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HomeMy WebLinkAbout18607-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19427 Date OCTOBER 10, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 925 LONG CREEK DRIVE SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 3. Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21, 1989 pursuant to which Building Permit No. 18607-Z dated OCTOBER 27, 1489 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 REPLACE PORCH WITH ENCLOSED ADDITION AS APPLIED FOR. The certificate is issued to LESTER & MYRA EISENBERG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-142559 - IDLY 27 1990 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 poses 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) Na x.8807 Z Date .....~?.~-~.~......~:7.........., 19.$,1 Permission is hereby granted ta: . ~ ........c~~.. of premises located at ..9.rz~.... ....:'.'.'.:`.:~....~'~i':«... ~.:;{l.!-1'.~^t...... • . County Tax Map No. 1000 Sec ' n ....©J..`~~...... Blak ......V.3........gLot No.... 2.~............ pursuant to application dated ..!:4.0.~.......R~.~ 19..1.., and approved by the Building Inspector. Fee . Bu ding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ~ ~ ~ Q V BUILDING DEPARTMENT TOWN HALL 765-1802 vl li " 5 { q' s 9L~V". CDFP't. " ~ APPLICATION FOR CERTIFICATE OF OCCUPANC 70U~r~',C)F .^70,J1't,{"34 S7 _ . 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. G. 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 a responsible for the building. ' 6. Submit Planning Board Approval of. completed site plan rego.iremen*_s. 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 $15.00 Date 8,~~9.4 New Construction........... Old O/r Pre-exAi'sting BuilTding / Location of Property...9P.1:'~..1.~~..4!l-~4~~r....U~:.'......... ~~G(~f~ House No. yStreet Hamlet )nwer or Owners of Property..~esf.~..'~...~k~.a: ....~~./5c"~de:}'~......^^.77 :ounty Tax Map No 1000, Section...`.~.~.......B1ock.....Q.~......Lot.... a'.,1 subdivision ....................................Filed Map............Lot..... 'ermit No..~~~?d7. :...Date Of Permit.. (O .Applicant.~~~:Q~~.f~. /l~x~rlc~9 Iealth Dept. Approval .......................r...Underwriters Approval......................... / Tanning Board Approval equest for: Temporary Certificate........... Final Certicate...v 5 ee Submitt'erd:rr ttrr$//..~ ~ Q,~G~ ~d~BN~P - PLICANT.. . . Cow {~'{a~ zrzmr TEL. 7G5-1802 ~oS~tiFOIk~ TOWN OF SOUTIIOLD ~ y~c OPi'ICE OP BUILDING 1NSPECI'OR o 1•j'~g+ P.O. BOX 728 ` ' ~1~' ` ~ T01VN HALL y0~~ a~~ SOUT1iOLp, N.Y. 1 L971 1 June 28, 1990 Myra & Lester Eisenberg 755 Long Creek Drive Southold, N.Y. 11971 To 67hom This'. May Cok~cern, We are unable to complete your Certificate of~Occupancy because of the following reasons. Jan application for Certificate of Occupancy is not on file. <ENCLOSED) /y/ /NO tJnderwritcrs Certificate on file. Tlia check is (dti8~~/not on file. ) $25.00 /f/ No tlcalth Dept. P:pproval an file. I~I No final i.ns.pecCion has been made. Pleaae contact our office on this matter. Thank you for your cooperation. Buil.di.ng Permit 1f 1 8 6 0 7 2 Buildinc] Dept. / No Plumber Solder Certificate on file. ( all permits involving plumbing being i~sucd after npril 1,198h ) J _ THE NEW YORK BOARD OF FIRE UNDERWRITERS f'A6f 10U1.071 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10036 ,.I Date tUI.Y 27,1990 APPlicotionNo.onfile 66636ifYgf$T) N 14?5Fi5 THIS CERTIFIES THAT only the e/eetricd puipment a. deurlbed 6elotD and introduced by the oppNcant named on the abose application number in the promises of L.EtiTE'R ET9ENRERO, 925 LONG CREEK Df21VF:, SOUTHOS.G, N. Y. !L in the olloufn location; ? Basement Oll I f H JIIIY 17, I99q © Ixt Fl. ? Pnd Fl. .Sertion Bfock Lot errs examined on and found to be in compliance with the reyuirementx of this Boerd. HXiUR! %TURES RANGES COOKING DICKS OVENS qSN WA9NERf lXNAUST FANf OUTLETS BTAC16 SWITCHES INCANDESCENT FLUd1ESCEM OTHER NAT. K. W. AMT. K. W. AMT. R.W. AMT. K. W. AMT. H.I. 1.'.• 10 7 13 3 F - DRYERS FURNACE MOTORS FUTUM AFFUANq IRRDMS SFlpALIIEC'?T TIME CLOCKS RNL UNIT NlA7ERS MUlIlA11TlET DISAMlRS ~ AMi. K. W. Oll M. P. GAS M. I. AMT. NO. A W.O. AMT. AMP. AMT. AMTS. TRANS. AMT. M, P. ~DF t~T AMi. WATfS 1 6017 SlRVICE gSCq~INFCT NO.OF 5 E R V I C E NAT. AMP. TYPE iDU1F. I R TN 1 R ]`M ] R 3YI ] / ~W NO.OF CC. COND. A. w. 0. NO. GF MbLEG A W. G. NO. OF NEUIIIA45 A. W.G. NR / Di CC. COND. OF HI~UEG OF NFU1Ml OTHER AF?ARATUS: W',LRINf E'OH NEW ADGTTION-7 G Yt S CONTRACTOk LIC.k57N-E BOX 2115 _ _ Si)UTHULI7, NY, 11977 - O~AI AIANAON ~ li Par This certificate mmt not be altered in any maalror; roturn to the office of the Boord if incorrect. Inspectors .may be ideMi ~ by their credentials. COPY FOR ILDING PA E Al R IN ANY MANNER. i_LD i:::,: EC:I~;: IIL'H:E II :;UMMEl1TS ~ ~ 1 . ' r' ~ P a H (N OUS3DATI0:3 (1St) ~ ?OUtJDATIO;J (2nd) - m ' ~ I o ~ f J ?OUGH FRAME & i .PLUMBING N ~,.,,.r.~a, • ~ y 3. m m ItiSULATIOPI PER N. Y. ~ a ~ STATE EP)ERGY CODE ~ s a ~ r y . H FI;lAL 1 ' ~ o ADDITIOPIAL COMMEI7TS: x~ r.- ry~ • ~ 1~ m . x ~ • ' H ' 9 9 • ~ " 3 ~..1 H 1` d a.Q v m ' ~ ~ o ~ m ro ~3 ; 4f ~ ~ c,7 t~S ` ~ ~ ~ y 4r. Ph', A;, 0 w. ailOn tom! ~ i w .'i ~ won e~.e„ is n vdofaer ~~~3Fett _ _ _ _i Q ~ ' - ~t hxe N i ~ ~}A3/iA ' route, Bu a¢!on kaw °f SPAP4 ~ ~ ! ~~"'1P ~ cn ss of:Prls I. W i ~ fhv5w ha 3 s .^tn nrce., oe bea!'fn f ~ q ~ ~ ~ 1 2 s{ot't{ _i~,o,:.nA sealw~r'¢, i >a! o; ~ -.j ~ ~ ~ j FYrx ?a ie iLay}:dE: ~2t' to ba a vaH;l tra© ~1 >7ot cwrai¢folpd iJ i ~ °tk°:FnPeC9 Inc inSpy'~i i `l. ~r. rllYbYti nv o.! ar ,~tl rr gdlf f'ur p = Fna! 3 h®md rpar V - 1 ~ ~ 43 ateh,.f ~ ~ lr~d ~ wrl~f :f 7 otl~ _:r..uan floc] ']n.,,fltY and' . ~ ! 1 ~ to PStP ,.mss:.,. ''Penn .;:l3 ~ ' .a Urtlsn. taP;,,3 ,FS of Pha If !d'rsJ !nom. twA F)"6 It PC.lit,i(JP< (q ; ~ Pf)lfcydfPVCrydj AR&:IxlltlFB& X4:18 S. ~ f ~ Ra~maiecz t8tlks99GeRi •YR Of i z ~ ~ i ~.~..~'.e~..___._.........._ . . _ __M _~.~~...___.~,.......r_.____rt_ _x-- I M,A P Q~ ~..-d-~ i'J (~s ~ Ga R r. ~ i~ ~ 6.. I au~-~w~a~.~ Guraw~+~, t~.t~ r~~4~~{ K~ ~ti~,t<~\'~vuaYZ~r<~fr~.ecd ~&sa fke ~i~amrh+~>~r~€' ;ti~Vi~wal G?tt. A.19f39 for ~.4M.Eis~itbewg , e~p• ~vA~.c~s,' I~~tze~,+E-.~6t+~: ~=:.?t~p~tg; i~© SkoW t'vh{~o~rs` from Suf{dlk ~aua~rj ~ ~ r`- 'i~~~ ~t#~ ~a.~~~,+~f>r} $la~:fA/..atridl Sur~Way ln~aan ema I+~vaf, N.Cn.4.Q.~ ° ~x ~k~Y;it~t,~Bpcf, ~~~~.~'6~~d'S~"~~~ J _ t~.Cr"t'+~ -1-4'f E'44C if~{,7'`.:~1`:s ;tr,~t>,}yJkf pV'~'~r i~Y ~'R ~ ~~''.Y~"..t,s 13~'n} ~s'~' "A'~w r ~ t~'~' Y~+°tra.yx~„K?^k'{'- ~'~AVlt ui ^{1 !e'f '`y ~znPd~ ` ~t~~,wAt~.t(~~~t~aFiR ~,ay+ryrf~.g Gt~','~k.sr ~k~:i~e ~k}fv~/~~~~ uYv~a[.sq~+~ 1 ,X'S~p_ ~`R' `P~ ~ F ~ WYh"nA"{~R"X ~ Md 74iF Y~ 1h~6. ,i. x.s., r,~_.t. .`t a.~. ,.._f. ~b~ ~~i'~~" ~r ..,__,~r~Y.,.~ ,.<v ,,..t. s cr _x.xfi v s. <<~ VICTOR LESSARD ~j~r' ' t~~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR r~ P.O. Box 1 179 (sib) ~6s-iso2 Southold, New York 11971 FAX (516)765-1823 ~ :~~.Lr OFFICE OF BUILDING INSPECTOR % TOWN OF SOUTHOLD DATE: SEPT. 5, 1989 MR. 5 MRS. LESTER EISENBERG 925 LONG CREEK DRIVE SOUTBOLD, N.Y. 11971 DEAR M & Mrs. Eisenberg: In order to issue a Building Permit for your proposed construction, for buildings located on lots adjacent to tidal water bodies, we will need an in- spection by the Board of Town Trustees for determina- tion and a waiver of jurisdiction or a permit from the New York State Department of Environmental Conservation. Yours truly, Building Lector Phone Number D.E.C. 751-7900 Town Trustees 765-1892 . ~ `f'~ ~ P ~ 4-*' ~`r FRANK A. KUJAWSK[, ]R., President ' --y a e hr ~ TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President ~ ~r ~ ~ (516) 765-1892 JOHN M. BREDEMEYER, III r `'~~~Y3a,~ ai" o JOHN L. BEDNOSKI, JR. HENRY P. SMITH . n ~ ~ ~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 2, 1989 Mr. and Mrs Lester Eisenberg 925 Long Creek Dr. Southold, N.Y. 11971 Re: 925 Long Creek Dr., Southold, N.Y. Dear Mr. and Mrs Eisenberg: The following action was taken by the Board of Town Trustees during their regular meeting held on September 28, 1989 as follows: WHEREAS the Town `Trustees have conducted an on site inspection of the subject property, RESOLVED that the Town Trustees approve the request made by Mr.s and Mrs. Lester Eisenberg for a waiver to construct addition to above mentioned property. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Very truly yours, Frank A. Kujawski, Jr. President Board of Town Trustees FAK:jas -cc: Bldg. Dept. Board of Appeals file h l~ ~d,,,~ ~ BOARD OF HEALTH • U 3 SETS OF- PLANS• • - FORMN0.1 SURVEY . ! TOWN OFSOUTHOLD CHECK (~~„~>,e._.~„€~__ BUILDING DEPARTMENT SEPTIC FORM . . FSLDG. I'it':Pi. TOWN HALL TOWN GF SC1t11'IlGt_Y7 3 NOTIFY ,gOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL 2 1 MAIL T 0 : E~-~~`e~V Examined . u ~?.t~.. s ~ 19~ . S~ ~~-~-q ~@"~ ApprovedO.Q~.'~ r~•:i..., 191~~ .Permit No. ~ ~ " 0 ' Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT p.~~~, ,,pp Date .,mss ~ 19 V.~ 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 azeas, 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 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 in building for necessary inspections. Jo~~. ~ (Sign tore f ap i ant, or na e, if a orporation) (Mailing address of applicant) State whether applicant "is~/owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . ~j.. • Name of owner of premises ~ m~'.~!/ • [ S.L~..r~~~-{ . . (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 MU$~ $El,)SU~FOLK COUNTY LICENSED Builder's License No. ( Plumber's License No. ~`11~:~.~ S::ON.:: _~~-.y. . Electrician's License No. !^'(Uc(~~! ..~~-Q.~1.fZ.~ ~ Other Trade's License No . . 1. Location of land on which proposed work will be done . . ~~5... I~N~-~, - Kv~ro~ so~.~No.~n K~~.< House Number Street ~ Hamlet County Tax Map No. 1000 Section Block Lot , i . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises-a~%mtended usejan~d occup+a/ncy of proposed construction: a. Existing use and occupancy....QNrt..~/:'9-''.'?.`.~!~...1.~?-~-2,1!„ln`J,,, b. Intended use and occupancy ~ ~ . - ,~qn Cyt, , (/.~,~2(!a C . . .!(a. ~ ~ . 3. Nature of work check whiRemo'licable): New Building , Addition Alteration ..e.:...... . ( P>5 Repair Lal Demolition Ot~Vpr~ ~escriplion) 4. Estimated Cost ...~'U..U ~?~?1 Fee I (to be paid on 51ing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . Tfgarage,numberofcars 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 . Height ...............Numb',erofStories........................................................ Dimensions'of same structure wit~t alterations or additions: Front Rear Depth Height Number of Stories . 8. Dimensions of entire new construction: Front Rear ...............Depth , ' Height ...............Number of Stories i - 9. Size of lot: Front ............L.......,. Rear Depth " 10. Date of Purchase ................Name of Former Owner . 11. Zone or use district in which premises are situated . ' 12. Does proposed construction violate any zoning law, ordinance or regulation : . . 13. Wi11 lot be regraded . . .........Will excess fill be removed from premises: Yes No - 14. Name of Owner of premises : ...............Address ...................Phone No............... . Name of Architect ' . ...............Address ...................Phone No............... . Name of Contractor . , ..............Address ....Phone No.... . '15. Is this property located w3, thin 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit may be reqgu~ired. PLOT DIAGKAM Locate cleazly 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. l II i~ ;i STATE OF NEW YORK, S.S COli14TY OF . I • • . • . • • • • • • • • • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing gontract) ;ioove named. I Ileisthe.........' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly aulthorized to perform or have performed the said work and to make and file this application; that all statements containe m t}tis 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 ...............v,(.~.....,dayof... 19~~ \ota 'Public, r~ , f): II ~`:~:.~!.~:'e-.. Count r5 ~ 1 Y ~~~d~~ HELEN K, DE VOE i ~Oo.470TBTA;3olfeolkCu~y~ (Signature of applicant) Term Expires Aflorch 30,19_._./ /~~d~ rss-isoz BUILDING DEPT. INSPECTION [1~~0UNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]//FINAL _ REMARKS: ~y~.1 ~L~-- ~ . c~ DATE ~ ~ J INSPECTOR 1~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [LyfRAMiNG [ ]FINAL REMARKS: ~ --^~-~----t~.'''~__r_-__-~ c DATE l INSPECTOR