HomeMy WebLinkAbout20854-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22207 Date MARCH 23, 1993
THIS CERTIFIES that the building NEW DWELLING
Location of Property 510 TUTHILL ROAD T. SOUTHOLD, N.Y. Hamlet
House No. Street
County Tax Map No. 1000 Section 55 Block 6 Lot 15.23
Subdivision HIGHPOINT MEADOWS Filed Map No. 8911 Lot No. 20
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 17 1992 pursuant to which
Building Permit No. 20854-Z dated JULY 28, 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 WITH ATTACHED GARAGE AS APPLIED FOR.
The certificate is issued to RICHARD & THERESA PRESSLER
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-17-FEB. 18, 1993_
UNDERWRITERS CERTIFICATE NO. N-268710 - MARCH 8 1993
PLUMBERS CERTIFICATION DATED MARCH 17 1993 - PERFECTION PLUMB.&HEAT.
Building Inspector
Rev. 1/81
roast xo. 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)
. 1x`1.3-
WN04 208542 Date
' Permission is hereby granted ton:
k4t ..cE!- Eb l r.
3 9.9.5.......ak! ~a....
..~..1./.~..........
to ...Q, 51~~..%~:...f14.s...... n -l R ran KAS 4 ~?..4,N 9.K cW! ....A'V
.
A-.f.fR4AA..• ar=
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at premises located at ..w~..1..Q..... r~,K....h4:.... .
County Tax Map No. 1000 Section Q +ti~s Block r Lot No!~ try..
pursuant to application dated .....1.46 . . Ole, and approved by the
Building Inspector.
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Fee
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to="°'t
Building Inspector
Rev. 6/30/80
Form No. 6 I
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
Spector with the following: for new building or new use:
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 2- l q- V
New Construction../:....... Old Or Pre-existing Building ..Location of Property.... ~?....I.' !fi-/ 1-L. .R-6...... SDta'7 f`w~-~
House No., Street Hamlet
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Onwer or Owners of Property X!... ..4 ~vl•.... . j. s_5................
County Tax Map No 1000, Section...SJ ;.....Block 67 ..........Lot.. ~S ~.3
Subdivision.. t,5'~ pi?1f r1Q0Ll0Uj S ~CJ
) . .o...... ......Filed Map... Lot...
70SSAl
a8- --}Permit No... ....Date Of Permit... 7....... 9,)-Applicant.. I C L 6P,
Health Dept. Approval..... ,,,,,,,,,,,,,,,,,Underwriters Approval
Planning Board Approval.....,,,,,,,,,,,,,,,,,
Request for: Temporary Certificate........... Final Certicate..,
Fee Submitted:
5 .ar 4 SG 4'~ . `
c0 -Z aaa0°_ APPLICANT
ocj~~ F O TEL. 765-1802
o~ 1 9,
TOWN OF SOUTHOLD
f T L OFFICE OF BUILDING INSPECTOR
c°n ~ ~+i . -31:frk rn P.O. BOX 1179 lv 'R
p eA C TOWN HALL ~ IM P;'
SOUTHOLD, N.Y. 11971
0 b 6171
C E R T I F I
C A T I O N
Date /7 98
Building Permit No. ~U~s y
Owner, ehar d
(please print)
Plumber e~l«fior
Vn~ )iV1 w- qq
(please print)
rl
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber's signature)
Slwo~ n to before me this ay of _ M rc-n
c~-
19 ~ 3 ~2P
S Notary Publi
Notary Public, (il z County DIRE
Notary Public, State of ®w York
Qualified in Suffolk County
Commiselon Expires December 8, 19
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAet; z
F 71 BUREAU OF ELECTRICITY
I 88 JOHN STREET, NEW YORK, NEW YORK 10038
Date HARCH 08„1993 Application No. on file 7911i79k}2/92 2fg710
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
e RMARB PRNMER, !010 'PUTHT.LL Rf}rli) HyT, SOUTHOLD, N,7.
in thefollowinq location; ® Basement ® tst Fl. 0 2nd Fl. OUT Section Block Lot
wosexaminedmt MARCH 04,1993 andfound to bein compliance with the requirernentsq(this Board.
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FIXTURE ECEITACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K W AMT KW AMT K. W AMT. H P
24 27 20 25 1 1,Q
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EEII UNIT HEATERS MULTI-OUTLET DIMMERS
AMi. K. W. OIL H. P GAS H P. AMT NO. A. W G. AMI, .11 AMT. AMPS TRANS. AMT H, P SYSTEMS
NO. OF FEET AMT. WATTS
3 F 2 1.
SERVICE DISCONNECT OF S E R V 1 C E
METER
AMT. AMP. TYPE EQUIP. I!T 2W 1 %3W 3 %3W 3,e' AW NO Oi CC. COND A. W G. NO. OF WAI A. W G TRA
PER % OF CC. COND OF HI LEG NO Of NEUTRALS OF . EN UG.
1. zep r.B 1 x 1 4~a 1 2/0
OTHER APPARATUS:
NOTOR9;3_1 lt.n,
G.1',C,Ca•5 ~
SM01(L Bk,TE;CTORc 1
G & S CONTRACTOR LM 0578 N
BOX 215
SOUTHOLO, NY, 11971 GENERAL MANAGER !
11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors maybe identified by their credentials.
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70.1802
BUILDING DEPT.
IN ECTION
[ ] FO DATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE v INSPECTOR .r
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] F UNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
REMARKS:
DATE C 7/ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUN ION 1ST [ I ROUGH PLBG.
[ FOUNDATION 2ND [ I INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
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DATE Z-- INSPECTOR -
E
M-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING FINAL
REMARKS: D
t
! DATE ~~7L INSPECTOR
i
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [`f NSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
• e
DATE Z' INSPECTOR i
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ I INSULATION
[ ] FRAMING [ , FINAL
REMARKS:
9ar/~1~Lt6
k 1 ~6 r
DATE ~J 3 INSPECTOR
M-1902
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
REMARKS:
DATE 3/~ INSPECTOR
1 ! D _ . _"'N C:.X }ENT
vA
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?OUNDATION (1st) I - a
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'OUNDATION (2nd)
OUCH FRAME & I O
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-11SULATION PER N. Y. I m
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STATE ENERGY II
CODE ` r
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FINAL
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ADDITIONAL COMMENTS: m
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BOARD OF HEALTH
J SETS OF PLANS
FORM NO.I SURVEY
JUL 10ja TOWN OF SOUTHOLD C11CC1
Y BUILDING DEPARTMENT
t _ SEPTIC FO[t21
' TOWN HALL
A i.`s74a•`j?,fjEjf''r9t'~LKy ,.w. SOUTHat.~.-tI-Y.tla7t tirAL 0~~((~~ TEL.:7051II02 .
Examined .+4 l9 A TO:
Approved 1. Z.~.., 191k- Petmit No.q> CC>
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date i
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit!
set4 of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of building
cation. • s on premises, relationship to adjoining premises or public stre:
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app
ca
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 perry
shall be kept on the premises available for inspection throuchout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa:.:
shall have.been granted by the Building Inspector.
` APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pen-it pursuant to t!
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c
Re_ulations, for the construction of buildings, additions or alterations, or for removal or demolition, cs herein describe:
The applicant agrees to comply with all applicalite laws, ordinances, building code, housir de, ano regulations, and t
admit authorized inspectors on premises and in building for necessary i spectt S.
•(Signature•ara pllcant, or name, if a corpora'ti_oIn)
5 39;S~-7 MAlKU T ~ SO 1 1L~
(Mailing address of applicant)
State whc her applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
f~ ~?l t e n ~....t? ~?~?n-F~.r
Name of owner of premises Lc ~tCr_ 1• .YL
(as on the tar roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No... A~ J
Plumber's License No. , Z 1 , , , , , , , ,
Electrician's License No. ....:5?Q,
Other Trade's Liccnsc No .
Location of land on which proposed work will be done;
II -7
Ilouse Number Street
Hamlet •••1•......
County Tax /Tap No. 1000 Section ~ , , . Block /ate, . • • Lot.
Subdivision (80. QXU t. nA J; Filed P. G II...... Lo '
VV c flap No. ...L~
(Name)
State existing use and occupancy of premises and intended use and Oceupa cy of proposed construction'
attt
A. Existing use and occupancy.... Y,~I+t r~~~„}a~~.. • • .
C- yt „aa, ,:Iau$ ,t9t.~5't~A .aN
rlr
B. Intended use and gccupancy.:~.71:~~...~Q:r:::,,,tl).q
it
3. Nature of work (check which applicable): New Building X, , ,
R , Addition ,Uteration .
Repair
Tennis Court RFmoYal . Swirnning pool .
, , ' • • • • • • • • • • Demolition
~ccessory Building,
4. Estimated Cost2 J??~ Fence .......Other Work:...... , , ,
Fee
n
5. If du'cllin^ number of dwcllin~ u 4tn be paid on filing this application)
'nits , Number of dw
0j
jr garacc, number of cars clling units on each Moor. , , ,
6. If business, commercial or mixedloccupancy, specify nature and extent of each type of use • . •
7. Dimensions of existing structures', if any: Front . tk°s+ 14. , Rear Depth .
Hci^ltt
Number of Stories
Dimensions of same structure with alterations or additions: Front • .
Depth . Rear
8 . Height , Number of Stotics .
, Dimcnsions~f entire new construction: Front , .Zk; :
H e i ; Rear Depth ..Z
. , .
rd"4 , Nurp Storics J:~~, {v
4. Size of lot: Front 10$ tier of . • • . !p a'" . ' •
10, Date of Purchase yZF.?Q-&p 3, A 1'•car../Z Depth
.
11. Zone or use district in which prcMises are situated . , (<?tmstcglofenFormeortOwner
1„ Does proposed construction violate any zoning law, ordinance or regulation: t.Y a
13. Will lot be regraded . Will excess fill be removed from premises: Yc.
14, Name of Owner of premises _ Address
Name of Architect Phone No..~7.
Name of Contractor .r Address , phone No.
fi ,
IS _Ls this ro ~j ~O hri1 p~ ddress Phone No. -7;3 C ) •7
p perry 1o abed within 300 feet of a Cidal wetland? YES...
* .ttO.,CG +
If yes, Southold Town'ITrustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all puddings, whether'existing or proposed, and. indicate all set-back dimension-.
t:
property lines. Give street and block number or description according to deed, and show street names and indicate w::c::.
interior or comer lot,
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iTATE OF NEW O(,
-OL~~INTY F XU? L. S
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„l.t.&k6E$A • • • . being duly sworn, deposes and says that he is the a
(Name of individual siguinp contract) pplica:
above named.
is is the
.~1~~~ .
(Contractor, agent, corporate officer, etc.) •
If said owner or owners, and is duly luthorized to perform or have performed the said work and to make and file 11:
l"Plication: that all statements contained in this application are true to tlhe best of his knowledge and belief; and that l::
rork will be perforated in the manner set forth in the application tiled therewith.
'`vom to before me this
, .....day or. 19 F.
..ii(~....~.,
lOtan'Public, YY Ar••, .County
stro of WRKINo • . . . . •
Si;na[ure of applican'
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Tha sewage disposal and water tupply kcifRios for this `max .
location have LN ;n mspcctod hsv This tSeparlhwit and/or
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DATE: a. P. •#v~ g y
IENT AT
OKI NOTIFY BUILDING DEPARTMENT AT 765-1 802 F Af`A 70 4 PM FOR THE .....................o.~..,.d.,....,, - FOLLOWING, INSPECTIONS: OR THE 'f i yr C/ (/i/
- • c' V 1. FOONDATKi N - TWO REQUIRED IQUIRED' n '
AUMBfRCERTlF/CATION q I FO::POUR-I)CONCRETE
s ON~ADCONTENTBEFORE OCCUPANCY OR zRO!c,I -PRaNIING&PLUMBING WRING r.,..... .....,,,,a...,,.,......M..~~~„„ - -
CEpTIF/CATEOFOCCUPANCY' USE IS UNLAWFUL S;RJSULF•TION 1
NMUST
SOLDER USED IN WATER 4. FINAL - CONSTRUCTION MUST ALL CONSTRUCTION SHALL MEET L MEET
SUPPLY SYSTEM CAN NOT WITHOUT CERTIFICATE BE COMPLETE FOR C.Q. HE N.Y.
EXCEED 2/10 OF 1% LEAD- OF OCCUPANCY _ THE REQUIREMENTS OF THE N.Y. ENERGY
"'t' - - - STATE NEFOR EFORC~tSI llv G'F_..> 1 \1 ERRORS 1 _
•Ee~rMBYrEN DESIGN OR CONSTRUCTION ERRORS
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