HomeMy WebLinkAbout19903-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20479 Date JANUARY 15, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 2005 OLD NORTH ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 54 Block 3 Lot 26.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 24, 1991 pursuant to which
Building Permit No. 19903-Z dated MAY 31, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIID FOR.
The certificate is issued to MARKO ANTIGEN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-30 - JAN. 7, 1992
UNDERWRITERS CERTIFICATE NO. N-207626 - OCTOBER 10, 1991
PLUMBERS CERTIFICATION DATED NOV. 18, 1991 - STANLEY R. JEWELL
Building Inspector
Rev. 1/81
10EM 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)
N°_ 19 9 0 ~ Z Date ....:~,~.1 19~!.
Permission is hereby granted , ,
l
of premises located at ....~x-'...~^f..~C7'~.....`~..c~~~~+
..............................................!ri~
j County Tox Map No. 1000 Section Block Lot No........~.~~..t..7
pursuant to application dated 19././., and approved by the
' Buildin'g/Inspector.
Fee S..T.~:~.'y. ]f ,
- c.~-'~..~
Buil~~~~g Inspec
Rev. 6/30/80
j ~ Form No. 6
~ TOWN OF SOUTI(OLD ~+7j1_ ~ l~~i ~
BUILDING DEPARTMCNT =J FT ~i
TOWN HALL ~j~
765-1802 6'/~'~6
APPLICATION POR CGRTIPICATE OF OCCUPANCY
This application must be filled in by typewriter OP, ink and submitted to the building
inspector with the following: for new build in, 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 2110 of 1~ lead.
S. 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.
.i. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. .lc curate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
r1 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.
Fees
I. 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
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
':ew Construction.r~E~!!,,,, Old Or Pre-exist~in~~ Building...
location of Property... ~G?0~,,,. OL.~./?iCJr~T~,.~J~°.~Ta...... d,~Jll~i'~Ql4,Y~.
. . .
House No. J Street " / Hamlet
7nwcr or Owners of Property. ~,1.<~'~~~~...'l./]/s'~/~y ~v ..................vvll.............
;:ounty Tax Map No 1000, Section. :~-~~.~......Block... :-`~'..........Lot..~~1~,'.7,,,,,,,,,,,,,,
+
Iubdivision.~~ ~T~pu,?.~ . .."oGi~`%~'S~ ~9G~,C°,~b•~crt.ot
y ........r.'....Filed Ma 1.
i'urml[ :;o~~~r-~.:~,,,,,,,Date Of Permit ~i~~i,6~,~O.J~',.~C,.y~~..
.Applicant. G•
'iealth Dept. Approval ..........................Underwriters Approval.........................
•'lunning 1Soard Approval
.:equcst for: Temporary Certificate........... Final Certicate...~
~'cc Submitted: $
~~cz/ _ ~ /~~'~~,9 ~~/~''d.
~111~P11 $e ttrCittriD
ATTORNEYS & COUNSELORS AT LAW
34-20 BROADWAY
LONG ISLAND CITY, N.Y. 71106
(718) 721-5360
EDWARD C. MONTELL OF COUNSEL
ANTHONY L. MARCIANO JERRY CHRISAFIS
VINCENT J. MONTELL TELECOPIER NO. (718) 932-9070
January 31, 1992
LAW ASST./PARALEGAL
DEIRDRE L. BRADFORD
Town of Southold
Building Department
Office of the Building Inspector
Town Hall
Southold, New York, 11971
Attention: Georgia
Re: Certificate of Occupancy
No. Z-20479
Building Dept. No. 19903-Z
Dear Georgia:
Pursuant to our telephone conversation of Friday, January 21,
1992, enclosed please find the original Certificate of Occupancy in
regards to the above entitled matter. As we discussed please correct
the date to January 15, 1992 at the top and forward a new Certificate
of Occupancy to my office, to my attention.
Thanking you for your anticipated prompt cooperation in this
matter.
Ve •ly y ur
~ ~
` nthony!L. Marciano
r,ftt
3~E-+` _
FEg " l 1992
ALM:cad
w x,7t ,C
r f~ ~ ,
4 O ~ ~ i ~ ~ Plp
cvEFOLh'~, TEL. 765-1802
ono,,, o~? Tors or souT~oa.~
. ~ ~ . T < OFFICE OF BUILDIIQG INSPECTOR
~ r.,,
P.O. BOX 728
v~ ~~{{,co~i TO1VN HALL
~j~,0~,~~~ SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date /J' 9~
Building Permit No. 99o3a
Owner
" (please print)
Plumber_~-{-~N~N4 .~e~~,~~
5•~-~~OOP )please print)
r
I certify that the solder used in the water supply system
contains less than 2/10 of to lead.
J!~
(plumb r' signature)
Sworn to before me this
day of Nd?~~~'~ -
19~' .
Notary Pub11c
ilotary Public, s _County
• rL6t'08•noysa~!dxgumsa!wwoD
unoD silo;;ng - 06ElyALy oN
a1loA maN !o a1ea5 'o!IQnd Aae3oN
' OIH38tlb'83N~'Ia
pyDIANE BARBE FSIQ
N~o. 470~431U5
3affolk
County
Commission ExP~res Nov. SC1, Y 9~»'~
INSPECTORS
~,y'' ,-,u~GC.I
Principal Building Inspector Y~~,~~~FF(3C G
Curtis Horton ti'"c o" _ ~ SCOTT L. HARRIS, Supervisor
~ :
Senior Building Inspector o ~ ~ Southold Town Hall
1.~,~:.
Thomas Fisher ~ ~ nr
P.O. Box 1179, 53095 Main Road
Building Inspector Oa l~
Gary Fish ''%'i~ ` Southold, New York 11971
Fax (516) 765-1823
Building Inspector
Vincent R. Wieczorek ~r Telephone (516) 765-1800
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
NOV@fBER 12, 199!
LAW BROTHERS HOMES, INC.
2749 SUNRISE HIGHWAY
ISLIP TERRACE, NY 11752
RE: Marker 6 Linda Anticev
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
Ric An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xxx The check is { /not on file.)$25.00
RRx No Health Department Approval on file.
No final inspection has been made.
x~ No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 19903-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
CC: MARKO S LINDA ANTIGEN
-1ELD IGSP~C:iu}~ ~ ~~Ubia,~ ~OaYMENT° \
. ~ ~
H
_ - H
FOUidDATION (1st)
FOUNDATIOid (2nd)
~
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2. ~ o ~
0
P,OUGH FRAME & Q
PLUMBING
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IIJSULATIOP! PER N. Y. '
STATE ENERGY
CODE
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FIidAL
P
E
p~ ADDI OA3AL COMM TS:
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THE NEW YORK BOARD OF FIRE UNDERWRITERS rAC,H:
1.00061.6 oUREAU OF ELECTRICITY
8!S JOHN STREET. NEW YORK. NEW YORK 10098
Dote OC,TOBBR 70,1997 q~,licetionNo.onJ,(ile 74,>,33•:91/9:b N 7U']6J.6
THtS CERTIFIES THAT kP,RM'I'C Mtl. 7.9.903
only the a/ectricNl putpment a YAacri6ed kebsD and introduced Fry the opplicent named on the show Nfrplication number in CM pramieee of
MARKO AN'1'7CEC1, N/S OLA M.R0.~50`7fio VOIINi; AVE.., SOtYTMOI,p; N.Y.
in the dloECin location; ®Boeement (iARJUi1'i'
f M (H'TOBFR ] 0, 7, 997 ® (Kt Fl. ®Pnd FI. Sertion Bloek Lot
= rues examined on and found to 6e in rnnlpliance with the nyairementa of thte Board.
BXTURE RXTURK RANOES CAOKINO DECkf OVENS dSN WASNMS EXHAUST fANS
OUTIETf AClES SWITCNK INUNDESCENT flUOeESGlNi OTNEP AMT. K.W. AMT. K.W. AMT. K.W. NAT. K.W. AMT. X.P.
29 26 7~.7 7 7
i DRYERS IVMSACE MOTORS RlTUM ANUANp IREOERS SfECYAI EECIt TIME CLOCKS Mll DINT MATHS A1tAi1-0UTIET dMMlRS
AMT. K. W. Oll N. P. OAS M. P. AMT. N0. A. w. G. AMT. AMP. AMT. AMTS. TRANS. NAT. M. v. SYt1EMS AMT. WATTS
NO.Of INT
~ '
SERVICE pfCOIBSlCT NO.Of S ! R V. I C E
AMT. AMP. TYPE 1 / Sv t / ]W S / JW 3 / KW NO.O~RCOND. Or CC OND. NO. dF NIAEG Oi NO. OP NEUTRAIS Of ~I'WfVTOMAI
7 701i ("H 1 X 1 A I
OTIIIK ANAEATUS:
b. F.l'. T:-4
SM08F; DFTFCTON:-%
3
1/
A.d, HURRAY 47C.$7.4i6kt
P .0.730X 7
FASTPORT, N'i, 1.'1.947 OMRAI MANAOH
Pn
This certificate must not ba alNred in any manmr; return to the oHiee of the bard if incwrect.:Inspectors may bs idsntifitd by their c
2
COPY FOR EUICDING DEPARTMENT. THIS COPY OF CERTIFIGTE MIV3 `Nb7 ~ ALTERED IN ANY MkMIlR.
Page 1 of 4
Project: LAW BROS. CAPE
Date : APRIL 5, 1991
ENERGY INFORMATION:
Notes:
1) Engineer certifies that plans comply with New York
State Energy Code, Jan. 1, 1979, as amended March 1,
1991.
2) All construction shad comply with same.
3) Doors and windows shall comply with Table 4-3.
4) Thermostat range: 45 F to 75 F minimum.
5) Service water heaters shall comply with Table 4-12.
6) Heating equipment shall comply with Table 4-5.
7) Pipe insulation shall comply with Table 4-4.
Design Conditions:
Indoor Temperature: 72 F (7811.3a)
Outdoor Temperature: 10 F (Table 2.1)
Wind Velocity: 15 mph
Degree Days: 6000 (Table 2.1)
Totai ~1a11 Area:
(exposed to ambient) 1413 SF
Glass Area Gross: 201 SF
Percentage of Glass: 14.2
First Floor Area: 1069 SF
(excluding garage) P~ Of NEWyoR~
Second Floor Area: 703 SF 5~ DoyF
o~P
Total Floor Area: 1772 SF ~ '
m
w
n 2
~2SF. 'Yo. 049~~ ~C'c~
pR~F'ESSIONP
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765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION iST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ INNS; ULATION
[ ] .FRAMING [ ~AL
REMARKS:
DATE INSPECTOR
T65-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN CATION
[ ]FRAMING [ FINAL
REMARKS: _
b
1
` DATE INSPECTOR
k s ,
~~~`a3
T65-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ROUGH PLBG.
(]FOUNDATION 2ND [ ]INSULATION
[~MING [ ]FINAL
REMARKS:
t
q
DATE ~ INSPECTOR
C~~~ ~ \~+~~`~_?~~s~~~ B0,\FD OF HEALTH y~ • • ,
FORM NO. 1 J SETS OF PLAYS Y..
1~~I TOWN OF SOUTHOLD SURVEY
~)pp44 MAY 241991 ~f~ BUILDING DEPARTMENT C11CCl:
"i~ TOWN HALL ssrrlc coact?
.
[its. -„n'_;
rylz,~,~r.i: i SOUTHOLD, N.Y. 11971
~.._,,...___..„hv._ TEL.. 765-1802 ttOTiFY's
CALL Sgr•:~~oZQ........
Examined 197 r1A I L TO
Approved .1~W/?J.~........., 19 ~~Permit No. . . . . .
Disapproved a/c
O.Z; r.~...
(B ' dingy Spector)
APPLICATION FOR BUILDING PERMIIT
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.
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
shad 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. i ,
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.
Law Bros. Homes, Inc..
(Si nature of applicant, or name, if a corporation)
2749 Sunrise.Hyway
Islip Terrace, N.Y. 11752
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Builder
Name of owner of premises Marko. And Linda Anticev
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
Kenneth, A,., Abrams,,, Pres,.,,,,.„..,.,,,,
(Name and title of corporate officer)
Builder's License No. , 3006,-HI
Plumber's License No . .
Etectrician's License No . .
Other Trade's License No . ~o~
I. Location of land on which proposed work will be done. N/S Old North Road, 456.67' West of Lighthouse
Road,, Southold,, N. Y,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
House Number Street Hamlet
County Tax Map No. 1000 Section ...5~ . . Block 3 Lot
Subdivision .Iri,ghthousg ,A~~o,~i,at~s . . . . . . Filed Map No. Discribed. , . , , , Lot .
(Name) -
State existing use and occupancy of premises and intended use and occupancy of proposed construction: ,
_ _ _ '~et'~~.-
a. Existing Ilse and occupancy . , , Vacant property .
~ b. Intended use and occupancy ,one family dwelling '1`A9Ia Stt3l~~.Itd'llr~,'i1i'B
t , ~ 1N1
~'~dj~+ 1 5
PR t uVt +V L~ 'bl Srv 4s ,~n~~.F
.wi~NS.b+.dsrtw.:bv _4$ xer.•,: ~ ~.tYglEbu w'4!P'~„ueai.~'s49tut'Lx .n,,,n._. , d.,,_A .'e ..m h.~+r~41~'~±+c~a
3. Nature of work (check which app'licable): New Building ...x...... Addition Alteration .
Repair Removal , , , Demolition Other Work .
4. Estimated Cost ..............'~i~ . • • • • 9~ • • • . • • • • • • (Description) • .
Fee
(to be poi on filing this application)
5. If dwelling, number of dwelling wits Oz~e......... Number of dwelling units on each floor ,Total of one
If garage, number of cars ...Two,. CaF. , . • ' '
business commercial or mixed '
. occu anc s ecif nature and • •
P Y, P Y extent of each type of uSe .
7• Heightsions of existing stru Numbl ~f any: Front Rear Depth .
~er of Stories .
Dimensions of same structure with alterations or additions: Front Rear .
ept
$ Heightsions of entire new c Numb Height • • • ' S9' -4"~ • • • • ' ' ' • Nu~>Ier4gf Stories , , , , , , , , , , ,
ption: Front . Rear . .Depth & 30
. 24 ~r of Stories . .
9. Size of lot: Front 270'• • • • • , • • • , , , Rear . 304.71• • • • • • • • Depth , 425.42•'• & 327.43' ' ' '
10. Date of Purchase ,I.uLy..L9.8.6 Name of Former Owner . ~~.ghfihPUt=~. Apsoc~.ates, , , , , , ,
11. Zone or use district in which pre~ises are situated ~.0 .
12. Does.pro~5osed construction violate any zomng law, ordinance or kregulation: No i
13. Will lot be regraded Yes..... Will excess fill be removed from premises: Yes Yes No
14. Name of Owner of premises Marl~,o, Aq~lgev, , , , , , 'Brooklyn , , , , , , , , Phone,No:718•-836; 0656
. Address .
Name of Architect ?41~n Dohexlty, , , , , , , , , .Address Centerport , , , , ,phone No. 421-1651
Name of Contractor Law Bros.• }Homes,,• •Inc•. , , ,Address Is1iR Terrace , , pho a No. , 581 .4020 • • ~ • •
15. Is this property within 300 feet of a tidal wetland? *Yes.. No, ~O
*If yes, Southold Town Trustees Permit may be required.
' PLOT DIAGRAM
Locate clearly and distinctly all building ~ ~ ~e and. indicate all set-back dimensions from .
property lines. Give street and block number ,and show street names and indicate whether
interior or comer lot. I ~~~p!~ A80VE PREMISES 8'~
I~fr"GRADINO lOfi
QFIVENFAV CONSTRUC'flCkN ~
CES$t'OOL CONSTRUCTION
o j OELWR CONStRt1CTION
~ y i
~ ~I ~ '%TMER
1 for
- C~
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o
N° Z-
O ~ ~I o ~
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or'9% ~RMt"f lNCL.UbFS ARPROV~,.
~'.2~.~,3/ TO REMOVE EX(.E.'3SS Fit.1, .
I~ ~ ,FROM ABOVE PREMISES NY
q~ISRADING LOT
b
; ~ DRIVEWAY CONSTRUCTION
iTATE OF NEW YQJRZC~ ~ S S ~T ~ry~/ CESSP004 CONSTRUCTION
~OUNTY OF , 4 ~ 9 CEUAR CONST Y t10
Kenneth A. Alrrams aTHFA
bem d
g ulysworn,deposesandsayst atheist a pplic~antl
(Name of individual signing',contract)
ibove named.
ieisthe Cfrporate Officer.....................
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and is duly a}~thorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true fo the best of his knowledge and belief; and that the
cork will be performed in the manner set forth in the application filed therewith.
Iwom to before me this
ay of. ~i. U^ ,19.~(.,
fotary Public, . ; County i /
~I ~ 'Y '
(Signature of applicant)
. ~ ~}III:}1 ~<r w i`^I. i 5~.~ F' ,t ,-..!.~e ~{t nj9y~~ ~,yrr,~,~2+f~kyu~r?~.i~t.. S'..:^[ r. ~ ':._I
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