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HomeMy WebLinkAbout18595-z a. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19819 Date MARCH 27, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 525 SOUTH HARBOR ROAD SOUTHOLD, K.Y. House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 4 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1989 pursuant to which Building Permit No. 18595-Z dated OCTOBER 25, 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHELE SEINERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-101-3J15/91 UNDERWRITERS CERTIFICATE NO. N-134061 - JUNE 8, 1990 PLUMBERS CERTIFICATION DATED MARCH 20, 1991-TRT PLUMBING & HEATING ~ _ mil/ Building Inspector Rev. 1/81 gosas 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) a ~.8~9~ Z N _ Date ....4~ e~' d;Q~-a.~.......a J 19 g..). Permission is hereby granted to: ~ M ~-.:~-a..... ~..:~...~d.....3q..A........... ct premises located of ....a`~rrya?r....~`..7c~-~K~...1.~.4!:4.4~Se...!-:~.:.......~Q.,~sLC~lIt~.KL~.......... Caunty Tax Map No. 1000 Section .......Q7.,~.... Block .....0.~.........pLot No...~,.7 pursuant to application dated ~ ~.s~^~-s....~.q 19 $..1.., and approved by the Buildin1g ((Inspector. Fee $...'F.~:. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD r; ~(~-°1~~-..., BUILDING DEPARTMENT L~~ ~=l,j~rf% ~p TOWN HALL 765-1802 ~ tl~` E; ~7! ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ~3(,";j~ q~~,.~? ~ ROVd61( d5P CO~TI~~°1iL~ v A. This application must be filled in by typewriter OR ink and submitted to the ~iu'ildingx 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. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible £or 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 - Residential $15.00, Commercial $15.00 Date ....~/Zo/q/ New Construction......... Old Or Pre-existing Building Location of Property Sod?;~I....r(R~~o2..a.~............... SouT~e~~........ House No. Street Hamlet Onwer or Owners of Property....M~LNE~E.....(.i.4~~?EhT County Tax Map No 1000, Section...9.~7~. .....Block....l...........Lot.....2.~ Subdivision ....................................Filed Map............Lot...................... Permit No. .18:5..~:5..~...Date Of Permit. ~~/zs/g9....Applicant..L:~^~~...~:`.°^:-:...~"'~.... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...~!\...... Fee Submitted: 2:5: v d. CQ ~ i 9glq ANN ~ Nv APPLICANT /bIi,92,~ TEL. 7G5-I 802 o5~1FFpLkCO; TOWN OF SO'UTf30d~D o ~ ~ < OFFICE OF BUILDIIQG INSPECTOR ~ d .M~, T P.O. BOX 728 ~t9 `~~-;...]~,~•`~~6?GI~\b/i ( u'' ~ ~ ' .c TOWN HALL 4' g~ ~ "O / SOUTHULD, N.Y.11971 4I q '~~l ~ ~bo ~ ;MAR 2 51991 I~! I"b . ~~a. ~~~r.^, ; C E R T I F I C A T I O N Date 3 2 9/ Building Permit No. ~ 8S9S" Owner ~n~CNEt-E ~1r~1-~e21 (please printl Plumber 7`ERR,9,..cE' Ti9?~$ 7YI5-- ~G~.+.AiNG° NE?>'T~r-~G~ (please print) I certify that the solder used in the water supply system contains less than 2/10 0£ l~ lead. - (plumber's signature) Sworn to before~me this Z''~ day of !"J!~/ 19_L_[.._• Notary Public y $i.1L`A9E5}I fi, CANNAZARO ' Notary Public , Count 't~'pev puetac, state or new vo~s Qttn9ltled in SuPiu~C Co No. 52~;G~. Com'mtssiun Gxplras . TEL. 7G5-i S02 O~ ~0~~~ TOtiVN OI' SOUTIIOLT) ~l~" Lt:~2~i ~ OFI'ICL' Or BUILDING INSPECTOR ``yK; P.O. BOY 728 ~ T01VN t1ALL ~,~f/O~ ~ ~~0~ SOUTEiOLD, N.Y. 11971 JUNE 18, 1990 To Sdhom This May Concern, ' We are unable to complete your Certificate of Occupancy because of the following reasons. /g{ nn application for Certificate of Occupancy i:; not on tile. ENCLOSED /x$ No Underwriters Certificate on file. /gf The check is$~&~~&~not on file.) $25.00 /adc No tteall-h Dept. Approval on file. Nu final ins,pecCion has been made. Please contact our office on this matter. Z'Irank you for your cooperation. Buildi.n~1 Permit 1! 1 8 5 9 5 2 ONE FAMILY DWELLING MICHELE BJrINERT Building Dept. ***7t%/ No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,1989 ) SENT T0: LYNCH HOMES INC. 321 C.R. 39A SOIITHAMPTON, N.Y. 11968 ails/~, _ _ , THE NEW YORK BOARD OF FIRE UNDERWRITERS FA6F ' ~ - 1I95nau BUREAU OF ELECTRICITY 8S JOHN STREET. NEW YORK, NEW YORK 10038 JUNE U8, 1990 6tiG6$69p/9[1 N 13Atl61 Date Application No, on file THIS CERTIFIES THAT y the abctrlca! equipment as dsscrihed 6ebw and introduced 6y the opp/bont named on the shove applicotbn namher in the premises of ae~~,2- 50U7H HA~REIOR NOAH, SQUTH(It_U, N. Y. in the following lacation; IIyy----~~ UU I B ement ~ let F!. Ll Ynd Fl. .Section Block Lot MAY `11,14) woe a:omined on and found to 6e in compliance uif.h the reyuiremente of this Board. Fl%TUEE PIXTURES RANGES COOKING DECKS OVENS DISH WASIMRS EXHAUST FANS OUTLETS TANS SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 23 7 'LG ?3 t 11.5 1 I,? ? F DRYERS FURNACE MOTORS 1UTURE At~N1ANCE INMRS SMCIAL EEC'~T TIME CLOCKS Eill DENT MEAriES MULTI.OLITIRT DIMMERS AMC K. W. Oll N. P. GAS M. P. AMT. NO. A. W.O. AMT. AML. AMT. AMPS. TRANS. AMT. M.I. 110. ~ T AMT. WATTS 2 F 1 3O SlRVIq dSCOFINlCT NO.OF S E R p V I C E AMT. AMP. ME 1 / [V/ 1 / 3W ] R 3W 3 X AW ~ER%C~O' Or CC. COND. NO. OP NI.LEG Oi NO. q NFUTRAUi aj ' EN UTGIIAI a 2nII cP 1 x ~ z/u I z/i'! OTHER AFPARATU6: G.f.f., I:-3 $MOKF fJETECTOR:-2 Sf.HARAOIN f, L.E~f,'fNIr. LIi~..g35lTil ROk 11177 MAIN ROAD C1ITGHQGfIE, NY, 11935 Q?~AL 19 Per This csrfificaN must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their cndsntials. COPY BUILDkiG AR E NOT BE AL FRED IN ANY MAtNER. ~ o ' LYNCH HOMES, INC. • ® Investments for Living 321 COUNTY RD. 39A 1725 ROUTE 58 SOUTHAMPTON, N.Y. 11968 RIVERHEAD, N.Y. 11901 (516)283-0009 (516)727-0221 T///S LETTE /1 r1 /N REFE2 E,uc c~' "3~° l3urt~r,uG- ~Erc.», # /8Sg5- ~ v6 7a E'xPr2 : ~R>~ 26*' or- !99/ . ~i/-I •1 A t1E vas'7' 7~ r°e~ysE ExTE~1~ T~>~ PE2 w. i~T ~ .9r..o-ra/6<L ~ sM L+N"rNS {f q_.... „ f AYE. ~6~nw.a~. { t f 4 k , , ~ it4i?~~'~. t~ ' l:.rJ l..u. J~.. .~li (IJhau ~f 1. V:1~"ILN T... 1 . ~ ~ ~ ~ ~ r0UI7DATI0;J (1st) iJ+R'ec - a (}1 y _ N ?OUIJDATIO;i (2nd) m 0 .'.OUGH FRAME & I _ .PLUMBING m s~ fJ ~ ' ~ 21i5ULATIOCi PER N. Y. _SiyQ ~ ( - ~f,.eGTJ2 G~'L U `,CQJ" y STATE EPJERGY 2? ~ Sri ~ (.1~0 G.CI~ J 'r Qj'1'Pd°M5 ~t.~ PLC.) CODE • 7 m ~ ~ ~ .,J ~ 4 . - t/ y FI;JAL ~ O me ADDITIONAL COMMENTS: x A x a"\ ~ 'N . H O ' m a ~ r ~ N 0 C' ~ ' m -o O TOWN OP SOUTiIOLD BUILDING DEPART1+fENT - SOUTiIOLD, NELV YORK STOP WORK ORDER TO: MICHELE BEINERT Owner, Uwner's Agent or Person Pecrormtng Work) , ' 48130 MAIN ROAD SODTHOLD, NSW YORK 11971 Aaaress of above-namea person/ YOU ARE I-IEREBY NOTIFIED TO SUSPEND ALL WORK AT: 525 SOUTH HARBOR ROAD, SOIITHOLD, NEW YORK (Aaaress wnece work is to be scoppea) ' TAX 11AP NUMBER 1000-75-04-27 Pursuant to section 100-283 of the Code of the Town of Southold, New York you are notified to immediately suspend ail work and building activities until this order has been rescinded. BASIS OF STOP 1VORK ORDER: ELECTRICAL INSPECTOR DID NOT PASS WIRING AND DID NOT WANT IT COVERED UNTIL IT WAS RS-INSPECTED. . CONDITIONS UNDER WHICH 1VORK MAY BE RESU1+fED: WHEN ELECTRICAL INSPECTOR ADVISES BUILDING DEPARTMENT TO LIFT STOP WORK ORDER. Failure to remedy the c6nditians aforesaid and to comply with the applicable provisions of ' law may constitute an offense punishable by fine or imprisonment or both, DATED; APRIL I3, 1990 ~ ~ (X.~'(J ~ ' ' ~3~ibvd CODC EN~ORCGJIENT OFFICER VINCENT R. WIECZORER ~S"~`' ' Tss-zso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ }FOUNDATION 2ND [ ] IN CATION [ ]FRAMING [ FIN/AL~,, REMARKS: ~--~C/ DATE ~ ~ INSPECTOR l 765-1802 BUILDING DEPT, INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( FINAL .~W . - DATE ~ INSPECTOR ` ~ g5~~~ l 'sS-iso2 BUILDING DEPT. fNSPECTfON [ ] OUND T10N 1ST [ ] OU PLBG. J F DATION 2ND [ J 1 ULATION FRAMIN ]FINAL REMARKS: ~l ; oo cwt °T't Lc~. ~a,,a-~ c X3,4-~ dlevsu 34 t%i t~ S'~o ~ u~ o QO sT~c~ ~'U.L, DATE ~ INSPECTOR ~ ~~q~ 765-1802 BUILDING DEPT. ~ NsPEC~r'oN [ ]FOUNDATION 1ST f l ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ]FRAMING [ ] FINAL REMARKS: ~?`-'"~„'4"`"~~ ~"`~"l ~~dL.~~1 DATE Q INSPECTO rss-isoZ UILDING DEPT. INSPECTION [ ]FOUNDATION iST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND ULATION [ ]FRAMING ( )FINAL REMARKS: ~~M' DATE t7- INSPECTOR ,.r 765-1802 1 ~ `J J~ BUILDING DEPT. INSPECTION [ ]FOUNDATION iST (a-] R UGH PLBG. [ }FOUNDATION 2ND [ }INSULATION [v]'FRAMING (]FINAL REMA ..uc.~-~ ~ DATE Ifs INSPECTOR ~~~J G ~~Y 765-1802 BUILDING DEPT. INSPECTION UNDATION i5T ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSU4ATION [ l FRAMING [ ]FINAL ` REMARKS: 1 DATE ~ INSPECTOR 6 ~ ~ ~ n `~j~Rr~~~~~ BOARD OF HEALTH (1 U l 3 SETS OF PLANS FORM NO. 1 SURVEY . . r 9 TOWN OF SOUTHOLD CHECK . . BUILDING DEPARTMENT SEPTIC ,FORM e OfS EPT. p o TOWN HALL .,OUTHOLD, N.Y. 11971 NOTIFY ~ 1K~CX7 TEL.: 765.1802 CALF ..,,,,..,_,,,?d7Qddl MAIL T0: f Examined . ~noe~;f;o,9wu...~?'.., 19 tIAGi? FiOKCS ~~'+h?/~ gpproved .~~~"~r4. '~''r.., 199. Petmit No. ~ $,1~~ 3'21 ~'otan~V i`Z~ 3"l A DisaPProved a/c . 8M~"~OJV _ X49 ' "j ' ' (Building Inspector) v APPLICATION FOR BUILDING PERMIT p' Date~Z~il./G~......., 19~/. • i 1 F 5~'~ A L • _ ~ ~ ' 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary/inspection . .G. ~C 1/f/~i~y~~-l Sigga ure of applicant, or name, if a corporatron) 3.~1. ny.~~39At~u.~`~» .1.1.96 (Mailing address of applicant) State whether applicant is owner, lessee, gent architect, engineer, general contractor, electrician, plumber or uilder .......................,,((,//.,.,.L..../................................................................ Name of owner of premises L~.~G~C • ~iell.'24°C.'~ . (as on the tax roll or latest deed) If applica/nt •is_a c~oyrporation, sing/n/ature of duly/authorized officer. (Name and title of corporate officer) Builder's License No. ~ ~/0~.....Q.......... . Plumber's License No. ~~4P. ~ . ! . Electrician's License No. • ` Other Trade's License No . , 1. Location of land on which proposed work will be done . . ~~~r~ ....cS.'o. ,Narbay.~l.. ........................~o~~ ~d................. . House Number Street Hamlet County Tax Map No. 1000 Section .....Q7~. • • • • Block ~ • , Lot . Z , ° " ! . y1~ 605-5-~4~0~ Subdivision !~!~1Vt~.Fp.1"Q• •~e1~iR""~Q • • • • • • • • • • Filed Map No . Lot . (Name) 2. State existing use and occupancy ~,o//f premisesa(,nd intendedRUSe and occupancy of proposed construction: a. Existing use and`occupancy ..Y~.CKr~~ J..' .(....~..il b. Intended use and occupancy `i...."^'~~1'~ . . ! `f 3. Nature of work (check which ap'plicable): New Building Addition Alterati?~fl~ . Repair . . Remdval • , , , Demolition - they Wp~I1~ ~ ll • • • . 'i ~ r•3 r ~~ription) 4. Estimated Cost . .L~ ~fl ` . . Fee , . k•.•.....~.,...M.,.,.......... w.~... ~ . (to be ppj,,~,'i}j~i>~,tlij~'ik~pplic tion) • : S. Tf d•W011in„'number of dwelling units , Number of dwelling units on each floor .~~'.P.. !`!~P!~... . If garage, number of cars Q,. . . . w, 6. If business; c4~n,mgrcial or mixed occupancy, specify nature and extent of each type of use ~Q" . . 7. Dimensions of existing structure's, if any: Front • ~ Rear , . , Depth . ' Height ' . Number of Stories , , . Dimensions of,sam¢ structure with alterations or additions: Front Rear Depth ....................,..Height Number of Stories . " 8. Dimensions of entire new construction: Front . *•~9.'~ Rear ..y.9,~ Depth 3.3 . Height P2~r~... . Nunjber of Stories ,oZ,.. . 9. Size of lot: Front . r~.3~a , Rear ~.~/t~.~it Depth '~/.Qa3~ . l0, Date ,of Purchase . . . Name of Former Owner .x'!9.4 ?A7.9?e@~. • ,ClA~TiPAR~O.. . 11. Zone or use district in which premises are situated . . 12. Does proposed construe ion violate any zoning law, ordinance or regulation: !V,Q . . ' ,13~. Will lot be regraded. ~~t'..5: ..........Will excess fill be rer~~yngpved from premises: es ~ ~ • ~ No 14. Name of Owner of premisesM ~41R6C~' Address'~~f.~Q .MMN.~fiF. ...Phone No. 7~' 4EQ~4 . Name of Architect T :7.a.~~yr , , , , , , • , , , , • , ,Address J~Pa<I M&di'aCC~, ...Phone No.`~'l~' 9~T~: . Name of Contractor S+)kY~H..~dMtP,S. /JHF.. . Address~1.44x ~".1R.. .Phone No.~83.': ~Q~?%.. . 15.Is this property loca~,ted within 300 feet of a tidal wetland? *YE§....N0,7S.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly alll 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 ; r; `a , ~ . ~ ~ . jY~ r r. ~ ~ ' A ~ ~ r ~ , : , STATE OF NEW YORK, S.S CO T F. ~ ivid~~ , , , . being duly sworn, deposes and says that, he is the applicant g ing contract) above named. _ SFieisthe.uG4~...... (Contractor a ,corporate officer, @tc:),r » , of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..,.,.....I`~~'1f.........dayof...G~~~e?S~E:~..,....,., 19 4;q s " , . ' .;i . ` . , Notary Public . . ~'r`Q~*K. • • • • • . • • . County / / IMOTNYC.FENNELLY g pplicant ~ . (Si nat of a ARY PUBLIC, STATE OF NEW YORK N0.4732093, SUFFOLK COUKiI' TERM EXPIRES, FEB. 28,19.7! 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