;rC,l'~'t i~t..`f r.~..• -i•.^' y l? am " ' B. Intended use and occuPanc n } 0 ~ Y n . n!. Z 9'44'rV - Sao dulk.ieac~ .rf ard. ! i c I r j ft; rr, t4 F oar yi S • 7. (d <3Cio•lit 293.as ..t _ ~ •-y ~?1 C, I::cslzY30.0 ~ ~~/i~~ :°N~ '~SO,n 17:cO"r ti Ave o" ` St c C ~ 4 tti<tq N' > %It ;.I m~g3{wy~ ~n R'-r Z ~ yv.29'44'x/. - 50.0 ~ \ t i M 1> ! ~ 1 d f' n f € tz 0, 14 n f 4 1 a I > 2 ?D 7 n „ 293.25 1 77Z //0~~//~~"r t r S j! QE. E~~ 410 - r <14 Ec € 1 n y Iz -..~..+.-.-.---~--..w........~.-.mod.-."e.e._....-....,, ._._e+F......r m...................a.....r..-...... 32'-0" _ 0 r _ oa ec~c. --~xG- - r;.("'(+)Ifo1nID.NT. N ~ ~ ~I6u ivNee~~ C ~ d. I i I- ~ *lo "i1fLE~i-IZEtwlovN`~fi u i N~ 12 ~ ~ II 43 ~Il - ~ROpOJEO C.GNS'T~7C~DM J ~ r T~.v.IS'tlraCa CGr~sTFuG~o~., ~ / I *LL C~61NG~~' V~ ~GF,bTi~ I r- uMg1N~P~ ~ _ M6 JNkg N~ _a1NG L3~ 2x8 FJ ~3) 2x8iFJ , I , IFICAIE ~ - ~ - NID19lWA~IPED Q IY N 3'I2°[~ FTc1 LbLLtCDL,~. - 0201 (t) U l i'r~l L.J 7 - ~ OCCUPANCY OR N! ! r 'x ~ I USE IS UNLAWFUL WITHOUT CERTIFICATE = S OF OCCUPANCY N peppaf tubing is used fW syaw distributing W,stWM piping shall be y Up I I K: Se' V r° of "pas KK or~L ~Only J IOT-1S !D-© 0 _-~v I - ~ Lm x ^~A P OVEDASNOTED DD1bTt*,r-- "OM tilMeG'Y tN 5NAN7W~ bbTED 512bl 15. OAYF.: y S.P x 0 ,o99J° f.m NOTIFY BUELUlh3C DEPA.RTMEN7 AT (__J] I v; ~ PPPI~.I- ; laf colr-~~E I~t-°i° 765-1802 9 AM TO '1 PM FOR THE S FOLLOINiNG INSPEC1 OINS: 1. FOUNDATI00 PWO REQUIRED FOn POURED CONCRETE 3 O 2, ROUGH - FRAMING & PLUMBING coNc.sNf~LF ~I I o' G UN~'ilot4WC i i bQilot4 WbU. 014 3. INSULATION 0 G'otifT t NCB \ COI Iw1UDU.S 4. FINAL - CONSTRUCTION MUST " ~ lah1EK.CDVb;IEb I d' - - ~ li9„ X~ 8 p,C. ~tNG' Got CM- a-vt5j-4T 1710CIE dE4rr BE COMPLETE FOR C.O. 15#~ T '1rii 2ri i2 9ICYgE ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. - STATE CONSTRUCTION & ENERGY >z a2 12- wcx::)fl CODES. NOT RESPONSIBLE FOR ; 9b ~ wDOD '~,2x1D R1~r' 16" Ole, DESIGN OR CONSTRUCTION ERRORS Ole- I 2x+ ouTl~ t~Cgr PLUMBER CERTIFICATION SKY 1-I C %KbN LEAD CONTENT BEFORE ~ V~NKL PN 1x4 ~P~bC'D. CERTIFICATE OF OCCUPANCY r I , SOLDER USED IN WATER 1 II Y M ? L Spf~T- IT - SUPPLY SYSTEM CANNOT 2' vTi~cTa + a EXCEED 2110 OF 1% LEAD. 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