HomeMy WebLinkAbout20323-z w
` FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22175 Date MARCH 2, 1993
THIS CERTIFIES that the building ALTERATION
Location of Property_ 1405 WUNNEWETA ROAD CUTCHOGUE~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 111 Block 4 Lot 29
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 9 1991 gursuant to which
Building Permit No. 20323-Z dated DECEMBER 10 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to GRACE GOLDEN
(owner
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NfA
UNDERWRITERS CERTIFICATE N0. PENDING - FEB. 26, 1993
PLUMBERS CERTIFICATION DATED FEB. 23 1993 - MATTITUCK PLUMB & HEATING'
.tiJ~?
Bui ding Inspector
Rev. 1/81
.:.-.erg-~.=, ~ t_~.
meet xo. s
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 2 3 2 Dote 19.9.1.
Permission is hereby granted to:
.Frt.2'i..J};!!~i;'~trr~;t;yN°!Q/.~....~9rx
f.!tio~t.°~?....~s...~.r......--
to ~:~°.^:....f~ ...4'I.r.IR,..~~.4-r.:rxr~t~ ...a~'r~~!:!:1~,~5:4a1.4A,,... 4e...
at premises located of ..I.~ US....~.AM..:4~:lJb!:'.!:9:G"'h:....~:,........... h:!~,,,.,..............
Caunty Tox Map No. 1000 Sect'ion~...... Block Lot No...t~.9
pursuant to application dated ......1...?1.4SP.^.:::1~:..~ 19.9..x.., and approved by the
Building Inspector.
Fee 5.~......:~".~
Building Inspector
Rev. 6/30/80
Form No. 6
;r,..
-f~^~-=-='•-' 1 ' ~ ~ ' ~ TOWN OF SOUTHOLD
~ BUILDING DEPARTMENT
~ 193 TOWN HALL
765-1802
~.-,.m,.'.U,t,~"_`~.. ~ ° APPLICATION FOR CERTIFICATE OF OCCUPANCY " '
A. This application must be filled in by typewriter OR ink and submitted to the building
YinSpOctor with the following: for .new bui)~ding or new use:°;
L: Final'surve of cf
y property with accurate locatio:}-,of allbuildangs, properCy,lwes,
streets, and unusual natural or"top~graphia'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 2J10 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 Co 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 ~ ~.L3 ~C,
New Construction..... y,~c... Old Or Pre-existing Building., ~
Location of Property../,lU.~....... ~~N ~7L~;'j-,cJ~~~. ~C~ .......~~?'~.J.~C.:`~'.,.
House N/o~. / Street Hamlet
Onwer or Owners of Property..l~:d',-,/~~' ~ , , , ~Ct~ 7~j1~
Y P , ,
Count Tax Ma No 1000 Section.~~ + Block... d.~ ........Lot...~`.~~................
Subdivision ....................................Filed Map............Lot........
Permit Nos~.~.~v~.~„~,-,,,Date Of Permit..l.':~~~~C~,~.....ApplicanL~: (?I~iiZv,l~i/9,~'y7-G:%j
_ ,-f,~
Health Dept, Approval.. ,Underwriters Approval.. " .
Planning Board Approval. '
Request for: Tempo~rar~y- Certificate........... Final Certica,e..(f
Fee Submitted: $,:A~J„~~,,,,,,,,,,,,,,,,,ys''~_,
APPLICANT
eo~.aa~~.~
~r z
~ ~^3i°rs~~ r~
INSPECTORS <Z , 3 ~
(516) 765-1802 ~9\. ~ .~"~'r~Q SCOTT L.HARRIS,Supervisar
VICTOR LESSARD, Principal ~ ~ y'>'
CURTIS HORTON, Senior ~ ~ ~ Southold Town Hall
P.O. Box 1179, 53095 Main Road
VINCENT R. WIECZOREK, Ordinance p G~~ Southold, New York 11971
ROBERT FISHER, Assistant Fire .,,~~r ~~3'' ~~u'
< ,y .~~~jl, Fax (516) 765-1823
Building Inspectors ~4,_ Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
FEBRUARY 24, 1993
ENVIRONMENT EAST, INC.
3075 INDIAN NECR LANE
PECONIC, NY ]1958
RE: GRACE GOLDEN
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)
gxx No Underwriters Certificate on file.
XR1[ 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 # 20323-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
ie.
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S~FFOC,{'~ ~ TEL.7G5-1802
ono Town or so~T~oao
~;a ~ . ~ OFFICE OF BUILDING INSP>rC'I'OR
~ ;I~'`.'y~~r irn P.O. QOX 728
.r0 j TOtiVN HALL ~ II
p~' SOUTHOLD,N.Y.11971 ; =;14""''~,,+';="
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l~~63
C R T I F I C A T I O N '
Building Permit No. ~p~a ~ '
Owner ~rc~c,c_ Go~QAcv~
( lease
P print)D ' J~ I
Plumber~~~t.tv~'~ 1 ~c~ b•~~tCT~a'1`:r~~ ~s
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of to lead.
(plumber' signat )
Sworn to 6efor~ me this
1zu~,v~y_ ~ ^
7`j~~~C2 day of / ,
19~,
Notary Pub
notary Public, ounty
lD11WF.JAgCSON
~~~Nuw Ymk
Cu~M~d N SuNo& County
Tenn ~o rte. te,lt~r~'
c'1r:LD I.:SPcC::u;J ~~U~,^E I~ OOM~~1LNTS
. ~
1. m0
a~
OU1lDATION (1st)
,
FOUtJDATIOtJ ~
(2nd) ti~
2• ~ y3 ~ ~ m
o` .G
P,OUGH FRAME ~ ® o
\ ~
.PLUMBING
~i to
3, y Y
m
IIJSULATIOPI PER N. Y. ~
"'3 g
STATE ENERGY
CODE
a. 3 3
FIlJAL
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o
ADDITIOlfAL COtgh1ENTS: m
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` _ ~ Environment East, Inc.
R. R. No. 3 - 3075 Indian Neck Lane
a~ ,
Peconic, New York 11958
516-734-7474
- -
Deaembc:r 3 , 1992
Southold Town Building Dept.
'Powr~ Hall
Main Road
Sot;thold, NY 11;71
Dear Sirs,
At the request of the owner we would lice L-o amr:nd Permit i4
203232 to include the deck as shown on the enclosed plans, It
will be located aver the existing concrete Fati.a, and about 6"
smaller.
If there are any questions please contact my oL-fica. There
slxaul.e7 be a ~xek crn kiln fc+r nnp sdditxonal fecas.
Sincerely,
A
ff~N..
Peter R. Sto nburgh
President
Environm ; Past, Inc.
Encl. l .~.Qc~~$~ ~,~~t~-
PRS:Jm Z z ~v
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_ Environment East, Inc.
~ ; R. R. No. 3 - 3075 Indian Neck Lane
Peconic, New York 11955
~ ~ ~ 516-734-7474
- ' - ~ ~ ~vo~o0
nct:obar 19. 7.P9? i,;, €1,`',~'F j;,`
;;oi.,t'r~c~Id Toc;n Il;a~s 1<iing Dept. ~ _ ~ ~ -
Tu[-`ri i[a?.]
k`. ii, rO;? 11'%9
~outlzo7d, FiY 'L9-9'1
i:, :l'e: m'i.t 70 ,237., C4oldcrn I2 e9;,:idPxlce, :1405 'vSw:r~~^~~,a tt~ P,-~1,
~..`U i. C'l~Ogue.
i~car. :,irs,
'I'Ire p~e:rmit amr.~,~umi;nt rec;uz~sterl on the ~ibove permit incrludes tine
relocation of the ex9~;tizzg Ic~.tchen, not the addil:ion of a new one
at tine two stc~-y one i:ami. 7.y diael'J. i_ng. I'7.::~ase note tUe Y-olu~ir
171.u~Tibin~ c,*i71 be :ixispecte:d oc1 i:kae f.initi;hcd produr..t of tkre hitclzex~.
cot.v~r:~:i_ota to a rr~Slsa~dMcs'i `,t7c.c~,"~.-~.yo~;i closet wittx welsher and dryer
ups and 3 si ' Tl hook
~f lC Si~ ~ W ~ 6~ 'd"Pd-.ate ~o;rigcr.c,i or or.
ti t a v e. t ~CA.. ,
Y au~,sti.cna ~ar acdi~io.7rt';. :irfviem<?t:ion rcruir~c'd,
.:t,..e call. ,
Si.nccr.c'Ig, ,,,a~'n ,;r°'
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p~ ~aidc.ni
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_ Environment East, Inc.
U R. R. No. 3 3075 Indian Neck Lane
Peconic, New York 11958
_ 516-734-7474
r _ f_,
Sc~g~ta~,~b~r 29, 1992
SouLY,old Toezn Bui.l~"ing Dept.
To~4rz Hall
,..i.n Road
;~:uilzold, NY 1.1971
~,r>~r Sirs,
2. t. i:1~<e. owners request we ar.e' asking that Permit p. 203232 include
re7.ocating the lcitcl~zen as part of the conversion of the garage to
living space. Construction will be to code as spaced for the
living room part th renovation applied Lor.
If." there are any questions or additional fees, please contact
i;.lzs.s r>ffice.
F>~,t~, R. Si.:cut 'b h
Pi'e~:;:iQe:nt
F;'nv:i.ronxmant. li~int, ;[nc.
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rss-isoz
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
(]FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: p'
aJy~-vim
DATE ~ ,2/" INSPECTOR
I~""r_
~3~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
MING [ ]FINAL
REMARKS: ~ ~-'~-~'-'^~L- ~`~~'t--¢ti-o -
DATE ~ 9 INSPECTOR
i
rsS-iso2
BUILDING DEPT.
INSPECTI®N
[ ]FOUNDATION 1ST [ ) ROUGH PLBG.
[ ]FOUNDATION 2ND [SULATION
[ ]FRAMING [ ]FINAL
REMARKS: C~e~-~L.~° 7 G~~
,
F
I
I
DATE ~ INSPECTOR
~ 3~~-
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ FINAL
REMARKS:
C~_
DATE c~ ~ __,_INSPECTOR ~ C.`"'~
BOARD OF HEALTH
FORM NO. 1 3 SETS. OF PLANS ,
SURVEY . ~p . ' '
TOWN OF SOUTHOLD CHECK ti!;"' ~ ~ ~ ~ '
, ~ ~ BUILDING DEPARTMENT s . • ~ ~ ~ ~ ~ ~ ~ ~ ' ' ' ' ' '
EPTIC PORPi
~~~,~r ~.i":,•'~ TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
, ; .,r'~s TEL.: 7G5-1802 1
CALL , ;
-E~amined~R'J!~rK;~,/,V 191.1 MAIL T0: . ,
.Approved ~{•~+?~~w.~+!~... ~ 0., 19 q.l. Permit No.a:Q ~•~•i~c 1~'. ,
.Disapproveda/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT I
Date .~Q~ ~ 19 Q ! .
INSTRUCTIONS
' a, Tlils 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 govered 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 pertrvit
;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 an
'.shall have been granted by the Building Inspector. Y Purpose whatever until a Certificate of Occupancy
APPLICATION IS HEREBY MADE to the Building Department far the issuance of a Building Permit pursuant to the
'.Building Zone Ordinance of the Town of Southold, Suffolk County, New Yark, 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, housin; code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
E 1~Ut 12-C~t`S lM~ ~'.~1' . ~ 1~ Y`
~~'VL? .
Signature oi' applicant, or n e if a cur orauon)
~s ~ N'~' ~L~
.P.CQ i~?t c.,..`r?.Y.l.~.~t S~..... .
' (Mailing address of applicant)
State whetfh>er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~.P-nJ ~-C~ ......~:~vac.~. ~ ~ ,
/1 _ ,~1 ~ ~
Jame of owner of premises ,G<,(;~, , , , , ,~-,-~j t~sr~yt .
(as on the tax roll or latest deed) ' '
f ap tea t~ r 'g ture of duly authorized officer.
.e::>:.... '
(Na a nd title of orporate officer)
Builder's License No. ,r~. ~ S ~ ~
Plumber's License No . . ~ ,
1 I
Electrician's License No . .
Other Trade's License No . . i
Location of land on which proposed work will be done.
HouseN m~S ~U•~Sre
t~...~~,~...,.....~A(~,41~............''.::
.~.i ! ; ~ ~ 1 ~ Hamlet • r ~ . .
'County Tax Map No. 1000 Suction ~ , ~ ~ ~ ~
, Block
Lot... 2
Subdivision Fled M11a
p Na . Lot..... '
(Name)
State existing use and occupancy of premises and (intended ~u(s~e and occupancy of proposed construction:
a. Existing use and occupancy ~.~le..... ,t?~(YL(~
~~cc.(:~~.,.
b, Intended use ~
and occupancy .........~~~1 ~....:-~,I:~C. ,
~ ~«ze
I
3., Nature of work (c}teck which applicable): New Eluilding ~
.Addition . Alteration '
Repair . , Rem val Demolition ~ • • ~ ~ • • • • ~ ~ • • • • • •
. GU.2e'a~ol~ ~ ci& •w cn~c9u)S doors • ~rvt,fo .Other IVork I
t P tv~ ~ ~C¢e . ~ uxk-hui ~~<~'D'cscription}
4. Estimated Cost ......~.S~.O00 . , , , , '
' Fee , ,
t n)
5 . If daralle number of carsve,llfn nits , . , , , , , , t ~ be paid on filing this applicatio ; , • • , '
• g Number of dwcllin units on each tlooi• , , , , , , , ,
s g
6. If business, commercial or mixed occu anc ~ ~ • ~ • ~ • • • " " " " " " • • • • ~ • • • • • l
p Y, specify nature and extent of each t hF of use , . ~C
7. Dimensions of existin¢ structure's, if any: Front ~q, ! , , , , , , Rcar :.2r~ , Depth . s-12 ~
Height , . ~ Nunt'ber of Stories ' ' . • • • • • . •
Dimensions of same ~tructure with alterations or addi io~ts: Front , ,2. ~ ;i. ~ v • ' ` '
De th Rear ~
p • • • • • • .Height . I Number of Stories . , , , ~ ~ • •
8. Dimensions of entire new construction: Front ~ Q , (~1~W,• ~~JS'~,., , , , , , , , , ,Depth • •
Height Num'berofSlories
9. Size of lot: Front ....I ~ Q; : P.I. L Rcar . ~ a: : ~j
10. Date of Purchase ~ ' ' • Depth , , .~Q,j,•, Q , , , , , , ,
•.,,Nam ofPormcrOwner
1'1. Zone or use district in which pro'imises are situated . , ,~;Q ,S,tC,(,o.Cl'~,cc,(; ~ • • • • • • ' ~ • • ' ' '
12. Does proposed construction violgqt~~ any zoning law, ordinance or re ulation: • • • ~ • ~ + • • • "
13.*IWiltlotberegmded N,l?', g
/r~ Will excess fill be removed from premises: Yes No ,
14.: Name of Owner of premises , , , ~ofc'< eyt ;Address l~~ c.~yitft?4":hrk°~~ Phone No.: Q ; ~`?c`~~ ,
Noma of Architect ,Address '
Name of Contractor hia~.a. •I • ' ' ' ' • • • • ~t Phone No.. ,
~17VltAri '1" . t~~•, Address 'aQ,75 lvt~{nrt, N.4S~Phone No::~.v~~; ,'T4'~.~.•;
+ 15 Is. this property located within~00 feet, of Pa~"}1{al wetland? *YES .NO '
*If yes, Southold Town', Trustees Permit may be required. ~ ,
r , ' 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 ~tumber or description according to deed, and show street riames and indicate,whether
interior or corner lot.
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,'~,e~•S..r ' ' ~~r`` ' • t • • • • • • • • • , being duly sworn, deposes and says that he is thew' t'
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';application, that all statements contained in this application areare truce said work and to make and file this
'work will be performed m the mannerllset forth in the application Glcd therewith, f his knowledge and beliefi and thpt the '
Sworn,to before me this
.day o ,C,~w, ~v( 19q I•
Nola •P ~ ~~1~-' r. ,r,
rY ublic, , County
ROBERT I. C07T, ~ . : .
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765.1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ~ING [ J FINAL
REMARKS: / ~Kwe . ~ ~ J
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DATE ~ ~j INSPECTOR
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DATE: 1 IDIP (i.P pQQI,;1.3,'�. Aocxn- PORcN, RooF i, oa.-r:. voc Fc eum
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UNDFAMIR 765- A._g c-` `r•i
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IIID 1802 A A44 lO n p,:; FOR 1Hf„
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3. INSULATION
A i-II`A\I- COiJST R:L^_TIr7N IJ:'JS9' '�� '
ALAN Y4” d '. OCCUPANCY OR +ie,�on:1:=LeTeo=oE:co t
USE IS UNLAWFUL ALL CONSTRUCTION ;,HALL MEET ICAIE A,,' t407I D APPROVED BY '1 ^ DRAWN BY
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WITHOUT CERTIFICATE THE REQUIREMENTS OE ME NY. ),2 . -`I $ '
STATE CONSTRUCTION & ENERGY ATE:
OF OCCUPANCY "DOES. NOT RESPONSIBLE- EOR
• rOFEIGN OR CONST.RUCTION ERRORS
y DRAWING NUMBER
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SCALE. 4 A'I�- D1 APPROVED BY . �J�` � �Jr I, DRAWN
DATE: I I. I4. .• v
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DRAWING NUMBER
�18.®/1EPost tam is