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HomeMy WebLinkAbout19147-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z19322 Date AUGUST 28, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 1760 CAMP MINEOLA & 605 KRAUS RD. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 05 Lot 05 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 1990 pursuant to which Building Permit No. 191472 dated JUNE 22, 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 ALTERATIONS IN BASEMENT (CELLAR) FOR RECREATION ROOMS. The certificate is issued to JOSEPH ONUFRAK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N144292 AUGUST 6, 1990 PLUMBERS CERTIFICATION DATED PERFECTION PLUMBING & HEATING 8/2/90 Biiildingtor Rev. 1/81 YORM 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 0 1914'/ Z Date /: .z ................................ 1990 Permission is hereby granted to: 4 ...................... .. :................ .... ..Gf .y- ...!�:. .................... to .. ....... ..... .....q--.v......... .. . ...... ..........e......................................... at premises located at ...�.7�211.... � !?l.... . Fes.. 25..r/............................................. ..01 ............................................................... Lylear f ......................................................................... County Tax Map No. 1000 Section ...........1 `,9.....2-Block ............ ...,...... Lot No. .....J�............ pursuant to application dated .........�Plr,1�............................... 19.�1J and approved by the Building Inspector. OD Fee ..................... .. .,.. .�. ..........�....... B ding for Rev. 6/30/80 - Form No. 6 TOWN OF SOUTHOLD -T zj0® SRx,^cQ D VBUILDING DEPARTMENT iVnn "�"V TOWN HALL Y ' 765-1802 AUG 271990 a..AP ATION FOR CERTIFICATE OF OCCUPANCY A. This yyLDG.-DEPY. ins e PP W_dhSf1�T 3IL led in by typewriter OR ink and submitted to the building P t 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 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 to April 9, "pre-existing land uses: 1957) non-conforming uses, or buildings and 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 5Y ears - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $5515/.00, Commercial $15.00 Date . . . . .. .5�/.z. ��1 . . . . . . . .. . . ..... New Construction. . .. . . .. . . . Old Or Pre-existing Building. . k_ � ... ••'• • Location of Property. . . . . 1760 . .. .. ... i Nt 'a ^G House No. C�'�' Street- ­ * * * * * . . . .. . . :.t'. /�...... . . .. Hamlet Onwer or Owners of Property... . . � cv F4K. . . . . . . .... . . . . . . . . .. . . .. . . .. . . ........ . . . . County Tax Map No 1000, Section. . . . !,,Z?;,, , ,Block. . . .. .. .SS. . .. .Lot. . . . . . .. .. ....... . . ... Subdivision..:. ... .. . . . .. .. . .Filed Ma Permit No.0/.4.? , , ,, ,,Date Of Permit.�AV-FA , . . . . . ,cost-N-C (7r9U/$c�� (C Applicant. 7� Health De -S 64J UFC)9 i**� Pt. Approval. . ... . . . . .. . . . . . . . . . . . . . . . .Underwriters Approval. . . . . .. . . .. . n Planning Board Approval. . . . . . .. . ... . . . . . . . ... . . •••-••• Request for: Temporary Certificate. . . .. . .. . . . Final Certicate.. , Fee Submitted: $„�S - � V APPLICANT LD _li:s:° ii 11uA:E I� �U.KKENTs m H FOUIIDATION ( 1st) FOUNDATION (2nd ) _ 2 . ROUGH FRAME & O PLUMBING 1h ti y 3 . IIISULATIOII PER N . Y. H \ STATE ENERGY CODE 4 . 7 �3 FINAL ADDITIONAL COMMENTS : x m \ ro H 9 H H O m v CTI -a H �l M-1802 BUILDING DEPT. . INSPECTION [ ] FOUNDATION 1ST ( I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING Ft4 FINAL REMARKS: DATE ��� INSPECTOR 765-1802 BUILDING DEPT. . INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( FINAL REMARKS: DATE? �� � INSPECTOR ( � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [y ] ROiJGH PLBG. [ ] FOUNDATION 2ND [ �jfINSULATION [ ] FRAMING [ ] FINAL REMARKS: 'e7l2DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ,I a'S 1000744 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date AUGUST 06,1990 Application No.onfile THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of QAiC JGSSr"N CYNtth ' 1100 C`Al4IP T11141,0I,A Itl�A1.Ir 147IT?1TLICK,. N.Y= t�5 in the following 6rmtjpll3Y LJ RgYge went ❑ lxt F6 ElOUT1 2nd Fl. Section Block Lot ? l was examined ort arzdfound to be in compliance with the reyrzirerneats of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER T. K.W AMi, K,W Mit K.W AMT, K W AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT K.W. OIL H P. GAS H.P PMT NO, A.W G "T AMP AMT. AMPS. TRANS. AMT ry,p SYSTEMS pMi. WAiiS NO.STOF FEET { SERVICESOil CONNECT NO-Of E R V I C E PMT. AMP TYPE METER I�,]W IAT 3W 3,e'3W 3,6 4W NO OF CC GOND A W.G. NO.OF HLLEG A M''G, NO OF NEUTRALS A'W O EQUIP. PER 9 OF CC CONO OF HIiEG OF NEUTRAL OTHER APPARATUS: BASENNAT WIRING -1 SMOKE UrTEt:`IOR,, 1 RICItATtl) G. 4tE1xYk;A IIICA2.1.473-f, P.n. 30'9 372 I,ItVREI, NV, 11,948 GENERAL MANAGER Per This certificate most not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified,by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF ERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. O�oc��FFO(A-CO✓ TEL. 765-1802 Torr or soo��oa.� OFFICE OF BUILDING INSPECTOR MS P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No.-Z"/�7 Z Owner •� if e)Vul=mA r (please �print) —L Plur„ber�l��i3��L+ J"�°in�rv� gr�-Gseal (please print) I certify that the solder used in the water supply system contains less than 2/10 of l% lead. (plumber ' s signature) Sworn to before me this day of ��t— ,• 19 70 Notary Public Notary Public , County , HELEN K.OE VOE No,4707878 Suffolk&oun/Y q Term ExOres Merch 30.18..-�•! c��FF.OIj(C TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR a P.O. BOX 728 L- , TOWN HALL oyol Y�a�� SOUTHOLp, N.Y. 11971 July 30, 1990 Eugene Davison, Builder 4300 Sound Ave Mattituck, N.Y. 11952 RE: JOSEPH ONUFRAR 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) / "/ Co Underwriters Certificate on file. / The check is k8i=2xbffWnot on file. ) $25. 00 No 11calth Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit it 1 9 1 4 7 2 Building Dept. No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1 , 1984 ) s - i �. �N II f RgNh NE771,f 1114 S S. 110 -Ya m 2?9,2y� 1 Y 1 r� o � p �.. J V �y I b l.�•7 � T?q ///���111777 f II M QO J tl o cii fepz� I N,d0�37�?O " C moo' 210,95 , 1?0,q Q SURVEY FOR AL LANE AT MATT/TUCK TOWN OF SOUTHOL.D SUFFOLK COUNTY, N. Y. TAX MAPNO. /000-/22.05-05 SCALE / J� 40 J . JUNE 3, /985 NEwYo � AREA =33,868 S©.FT ' �tiP s�'" A. ,NafQti OR ®.7775 ACRE D . . . . . . BOARD OF HEALTH ` p 3 SETS OF PLANSli 99FORrA N0. 1 SURVEY t . TOWN OFSOUTHOLD CHECK . . . . . . . . ... . . . . . . � • � • BUILDING DFPARTMENT SEPTIC FORM TOWN OF OF TOWN HALL SOUTHOLD. N.Y. 11971 • NOTIFY : TEL.: 765.1B02 Examined . . /a, Z . 19 90 CALL C . . . . . . . • • • •+ p• MAIL T0: Approved . . .�.,1,�;,L. /.d �.//�� .. . . . . . . . . . . / ., 19 . Permit No. Disapproved a/c . .. .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . .. . . . . . . . . . . "i1 g Inspector) �� APPLICgT10N FOR QIJILDING PERMIT q O Date . L.Ll.I_Q.... . ., IS . . . INSTRUCTIONS a. This application must be completely filled in by typewriter Orin ink and submitted to the Building sets of plans,accurate plot plan to scale. Fee according to schedule. Jrupector, with b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street: areas, and giving a detailed description of l cation. ayout of property must be drawn on the diagram which ispart of[Itis appli- ca , 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 admit authorized inspectors on premises and in building for necessa i regt:huons, and to tY coons. (Signat of applicant, or name,if a corporation) Oct 5' (Mailing address of applicant) t L cz Z State whether applicant is owner, lessee, agent, architect, engineer Qeneral contractor lectrician, plumber of builder. . . . . . . . . ... . . . . . . . . . . . Name of owner of premises . . . . .J /� ' • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) " " If applicant is a corporation, signature of duly authorized officer. • • (Name and title of corporate officer) •� • Builder's License No. . . . . . . 3 .��7(><1 /� IS C, alb C v v S Plumber's License No. . . .! �LI2�?� �, , Electrician's License No. . 2t`, X&N-„ 9-1—C-c : Other Trade's License No. , , , , , Location of land on wltich2posed work will be done; house (L �flUC:oL�9 Number Street • . • .. . . .. • • • • • • . . . ... Hatttlet •. County Tax ,htap No. 1000 Section . Block � CS. . . . . . .... . . .. p5-- Subdivision . . . . Lot . . . . ..... . . . . . . . INantcj . . . . . . . . : . . . . . . Filed Map No. . . . . . State cxistin� . . . • • . . . . Lot . ..... . . . . . . . o use and occupancy of premises and intended use and occupa a, Existing ncy of proposed construction b. Inte . use and occupancy . . . . .. /��1 v�'l..� . ... ./f9, .` . . . . . . �:... • . .... . . . . ed use and occupancy ... .. 1,,,... ............... .. . . . . ISI i 5 � . ,: 1 i•Y,j e'.y't j • 3. Nature of work (cheek which applicable): New Building . . . .. . . . , , Addition . . . S� t ratroA� Repair . . . . . . . . . . . . . . RFmoval . . . . . . . . . ... . . Demolition . . rmntn r ooi ; . Tennis Court . , Accessory Building. . gSs +71 2OJ. OO1CJ .. . Fence . . . . . . .Other Wo. Of:` .�. �4. Estimated Cost . . . Fee ° ,'` l . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwclling'units . . . . . . . . . . . . . . . Numbcr of dwelling units on each floor . If,ara-c.number of cars " . . . . . 6. If business•commercial or mixed occupancy, specify nature and extent of each type of use . •.. . . . . . . . 7. Dimensions of existing structures, if any: Front . . Rear . ... . . . . . . . . . . . Depth ..... . . . . . .. . .•. • • . . • • • • . Hei_,ltt . Numbcr of Stories . Dimensions of same structure with alterations or additions: Front Rear . • ... . . . . . Depth . . . . . . . . IleiFttt . Numbcr of Stones . ..... . . . . . .. . . S. Dimensions of entire new construction: Front . Rear . . . . . . . . . . . . . . . Depth ..... .• . . . . . . . Height . . . . . . . . . . Number of Stories .... . . . . . . . . . 9. Size of lot: Front . . . . . . . .. Rear . . . . . . . . . . . . . . . . . . . . . . .Depth . . . . . . . ...... . . . . . . . . . . 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated . .. . . . . . . . . 12. Does proposed construcion violate any zoning law, ordinance or regulation: .. . .. . 13. Will lot be regraded . . Will excess fill be removed from premises: Yes ... . No. 1•1. Name of Owner of premises . Name of Architect . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. ....•. . . . . . • .. . .. . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . Name of Contractor . . . . Address . . . . . . . Phone No. . •.;,. . • . •• . IS .Is this property lo ,ted within l00 feet of a tidal wetland? -'YES....NO. � � � ca' *If yes , Southold Town Trustees Permit may be required. ! 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 number or description according to deed, and show street names and indicate whether interior or corner lot. I f STATL• OF NEW YORK, S.S _OUNTY OF . . . . . . . . . . . . . . . . . . . • • • • • • • • • • • • • • . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signiirg contract) above named. is is tite . . . . . . . . . . . . . . . . . . . . . (Contractor,agent, corporate officer, etc.) )f said owner or owners, and is duly, authorized to perform or have performed the said work and to make and file this ''pplication; that all statements contained in this application are frac to the best of his knowledge and bclicf;and that the York will be performed in the manner!set forth in the application filed therewith. ;worn to before methis . . .. .. . . . . . 1, ! . . . .day of j . . . ./ 19 r � . . . �.Q fJQaf'r. y fotary Public, , , • • , , .. , Count \ � HELEN K DE VOE . . . . . . . '— NON 4 PUBLICO,SState a New • • . . . (Signature of applicant) Term Expires March$0.� 'VeP REQUIRED R ER APP OV AS NOTED y P k DATE: G o�0'2 D B.P.K /<I/�/ 4u ' ���� • ��O 00 FEE: -5-o BY: I'7 - f7" *) Q' n ` ro NOTIFY BUILDING RTG DEPATAT ) __ PLUMBER CER MICA TION s 'xw 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ON LEAD CONTENT BEfORE V� 1. FOUNDATION - TWO REQUIREDCERTIFICATE OF OCCUPANCY ' FOR POURED CONCRETE 4'' 7•�P ;Q . - 2. ROUGH - FRAMING & PLUMBING -t 5- `�' �'�) SOLDER USED /N WATER `ISTI I•-ICq :ari .Jo I - 3. INSULATION HEkI 12„ •I I - 4. FINAL - CONSTRUCTION MUST SUPPLY SYSTEM CANNOT BE COMPLETE FOR C.O. EXCEED 2/10 of1% LEAD. f __ !L �4 ALL CONSTRUCTION SHALL MEET Ilk r - ,I THE REQUIREMENTS OF THE N.Y- ' ' ,{ { �• 1= � STATE CONSTRUCTION & ENERGY L�UH - _ --' ��I (—Y ,A -,C 'i . �-) CODES. NOT RESPONSIBLE FOR UNFINN 0) ^ � ✓ DESIGN OR CONSTRUCTION ERRORSWlN pn �U0 1 VEuT DRYER, _ - NIN PLUM caw WELL , I' Ilz"C�YpSuW 1��0 (bR) '� I I I fi IP NCOU571c-i'ti-r C�AOILYgb4 - [� I UISL! WIhiWW OPEN-Jj Fa LESW C(,C$�'_ 0 — 5 �- - -- --- NE:w VSMT kunllx+W UNIT peer tubing Is used ---- � WINDA-t WELL � 4 I ��"� ! _ Noo rAYP� �n F,�TUIwN - o - 6 ier VAtd&distributing w I -- 13 et"as K o L only ��E M C N T q � I , A� / N �-_• �� d � �� system;piping shell be fi -tl' _ - ep bxIST ItiCA GSD, FoutilP• Wo,LL T11h +I +I r.v oq -- - - - - _ �- lJNEB NEED r'v WpLLh $ GFJLIN O n PL�IEFQRENO G' /6" LDIN A, ^N pf 151 "TLiPE'x' Ped Ne t+LtNyteirgMMBiE f'E•T -�+' a .'.. &MM7ER 3/B' L•YIJu�Iyyr.�n�T 1 -- --t- - COVERING p F1 3, J � r txeE' ouT dus . m :p 51a'I pt YF.� Sue pLro� C,L!� N I yzoce CFI ccVVnnti1 'I _T- O N 2r4CPLdT) Stb•Io" J 11 ---- ------- tveTVA TM116s- p � I,,;r�TI•--' STD.iI(L i G � 112" PvIGdD IN':ULp ON A Ca MLPweMa-LINA s W-Fa2 �Rg1E1 � N I�I � LI ' `CSC T�> �kI�TI � � ANG, � Ia:N, 2�1; - -- -------, 2 �� - ----- � ��Tft, IGaL LE �ovtilDL TInFI 1 IL LL KISTI ILS hlINg7Ws - �\ =X15TI",f OCCUPANCY /� C Tti•2 1G4 L PG' G C.LEC-j�lc OC�,UPANCY party e.L !�Ui2x'PACE NIOL)NT>rD rIn7UR,E Z o M E rI T USE IS UNLAWFUL 1p�Ec-F�Ev WITHOUT CERTIFICATE r-L0 P �i OF OCCUPANCY o GJM�IC f= -T�Tvrz. v -- u—I-- _ —I—NL.ET } 5WI TGH P.L pI Lar L,cTHT o �O(��N- d' � I N I� I-� C p. 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