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HomeMy WebLinkAbout20971-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22359 Date MAY 25, 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 745 SLEEPY HOLLOW LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 1 Lot 10.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 1992 pursuant to which Building Permit No. 20971-Z dated SEPTEMBER 22, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE DECK & OPEN PORCH AS APPLIED FOR. The certificate is issued to GARY ENRIGHT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-36 - MAY 19, 1993 UNDERWRITERS CERTIFICATE NO. N-268482 - MARCH 4, 1993 PLUMBERS CERTIFICATION DATED MAY 25 1993 - HARDY PLUMBING & HEATING guilding Inspector Rev. 1/81 "SM NO.D 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) 0 20971 Z Date Permission is hereby gran d to: '.....y.//~1..97/ / to t.. of premises located .a!/ C~rd~ . /-.a.......... .......7....../..-~o, ~z County Tax Map No. 1000 Section Block Lot No...Z4?iZZ7- i pursuant to application doted , 19.% .!and approved by the Building Inspector. 4 Fee t.. i f B ding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT MAY 2 5 1993 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. Fee S+ 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/.K J.3 New Construction...../ . Old Or Pre-existing Building.............. Location of Property...... b House No. Street Hamlet y Onwer or Owners of Property.. s CN,f.-r... ~ County Tax Map No 1000"", Section..... t~...... Block.. ~ .............Lot...id?n Subdivision..... .ef...P "..Filed Map.. 6 ~ ~...LLoot..... Permit No... ?1 0.... ~.....Date Of Permit.... Sd• ..Applicant. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ !/l ,may Ca 4. za3s 9 APPLICANT L / ~ 3- THE NEW YORK BOARD OF FIRE UNDERWRITERS Pn _ r100012 f. BUREAU OF ELECTRICITY I 83 JOHN STREET, NEW YORK, NEW YORK 10038 Hate PARCH k),1993 Application No. on file 79.59~92f91 N 26s~~ktl2 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 GARY k:NN.T.f;lf7.', iLPWY 1100,01 LANK, SOUTHHOLD, N,Y, in thefollowinq location; ® Basement Ll I.sl Fl. ? 2nd Ft. GARIOUT Section Block Lot uws examined on MARCH 02,199 and found to be in compliance with the requirements of this Board. iIX7U0.E FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ECEPTACLES SWITCHES OUTLETS INCANDESCENT FLUORESCENT OTHEH AMi KW. AMT K W. AMT. K W AMT 'W AMi H P S 1i0 92 17 a0 1 9.4 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. AMPS. TRANS. AMT. H P NO.ST SYSTEMS FEET AMT. WATTS 2 F, J } B 600 SERVICE DISCONNECT NO, OF S E R V I' C E MIT. AMP, TYPE METER I a, 9W , if 3W ] 9 5W 1 JD' 4W NO. OF CC COND. A. W.G. NO. OF H4lEG A' WIi'EG G' NO. OF NEUTRAL$ A. W G' EQUIP. PERd OF CC. COND. OF H OF NEUTRAL I I I 200 el; ! X I 4,llb 1 ~8 OTHER APPARATUS: S f~MOE;N 17ETL~'CTORo°1 PAUL It, BURNS 275 TOWN NAP,Y.OR LANV, 20(mffmoJ NY, 11971 ! RAt 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. ST NOT BE E ! ANY MANNER. I 4~ + iuln .:)tdLe uepai e lL u c J unr en~di ~,urnservauan Building 40-SUNY, Stony Brook, New York 11790-2356 ~liAre.o Y I~141e~ / ~~K y. DATE: ! l A~ I9~ ~`i 1a r~7 s-S SLUR- Re: /73~ -UO S/ 7 OCOO l=U Thomas C. Joriing ! (if It CI 11 M C ~ r f~ Commissioner ";4 ( q C 1 Dear AK, V )gleS, /~~dK?fy a Si'n ~/n,'~ cl~LUel U/JLro/poSa~ ConS~i uc f 5~e y La we J A review has been made of your { Q v7c~r gcc~ssarv Slhuc~uv~50i1 i1~ crf 1! 5/a fecQ a+ 5/~erv (fo/dew SOU`46jck ,lV 2u)lV rIC SC TM. 110. 60o-o7 Sol P1 e w~IY R b Koel e, L^ t1gh 7 J aQ Tv°cI ~4r-,-A /J Ic Z a ~ G / ~rl o~c~ rf lylo ISSZ --t-his ~r ose~f ac/iv7f ati orgy fu~ur'~c ac %o7f~ (a 7,cfWa ~L of 11~ /o'' Con taut /e~ 1 ion is ~u4 of - ouw 7u.e,scQr'cf Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the parcel project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure /greater than 100' in length which was constructed prior to 9/20/77. 11 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 bay 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 cor-temolated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional Permit Administrator e~ .._lcinya. Lae~Crme~en'` LG,~~ &/.5c Z.~ _ ~~~UrFtl(lf n TRUSTEES , ; ~ SUPERVISOR John M. Bredemeyer, III, President SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President Town Hall v~ Fs^.3 Henry P. Smith John B. Tuthill 53095 Main Road William G. Albertson ~`4g F` P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Junr 24, 1992 Tanya Lachenmeyer Land Use 2576 Sound Avenue Baiting Hollow, NY 11933 RE: Andrew Mc Kay SCTM # 78-1-10.12 Dear Ms. Lachenmeyer: After an on site inspection the Southold Town Trustees found that this site is non-jurisdictional with respect to the Southold Town wetlands ordinance provided that no clearing whatsoever of the property below the 10' elevation contour take place without an application to this board for a waiver or wetland permit. If you have any questions, please do not hesitate to contact this office Very truly yours, .a.. Zk -W John M. Bredemey, President, Board of Trustees JMB:jmt cc: Building Dept. TEL. 76J-1802 rs~~ ir,--~v .gyp. TOWN OF SOcJTfl[OLI.) ' OFFICE, OFIMILDING INSPECTOR P.O. BO" 28 =y5 u~ ri, , ti TOWN Ii:.LL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 5 5l~ Building Permit No, D / / I z Owner G0.f1 Yi l please rint) (~~n Plumber '4InS (please urin I certify that the solder used in the water supply system contains less than 2!10 of 1% lead. I- (plum er's signal;,yire) ROSE E. WEINHAMT iARY PUBLIC, State of New Yak ExpiresJanay11,1q~~ Sword to bef r me this No. on 5006872, Suffolk . ssion Expires January 31,19 L UG Commi dS day of~ r 199 I7otary Public Nota.•, County . CA I c DF^1CN Cn]TRnIA 6,000 Degree My" from NON"FLFCTRIC NEAT) O.A. 10°F I.A. 70"F i~J n 7 r i S (1 F 6L#v ~f I R let, k - I N 11 errn> _ I, lee, 1 Ul;et' /f ERffAL RErLfA S 1 F.r~rter tfal2n (Opaque) /(37 (;1..inp 'Z121 /v -~C7d 1)wn~n n 2- C~')tno/neat (Onagne) ~ - ~ . 0 ~t.i trhtn 96' Ftr•e1"t.ien Walla !l.), Ihenlatian T(1rAL d S, Tlstea ~ ' Rnilding Envelope Synteme to Meet requirements of 7615,1 NVAC Fgn1toont to moot regaltemente of 7915.11 11VA(T Syetemm to meet regatremente of 7915.11 17ret ltrntemm to moot regVItemente of 9625.11 Vs-ntilotlann Syntex" to neet,regoiremente of 7x15.14 lnenlatien of Fittno Synteme to reet requlrementn of 7P15.15 '7ervice Water ))eatinrt Synteme and Ffjnipment to meet Regnlrekente of 7615,Y1 Flecfrical And LIAhting nretemn and Equipment to wort requirements of 7P14.31 T6 tho 1#mt of or Knowledge, ~~Of NEW), h-lief, and rrofeeeianal NcEM.r~ 9q J*1Pemente theme nlanm are in (t*0 p 1~J camp2lanee with the ceAe y < kuf~ a a QFE.Sgsgµ%®' lv.-,.-gym" 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: _ c" DATE ~-a INSPECTOR ~,L-- i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU H PLBG. FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: c_ i 4 DATE I~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: a k i f e I i DATE 1? INSPECTOR c M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: - . \ DATE INSPECTOR ~7 M-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ROUGH PLBG. J FOUNDATION 2ND [ J INSULATION [ ,J'*~RAMING [ J FINAL REMARKS: r DATE INSPECTOR i;.IMLNT OUNDATION (1st) C C (r OUNDATIO;J (2nd) _ L f( OUCH FRAME & -PLUMBING • nm .11SULATION PER N. Y. I " STATE ENERGY CODE I Iy FILIAL ADDITIONAL COMMENTS: x r r ^v N a • ~ i • r c_ y Cl m BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK • TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY ; p CALL 7 . _ 19... MAIL TO: Examined . Ow_! / Z Approved b:-k...... 19/1fPermit No. Disapproved a/'c/ . . . . . . . . . . l . Q '(Building In cto APPLICATION FOR UILDING PERMIT Date 19 ~v 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 sliall 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 inspectio s. (Signature of appiicaor name, if a cdrporati(Sn) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 60-04. Name of owner of premises ...tiv,4~. (as on the tax roll or latest deed) If applicant is a c ration, s' natur of duly authorized officer. ~ir!~G•-..... . an and title of corporate officer) Builder's License No . Plumber's License No. / . ( 0 ~ 'Pt6 ".d4/ 1 Electrician's License No. .~'/Q~?~~U~ . Other Trade's License No . 1. Location of land on which proposed work will be done. /v'I~LJ L t< . d House Number Street Hamlet County Tax Map No. 10000 Section Q~ Block Lot 1d-J.Y........... Subdivision .iD,~?.I~(!/t~~i,j/f¢~¢~?, , , , , , , , , , . Filed Map No.~? (Name) 2. State existing use and occupancy of premises and intended use antl occupancy of proposed construction: a. Existing use and occupancy . . "b. Intended use and occupancy ,r 3. Nature of work (check which applicable): New Building , . Addition Alteration Repair • • • • , . , , Remo val Demolition Other Work , . / (Description) 4. Estimated Cost 7.0 -&V O Fee...9Ql. i~~...............,........ (to be paid on filing this application) 5. If dwelling, number of dwelling units /!1!-~~, , , , , 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 . . . Heig of same structure Dimensions of...... structure witih, y. alterations or additions: Front Rear . , Rea , , , , , , , , , , , , , Number of Stories . . . , , , , , , , • , • • • • • • • Dimensions Depth . . ~ .Height Number of Stories , , . . 8. Dimensions of entire new construction: Front ....).tV. . Rear C. ' fv Depth 0 .l....... . Height of tat: Font t Num ber of Stories ©.I~4 . 9. Size nzv . . . . Rear a. j%0. s . Depth J/.. a , . 10. Date of Purchase 9/I.13 Name of Former Owner ~AJdpkw.4 /MA~+~. ,l u_- 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation:* egulation: M . . . . e No Will lot be regraded No. i , Will excess fit removed from premises: Yes No 14. Name of Owner of premises T Address .3.5.. ?4*kwd.A/w e7. Phone No. uJ...... y..... Name of Architect D rYL;w.. 111/d7VW4cf!3u Address y~J~'~+!!~ Phone No.. . Name of Contractor W#4!W, 41 'JJ01 ° me C! 8... ,Address 1 vin. . b(er..Fa. Phone No.. !33, 15. Is this property within 3 feet of a tidal wetland? *Yes•.L~ No......... *If yes, Southold Town Trustees Permit may be required. ~f 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 II it STATE OF NEW YORK ' COUNTY OF (Name of individual ' ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant signing contract) above named. He is the........!. g! !~.~a?S (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 be§t 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 /may `.7 . ....day of./, U• • • • • 19 Notary Public, County JO C M. WI! KINS . Noterypu o, State of NewYwk (Signature of applicant) Term Exppires Suffolk une 112, s r ~ .U CSV~e, o Q5 I ~ 'r z6 5 c"tee CP to a 4\.:. r ~ m ( A o 001 4 r 1 Q W z o l ~,Itn a(~ \ ib D ~ I ~ o C b ;~1 c 10 V ~N `e t3l 03 Q I~ tO / y N v m S t C4 iak . 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I PLUMBER CERTIFICATION i ON LEAD CONTENT, BEFORE ' CERTIFICATE OF OCCURANCY. - j SOLDER USED 7IV'WATEyR~ SUPPLY ,SYS/T~EI4J CANNOT EXCEED 2110 of"7%LEAD. j i I OCCUPANCY OR )R M oopW tUMM Is, Bwd USE IS UNLAWFUL WFUL .'~.i. viv m •i,:i a I ~ I I = r=I ' - QF WIT 0 UT CER IFICAT dTIFICATE of"P"Lff on C-CCUPANCY Cy j - cR~, r I ^r I AS DONOT~PROCEED (DIT4 a. P, UNTIL ;SURVEY bF, L III NORII - - - „NEE: 9 9 L I BY T FOUNDATION LOCATION HAS BEEN APPROVED WT, 798.1802 C AM TO 4 PM FOR 7HE OR 714E - FOLLOWING INSPECTIONS. 1. FOUNDATION' - TWO REQUIRED, _ FOR POURED CON1rFiETE^ OUIIiSD, 4!y r,', ABIND - ~ I,` /r` ( {yr'~ ,u 2. ROUGH • FRAMIMCtaMCUMBINO 4. FINAL "COIISTRUC71p,~NE6T ALL 00 THE 11EQ STATE DESNIN'~`, ~PQiy MA?-..7b f " F, UNDERWRITERS CERTIFICATE REQUIRED e, j4 ~z- TI, - w i In A, F I A'. e d I! 7 " L . X ri, t 7 l F ~„7n.. 9 ,tx. 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