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HomeMy WebLinkAbout20455-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20744 Date MAY 20, 1992 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2795 WELLS ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 4 Lot 15.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 24, 1992 pursuant to which Building Permit No. 20455-Z dated FEBRUARY 28, 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 ALTERATION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD MAGER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. N/A UNDERWRITERS CERTIFICATE NO. N-235150 - MAY 13, 1992 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 FORK 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) N o 2 0 4 5 5 Z Date 192. Permission is here y granted to, 1 adz'........................ at premises located at .....zz..!o........Fll.~4lerrr........ / s.:r'..~~......~....7...~ a, . C? C2 CJ t?I° ............~/....~1.1... County Tax Map No. 1000 Section....?? Block C Lot No.... ! pursuant to application dated 4X X. 19.~.. nd approved by the Building Inspector. ...S Fee $ ~ wilding lnspector Rev. 6/30/80 ~j'~ .y x~ ~•y.,` gyp{ ) yf E U Form No. fi TOWN OF SOUTHOLD? 7 ~3S IYd BUILDING DEPARTMENTS TOWN HALL MAY 2 01992 765-1802' `,t_i U 1 TOV'4 N 0i ""7 'AJY D APPLICATION FOR CERTIFICATE OF OCCUPANC 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 17 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 $15.00 Date ..May. 1 1992 New Construction x.... Old Or Pre-existing Building Location of Property... 2795 Ve jA.Road, Southold House No. Street Hamlet Onwer or Owners of Property ...Richard Magee 70 County Tax Map No 1000, Section .........Block..... 4.........Lot........15 ;1...., Subdivision ....................................Filed Map. 859....... Lot....... P/0 .1.4........ Permit No .Z4455.Z ....Date Of Permit.VL B./.22.......Applicant.JQbfl..$e dRl. $.t1y~ 4i~~ ,Ine, Health Dept. Approval ...............Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.......... Fee Submitted: ~ `o-L- Ca7 yy APPLICANT INSPECTORS Victor Lessard JfFD( Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector Gary Fish Southold, New York 11971 Building Inspector 1 a Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD APRIL 27, 1992 JOHN BERTANI BUILDER, INC. 1380 OAKWOOD DRIVE SOUTHOLD, NY 11971 RE: RICHARD MAGEE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XXX An application for Certificate of Occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. XXX The check is X30=d&1=Xnot on file.) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20455-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. c1E~D, D:'_J:i JIUA E 11 P4i4tNT N • U FOUNDATION (1st) i FOUNDATION) (2nd) 2. Y~ z o` o N ROUGH FRAME & PLUMBING N 3. ~ m \ n INSULATION PER N. Y. STATE ENERGY CODE 4. q7il C ~m FIiIAL ADDITIONAL COMMENTS: m x rn • x -c N x ~ S+ ~-i ' H O m i. r - H - ^o H -X~5f M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: DATE 441 INSPECTOR i M-1802 BUILDING DEPT. INSPECTION UNDATION 1ST [ ] ROUGH PLBG. [ ~j' FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR Neenr York Stake Department of EnvironmenfahConservatton _ Building 40--SUNY, Stony Brook, New York 11790-2356 1'GYIQ IeUL / Q GPr DATE: F~ tJ V Uot Y l l Ohio _ Re: f-.L/73g -Ol?~/6 y I60061-6 Thomas C. Joriing SaU~~~D~~l D{-e f~!/7' t~g4C~ ~~~21\l Commissioner Dear A review has been made of your ~rop'e-r- SI~~~~d~r~YS~q~l Nf.v.i gOJfe ScTNl IDBO-7o Is.J coot ,n ct c~~ S~nvr,r }0./ JDAnT~ 11e4 7re,? Dn f9c`"JO'c1 3n 151 0 h6C ~4sf revise 1`19a +ko- Pavbpose~Q ac,~1 Vi~~ 0h14 ahy fd-lorr gG~ivi~ Ic~roo(ularcC o F ~hz - /v -P. don f"409 bm is 004 64 001-J'trn 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. 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 this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly your-s, Deputy Regional Permit Administrator r7 C: .M Joti,J Se- Eani, 1°res. i~Flo Oq Ku~ooc2 S~.rFt,~/~A. ,Ve.uJ ~/ozlC 1197/ t 60,1FD OF HEALTH . • . • . . SETS OF t..1........ 24 1I:CJJOO~[.. V` I FORM NO. 1 OF s~JJJ SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT BLDc., DEp't. SEPTIC CpRrl N OF SOUTMOLD" TOWN HALL at<,- W4,w , SOUTHOLD, N.Y. 11971 NOTIFY; TEL.. 765-180,1 CALL 7/$,°,?Sq~ Examined. 19I MAIL TOt Approved .....?~r( l'7)9ZPcrmitNo.~.7 Disapproved a/c ~ildi Inspector) APPLICATION FOR BUILDING PERMIT yy Datc7 IS`~2 INSTRUCTIONS a• This application must be completely filled in b rlt sets of plans, accurate plot plan to scale. Fee accordinYto scheduler to ink and submitted to the Buildir: Inspector, with b. Plot Plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strce or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 perm shall be kept on the premises available for inspection throu bout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant 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 U Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances c Re;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herin describec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admtit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name. if a corporation) (Mailing address of appficant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of ownerofpremises ....E ,a (as on he tax roll or latest deed) " " " " If applicant is a corporation, signature of duly authorized officer. . (......~/1Q~i.......... Name an title of corporate officer) Builder's License No....ly ff- f , , , . , . Plumbers License No. G Electrician's License No. OlhcrTradc'sLicensc No. 1. Location of land on which proposed work will be done; Rouse Number . ~Qc! Street • Handct County Tax May No. 1000 Section i70 ' Subdivision Block . a Lot . 41, . e) i Filed Map No. . !~rJ t~ . Lot . (Nam • Statc existing use and occupancy of premises and intended use and Occupancy of proposed construction: • a. Existing use and occupancy . ..©.~4~. fi~~?1(Le>P b. Intended use and occupancy ~ r:. ~ /hI?CG/~•:' 4~ ~ „Yll1ttst~ liP s9 . lit 44 Via 't UR i l { 3. Nature of work (check which app4icable)t New Building Addition • • tion + { Repair Rlimoval Demolition Swim Tennis Court Accessory Building . -Fence .......Other Work ...b;-~ 4. Estimated Cost d Y1? Fec ;sS (to be paid on Filing this application 5. If dwclliny, number of dwellin,. u' its 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 cxisttiing structures; if any: Front Rear Depth ~ L" Height . • • .r...... Number of Stories . , Dimensions of samcr structure with alterations or additions. Front 7q, Rear . • ( , , Depth J.? . Height v?.-:......... Numbcr of Stones • • . S. Dimensions of entire new construction: Front Rear Depth . . Height ..Q t4umb;er of Stories ~ 9. Size of lot: Front ...../00 Rear .......r s~(........... Depth aG Z6,r~ 10. Date of Purchase I, , • . , . Name of Former Owner . 11. Zone or use district in which pre* iscs are situated . l:. Does proposed construction violate any zoning law, ordinance or regulation: • ~0....................... . • 13. Will lot be regraded , , , , , , , • , , , , , , . Will excess fill be removed from premises: Yes . No 14. Name of Owner of premises , , . , , , • Address Phone No.... Name of Architect , Address Phone No.. Name of Contractor .~JcYtT~eP1..Iiha~ Q , • Address 0W .44krL04 Phone No..76~-?.s r1~ . 15.Is this property located within 100 feet of a tidal wetland? *YrS.s.-'_N0.... *If yes, Southold Town trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buUdings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nprnber or description according to deed, and show street names and indicate whether interior or corner lot. I . • r I I i~ li ' I ii STATE OF NEWYORX. SIS COUNTY OF...... rSU~I~,e JB lflQ -ea' A AI' • • • • . • • being duly sworn, deposes and says that he is the applican • • • • (Nam c of individual signfttg contract) above named. 4c is the ?rZ ast9~ G (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly ilauthorized to perform or have performed the said work and to make and file t1ti: application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perforpted in the manner ~et forth in the application fled therewith. Sworn to before me this .P 3y l . -_1 . 10 ` NolatyPublic, r.. County (Si;narure of applicant: i ' :2 ~Z~ OO O,n„O 2 nn OZ~~ C z ° w o nQ~~ m b Rl lb r0 z M ~a~ Ora UoCp°tn W y on ~11 0041 .4~ ? ~o ~bmx Q 0.~2.a Z 'p b ~ N ~ 4'p ~ ' \ P cc O `~y~ S A s4 `G ~ ji- mad o D7C o b ~ O ~a, Q pn 1 ~ QQ ro ^p3~yr: O r o ~9 a ~N3 yy a Qm`L8 y~ 414. (v b .p .i'S2 ca. fipPD ~ O .£Li soy! r r 11 41 o ~ Cr l~ V~ ..v yr O ~ i A r- o M m ..y 'r~ i I l A~ ~j t1 O i I O m Ham ~C, Ch ' ~ _ ~ OV - fc~ ,n s,} n h wmnW ~ ; ~ __~roal/Nl'4 7°6oM i r£~ q ,P~~I •~1~0f o €z .Lb 0 s n THE NEW YORK BOARD OF FIRE UNDERWRITERS i@Q 1@71. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date MAY 13.1992 Application No.onfile 01`,971092192 N 21911`0 a THIS CERTIFIES THAT only the electrical equipment" described below and introduced by the applicant named on the above application number in thepremises of RICHARD HcGER, 2795 WELLu AVENUE, SOUTHOLD, N,Y. _ in the following location; ? Basement [21 lst Fl. ? 2nd FL 011T Section Block Lot was examined on ftRY (•1 fi 1199: and found to be in cotnplianre with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. N W. PMT. K W. AMT. KW AMT. K.W. AMT H P. 9 aT 2 9 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT 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 z SERVICE DISCONNECT NO.OF S E R V 1 C E NO OF NEUTRALS A. W G AMT AMP TYPE METER 1 1W T g 3W 3,a 3W 3.0 , 4W NO. OF CC COND. A. W G. NO. OF HI-lEG A' W W G' EQUIP. PRO OF CC.CDND OF 0 OF NEUTRAL OTHER APPARATUS: z 4 - c & s c~ItTRACTOa L1c.Ik57»-~ 'Y BOX 2.15 SOUTULD, NY, 11971 GENERAL MANAGER 1.1 i 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE:ALTERED IN ANY MANNER. INSPECTORS Victor Lessard ~~9SUffD(g®~ Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector < Thomas Fisher W Southold Town Hall P.O. Box 1179, 53095 Main Road Building Inspector g Southold, New York 11971 Gary BuildinFish g Inspector Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD APRIL 27, 1992 JOHN BERTANI BUILDER, INC. 1380 OAKWOOD DRIVE SOUTHOLD, NY 11971 RE: RICHARD 14AGEE To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: XXX An application for Certificate of Occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. XXX The check is XX=d&1ffdrdXnot on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20455-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. H u% ' TO- a~~l ~ ~ ~ ~ trRr I I UNDERWRITERS CERTIFICATE REQUIRED - of ~ r Rl R ED AS NOTED _ ~ y C;P1Tc. Z' B.R N oa FEE W FEE' BU. ~ lIJG BY BY. TAT +x } i0. +802 AM 10 d PM FOR THE T-F POLLCANSNt INSPECTIONS. 74 1 FOONDATIWN RNIREQUIRED I~ ~,'~tL IL^(~.~ g op? p? FeAF: POURED C-ONGRETE 11V11 2 ROUGH FRAMING & PLUMBING`., q wf p q~'ryyw ^FPg ~q uasuLPOON ~~m m.,,'~ 6W a wP R. Fl. 1.1Ia;ONS7RUCTION MUST ~y 1 ilrr Fl P T BE COMPLETE FOR C, O. ~4.; Z ~l I^SFC FE_y~ry l ygLA ALL, CONSTRUCTION SHALL MEET uHE REQUIREMENTS OF.-THE N.Y. 1 SMTE CONSTRUCTION & ENERGY NOT RESPONSIBLE FOR CrEgIGN OR CONSTRUCTION ERRORS IMP I _ -Q II 1 s low *wabx(os futd Zec ''F'ws..'e." al - f ,wG.Y;=X/XLV ik ~ ,~P"iw+~U1 ~v - Br - y nr ~Y,+gti~ ~ j t I J V~ e ~p b _~'.Q.ue~t9.~ ~.i Lr 1 ~f7~~- /~w$ BCIJ.E; M OVE0 BY - OMWN. oKTE: I El u k _ DRAWRo NUMUR r 'R19IDltEf08f 1l11l~16