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Home My WebLink About18938-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20792 Date JUNE 16, 1992 THIS CERTIFIES that the building ADDITIONS Location of Property 9060 PECONIC BAY BLVD. LAUREL N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 5 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1990 pursuant to which Building Permit No. 18938-Z dated APRIL 6, 1990 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is TWO CAR GARAGE ADDITION & ABOVE GROIIND SWIMMING POOL ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LOUISE CARDINALE BIISCH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING - JUNE 12 1992 PLUMBERS CERTIFICATION DATED N/A ~Qil .~P.a.d uilding Inspector Rev. 1/81 M . _ , roans 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) 0 1898 Z N _ Date 19.94? Permission is hereby granted toy:- ~DS.....~...,~.°.) 4~.:~...`~:.4...~ g of premises located of ..~Q4t d.....~...4.4:~"4~~........~.. County Tox Map No. 1000 Section'~.,.,.I^.v~,.,.sa•...-..n... Block .....4?.ti~........ Lot No...Q..~ pursuant to application doted .......l.X...~.1~14~;d!~...~.~ 19.Q b, and approved by the Building Inspector. I Fee $..a~..... ~~,u.~ ~ ~ C, 0, ~s Building Inspector Rev. 6/30/80 i Form No. 6 _/L~~/~ E%C~~~ TOWN OF 50UTHOLD BUILDING DEPARTMENT ~ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR 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 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. B. 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 o£ Occupancy is denied, Che Building Inspector shall state the reasons therefor in writing to the applicant. b. 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 Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .:~/•C.~' ~ 9,(~ . New Construction........... Old Or Pre-existing Building Location of Property.. R:?~R....~~CRY~.:4..J.:~:(..~~ :4'~ :.............~-Ck.td.Fr"r................... House No. Street Hamlet Onwer or Owners of Property..j:V~btS~... ~~£~.~4RR.~C..-s~U. County Tax Map No 1000, Section ..............Block................Lot...................... Subdivision..D.~+ ..........................Filed Map............Lot.............'......... - Permit No..~/ (3~........Date Of Permit ................Applicant.................,........... Health Dept. Approval ..........................Underwriters Approval........................`: ' Planning Board Approval Request for; .Temporary Certificate........... Final Certicate........... Fee Submitted: $....::T~:~.~ Q.~'y~l~~'~' ~ v APPLICANT ~ Co ao"lg~ ' i. 3331..,.- ~ - ~ ;i` ~;i~; ~ ^ JtNd 151992 ' T(34SfiUCaF:~,r,,fiS'ii4tZi~?,a...,,p j i Q~2 i, r~e°rs e Q-~.4G~ i C~ f'g2~1 r 'T ~ l g ~~~'To CorMP~~;E jw-,v~ 6 cJ ~ tST.~,~f{c~ ~Fo~oee.ts~ ~GCSff i ~ l THE NEW YORKBOARD OF FIREUNDERWRITERS " WE ARE IN THE PROCESS OF ISSUING A ~ ~ - ? ' E ECTR CAAL NBTAIO.LATION AS COVERED i IN AN APPLICATION NOTED BELOW. I ? APPLICATION NO. _ _ j LOCATION Q ~ CCP~I e OZ. I j INSPECTOR DATE ~ ~ T' S Z IBD (REV 9/90) i ~ ~ ~T THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~ca> 1. F)A2h9i36 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date i7r199~ A lirationNu.on~{pile ~:~~E~~~'f~~ 073$2 THIS CERTIFIES THAT f'E~ftML9.' I"~`fII only th¢ electrical equipment as described below and introduced 6y the applicont named on the above application number in the premises of S.R. Rl?,iCl# & L. i.`AR7)7~NALE, ~96G~ P1=CONIC F~"=Y PLVfr, 2y, t,~1iRSIS,, Rf.Y. in thefo/lowing l~c~Jlf tf~F 0 Basement ? Lst Ff. ? 2nd F'1. Section126 Bloek~ Lot wos examined on ' " r ~ ~ ~ " and fonndW be in compliance with the reyuirernents o/this Board. FIXTURE ECEPTACtE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT RUORESCENi OTHER AMi K.W. AMi N.W AMi K.W pMi K W. AMT. H.P 5 15 ~x DRYERS FURNACE MOTORS FIXTURE APPIIANCfi FEEDERS SPECIAL RECPT TIME CLOCKS ggLL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W Oll H. P GAS H. P AMT. NO. A. W G AMi AMp. AMi, gMpS. TRANS. AMT. H P SYSTEMS AMT WAiiS NO.OF FEET SERVICE DISCONNECT NO.OF ~ $ E R V 1 C E AMT AMP. rypE METER 1 ]W 1 ~ 3W ~ 9' 3W 3,P' 4W NO. OF CC. COND. A. W G. NO OF HL(EG A' W G NO OF NEVTRAlS A. W G. EQUIP. PER 9 OF CC. COND Of HIiEG OF NEUTRAL OTHER APPARATUS: Ii.~. 9TFVP,N R, FllY9CH ® QSF,O I?P.CONJE' NAX It1,VD, L A If R F17T r N Y F L 1 9 d$ 6ENERAI MANAGER . ~~f Per ~ 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. =rBt-L' Tros i'~7ZOr~ _ IID~#?>r I~ Co>r:•l u~.s ~ b o0 n .,p FOUt7D:.TI0:1 (1st) ~ C m FOU'.1DATIDi1 (2nd) c ?OUGH FRAilE & O •PLUMBI,IG pl/ • t• • ~ ~ H 3. m m H ItiSULATI0;1 PER N. Y. STi.TE EiIERGY CODE I a 2 c^ ~ m 4. / o~ ./nom [ y FI::AL I L~-t~ • ~ ~ ~ t~ ADDZTIOPIAL COi~!MEtdTS: x ~ . - + • • ~ - ~ ~ _ / b ~ 1 s H ~ O m y • - x v • m ^o H TEL. 7G5-180' o~Q~'~FFOLKO T0~'N OI' SOUTIIOLD , r~ :~a~ ,,,G:~, ~c OFFICE Of BUILDING INSPECTOR ~ ~`i' P.O. BOX 728 u' ti~,s, ~ TONN HALL ~ai:, ~ 4~~ SOUTHOLp, N.Y- 11971 1 May '28, 1992 STEVEN R. ~ LOIIISE CARDINALS-BUSCH P.O. BO% I301, 9060 PECONIC BAY BLVD. MATTITUCR, N.Y. 1]952 To Whom This May Concern, We are unable to complete your Certificate oL- Occupancy because of the following reasons. J~/ An application for Certificate of Occupancy is not on file. /~No Underwriters Certificate on file. Tlie check is (outdated/not on file. ) No health Dept. Approval on file. No final inspccCion has been made. Plea:,e contact our office on this matter. 'T'hank you for your cooperation. Bui]di.ng Permit f1 I $ 9 3 B_ Z Buildin<I Dcpt. / No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,1944 ) 765-1802 f3U1LDING DEPT. N NSPECTION [ ] FOUNDATION 1ST f ) ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMfNG [ FINAL REMARKS: C ~ ~ DATE INSPECTOR . '765-i8Q2 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [)INSULATION [ l FRAMING [ ]FINAL REMARKS: f ~~5z~.2ic9~ DATE D INSPECTOR ~ ~T6S-1802 BUILDING DEPT. .INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. C~ [ ] FOUNDA ION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL / r~l 2 REMARKS: c~z DATE INSPECTOR 3 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: / .~~„~hyt~JG.~ DATE ® INSPECTOR. o 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ 1 ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ AL REMARKS: DATE ~ ~ INSPECTOR -~'~v ~~~~P 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: ` 3 Q ~ ~ ~ DATE INSPECTOR C , ~ BOARD OF HEALTH t;\ a \,J 1,~.'-~~ t'3 SETS 0 F PL.1 N S . • . • . , - . - . , . . U ~ FORMNO.1 .SURVEY I ~ TOWN OF 50UTHOLD xCHGCK 6~6U BUILDING DEPARTMENT SEPTIC POart . TOWN HALL ~.~.r,,.... 1 BLDG. DEP1. j $OUTHOLD, N.Y. 11971 NOTIFY ; ~ 70WNUF50U'fNf)ti;! TEL.:7G5-1B02 CALL ,~~.I~.~..~.C7 Examined ..~{t~-~^ 19.`]~ MAIL T0: V ...ff.~ II APProved ~4... „ 19gv. Permit No. A 9 . DisaPProved a/c . (Building Inspector) APPLICATION FOR BUILDING PERMIT c~ Date , 15 /,d INSTRUCTIONS a. Tltis 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 Latvs, Ordinances or Re;ulations, 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, buildin code, housi ~ code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect ns. , /(S' atu,~r/~e o//f apphcant`,~ name, /i~f a cor~porat1to,,n) ~ / (Mailing address of applicant)~jj~ (J~fL~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~L Y.V. .t'S ~"JLJ.`~C4-F ..~..~QU.~ S <<.. (,._,i4:2 l~, i,{^~/~~.~, (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. 1`:9. . Plumber's License No . . Electrician's License No . . . . Other Trade's License No . . 1. Location of land on which proposed work will be done; ~ n ~ ~ . ~...~h.4-~!>...... ~.~1-.~r~ ice. l.</`' S~. ~ _ house Number Street, Hamlet County Tax \tap No. 1000 Section Block Q Lot...l.......... Subdivision Filed slap No. , Lot ..(Name) . State esistin~ use and occupancy of premises and intended use and occupancy of proposed construction: b a. Existing use and occupancy C ~ , , , , , , , , , , , , , , , , b. Intended use and occupancy • • CLt(Z. • ~~12ACr~ ~ R~~~~~U.,'~; r~_~(yC~ J~„ ~C?Z~ L,_.... i~l ~ , t I O r!-.~ .V~WM PP icable): New Ouilding , . Addition Y. • . • • • • Alteratio~t ~ . 3. Nature of wort. (check which a 1 . Repair R~mov~Zl Demolition ............Swimnin oolr....~(....... Tennis Court ~~A??Pcessory Building..........Fehce .....,.Othe~! ~ 4. Estimated Cost ............,>.j. O;zSL) : C?.a Fee • (to be paid on IIling this application 5. If dwelling, nwnbcr of dwelling ujtits . Number of dwelling units on each (loot................ • If garage. number of cars (a`~ . 6. tf business, commercial or mixed ;occupancy, specify na ure and extent of each type of use . 7. Dimensions of existing structures; if any: Front , Rear , Depth ...,;3 , , , , , . , , Height ....~.C? Number of Stories , .o`Z • Dimensions of same structure with alterations or additions: Front Rear Depth ....3,~ . Ileight , .~.c> Nuntbcr of Stories ....:Zr.............. . 8, Dimensions of entire new constnuction: Front . Rear Depth , Height Numtjer of Stories . 9. Size of lot: Front ~ O. Rear t Depth . ~ 1. • • . ~ , , , ~ , ~ • ~ ~ • 10. Date of Purchase ..c?~L1, . F. [4 . . . . . . .Name of Former Owner :SA:b:+:C..:-. C fl J? .~~..r./al .9-C.C" , 11. 'Zone or use district in which premises are situated , t2. ,Does proposed construction violate any zoning law, ordinance or regulation: ~t/.Qr •r!•7. • • .1//. G.~~~..... 13. Hill lot be regraded ' ,~;0 , , , , , , ,Will excess fill b remove tom premises: Yes ~ No . , 14. Name of Owner of remise Si ~ ~ c a9 7 P . tt'i , 4. !f Address 9L: S>.. ~YC4ctA'. P.yhhone No. ~r:~ , . Name of Architect ,(.~ovisc'. CfI~AiMa(.~, Address . ~a:~1~~ , N..~'.. Phone No . Name of Contractor ...Address ..Phone No.. . . iS.Is this property loca(:ed within 100 feet of a tidal wetland? *YES__..NO.>G.. *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 STATE OF NE\V YORK, ~ S.S COUNTY OF being duly sworn, deposes and says that he is the applicant (Name of individual si^jting contract) above named. Fkisthc..• (Contractor, agent, corporate officer, etcJ ~ • • ~ • • • of said owner or owners, and is duly autltorizcd to pc~tform or have performed the said work and to make and Gle this application; [hat aIl_statements contained in this application arc true to the best of his knowledge and belief; and that the work will be perl'ornted in the manri'er set forth in the application Ciled thcretJith. Swom to before me this I ~ , ................~~P day`~o/f....../~~cf?.c'~ 190. Notary Public, , , ,l~?~! , ,l.\.; ~..C.t!.~- County ' .a. Y¢~ i. ,7. pp~~~~p, ~~yyy~. J yy,~....,,~. • • • • . . • . • • • . . • . , . . • , ~p?~ fYq. .,Mq ~ AA M~ Ne.1701! SwMdk (Signature of applicant) Arot Eapkmt L l h 3Q