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HomeMy WebLinkAbout18017-z L FORM N0. 4 TOWN OF SOUTHOLD BUiI~DING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18484 Date OCTOBER 19, 1989 THIS CERTIFIES that the building ADDITION Location of Property 455 LLOYDS LANE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 3 Lot 4.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 1989 pursuant to which Building Permit No. 18017-Z dated APRIL 7, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to WILLIAM & VIRGINIA RUSCH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-096997 - OCTOBER 13, 1989 PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 roses xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N°- $ 017 Z Date .9~`~ Permission is hereb ranted ~ ,,/~;A at premises located at ...........................................................................Q................................................................... County Tox Map No 1000 Section Block Lot No........ r. t (..6 i- pursuont to opplicat~on dated . 19...P,r., and approved by the Building Inspec~~~t~or,... 'l Fee S.•~ i ilding for Rev 6/30/80 f TOWN OF SOUTIIOLD EUILDING DEPART2tENT TONN HALL SOUTUOLD, NEW YORK 11971 765 ~ 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DAT1:...~~J.~ I ~ ~ . KEN CONSTRUCTION . ,~\....0[[~~LD OR PRE-E%IS~T//ING BUI/L{D~I,N~G.... , .VACANT LAND... _ _ ./_~.//7" Location of Property....J.~s.......~~'J.~ ~.../oF~.'."~......~~~.~.~~~~(: ! . UOUSE NO. STREET HAMLET Owner or Owners of Property... ~?L~':fE2?~y;_..~t.K:4!h`'"f...LG4/udC!C..,..... Q~ J.1 Couaty Taz Hap No. 1000 Section ~ IIlock . J Lot Subdivision Filed Map~j........Lot.......... Permit No. .Date of Permi[ ~~?~~/..Applicant IIealth DepC. Approval Underwriters Approval._............ PLanning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: . ~~1J'~.~ ter./~~ . APPLICANT. „ rev. IO/l4/88 3$yGs cfl~isy$u FORM NO. 6 TOWN OF SOUTBOLD BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE 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, properly lines, streets, and unusual natural or topographic features_ 2. Final approval of 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 solder used in system contains less than 2/10 of 1Z lead. 5. Commercial buildings, 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 uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, 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 4, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Dale 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: Aa 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 OE OCCUPANCY - New Duelling $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. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50_00 Cos¢nercial Leo- 10/14/S8 IcLD I;.S: c..:IU;y ~I'Jni ~ „Oa`tMCNTS v 4 ~ P ~ H~ FOUtIDATION (1st) FOU1dDATI0IJ ( 2nd ) _ m~ 2, z ROUGH FRAME & o PLUMBING H 3. ~ m m It1SULATI0C1 PER N. Y. STATE ENERGY CODE x a / 9 4. y FINAL I g `~1, p h\ ADDITIOPJAL COMMENTS: ~ ~ t~ x ~ H ~ 71 • 9 H H O V C 'I ~ 9~~ Z d m ^a H a 1 o ~ a r~ n s F~~ ~ s a v~ y ' ~ g ~ ~ ~ R x• ~~N x ~ t7 ~ ' .,r .r a xx~ fi ~ ~ ~ a 1 % x to ar ~l ~ r t ~c ti Z ~ ~ ~ ~ Z ~~n ~a~ ~ ~ ~ ~ ~ v1 ~ ~ : R ~n '7u as y 3 F ~ ~ ~ z ~ ~ a Z ~ i ~ a n ~ C 4 ~ ; C f r ~ !Tt h fi y r ° r ~ o. ?s ' n u T Q ~ ~ o a ~ ~ N r N X i 1~ ~ o ,c a~ a ~ 3 t1 ~ ^ N ti ~ ~m n' ~ o TEL. 7C,5-18~' ~~F,, `p5', ~O~y ; TO~i'N OIL SOUTIIOLD .~4w~ ~ :`c Gt'1"1CL OF IIUILDING INST'ECTOR U r ['.O. BOA{ 728 d ~ TOIYN IfALL ~~0 ~~~Z' SOUTIIOLD, N.Y. 1 1971 Ctt,~-~ 3, 198'9 W.t,~P.cem~ Q,wo-c,R. 'rrtaxQ~~ 17 )I 9 s~.. To Plhom 'Phis May Concern, 47e are unable r.o complete your Certificate of Occupancy because of the folloc~ing reasons. /~~'+n application for Certificate of Occupancy is not nn fi]c.~u'-Qu~.~d~, /~NO tJnder;~~rtters Certificate on file. Tho chcc}: i;.~r_rY/nut an fi1c.) ~1:~sello f:o !1<:alth Dept. I~pproval on file. D:o final inspection has been made. Plen~e contact our office on this matter. ThZt;k you for your cooperation. ]3;;tl~ltr.c] Pcr;n~t I! L ~ ~ Z F3ui lei tnej De:pi . ""k/_/ tlo Plumber ;;olclci Ccrttficatc on file. ' ( all I~orr;ie.s tnvolv~ng plumbincl being iasucd after .1pri1 1,1984 ) .s,~.,'`,',a ->^,;s SUFFOkK COUNTY HEALTH OEPARTME , ~,,•t. ~'i10",1,,~~: • , i-:t. .'~DYIIELLINCi ONLY ~ yc?.'T~`~'„~ x ~ '.D REF.-Nq. .s'~`"'~*, '.y ad ~ DA E-~ 111N 1_1 1QR7 .etir~~, _ „ , , E AGE DISP08AL AND WATER SUPPLY F C! IES FOR THlS ~ LOC ION NAVE BEEN INSPECTED BY THIS E~RTMENt AND ~4i a FOUI TO HE SATISFACTORY Chief of astewater Managemen S coon Y J~ Afrf - Tel; ~ sY• Y 6'.L~ t ~ ~T ^`tcY tut!°_i)P~ f(i taEPARTM6NT AT Q 'f ~_yfjfel ,y s~n,t P(, i 'ifh FQ9 Tiff 1 t C,o_ ; ~M~ri+- ;:~=,~c-r:Tlor:s. ` t sC•i-,rr~,a..t'w ,MUll4[~QUiHEC3 t~ r - X h 'a KC;s'r ws tiiH!c{" "~M~+. E'~S'~ ~ •~MM. ~''F'~ r ~ - k ~ • 1 • r io,RT}t1~CY7~7tW MUST D~AS r N ~ t ,SiU'F ~ ' :ts rtti} C "f°,~'rit)i4aMl4LLt14EET ~ k " 9 .t ~.vi~'hJ7S t'?(- Tilt M Y ~E7./CC' f.• j;'F`•, r )T 'A~§t4;srt~t j\ s.~~~ f1 'tt `„".:i':..i •rc~'e', . E`t ~ ~Y pR'S • v ~ y 9 ooy~cfl, h ti'r' • - E a ug~fpt~ ~A E .'t ~~r eoHe6 JUN 9 87 k` a ~-n:.,'.,ps t._,~~~CM1..t;4 w qtr •y ~~'@v-,'m~M1Pr 3t:° . A~ &r--- I w~'Vi' ,r ~.-1'x'1 ~:fi' ~ , < * • yiIr: F R~'~qF ~ :c. x , -yr $ ~ t .Sn < ~ v..., A'' . w ~fl. ~l1~?tWi4(otetrlstras /Y`.L'f,'f ~ ~r~ WsN1'Yl.1fY'O 4~•V.r4~ . ~ ' l 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~ INSULATION [ ]FRAMING FINAL REMARKS: ~ fi DATE ~ INSPECTOR 1, THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 1001381 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 OCTOBER 13 ,1989 gpplkoHon No. on jile 65105089(89 N 09699'] TMfS CERTIFIES THAT .only tht electrical equipment a dsecribed 6e/oto and introduced 6y the applirnnt named on the ohooe applfp[ton number In the promiws of ftILLIAN RUSCH, LLOYS'S LANE, MATTTTUCI(, N.Y. in thefollowinp hlcation• nn Bas nt ? Ist F1. ? Ynd Fl. OOT .Section Block Lot SBPII`ISI~AER ~fi~,1989 uw exomined on and found to be in rnnlpliance with the reyuiretnenrs of this Board. 111(fYR! AUlf flNlTt~ RXTUMS RANOlS CODKINO D[CKS OWyiS DISH WASNlRS lXNAUST FANS ttIITInS NJUNGlSCENr nUORlSClNT OTHER NAT. K. W. AMT. K. W. AMf. K.W. AMT. K. W. AMT. N. P. 1 2 1 DRYYf 111MlACS MOTOlS NITUN AFNIANC! R!0lRf SMOAI RlC'?i TIh1lCl0CK4 Mn IRai lMAlgf MULiI.OUTIlT gRAAtlRS AMT. K. dl N. P. OAS N. P. AMT. NO. A. W. G. NAT. NAI. AMT. AMPS. TRANS. AMT. N. P. p ~T M1T. WA1T3 1 20 1 40 S!lVIQ.DHCOtINlCT NO.Of S ! R p~ V I C ! AMT. AMP. TTPE 1 / zW 1 / ri/ S / ]W ] / AW No. RR[L`dNVD. Or CC LONG. NO. Of NIdfG Oi' wll~G ND. p N[YIIIAl3 Oi 'PIWEUTO4l oTlln At7ARATUS: 6.F.C.I:-1 a(SIfINlIING POOL) TAfs cettifecate covers coR~pliance at the data of inspection only. Because of unusual envi.ronoents it is advisable to have frequent test and/ar repairs cede by a qualified person. ~ G~~ /Z,~ .tr JODY PIfNIi.LO LIC.1a300F. PAT hANE NATTITUCI(, NY, 1195E luNAa?t 1~ Pe This esAifieoN mat not he alNrod in a,ry monnerj rNUrn ro tM offiu of fhs bard if incorrect. In[peNOr[ may ~ idsn' r cndentiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT fE ALTERED ANY MANNER. B0.1RD OF HEALTH 3 SETS OF PLANS FORM NO t SpRVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FOR"! ' TOWN HALL SOUTHOLD, N Y 11~J71 NOTIFY TEL.. 7051802 CALL EXamtncd ~ 19Q~. hIAIL T0: Approved ...,T . 19(~ Permtt No 7 . .p D L+ V Disapproved a/c ~ ` rJ . . BLDG DcP7. TOWN OF SOUTHOID nil Inspector) APPLICATION FOR BUILDING PERMIT Dale 15 INSTRBCTIONS / a. Tlus apphcahon must be completely filled m by typewnter or m ink and submitted to the BuIldmg Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showm~ location of lot and of bwldins on premtses, reIatronshtp to adjoining premtses or public stree~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl canon. c. The work covered by this application may not be commenced before issuance of Budding Permrt. d Upon approval of this application, the Building Inspector will issued a Bwlding Permu to the applicant. Such perm[ shall be kept on the premtses available for inspection throughout the work. e. No building shall be occupied or used m whole or m part for any purpose evhatever untrl a Certificate of Occupant shall have been ;ranted by the Butldm; Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bwldmg Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appltcable Latvs, Ordinances o Regui~ttons. for the construction of buildings, addtuons or aiterauons. or for removal or demolition, as herein descnbed The hcant agrees to comply wdh all appltcable laws, ordinances, building code, houstn, code, and reoulanons, and t~ adr' ` honzed inspectors on premtses and in building for necessary mspecuons (Signature ot'apphcant, or name; tf a corporauon) w y, ~ ~ ~ ~ ~ + (hiailmg address of applicant) State whether/a~ppltcant ts'~~o, typr 1~ s~eemage`~'t,~h{t ~-tW~en~nee~ veneral contractor, electruatart,'pIumber or builder tq ~~7? ~ ~ ;~47'~ ~ •3'.~~..w. t Pi ~ ~1f~ttvSA~ fi. ~5 r Name of owner ofpremtses~.~ Z4'~-.).~~:sr'.5.>~~.'~..~: nuSG'tll... ...llx'}~t..1R4w'v'l~. ~ ~ ~ „ ~'ag or{ the=lar roll or laEaey~j;~} a Ml.Y4't~.i~()'-` ~ ~ p ~I If ap is is a corporation; s~d €ure titdu ` ~,uThanzed'ofGcer. r~t^ - ~x (Name and title of corpnnorate offi } Builder's Ltcense No .4CJ..~• • f~x Plumber's Ltcense No , Electrician's Ltcense No . Otfter Trade's Ltcense No . . 1 Location of land on which proposed work will be done. LL COY ~ `S "'mH~ ^ ~Lll¢ ry / jLeP~C/1 Flouse Number Streegt cQ Hamlet County Taa ~f,tp No 1000 Seaton J.... Block Lot ~ . , , , . , Subdivtstan Filcd;ltap No. Lot............... (Name) State eetsttng use and occupancy of premtses and intended use and occupancy of proposed constntchan a. Extsttn; use and occupancy • ~~3~~~~• b. Intended use and occupancy . • • • • • • r w vao p~u~ 3. Nature of work (check w fifth applicable). New E;uddmg Addition Alteration . Repatr Removal Demohtwn .Other Work . (Descnptton 4. Esttmatcd Casi .......~Lti.©Q. Ctl~ Fee (to be pmd on t7hng this apphcatton) 5. If dwelling, nurnbcr of dwelling units Number of dwelling units on each floor . If garage,numbcrofcars 6. If bus,ness. commercial or mired occupancy, specify nature and c~ctent of each type of use . 7. Dimens,ons of existing structures, tf any Front . ......,4 Rear Depth . Hmgltt Number ofStoncs.........: Dimens,ons cif s~mn strtl~~ure with alterations or additions Front Rear . Depth Height Number of Stones . 8. Dimensions of entire new construction Front Rear Depth . He>gltt ...............Number of Stones . . 9 Size of tot Front Rear Depth 10. Date of Purchase .....Name of F tmer Owner . 1 1. Zone or use district m whuh premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: :D . 13. Will lot be regraded . W,11 excess fill be removed from premises: Yes ~ 14. Name of Owner of premises ~sSGla ........Address ~~a.(yJ•~s..~'~".'~... Phone No . Name of Architect ..Address ..................Phone No.. . . Name of Contractor t267GJ..t t...~3x;? .......Address ..~'11~~.?. ll~~~.. Phone No....- ~ ' ~t06~( 15.Is this property located wi[hin300 feet of a Cidal wetland? *YES..,.NO l *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dtstutctly all buildings, whether existing or proposed, and, rndtcate all set-back dunenstons fro, property fines. Give street and block number or descnption according to deed, and show street names and indicate wheih~ tntenor or corner lot. AFRR6VEp AS BOTED DATE $.P. # NpTiFY $UILDlNG DEPARTMENT AT ~ ~ ~ T85-1802 9 AM TO 4 PM FOA THE - ' FOLLOWING FNSPECTIONS t. FOUNDATION - TWQ REQUIRED ~ ~ FOR POURED CONCRETE ~ ~ ~ ~ ~ A ~ 2. ROUt3H - FRAMING i PU9tRBiNG 3. INSULA110N s ~ m'~ ~ ~ . 4. ~ C~fMPI.fEEOR UCTION MU$i ~ ~ ~ ~ S ALL CON6f11UCtiON J1tM1.4 MEtT ~ ~ ~ # y s mNay~~a vi~ CODEB. >~r ~ lIOR ~tt w F ~ ~ ~ ~ ~ x LL ~ ~ y a C y Dt~1~ ~ O yam. Z n~ r N P9 d Q N M U d STATE OF \LlV YO RI:, COU:JT~Y/'OF .~Gc/~/.r1n~L~C.. S.S • • • /7C~~•t-¢;fw' • . ~1`• -Y~~;1G.L'1~• • • • , being duly sworn, deposes and says that he is the applicar (Name of mdiv~dual vgnutg contract) about named. Eie is the vG'?'.'l~.`'~,L, . ..~~;G76K. . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authonzcd to perform or have performed the said work and to make and file th. apphcaaon; that all statements contained m tMs application arc true to the best of Ins knowledge and belief, and that th work will be performed m the manner set forth m the application rlcd therewith. Sworn to before me this 9 ..............j.~`~~ day of 19~J' `otary Public, , ~ ~ ¢ County ~ t NELE4tK0EV0E ~NA~4707810,Sufto4kLou~ (Si,na C f applican'. Teem EW,~es tda,ch 30,19_