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HomeMy WebLinkAbout20300-z ~ , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23595 Date APRIL 13, 1995 THIS CERTIFIES that the building ADDITION Location of Property 2015 YENNSCOTT ROAD SOUTHOLD NY House No. street Hamlet County Tax Map No. 1000 Section 55 Block 4 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 22, 1991 pursuant to which Building Permit No. 20300-Z dated NOVEMBER 27, 1991 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 CONSTRUCT A SECOND STORY ADDITION TO AN EXISTING ONS FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOUGLAS GREGG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H044814 MARCH 24, 1995 PLUMBERS CERTIFICATION DATED APRIL 11, 1995 DOUGLAS GREGG Building Inspector Rev. 1/81 v _t.„ ros~urfo: ~ 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 3 ~ ~ z Date .....1::..Dzii;~?~;ItiRa;.....-~..Z.........., i9q..~. Permission is hereby granted to: o.: at premises located at ...R~.S? ~...`a~ . q County Tax Map No. 1000 Section ....Q..e~.`~.//.,,.__...... Block Lot No..~...1 pursuant to application doted .....~.Q.~:!^^:!.!~... 199..x.., and approved by the Building Inspector. Fee 5..~..'."~a.: . ing Inspector Rev. 6/30/80 vY t Form No. 6 - 3 7 1 TOWN OP SOUTHOLD ~ n BUILDING DEPARTMENT UUU / 6/d1-~~5// TOWN HALL 765-1802 ~l.L q ail t~.nn eC 9~ APPLICATION FOR CERTIFICATE OF OCCUPANCY SDI.~t~a( -n 1 ~ ~c~-~ 1 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. 1 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . f%L'c~':°~ l New Construction......22.. Old Or Pre-existing Building...... Location of Property,~`.~s;?,,,,,,~~~~!~COTi ,~~2JVC...,~av7'ffoLp rY House No. Street Hamlet 6 Onwer or Owners of Property.. G~~ ~ ~2FG6' . . . . . . . . . . . . County Tax Map 'N/o 1000, Section ..............B1ock................Lot.. S.I.Q.? iubdivision....J.C~~/n/C,C~/-T ~/~.f'~~~........Filed Map............Lot.....~~// 'ermit No.~~~d~,,,,,,Date Of Permit.~~/~7~~~,,,,,Applicant.~!?.U~~fIS.C~.~'~~-(,'.. lealth Dept. Approval ..........................Underwriters Approval........................, 'lanning Board Approv:il '~equest for: Temporary Certificate........... Final Ccrticate..;/~,,, ee Submityte~d: $ 15 ~a~~~R 3oS- ~~fr............. - • •qP PT rr nem. ii S :J~ t(` 4 . Town HaII, 53095 Main Road ~ ~."y ? Fax (516) 765-1823 P. O. Box 1179 j ,;y .y Telephone (516) 765-1802 Southold, New York 11971 ' ~ - _ 3 OFFICE OF THE BUILDING INSPECTOF~ TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE • ~ i~ ~ S~ Building Permit No. ~ ~ ~ ~ d Owner : ~(J //r; L ,S ~2>?~G (please print) Plumber: dGL,%-S C~2~~h (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. (Plu rs Signatu Sworn to before me his f ~_lday of r 19 Not rUy Pu li(c~, ~ County " CLAIRE L. GLEW NOTARY PUBLIC, State of New YorN No. 4819505 Qualified in SuffolM Countyy Commissron Expves December 8, THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 81!129421 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Date MARCH 24,9.995 APPlicationNo.onfile 15Fr57091/99. ti 04$14 THIS CERTIFIES THAT PERM.CT NCJ, 2030Cd only the electrical equipment oa deacrihed 6ebw and introduced 6y the applicant named on the shove application numher in the premiaea of DUTTGT,Xa GREGG, 2015 YENATECO:CT DR. , SUU`L'l~IUTS), Zd.T', in thefoliouinq location; ®Bosement © Iat Fl. ®2nd F'l. ATTTC/(1{1T 3ertion B/ock Lot nws examined un MARCH 20 , 9.995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS FCEPTACLES SWITCHES INCANDESCENT fIUORESCENi OTHER AMT K. W. AMT. N. W AMT. K W. AMT K W M1i. H. P. 13 J.9 15 13 DRYERS RIRNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'?T TIME CLOCKS EELL UNIT NEATERS MULTI-OUTLET DIMMERS AMT N. W. Oll H. P. GAS H. P. AMi NO. A. W G AMi. AMP. AMi. AMPS TRANS. AMi. N. P. SYSTEMS AMi. WATiS NO.OF FEET SERVICE DISCONNECT NO.OF $ E R V L G E PMT. AMp. ttPE METER I,a' RW 1 ,B' 3W 3 $ SW 3,e' 4W NO.OF CC COND. A. W. G. EQUIP. PFR a Of CC. COND. NO. OF HIAEG Of ~H lEG NO OF NEUTRALS Of ~NEULGRAL 1 200 CB 1 X 9. 3P0 1 :3/0 OTHER APPARATUS: G.F,C.T:-1 SMOKE DETEC`PUk: --9. TRACK ZTGHTTNGs-7 Gc~~~ DUUGLAS GREGG C/~~'" 2015 XENNECOTT SOUTTfOIID, IdY, 1.197.9. GENERAL MANAGER 11 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®PY FOR 3UlLD9NG ®EPARTMENT. TNIS C®PY ®F CERTBFICATE MUST N®T SE'P,LTEREai IN ANY MANNER. h~o~Qg~FFO(K~OGy o ~ Town Hall, 53095 Main Road °y x Fax (516) 765-1823 P. O. Box 1179 ~r0 • ~ Telephone (516) 765-1802 Southold, New York 11971 y p! ~o1~~a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 31, 1995 Mr. & Mrs. Douglas Gregg 2015 Yennecott Road Southold, NY 11971 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) No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20300-2 Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I~ N C ~ G ~ CC~D~= C/~ ~ ~ fi~a~v,~ DE41CN CATTF~AIA 6,000 Degree AIIn (!'OA IIONeELECTAIC HEAT) O,A, 10°1' I.A. 70af ~7? ' J,,' J _ y.~J~,6~ IW20~ . I SU ~3 S / J ~Q~ ~f Dk-s~4' TIa~RNA4 REMFRft S ~ U'' RM~NG , . PJkter]er lfalln (OpRgne) ~evJ ~Ja7 Cla.]na x„96 33 i3! ~ /iw / Dlern Crlltna/beef (Onagne) ,uf o Ski ]ahtn x_96 2'f , 3 S r 5` Fwndatien 1ta1L ' Elab Ibnelatien TOTAL a G ~ Neteai ' Aeild]nq Eaaeiepe tlnteMn to Meet regaSrnaente of gA1~.,3 HVAC Egnlpaeak to aeeZ ]regaifnaenth qt 7A1y,11 , MVAC' 3FnteNa t~ meet. req~l4reMentn st 7M1S,1t . Dict xynteNn t• MeeE regMiteMentn er opl!5.13 Yentiletienh ~yeteaa to Meet requireaentn of 7R15.~u 7nnuletlen et Pininn fiyateMn to Feet regnirGaehtn of 7A1'S,13 service Naler Heating Synte~n end Etjuipaent to Meet Aeq,iireMentn et 7p15,t1 Electrical an,i Lighting lSrnteMn and Equipaent to Gent requixen~entn et 7815.31 TA t~h bent °f Mr knsrledRe~ of roF hel]ef, an,l vreteenienal Pie WYo ~eAaeKent~ these rlann arr in ~~~Q~,NCE~+. r~T~~.a cenrliance eith the cede. ~ 641 e w c9` sF~ oazzen~i ~ ~q~~E~S{9~t°y ~ c'lELD iI:S:'cC:iU7 ~IUe„° ~ i:OMMENT° e 1, Z ~ m® _a FOU77DATTON (1st) `3 ` . ~ F FOUNDATION vciy°' (2nd) m c_~n er~~i~ v o A~ P,OUGH FRAME & p PLUMBING ~ + ~~15 ~c>.~0. ~ 9 z ~ y II7SULATIOAI PER N. Y. jp ~ ~ STATE ENERGY CODE ~ ~ ~ G ~ a 4. ~ D? C~.ir7 ~~m y J FINAL ~ ~ ~ ~ ADDITIDP7AL COMME x ' • - M ' x ro • H ~J a _ H O "Q 2 W I `m ' r - ~ v: - m . . -v H ono - ~o~ L OT ~ 3Z ~x~ z~z n m . cti m-..~...° ~te.zr 2~ p~F7CE 6:YtF LSNL• ~ Its M I 'b aC ~ y ~ ~ y n 4a I ~ ~ ~ ~ . A ."h ` ~ ~ o .lei ~ ' , ~ tv TSB ~"1 q i._...__ ._y#__l ~p ti q Q S.a^r' ~ Sb _ ny ~C ~ o, ly ' 11 5 y' ~ i - - - . ~ 1 is o ~ C, Q d' . ~ ~y ~ 'ByAGiCTOA IV6 ~ ~`y W I ~ ~ to ~ W 4 . ~~,n ~ o w M l ra. 2 r ~ ~ ' ~N. nor-,~~ i ~ ~ ~ ~ ~ ~ ° b ~ p rtl ~ ~ ~l 4(.y., ~ ' n i ~ ~ . Y~ i ! b ~ ~ i ~ , ~ Y~ -~I Ski ' r--., ~ ~ ~_~~a ~ ~ ~ ~ ~ ~ r.: I d y -t ~ ~ rd~~~ ~'1 0 ~ ~ t^{~m N ~ '~'-y 3a ~ _ic~`±~~vny o~~o cx~~ 4.. / ~ ~ I ~'f ~ ~ 77 i~d~.! ~v"nOZTO~?i `'>Or i ~Y ~ z N F < j{"~ `O m 2•nLH~G 11 'f. Z3 O ~ I~ ihll ~ ~ Q ~ uz ~S2 ^d l Z ; s `R RRR ..>ai3"~~~`. a~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. (]FOUNDATION 2ND [ ]INS CATION [ ]FRAMING FINAL REMARKS: i~~~~~_ C~ s ~ r DATE ~ INSPECTOR c \ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMAR 5: ? ~w ~a 7~~ -~c_ /1~D' r i DATE Z~ INSPECTOR ~ T65-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ~ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMAR S: o G~ ~ ~ DATE INSPECTOR ~ ~ / ~ T65-1802 BUILDING DEPT. INSPECTIQN [ ]FOUNDATION 1ST [ L~.-RpUGH pLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMA~ ~~S~ ' ~ ~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: DATE ~ ~ INSPECTOR ~;~~°~t~,l/~~,,~;~s~,.:~"9 BO,ARD OF HEALTH FORM NO. 7 3 SETS OF PL 1YS ~d TOWN OFSOUTHOLD SURVEY z 2 f~~~ , ~ . BUILDING DEPARTMENT C11CCF . TOWN HALL SEPTIC POR:1 . , . ~ ° ~ ~ SOUTHOLD, N.Y. 17971 TEL.: 765-1802 t:OT I FF ~ CALL Exa+nincd.rY"'""^~, 11, 19Q.1. MAIL T0: Approved ~ , l1, , 19~! .Permit Nocx~.Q 3~?`!? • • • . . Disapproved a/c _ . ~0~. ~"W ~ , (Building 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 :eta 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 tr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. Tlie 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Zegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as' herein described. flte 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 inspe/c : ns. (Signatur f applicant, or~~if a;corporation) X20/5 yt-'ev,~u~'c a7'7' ~f2 ~o vi «ac ~ (Mailing address of applicant) State wltetlter applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. \ame of owner of premises .CAL? rJG¢.~s:.. <~.~~.w,~ . (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. ~ ~ i, (Name and title of corporate officer) ~ Builder's License No.T~~n!. ?%?!rUE~! . , , , ; , , Plumber's License No . . Electrician's License No . Otl+cr Trade's License No . . . Location of land on which proposed work will be done. ..~F!t!!i!l: ~'/>,7;?, , /~,t' , , ,Sa uT~~~LJ ]louse Number Street Hamlet l-- ~ / c; County Tax Map No. 1000 Section Block 7 Lot Subdivision . ,i%'~N.2/,~'G.4 ~ . ~,~-~2 /C........... Piled 61ap No. Lot . (Name) State existing use and occupancy oyf~premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~S/ L~w~f° . . . . . . . . . . . . . +z~ ea; s ,,x E"J . b. Intended use and occupancy .~c-~a/.~'~ ~ii~f; ..r . :rt^~:f~-.+t,~,y; • .e, v.o,.k'~"51 X' 8 + ant iS0., ~ ~ ~ Y ~ :i3A.~f i^ 3. Mature of workg~'check which a Repair , , , Rerrtpplicable): New Bui]ding . , . , , , , , , , Addition Alteration + oval....... Demolition ..............Other 1Vork . 4, Estimated Cost . ~ d C7 d ®I (Description) ~ Fee 5, If dwelling (to be paid on filing this application) a units Number ofdwellin units on each floor,,,,;,,,,,,,,•• If garage, number of cars g 6, If business, cotnmercoial oremixc,d occupancy, specify nature and extent of each t • ~ • ~ • • YPeofuse Dimensions of existing stnictur~s, iF any: Front , , , , ; , ,Rear 6 ~ Height . , , , Number of Stories . • • • • • • • • • • Depth .f. 7 , , Dimensions of same structure with alterations or additigns: Front 6 • Depth ....:j!?~ . : ..Height ~ Rear . 6.`l............ . 8. Dimensions of entire new construction: Front ,at`. 3 ' ' ' ' ' ' • • Number of Stories ..air...... , Heigftt {,2 Rear Depth ...~/.Fi'........ . . Number of Stories . ,°L ~ 57!~R`~./Q~7Ji ivy 9. Size of lot: Front . ~3.ff ~ . ]0. Date of Purchase • Rear Depth , . Name of Former Owner ~ • ~ ~ • ~ • ~ ~ ..,~~'4~1~6'.~rC'.......'........ 1 1. Zone or use distract in which r' 1 Does ro osed construction v,oj muses are situated , , , , , , , , • , /E'~5-~ y-~~ ~ P P . ` ,ate any zoning law, ordinance or regulation; ,~8. , , , , • • • • , • • • ' • • ' • ' ' 13. Will lot be regraded . . 14. Name of Owner of remises w, Will excess fill e removed from premises: Yes p r/Gtt9;~, ~.~SrrF.6 • , , Address o.7.o/,S, ,~~r!,li~c pl-;7; , , ,Phone No.7~S. ;~y,'2~, Name of Architect , , . , , ...............Address...................Phone No....... Name of Con yactor , /.t , , , , , , , • • , . • , , ,Address Phone No. 15. Is this property within 3 ` 00 feet of a tidal wetland? * " " " " " *If es S~t ld T Yes........ No.~...... + sown Trustees Permit may be required. PLOT DIAGRAM Locate dearly and distinctly ail ,buildings, whether existing or proposed, and indicate ail set-back dimensions from property lines. Give street and block ))umber or description according to deed, and show street names and indicate whether ' interior or corner lot. I • ~oo~ - ~ y~JOeD P/~rT~ o 0 ~ _-3 3 ~ fEo vst% (A~' n 50~ TATE OF NEW,~OR ~ ~ OUNTY F ~,1,J~\, ~7,( S:~ s... . ~-e~l O 's ' • • • • • • • • being duly sworn, deposes and says that he is the applicant (Nam~of individual si ram R,-6ntract) ~ovc named. ~isthc GOYLQ ~ (Contractor, agent, corporate officer, etc.) ~ ~ • ' ' • ' ' ' ' ' ' ' ' said owner or owners, and is duly a~thorizcd to perform or have performed the said work and to make and Glc this plication; that all statements contained in this application arc true to the best of ltis knowledge and belief; and that the irk witl be performed in the manner sc~ forth in the application filed therewith. orn to before me this i /~v ? ` . ............~~f........ ......1~ tary Public, V , , County CLAIRE L. BLEW I!, ~ ~O• •,l~ ~ry~No 48t78~G0~BN~~ nature of applicant) QusiiRsd in SuHdk CoNmy Commission Expkas Ceoemb~r 8, i8