HomeMy WebLinkAbout19451-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20640 Date APRIL 13, 1992
THIS CRRTIFIES that the building ADDITION
Location of Property 56005 COUNTY ROAD #48 SOUTHOLD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 44 Block 1 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 26, 1990 pursuant to which
Building Permit No. 19451-Z dated OCTOBER 11 1990
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 AN UNHEATED ADDITION TO EXISTING ONE-FAMILY DWELLING AS
APPLIED FOR AND TO CODE.
The certificate is issued to NICHOLAS D. YUELYS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N 224935 FEBRUARY 18, 1992
PLUMBERS CERTIFICATION DATED N/A
Building Inspector ~ i
Rev. 1/81
;roses 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° 1 4 5? Z Date ..../.a~!~ 19.~r~.
Permission is hereby granted to•
y
? . . . . . . . . . . . . . . . . . . . . . .
~I..... .u/.
to
at premises located at ...:~,Sr°... ~.~:r... ~ I.e:.~.1...~.~...~f!.
C
County Tax Map No. 1000 Section Block Lot No:
pursuant to application dated 19.~~.., and approved by the
Building Inspector.
a~
Fee 5
~ ~s...
Bui ing 1 for
,Rev. 6/30/80
Form No. 6
~ .w t ~it
y. ~ , ~ .n..,_
TOWN OF SOUTI!OLD tl,;.
BUILDING DEPARTMEHT (f~g ~
765N1802L " pR ^
APPLICATION POR C)RTIPICATl: OF OCCUPANCY '^~",~`.';;x;
„ice,
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 caith accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from 1{eaith Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from L'oard of Pire 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,
6. Submit Planning Soard Approval of completed site plan requirements.
:1, For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"prc-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 Euilding - $100.00
Copy of Certificate of Occupancy - $5,00 over 5 years - 510.00
4, Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .....Ma.vch.......1Q42
::cw Construction........... Old Or Pre-existing Building....?.......
Jr'(nOaS t..pU NTH' K.O11•,9 •r"J0VTW0[. 1)
l.oca[ion of Property .........<....e,....
House No. SCrect Hamlet
Unwcr or Owners of Property....P~tGH04A5...'~:..xu,~t:Y.`.~
~.uun[y Tax Map No 1D00, Soction....4.~.......Block...~............Lot.. {q
:subdivision ....................................Filed N:ip.......,.,..LoC......................
i'urmLt No.S~.y.c`~.~,.z....Date Of Permit ................Applicant.~l4HQtA5 p, ~ttieGY~`~.,,,
i!calth pep t. Approval ..........................Underwriters Approval..............,..........
Planning Board Approval '
:lequest for: Temporary Certificate.........,. Final Certicate
2s
:'ce Submitted: C~
~na0 - a2d6 ~ . .
f1~~~~ APPLIGAN
1~LU i;:::. ~ ..~;i if Jni I~ ~:J.`ti9tN'C,^.
3 fir'
r _ , .a Qa.~- -~c._~,.-
'OUttDATION (1st) ~
f c
'OUNDATIOIt { 2nd } _
`o C,y
TOUGH FRAME & Q
r0n
.PLUMBING
~
y
3. h
y
I1ISULATIOi1 PER N. Y. '
STATE EPIERGY I
•
CODE
~
4.
' ~ . .
FZIIAL ~ ~ .icy
t
ADDITIOPIAL COMMENTS: x
'
' x
b
H
' ~
9 'y"\
O
• H
. ~
m
r
~3
• T
O
' m
H
- a i
a k~, TEI,. 7G5-i&02
~p5 , BOG TOWN OIL SO[TTIIOLD
L~;~.y'-c OPT'ICE Or DUfLDING INSPECl'OR
o i~'jkV.~' ,x P.0. QOY 728
y ~ r TOIVN fiALL
0~0~ ; - a~~- SOUTIIOLp, I3.Y. 1 1971
OCTOBER 30, ]991
NICHOLIS D. YDELYS
6159 BROADWAY
BRON%, NY 10471
To Whom This May Concern,
We arc unable to complete your Certificate
o~L-/Occupancy because ,of the following reasons.
/jam/ nn application for Certificate of Occupancy
is not on file. <ENCLOSED)
/Y/ Dlo Underwriters Certificate on file,
Tlic check is (7€31RE3~/not on file.) $25.00
J=/ No licalth Dept. T:pproval on Pile.
No final S.ns.pc:ction has been made.
Please contact our office on this matter.
Thank you for your cooperation.
lluildi.nq Permit 1 4 4 ,5 I Z
Duildi.nd Dept.
***J / No Plwnber So.lcler Certificate on file. ~ .
( all prrmits involving plumbing being
iaucd afCcr April 1,1944 )
_
~T~~
_...~.=ra..~ ' ~ ~
a~ vv ~ ~ ~ ' . ~ ~ ~
~ i
x~ p~ a . ..v .,y
C ~ e ~ k ` ~ ~ j~ ~ ~ ~ v ~ ~.y, M;„ C. is
~ ~ ~ ~ 55,x" ~ 11d.~~n E
`
w t_~. ~ r_ . =
~
s~ x r,1 ~
,
, t
1`
.1. ~
~ RVPR 9 4~~~ i
~ ~ ~ C.?i ~t~
~ ! ~Gf.~~s t
41=~ 70VS~P; u~ fs o3. fM'C7%~
Vii}}.
` " i
X14 ~
~ ~ ~ ~ ~ ~ ~a~
,..i ~ ~
~
tpysrra~;G x~a~H+ua~) ~
9~'~s~t ~ - r
k ~ ~ ~
~ ~
t ~ ~
A ~
~ i ~ ~ta~M+aiC+~ -.~°~td41~ - ~
~ - ~
~ ~ , ,..r.-,-"--".._...~.-
• ~~zr~ TEir.7G5-180'_
o~~~Ea[k~o ~~o~rr or souTao~.fl
, , lGy
.'+c OPPICG OP BUILDING INSPECTOR
~ ~ " + ~ P.O. BOX 728
;r~~ rn s mod„, . .
+,~.r4~ ~ TOIVN ffALL ~
SOUTIIOLp,N.Y.11971 €,r, ) ~ , _
OCTOBER 30, 1997 1i} ~ ~
~~~4~
NICHOLIS D. YUELYS Key{y~~~.,,4tia ,
6159 BROADWAY :.L.~: -
=.ot,, ;
BRON%, N1[ 10471
To P7hom This May Concern,
We arc unable to complete your Certificate
o~t-~Occupancy bL`CALIE"iC of the following reasons.
/y/ !~n application for Certificate of Occupancy ,
/ is not on file. (ENCLOSED)
/t/1 No tJndcrwritcrs Certificate on file.
/~Tiie check is ( /not on file. } 525.00
No llcalth Dept. T:pproval on file.
No final i.nspcction has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Iluildi.nq Permit i} 1 9 4 •5 I Z
Buildi.nq Wept. ,
1 rio Plumber So.l.cler Certificate on file.
( all pr_nnits involving plumbing being
.iaucd after elpril 1,19fl4 )
P
l 1 ~~s i
65.1802
UILDING DEPT.
1 NSPECTION
[ FOUNDATION 1ST [ )ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
(]FRAMING [ ]FINAL
REMARKS: ~
DATE ~ INSPECTOR '"~V
3
,~_~goz
BUILDING DEPT.
1 NSPECTtON
[ )FOUNDATION 1ST [ ) ROU H PLBG.
[ ]FOUNDATION 2ND I ULATION
[ ]FRAMING [ FINAL
REMARKS: _ ~~r~,,~,
r
DATE (J P INSPECTOR
q~~~ ~
~
L r } '
~
G
~ ~~~lJ
n
tl 4
o~ ~ v ~R
~ \
/O i~
O 4f "4 CS+o
~ ~ ~
n
r, ~s s 3
CfJ a ~
> n
~ ~ ~ ~ ~ ~
c, ~ V
f ~ '
T
~ 0
~ • o Z ~
,o ~ ~ .
1 r ~ ~ i, lRi, ' ~ .
x
wcr'~~sr+,M b ~ ts~"~
w~ ~ ~l
~ c ~
E. Q - d t` ~w
3`~C~ ~ -C Q O °
~ ~ . ~ ~
~ ~ ~£?r~ ~
C,- m
U ti? ~ ~`y~
..~W.
h
Y Y i
, . ~ ~
k
,i
_ _ -
k - ~ ~
d ' ~ 4
q ~ ~ ~ ^~~JI{
~
K X
~ ~
Q
. ~ ~ s
r
V ~ V
a y„
.e
a :Q i1
A
F • ~ Y J~
w
~ _
Q
~i{ ~ ~ °
~ ~
~ . t
tNv-h ~ '.-4i s.Y..i. .4
F
q,_ ~
N.t N.. ~ ~
i
fir. ~ ,
T+iM`!F~+~^+^.SVnrw.~..~.nW ^"ef'Tq#"swrMW ~4Wv
^
1 ^ Tf
~ ..o - ~ ~ ~
('''1 q- s
o ~
''7 . ~ ~ a ~ ~
~o
~wrnrt~ M ,
t-- p. Pz
.....___~m o
Z
~ ~ ~
if'" ~ ~ ,
~
~ ~
~ ~
' ~ .
~ ~
~
i
. ~bw ~.e~....y ~
i / /I
s~
j ~ p ~
~ E
N~
I
0
x
~ N
X c
k ~ ~ ~
A d
F y ~
a 6
n °v ~
`n ~ 9 _ o ~ ~ ~
n O
~ ~ ~ ~
6
I
1
0 ~ ~
y s,
4 s
a ~
1
~ ~ ~N
x
o°i
N ~
~ a
f
i ~ ~S,
C N
o ¢E
~d "No
o ~ e ~fi N
s
~ ~ t ...w
a
°3
y \
3
2 3 t
~ ~ ~
I ~ ~ N, ~
~
u .
q N
u V
~ ~
t ,s. ..e
~s
~ Y
~
~ t
`3 ~ \ .
~ ~
~ ~ ~ ~ ~ y ~ ,
- ~ e ~ - ~ ~ `V j
~ ~ ~ ~ ~l
o~ ~ ~ ~ ~ ~1~
r~ ~
f ~
\ ~
W...~.N ~ ~ ~ t«;,, ~
~s
r =
A ?R e , iA: -
Q
o ~
X~. ~ ?x,
~
e
-
~ ~ ~i ~ ~ `
F'
,Y
w ~ ~ ° ~ ,
y ~
...yxµ.ro I
.1 { ~}.i
~ j $
t t
1} ,i ~ } ~ } r
s
ii K ~ ii
~ sti-1L , ` } is ~ 1 ~ . ~ ` ~ t r ~
1 ~ t~ ~
~ , " i i ~ ~i k ~ , - ~ o':
i ~ ~ s~
+1 y ~ a" - ~ t ~ i
{ l ~ ~ - - - i' ~
~ s
i ~ jT~ ~ -1 FYi- ;a
~.j' _ V i~ _ ~ i-~ ~ 1~~',~c
~ ` ~ } n ~ 1~ ~
t
1 ~ ~ ~ t , . ~ ~
~ ~ Y ~ 1 r t _
~ ~ 1 1 t~ l
~ ~ 1 ~ ~ ~
~ t ,
i , ~
~~ik a " 'fit ~ _ r
~
,
i
4' _
t" } " i
i ~ ~ _
i
h t~ "
.
~.i.
~ , _ ~t ~ ~
4
1
_ ~ + ~
Y
x ~ k
~
1 "
ik -
_ ..T... _
~S~
W r
, ..1 • ~ m o
~ ~ W V ~ '
' ~ O I
P° +j
d ~ ~ ~ ~ ~ a} W "L ? 1.~~'F" X 1
W~Q~+~ . A
ti~ ~ ~ 'Z Q ~ 4 ~ v to
j?i W Q + ~ ~ W Z d
~Qt-~ 't~ c]..41W w? ~ ~a r
a. LL Q w . t 1- h ~ }too
~ ~ c:~~Z ~
~ xz a
) ~ ~ ~
m ~`c
a. ~ ~ ~ ~ ~ ~~~~p~~ ~
h of Q ~ ~ ~ ~ qg
~ ~ ~Q'`. t/~) ~R V}c. nor. ~~Q ~r~7~
yp~ ~ ~ ~ ~CY ~~S {`~~~~~rmcH
F_ - ~ r ~ w"' C~ ~ ~5 a~ ma ~c
C u t 4 to>"Q
~ dJ. ll a w.,~ ~."H
o.b. qr'a m
Or 0) tr L C Y U .I
{i. ~ ~ a ~'y ~ _ ~r...
-w~, t 9 y o v ~
-l > S A D J 4 0 Y C G]
e INtj ax~iw ufs m8 t7 nk t o
. ~ ~ - J~
i
' Mpp
~ r ~ ~ to
4 -~ao
S~ i (MyspNbMl~f U Q E i
~ 1 _ C~ Er1t{•ttnH
~ . y`" ' ~ s I
N , _
h~'"~, a?fly-'~~e r -~j Q
, 1R -
1 m ~ , ts~ ~ ~
4.' ~ Y Q'' ~ ~
Cl 2 w ~ 2
g t
f 4
N # N .
ti o~ ~ h~, s ~ ~ o Y
x ~
~ 01t 9S ~ 1.~ ~
~ ~_t~'D~I'~ M.r x ~ Z
~ !
I ~ ~ Noa~nv
^ .
W
~c~VFFOLK~OG
VICTOR LESSARD ~p~' ~ Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR = Z P.O. Box 1 179
(516) 765-1802 ~°t+ ~ Southold, New York 1 1971
PAX (516) 765-1823 yO7~0 ~~0~
7 ~ y
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTI-TOLD
r
October 4, 1990
Nicholas D. Yuelys
6159 Broadway
Bronx, New York 10471
RE: BUILDING PERMIT APPLICATION
SUFF. CO TAX MAP #1000-44-1-10
Dear Mr. Yuelys:
In order to process your building permit, more information
is required. Type and size of footings, heated (unheated).
Please contact me or this Building Department if you need
assistance.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
3. Nature of work (check which applicable): New Ouilding Additicn • . ,Vlera6on . • .
Repatr RFmoval . . Demolition ,Swimnin;, pool........... .
` Tennis Court Accessory Building..........Fence .......0[herlJork_...........
4. Estimated Cost .?0.~."." Fee
(to be paid on liling thisapptication)
5. If dwelling, number of dwelling units , f....... Number of dwelling units on each floor
ICgaragc, number of cars _
6, If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7, Dimensions of existing structuccs, if any: Front Rear Depth ..e~7 . .
Hci•~Itt . Number oC Stones !2 . .
Dimensions of same structure with alterations or additions: Front • Rcar , „3Q
.
Depth .'.9 .!fYI,?. ,,3p Ilcigh[ Number of Stones .
S. Dimensions of entire ncty constntction: Front Rcar • Depth . _ . ,
Hcigltt Nwttber of Stories .
9. Size of lot: Front Rcar Dcpttt ~ ~ - ~ ~ ~ ~ -
l0. Date of Purchase , ,`JYtp,T , ,9.%96 , . , , , , Llamc of Former Owner , QT.l.O...54f+.9F_ .
1 1. Zone or use district in wlticlt premises are situated . . .
t:',. Does proposed construction violate any zoning law, ordinance or regulation : . _ . .
13. 1Vi11 lot be regraded , ,N,Q, , , , , , , , , , , , , , , , ,Will excess fill be removed from premises: ,Yes No . .
l4. Name of Owner of premises !lf!~449.`~, ,Q,•,yrf4~l~fSAddress 3sz!!QT~~FT.T .AR°. Phone NoRiZ.9JSy.-.93,3
Name of Architect • Address .~f?QJ~,N.Y, lO.t!4 3.. Phone No................ .
Name of Contractor ......Address . .Phone No..
IS.Is this property located within 100 feet of a tidal wetland? *YGS.___NO....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ali set-back dimensions from
' property lines. Give street and block number or description according to deed, and show street names and irdicate whether
r
mtenor or corner ot.
- A-fracH~u • Pt.oT ~i.a.vl awD ~roPosEO ~t~vawr~p~~~T~
adPP QU D AS iMOTED
~ ~
NOTIFY ILOING OEPARTM T T '
yGS~-180 9 AM TO A PM FOR THE
' FOt.LOWiNC 4NSPECTIANS:
1. FOUNORTION 'NVO REOUIREO
' FA#~ POURED CONCRETE
RAtJGH -FRAMING & PLUMBING
3. iNSULATiON
FINSAL - :
ONSTRUCTION MUST
BF' COMPLETE FAR C.O.
ALL CONSTRUCTION SHkLL MEET
THE RECtUBREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
COtaFS. NOT RESPONSIBLE FOR
OESIfiaN AR CONSTRUCTION ERRORS
STATE OP NE\V~ORI~, $,S
COUNTY OF.. ae:RN,?~.......
. , . 1(y.
fGHOLe93' fj , !'uEL Y5 , , , , , , , being duly sworn, deposes and says that he is the applicant
• ~ b
• (Name of individual signing contract)
above named. ,
He is tltc ....~O.sy/?C.f - A~~j~!CAnlT
(Contractor, agent, corporate officer, ere.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
work will be perComtcd in the manner set forth in the application filed tltcrcwith.
Sworn to before me this
. ~ . ...d ~rP ft?z/~~... , l9 9.9 .
iota - _
` ry Public, ~ ; , , .QvnrY County /fj
ROBERT J. RU INSTEIN ,
NOTARY PUBLIC, State of New York
No. 03.4618580 - (Sig •aturc of applicant)
Qualifiod in Bronx County ee ,
Communion Expires March 30,18.E Z-°'
• I B0.\RD OF HEALTH •
3 SETS O~PL.\N5 •
FOarnN0.1 SURVEY ~~3t2d
TOWN OF SOUTHOLD CNECt: .
BU(LD(NG QEPARTMENT SEPTIC totter
TOWN HALL ail, ~S'4 9330
$OUTI10L0, N.Y. 11971 NOTIFY I.21~ 5_~/`~ 4,3
TEL.:7G5.1FS02 CALL
PIAIL TO
Examined . IQ~~ 19f:~ ~ ! s,g •~o~R W4~--L .
Approved . !9~!: Pertttit No. /~T~/,~ V~)J4q'Kl.~ . ~ Y....... .
Disapproved ale m r G~ 7(
L;~I
s I
o~ _ f SEP ~ 619y0
• ai • • • • ~ ~ . ~ •uild' ns ector • • •
..,..,_d,_.m.<. ,u.. ;
BLD(u. Ot;~~i
APPL1CATION FOR Ci1J1LD1Nt; PE}dpAt TOWN (YP ct?~+7~Farr~a~~ ,
Date S~T:._.•:lyr.r..,19~a
INSTIZUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Buildir~ Inspector, with 3
sets of plans, accurate plot plan to sole. Fee accordin; to schedule.
b. Plot plan showing location o',f lot and of buildings on premises, relationship to adjoinin; premises or public streets
ar areas, and ;ivin5 a detailed description of layout of property must be drawn on the diagram whichisparC of this appli-
cation.
C. The work covered by this application may not be commenced before issuance of_Buildine Permit.
d. Upon approval of this application, the Buildin; Inspector will issued a Building Permit to the applic7at Such permit
shall be kept on the premises available for inspection throu~ttout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certifiote of Occupancy
sha„ have been granted by the Building Inspector.
APPLICATION IS HEREBY MgDE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, Nety York, and other applicable Lacrs,®rdinancesor
Rc~ulations, for the construction of! buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply witJt all appticsb7e laws, ordinances, building code, housin:; code, and r~+ilations, and to
admit authorized inspectors on premises and in building for necessity inspections.
i~ p~~
•(Signa[ure ei applicant, or e, if a orpora;tan)
II 6iSg :Q,eoevwaY: l3tioNx, ivY •
_ {Mailin; address of applicant) /ro4'7/•
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
~ /?~icwo LA 3 • O; Yu ~ t y 5
Name of owneroCpremises~
(as on the fax roll or latest deed)
r,~,
IC applicant is a corporation,•stgnatiii`e of duly authorized officer.
• • • • • • • (Name and titic`o•P°t0ipoia~e officer) • ~ • •
I
Builder's Liccnsc No. r;aGJ yl .
I
Plumber's Liccnsc No . .
I
Electrician's License No. '
Other Trade's License No . .
l• Location of land on which proposed work will be done; /V,DRTH /G~o~Qp~ Sv.>it DGO~ N'
.S60e~,5 Gesu?JrY ~a'ti'o..~8.. ~od1's~oeD:..!V:
IlouseNumbcr Street. ••Hantlet ~
County Tas \tap No, 1000 Secticnl 4y • . BI'ock • ~ Lot .....~.9....... i••. .
•
Subdivision Filed Atap No. Lot .
(Nn~ncj
State existing use and occupancy oljprcmises and intended use and occupancy of proposed construction: ` -
a. pnia .Farr~ilY••~ou3-# .b.
Existin;uscandoecupancy
b. Intended ®K~ Far+~.ly /Noust_uwi/~.aet~wi~ionw/•beg?.tt~oir7
ust:ando
ccupancy
_
- II