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HomeMy WebLinkAbout19602-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24394 Date JUNE 5, 1996 THIS CERTIFIES that the building ADDITION Location of Property 2515 PINE TREB ROAD CUTCBOGUE, M.Y. Houee No. Street Hamlet County Tax Map No. 1000 Section 104 Block 3 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECSFIDER 20, 1990 pursuant to which Building Permit No. 19602-8 dated DECBHBER 21, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued ie DORMER ADDITION TO S%LSTING ON8 FAMILY DWELLING AS APPLIED FOR The certificate ie issued to EUGENE & ARN BURGER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-225513 - FEBRUARY 21, 1992 PLUMBERS CERTIFICATION DATED N/A u'lding Inspector Rev. 1/81 f OEft NO. f 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°- 1 9602 Z Date .~.,~.s.=.-Y:~~:u..s.~.....~.L 19..9..E Permission is hereby granted to: ~...::~~1,.....~....................... w:.,. ..~,.w~:.... ...~......p ..................~.t........-.7..-............................. of premises located ot ....r,~.~.....~..........~?? :......................!~,-d...........~:d1:4r.!..4sf.:6....~ . County Tox Map No. 1000 Secti^on~......~..~.7....... Bloek Lot No....~..~............ pursuant to application dated .....).na.F.:~,:~^:~:r~~:t.....20......, 19.q.CU., and approved by the Building Inspector. Fee 5...*`?~...... .........tt ~ aA::.. Building Inspector Rev. 6/30/80 j FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No . Date . ~ 19 (2 1?LEASE TAKE NOTICE that your a~ppli~cation dated ...4!...O. ~ 19 ~.b for permit to construct ~...tL~i~• • - • .l• • ....77.~~'.~~ at Location of Property . ~ ~.~.ti~~~~,/.~"'~!./~~.....~. House No. Street amlet County Tax Map No. 1000 Section -/......Block Lot ...y . Subdivision Filed Map No. /LotlNo-. . is returned herewith and disapp~ro~ved~on the foil wind grounds .l~lF!4. v~:"~~~~P~='~Q~~/'/~'/~.... . .~~t:~-fir. ~~1?~~.t~. ..e~ ~..!n~~.~~ia~.~..~I~'~i~-ra.. ~S ~ Building Inspector RV 1/80 _ Vic. c o~ ~ ~ a d ~ ~1 ~~T-_~o~ _~--=.=ate ~sz~~*; MAY 3 01996 =~°i~ ;e.-!acz BLDG. DEPT. _ _ 7pWN OF SOUTHOLD _C_ ; =0\ =0p Can-- 0 OCCu? _NC'_' __zs aDDL•' c~=zo^ sesc ~e =:?ev;-_=_r OP. '_ak anc sanmic=_., co = e bu__c_a= =spec=o= cue =-Dw_ag: .or aew bu_ d or aew ese: . ~.a_ su_sev ?=open=y w.=h zccurz=e '_oca=ion o- z'_. bu_-e-~~s, prover=^ __aes, streeu, and urusua_ na~urai o. =apoe=apr__c ____'=_s. 'iaa_ ?oDroc2'_ =rom 3ez:=~ Dep=. wa=_= snppio and sewera?e_d±sDCS~'_;S-S _as=a__at_on =rom 5o arc o~ _re unce-.-c=e-s =DD-0c2_ _______...c_ sw'O s=a=eme^.= .r Dm 71L'mDer Ce_ _a2L =Ae S01cer es ed = vsL eT ..o-^-Lc=as _eS5 Lnan t'~ O_ i o __aC. l.!)SmerC_a1 Du==C_.~, _aL+lls DL'1.:..G=~~. mL'1 ..J1°_ reslCenCes anG s=m=_ar DLi__C~a_°_5 and ias=-ier.ons, ~ csr_c__cc=_ o: Code Comp__ance crom ere_=ec= or en~caeer resDOrs cnie '_or =ne buflc_a~. Subm_= ?_znn_ag 3c~rc 3nDrov` o` comp'_eced szce p'_a^. reauir°mencs. _.._sn =o buc_-_ ss ~,pr_or _v p 9, _4:71 aon-ccn.D w=ag cses, occ_~__s< ane "r_=oe1_s=' .and uses: 3ccurzce su-aey c= prover=? snow-=`= -=oDe_= -=aes, 't=ee=s, bu_Le_.=-nc uaL•Suc_ ..a C= _CDO~~aD Il.C _ea ~:=_e5. grope='_:: cDiapiaced apnl_ca=zDn_ad z cDasea= =D spec= s_g-ned ov wne zpp_____.c. a Cerc__.__=e Ocn de___ =ne 3u'__c_a~ specc.._ sna_i sc~=e =ne __ESO:_S =_1e_e;-0_ _a w____a= L., Cae aDD ~1Cc. L. 'ooc ,,.._=_-_ca=e Occupaacv - dew ..wei~za_ ~3~.OG, ~dd_=icas CD dwe<-.== '>2,,.OC. _-_-==--ons dwe_:~i^a 5_x.00, .,wi~c_^_, poo_ S2:.OC, ~ccessor, bu___-=° s_~.00, 3dc_=_ons zccesso^,% 'DU_ding 325.00. Sus z=_sses :0.00. Cer=...c_=_^oc OccuDZacc on Pre- =c_s=_a~ 3uiic_a~ - 3100.00 C09;~ 0. Cer.L.__c.._ OCC-paaCV - .2SC uDdaced Cern_:'_cz.z o'_ Occupznc? - 550.00 "'emp 0=arv '~.Br=C=iCa=2 oc Occupaacv - Bes_de/nfc'_a_ 3's~.00, Commercca_ 3.5.00 Dace ..~.~.5-.~' . . . ;ew Ccrs crscc_on.. Clc Or o_e-~•-csc=a 3e_ic_aa...... ~oce=con or ?roper=?..Z.~.l.~ .....................5!".-?:. ~ House No. Str=_e= fiamie= iawer o. Owners o' ?rope=r- :DU;.t? °as uap Nc =000: Sec__ca...I o.~......5'_occ...~ ..........iDC....L ;ebc_~a=Dn . . . . . IrI-'•n('~_/V~-e=' sap ...........y~~^oc.......././~~.~..,._.,,. l~.'I~'~`.'1n{.(\,~.,) .vC...l I ~~!Z Z..J2=_ C_' ~fi~...__...!~~1~~0-3PDi_..c_=...Cr!i!`. G.ti ...V`':"`'~ V 2~~~13 Depc- ~pprocai ..........................uaee w-'_='-=s\_..=qc~......................... ____a_r~ 3ca_d aggro-;a_ \ .ecuesc ~emDCrar-: ~er=_-=cac............ ` ~ _ ca.a........... ze ~uD~__..__. _......2 5 ~,.ec. 51365 . ~a-~.ay39y 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROU PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE G 1 INSPECTOR ~ 1 s.~ I 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION ~ FRAMING [ ]FINAL REMARKS: ~ ~ D~ ~ DATE INSPECTOR ~ r'lELD II:SP°CiIUN _ ~~Un: ~ OOMMENT~ t . T R] y o ~ H _ - y FOUtJDATION (1st) FOUNDATIOtJ ( 2nd ) _ 2. ~ ~ z ° u ROUGH FRAME & `1 • U, .PLUMBING • ~J y ,I y 3. ~ ca ro IIJSULATIOM PER N. Y, • • ~ tL STATE ENERGY CODE a 3 r r H 4, ~ FIiJAL ~ i ADDITIOIIAL COMMENTS: m - (aj • .T m • ~ x ro H 9 . H O ~O z r m A • r - '-7 p. h7 -o y THE NEW YORK BOARD OF FIRE UNDERWRITERS H~,,;J~ ~ j 37 BUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK, NEW YORK 10038 Dace TtYP,[if;tl:Al~Y °Ltri7°J2 ApP(ieationNo.anfile )Q~?.d~79'1/`9,~ ID 227513 THIS CERTIFIES THAT - only [he electrical equipment as deacri6ed below and introduced 6y the applicant named on the oftove application number in [he premises of - FUGFH~ I311R1iA72tr 25'i'i !.'StB~ TRSk; 6tJADt 2PJnn~ 1~L.t CUB"~HOG17S, P7:Yo in thefollowing location; ? Rasernent ? /st F(. ~-k' 2nd P'l. ~~x7; Z: Section Block Lot _ was examined on l?L^~3);SJ til (?y' j~t,J,7~2 andfourtdto be in comp lance with the reyuirernerzts of this Roard. FI%TURE ECEPTACIE$ $WI7CHE5 FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT RUORESCENi OTHER PMi N W. AMi K W AMT. KW. AMi K W. AMT H P 15 27 37 1~ 3 1,' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT K.W. OLL H.P. GAS H P AMT. NO. A W.G. AMi AMP. AMT. AMPS TRANS. AMi R p SYSTEMS AMT WARS NO.OF FEET 7. ft i3 SERVICE DISCONNECT NO.OF S E R V I C E MIT AMP TYPE METER ~ 4W ~ )3 ~W 3,B JW 3,e' 4W NO.OF CC. COND A W G NO OF HI-LEG A. G NO Of NFUTRAlS A W G. EQUIP. PER% OF CC.CONO OF HbIEG OF NEUTRAL OTHER APPARATUS: PtUY'C~RtirA-G9.§0 (~',t'.,,t,"p fI.P. k'Ab1S'LBOA@!j":1.-~ 5 L'11t. 1Q6 Cr.F.C.1t-3 9HU€~E DFTT3v''1°af~ z ~ 'I. - fiRACK 1,I~~Y't'7NGt; .a S3CiE' 217 $fJU'pti0:id? r P11't 1 J ~~1.1 OENiRAL MANAGER Pert] This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. c COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS Ilnc~ I ~a(Tj `1'~ BUREAU OF ELECTRICITY 65 JOHN STREET, NEW YORK, NEW YORK 10038 Date PEfl'1gUAh'C 27,F19r}i Application No. on file "J~3~,ti$~}197. Tl 2~5Ja-~ THtS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on th¢ above application number in the premises of ~uc~t~>J aC3€:CsERr z,lt~ r>~~ rs3~;r ~r7~>7r r.lrrc7~7oa71ct ~.~r. in the following location; ? Basement ® lst FT. ? 2nd F6 %0$"I'~.~F+ Section 8(ock Lot was exnntined att ~l'N7; (.7 ~7tY lE!F19"12 aredfomtdto 6e in compliance uith the requirements q(this Board. FIXTURE ECEPTACIE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OURETS INCANDESCENT FWORESCENi OTHEH AMT K W AMi K. W AMi KW AMT K w AMi H P. 5 to 9 5 .1 1. `I, ' DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi K. W. OIL H. P. GAS M. P. AMT NO. A W. G. AMi AMP AMT AMPS. TRANS. AMT N. P SYSTEMS qMi WAiiS NO. OF FEET SERVICE DISCONNECT NO.OF S E R V I C E AMi. AMP TYPE METER 1 ~ ]W I %]W 3 %dW 3 B 4W NO. OF CC COND. A. W G. NO OF HI-LEG A' W' O NO OF NEUTRALS A W EQUIP. PER % OF CC. COND. OF HIdEG OF NEUFRAI OTHER APPARATUS: ~~~~R}i i"Q~ul ,~(7lti G'D7 ~a eazlrs.~annns:l-~z l;~~a. G.1?.C.Tt•3 z TRAC,4L P.7&H'1'70fJr-2 G f. 5 Ct?i~xRALTQ7t LIC.~57S1a G~/!ate / 90~ 215 $()U2'kl!?S~RF 7f~Y 11373, OENERAI MANAGER li Per - This certificate must no} be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 'c COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. S• m BOARD OF HEALTH ' ~ ~ ~ V 0 3 SETS OF PL.1:IS Q.l~; FDRtA N0.1 SURVEY " TOWN OF SOUTHOLD CHIiCIi BUILDING DEPARTMENT SEPTIC FORPf, / TOWN HALL B $OUTHOLD,N.Y.11rJ71 NOTIFY; TEL.: 7G5~1802 CALL ...7'3,x, , • Examined~;cP^.•!t~ a 1, l9 Q.(~ MAIL T0: Approve S?7r~ . ~,I, 1994. Permit No.t Disapproved a/c . . . (Building Inspector) APPLICATION FOR BUILDING PERPi11T ` Date 15~~. INSTRUCTIONS , a. Tlris application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ 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 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 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 any purpose whatever until a Certificate of Occupancy shall 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 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 necessa ms tio~ns. ry' C.;~ (Signature at' applicant, or name, if a corporatwn) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..r~, Name of owner of premises C . as on the tas 11 or latest deed) If applicant is a corporation, signature of duly authorized officer. • (Name and title of corporate officer) Builder's License No. , , , , , , , ~~~j~, ? Plumber's License No. `"``'~t~"~~ f"Y"`'~"'") Electrician's License No~,C, , ~ ~ CCTV ] C Outer Trade's License No . . l• Lo~~cation of land on which proposed work ill be done; ;'~Sls f/ ..........~.r.-~~z.. . ..Cl,,.~o F[ouseNumbcr Street. //hh HamlcP County Tax plop No. 1000 Secti .....(.l! Blbck , , , Lot. Subdivision .~Q~~Lfi . Filed plop No. . (Name) Lot............. 0 State existing use and occupancy of premises and intended use and occupancy oCproposed construction: - a. Existing use and occupancy ~r.~.C4K-C%'L.. • y . b. Intended use and occupancy ~"n "::°y pp icable): New [;uilding , , tcraUOn 3. Nature of work (check which a 11 Addition I: ~ • Repair R~movll Demolition i . Tennis Court ACicessory Building.........,Fence h 4. Estimated Cost .....~~r~~.'.. i Fee ~.,.1~0~ 5, If dwcllin number of dwcllin un (to be pai on ' ~ j g its Number of dwelling units on cac (loot Ifgaracc.numbcrofcars ......1 6. If business, commercial or mixed gccupancy, specify ature and extent oC each type of use . 7, Dimensions of existing structures, I~if any: Pront,, Rear Depth . . Hei;ltt Number of Stories . . Dimensions of same structure with alterations or additions: Front Rear . . Depth ~ IIeight . Number of Stories . . 8. Dimensions of entire nett' constnigtion: Front . Rear Depth •~t + Hei;ht umber of Stories 9. Size of lot: Front L Rear pth 10. Date of Purchase , , , , , , , , Name of Po cF Owner .P~'?~ff'~:~ . . 1 1. Zane or use district in which premises are situated ..~4:5 f'GI?Ff'.t/ . . l2. Does proposed construction v olaC;e any zoning law, ordinance or regulation: .~.Q • ~~y~ !3. Hill lo[ be regraded y~ Will excess till be removed from premises: / r `Ye j No . . l4. Name of Owner of premises~vle /.~~,t,~,clC,~ddress .?t~le.'1.?~~G-.....Phone No.'~3`~.".~~r/~. . . Name of Architect .....::.......Address ...................Phone No... . Name of Contractor .......:'.'.......Address ; ............Phone No... . , ~ . p p y ed within 100 feet of a Cidal wetland? ^YES ...NO.... IS.Is this ro ert locat *If yes, Southold TowniTrustees Permit may be required. I 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 n}tmber or description according to deed, and show street names and indicate whether interior or comer lot. III ' it it ~i ICI I • III I STATE OF NE1V YORK, SIS COUNTY OF . • ~ (hamc of individual si nitj • • • • ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant • ' ;contract) , above named. Fkistltc (Contractor, agent, corporate officer, etc.) oC said owner or owners, and is duly~l,authorized to perform or have performed the said work and to make and file this application; that all statements contaijtcd in this application arc true to the best of his knowledge and belief; and that the work will be pcrforntcd in the manner itct forth in the application filed thcrctvith. Sworn to before me this ~ ~U. .day of .~!,.~oti 19,~P. Nota !`fit ~2e~c.:If ry Public, , C. L/~.. County ......1 NELEN R DE VDE 0 NOiARYPU811C,SteteoitdewYorM (Si;nature of applicant) No. 4707878, Suttolp County Term Expires March 30,18_,S/ ~ I ir• ~ ,t f' '11 ,i 1 ..fi 1 /1 ~Ih e~, v ~ ,.i' ~ ' ~i ' „ 'f • . ,f , f ' /Vaf~: Lo~~urnbei-s re fe'r fo"'A'In/n v/I' j f ~ „g'O - /Ydsaou ~or~ns"fi/cdin,5'tifja/,(, i : ~ Covi+ty C'/c_•rks o< firma os rr+.~~No. //79 ~ ' Q' f Lot i-~ ~4 , ~f a~~, • ,1 .~.'.'Jy'y'n Y,.. J I :O .,.~r~ r. ...n n... 1 -...w~~..r.. ~...r..~.,.~ h ~ t i f ' I ~ . o ~_~J , ~ , f ~ ~ r lJ .r ~ h a i J ' ~ ~~e n .'1 N E h a Ii ` ~ i.~ 1, 1~ . _ Mc~~ vim' Lo~t- s~..•v~rcn ~~rc It , , f~i No~M~ R. F~v,~o~iv N H-r, ' ~ ~ SC/FFC7CK CvuNTYNY. F.,, i ti y. i S:'' ~ ' S'a /c 5 D ~ / ~ . ~ ~ udranJ`c ~d 1~a thd,~i; Guorontce i ~ , ~ 7i-ust C'ct ossurveycdl~b. S /9s~`. f~I1t ~ a/rn~~vonruy/~soh ' ~ ©~riYl'ar-.. c ' e „ stukc orP~c Licensed Lund Surv~jpr•s I.S G ctn f.~~,+t',-~~ ~ ~ i=-~-- ~ ~ ~ . I,, ~ ~ . ' ~t