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HomeMy WebLinkAbout18744-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219617 Date DECEMBER 28, 1990 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2750 MINNEHAHA BLVD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 03 Lot 44 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 5, 1990 pursuant to which Building Permit No. 187442 dated SAN. 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 DORMER ADDITIONS AND ALTERATIONS TO EXISTING DWELLING The certificate is issued to RICHARD & DOLORES PRIETO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N162988 DEC. 3, 1990 PLUMBERS CERTIFICATION DATED HENRY SMITH DEC. 27, 1990 / B ilding Inspector Rev. 1/81 rows xo. s - 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 x.8744 Z N _ Date ..1..,1.~..~~ 19.9.D. Permission is hereby granted ro .Cikt~r~...`.... ..~.Lr..../~.'~c~~le~~•~&~AC.......... ..L~~1.a~.uEar~! . at premises located of ..~~...7~......~~•!!i~l1. ,Ei...~:.r County Tax Map No. 1000 Section Block Lot No...... T.~......... pursuont to application doted 19.~~~.., and approved by the Building Inspector. q Fee l ~ a~ ~ ~ 3I9 0 ~ ~ . .~..r a~ 6 ~ ~ S B in Inspector 'XD~' P Rev. 6/30/80 HENRY J. SMITH & SON, Inc. C~C~C~[~~~'~;~~ PLUMBING, NEATMG & FUEL OIL M a MAIN ROAD ~ l~l SOUTHOLD. N. Y. 11971 ~ ~ ~ ~ ~~~4 m„ (578) 765-3890 ~7's TOtnet~ rss= ~~uxaaa~~i ~ ~~~x,.~ C E_R_T_I F_I_C_A_T_I_0_N_ . , • Date December 28i 190 Building Permit No.__1g~7~_________ Owner Richard Prieto Plumber__Henry_J__Smith & Sony_Inc_ I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. i _ - I' _ my P. Smith Sworn to before me this ~$,tlh_day of _Dece~g~___, Notary Public Notary Public, Suffolk County I DERNADETTE L. 7APLIN • NOTARY PUBLIC N4944893 State of New York Residing in Suffolk County ~ ~:mmssion Expires Sept.30~ 19~.. ~r n ~ I i 1 • ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 70038 Date DECENRER 03,1990 APPlicotionNo.onfile 70fifi1490/90 N 1F+29AR THIS CERTIFIES THAT only the aleetrkol equipment as described 6ekno and introduced 6y the applicant named on the ebow oppBcation number in the premiaee of kICHARD PRIRTO, MINNENAHA RLV-7Dp„ S(?tIT~~77RrytOLiJ, N.Y. in thefollouinp lceation• ? Basement L1 /st Fl. L"J tnd Ft. <'AR/ATTIC/OUT .Sertiun Block Lot _ uaa examined un NO>3EHRER 20, 1990 and found to be in compliance uith the reyuirementa of this Board. HXTUR! RXTURES RANGES COOKING OHCKS OVENS DISH WASNlRS EXNAUET FANS OU11iTS ACIES SWITCHES INCANDESCEM ~ FIUOIIESCENT OTHER AMT. K. W. AMT. K. W. MIT. K.W. AMT. K. W. AMT. N. P. - 34 54 44 33 1 1 5.9 1 1.2 3 F DRYERS RJRNACE MOTORS fAJTURE AMIIANCE REDERS Sf ECIAL RECri TIME CIOCKS Rµ1 UNN tKtATERS tMJLT40UT1ET gMMERS AMT. K. W. Oll N. P. GM N. P. AMT. NO. A. W. G. AMT. M11. AMT. AMPS. TRANS. AMT. N. P. ~ ~T MIT. WAITS 3 2 14 1. SERVIC! DISCONNECT tq.OC 5 E R p~ V I C E AMT. M11. TYPE EOUH. I / 1 9 SW J l 3W S.I AVI ~.OPER BCONU. OF CC. COND. NO. OF NI-LEO Of ~XI LEO NO.OF NEUTRMS Oj 'NEUTOWM 1 2oD cR 1 x 1 a/G 1 1/o i OTHER A?rARATUS: 200 ANP.NANllAL TRANS£RR Sll.-1 = 2t?OA.RATING/NTRED k PUSSF,D R 100A. -I ~ N(>T©R5:?.-3 H.F. ~ FANELROARDS:1-14 CIR. 10(1 _ SMOKE DE'fF,CTOR:-I PAllG k. RDRNS LIC.S2A2-E. 275 TORN HARBOR LANE SOtJTHOLD, NY, 1.1.971 01MMt MANAGER 11 ~ Per This prtificafe must sot be altered in any manner; return to the office of fM Board if incorretl. Inspectors may be identified by their cndenfiak. COPY FOR BWLDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST NOT BE ALTERED IN ANY MAJJMIER. Form No. 6 ~r~'-~ TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ p~C ~ ~ TOWN HALL r, q U 765-1802 43~ , 5'C76~~!h' O~ •`wt30ThtCIP Z3 , a APPLICATION FOR CERTIFICATE OF OCCUPANCY m °°Y~.~ m~.... f 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 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, 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 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 - Residentia 15.00, Commercial $15.00 / Date ..!:::Z.?...1./~.~0 New Construction..."r'!...... Old Or Pre-existing Building. ~ Location of Property....aZ7~.~...........~~~ii?:°~:'~~.`~-,~~d~,,,,,,~.S:ct!Ftrc'l~ House No. ~ St/reet Hamlet Onwer or Owners of Property. ..!~/r"~~y'G' ' `91d~~;),. ~~~s,,~ ;3,,,,,,,,,,,,,,,,,,,,,,, County Tax Ma//p No 1000,,Se~ctiyon~.-~?.~.....Block...~~.........Lot.....~.'~ Subdivision:5~u~/" ~;;,-z-r;;;-;,,,,,,,,,,,,Filed Map..l.~~.....Lot/.. Permit No. ~Q.~.~~,~„Date Of Permit. ~"Z/~.~...Applicant~4::`°::: Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate... Y Fee Submitted: $ ' ~/2~~90 / APPLICANT ~~71~h~>, TEL. ?C,5-18t?'_ `ac~~~fOl,k~0/Y TUWN UI' SOUTIIOI,D I:.".~7~c;,:~~ y+ ~ OI"f'iCE OE TsU[LDING INST'rCT02 u~ ~`?"i"~ ~ TOWN [SALE v' Qa ' c',y SOtJ7'I101_D, N.Y. 1 1971 "'y41 ti~~' . December 26, 1990 Mr. & Mrs. R. Prieto 2750 Minnehaha Blvd. Southold, N. Y. 11971 'Po Whom This May Concern, 4;e arc unable co complete your Certificate of Occupancy because .of the follooriny reasons. An application for Certificate of Occupancy is nat nn fiJ.c. / / Dfo tlnderarriters C~:rtificate on file. 'C11te rt;cc4; i:; (~~txicakaxl/nut an tile.) $25.00 No 11cal.th Dct~t. Approval on file. P:o final insC%ection has been made. PJc:ase r_ontact: our office an this matter. T:,;ank you for your cooperation. IAi.ilclir;g Permi.t-, II ~ .g_ Z4_.4_,_, Z Building DepL-. r.t*/~/ tlo Plumber Soldez Certificate on file. ( aJ.l pert;tits involving plumbing briny issued aft.cr April 1,1984 ) C~ (~~a-7/~~ ~"~r cbh1.'ne•Se s-, . , s. X, n. v_<D ~~,•e53-:it,~JSw.> - ~ ~.~h s w: c... gat»..? . , o,.. ....,..w.m~ ~ ...,,,v. - lf: • _ _ ro V _ G7 ~ Ai ' H _ I _ _ iUi1DAT20;r t) St 1 )U;IDATIO;1 (2nd) _ ~ ~ ~ ~ ~ o ~ ~ OUCH FRki~3E & ~ ~ . P L U td9l V G ~L~,,,~,. r ~ ~ n 3. ~ L1tSULATIO;J PER N. Y. ~ ~'i STATE EiIERGY CODs p } / ~ a l~u.~ ~ Y . • 1 _ ~ r I;InL l ~ o~ ~ . . _ ~ ~ m~~ ADDITIOidAL CO;nMENTS: . cn ' x ~ ~ H~~r 9 9 • H ~`~J \ Q m • ~ • ~ • m ,ti _Ct ~Yi' ^ 1~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ },ROUGH PLBG. [ ] FOUNDATION 2ND [~/]/INSULATION [ ]FRAMING ]FINAL REMARKS:~,~a..,KCC.~,~.d~/~ DATE INSPECTO BUILDING DEPT. f NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARK a p P J 1 DATE INSPECTO l ~ ~ ~ 7 765-18U2 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: ~ , mac., ~r~~-~~~ __~11d~~~ ..,~...~z.~io dpi. ~z-~~;~~-c o~ DATE ~ ~ ~ ~ INSPECTOR ~~~'h, New York State Department of Environmental Conservation Region 1 Headquarters SUNY, Building) 40, Stony Brook, NY 11794 DATE: 3~a'/~~V _ SC~+nu2.~S S4tel?r1~"~ j, ,~S':i3 ~ m~,~~ Re: Prve.fD F'co~eY~y Thomas C. Jorling CcJ~GlnvS~e. Ny ll~/35 AAS'S Gab/erg/y S~II'A/p%. Commissioner /VCw / ~r K~ N`~ 7 JD O!)S Dear /nf, PriC'.'~b !'H 73~ ~~UC~~'>~'(~GUC~I -C~ A review has been made of your proposal to: Cons~r-ocf q, avooclr~, o~2e1< gHa~O.~,~ ~o resic~e~c~ q~ ~Ae ovrner c>~ hlinne69~~ /Shy. -r a1'ec~,ee hei~/J~w~S ~c~e-ve~ SY /vysD~L on a.~9~°c~ gs9re~,rcc~ 6y ~yh1?elst S~~e%n~an r~n~~/~J Based on the information you have submitted, the New York State Department o~f\ 'Environmental Conservation has determined that the parcel project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure CO»cr'e~e 6?a/~ greater than 100' in length which was constructed prior to 9/20/77. _ Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional P rmit Administrator p JUL D ~ BLDG. DEPT. TOWN OF SOUfF~OLD S A M U E L S & S T E E L M A N July 16, 1990 Harrington and West, Builders, Inc. Goose Creek Road Southold, New York 11971 Re: Prieto Residence Southold, New York Dear Sirs, We have reviewed your proposal to alter the insulation specifications for the referenced project, and found it to be in general compliance with the requirements of the New York State Energy Code. We approve of your use of R-19 fiberglass batt insulation, with sealed vapor barrier, around the entire perimeter of the heated space (floors, walls, roof), except at the Family Room, where the specifications call shall continue to call for the addition of a layer of rigid insulation over the batts. Please contact us with any questions or concerns. Sincerely, SAM~U,E/~L~~S~>& STEELMAN ARCHITECTS Thomas C. Samuels, Principal ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (516) 734-6405 / o~c~~od~ Q Trnnna oFso~m+o~.u S A M U E L S& S T E E L M A N July 16, 1990 Harrington and West, Builders, Inc. Goose Creek Road Southold, New York 11971 Re: Prieto Residence Southold, New York Dear Sirs, We have reviewed your proposal to alter the insulation specifications for the referenced project, and found it to be in general compliance with the requirements of the New York State Energy Code. We approve of your use of R-19 fiberglass batt insulation, with sealed vapor barrier, around the entire perimeter of the heated space (floors, walls, roof), except at the Family Room, where the specifications call shall continue to call for the addition of a layer of rigid insulation over the batts. Please contact us with any questions or concerns. Sincerely, SA~MU~,E/~L~S~ j& STEELMAN ARCHITECTS Thomas C. Samuels, Principal ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 1516) 734-6405 • BOARD OF HEALTH ' 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK ~ 16.3... . BUILDING DEPARTMENT SEPTIC FORPI TOWN HALL ~OUTEOLD65.18021071 NOCALL :P.yQ~..... v ~ MAIL T0: Examined ..............19 9. Approved 19 /~,0, permit No.~l~7.!'.1.~~.~ Disapproved a/c (F~~Idi nspector) APPLICATION FOR BUILDING PERMIT Date ........Jan...5..., 19g~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 Pezmit. 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 b1ADE to the Building Depaztment 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 ±ra building for necessary ins: ections. / j/ I ..~z ir~nature o a plicant, or name, if a corporation) 5 Liberty Street, Apt 21A .New..Y.gz;k.. PLX k9.QQ5 . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ,Richard .R;. ,Dolores. Prieto (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . . . . Plunibcr's Liccnsc No . . . Electrician's License No . . . Otltcr Trade's License No . . . . . . . . 1. Location of land on which proposed work will be done. ...•~r.-..-.-.__ ,-,~P,__.•,.., , , - , , , , , , 2750 Minnehaha Bivd. Southold, House Number Street Hamlet County Tax Map No. 1000 Section , ..Q$7......... Block 03 Lot , ,44........::. , Laughing Water 917,,,,,,. Lot Subdivision p Filed Ma N.or ; (Name) .y , , , State existing use and occupancy of premises and intended use and't~l;cupancy of'pT6p'~, ed construction: a. Existing use and occupancy Single Family Residcn~e ~ ~ _ ~ ~ . b. Intended use and occupancy ,,Single Family Residence 3. Nature of work (check which applicable): New Building Addition ?6 Alteration x . , • , Repair Removal Demolition • • • • • • • • . • • • • • Other 1Vork . (Description) 4. Estimated Cast..... $75:000 :00 Fee...................................... • I (to be paid on filing this application) 5. If dwelling, number of dwelling units 1. • Number of dwelling units on each floor .....1......... . If garage, number of cars 2:- ~ . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing sttucture$, if any: Front ~ $Q.'.~...... Rear Depth • 60' max ~ Height ..19.''Q': F..... Number of Stories , ~ . Dintensions'of same structure with alterations or additions: Front $D.'. Rear . , . 80 . Depth 60'.~......... ' .Height 21 r _6". Number of Stories . , ..2....... • 8. Dimensions of entire new construction: Front Rear ...............Depth . Height ...Number of Stories p...... ].65 ~ .4........... • . . 9. Size of lot: Front ..I. $~.'.t . Rear . 17, 2 ; • . . . . De th . 0.>~Date of Purchase _ Qc3.°~~?:. ~1,p~?~......... , . :Name of Former Ow'r~er . ,L, jLL/%i-.?...~°o(q,%,¢~t%..... . 1 1. lone or use district in which premises are situated ~.-`~0, Residential, • • , , • , • • • , , , _ • , , , , , , , , . • • • • • , • 12. Does proposed construction violate any zoning law, ordinance or regu]ation: , Fr.4 . . 13. 1l'ill lot be regraded ..no . .................Will excess fill be removed from premises: Yes (10 14. Name of Owner of,premises .Richard . ~r~.~#4... Address55 ,Liberty St •NY, phone No~ 212) 406-13 Name of Architect Samuelsr & Stee man , ,Address?5235 Main• Rd CutPhone No. 516) 734-640 • Name of Contractor , ...............Address , .....Phone No.... 15. Is this property located within 300 feet of a tidal wetland? *Yes .74.. No *zf yes, Southold Town Trustees Permit may be reqgu~ired. PLOT DIAG1tAM Locate cleazly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions Crom property lines. Give street and block number or description according to deed, and show street names and indicate whether anterior or corner lot. SEE SITE PLAN STATE OF NEW YOR3~, S 'OD\TY OF i being duly sworn, deposes and says that he is the applicant (*:ame of individual signing contract) .hove named. {c is the I (Contractor, agent, corporate officer, aYc.) 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 containfd in this application are true to the best of his knowledge and belief; and that the ork will be pcrCormed in tC~~~e~ rth ' fi' t~c~n filed therewith. worn to before me this ........Ic~;`I-~ ,da• of:~.r4-NlJ•/a'1~+~....., 19 U otary Public~~ .c ..fit..-s. ~ r,.. Countyt~"~ S ~ ~ l - ~ ~ /7 Notary Public, state cif tdeur York No, d!i`~12.13 (Signature of applicant) tauafifieA In ~ utis'1,~ n p Commkslon Fxplros7~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 18T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: DATE ~ ~ IN8PECTOR ¢ ,