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HomeMy WebLinkAbout18581-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19369 Date SEPT. 18, 1990 THIS CERTIFIES that the building REMOVE AND REPLACE ADDITION Location of Property 35900 NORTH ROAD PECONIC House No. Street Hamlet County Tax Map No. 1000 Section 69 Block 04 Lot 05 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 18, 1989 pursuant to which Building Permit No. I8581Z dated OCT. 19, 1989 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 REMOVE AND REPLACE AN ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to THERESA MANNINO/WONG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N140962 JULY 18, 1990 PLUMBERS CERTIFICATION DATED N/A Bifilding Inspector \\Rev. 1/S1 TOsat NO. 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) 18581 NOZ Date ...la �...................................... 19. Permission is here y gronte to ./..� ................................................... to :..... ... .....0.... ....... .. ........... :..... - ... . . ..... ..:............... at premises located at ......:,�.:�..K...?..... ........ .. e.................................................. ............................................... .: :' iz ? ..t..... .....................................................................0.......... ..................................................................................................................................0.............0.......0...0... County Tax Map No. 1000 Section ............01..... Block ............. ...y Lot No. ....... ........ pursuant to application dated .....1®. l ry.................................. 19.CJ../.., and approved by the Building Inspector. 4 & Fee $...G.4 ............... ... ...... ..... .. ...... uildln for l Rev. 6130180 a TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 TOWN HALL i SOUTHOLD, NEW YOIZK 11971 ' 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE z. . G NEW CONSTRUCTION . , ,OLD OR PRE—EXISTING BUILDING. . . . . .VA CANT LAND. . . . Location of Property. S 9�� • • )-) . •/?P . •pcccs�'C . llOUSENO. - -STREET . . . . . . . . . . . . . . . . . . HAMLET Owner or Owners of Property.7)4�ZE5'a )Y$.rJiti0 )tufl'i 6— . . . . . . . . . . . . . . . . . . . . ... . . . . . . - - • . . • • - . County Tax Map No. 1000 Section 9 S - • - . Block _ . � . . . Lot' . . . . . . . _ . Su'edivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map - - - - - - - -Lot. . . . . . . . . . Permit No- ' - - - Date of Permit q -Applicant ��.&)C�� • _ .ct. . . . . . Health Dept- Approval Underwriters Approval . . . . . . . . . . . Planning Board Approval • . - Request for Temporary Certificate Final Certificate 02 5 Fee Submitted : • . . . . . . . . . . . . . APPLICANT. G . . . �. . . . . . . . . . . . . . . . . . xca�,,�c V6p9ias /5o rey• 10/ I4/88 7;PJ �/t FORM NO. 6 TOWN OF SOUTHOLD f BUILDING DEPARTMENT { TOWN t1ALT. 765 - 1802 i APPLICATION FOR OERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 of De4lth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from'Iplumber certifying that solder used in system contains less- than 2/10 of 1% lead'. 5. Commercial buildingst industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the 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'l, uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completediiapplication, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of ,the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - 'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $ 15 00 Residential Commercial eo. 10/14/S8 t Yw� 1 s9�fj,7'e�.yp VICTOR LESSARD �' �r`s .'a�w � � °r ��° Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTORS P.O. Box 1179 (516)765-1802 Southold, New York 11971 FAX(516)765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Sept. 18, 1990 Joseph F. Bilek P.O. Box 174 Peconic, N.Y. 11958 Dear Mr. Bilek: I am writing to you regarding a check we have from you for a Certificate of Occupancy. This check is outdated and a new one is needed. I have not been able to reach you by phone. Please send us a new check in the amount of $25. 00 for the C.O. for B.P. #18581Z for Theresa Mannino/Wong. I am enclosing the outdated check. Thank you for your prompt attention to this matter. We have everything else that is need for the C.O. Yours truly, Theresa Mannino/Wong Secretary PAGE 1 THE NEW YORK BOARD OF FIRE UNDERWRITERS - r1195112 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bate JULY 18, 1990 Application No.on file 66509189/89 N 140962 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the'applicant named on the above application number in the premises of THERESA WONG, RT 48, LIL 26, PECONIC, N.Y. in thefollaeving location: X Basement GX' 1st F7. ❑ 2nd Ft. OUT .Section Black Lot wasexaneinedan JULY 06, 1990 aredfound to be in coTnplianre with the requirements of this Board. FI%TUNE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT fLUORESCENT OTHER MAT K W AMT. K W Mti KW AMT K W MIT H P 11 6 4 11 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS AMT OIL H P GAS HIP AMT. NO A W.G. AMT. AMP, AMT AMPS TRANS. AMT. H P. SYSTEM$ AMT Wgi15 NO. FEET 1 30 SERVICE DISCONNECT NO.OF S E - R V I C E AMT. AMP. TYPE METER 1,0'2W 1 g SW 3 6'3W 3,0'4W NO OF CC.COND A W.G. q.W.G. A w G EQUIP. PER B" OF CC.COND NO Of HbLEG OF MbLEG NO OF NEUTRALS OF NEUTRAL I 1 100 CB 1 X 1 2 1 4 OTHER APPARATUS-. G,F. C. I :-1 _ II SAGE & LADEMANN INC. LIC. #3635-E � P.O. BOX 1768 SOUTHOLD, NY, 11971 GENERAL NAGER 11 � 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, l c Qpcc 3 S90© �18 I_LD L E . :d:: FOUNDATIO:J � FOUt1D ,TION ( 2nd ) _ )O 'OUGH FRAME & O -PLUMBING 0 H :IISULATION PER N. Y. m . . H STATE ENERGY I \ CODE 414 r H FINAL IO ADDITIONAL COMMENTS - m m (� ' x \H 9 • a H O m / v m -o H Y 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: v DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND VIIINSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE ' I v. I INSPECTOR BOARD OF HEALTH D 3 SETS OF PLg7S .O „ FORM NO. 1 SURVEY . . . .� TOWN OFSOUTHOLD CHECK • !H 1. . BUILDING DEPARTMENT SEPTIC FORA TOWN HALL BLpG. pE &OUTHOLD, N.Y. 11971 NOTIFY TOWN SSOUT♦♦OLD TEL.: 7G5-1802 CALL 'P . . . . . �� MAIL TO : �_ia � Examined . ./.O�/�. . . . . , , 19 Approved . ./.�l�l�. . . . . . .. 19 5 * Permit No. . .� -24 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ildin nspector) APPLICA ION FOR BUILDING PERMIT Date . o. . . ��. . . . . . . . .. 19 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 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 d h sing code, and regulations, and to admit authorized inspectors on premises and in building for necessary 'nsp ctio . . . ( gna ire of applicant, or n me, if a corporation) . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. /Byi l_p C�- . . . . . . . . . . . . . . . ..../..�..,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises C- �'W ?!�;n�lwv)& . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR ' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . • . , . . Other Trade's License No. ���.l�'S /�,; !a= 1. Location of land on which proposed work will be done. ,3J . .00. . . . . . . . .. j'foR ti PFCpniL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Housciv'umber . . . . . . . . . . . . . . . . . . . . . . .St re et . . . . . . . . . . . . . . . . . . . . . . .Hamlet . . . . . . . . . . . . . . . . . . . . . . .. County Tax Map No. 1000 Section . . .�?9. . . . . . . . . . . . Block . . . .y . . . . . . . . . . . . Lot . . . . Subdivision . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . (Name) . . . . . . . . . . . . . 3. State exist, use and occupancy of premises and intended use and occupancy of proposed construction: , l a. Existing I use and occupancy . !� Dr'� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . b. Intended use and occupancy . . . . .fw,.-?�;. .�?eQ�t`�?x:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,., 3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition Repair . . . . . . . . . . . . . . Remot al . . . P .�. . . . . . . . Demolition . . . . . . . . . . . . . : heir or `. . . . . . . . . .. : . . ( p.tiiioli) 4. Estimated Cost . . �. OOP. . . Fee . . . . . . it .t7s ` (to be paid j 5 _ S. If dwelling, number of dwelling uptits . . . . . . . . . Number of dwelling units o4 cach"±mi5r. ; . . . . . . '. :.,•. . . If garage, 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 . ? Heiglit . . .(2�. . . . . . . . . Number of Stories . . . . .� . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . .�!�? r. . . . . Rear . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . S. Dimensions of entire new construction: Front . . , , , , , Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . .,:. . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . .... . . . . . . 0. Date of Purchase Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Zone or use district in which premises are situated . .Pee;qr�j L '- 2. Does proposed construction violate any zoning law, ordinance or regulation: .%. 19. . 3. Will lot be regraded . . . .tit. .9. . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 4. Name of Owner of,premises%.,./Wi V �1:?Q, , , , , , , , , Address f°4 . M AP, . f47v i(-. Phone No.97 y.i.9.)R. . . Name of Architect . . . . . . . . . . . . . . Address . . . . . . . . . . Phone No. . _ Name of Contractor 5�.F: .,ai 1.0.e . . . . . . . . . . . . . . Address +1�4: ./��ce +, ,� , , , , , , Phone No. 35.E. . . . 5. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No 7.:. .`' *If yes, Southold Town Trusuees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether iterior or corner lot. I 'h Ili . I I FATE OF NEW YORK,, S S JcN'TY OF . . . . . . . . . . . . . . . . . (Name. . individual siRnin . ' ' ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant g contract) ovc named. : isthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this alication: that all statements contained in this application are true to the best of his knowledge and belief; and that the ,rk will be performed in the manner set forth in the application filed therewith. orn to before me this . . . . . . . . . . . . .6f . day 'of. n'i. .0 . . . . . . . . . . . .. 19�� tary Public. . . . . .^ . .Tl., .�/? .f! . . . . . . County HELEN K.DE VO . . . . . . t Ne York 'NOTARY PUBLIC, (Signature of applicant)urt .� M$ 1 T Ef. LLPn�i 'I or .r. yaUM ANCY OR QNOERWRM C IFICATE IS IJNLAWVUL - t'�ITHCUT CERTIFICATE_ — — - I OCCUPANCY- - - - --- _ DATE- AS NOTEQ. _ NOTIF __ . -__-^ - - - - - --- - - _ — E ENT —F - - DEPA --- h [i�u�� - - - ____ ._--._- _ -. ? j --- - - T AT -- - FOLLOWING G AM TO ECTI PM FOR THE — (FOLLOWING INSPECTIONS. 1 � -11. FOUNDATION - TWOREQUIRED FOR POURED CONCRETE Ei 2. ROUGH - FRAMING & PLUMBING 3 INSULATION - - y"l 4. FINAL - CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET `7 I THE REQUIREMENTS OF THE N.V. _ STATE CONSTRUCTION $ ENERGY ) CODES NOT RESPONSIBLE FOR —t—f col iJESIGN OR CONSTRUCTION ERRORS V, Elst — vH t _ - - - -- - --- Sgo'o n Ro T - _ �Et�wit b ' xsT.`Roor�r I IT�l1T�1 �-- - - I--I- - I I -'I--____. .-� - --1--�-T-- - 1 T - - — T- (- itIYIEU -r- -- I I---I �s�_I I! � —I I - I �� I I_ �-��_1 --- � - - ,_ I I ��E ST� I; I �-?- , I - i C 1c� U St �. �I-IEI, I Oac,�,, I � ---- k T7 - - - - - -T - - T� — — - — - - - I + I I i -I H i I I �