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HomeMy WebLinkAbout20671-z A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21176 Date NOVEMBER 24, 1992 THIS CERTIFIES that the building ALTERATION Location of Property_ 785 FISHERMANS BEACH ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Black 1 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27, 1992 pursuant to which Building Permit No. 20671-Z dated _MAY 29, 1992 T 4 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 ENCLOSE EXISTING SCREENED IN PORCH AS APPLIED FOR. The certificate is issued to JOSEPH GOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO., N^-252738 -OCTOBER 6, 1992 PLUMBERS CERTIFICATION DATED NOV. 18, 1992 - MATTITUCK PLUMBING &_HEAT. Building Inspector 1 1 i FORM NO. s 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) N206712 Date ............1..1 ( 19..1...E Permission is hereby granted to: 4-- w-..... , pz ~.......N:. t0 . 'CIO o remises located at ...J~/:T6f lrl }..l- ...............................................`-~1.n,*k 4.G.PG, . G....~ a............................................ County Tax Map No. 1000 Section Block .....0/........... Lot No.... pursuant to application dated / Y 19.,?A, and approved by the Building Inspector. Fee $...SD. ilding" Inspector i E Rev. 6/30/80 Form No. 6 a ~~,f• T014N OF SOUTHOLD -_I BUILDING DEPARTMENT TOWN HALL NOV 181%2 765-1802 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. 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 ./A 1,5 cr~ New Construction........... Old Or Pre-existing Building.. Location of Property. .[p,,,,,,„ lS~2tC}YIy~~JA..UJQ ~4~.p~ House No. ! ~1~4:q ~ ll Street Hamlet Onwer or Owners of Property.z-ps~~~ „ • p,,,,,,l,,,, County Tax Map No 1000, Section..A.0 .......Block.. Q . ..........Lot........!...... Subdivisio/'~ ~~S1x): ~ N... eh f?S . .Fi/led Map.:0:q~,~,•L/ot...~a:• Permit NQO ~t71.'Z•.. ....Date Of Permit ...~5. Applicant,(,: P--6k Ocux,~gltr Health Dept. Approval...... .......Underwriters Approval...... Planning Board Approval Request for: Temporary Certificate........... Final Certicate. Y Fee Submitted: $,•,'Ql 0,,,,,,,••, APPLICANT (Y-1,R4, e0 9-- a ~1~~ c~~FFULA TEL. 765-1802 TOWN Or SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 •YD e?? i TOWN BALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No.Q Owner _7__Ose,p~N Gold ly(JL (pl ase print) 9 Plumber (please print) ~n~~NJ `4':r• I certify that the solder used in the water supply system contains less than 2/10 of to lead. (umber's signature) Sworn to before me this ,Icll7k,fa/Z224 day of 192, - . , Notary Sw:u is ` Notary Public, !Sc/yfOG~ County lb1111 R..MCK90N Nft dNewYork Ojd d N Suffdk CAUnlSr 4IM T«m brpbes Feb.19,~pjro 1.88 oMt9LNI H ~ 'OUNDATION ( 1st) 1 - m 'OUNDATION (2nd) ;OUCH FRAME L-~7 1~ X .PLUMBING H ~ V INSULATION PER N. Y. i 17 ~-z-f STATE ENERGY CODE I T 4. tr/ -~y FINAL I ADDITIONAL COMMENTS: m N ' y O } H , v i H a~7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ] FRAMING FINAL RE ARK DATE CTO ' TEL. 765-1802 5~FF01k1 <1\.t4,./ Op~r TOWN Or SOUTHOLD L1:~a•,z~r _ c UFPICL' OF BUILDING INSPECTOR P.O. BOX 1179 " Cif V g TOWN HALL SOUTIIOLD, N.Y. 11971 Environment East, Inc. Indian Neck Lane Peconic, N.Y. RE: Joseph Gold Permit #2067h' 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 in not on file. No Underwriters Certificate on file. The check is(outdated/not on file.) No 11calLh Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit 9 2 0_6_7 ~ 2 Building Dcpt. *_-**-/iixNO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 `g 1r001.093 BUREAU OF ELECTRICITY I 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date OCTOBER 091,1992 Application No.onfile 77822392/92 N 2527361 THIS CERTIFIES THAT only the electrical equipment as described belo+v and introduced by the applicant named on the above application number in the premises of JOSEVII GOLD, M1 NISIi111HAN BEACH ROAD, k0.#G, CUTCHOGUE, N.Y.. in thefollouinq location; ? Basement F] l.st Fl. ? 2nd Ft. OUT Section Block Lrt tasexarninedon OCTOBER 07,1992 andfoundto be in compliance Leith the requirements q( this Board. FfX7URE ECEPTACLES SWITCHES FIXTURES RANGES COOKINGDECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K.W AMT. K. W AMT. KW AMT K.W AMT. H,P 2 12 1 1 'r 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 SYSTEMS AMT. WATTS NO. OF FEET k 2 - F SERVICE DISCONNECT NO.Of S E R V I C E METER NO. OF CC COND. A. W G A. W. G A W. G. AMT. AMP. TYPE EUIp I,e' tW I ,6' SW 3.N ]W 3,e" 4W PER % OF CC COND NO. OF HI-LEG OF H4lEG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ~ G.F.c.r.:•1 t GARY DOROSK.T. LIC.#2941-9 l 425 HOKMLL LANE CIITCHOGDN, NY, 11935 GENERAL MANAGER 11 Per ay 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. : &e( 765-1802 UILDING DEPT. INSPECTION [ ] FOUNDATION 1ST F ] ROUGH PLBG. [ ] FOU DATION 2ND [ INSULATION RAMING [ ] FINAL REMARKS: T~' 7" 4 DATE / INSPECT l 77 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: Vi- P t DATE 11Z-l7 INSPECTOR ppV M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ j FOUN ION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS:- ez DATE u9 INSPECTOIt::: s { '/tP4P/ll~liLt~ 7Gte /~Q4~ n. Ile, nrr - ,~C c i VA 0 ter i is Environment East, Inc. R. R. No. 3 - 3075 Indian Neck Lane * Peconic, New York 11958 516-734-7474 R e. ~~~rLJ z9 / l 12 . X85 ~isH~M~,us ~36~~ ~2a PERr~~ r- '20671 Z BOAnO OF HEALTH ~l'tt FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY _ MAY 2 7 1%92 ~I BUILDING DEPARTMENT _ C11CC}: . . . . • . . TOWN HALL SEPTIC F 0 R M SOUTHOLD, N.Y. 11071 TEL.: 765 1802 oTIPY; -J _ . . Examined . , .....v,/p,29..., 19 CALL 7)-. (L / NA I L TO: Approved .....•`5 199Z-Pcrmit No.~11... . . Disapproved a/c _ . ( uil)g Inspector) APPLICATION FOR BUILDING PERMIT Date a4A...., 199. INSTRUCTIONS ,a. This application must be completely filled in by typewriter Orin ink and submitted to the Building Inspector, with 3 131S 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 'tall 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 call 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 ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :cgulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .unit authorized inspectors on premises and in building for necessary inspections. (Si nature agpI )J0 can in it a c rporation) ~-.s 1IVV (Mailing address of applicant) ante whether applicant is owner, lessee ag APPROVED AS NOTED ne,^~ dent, architect, engineer, general contractor ele a er e .~~P62 h1 ~L t ~Q2 [~t~TE: r`' :ante of owner of premises .`e.1._ tl ~J1M~) 1 ~ NOTIFY BU!LDING 10EPARTMENT AT .....................`..............76 :1$4 AM, TO 4 PM FOR THE (as on the tare roll or latestFdAb` gwING 1145PECTIf31VS: appl' n s ture of duly authorized officer. 1. FOUNDATION • TWO REQUIRED FOR POURED CONCRETE ~?y 4C~lPV OR 2• ROUGH - FRAMING & PLUMBING 3. INSULATION lvame and title of corporate officer) USE 1 UNLAWFUL q FINAL - CONSTRUCTION MUST Builder s License No. S SS..~.. , td} „ WITHOUT CERTIFICATE BE COMPLETE FOR C.O. OCCUPANCY ALL cONSTRUCTIQN1•IALL MEET Plumber's License No. THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Electrician's License No. UNDERWRITERS CERTIFICATE CODES. NOT RESPONSIBLE FOR REQUIRED DESIGN OR CONSTRUCTION ERRORS Other Trade's License No . Location of land on which proposed work will be done. . 1=[SkG Wt! lwk fivp/ ~ . . House Number Street Hamlet County Tax Map No. 1000 Section Block P/ Lot SubdivisionV..J?~Q~.1(". Filed Map No. . ,p Lot . (Nam State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy J. . sc~~ ~ J (}mar/ b. Intended use and occupancy .4t1 i.4(J:1,6 ~t) t`/~ ` It11...E. .t' hcx'm~. 3, Nature of work check which: Repair ( aPPlicable): New Budding Addition Mteration Removal Demolition 4. Estimated Cost v (Description) 5. If dwelling, (to be paid on tiling this application) d, number of dwelling units , , , , , , , , , Number of dwelling units on each floor .....1 If garage, number of cars . 6. If business, commercial or mi, Ied occupancy, specify nature and extent of each type of use , , . . . . 7. Dimensions of existing structures, if any: Front ~1 X14 Height N Rear Depth Di Number of Stories . . mensions of same structure with alterations or additions: Front n Depth . Height . ~IJQ... r 8. Dimensions of entire new consiniction: Front . ,C • Nuntbcr of Stones Heigh NPinUer of Stories 9. Size t of lot: Front , , aax • Depth " .(U. Rear...... , . . . . . . . . . 10. Date of Purchase 6 Q~.••.., epth - ntcr Owner . , , 11. Zone or use district in which are situated , • Nam - For 13, Does proposed construction violate any zoning e law, iordinance oe rem` 13, Will lot be regraded J ulation: ' ' ' Will xcess £111 Uc yemoved from premises: Y NO 14, Name of Owner of premises . , , , , , , , , , Address . . Name of Architect . .Phone No. Name of Contractor ~S~Vi }tit Address sIJ. Phone No 15. Is this property within YZn 300 ? Address3077~ 4 feet of a tidal wetland, *ye ~~.honeNo. ~y.... *If yes, Southold down Trustees Permit may be required. o 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. n 'I TATE OF NEW YORf~~ O Vy. r... t) gl, • • • • • . , being duly sworn, deposes and says that he is the applicant (Name of individual signm:contrac )ove named. II__ is the Cw,,V'l.... C . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly aythorized to perform or have performed the said work and to make and file this placation; that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner se forth in the application filed therewith. orn to before me this . T ~ day o ]9R tary Public, . .......s.• County R48ERTL'' Ste Ce , . I A7 Suffolk~pu (Signature of ap applicaan nt) Term Expires ~e9 31,19 2 67cmT - - wkuC s ok a i i I ( - EA5T• rAtATP- I fZF.MOYF~Ri'~ ~ ' l4 hlF,;w ZK8 Jo(L 7.0 fiKIST, ID - t~ tw(~O I N - ,SKYLIVHTs \ / r - ' - - I j I pO\"C>I Z RM - NT R` II i I I-- I 1 I ~ V TO N°rl I 5+_AV J s wK - I I w I x c~ I ifl ~ I i I u1 I I O I m: i I RIQ ri LAN6 G C15IL- M KlTCh~,r _..-2~ fo " w PL..Y.vS! l~t+!1; : TElA7 ~\s tZec~...:As.-:~~ysPECCEt~: CA$ Z.q: 92:_irr/ PgRCN'~V.i~RiC, 77- 'or~ tKO !A(yt S I A I ,i I !4 NovmF:-tL :.M ~r1T R'1 nE_ 1 OCCUPANCY OR USE IS UtaV1,41FUL WITP60UT CERTIFICATE i VP~ D 2HO ~ ~ aak OF 0&, CUPANCY I ' i I II .o 0 EK 1.`. T i Nl a ,y99 . JNi-~'L/iTF,a-Q KiCC-HEK ~ L,pRpUp~q IS'D°K LL-O 30 O^.,,TRY so" oES~ 24"aA F, RIalk r_.H 60' i2" r - V^I Su :.,,2i-ve Douce FRAM~N~ AT .Sh:Yt~IC~I-lTS EXIST. eriTn=Y U, 2-2K12 L~rniN<t~~.w/ PLY" ~1 ADDEp i (4o C ty~ESJ h I C / 00 a h I / ~ ~ ~ -m I / ~ I op - \ E•xl5i-IrIG >?NCt,CZSa?P f~R.GhI i I i h 'fin i tt>'ln lv l~I't~ Cw 25 Ps GL cw 2.15 1. ' 41 ` 4'„F 5i. B R"o. 6' off} K 6'- 108' fi- DE,_ rc I WALE: APPROVED pNAWN 9V W yi b, 9„ K6V. S.IB,92• qPD 3,92• ao~ Qse~~cw2s~cw2 / 4-cws 10-0~8 hc>D 2- S~YUGv. ~T 6N. T SIDnE^ 'S~tK<W I S~'.YUGrtTS sµOy.~N 32"x60",eerRWALL, A\e7GGT 4 \ DRAWING NUMSEN ,DE 9tY K F E~F MED. !RL2 N @ EXLST. RAMT;P-s - aAFtaws -No EVE o - iNGAT k\-r. ~ ~f1HHMIEIC6! 1L~616 s4 ' MI r-- ~ ~ I c.~ O ' ~ -Tl'~f5ZC7CX 'A'{~Z~~ BXlsi. I l7 RAOF "F 1r..,5 - I i p H) I I I I I I~ , Cjv25~ Cv,t 15 aw 5 I V- x15r. Exlst;` ~ITCHFr41 - - ; E NT2~ U'xE I I tlPEN Ulu µ'i~.Tl'1P L P ~ ~ I _ I i i :LF--V7 7 D N 'IJ~iTiDN ~3 ~o:,~ia~,E FuTUR6 p6°=~c-,N TO izEMAi tom{ As Fjc 1 ST H G ~s nP r2f,~. 5i8.92 . , ~2 New SKY~IVHTS ! Cw15 cw 15 -cW'&5 I I I i ~ q~ I r I ~ r- f I RSV. cros s L cw 25 ADDeC7. `^.6~l~~N C- .~!y EU e ~NEET ROC V." 2 "r 'f`LIv I't ls. 3. 6 92 . E.I~ V -Z AA";.. U E~ev~z~oN ~2 _-7oLD Ft S1DE--lC-E SCALE: F APPROVED BY "il A., ` OMWN BY J W DATE: ---T.-"WING NUMBER tWAS A ENYIRoNME.t'1T ~t\T I.c~c.. °JZ-18;3-2. < I