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HomeMy WebLinkAbout18835-zFORM NO · 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19727 DATE: February 13~ 1991 THIS CERTIFIES that the building~ ALTERATIONS Location of Property 2260 GREAT PECONIC BAY BLVD. House No. Street County Tax Map No. 1000 Section 145 Block 4 Subdivision Filed Map No. LAURELs. N.Y. Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 23, 1990 pursuant to which Building Permit No. 18835-Z dated MARCH 5, 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 TO EXISTING ONE FAMILY DWETJ.INGAS APPLIED FOR. The certificate is issued to ANTHONY J. & MARIA MERCO~LT~ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-I58431 - OCTOBER 31, .1990 PLUMBERS CERTIFICATION DATED FEBRUARY 9~ 1991-ROBERT O'BRTRN Rev. 1/81 Building Inspector TOWN OF $OUTHOLD BUILDIHG DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PER/V, IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18835 Permission is hereby granted to: ~..?~~....~..~ ....... ~.~. ~...~-~..~./..:~-~... ................................. .................. ~, ~,,,,,~,~ ~,...~.~....~~~..~...~ ............................... County Tax Map No. 1000 Section ........ .../,,~ Block ........... .,~.-, ....LoJ No ......... ~ ......... to applicatian dated ...... .~..,~,.~. .................................. , 19~,.., and pursuant Building Inspector. Fee $. .. approved by the Rev. 6/30/80 CHARLES J BRUDI 141 STAHLEY STREET BRENTWOOD NY 11717 (516) 277-9281 JANUARY 15,1991 TOWN OF SOUTHOLD-TOWN HALL BUILDING DEPARTMENT MAIN ROAD PO BOX 728 SOUTHOLD, NY 11971 REF: ANTHONY MERCORELLA 2260 PECONIC BAY BLVD. LAUREL, NY 11948 MAIN RESIDENCE-PILINGS DEAR MR. LESSARD, THIS LETTER IS TO VERIFY THAT ON SATURDAY APRIL 14,1990, THE PILE DRIVING COMPANY CHESTERFIELD,UNDER MY SUPERVISION INSTALLED SEVEN 10 INCH DIA. 25FT. LONG LOCUST POLES AT THE ABOVE REFERENCED LOCATION IN CONFORMITY WITH GOOD ENGINEERING STANDARDS AND PRACTICE. V T LY OU~ S . TECH ASSOCIATES = OUdD,~TIO.$ FOU!~DATIO:; ROUGH FRAME & .PLUMBING INSULATION PER STATE E~IERGY CODE ADDITIONAL COMMENTS: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Heaith 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 i% lead. 5. Con~ercial bailding~ 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing~' land uses: i. 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 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15oO0, Commercial $15.00 Date. ............ .J~J. '~ .;.~...~./.---- ................... New Construction ........... Old Or~e-existing B~uilding:,.. Location of Property ......................................................................... House No. Street Hamlet Onwer or Owners of Property .................................... ! County Tax Map No 1000, Section..o./.~,.. ..... Block ..... ~. .... .... .Lot...~.. .............. . · . Subdivision .................................... Filed Map ............ Lot ...................... Permit No../~..~.~..~....Date Of Pez~ait..~./~.~ ....... Appll ant~... ...... ~. .............. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ....................... ... . -- ~..%~.Q.~.~~ .............. W LSON, ELSEP,., MQSKOWITZ, EDELMAN 0 D[CKEP January 16, 1991 Town of Southold office of Building Inspector P.O. Box 1179 Town Hall Southold, New York 11971 Attention; Victor Lessard Re: Building Permit Nos: 18939Z 18701Z 18835Z Dear Sirs: Enclosed please find an Application for a Certificate of Occupancy in connection with the three building permits previously issued. I enclose a check for $75.00 to cover each permit as per your request. Also enclosed, please find New York Board of Fire Underwriters Certificate and a copy of the survey. The certificate with respect to the pilings will be sent to you under separate cover by the architect. Similarly, Mr. Robert O'Brien will be sending you a plumber's Solder Certificate. Thank you for your courtesy in this matter. I am Very truly yours, Anthony J. Mercorella AJM:mf Encls. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E RTI F,I CAT I ON TEL. 765-I 802 (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. Swo~n to before me this Notary Public L~/~ County Term Expires .kine 27, l~f~ · ~1" ~ '' U ' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ].~ROUGH PLBG. FOUNDATION 2ND ~,,/~"~ IN!] INSULATION [ ] FRAMING REMARKS: ~r ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION DATE 765-1802 BUILDING DEPT. INSPECTION / .[ ] FOUNDATION 1ST I//]"ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~/~RAMING [ ] FINAL INSPECTOR~ /£?~? 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ F,']~INAL REMARKS: DATE /(-~,/~/,~"~// INSPECTO~.-~.~ XX · Nature of work (check which applicable): New Building ........ .. Addition .......... /alteration ......... Repair ........... Rbmoval .............. Demolition ........ ..... .Swimming pool..... ..... . . Tennis Court ~:'. ..... Accessory Building .......... FoDeo ....... O~her Work; .......... $19,000 Fee .~..~z ~.~.~.. · Estimated Cost ........................ (to be paid on filing this If dwelling, number o{~ dweBing units...4. N/A ........... ....... If garage, number of car~ ............................................................ If business, commercial or mixed occupancy, specify nature and extent of each tyre of use ....... /.~ ......... Dimcnsions of existing structures, ifany: Front .... 50 FT... Roar 48 ~T. . De th .... .4.5..F.T.... Heieht .... J~5. ~'T, ..... Number of Stories ........ ONE. ................. Dimensions of same structure with alterations or additions: Front .. riO. FT. ........ Rear .48 FT. . Depth....4~ F%', ......... ~. Height . .. 1.7. FT. . .'. Number of Stores ONE 20'--4" ;. Dimensions of entire nexv construction: Front 2.2 FT.. Rear 22 FT. Doeth ...... Height .... .17. ~T: ..... Number of Stories .... .0.~.~. ..... . .............. gJ~:~g '~"--' "' -' L' Datc o£Purch I8, 1987 ........ .......... ...... ....... ~ ............... Name of Former Owner .Ep.W..A~...&. 00~..C.U.M~I..I.N.~.S ...... . ;: Zone or use district in ;vhich pr~mi~es are situated R-40 ' Does proposed cotmtm~_ct.ipA"u.¥io~ato m~v zoning taw ordinance or regulation: ~. %rill lot e.. rcgmded .... hlO ...................... Will exce~ fill be remov~gd from premises: . Yes .... No *. Name of Oxvner of premises ...S. EE. ,B.E.L. OW J .... Adds= ................... Phone No ................ SEE BEt'.OW ..... Name of Architect ................... Address .......... ~ ..... Phone No ............ ~ g~.g0O ' ' ' ' ' ' ' Name of Contractor ................. ~ ........ Addrem ................... Phone No ..... .,~.. ' 5.Is this property located within IOO feet of a tidal wetland? *YE$...i~O...~'' ' *If yes, $outhold Town Trustees Permit may be required. PLOT DIAGRAM Locate clea~ly and distinctly ~II building~, whether existing or proposed, and. indicate all set-back dimtmsions from roperty lines. Give street and block number or description accord.ing to deed, and show street names and imtimte whether' ~tcr/or or comer lot. 4. OWNER: ANTHONY MERC~RELLA, 131 DUXBURRY ROAD, P~RCHA~.E, NY (914) 761-6585 ARCHITE~T: TECH ASSOCIATES ARCHITECTS & PLANNERS, PC, 3900 VETERANS HIGHWAY,' BOHEMIA,. NY 11716 ~" (516) 467-3200 CONTRACTOR: ANTHONY MERCORELLA, 131 DUkBURRY ROAD, PURCHASE, NY, (914) 761-6585 i / / '~ (Signature of applic:m.t] ;TATE OF NEW YORK, S.S IOUNTY OF..B.r. Jf~'~'QB.K. ....... . .......... .~L~.IxCxl .A..Hp.J~,E .......................... being duly sworn, deposes and says that he ix the applicant (Name of individual signing contract) bovc nam'ed. OORPORATE OFFICE OF TECH ASSOCIATES ARCHITECTS '& PLANNERS PC {-e is the .. ' ' ' ' (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to pc.rform or have performed the ~id work and to make and file this Ppi/cat/on: that all statements contained in this application are trne to the best of his knowledge and belief;and that the ,ork will be performed in the manner set forth in thc application filcd therewith. ' ;worn to before me this " FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTItOLD. N.Y. 11971 TEL.: 765-1002 E,..?./.< ... / Dis,4pproved a/c ..................................... ........... APPLICA~ION~OR BUILDING PER,lIT BOARD OF HEALTH .j..~ - - 3 sETs 1.111 1. SURVEY '.~. -~ ........... SEPTIC FORM ................ NOTIFY: CALL ................... - - MAIL TO: BLDG~ OEPT. TOWN OF SOUTHOLD Date .... 19.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to thc Buildin~ l~pector, with ~ sets of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of lot and Of buildings on premises, relationship to adjoining premises or p~btin streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which i~ part of tiffs appli- cation. co The work covered by th.is application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. · e. No buildhng shall be occupied or u~ed in whole or in part for may purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION I$ HEREBY MADE to the Building Department for the issuance of a Building Permit ira~Uant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law~, Ordinances or Regulations. for the construction of buildings, ad~ditions or alterations, or for removal or demolition, as he~i~ described. the applicant agrees to comply with alt applicable laws. ordinances, building code, housin~ code, and re.radar/oas, and to ~dmit authorized inspector~ on premises and in building for ne~sq.--,-y inspections. TECE ASSOCIATES ARCHITECTS & PLANNERS, PC · , (Mailing address of applicant) grate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ARCHITECT ,Iame of oxvner ofprcmises ANTHONY AblE> F~tRIA MERCORELLA ..................... (as on the tax roil or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and titlc of corporate officer) lec.ic,an's icense Othec~r;de's License No ...................... Location of land on which proposed work will b~ done: 22-60 PE~NIC BAY BL~., LA~EL County Tax Map No 1000 Section 14.5 -'- Block 04 Lot O~ ,, . Subdivision ..b~.. OF EDGFAViERE P..At~K. Kited Map No 742 Lot 19 ' . (Name) ... ;ntended ose and occupant Sta,c existing nsc and occupancy of premises and ' ' 'Y of proposed constrnctiom a. Existing use and occupancy......,...SINGLE .P.g~Vl..I.L.Y. ,R.E~ID.I?i~C~ ......................................... . SINGLE FAMILY RESIDENCE b. Intended use and occupancy .....................................................................