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