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HomeMy WebLinkAbout20089-z r ti FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20605 Date MARCH 24, 1992 THIS CERTIFIES that the building ADDITION Location of Property 1435 SMITH ROAD PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 16.01 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 1991 pursuant to which Building Permit No. 20089-Z dated AUGUST 14 1991 was issued, and conforms to all of the requirements of the applicalale provisions of the law. The occupancy far which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to HARRIET GREENBERG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NfA UNDERWRITERS CERTIFICATE NO. PENDING - 3/24/1992 PLUMBERS CERTIFICATION DATED MAR. 16 1992 - MATTITUCK PLUMB.&HEAT. s ild ng Inspector Rev. 1/81 sose~ 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) N~ ~ Q Q 61 ~ Z Date ...dIZG...........f.....~yL 19..F....( Permission is hereby gran~t/edd to: ..t~/........~.:.... ..~o.. ~.s.3.~:......~...~. to ~.i.~............,~t........ ...:da:t-.~.. . of premises located a y...:/...~......~....~.E~ . 2:'.:L~............................................................................. . ...................................................................q............................................................................................ County Tax Map No. 1000 Section Q....?.,~......... Block .....1~..~........ L/ot No....~~..4.:..~~ C pursuant to application dated .....CeZ~~~....~ 19.1.., and approved by the Building Ins~~jpect((o~~r. Fee S•••7l~.t.~/...~~. rkl . . . r.... . . . . . Building Inspector Rev. 6/30/80 Form IQo. 6 TOWN OF SOUT[IOLD ~~~h/'j' ~ ~ '~fi BUILDING DEPARTMENT a TO[JN HALL ~I 76s-Laoz ~j MAR I $ 1992 ; 3 "~~a,,~a_ . 7 F.. v.. _ ~ ' Q b3S.,,G=a. t.. APPLICATION LOR CERTIFICATE OP OCCUPA CY 7GWN OF CSC,{~~ ryt}f, g`; ' This application must be filled in by typewriter OP, 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 l~ 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. :1. 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 - ResidentiQal $151.00, Commercial $15.00 Date .v'.I~.'~'F~!L ::ew Construction...,,,, Old Or Pre-existing\,8,~uilding Location of Property. ..............~~„}?~,l ~;V\,.~5~.~............~~.~.W.~:~J House No, Street Hamlet Onwer or Owners of Property.~~.~~~QQ County Tax Map No 1000,1 Sections.,,.1..Q.1~~..V...Block.. ~:~..........Lot.® jce~G:,(.7~,,,,,,,,,,, Subdivision S'~~'1.~(li,'j, ,~U,~C,~; ~1'nN.~., ...p.- .,./~.1Filed Nap....~,~Lot.... ~.4~:3.?:''...... Pcrmit No.~.~.~g~,Z-„Date Of Permit..R~{`~./~~,,,,Applicant.tS.~Y!'~.~!~~.ti~~, !lealth Dept, Approval.~,.l~,'V11~~,,,,,,,,,,,,,,,,,,,,Underwriters Approval....... . :Lansing Board Approval,.~~',,,,,,,,,,,,,,,,, :Iequest for: Temporary Certificate........... F' C icaCe.~...... i fee Submitted: Esc, N 351 . CO ~ nO~~ APPLICANT ~oo~ cod. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ncc l,~t~1043 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ddARClf ;3Ur199i Application No. on file 75gQ3~9113:i N 2~5~~,~} THIS CERTIFIES THAT only the electrical equipment as deacrihed below and introduced 6y the applicant named on the shove npplicotion Hunker in the premuea of NTCIiAKL U[trIEN11GR(>, 7.35 ~?F(Z4'fl Rt~AD, C'f>L.N U'1Q, 2~tCQNTC, N.~. in the following location; ~ Basement ~ ]st Fl. ~ 2nd F'l. COTTAGE Section Bloek Lat was examined art II n.NCII ~~r 1y~2 ondfoured to be in compliance with the requirements q(thia Roard. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASNERS EXHAUST FANS OUTLETS INCANDESCENT RVORESCENi OTHER PMT. K W. PMT. K. w. PMT. NW. AMi K.W. AMT. H.P. 2 1 ~ r f~ ~ 3 A DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTIET DIMMERS QQ PMT. K. W Oll H. P GAS H.4 AMT. NO A. W. G AMT, M1P. AMT. AMPS. TRANS. AMT. H. P SYSTEMS AMT. WATit °j NO.OF FEET s y SERVICE DISCONNECT NO.OF S E R V I C E 'y METER NO. OF CC COND A, w. G. P. w. G. A. W.O. S AMT. AMP. 1YVE EQUIP I,a' 2W 1 R JW 3 % ~w 3,e' 4W PER % OF CC. COND. NO. Of NI-LEG Of HbtEG NO. OF NEUTRALS OF NEUTRAL 1 r L~4j crs ~ x t 2 z OTHER APPARATUS: RLCC. NUUM 1)EATLItEiF9_7 X.W.r'f-.°/5 K.W. G.F,C.l:l ~ 1 814UKN DETEC7'()Itt-1 L~C?E=cc-t~~ ~ GANt' DUN[?3KT G~~~~ 02!i NONSELJ3 LANG CIITCtiOGl3N, NY, 11935 GENERAL MANAGER Pert ~ 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. COY R UILDING DEPARTME . THIS C Y CER I ICA7 MUST NOT i3E ALTERED IN ANY MANNER. ~g~ v 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ OUCH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ C~FRAMING [ ]FINAL REM KS: l" DATE ~ ,g~_____INSPECTOR c~~FF~I,`,~, ~ TEL.7G5-i8p2 ono o~ To~rr or so~~~o~,~ , n . ~ OFFICE OF BUILDIIQG INSPECTOR o ' ~i`~ ~ P.O. I30X 728 ~ TOWN HALL ,.•.-..~.r,....,,:,..N.aav..,.,.m.,..... ~ ~ 0~" SOUTHOLD, N.Y. 11971 ~ a r,-.., Y 1~ ~.~~s ~ ; MAR ! 8192 J1, t3~ C E R T I F I C A T I O N ~_.,,„,,t+~7t'~`~l~;r:'~>'';: Date ;'j Building Permit No. ~~y / Owner ~rR ~ e~~b~re~P (plIleasel p '`nt) Plumber //~a,'j'`~',~~ ~vrilr~` a (please print) _ I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's sig Sworn to before me th/i!s S/XTE.-~~~day of ~/~i~~'/7 19~. ~ c~ Notary is Notary Public, S~~~dI~G County EDITH F. SON ~ ~ M~107p~ Yak T b fib. t1r ~~y r'lELD i;:SPEC;iU;J r ~jl~Aic I~ i;OMMENT° ~y _ _ ~ ~ ~ J ? FOUiJDATION (1st) -..~(~V\ c~ ti m FOUNDATIOIJ (2nd) - Z ~ o ROUGH FRAME & "C t.,V PLUMBING h ~Z a y < 3 . ,l m IIJSULATI T7 PER N. Y. y~ STATE ENERGY CODE x~ a 3 /3 ~ ~ ~ y 4 e~ FIJJAL o ADDITIOPIAL COMMENTS: ~p ' x Lis a ' H~ 7~\~ V I x m A • r H ' S C7 m ~a H - _ a INSPECTORS r~~ - Victor Lessard '~r~UG~BC!( Principal Building Inspector ~a~ _ Curtis Horton ~,~~^"b ;W ~ SCOTT L. HARRIS, Supervisor ~ ~'~t Senior Building Inspector ~ - x ~ sa s Southold Town Hall Thomas Fisher S P.O. Box 1179, 53095 Main Road Building Inspector ~ ~ ~ ' ~ Southold, New York 11971 Gar Fish ~ Building Inspector 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 MARCH 18, 1992 ~ i ENVIRONMENT EAST INC. 3075 INDIAN NECK LANE PECONIC, NY 11958 RE: HARRIET GREENBERG 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) XXX 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20089-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: HARRIET GREENBERG '~f v, Y r~ I p y. 1 u Yrl ! r r 1 iN 1~1 1 I ~ ~ ~ ` iY tl t~( ~y~ It. 1 I~ t~ 1 i i tt~~~iV~t~rP '~`tS~y~~°rl ~il~ilh f~l R r I .r nrilt~!' t ~ ~~~"}r~ t~i ;iP a ~{c'~t ~~yyvv pp 1 ) 1 t l d t+ s 11 ~ i `l'~~L n t 1 It t ~ 1 t ~ tE" j ' a1r~u~ ~ I i. t ~ f 1 i I ~ IAA~+ ~lI 3.. !>~6fr r .l yr~y~~~ r~~~? ~1. t i I I it gfY ,,<sl 16i Ap ~ ,y~ l htti Yf I ~~'I NL ~ y.l r 141 ~n6 1 r7~~'~ r ~~L f, ~ 1 ~ ~1! 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TOWN OF SOUTHOLD CHECK /..)a.~~ . j'~' ~ $ AUG ^ 9I99I n BUILDING DEPARTMENT SEPTIC roKrl . ~V~O~~ n ~ TOWN HALL 631.tJ(;, pt~,`r "9 SOUThIOLD, N.Y. 11~J71 NOTIFY °t~~/ .7 C/ .7 , I . . TC1WN OF 30UTHOLt~ TEL.: 7651802 CALL / 7 :amincd 19 . , p MAIL TO : , ~provcd . G~' • r/_. , . ~ . 1, 19 l.~Pcnnit No. , ~ ~l~.r!' O i sapproveda/c C../ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ltht~.; 15 INSTRUCTIONS { a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 I s of plans, accurate plot plan to scale. Fc;e according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- eon. c. The work covered by this application may not be commenced b~•enre issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building P„nnit to the applicant. Such permit dl 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 purli'ose whatever until a Certificate of Occupancy tll have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the'~~suance of a Building Permit pursuant to the ilding Zone Ordinance of the Town of Southold, Suffolk County, New Yt~rk, and other applicable Laws, Ordinances or gulations, for the construction of buildings, additions or alterations, or f~ removal or demolition, as herein described. e applicant agrees to comply with ali applicab}e laws, ordinances, builclin code, housint; cads, and regulations, and to nit authorized inspectors on premises and in building f'or necessary inspect'ts. • ,~/t1V tF~ONYn~NT _ ~;`F~'"r I NG , . (Signature of applicant, ~01[' name, if a corporation) ~30-'jS '1hOt,izt~, lvReG'c., l~vi~. ~:2~t<hCS7...1S1.~r..l(.~~~:.......... • (Mailing address of applicant) ire whether applicant i/s~ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. me of owner ofpretnises .~(~(ll(.e,~"•.Cr-2er1~-~~•,••,,,•.,,•..•„•. (as on the tax roll or latest deed) ipplicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. rJ~ P° Plumber's License No . . Electrician's License No . . Other Trade's License No . . Location of land on which proposed work will be done. ~ . . House Number Strcet~ ~ Hamlet County Tax hlap NoJ. 1000 Section ~ ~~QS• ° a • • • Blyck ...d. n , , • • Lot b , , , . Subdivision ...I.h.t!41a:V1...~.Q C:~y. • o• ~.f. F~ilcd Map No. .S j Lot ..3O fi 3, (Name) v State existing qse and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S~~~. (e• •'TCLm:c~ • ~i~~~l~dl?t0{ . b. Intended use and occupancy "`I• • , ;C,t,(;~r, .?L.. . 3. Nature of work (check which applicable): New lluf'iding ; , Addition K..', Alteration Repair Rer~toval . . , , Demolition . , Wglk , , . timatcd Cost aq? GG~~ l1 (DcscrJption) , 4. Es ~~~t~ t7 . , .Fee v`.,i ~ fib " (ta be paid on Aling this application) 5.. If dwellinnumbcr of car , • I units , 3 If era e, g, number of dwelling Number of dwelling units on each poor , , ~ , , , , , , , , , , g g s .....~,tt.~., b. Tf business, commercial or mix¢d occupancy, specify nat~rF anu r:xteni of each hype of use , • • ~ • • ~ • 7. Dimensions pp~~ existing structures, if any:.Protit ' ' Holght J~ S ~T?C`{.-.. Number of Stodos . , , , ,(,~'7,~ ; ~{O~y' Ruar ~br , , , . Depth ~ , , Dimensions of samo structure with altoratio `.J ~ ~ ! ' ~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' t~~ ns or additions. Front , , , r ~Y,°e ~r^e r r e , e T;~{a , , , Y ,~'yy.~,• • • ' Depth >?,-',rJ.4': ~ , , , L . , Ftryi~.{tE .~?-yro,~ , : , , ~ . . B. Dimensions gf entire new consttuction; Front 2 '-t);', ~ ~ ~ ~ • ' ' ' Number of Storias , .~~'7-e, S.~prY Height . !L(, : fa,~~...... 2 ~ Stories Rear ....9'~ e ~ , ...Depth ~UrF . 6.~~.~..... . umberc~f 9. Size of lot: Front 00'- 0 ' Rear . , ,2„„cn7~:'ZZ ` ......Depth IMP.<`~~. ;Fe, • 'lYd; p . t0. Date of Purchase .IU4V..',lR~,~`-, Name of Former Ownea C)'~i S-k.~C.'~.~~~., P~l~s; ~ • I. Zone or use district in which pr'cmises are situated (~?Si¢,w,?„4ia;(. ' 2 Does proposed construction violate any zoning law, ordinance or regulation: ,N.4:. ~ • • • 3. Will lot be regraded ~ ~ , , , , , , , , , , , , ,Will excess Gll be removed from premises: Yes ' • 1 4. Name of Owner of premises .G(~,e,rfp~q ; , ,Address .•1 ~$Mt'~a, l2~(: Phone No.•73~ ;7,1?8 R'~ Name of Architect CvJ ,Address Nome of Contractor .EN~;ronaie,c{ •~-t, (h~•; ; •I • • • • Phone No, . ; , 1S.ls this properky, located within ,300 feetsof~a• tidal,~~uPhon*No.7r~4,:,7,4,7,¢•,• *Tf yes, Soukhold Tow>jt Truskees Permit may be required, dY YL~S..-.NO.X'.. t PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and indicate all set-back dimensions from roperty lines. Give street and blocklnumber or description according to decd, and show street names and indicate whether iterior or corner lot. i ~°v i ~ • , ~I F,NB1V YORK, ! , U TY F S,S (Name of in' d v dual si ni+I~~ U ~ • ' ' being c~hly sworn, deposes and says that he is the applicant ,ve named. g ~g eontrnct) is the ...:...................I'..,.. (Contractor, a ent, corpoc•tr. s,fficcr, etc.~1~ ~ • ~ • • ~ • • • • • • ~ ~ • • ~ • • • ~ ~ • ' ' -aid owner or owners, and is duly ~iauthorze o p5rform or have ;:czf ,nncd the said work and to make and file this licafion; that a!1 statements contained in this application are true to the best of his knowledge and belief; and that the k will be performed in the manner $et forth in the application tiled therewith. rn to before me this I n +ry Public~~.;l.~rfj~ 6~°-O':K:Yj • , ou y I Notary PubHa, Stets of Naw~t~ty g~ llualifledNn Buff k~Cou Yotk • • ~ ~ . • • • • . • • ` • • note of applicant) Cammisslon Expires May 22, 8,5.Z