HomeMy WebLinkAbout20826-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21101 Date OCTOBER 21, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 460 HORTON AVENUE MATTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 141 Block 2 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 7, 1992 pursuant to which
Building Permit No. 20826-Z dated JULY 14, 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 ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOAN RUTHER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-14-OCT. 14, 1992
UNDERWRITERS CERTIFICATE NO. N-253512 - OCTOBER 14, 1992
PLUMBERS CERTIFICATION DATED SEPT. 1, 1992 - BERTSAND PLUMB.&HEAT.INC.
Building Inspector
Rev. 1/81
rosin NO.
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)
WN° 2082OZ Date I.XARtly 19Q?r
I
f
Permission is hereby granted to:
.~CLIIV I.. 0MC.
7.R...ur~xc~a...~r~R L?
to -6 R!~!'! t.Sl!.......A..r..... ..Q' 4f A~ ....::4+r
000 1 U
r ~
at premises located at l7...
County Tax Map No. 1000 ection f.1I............ Block Q.;;?m Lot No.
pursuant to application dated 'Sj.....7.................. 1918 and approved by the
Building Inspector. II
Fee 5..':.
u'ding-Inspector
Rev. 6/30/80
i
FORM NO.6 D
TOWN OFSOUTHOLD /
Building Department /
Town Hall V
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted u v r to the Building Inspec.
for with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25.00 BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date
NewConstruction Old or Pre-existing Building Vacant Land
Location of Property 460 Hprtpn, Aypppe Mattituck
House No. Street Hamlet -
Owner or Owners of Properly Joan RUther
A.
County Tax Map No. 1000 Section , , , 141 , , , , Block Lot .
Subdivision ....Filed Map No. ..........Lot No. .
Permit No... 208262 Date of Permit YW14 ..Applicant EaSt Isle Custom Builders, Inc...
Health Dept. Approval 92, SO 14 , , , . , .Labor Dept. Approval
Underwriters Approval ........................Planning Board Approval
Request for Temporary Certificate .....................Final Certificate X
c ri'
Fee;Submittf $ .
Consu8cton onabove described building a permit me s I apppplic bye codes and regulations..
E T I LE CU BU1L0 S, INC.
Applicant
chard Oppe Pr esident
Rev. 10-10.78
;D 9
co eall01
TEL,. 76s-1 ao2
~~c~VEFOLk~o TOWN OF SOUMOLD
OFFICE OF BUILDING INSPECTOR
cam, P.O. BOX 728 _
0 0~ SOUTHOLD, N YL 11971
OCT I
C E R T I F I C A T I O t~ Jf t'?
Date Se,~fP~,hrTg9a-
Building Permit No.Z°~~ Z
Owner
(please print)
PlumbeYl3FR„ )Lu idr~,
(please print] '
I certif that the solder used in the water su 1 s stem
y AP Y Y
contains less than 2/10 of 1% lead. ~
• plwpperrs signature)
Sworn to before me this
Is _T day of S~~rr ~c~ ,
19~. X16,._. ?x A~
Notary Public
Notary Public , 6 u F ra ~ K County
EILEEN M. ROACHE _
Notary Public, State of New York
No. 482(3942
Qualified in Suffolk County 4'/
Commission Expires January Si, 19_s,.7
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
~10aUM BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date OCTOBER 14,1992 Application No.onfile 78088292/92 N 253512
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
RUTHER, SIS NORTON AVE., HATTITUCK, N,Y,
in thefollowing location; ® Basement ® Ist Fl. ? 2nd El. OUT Section Block Lot 148
was examined on OCTOBER 08,1992 andfound to be in compliance with the requirements of this Board.
FI%TURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 'L
OUTLETS ECEPTACLES SWI7CHE$ INCANDESCENT FLUORESCENT OTHER AMi. K.W. AMT K.W AMT. KW pMT K W AMT H P
1.e 29 12 14i
DRYERS FURNACE MOTORS F.I.R. APPLIANCE FEEDERS 5PECIALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K. W. OIL H. P. GAS N. P. AMi. NO. A W. G. qMT. AMP AMi AMPS. TRANS. AMT H. P SYSTEMS
NO. OF FEET AMT. WATTS
2 F 3
SERVICE DISCONNECT NO. OF S E R V I C E
AMI. AMP. TYPE METER I A' 2W 1 3.11 N 3,e" 4W NO. OF CC COND. A. W G A W G. A W G.
EQUIP. PER .e OF CC. COND. NO. 01 HI-lEG OF If LEG NO OF NEUTRALS OF NEUTRAL
1 100 C11 I x 1 h .1 4 ~
OTHER APPARATUS:
MOTOE2SL1_I, H. H. ,1.-1.,0 H.P.
G.F. C.Tt-2 ~
SMOKE DETECTOR;
PETER CHARBONNEAU LM92691-E
35 SHEPPARD LANE
SMITHTOWN, NY, 11788 GENERAL MANAGER
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.
C ST NOT BE ALTERED IN ANY MANNER.
:r 1
e
EAST ISLE CUSTOM BUILDERS, INC.
278 )AMAICA AVE.
MEDFORD, N.Y. 11763
(516) 727-6023
August 31, 1992
Building Department
PO Box 1179
Southold, New York 11971
Re: Permit No. 20826Z
Gentlemen:
As requested, enclosed please find copy of under construction
survey.
ncerely, ~j
Richard Op a ano
President
RO:eac
Enclosure
EAST ISLE CUSTOM BUILDERS, INC.
278 JAMAICA AVE.
MEDFORD, N.Y. 11763
(516) 727-6023
September 18, 1992
Mr. Gary Fisher
Building Department
Main Road
Southold, New York 11971
Re: Building Permit No. 20826Z
Dear Mr. Fisher:
Enclosed as requested by you for the captioned job, please find
a copy of the truss design.
_ cerely,
Richard Op ed an
President
RO:eac
Enclosure
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M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ FMING [ ] FINAL
CU .a_t c Yz
~ REMARKS:
k
DATE ~G ~ INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FO ATION 1ST ( I ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: °~7 D
G
A!l
T
DAT Z7_INSPECT07R/=
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ( I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
E
ss-~-
REMARKS:
F
I
i
t
1
i
t
DATE Q// ~f -INSPECTOR
u
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ) ROUGH PLBG.
FOUNDATION 2ND [ INSULATION
[ ] FRAMING ~~JJ FINAL
REMARKS:i
DATE INSPECTOR
1i L~ L:s: E III„ ~;.*IML9Tv
0
1. ` 'AMN. _m 00
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7OU11DATION (1st) b'/ 92 ar y
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TOUGH FRAHE &
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PLUMBING
3 H
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_11SULATIOi1 PER N. Y.
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STATE ENERGY IIf
CODE ` S
FI:IAL
r
ADDITIONAL COMMENTS: x `
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31
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~ FORM NO. 1
TOWN OF SOUTHOLD n
BUILDING DEPARTMENT
JUL - 7 I992 TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined Received 19
Approved { .~..7...., 1994- Permit No.604.~ g e
I ow.--~
Disapproved a/c Is y y
(Boil mg Inspector)
APPLICATION FOR BUILDING PERMIT
Date ` 19.
. .
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 inspections.
„EAST.ISLE ,CUSTOM ,BUILQERS, , INC. , , , , , , , , ,
(Signature of applicant, or name, if a corporation)
..278.Jamaica,Ave, ,Medfgrd, ,New ,Yory-1763
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
agent/builder contract vendee
...................................of.
Name of owner of premises ,Ella Stelzer
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer,
itle of corporate officer)
(Name and title.
Richard Oppedisano, President
Builder's License No .
Plumber's License No. ....1487P , , , , , , , , , , , , , , ,
Electrician's License No. 2697E, , , , , , , ,
Other Trade's License No .
1. Location of land on which proposed work will be done. . S(S, Hprtprt, Avenue 310.79! E~O, Shirley, Road, , , , , ,
0 ..S ((r4Q ....................Mattituck............
House Number Street Hamlet
County Tax Map No. 1000 Section ....141 Block 2............ Lot 7
Subdivision , dgsc, pr9perty Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , , , vacant land
~5. ;3 <sz~:. $i•: §V.il~ . .
$ ~i i.y B1?.ir? yfat .l~ FIH:',say
b. Intended use and occupancy „single family dwelling t.z,~w;'sV.`sz`.c. ,tr wTlr,tr
i:1;I>c'1 i r?rpui' mat
rA
3. Nature of work (check whiclh applicable): New Building X, , , 7 I
Addition Alteration
Repair ' Removal , Demolition Other Work . .
(Description)
4. Estimated Cost / rri .a Fee
° (to be paid on filing this application)
S. If dwelling, number of dwelling units 3......... 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 Rear Depth .
Height Number of Stories .
Dimensions of same structure with alterations or additions: Front Rear . •
Depth Height Number ofStories
8. Dimensions of entire new construction: Front 42l. . . . Rear 42! Depth .24! .
Height 16' Number of Stories , l • . • •
9. Size of lot: Front ......100' Rear 100! • • , • Depth . • • • 120' . •
10. Date of Purchase 6%14%50 . . . . . . . • , , , ,Name of Former Owner ,Edith Young ,
11. Zone or use district in which premises are situated . . • • • . •
12. Does proposed construction ;Violate any zoning law, ordinance or regulation: . np. .
13. Will lot be re
graded . • • • • • yes • • • • • • • • • Will excess fill be removed from premises: ' Yes Ni
14. Name of Owner of premises i... Ella. Stelzer..... Address Horton. Aye,. Mattltu done No
Name of Architect Rl chard,. kld[tdp14Sk1......... Address . Rlyp1 eod,. NY..... Phone No. 7?7-6023......
Name of Contractor EAST, ISLE, CUSTOM, BUILDERS, Address . MedfPrd? • NY• , , , , , , Phone No.. 7??-6023
PLAT DIAGRAM '
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frorr
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
'
~ I
STATE OF NEW YORK, S .S
COUNTY OF SUFFOLK......
Q . N~ckw-V'q. W a ti~o• ~oskibeing duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the . P 1f .EAST..l1, .QQUQM .BQI,I,RL;RSy. JAC.., Aq .d9?rKV 6 .
(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 rier set forth in the application filed therewith.
Sworn to before me this
Notary Public, . ,County
4 M.
a
Y Nl .
ichard Oppedisa (Signature of appli
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