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HomeMy WebLinkAbout20491-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20945 Date AUGUST 18, 1992 THIS CERTIFIES that the building ADDITIONS Location of Property 1735 PARK AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 2 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1992 pursuant to which Building Permit No. 20491-Z dated MARCH 19, 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 DECK ADDITION & A CLOSED IN DECK ADDITION (UNHEATED FLORIDA ROOM) TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to HERBERT J. ROSENFELD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-245852 - AUGUST 6, 1992 PLUMBERS CERTIFICATION DATED N/A ilding spector Rev. 1/81 WORK NO. f 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) NW? 20491Z Date ...3 9 19 Permission is hereby granted to: . to ~~q...... r at premises located at./ 7 3`'......Q.lf County Tax Map No. 1000 Section. ~ 3.......... Block Lot No...... w:..: pursuant to application doted rV 19..,1921 and approved by the Building Inspector. Fee . uildl for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 New Construction........... Old Or Pre- isting Building Location of Property... ~ ,CrG y?rr;~.e C House No. Street Hamlet Onwer or owners of Property.!?k~~G.... g. 20S~YfL-2,p County Tax Map No 1000, Section../'~o':..... Block 5~ Lot.~a:j Subdivision o ............................../.Piled Map.... Lot...................... Permit NoAf ~/7/ .;.....Date Of Permit. 3,/11/`..~! ....Applicant. /1'.t~n bW 5 7ze)y 1-1_ZD Health..Dcpt. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... FinallCurticate....... Fee Submitted: $Z5 APPLICANT 941,, Yq.5 7 1. C 0 taoa vs INSPECTORS Victor Lessard 9~bFFO(,YC Principal Building Inspector Q Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector v°=a " ~ A y 4 Southold Town Hall Thomas Fisher w ' ' s'•. P.O. Box 1179, 53095 Main Road Building Inspector Gary Fish Sou 971 Fax 5 6) 765- 823 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 JULY 20, 1992 HERBERT S. ROSENFELD 711 AMSTERDAM AVENUE APT' 17-L NEW YORK, NY 10025 PLEASE NOTE: $25.00 REQUIRED FOR PERMIT AMENDMENT $50.00 FOR 2 COs (1) Deck (2) Stove 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 ( not on file.)$25.00 FOR EACH CO 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 # 20491-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAo.r 1. 13011Bt4 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Dote AUGUST 06,1992 Application No. on file )3J l18?1192 N 2k51351. 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 HERB RI)SENFE`GU, 1735 PARK A11N;., NATT7TUCK, N,Y, in thefollowinp location; ? Basement © Ist Fl. ? 2nd Fl. Section Block Lot was examined on AUGUST Pi 3 , 19 92 andfound to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES IfI7 KING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER T. K W 11 AMT K.W AMT. K.W AMT. H.P 1 U 3 7. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS LOCKS BELL UNITHEAT ERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H. P. GAS R. P. AMT. No. A.W.G. AMT. PMp AMT. AMPS. TRANS. AMT HP SYSTEMS NQ AMT. WATTS OF FEET SERVICE DISCONNECT NO. OF S E R V I C E METER NO, OF CC WNO A. W. G A. W. G. A. W. G. PMT. AMP TYPE EQUIP. 1.0 4W 1 R 5W 3;6 5W 3,e' 4W PER e' OF CC. COND. NO OF "I LEG OF HI LEG NO OF NEUTRAiS Of NEUTRAL OTHER APPARATUS: ANTHONY J. rIARRZS TWORRY AVE. CAGUERT0N , NY, 119:33 GENERAL MANAGER Per 13 a 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. COY OR BUILDING DEPARTMENT. THIS COPY 0 CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION A [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REAMS ARKS: G---- R DATE [ 7/ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS a DATE O INSPECTOR 1cLJ y::S. E .IJii .;Cbti4LNI~ AI. ro t. ~ m 7OU11DATION FOUNDATION (2nd) 2. Y ~T~ G /YL GiwM.C z o ~ ROUGH FRAME & I NN -PLUMBING ti H 3. I ~ INSULATION PER N. Y. cl y \\`?SS~GG STATE ENERGY CODE l7 " _ A-Q FINAL ~l ADDITIONAL COMMENTS: m all r ~ H . lov ~ x e i1J ^o H S~4r7rE"~~prfn"k i { '>"'»°a ^m. ..a..« n- ~ e aX:+ B ~"r s ~~yy rrnf , i,r r 9 r ~ R. 11 ~ J11t f 1~ F i > , 'I 1 .~S Ikl f) }S{ 1 "1 1- I eke?js an b'P a 1{ _<51 t 1 lI 1 I I ~ ne el L i S' t D I i 3$ \I k s y ~l aka Lie. # o-' Pffie A ,alt °p~A { 1 1 1 5 3 ~A I a 4 d r7 s z I11 3 Le zID t#. t~.,r k w I ~vr 1 tl w ,i ]'113 W~ ~M1k USE, ,pt mpe jI p E b fl 1 R;~ it AItI1 1.. ~tD ti 1'1 NN I . ; HOU t „))i i - n Y t VVIT ~i f 3 ~w1NURanWWp4,°4) IU' i~I k i t 41 Y 1" t .ey.p.~w.w . ti y is ri W e f ccu, I I i k+ "'~5 1 q,. (Y ~ 1, 1 t a flff^^~ u.~ ~ ~ dP'~ .n Tt~'~x j. 4 r [ ~f 1 1 i. N W. s ~ ~ 4 x~1m {~{3i'~F f C t"» f t , fY' 5 Y I ti >3~t. q 1, 'F } y wk ps 3 a Jn. .kgm ' ~%a t I Au? ~ '1 n yA~ 1 1} U , yy~'~E r )s, ~J~}c °~i 2*~~fy9+{~',r"4 hhV hn k-1l C UNQERWRIIERS CERI7~ICATE , i's Wij t y~ek t~~~aaf... ~yy(eyytt ^MM1,.~ ~ ~ [.J +T' ` ~ r~-- t I 1 r yC , wf' ""''~~lee C°R a' . 1,P7? p i l3 / ~ . ~ z{'r rtis~f°1tA",~ x t 1~~ "2 y 'fro 7E"~ f?"'~' I tt It ,~ypyt I. h , 4 of 'Q / rM+ U $~1 I ~ 1..~~ i kf t Ei {I. [I, J,7 ~'t + rye aµy , it ,rorw,Mwe„~,j;;n, FI i.l ~"~1 t ~b t 1 ww: t1 wMt.yq _ f IF 9 e i~ n L, 1 +e... 3, 1 f s:3FCw~ "CL"{ n ii, y a l r}"ftt k1 :'I [ ~ 3 K 1 4 J L 5CH ,LL !00° v ei i xc~ ran 4so~ x:+71 rb[ 6r Phn~o pd~eJ rue CC.e-~ un1 L~ t 9e indv:ah"F here ! I s Vii, and On his hsF, - r ~yy puernmol, to - r afst'-}~~r a j 1.yE a :¢,nzans.n e " ~ SYC113V.4-~ r G t ; ""arstE ~~oPo eat tttttt FlovrARoo.n far dt PAQ14. AVV*N 3 OF Nt-711 Vqb 9:A'A S 7 _ s'~hAli r I AM A` LNV At, 'low CA LAP Eft D Slt"'t,)Ntl~~k~: . yw. 4 ~ _x. BOARD OF HEALTH FORM NO. 1 /-3 SETS OF PL INS , TOWN OF SOUTHOLDSURVEY . BUILDING DEPARTMENT C1ICCK TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 l)// TEL.: 765-1802 NOT' 'f . nCAL Examined .19 MAIL TO: Approved 19-ZPermit No.T ~y Disapproved a/c (Building Inspector) /If7r L ~e APPLICATION FOR BUILDING PERMIT ~(y Date ...C, 19 P. r INSTRUCTIONS r a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy hall 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 ,egulations, 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 dmit authorized inspectors on premises and in building for necessary inspectio2fa (Signature i t, or name, if a corpo tion) ROI.6m. 3. LI..5.S~ 4 Aa,yw vp/-t- (Mailing address of applicant) M70 itate /lwhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~7:K,"J?, /Pe j...Q D. rh ~f lame of owner of premises ..~Gs.O...O SPvn. ~4 (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer),+ Builder's License No. yJ~.~...4? ,L . Plumber's License No. Yl c~ v) e Electrician's License No . Other Trade's License No . Location of land on which proposed work will be done . .....Pa~.~e..~ YY1~d-t°~ . House Number ~ 99 Streeter Hamlet County Tax Map No. 1000 Section Block ...6 . Lot . Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of pro osed construction:` a. Existing use and occupancy c~.V lytC~..1 2n,?Y~1 1 ~1. ,t^?? Vl (1 co,~ ) b. Intended use and occupancy 6c)M i .t.." " 3. Nature of work (check which aplplicable): New Building Addition Alteration Repair oval Demolition Other Work oO (Description) 4. Estimated Cost......9.5001 Fee...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling }snits . . . . . . . Number of dwelling units on each floor , If garage, number of cars I,........................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . Dimensions of existing stru Ns, if any: Front (p'`, , , , , ,Rear ~ v~ , , , Depth ..y5! , , , , , Height umber of Stories • ' ' wi, th alterations or additions: Front Rear p . Dimensions of same structure Height . Number of Stories 8. Dimensions of entire new constmction: Front Rear Depth . . . . . . Height 4 Number of Stories . 9. Size of lot: Front Rear /.a-0 , , , , , , , , , Depth J~~, 10. Date of Purchase / • • • • • . • • • .......Name of Former Owner ...~.b.~{ ~.~?:-:~'.t-t . 11. Zone or use district in whic premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . , h ..0 , 13. Will lot be regraded Will ex~gss till be removed fr m premises: Yes CO) 14. Name of Owner of premises kde~ b. R'L?* , lQ, ,Address .lam? /ayx I m e No. Name of Architect Address Phone No.. , , a . Name of Contractor within T . ~1~~ Address d? Yes - ne No..7,aa, 15. Is thisI property * 00 feet of a tidal wetland? eyes,,,,,,,, No ' yes, Southold own Trustees Permit may be required. 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. A1I 1D AS NOTED I)ATE 3 B.P. 1i r ' g FEE: Bv: NOTIFY G DEPAR AT 766-9802 S AM TO 4 PM FOR THE 1S i I FOLLOWING INSPECTIONS: J I . FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 30r I~KSe - a$ - 4. FINAL CONSTRUCTION MUST RE COMPLETE FOR C.O. I ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. "STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS i :TATS OF NEW YORK, :OUNTY OF S•S Bove named( Name of individual signing) being duly sworn, deposes and says that he is the applicant contract) . . . . . . . . . . . . . e is the . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) C 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 containgd in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. .vom to before me this y ..........day of. . ll : J1.4 t w' 19 . I ~ otary Public, , , , , , , , . County v- LI DA J. COOPER . V7 Ll y/ tgnature of applicant) No. 4822563, SuffolkNCounty Public, Term Expires December 31,1 ~Z~