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HomeMy WebLinkAbout20742-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22096 Date JANUARY 11, 1993 THIS CERTIFIES that the building ADDITION Location of Property 3735 VANSTON ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section ill Block 11 Lot 1.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18, 1992 pursuant to which Building Permit No. 20742-Z dated JUNE 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 SCREENED PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CRAIG & SUSAN LEHMANN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-259914 - DECEMBER 10, 1992 PLUMBERS CERTIFICATION DATED N/A 14,11 Building Inspector Rev. 1/81 FORM 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) N2N° 20742Z Date .............6112..............................., 19.. L Permission is hereby granted to: C611G L E iomvA) 3......5 ~13 r~..... ci rc~rvGum .../1935 . to :P. i/s~n.u.Gl............Z9 Sct2....4r.~......../~1F...biz.......%J~1/ F _ ....................5...... ~.'!...li~~.......2 ~s at premises located at 3 5 L ! VI . ........./.....J............................................................ 9..~V/ f f . County Tax Map No. 1000 Section 11/Z.......L... Block Lot No...... pursuant to application dated ..................F/1R............................, 19.?W.-, and approved by the 4 Building Inspector. Fee S.. S i Building Inspector i Rev. 6/30/80 FORM X0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk'a Office Southold, N. Y. Certificate Of Occupancy No.Z?05....... Datet )Yl Y 0.1 . 19.?7.. THIS CERTIFIES that the building located at 1/414tAUA. Road......... Street Map NO. RaSSeu . Pt.M. Block NOS Lot No.... g • • • • . • • • • • • • • • • conforms substantially to the Application for Building Permit heretofore filed in this office dated ..8*p.tambei*.30.M...... 19 ..76 pursuant to which Building Permit No. 889.. 1 Z. dated ..8epUmbar. .$0,1......, 19.76., was issued, and conforms to all of the require- ments of the,applicable provisions of the law. The occupancy for which this certificate is issued is ...Ingmund ..YwU=13mg. •pao3,- With. feint.,. ~nalovt~ar The certificate is issued to l uQ. •SJ.egel• . • • • . • • • • • • • • • • • (owner, )p0 get) of the aforesaid building. Suffolk County Department of Health Approval Wit . UNDERWRITERS CERTIFICATE No. .1131.9012 HOUSE NUMBER ..3735....... Street V' 'k021.Road••••.•••••••••••••••••••. ..........................................(lu gte!•N...Y,... Building Inspector r Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT JAN - C TOWN HALL 765-1802 ;J i 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 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. pTemporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 1~CEIJ ~a~C FI ~ID~ Itl D Date New Constr ction.. Old Or P e-existing Building Location of Property .~35........fJS'Ce~..T`o~l House No. i Street Hamlet Onwer or Owners of Proper ty..'t?t~(~..(n)!~~..!~~!~..1{A~..~I~d~1 //~__~x.......... County Tax Map No 1000, Section /I/...... Block I/....... Lot...... 1.0.Y:........... Subdivision .....m.7 ..............................Fpiled Map.........I...Lot...................... Permit No...c. 01 Z. Date Of Permit. r° Applicant. t' R~??IXM 4P(q........ Health Dept. Approval ..........................Underwriters Approval.. Planning Board Approval Request for: Temporary Certificate..........: Final Certicate...V Fee Submitted: $.°~or:~© . cc APPLICANT _ _ INSPECTORS 10 Victor Lessard Principal Building Inspector ASP tJG Curtis Horton ~ti~ SCOTT L. HARRIS, Supervisor Senior Building Inspector a v~ Southold Town Hall Thomas Fisher a Building Inspector P.O. Box 1179, 53095 Main Road Gar Fish ~d'1 Southold, New York 11971 Building Inspector 2~1 V' 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 DECEMBER 7, 1992 CRAIG 5 SUSAN LEHMANN 3735 VANSTON ROAD CUTCHOGUE, -NY 11935 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 is not on file. (Enclosed) %x% No Underwriters Certificate on file. S%% 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 # 20742-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. cC KXMLNr~ q t. v m v a FOUNDATION (1st) I a FOUNDATION (2nd) 2. - o ~ P,OUGH FRAME & PLUMBING 3. ' 3 m INSULATION PER N. Y. Y STATE ENERGY CODE 4. w y FINAL ADDITIONAL COMMENTS: x~ Y to X H 39 • A - H O 2 M r m , y 7flZ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ MIND [ ] FINAL crP C~~~ REMARKS:. DATE NL M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INS TION [ ] FRAMING [ INAL REMARKS: DATE Z~ INSPECTOR t THE NEW YORK BOARD OF FIRE UNDERWRITERS A~% 1000121 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 a Date D CrPdm 10,J992 79002592192 R 1159914 ~ Application No, on file 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 CRArG 1,EHMANN, _1735 VANOTON ROAD, CUTCHOGUE, N,f, in thefollowing location; ? Basement ? 1st FL ? 2nd Fl. OUT Section Block Lot wasexaminedon DECEURNR 617' 19'32 andfound to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER MAi. K W AMT K W. AMT KW. AMi K W AMT H P .1 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. OIL H. P. GAS H. P. AMT. NO. A. W G AMi AMP AMT. AMPS. TRANS. AMT. H P. SYSTEMS NO. OF FEET AMT. WATTS I SERVICE DISCONNECT NO.OF S E R V I C E AMT METER NO. OF CC. COND A W G. A W G. A. W. G . AMP, TYPE EOUIP. 1.9' ]W 1.0 3W 3.e 3W 3,e 4W PER OF CC CG. NO OF HI LEG NO OF NEUTRALS OF H1 LEG OF NEUTRAL OTHER APPARATUS: 1 PAUL I I 75 R. UUARB I',IG.$282E 2 J75 TOWN HARBOR 1.Aid1; SOUTHOLD, NY,', 11971 GENERAL MANAGER 11 It 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. 1 { I t • ~ t 1. 10 r ui ~ Fl7Pj5~ ' ' r~ Lij uI F .32 rci i~ r' n Ill ti' war' CI.I~ t." ry `v~ tt I.. 1,7 l(' C.0¢ve n y1 C)n tf3 G~ ~Cr '~Ft QZ E~ Ll_ U) j 1 ~ , N } (L ,s,l PTO pq•. ~~~E :z C.) adpD , zP~a%o RdA~ ~ 1 ' BOARD OF HEALTH FORM NO.1 /3 SETS OF PLANS AIN 18 {9~2 ~ TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT XCHECK . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM C- SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t•aT` . . 7; / f - l q y C ' . Q Examined , , , , 19 MA I L TO: Approved 11q, . . . .1 19/. Permit No. WX' ? . Disapproved a/c F . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date u nJ C . 8 . r 19 9 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit shall 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 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ons. v 1 d..... ( 'gnat e of applicant, or name, if a corporation) `1. 5.YooN~T J?.Pn:F ctr~H~cu , N733 - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ©u'N+?R Name of owner of premises ~~Iti~..('1.}?N.~../3ND..USH~ J-EFf(sl/~UJ ftJC, (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No. Electrician's License No. f63o v .6 Other Trade's License No. . 1. Location of land on nwhich proposed pwork will be done. . _S '7 35....... ,Y flNsroa...1~a~,D 4l~NaG!uG........................... House Number Street Hamlet County Tax Map No. 1000 Section I.! Block ......U Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use anti occupancy of proposed construction: a. Existing use and occupancy S.}, E ~fi(h lLy QC)U l v6...... b. Intended use and occupancy a ~e I L`/ ..p~?' 3. Nature of work (check which applicable): New Building Addition ! Alteration Repair Removal Demolition Other Work y (Description) 4. Estimated Cost . `-'k........................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling u nits I Number of dwelling units on each floor . garage, number of cars . of commercial ixedi' c • pa • . , , specify , at . • • • • • . • occupancy, specify nature and extent of each type of use , 7. If business, existing structures, if any: Front 76 , Rear ....1......... Depth Height .ZIR Number of Stories Depth Dimensions of me structure with alterations or additions: Front '7.1'............ Rear Z8.,,, , , , , . b. Height Number of Stories , . . Num chop: Front . 4, , 24 1 2 9. Size of lot: Front Z. 8. Dimensions of entire new const r • I 2 ;dear, • Depth 1: • • ~ . Height • • . • ?W. P0.r.. Num erofSton es..... Rear Depth . '1 17 10. Date of Purchase 3? 9 / Name of Former Owner MAM U A4 . f. 91?B ~'R. SIEGEC 11. Zone or use district in which premises are situated R J9 12, Does proposed construction violate any zoning law, ordinance or regulation: n . 13. Will lot be regraded ..Nt?. Will excess fill be removed from premises: Yes X No 14, Name of Owner of premisesQ4W. i'. %,q9 .4*N(hRl~ ddress $?3S (l/aN Vl) f-o,.C4r01?hone No..~ .y'~.S$) . .....tJ.+'kl1D.l Ei L~'~- Name Name of of Architect Contractor ..0.. , Cam... ' • . • • Address m. G IC, . Phone No. ? .4. 25c~, Address . Phone No. . 15. 14 this property within 300 feet of a tidal wetland? *Yes. No..%/ . *If yes, Southold Town 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. SEE 5 Vey. I II ICI STATE OF NEW ./.S IS COUNTY . CC (Name ~ individual signing being duly sworn, deposes and says that he is the applicant contract) above named. He is the ....r r (Contractor, agent, corporate officer, etc.) of said ;owner or owners, and is duly ;authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of , 19 9~ J NotaryPublic,..i , County CLAIRE L QLEW Notary Pubilo, State of NewYortt No.4879604 My (Signature of applicant) Commiissioin Expires De em%owu 8,19~~ Z 0 i a _ - S 1=x STS N ~a r~NDt~1~o~1 wa 4551 f 'Irma mr;.+}:t rl JUN E W9 5NIi.V l-E- 1°S(lalls~ °X 0 a o I 7~ nhnT[~1 ~NSCFZUC~toN r::nR' 4~ ~ ~ ~ 81992 o F~45 .?~.IGV 5[mv• - 2-_k_8 DJ Imo'.-a - ~ ' t~~wl v ' rb M~~ MNR.-•N ~ y$ scF~ys f _ I iy =p 1514-X(, G~oo-R V " i >,~+6 4x4 tx~s ccb W(, v ti' ~,~E i 1 x ~ ~cb~ - TYPu.h~ i' `tip ~ , LInIE of '.f~ECY-,IhIL•~ ~!E ' / ~ )T~ if L f~-\/ bT l c) I~f u M g'- 0 2 4-'- N L > W+ ~ i Y V I~~I- ~~~MW(a I-uM To t'~ Goa I ~ of ' 2a3~.Fr O FL Or ! b, H LI.JI G r aDf APPROV-D AS NOTED OAT$B.P. p I t al NOTIFY BUILDING AT d - k (o GE-ob-K C~+y~y,U~~i~~~~ YC~ OR FEE:~DEPARTMENT 785-1802 9 AM TO h PM FOR THE USE IS UNLAWFUL FOLLOWING INSPECTIONS F~ 1. FOUNDATION - TWO REQUIRED 2x fZR' lCn"OIL, 12 ''yam /e p- UNDERWRITERSCERTiFICATE FOR POURED CONCRETE CERTII-IrATY REQUIRED 2. ROOGH_: FRAMING & PLUMBING ~,~I i WITHOUT J. IMU H U OCCUPANCY 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS, OF THE N.V. STATE CONSTRUCTION d ENERGY I' :r~ti~~Ti~.~UOV„ ~EE]~IEG VEr~ CODES, NOT RESPONSIBLE FOR 2 n/v GJ - ICa"0/v ~ - I X Co G~rJtrK. DESIGN OR CONSTRUCTION ERRORS x (o GEpM2,- 7b-C•a ~V'-b'~T ~ ~i~ (2) 2x - 4x4 GC.CC-K.T kll 112 ~L!>SF11 -1C~ r2,pLL ~.OC>~In-I(a 6I.UM /auT~• ~ 5/~-x ~'/_Top~sI,GEE~ iNj•QOiI. 1 k8 ~£P F°~~ - I ~ I~JI; I'1{L-i 4i I { ~ # - it ,IT,.~ I ~I m} ~ t 1 Xfo /iE.~C7bR ~i ~1~~11 II~~µ,~llti Il~t{I~~flli ~j'aH'1 tlli'~ ut[~J{Jr Y~ °pIrC~I ~ I{I~~'• -p ~~M[a/t~P~~.E _ - 5~4 x/vGEL~R, CEGK~inIG (ND SP6Ur~~ ~ 2xg c~~ - icw, L9 #I ~1~4%t-a. 1t~1 T ' G~CPr~If-~l'T, L " 1) ~1 L ;lily h 1 I I- i , i x 8~o~tz 2 x 8 60,0 - 1I l i I I I I I I I 0 ,6 11 'F ~ Il~il~`~=.1I 1 1 I I I I ,/4„