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HomeMy WebLinkAbout20465-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21058 Date SEPTEMBER 30, 1992 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 1450 CEDAR AVENUE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 8 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2, 1992 pursuant to which Building Permit No. 20465-Z dated MARCH 5, 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 ADDITION & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL J. ROTHMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-242513 - JULY 13, 1992 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 aommtx NO. a 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) No 2 0 4 6 5 Z Date 31,- . I9.~f..z Permission is hereby granted t . 7 < ....1111..7./..... to 4.* at premises located at .../K,::7.0...... .................e: County Tax Map No. 1000 Section ...........7j..... Block P......... Lot No... Zst............ pursuant to application dated 19.F,2, and approved by the Building Inspector. Fee ~r i~ ing Inspector Rev. 6/30/80 Form No. 6 d TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL 2 9 765-1802 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. e 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 Pp 9 1 C~ Date i J~.`.~.. New Construction..... . Old Or Pre- xisstting Bui1ding.. Location of Property j-:! ~ & ~Sbo_(Ito / House No. Street Hamlet Onwer or Owners of . County Tax Map No 1000, Section..... 79 Block ......Lot...... Subdivision Filed Map.......... .Lot,~... Permit No.... Q,/,1L!. ate Of Permit, . Applicant. i W C :.?CT Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...... n Fee Submitted: $,,,,,?.r. ® ~•Q1`1 ~'7 U fZ.7 .PLICANT . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1.001.071 BUREAU OF ELECTRICITY F 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date JULY 13,1992 Application No. on file 7r911a92~92 N 242513 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 HICHANT, ROTHNAN, 1.450 CEDAR DRTVE, SOUTHOLD, N.Y. in thefollowing location; ? Basement 14 lst Fl. 1%] 2nd Fl. OUT Section Black Lot was examined on JUN R 30 , 1.9 9 2 and found to be in compliance with the requiretnent.s of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K W. AMi KW A , K W AMT. H. P. 5 12 9 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS $$$lll T. K. W. OIL H. P GAS H. P. AMT. NO A. W, G, AMT. AMP AMT. AMPS TRANS. AMT. H.P. SYSTEMS PM AMT WATTS NS OF FEET 1 1 600 SERVICE DISCONNECT NO' OF S E R V I C E AMT. AMP TYPE METER L ,W2W 1 A, 3W R.e" 3W 3,e' 4W NO. OF CC COND. A. W. G. NO. OF HI-lEG A W C' NO OF NEUTRALS A W G EOUIP. PER $ OF CG COND OF HbLEG OF NEUTRAL OTHER APPARATUS: MOTORSt2-F SHORE DETECTORc-'I ® I G & a CONTRACTOR UTC,$578.9 BOY, .215 ;IOUTHOLD, NY, 11971 GENfRAt 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. I, %MW ~Iovr I rWA MODE ORDER' RAN 1111 WINN V WVr I I ILA I h T NU I BE ALTERED IN ANT MANNER. it INSPECTORS Victor Lessard Principal Building Inspector CurtsHortSCOTT L. HARRIS, Supervisor Senior Building Inspector a Southold Town Hall Thomas Fisher W P.O. Box 1179, 53095 Main Road d Building Inspector Southold, New York 971 Gary Fish p Fax (516) 765-1823 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD SEPTEMBER 28, 1992 MICHAEL J. ROTHMAN & WF P. 0. BOX 727 1450 CEDAR AVENUE SOUTHOLD, NY 11971 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) No Underwriters Certificate on file. %u% The check is /not 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 4 20465-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~ JUIIDATION ( lst ) ( ~I c FOUNDATION (2nd) 2. z ~ o ROUGH FRAME & -PLUMBING r N 3. ~ m INSULATION PER N. Y. m y STATE ENERGY CODE 4. 6 I'M FINAL ADDITIONAL COMMENTS: m x 'v V.J H H O W x m } v m ^o H 6)n~27- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ J ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS= DATE qlaV INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ) ROUGH PLBG. FOUNDATION 2ND [ il, SULATION [ ] FRAMING [ ] FINAL REMARKS: DATE 7 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [FOUNDATION 1ST [ ] ROUGH PLBG. [/FOUNDATION 2ND [ ] INSULATION j ] FRAMING [ ] FINAL J REMARKS: i i' I I 1 DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [i.,<Fl'tAMING [ ] FINAL REMARKS: DATE INSPECTOR 3. Nature of work (check which applicable): New Building Addition X, Alteration Repair • • • • • • • Removal . . Demolition . . . . . . . . . . . . . . Other Work . 20000. (Description) 4. Estimated Cost Fee.............,........................ (to be paid on filing this application) 5. If dwelling, number of dwelling units 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 existing structures, if any: Front ....32, , . • • • • • • • • • • ' Height Rear ...32 Depth 47 28f . • • , , , , Number of Stories . Dimensions of same structure with alterations or additions: Front 32 , . • • • • , , , • , , Rear , 3,2 , , , , , • , . • • . • Depth 47 Height .......?$3............ Number of Stories , 2.................. , 8. Dimensions of entire new construction: Front . Rear Depth Height Number of Stories , . 9. Size of lot: Front ..116 Rear 1,21,........... Depth J 8.ON 2,04,.'BS........ . 10, Date of Purchase . • • 11!83 . . . . . . . . . . . . . . . . . . Name of Fornn r Owner . A[]DRF4Y REII3Njg)yP, , , , , 11. Zone or use district in which premises are situated , RESIDENTIAL 12. Does proposed construction violate any zoning law, ordinance or regulation: NO . , , . 13. Will lot be regraded ...Y,Eg , • • • , , , , , , , • • , , , , , will excess fill be removed from premises: X Yes No 14. Name of Owner of premisesKA?E:N & MICHAEL ;ROTHMf~gjdress SOUT)30)_.p,, )VY, • , , , , • phone No.7b5r1.745........ Name of A SAMUELS. & STEEMAN Architect , . ...........Address CUTCHOGUE,,,_ali', , , , , ,phony, No.73,.4-15,405• , , , , , , , Name of Contractor , • . , , , , , , , , , , Address Phone No. . 15. Is this property within 300 feet of a tidal wetland? * X *If yes, Southold Town Trustees Permit may be required. No......... 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. 7r7RlranOPF k '5. 73 " t7 T , S"U "rstr. 17 - 16 0.O l~ tp ~ 091 N e ra n 7A, k' pit,„4t1i~' F '7 (~h~ ~ i. 6... AO I'AT OF NEW YORK, Zt9.4 Airy ~ OUNTY OF SUFFOLK S.S . t7ICAAEL, J,, ROTHMAN being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) love named, OWNER ,isthe (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; 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 set forth in the application filed therewith. rorn to before me this Z Nn AKCf! , 19 g tary Public, • County y NotaryPAb c . CAMIIN New York (Signature of applicant) No. 6581910 Commissions Expires June 30, 19 2' BOARD OF HEALTH , , , , FORM No.1 _~-5 SETS O~,^ANS TOWN OF SOUTHOLD /SURVEY . BUILDING DEPARTMENT CIII: W,r,., .nom TOWN HALL ASEPTIC FORM Blf3t° tie o} SOUTHOLD, N.Y. 11971 TOWN „U„FS~f7U1HaD.,._d- TEL.: 765-1802 NDT I FY ; 765-1745 Examined./~...........19 .y° CALL NAIL TO: Approved 19 ~~permit No. .7 ~u? PQ I= .727 $OU,TfiOLD~ NY 1197, . Disapproved a/c . . (B ildin PC tor) APPLICAT-ION FOR BUILDING PERMIT March 2 92 Wte 19... INSTRUCTIONS a. This application mu st be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ts of plans, accurate plot l,lan to scale. 'Fee according to schedule. b. Plot plan showing I( cation of lot and ( f buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailyd description of h.yout of property must be drawn on the diagram which is part of this appli- (tion. c. The work covered bl 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 call 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 all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 0 '.'he Building Department for the issuance of a Building`Permit pursuant to the gilding Zone Ordinance of the Town o Fouthold, Suffolk County, New York, and other applicable Laws, Ordinances or -gulations, for the construction of buildi igs, additions or alterations, or for removal or demolition; as herein described. (e applicant agrees to comply with all !al olicable laws, ordinances, building code, housing code, and regulations, and to nut authorized inspectors on premises a !(d in building for necessary inspect' ns. . O' (Signature of applicant, or name, if a corporation) PO.BOX 727 50UTHOLD NY 11971 (Mailing address of applicant) ate whether applicant is owner, lessee! agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER ime of owner of premises MICHAEL J. & KAREN ROTHMAN (as on the tax toll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . . TO BE DETERMIND Plumber's License No. Electrician's License No. . Other Trade's License No. . Location of land on which proposed work will be done. 1450 CEDAR AVE. SOUTHOLD, NY 11971 1450 .............CEDAR AVENUE :...SOUTHOLD....................... Ilouse Number Street Hamlet County Tax Map No. 1000 Section 78..... , Bldek , 18 Lot Subdivision , Filed Map No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy S~NOLR. FAMILY. HOUSE . Intended use and occupancy SXVC-,LZ FAMILY. HOUSE . . . i J J w 1/j 2 LL ; , - Q _J S w F I'~ VI F U J U Q A z7` e 4 a 0 p ~ Zn W 4. 7 F W Z r` •,`eo z°3;5r a E 0 ~ , c w ~4 0 z z ' y+ ro u ro c n a c'b y 5~ 'd v ..i, VI d W, 41 0 d W~fl nn mo a o on ra J' p' 4} 6. 4. O z T ¢ J ;~}'•yy, `=gin Vin."wig ` '~bl4Oa L'~?' F O Z N N W Vj K,] s ro c A r r-~_ f/I W } F W F z m x Nk, d r`. s li n Wa F W a zLL0 O dN00~ u p p Ou ~4 .Y uF,aLL O a u Q p h w Wu -ti T} O O = W O d fn to O ?W FrnUin +nfnU~Zd O 0' Eli ZO ~ Q tL try O o cWi a 3 to ~ KT, ~,Jow i ~ t I O 14 *60 I-a f s. ~f + 1/y a S`pa Q~OP./ - ( ~ x 'a ' , v a,; ry2~ S A M U E L S & V~ III S T E E L M A N h% i • ARCHITECTS 25235 MAIN ROAD CUTCHOCUE, NEW YORK 11915 61617346A05 uF i J'' I IK~FILL EXi ~"('rv [e r•~' I II f~>FC ck=e hln.IG--- ~Xi=~ I W.a4Lcr Vy~'%i° Gar: ' ~ Ii I oN i-_ _.I cuT E<i~S Nr NFILL WALL fS ~ZEQP, ----_I I l9 Wco~ FILING i ~--~g vv 61i~r~P~. ~ .T 2 aWS:~/c^ 2Xn ~AL IPE ,~I Eltil~ W Y1 HEVY I-LA-i FINISh j~ d ice e2 L j ry C? I w~c c i -I EP.OE2 -it 2.1}10 HFA OE pL CA7H5P 'L G. P 6`'HIN i L 2n "r0K. RA SLAP ~xBi2~t~.5.- I- - , I~GJ.7p W,4LL' II AtiIP A?ENp OF CAFJ?1L~-/kp gp~l I I--- - _ r IuS~I~ ,eNa ~i~l ~Y; era, I I I ?gCT~~ III call ly keU~E,P 26xG~1_ t &,I i 71 7 UNDERWRITERS CERTIFICATE I ~f--- - - 7 La, REQUIRED 7 I- 2~ II I 111 :III i, ill III I II I j III IIIII - - I I I , li i I-- _ T i l i l I 7t," - 15 M.. r L 11 r Ann OAS NOTED i 1 11= e ~"y DATE: B.P. N c...... FEE. _ , _ . _ _ _._L NOTIFY BU LD[N BY: 765-1802 B AM TO 4 PM AT - - _ - FOLLOWING INSPECTIONS: R THE I FOUNDATION TWO REQUIRED OCCUPANCY FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING PL BER CERT/F T/ON ~aW IS UNLAWFUL s INSULATION ON LE CON TBEFORE CONSTRUCTION MUST CERTiF/C Yi 9~~ ~ ALL CONSTR ; TL MEET SOLD U IN WATER CERTIFICATE 13E COMPLETE FOR C.U. F OCCUPANCY STS,'- REQUIREMENT MEIV7S OF OF THE N.Y SUPP ~,~~A STATF NOT CONSTRUCTION & ENERGY SYSTE ANNOT RESPONSIBLE FOR EXCEED 2110 of 1 Ao LEAD. OR COldS'rRUCTION ERRORS .~pD ITi6rl -r'cD TE-E so u T 1-I o L I~ NEW Yn rl, R.I rJ GqE vEN'i" ;r:~'r"za yT 2 s.IZ F'.I rJraE i« 5'•.¢n'dR tel. 2.,,l0 o I(o"o,c.• S A M U E L S& S T E E L M A N ARCHITECTS -16, 251J5 MAIN ROAD OF NEIk "a C FILING 'f~~~, 12 CUTCHOGUE, NEW YORK 11935 10 151617346105 Tr 2' 2>"CO SILL cc+NlrlrJLJaIJS>a > - A0.0U~.IfJ AOfJ ITIOf.I IrJ_ l OvE RNp,I,.JLa r 4~I C.'h^`P f3E^~M9 WI.S7GN E.%19TI>Jy ' 6E~(~IJQ LAIN'?`L'I.J hEA"` [JEW 2.(, a IT/" P.. GO K~ TG 5 9TEp L'xlgTlr.IG To I '5I F~ASNInIG • ~P.~e-. REI.iIw EV ~ ~i ~ E X 1 T 11N VS` PLY WOOp i LJ6~LO61Z .d.., 2x&5- 1 ~ PLATE $C LI ID ~3LOC l-JINr~o~.; NE4G -2-2Kro V ~ 2•z.Ia 2.2 in- 1 - X 15'TTJN l-r?IIJG f~-~aplvi F,4% P a IZ©C- c! l I III 1 S IJ 6PL;c,,orz. r I Exl STING - - 1 F~I..JN DA,,nN Iw - 1":LOC.,IctNy 2-2rQ-ccA SILL C"I r1.g W/7ER>+~ITE 1 f2- P-A ~'TI-I }c. fArr-T S?4 c. ' ExIST INS 6i+ s~i..l_E. i~ T I - - ~LjIL JINC, 'CG-f" rG7i~".. ~ r'~~~IVE AN JEF`~FrJ 44'Ibr7p4~.'c ® GNI IFS ® GLti' I%r5 O G W 24 L 4v 2~ ~J A ICI 31 ~F G ? ~`-y, u W I r-GOI. rJ :-l 04.1 r. R~;~vE Irk E~AF2 ncW RQJK 1=R?Niln,; ;e ?r,! Ex!ST~~.JG FIL.iM ING~ - ! I'i~:b~ YO M~fc:H ~hl_T,~J6 I ON 2k.J R,R A' I6"~~c / I , I L42 flF -NEW FASGV y Cd^c T 'R--l MATCH 'f ' - WIN?.~rv Irv NEW Wcx>c 4-,~ r. r~ 70 `;A-'G'h Hs,.v r i C I ~i I II I _ ~ I I FOUN DPTI OIr ~ I BEYOND ~L~ it - ~ c;JJ II _ _ _ . jgPC.. qR~y S A M U E L S& h S T E E L M ,A N ARCHITECTS - - ,y 25235 MAM ROAD CUTCHOGUE, NEW YORK 11935 15161 73HAW----- -