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HomeMy WebLinkAbout18010-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218180 Date JULY 17, 1989 THIS CERTIFIES that the building ADDITION Location of Property 21055 MAIN ROAD ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 017 Block 04 Lot 08 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Perm~.t heretofore filed in this office dated APRIL 3, 1989 pursuant to which Building Permit No. 180102 dated APRIL 6, 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 SUN ROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to LYNDAL BRANDEIS (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N077581 JUNE 26, 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 rosat< xo, s TOWN OF SOUTHOLD iEU1LDING DEPARTMENT TOWN HALL SOUTNOLD, N. Y. BUILDING PERMIT (THiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 8 010 Z Date ~n 19.Q..1 Permesseon is hereby gmnted to: ~~:~.....t1.~...... e 1 1. °4~.~C... at premises located at..rah.~.Q...w'S.`~.....~aw,u..ll~ . ...o....,.J......... . ....../.e.. ..~xlc~~ ...1.a . County Tox Map No 1000 Section~...........~... B1exk ~.~.....~~.77 gLot No.....d~..... pursuant to applicateon doted ~ 19.0:. t, and approved by the Bwlding Inspector. Fee 5...J...D.:..J..... . !t CMG a`<-.. .................°L.:t:~-,~ Builds g inspector Rev 6/30/80 - ~~~M~,~ TOWN OP SOUTIIOLD © ~2 ~ HUILDING DEPART2[ENT tta~g + TOWN BALL "V~ , ~ i~ SOUTIIOLD, NEW YORK 11971 ~NOOfsoV~f{pC0 7b5 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE_..~/10189_,---.. NEW CONSTRUCTION .,RRRX,OLD OR PRE-E%ISTING HUILDINC.._...VACANT LAND........ 21055 MAIN ROAD ORIENT Location of Propertp UOUSE NO_ STREET HAMLET Owner or Owners of Pro ert LYNDAL BRANDEZS P y County Taz Map No. 1000 Sectioa Block ._4.._. Lot ...g..... Subdivision Filed Map ........Lot..._...... Permit No. ,._~SOIOZ - 4/3/89 WALTER ADAMKO. .Bate of Permit ..........Applicant Health DepC. Approval _....N.?~.__....._. Underwriters Approval__._N/A__._._. Planning Board Approval N/A Request for Temporary Certificate Final Certificate .._.RX%R%RRXA Fee Submitted: 25 :00 - APPLICANT._...~'YNDAL_BRANDEIS_ Co ~l~a rev. !0/14/88 1cLJ I;,S:I .T_u;v ~~Un: ~Ue'1MLNT~ ( .a 1 . - m t ~ FOUI7DATI01t (1s ) ~ ~ r C 1 =OUNDATI0IJ 2nd) _ m~= / o t ROUGH FRAME r r PLUMBING 3. ~ m - ~ F INSULATIOf! PER Id. Y. STATE EfJERGY ~ CODE ~ s FI;JAL o ADDITIONAL COMh1E17T5: x ` e P m ' x v H c a • A ~ H ~ H O C ro _ a ~ r ~ - 'j c. s i 0 m -o H ~iyrc7>u~.v~n; /U/H-/~ ~a~0 ve~c-y?T~ l!?57 3a 3-~ cB7 G~oNZfic7aR; S,Gr4 Gd~.e~0 ~sT 3c« ir~ ~f,4~N9r JS3~~+~ G'1<~Si, /louscr ss` e~ sue,, 5'd`~ ~x~ ~W~~'o~ovn F, ) ~ ~ r9 ~N ~~-j 66 (L 4y, l Q W~ ti .zYL Qk ~ev~/G U~C. W/ ~~7' (n vTrE7~5 Y GE7tAr?~L ~ ~~15T FS~ SWrv CN l7 ~~SE ~7 cgs owa?rs .;.t~ 3~gcwE ~~A~))P~~PR//O,~~V~~ED AS NDTED DATE' =~`-,~-x.~-B.P i!y' gc~ - NOTIF~UI DING DEPARTMENT AT OCCUPANCY OR 76&t$02 9 AM TO 4 PM FOR THE USE tS tlNLAWFUt. FOLLOWING INSPECTIONS yVtTHOUT CERTiF~CATE 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE OF OCCUPANCY 2 ROUGH -FRAMING & PLUMBING 3 INSULATION ` 4 FINAL - CONSTRUCTION MUST ~ g BE COMPLETE FOR C O. , _ ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.V, r ' ' STATE CONSTRUCTION 3 ENERGY CODES NOT RESPONSIBLE FOR DE51GN OR CONSTRUCTION ERRORS '~o~x 7Y /1RlEN ~ BVY ~ l4> 7 ~~,u-~~ ?t ~~d'~ LC.e.~ _ /e.e a6o- Gt~l ~ ~ C c ~_,yt I ~ ! ~--ei~..c-~C _ v~ ~ ~ nos ~ ~ 7 A~ ~ , a ~ ~-e-t ~.Q.2 . f- ffi 5` ' s~--~--~ ~.e C' ~ e.~-~ a.~..~~ v c~~-~n~~ (t4s"7 ~A OH1fiOS d0 NMOl ~i ~ M-L~e.z/ R.t,uti - ~+.-6' U\a.c_ ~ .l ft..t~,u~(~u tX T~,,~~Q ,Q , ~ ? ,~,~G Q-4-z..or Old- c.~._,c_,~ C.Q~ ~ t,t~-c.~.. ~ Prw , J ~ 765-1802 BUILDING DEPT. 1 NSPECTI [?~OUNDATION 1ST ( ] ROUGH hi LBG. ~ [ ~J FOUNDATION 2ND ~ ]INSULATION [+~RAMING [ ]FINAL REMARKS: ~ JC~~~ ~~4 - ~~~~Y mow- ' / -r.- DATE ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ J ROUGH PLBG. [ ] FOU DATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: ~ DATE ~ oz 0 INSPECTOR ~ ~J ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ } ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: C~ DATE ~ INSPECTOR T R!. THE NSW YORK BOIl1RD C?F flRf UNDERWRITERS PAGE 1 1L2507.8 - - BUREAU OF El.lCTRICITY 88 JONN 3TR!!T, NEW YORK. NEW YORK 10038 Data JUNE 26,1989 .tpplicoNonNo.onjile 62772389/89 N 0775$1 THIS CERTIFIES THAT only the electrlea/ puiprewnt v deecri6ad hebm and introduced 6y the applicant named on the show appiicatioa numher in the protnLee 4• LYNAAL RRANDEIS, 26085 MAIN ROAD, ORIERT PT„ M.Y. in thefoibtrinR location; ? Bosement ® (et F(. ? Ynd FI. OUT Sertion Block Lot tone esomined un JUNE 08 , 1989 and found to be in rnmp(iance with the reyuiremente of this Board. gXTWE RXTUREf RANOEf CDOIDND DECKS OVlNS qSM EXNAUST FANS teteTLETS AgEf SK/ITCNES INCAN[IlSCSM PIUOtEStlNf OTNlR AMT. K. W. AMT. K. W. AMT. K.W. AMi. K. W. MIT. N. P. 1 6 2 1 DRYRRS FURNACE MOTORS FUTURt AFRIANCE FIEONS SMCIAl R1C'FT TW[ClOCKB Rpt, ItPRtNUTERS lKATt.DUTIlT gMMERS AMT. K. W. pl IA P. OAS M. P. AMT. NO. A W.O. AMT. AMP. MIT.. AMPS. TRANS. AMT. N. P. ~s ~ AMT. WATTS wn- SRRVIQ RIfODFpEiCT Nll,.p S E R V ~ 1 C E AMI. AAV. TR! EOt11F. 1 / rit 1 / 7W S / SW S / IW NO.O~C COND. OF CC CWID. NO.Of NIAEO t%~ b'I G NO.Or NFUnAlS Oi'P IYTOR~I~I Oi11ER 'AF?ARATteEi ELEC. ROAN $Ea!'$RS>l-.5 K.Y. G.F.C.I:-1 .[ri,'l SKY ELECTRIC GIC./893E ROUTE 104 & LEYIS RD. OMlA MANAORR EAST QUOGUE, NY, 11942 11 Per This netifietlhmuN not be DINnd in any mamisr; return to tM office of the Board if incorrect. Impedors may ba identYied by 1Mir credentials. COPY POR WILDING DEPARTMENT. THIS C TI IGTE MUST BE ALTERED IN ANY MANNER. ~,..,.._.....r,.,._~._..,.~ _ _ _ oo~ THE NEW YORK BOARD OF FIRE UNDERWRITERS VALE ] + 1004121 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 Date JANUARY 15,1991 AppficationNo.onjile 77.853190/90 N 169398 THIS CERTIFIES THAT only the efectrlcel equipment as descrihed heloro and introduced by the applicant named on the o6osa appBcetian numher in the premises of I1 t..BRANI>GlS, MAIN RD., ORIENT, N.Y. in thejoBouinq location; ? Basement ? fat FL ? Pnd FL o~T Sertiun Blp:k Lot = urKS examined on JANUARY OS ,1991 and found m he in compliance with the reyuirements of thu Buord. RxiuRE RXTURES RANOES COOKING DECKS OVENS DISN WASNlRS EXNAUST FANS ~ WTIETS @TAClES SWITCNK INCANDESCENT F1U011ESCENT OTNER AMl. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. P. DRYERS TitRNACE MOTORS RIiVRE A?Fl1ANC! IBDlRS SHOAL R!C'FT TIME ClOCK4 pll UNR INIITERS MULTI.OUTUI DIMMERS AMT. K. W. Oll N. I. GAS N. P. AMT. NO. A. W. G. AMT. AMI. NAT. AAVS. TRANS. AMT. M. P. SYSTEMS MIT. WARS ftO.OF IREi SERVICE DRiCONNECT ND.OF S E R V I C E AMT. AMI, iTPE METER t,e TV 1 / SW 3 Y SW 3,e AW NO. OF CC COND. A W.O. NO. Oi MI-aG A' W' G' NO.OP NEUTRALS A W. G. EOWF. PERT of cc.ca+D. a re~IEC OF NEUnAI v 1 % 1 1 4 OTNER At7AIMTUS: ~ ~ RSFLACED FROM NETTER UP-1 PA77L R. BURNS LIC./282-E 275 TOpN HARBOR LIANE _ SOUTHOLD, NY, 7.1577. tSEFMtILL MANAGER ~ i7 ~ i rn ~ Psr ~ This certificaM must not be altered in Gny manner; return to the office of the Board if incorrect. Inspectors may be identified by their crodstaials. COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFN:ATE MUST NOT BE ALTERED IN ANY MANNER. D ~ ~ ~ ~ ~ BOAKD OF HEALTH a ~ 3 SETS OF PLANS 4=K'• FORM NO 1 SURVEY ' 3 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM BLDG DEPT TOWN HALL TQWNOFSOOTHOLD SOUTHOLD,NY 11971 NOTIFY ~83- a169 TEL 765-1802 CALL ^ . ~p i4AIL T0: Examined U r ~ , 19$~ Approved ~o , 199 Permit No I.$ O ~ Disapproved a/c . . (Building Inspector) • APPLICATION FOR BUILDING PERMIT q~ Date /~:R-1 L ~ . 19' INSTRUCTIONS a Ttus application must be completely filled m by typewriter or m ink and submitted to the Building Inspector, wi sets of clans. 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 str or azeas, and giving a detuled description of layout of property must be drawn on the diagram whrch is part of this ar canon. c The work covered by this application may not be commenced before issuance of Building Permrt d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant Such pe shall be kept on the premises available for inspection throughout the work. No building shall be occupied or used in whole or m pazt for any purpose whatever until a Certificate of Occup_ 'n granted by the Building Inspector APYLt~ ~TION I5 HEREBY MADE to the Building Depaztment for the issuance of a Building Permit pursuant to Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the constn~ct~on of buildings, additions or alterations, or for removal or demolition, as herein descnl The applicant agrees to comply with all applicable laws, ordinances, building code, housm/ggg,,,~~~!ode~, ~a~nd~~regulations, an~ admit authorized inspectors on premises and in building for necessary inspe io ~~~'//'/u r.. /p scant, or name, a corporation) 3~(c _ /T ~ /f7faffc?~f~, ~C° ~~7NR+„l~:rr~/ +f/~ (Mailing address of applicant) 1 ~4v ~ State whether applicant is owner, lessee, agent, architect, engineer eneral contracto electrician, plumber or bush . . . . . . . . . . . . . Name of owner of premises ~YNO+}L . R?Q/hNOE'!S . . . (as on the tax roll or latest deed) If applicant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST E SJJFFO K COUNTY LICENSED Builder's License No Plumber's License No Electrician's License No Other Trade's License No . . 1 Location of land on which proposed work will be done - . . . House Number Street Hamlet County Tax Map No 1000 Section /7 Block ? Lot . ~ . . Subdivision Fded Map No Lot . . (Name) 2. State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction a Ex~stmg use and occupancy ' ~OV i l . . . b Intended use and occupancy . - s . Q(~(7''~ . , . 3. Nature of work (check which applicable) New Building Addition 8. krL Alteration . Reparr Removal , Demolrtron Other 1Vork . P/ '~(DescnpYron) 4. Estrmated Cost / ~ ©0(/' Fee . . . ' (to be paid on filing this apphcatron) S If dwellrng, number of dwellrng unrts Number of dwellrng unrts on each floor . Tf garage, number of cars . 6 If busyness, commercial or mrxed occupancy, specrfy nature and extent of each type of use 7. Dunensrons of exrstmg structures, rf any Front . .Rear Depth . . Herght Number of Stones . . Drmensrons of same structure with alteratrons or addrtrons Front Rear . Depth .Herght . , Number of Stones . ~ . 8 Drmensrons ~~ntrre new constructron Front . Rear .Depthr~. . Herght ..Number of Stones . 9. Srze of lot Front Rear Depth . . . . . . 10. Date of Purchase Name of Irormer Owner . . 11 Zone or use drstnct m which premyses are situated . 12 Does proposed constructron vrolate any zonrng law, ordinance or regulatron . 13. Wrll lot be regraded N° Wrll excess fill be removed from premrses: Yes 14. Name of Owner of premrsesS7'V4'~'~- .~"µ'1Frs Address !n+N. ?QD..LS?r ~N,~, .Phone No ,'e~ : ZG9J. . Name of Archrtect Address Phone No . Name of Contractor Address .Phone No . 15. Is this property located within 300 feet of a tigidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLO~ DIAGKAMed. Locate clearly and drstinctly all burldmgs, whether exrstmg or proposed, and mdreate all set-back drmensrons fro property fines Grve street and block number or descnphon according to deed, and show street names and mdreate wheth intenor or corner lot. SE ~ ~ Sco,Q t/t`~ , STATE OF NEW YORK, S S COUNTY OF . ~+~'t-?E~. ~~~fv$r'/~a being duly sworn, deposes and says that he rs the apphca, (Name of mdrndual srgnmg contract) above named He ys the .l. ON j'~~LT~- . . . . . (Contractor, agent, corporate officer, etc.) of card owner or owners, and rs duly authonzed to perform or have performed the Bard work and to make and 51e tl apphcaton; that all statements contained in thrs apphcatyon are true to the best of firs knowledge and belief, and that t; work will be performed yn the manner set forth m the apphcatron filed therewrth. Sworn to before me thrs q Notary Public, /c/ lox-Y! 4~ County HELEN K DE VOE . r . . NODIRY POBUC, state at New Y«k ature of appltcar No 1767818, suffdk Cou Term Expues March 30, 1g ~ r M4C t(AY S 72.25' 00' ~ 3p (t Z o -tea N - O Y p m ~ i N t _J- 1 _ _ O A m ADAMS s. ' S.80. 5T40"E,- 82 66 ti -1" . N z', o 1?•p N N ° li ~ ~ J f b m ~ 25r•7 ~ n Il 11 it Td, ~ I GA¢A4E j . yO, ~ - ~ m ~ ~ ty< ~ corr.oE ~ ~ 1 N ~ ~ O, N c~ ~i - w Sli.Z'J'c'~ L;~ ( Y7Q - >o ~(a struarE nT ° m rf h -c f ~ prnvosco d Q,~ T ~ et=ST'Y ---7 gXa' TOIVN pP SOUiH:.~q,tJV < ~ ~ 14" fKAMh HOUSE r{ ' ~yNRRp»t .q( _ _ l 14 • 1. 7 m + ~PCH r P• / ~ ~ 1 y N CwACIIH()01® At1nAl10N l7A AD¢mp O 10 }HIS HMYtY K A VIOLAIWN d ° n S C r~ ~ 3 U ? i 11 teuurlorpuw rHe ww rou run COlIIS MIS SlMYF7 YA! M7 nAfA CS = tit G 4i'J !.i F. N T Int wo wwt7o=~ s~cto NAl ow - - _ - - _ . _ _ - O i L' O Nr E - _tN+osNn siAt sxua "ol a 4oHSwtui M K A YAlO 6W! fA1Y4 RAIL FENi,fi N OF MON auAOrnaees u.olcwrs¢uuon SRFLL RL A LINE .G 4N 1M4H 10. Y[AE: SOh PO0. YNION. Mt SU Y. r4 • 4 A w NN14 Mf.UL Mp NHS 0.HAIF ip tNF 2' 00"iV - 82.61 YIN, r~[1Wa,r, .:awat+Aw„n Actlrcn ` IIHRM4INYI,(t1IN)n Hs1fA NFRFON, ANI W till A(Hf:NffY tY,TNt IfNWNQ In111 W1Wn cuAeAHrtts AK HOI INANSFEFt b AODtilOMA1.IHS11iU11W10A SUSHQ 61Vp1tpy MA{'~ • ~T J "a~~ ~ i'~~r~ fJ GUA2ANTEEU r0 T{;E ;C C(1G ITY xfTLE AND GUARANTY COi`74 ANY ` • SUwsY eU JIIIY S, iiT2 "rr~~~;- vA N -r a ~ ~ o r' _ - ~ j.ICENSEO LAND SU v.~EwOK$'i~`"~~'a GRLkN PO{LT, NEtV Y'OQR - ~~1-ld~d Au:,,41st ~-~.i5"Ti - ~'/S JU W- 0.C1~~ ~A `~A/4~ • ~ ~ y~e n { 9 • - , r ? 'i •