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HomeMy WebLinkAbout20466-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22159 Date FEBRUARY 24, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 1405 WUNNEWETA ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 4 Lot 29 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. 20466-Z dated MARCH 5-1 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to GRACE GOLDEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-252838 - OCTOBER 6 1992 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 r FORK NO. 3 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° 2 0 4 6 6 Z Date - 19.y? Permission Is h?reby granted to: ~~....7..::....... to . l a premises located at .................:5.... ~.V 1~4fvl Vaz County Tax Map No. 1000 Section Block Lot No.... pursuant to application dated .......1--6-2 19. and approved by the Building Inspector. Fee Bull g Inspector Rev. 6/30/80 I Shall 'ICA valid trva coat'. .~-ry' 'tEgy indSCaEeQ hac11~» : = n" ; flit. 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'd,,:r p.',i J., + C:1a rc•m:any, gnvehis his t(,vormacnt'::^v.g 7•„% i~+l~, N{" F, 'nq ii,,'.hu':on IIR:•J l,aan...J s. v':A,JyJ S': i:• ;vr. : ' .,i Qt '~l ir.lA~: r J;l ^-Z a fr* rut I:uU In;:luM1lone or aut?,pu.nl ' v,, ~ ; ,y a;: ;aa e r r o f 2 0 S Y..; i... 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Oetit,ak Isl nr t , e.... s w, . . 1 .c < . BLW MEW Ar11 ,T. {At F y a . .0~4.'(S.t..r Z . - A. aII THE NEW YORK BOARD OF FIRE UNDERWRITERS BAGS 1 1007.093 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date OCTOPUR 06'1992 Application No. on file 03550592(92 N 5:521338 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 L.OOLDEN, 7.405 WUNNEWTA RD, POL092A, CUTCHOGUEI, N.Y, in thefollowinqlocation; ? Basement ? Ist Fl. ? 2nd Fl. GAR/OUT Section Block Lot was examined on OCTOBER 02,1990 andfound to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT k. W. T. KW AMT K W AMT. H.P. 5 1 5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMi K. W. OIL H. P. GAS H. P AMT NO A. W. G. AMT AMP MIT. AMPS. TRANS. AMT H P NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E NAT. AMP. METER TYPE 1.e 3W 1 0 3W 10 3W 34W NO OF CC COND. A. W G. NO OF HI-LEG A. W. G NO. OF NEUTRALS A. W. G. EQUIP. PER % OF CC COND. OF HI LEG OF NEUTRAL :Y OTHER APPARATUS: PANE,LDOAR02e1-3 C1R. 100 G.r.c.7:1-z GARY DOROSKT LI.C3290 -R 425 MONSELL LANE CUYCHOGDE, NY, 11935 GENERAL MANAGER 1.1 Per 4P' 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. 0 gtggg 1, g; 11 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1ACla 1 10614193 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date RA.1101 01,1993 Application No. onfile 762i@59219f N 267933 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 MRS, 00661,11, 1405 WOW1114TA ROAD, 1'0LR1 62A, CUTCHOG06, N,Y, in thefollouing location; ? Basement © Ist FI. ? 2nd F7, OUT Section Block Lot lionve with the reft uirenrents q this Board. was examined on 1' PMR1f 8.R7 26 , 19 93 andfound to be in coutp ~ FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS "EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K.W AMT. K.W PMT K. W. -AMT. H P. 1 10 , £S i. 1.4 V? 17 15 1'/ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi N W. Olt H P GAS H. P AMT. NO. A. W. G. T. AMP. PMT. AMPS. TRANS. AMT. H. P. NO. SYSTEMS FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. pypE METER a, ]W 3W 3 B 3W 3,e 4W NO. OF CC COND A W G NO Of HbIEG A' W' G' NO Of NEUTRALS A. W. G. EQUIP. PER a OF CC. COND. OF HILEG Of NEUTRAL 1. 270 C13 I 1 2 /0 1 3l~ OTHER APPARATUS: HOTORS,2-F R.P. G.F.C.1L-1. GARY DOR0GIS1: LiC.<2,349.G l 425 HONSELL LANE CNTCROG(M, 31Y, 11935 G N RAIL (~AANAGER 1-1 ,m 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. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Oar 51 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 c 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 $15.000, Commercial $15.00 / Date 1 ~.a.. ? U New Construction..v ..I.. Old Or Pre-existing Buil ing Location of Proper_y_.A141;) 4S1JR1Q< .,..e. tof........, ur House No. Street Ham5t Onwer or Owners of Property.. G.r, . County Tax Map No 1000, Section t)A ......Block...... i.J.......Lot....sa:~ Subdivision //?Prnit .1.l..Filed Map...t(....Lot... Permit No.......llDate Of Permit.. cbn Health Dept. Approval. o.,) . ..................Underwriters Appproval......................... Planning Board Approval .....l . ! r., Request for: Temporary Certificate........... Fipa~Ce is e.... CJ~ I Fee Submitted: ~ (~RC.~f5S2XS J C~ ao 15 ~0,S APPLICANT ~IDA:._. I~ ~.UMi4LNT~ Ile IeMAA:~~? low r FOUNDATION (1st) S~ ' c ti FOUNDATION (2nd) 2. A2 d/ f o B°Ld Z o ROUGH FRAME & Btu ~ (n -PLUMBING` 3. - m INSULATION PER N. Y. y A STATE ENERGY CODE . I f- H FINAL Geo 42 ADDITIONAL CO ENTS: m x x \ •v x 9 H ~i ' O a \ o~ m o H ~ ¢ '.•cr :Ino ksx. L~xt ` h' t , r.-,•{ nr >I'aa nnrVrry gFdi nrcl I, •'1'LO , , „ t', F~• 1 nd tu831s lnt' Co Vaal shall not kn cocci..n r S rA~~r ll+ T twa Yo vDild true COPY i :Y yl+~ Cuarontsaa IndiDalod horoan nt• 't n I JY R[ i e.1~ fl{} IO IIRi DalflDn IpY Nlht'n ] to • .t b '+'s f`s `7, 7t arc+ trnd, and on his hr,'a m ' K4 1 ~F :'i l Q 1'^ill"18•h gmernmen'-- nt111tofl.,<n,rl. .1. t~ ..-::.ri Inaautllona or aubsu7u,ni I l L o f' 2 0 -5- -7 6 zo S+h.' d 78°'"E• 285.00 VIP •41 / r + "Vl e Ct p'F7 .n` . t ~im1 ~iF MT Q 0 Ohd ~N'ii1C b 61 'lh 206 l~ S cJl ~ .r; ~,,1 .'y'.•S ~ J tv{ S'ID'.;-v.n.d' y A qq i kt~l b ~nP fd Ciy del /!,y 9~~'q "ry rFlx ' F~~P ~OSG 8 4 rIl r ~%~7rE'ia }n~1 r, ~~~1 / Itrtl +4~'~~ti4 "7? nr a ~~t7{ f 1f Cl6' 20 ti0 stl }~r~'i, i'1, a. a $ y,~kle l - LAND ran 4t~'yt ~ ~ x'1 ! ~I{l j ' 5URVFY Fol. MA Y • L ¢o E G,~U,,~n1~iAN yTl I%G TO Tit/6 G A { i-r~4..[R ..GtCt7j/__&-Ad]f'R R~CY r/~CQd t 141~TOWN OFSoU-r ol-D WFV. CO. 14. Y. .S `t3C.~1tN s 50!ki? E;,. U''7'U W. V1:N `I 'UYIr A. )P) 1`s~ 't I,t 7 ,ib~,~.{ F S~O'P'Nl). 206 Lflr~)~.1 PV 13C@]XI!i t'f,l f.l:.nd .uT'V@ 1 . Ae G iC but Y. {+y~;j"1>tIAP,.f1ME"NOEOrH » ~/VASSfIU,PT. 7' -~7 ct N. d9 fth.}'`tiJttx COUNTY , w nlll'J I I I I I717?( It O:lf i.cz{C (17•' h171/C1. {Yf1A1N OF SOUTH OLD ~ Q 7'65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAT ON [ ] FRAMING FINAL REMARKS: I T ~ +I I i, I lo~l ii I DATE INSPECTOR / M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: q YYDATE ~`~"INSPECTOR l D ~ OARO OF HEALTH FORM NO.1 3 SETS OF PLANS MR-21N2 Iii; TOWN OFSOUTHOLD f~.URVEY r;) BUILDING DEPARTMENT VIICC1; :.:.,.,:.1'4 TOWN HALL SEPTIC FORM F~~LaCi6 sJt1.+r. _ . . nC?s,,;SOU•HOilP SOUTHOLD, N.Y. 11971 TEL.: 7651802 IN OT I F11 • ee// Examined .v.. 19 MAIL TO: :approved , 197.° Permit No. ,6. Disapproved a/c I:f nspector) APPLICATION FOR BUILDING PERMIT 22 ll p Date ..~.11.°~/. .01 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ,cts 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 hall be kept on the premises available for inspection throughout the work. e. No building sliall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy, 1411 have been °ranted'by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. L'Ite applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to :dmit authorized inspectors on premises and in building for necessary inspections. N Roi`!Mr3-d~c.....fit (Signature of a I'c t, o ame, ' a corporation) 3r3 76q_ 8 d?'orcJrc. 1lY /,t (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .Gf'J'? ..CO4 . \ame of owner of premises ~r.21~e e Cho. [4.C . (as on the tarx roll or latest deed) :f a lican , is c r ti si nature of duly authorized officer. ame an title of corporate officer) Builder's License No. , , , , • • Plumber's License No. Electrician's License No . Other Trade's License No . Location of land on which proposed work will be clone . . HP.5............ W .u .iJ 1J cJe-". . 9(~ 'LX,? 02 . (louse Number Street Hamlet County Tax Map No. 1000 Section L11 Block Q /-J • , , , , , , , , , Lot ...?S Subdivision )t\QOAP.eL11.. .rl.~. .SARf 901QT7 FiledN1apNo. . . . . . . . o~ h.. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ..1. . x l ~LC)Q G(1'L \...L . b. Intended use and occupancy Yq'Y1~,~~•..~woklW 1sk. JP. m/ , ' Nature o work (chec(Ywhich ~PPlicable): New Building , t ' Addition ..1..... Alteration Repair Removal , , , , , , Demolition ' ~ • ' ' ' ' ' t.:, Ot]Work......... ~I 4. Estimated Cost . ~I (Description) Fee . e Y ' 5. If dwelling, number of dwelli (to be paid on ng ~PPlication) u its Number of dwelling units on each floor , . , , , , , , , • If garage, number of cars ,~j , , , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7, Dimensions of existing structures, if any: Front . , , , , , , , ' ' ' ' ' • • • • • • • • • • • • Height Nu'nber of Storics ..e Rear Depth , , . Di 0 unenstons o same structure with alterations or additions: Front H Rear.................. $ Dimensions of entire new const, nrction: eight Front . , car N .um .be,/, r ~ ofS tories . R He olrt , . q Number of Stories . Depth , ..1,?. , , 9. Size of lot: Front , • . ...Q~ . .......r.~.... • Rear 10. Date of Purchase `r Depth~ .~.4....... 11, Zone or use district in which r Name of Former Owner p 'emises are situated ( (?$,1.0 r.4 12 +j,g/ , Does proposed construction vio;latc any zoning law, ordinance or re Imo , , , . , , . , , . 13. Will lot be regraded Will excess fill be re 14. Name of Owner of remise i mo ed f m premises: Yes No P -ld PA)....... . AddressP`lO gcaulatit)one: . Name of Architect . , ,•''y~I Phone No. 73. ~?o>P,~ , , , Name of Contracto T u Address Gnu : ,yQ-^ , y Phone No. UlflAtdl>\t l~Lv 6 1` Address3y7Js t3ON~ yy~/yy 15. Is this property within 300 feet of a tidal wetland?M'° C hone No'. W *If yes, Southold 'gown Trustees Permit may be required, No......... PLOT DIAGRAM Locate clearly and distinctly allll 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. 3 I I I I ' n ill TATS OF NE1V R TY s.s OWN R! j `y` Namedividual signing being duly sworn, deposes and says that lie is the applicant . c ntract) )ovc named 2 is lri. (Contractor, gent, corporate officer, etc.) said owner or owners, and is duly aGuth d to perform or have performed the said work and to make and file this phcation; that all statements contained in this application are true to the best of his knowledge and belief; and that tine )rk will be performed in the manner set forth in the application filed therewith. om to before me this r1T.var(..,...day of., -ra tary Public • ' &C rrountELIZABAN NEV NoteryPuateof ewYork1 (Sig atureofapplicant) Term Expires oot er Suffolk 1.1 r 2x4 cou.nP k' ~z r~ 3 FA_ : c y~Fl"iT _ c) ,Q'~'Y10 HEAD EiZ Tr ./'.A A5cw 20210 r ' -17 2B4b i 'I . r II I I - 2 Awl , Wi C N/ r4, W,iv Ch N/; mr ~ 1 ~NI^I'U / I I r 'L.u Q7 J OIST~ ~ I b OC ~ I I _ ~c'~Aee, wF-i ~ II - -~-P1T- - - (--1 i ~ N N ~ i ZI Q I ~:1) S1oiNo -io e-,~,~Cr-rt Hou=E 1 7 ~ ~ I N 13 1 2 'Ly ~D FIFE DBK / I -S~ttS A _;w5 8' a^ Y wc« « 1~Vn ~ 2846 I . ~ f I I NV~so+.tfi~ F7E:- f I I i _ _ 1 I C wE;KE.P M I, STDRAI.E I AREA I ~ ~ I sin ~s n i • I 4 44 N r I I I ~ I / I h.6-nA-.= 44Iac' FCH c ~ 1 I ~ VhtHEhT~D 'I _ z UNDERWRITERS CERTIFICATE AIA/ A~ -F.+ F- ~ b REQUIRED I pQP$b11ED AS NOTED I)ATE`3 97 I EE. BV: I ~ - PiOPIr IL ! DEPARTM T 765-1307 9 AM TO A PM FOR THE FOLLOWING INSPECTIONS: I n 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING L 3. INSULATION 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.0- ALL CONSTRUCTION SHALL MEET !~16TEL (4, G, 1 M A? Ef.'_ r! i„ App , THE REQUIREMENTS OF THE N.Y REV, "c ~2 '6 - 4 Av~N. i~t~?:. uL,t, Uk sTn,~2~ % slot STATE CONSTRUCTION 8 ENERGY CODES. NOT RESPONSIBLE FOR ~Z/ ° =Ktr' ~TUK~; '2, -1 U~UNCY OR DESIGN OR CONSTRUCTION ERRORS vw,Ta naoe.[>~ r:E.~c~h rINCKF.~,ai,l:. 7DL ' USE IS UNLAFUL yy HDUS~~ (f. NV FIT ~ ~ViB, PO_R R61c HIS AL.T F~°.F p. WITHOUT CERTIFICATE L7c)l 7N e~s OF ON UPOCY SCALE APPRO~ BY BY DATE E,W7R-4102 'J77iCLD D DRAWING NUMBER ~1H8h1E Fb9f IEgB-15