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HomeMy WebLinkAbout18231-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20455 Date JANUARY 8, 1992 THIS CERTIFIES that the building ADDITIONS hocation of Property 1635 SMITH ROAD PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 1989 pursuant to which Building Permit No. 18231-Z dated JUNE 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 ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARBARA J. DITTMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. H-007657 - FEBRUARY 15, 1989 PLUMBERS CERTIFICATION DATED N/A _ i Building Inspe~ ctoi?-' Rev. 1/81 _h;. roans 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) ~ ~ ~ ~ ~ Z Dote C~..........~.....l 19.~.~ Permission is hereby grant~eyd~t~o: ~ y. ~ s- . to ~ ...........1...x..7... . of premises located at ..........!••.t7...?.,.1.~......,~~~,~i ,<d••....~1.~.( County Tox Map No. 1000 Section ~~......,1..~...... Block~..~....~/......... Lot No.......1..~~......... pursuant to application doted G%/~............j....~/ 19..I~.~ond approved by the Building Inspector. Fee Building Inspector ~~i~~ Rev. 6/30/80 ~ ~ 1 r~osa>< xo. a TOWN OP 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) N° 14794 Z Date 19.x.4 Permission is hereby granted to: C c.~.~P~.,,.,....'~'?~..~d. z ?^".:c.1C:'~.4~.......s~.,r~-.e~ttc:~rY,...........~2r;~1~,.~%,r.c~...AY..~e........~.~...... at premises located at ...'..14.~.,.~..........5.!~.C.KeYfll..f.~....W...`.i,.........X..~:~~a4.C/ / . ~ . y.- .1. . . . . . R/e can,U;f~.t;a.....!.QQ?..erg..r.~'!:!.~ ..............`..1..............................-.y................... County Tax Map No. 1000 Section ~.:l..g........ Block .....~..-1........ Lot No.... ~...1 pursuant to upplication dated 19~.1p, and approved by the Bui lding~/I)nspector. Fee Building Inspector Rev. 6/30/80 ~ Form No. 6 ~ TOWN OF SOUTHOLD D BUILDING DEPARTMENT ~~i `i E~6, TOWN HALL ~ j 765-1802 .m.-~~~-"~ t3LDG. DEPT. TOWN t7F S0UTFtCtl.i7,y_., ; APPLICATION FOR CERTIFICATE OF OCCUPA :1. 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. 4. 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 responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. i. 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. 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 G. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0/0/~, Commercial $15.00 Date .....///Z~.'./.d .ew Construction.........// Old Or Pre-existing Building...!.... ~j..... ocation of Property... lY 3~........ stiL/~..~~ /!``~.v~t/~G !Y House No. y~ Syt~r-e et Hamlet lnwer or Owners of Property...~c~„Yf.~`':~'/.T/`.~~'+:r . ~ .Cl~f ...............-y................. :ounty Tax Map No 1000, Section.... 90.......Block....:%-. .........Lot.../.......,_,//.// ubdivision I. Filed Map.........~.~. f.Lot. ~~`.~r~t. ?"51:........ 'ermit No..~~./Z.~~ .......Date Of Permit.l?~~k/~.......Applicant4!V..'.V f r--_,. fealth Dept. Approval ..........................Underwriters Approval,H Z~ ?'.:7....,..... Tanning Board Approval .equest for: Temporary C~e^rtifi^cate........... Final Certicate.,``....... 'ee Submitted: $.,'.l..v`.~.`~./.d.Y ~ C~',~. ~f 3~ 75 ~ ~ ...~I~~~~ ~ ?~a~ . APPLICANT cow a~~~ FIELD INSPECTIOp ~ ~llATE COMi9EIJTS a 1. t ~J.1 - FOUNDATION ( st), ~ FOUNDATION (2nd) ~ ~ fb 2. ® ° 6, ROUGH FRAME & u' PLUMBING ~ cn H 3. ~ cn ra I1dSULATION PER N. Y. '3 ` STATE ENERGY CODE m a K 4. y n F I N A L l.,x,QA / d ~R d zj ADDITIONAL COMMENTS: ~ i~ - ~ x ro / ~ r• ~ _ a H~ H O~ z~ x ro a r - ~ d ra ro H THE NEW YORK BOARD OF FIRE UNDERWRITERS rAC,i: i 8009941 BUREAU OF ELECTRICITY BS JOHN 3TIi~ET. MEW YORK. NEW YORK 10038 DOU P)!:BRUARX 15,7.9A9 ApplicotionNo.onfile 550359AA/SA H 00'7657 THIS CERTIFIES THAT Orly tAe OlsctsicOl AyEtipwunt w skrerlMd hO/ole Oltd lntrOSkecsd by tlrO applicant rrOmed on the aAuce rapplieutton numherr in the premises q/ I('HART) DTTTKAN, 7.635 SNT'('H NI)AU, Y?,Ci?NTC, N.Y. iw N..foUominR locetiaot ~ ~Lerr~spt d Ist Fl. ? Ynd FT. Section Block Lot raw examineal on 'TAN~IARY 74, 1Y7S9 and ound to 6e in com fiance with ther f pl eyuirements of this Bwrd. +rr"`" _ _._i~ 1NOU~ AC{If R%T RANO/f COOKING OKCKS OVSVf ONJMW KXNAUST FANG EIGIt/DtiClM rIUGR!]CEM OTHER MT. K. W. AMT. K. W. NAT. K.W. AMT. K. W. MT. N. r. 6 1 9~ 6 J P' MMElS IUKSIAC! fAOT06 N1TUY AN71ANq IWMf SNKIAE pC'A TMN CIOCKi SKl UINTNUTBS W(KWTE.REITtK~ T ONAAMRS Ml. R. W. pl N, r, pA] HJ. MT. NO. A. W. G. MT. AMr. MT. M1r5. TRANS. MT. N. r. NO. a -MT.' wATN a 60(I fKR1lICJi .art ~ 4 E 1.., pp~~ Y. R.. a.,... - AMT. AAV. 191! KaM. t / ]W 1 / 1W ] R TV 3 / AW RR%CpVD. CC ~ OND. NO. Or NI-lEG ~ NO. p NEGitMb pA W !r ~'P'l RTCl1AR0 i)'CTTNAN • ]615 SMITH RP. YRCgNTC, NY, 1.1.958 ~y yApA~ Pc>• This nrtificOM muN not M eEHind in any monnsr; rNwn to tM office of tM Boord if inrorrecf. ~Inaperctors .may bs ideMiflsd COP1f PAR W?LORIP DEPARTMENT. THIS COPY OF CER7IFIGTE MUST NOT K ALTERIED IN ANY THE NEW YORK BOARD OF FIRE UNDERWRITERS pA"~' g~ BUREAU OF ELECTRICITY ,7ANlJAIiY ?.6,1gt35 ~OMN STREET, NEW YORK, NE1N,f1C~RKfLQ.036 B l?G7F~+7 Date AppNcatian No. on file ~~f) h 88 AEf THIS CERTIFIES THAT only the electricd equipment as descrihed 6ekuo and introduced 6y the applicant named on the ahoee epplicattoa number In the premisse of I'CHAND llT,9"CNAN, 15;1,y5_ SH7`t'H NQ,,))A((__D. PKCONI<', N.Y, in the follotcinAkrc°,f1~f11197'Y' ~Se~~ .J IAt Fl. ? 2nd f'1. Section Block Lot uwe examined on and found to 6e in cornplionce with the reyuirementx of this Board. NXTIIRI ACLIS SWtiOlES fVXTURlS EANOlS COOKING OECK3 OVENS MSN WASHERS E7(NAUST TANS INITURS INCANDESCENT FIUDtE$[EMT AMT. K.W. AMi. K.W. AMT. C.W. AMT. K.W. MAT. N.P. 5 .9 q 6 1 i' DRYERS AlRNACE MOTORS NJTUM AM4IANC/ HIDIRI SHCIAI RIC'?T TIe1l CI.OCRf INL UNIT IIEI11/Rf MUli40UitIT OIMMlK NAT. K. W. Oll N. I. GAS N. P. AMT. NO. A. W. G. AMT. Mfr. AMT. AM/t. TRANS. AMT. N. P. SYSTMAS AMT. WATTS NO.Oi HIT 7 ti Ql} SlRVIC7 DISCONNKT NO. tX< S E R V I C E AMT. NM. TYPE MiXXII~. 1 N tW 1 X S\Y 3 / tW 7 / AW aPER BCGNU. Of CC C ~ D. OP HI-LE6 Of ~ R~IEGOO ND. CM NENRAlS 01 'NEUTIAL OTHER AMARATUS: c.r•.c.r.:-~ J)c)RU'i'HY SCAG'MM.~1tJA i 11 Psr ` This cartificab mast not be altered in arty manner; return to tM office of the Board if incorrM. Inspector may be identified b IMir a Is. COP1f FOR dU1LDING DEPARTMENT. THIS COPY OF CERTIFIGTE MI~iT NOT 6E ALTS ~AMY;~. 765-8.802 BUILDING DEPT. INSI~ECTION [ OUNDATION iST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [)FINAL REMARKS: Q / d DATE ~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [INSULATION [ ~RAMING [ ]FINAL REMARKS: .~~?~Q~a~t,,,~1~~ '7v1~?! pA~ ~ INSPECTOR ~ ~Y~ ~ ~ 7sS-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ o ` INSPECTOR FEE; 8Y' r•SO'F1FY ~3~Jrtr~t4VG 4~ERARTMEN7 AT 786-1 EtO~ R Ar+h TU ~ r~M FUR THE FUL1,r~~YBf~Rfa IRiSpEC71U4~S: 1 F(Jitt~9rs8A"~l~ti44 ~'M/U ~EC~4lIRE® ~~~~~r~ j~ pp4s~~ ~ a. Rc~+~r;~ ~~~~~s~;c ~ pr.~n~ssrac ,~st~~~. r~gs~,~~'rs~r~c~r°~ta~r i~1t~~T srd x~~:.a~~r~c~~-~ i-~w ~.r~ ;.~su~~'t~uc~r~c~~a S~o~Lt M~Er ~°rrr' s~~~z~r~~r,~~t~r~ r7~ ~r~~ N,v ;~'Ce~Yt ~Ui~d~aYr~tlC~'y4)r\~ & ErrPERUY ~o~~i ~ GC1i~Ek*. 6er)T 4'#E'u~GP659RtE FOR ~'6E~lUH UFi ~f9rv5"rfii.3tr79£)6d E~SRURS. OCCUPANCY OR LlSE'1S UNLAWFUL. . ~F QUT CERTIFICATE ,4.~ FANCY ~ ~ ~ i ~ ' . i ~ j ~hCQw ~I ~ ~ ~ti". ~ ~ b~ot~ M....__.__~_.._. ~ ~ t ~ i ~ , Y' ~ _ ~ ~ ~ p ~ ; ~ ~ b2 a ~ JS ~c ~ t~Y jlt ~ tj~~" /J,.,,,.~ _ _ - y t ~~~~~~~%~fjJ~'~''~ . . , C~ , „N 1~ _ ~r~ 6 ~ i ch5~ i1=tY-~ .,~~r rr~ 5 ~ ~ ~ ~ pp /7 ( ~ ~ ~15'~'r N G- ~~,g1~J" S~~~F 1~ I ~iP~ ~ ~ Si~7SJ7cS .._._....~..o..~.. ~~-~y~q ~~~a/ .r/b/l.Tf~ ~-r i2 : /~%~lcs2 Li~NC S/~ij~E.' /j~~( 70, 3i~f z L/~x/.~ (JS~j c ~HrI~4aC ~~i~7S~o~, - llo~'e~ .f 2'~ Nl~IiN ~k3~ x 1~ i 3~2 i oR/~/.~., /fix 2 E11ST,Q~+?~C{ 6 x i2 72 ~ ~,ec/~ 22 x ~ ~ 308 S~'¢ 8~~ ~ ° x ~ Sao ~ ~r"~i')?,4rucE' Zoo 8 g~., , /~c.4i7Ya¢+NSj 7 tc~~,t. srJ9r~,r exccd~~ 2~ ~ _ '7 9~ f C35':GD _ V ~ ''l /2{/~ /may p / v 7GCS f9 f~0! ~,i odl ow) i~ U A ~ N Q` 39'io" ~ 5{,~ {r . i i ~ ~ b~ Cjlrt. ~ U Barbara J. Dittman - /S ~ '}L tJ V 1635 Smith Road '~§~,~a ~ Peconio, NY 11956 4 ~ ~ ~ ~ t S~ D d , 1 1 LoT 3~-y ° ` ~ 0 '1- .>i 7A . B Z 6 g fry, ~ $ 57. 1 R j ~ ~0 1 ~ ~ i i~ ~~j Z'~. ~ { i i ~ , / Y ~ ~ fl ~ - ~r o ^ p/ ~ i 9 ~ 579°'/ ~ 4 +f ' I j ~ a?Ct7 JB ~~r~.~lr ii s ~ pr~/~la~t ~~a ~~f~~/~~ ~ .t+' to r, 1 ~ .r"~ r r V a.....~----w--_°°'.~_-- t ~ s. Css ~~qo . ~ ~ ~ ~n' ~ ~ ~1 . + t~ t ~ as~~ ~ e~ q r ~m ~ ~ ~o,z ~ m 's."~-- ~ ~n2 ~ . , ~ Syr \ 5r ~l ~ ~ a t ~ . \ ~ . r ~o a ~ fir:. , ~ ~ ~ 4 ~ >hr-~ ~r. ~ ~ y®b ~ fo~trJd`r b©~i ~ ~ ~ r L . ~f,,,t ¢ ~t,l~ fart ~ P ~ ~ ~ . G G, to / G s f :`d"~,~p,~. , fir. d r t* Ly ;yiKtiM, w'.°~K,,, ";_y•~~ 6c+~Y',l~ x + ~W„ i p 5. ~ ,r Y 5' , a... $ sx' a S we . a cagy,,' kfx u- C. - y a, . t ' " Mq ~ M a- r + ~ a,T r+,a i'e a~n> ~.U `n ~.a ~4!~'~ r ,...y,;,q FORM NO. 1 TOWN OF SOUTHOLD ~ 7 BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TOWNLUF~SOUTHOLD TEL.: 765-1802 Examined . .atP..., 19$~? Received........... , 19.. . ~ i Approved . 19~~0. Permit No. 1.~`?9~ O~~- ~ ~ ~ Disapproved aVVVV/c ,Y,gea~',',"`~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~1Px~Z . l p........, 19 $.C3 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 necessa~ry/inspections. .<N~~t.... (Signature of appli nt, or name, if a corporation) 200 Spunk I~ane,Cutc~ogue,'id.Y.I1935 ~~~~~~~~(mailing~address~of~applicant)~~~~~~~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......~~nei:al. c.onk,1°a.ctc~r~ Name of owner of premises ~h,a•r::d~)it• ~J\~~~~ . 1 .L~..Y~V~.C~ . (as on the tax roll or latest deed) If applicant is a corporation, signa ure of duly authorized officer. . I' y~~~.'....... j......... a (Name and title o c orate officer ° Builder's License No. ..Z:-~~ ' - Plumber's License No . . Electrician's License No . . . . Other Trade's License No . , 1. Location of land on which proposed work will be done. ..It1d.i,an. IA.~.'.E'il~ . . . . . . . . . . . . . . . • , , • . .....T~,3.5 a::~.~.tb.Road........................Tc:.c.oraxc.....,.............. House Number Street /J Hamlet County Tax Map No. 1000 Section ~ ~ Block .......-1.......... Lot n ! . Subdivision Filed Map No. Lot . ~Y . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy r~side,rlt ~~,>z . b. Intended use and occupancy x:~+l S 7.(1,4n$ a.~.7 . ( ) g ? Alteration . . Addition . 3. Nature of work check which applicable :New Buildin . Repair Removal Demolition I Other Work . (Description) 14.75C (o bep........................... 4. Estimated Cost ~ Fee . t 'aid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling unit$ on each floor . 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 ~2 ~ Rear ~ 2?. Depth . 21•r.T.......... . Height X.~ ~ Number of Stories T .................t . Dimensions of same structure with alterations or additions: Front 7g i Rear .'..7~ . Depth ,j.z' Height ~l`.'............... Number of Stories . 8. Dimensions of entire new construction: Front Rear ; Depth . Height 1 Number of Stories ..........z i ' I0 t . 9. Size of lot: Front ~QQ Rear ,7•'............... • • 'a~i~liain~~ '~©rl,~'aYi'&' S'V3fe' 10. Date of Purchase k'.e.h Z~> ~9.7.R ..............Name of Former Owner . p ~ 11. Zone or use district in which remises are situated .x~ g J.~1.4ri'~ 1:~1............ 12. Does proposed construction violate any zoning law, ordinance or regulation: i g ..yep . from premises: Yes No 13. Will lot be re raded Nod Will excess fill be remove 14: Name of Owner of premises .R,~E~~pd. i~ttra~sn .Address yJ®~tf'ioldyl~.•~'. • • Phone No. a0Tw~33--2I39• Name of Architect ...........................Address ...Phone No.... . Name of Contractor .yy~,lliatn• •It7id~1ss3T• •drAddress C.utaY~o.B;u~Yn?«~... Phone No. 731~..G~~6.5 15. zs this property located within 1.00 feet of a tidal wetland? * des No .g... * If yes, Southold Town. Trustees Permit may be required. PLOT DIAGRAM Locate clearly 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. r STATE OF NEW YORK, S.S COUNTY OF .~:A:~~-~~-~..... t ~ ~ ~ ~ m, • . S • . /Yl (D• G,L e , , , • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ..................4'C~.~1.N~-!~.eyr?/L:........................... (Contractor, agent, corporate officer, etc.), of said owner or owners, and is duly authorized to perform or have performed the skid work and to make and file this application; that all statements contained in this application are true to the best of hiss 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 ..........,19 ~ li ~!-?............day of ...Q~'-~~:~ . . Notary Public . G' ° County NaeryPubllo,StataofNsM?YMOyrk~ I °(Signatureofapplicant) TarmoExp ~ea ®paoambar 81~18~.LI.. 4