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HomeMy WebLinkAbout17863-z a FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22269 Date APRIL 20, 1993 THIS CERTIFIES that the building ADDITION Location of Property 195 LESLIE RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 4 Lot IS Subdivision Fiied Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 1989 pursuant to which Building Permit No. 17863-Z dated FEBRUARY 23, 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES B. & MARL4 RAPPEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. H-034288 - APRIL 12 1993 PLUMBERS CERTIFICATION DATED N/A Bng nspector Rev. 1/81 f`OB,M NO. f rowN of sourHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON 7FtE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017 8 6 3 Z Date ~'.s..... a 3.........., 19..'Rg Permission is hereby granted to: ~j . x... l... ~ . ...N-~.....~ : y...:...l..l..~..~~. ct premises located at .~.9.......~...~.• ~,-'M.L~?.9.Id,•~-,,,,R . . . ...................11............................................... . County Tox Map No 1000 Section ~g1.. Block .......S~~F....... Lot No ..Q~.S pursuant to oppl~cation doted CT~'^:"~:~ ..1 ~ 19.Q..1 and approved by the Building Inspector. Fee S J~•~ Bu Iding Inspector Rev 6/30/80 ! ~ ~ Form No. 6 y~' TOWN OF SOUTHOLD ~ Lc, U~~~ ~ ~ //JJ BUILDING DEPARTMENT ~..J~ TOWN HALL /~yy,, . L ~ {1Y~1 7 6 5-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY T~l~,'!`1C°`~;y;'~„~ A. This application ust 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 Pire 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. 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 ...Y.n4!:~!`! ...~."b ~~~l.c/% •r•• New Construction...........qq Old Or Pre-e1xi~sting Building........... Location of Property..... i.lrJ...........~ S ~.1 e.. , C. :t:.~.~1{"~~ f~TS~'.~~ House No.--~~ Street Hamlet Onwer ar Owners of Property...:~~!!~.°~.5.. d'.,.rn~;l; l~i..,,,.,1~,~! ~Fe=L,,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section...q.7.....Block..... ~ .......Lot.... Q~S Subdivision ....................................Filed Map............Lot...................... Permit No..'.J.4.G?.~2k-...Date Of Permit.~G~.¢~~t~J.4lApplicant....~~Q~~4~Af~`~ Health Dept. Approval ..........................Underwriters Approval...,,.................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... C 0 Fee Submitted: $.~„ie.®~~ ~aaa e . v ICANT ~1~~ TEL "C,5-18t'? ~~5~sF0l~,~~~~~ To~rrl or souT~o~,~ r? ~;,:u~ ..c~ OI"f'ICE OC TiUILDIi~G INSPf-.CTOI2 ~x~.~4° ~ r.a. I30?C I i ~ 9 ~~;y~t ~ TOFVNIfALL ~ t- SO[iT110LD, N.Y. 11971 ~i r~0 t March I5, 1991 James S Marie Raffel Box 195 Cutchogue, N.Y. 11935 To Plhcm Titis I4ay Concern, Pte are unable co complete your Certificate of O~ccunancy because of the follocriny reason:;. eln application for Certificate of Occupancy /1s not on file. (ENCLOSED) /_~/~*to tJndcrvriters Certificate on file. 'Chc cltccic ir. (nYl% ~y+Yl~nut on file.) $25.00 / / D:o flnal th Dept. Approval on Lilo. J_! ho final insl-~ec;t.ion hastbeen made. Please contact: our office on this matter. Taank you for your cooperation. Puilclu.q PCrmLt If I 7 8 6 3 Z (ADDITION) Building Dept. / tro Plumber solclei Certificate on file. ' ( all p~rrtiL:, involving plumbincl briny issuccl afL-r_r ~1pri1 1,1984 ) :IdLD 1;.:%•=CTi~:~ ~~Jn.E ~ ~~MMCNT.`, ro 7. ~ H / _ H Foo11D~T2o;r l (1st) ~ - ~LB~ ~ C FOU1dDATIO? (2nd1 cNn 2. ~ o_ P.OUGH FRAi'IE & ~ PLUMBING j`- P S c V7 ' 3 . ~D . ~ c m ~ 0 ~ F 211SULATIOPI PER N. Y. ~ 'j STATE EPIERGY CODE I ~ ~ 3 ~ a. F ~ t FZIIAL - cr r ~ T ADDITIOPIAL COMMEN S: x ~ S ? i _e x ~v H ' 9 H H . O Z . ~ M b r '-'1 x a m -o H ~ ~ ~ ~ ~ ~ ~ ~ ~ ~a~~o 9i i~§ BLDG DEPT TOI~vr4 OF SOUTf'OLD ~ , ~ _ T o THE NEW YORK BOARD OF FIRE UNDERWRITERS BAGS 1 8039549 BUREAU OF ELECTRICITY !16 JOHN $TREET. NEW YORK. NEW YORK 1003Et peEP APRIL 12,1993 AppHceUonNo.onfile 74992191/91 R 03428$ THIS cERTIFlBS THAT PBRNIT R0. 017863 only the ebctrigl equlprrtent a dncrt6ed heloro end introduced 6y ehe eppltcont nerved on the ehon epplketbn wurnher in tM prerniws of JAMBS 8.& MARIA RAFFBL, 195 LBBLIB ROAD, CUTCHDGUB, R.Y. in thefolbleinR brotion; ®Boeenrent ®let Fl. ? Ynd Fl. GUT Sertion097 g/ech04 Lot 015 rtes exomined on APRIL 08 , 19 9 3 and found to be in complbnce rldNr the A'aNonel6lsefr/cel Code. NIITWE AClEf fYY1TQIK RXTU~RS RANGES COOIMIObECRt O pSN. AUST FANS OUTIRS INCANOESClM FlUOElIpNT OTNEe AMT. K. W. AMT. R. W. AMT. K.W. NAT. K.. W. AMT. M. r. 6 15 1 6 fMYERS R/RNACE MOTORS g1TINE AFRIANq IRpRi >FEqu RRCK TIAAE UOCItf RBl {IIRt IMATYf DIIAMRRS AMT. K. W. dl N. P. GAS N. r. AMT. NO. A. W. 6. AMT. AW. AMT. AWE. TWti NAT. N. r. NO.Oi IRR AMT. WAITS SRRVKt MftOlpiCT tq.tlF t E R V I C E AMT. AW. rrre Ip` ER i,e tw I w Ew E i aw E x Aw °frnctc~ ca+o. ~ « . No. a w.aG Oi' wi~0 Naor woltAU ~ Fwu~iAl OTr1R ARARIITUL JARBB B. RAFFBL 195 LBBLIB ROAD CUTCHOGUB, RY, 11935 oD11RUMANAOR 12 Psr Thit ottfificaM muEt not be alNnd in any manner; Mum ro tM office of the ooord H incorrM. Impecion may.. bs idEnHiied 11wir cwdeMalt. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEREb RV ANY MANNER, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUN~ON 1ST f ] ROUGH PLBG. [ ] FOU A ION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REIV'ARKS: ~ ~ 'QE~ ~ u~ DATE INSPECT ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: DATE `1' INSPECTOR 17~~ 3 765-1802 BUILDING DEPT. ~NSPECT~oN [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: 2 DATE J ~ INSPECTOR v~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUG/H ~PLBG. [ ] FOUNDATION 2ND S-i'I~(ULATION [ ]FRAMING [ ]FINAL REMARKS: C~~l.~' 7t~ DATE ~ ~ ~ ~ INSPECTOR ~ 765-iS02 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. ( ] F NDATION 2ND ( ]INSULATION [ FRAMING [ ]FINAL REMARKS: d~ DATE ~ ~ INSPECTOR i~% 304 Z i.. .i'3!I ~f fib'. ""~t_ _..4' - W - ~ Uf I Zfl" 2 ! ~~f f f 9_'~. gg~~ _ c~_ i C__ r.4 N ~ I 1 1 ~n (l ~ ~ OJT fi x~l~ T O i" ~~11 ' " 0 w ll,, ` o ~ ~ If' N fl Z v x ~ rc ~1~6 f4 r.> x 5 ~ _ y_._ 14 w ~ r,, to - ~ nl P 6' Q - s~ -t ,I r ~ r 1' f ~ N ~ I a~ f n p ~f r ~Y ~ { 1 _ ~ Cl \ ~ 6~ ~ I" - ~ 0 1, u~ N 0 N ~IS) I _I I ~ Z_ZX r~ ~VI 1 1~ II 1 ~ -1 _ I F nt C L ' ~ ~ 7y+~ K I q. ~t~ 1 q4 f ` ?I x r~ ~ ~ ~ U- o f,~ w N n S ~ ~sr><` Q~ck, z F~ ~ ~~I~~~_yyy i ~ A.~~ 1- I- - j Z-1X $ S f T 'V~ x, ~ - IL'f7~- - ~ ~t ->r --~r- _Z6 ~ o'' ~ ~ ~ m ~ ~ _ ~ ~ ~f S s ~ OJ ~ _ J! ~ ~ I' 1 ~ 11 _4 'rob ~ ~ • _ f~ f~ x q~ ~ 'h ~ N: i Y r 1'r ~S (r, r~,~hi BOARD OF HEALTH .G r1~ FORMN0.1 3 SETS OF. PLANS SURVEY ...4. K.......... . FEB 2 I ~4,~g i~ TOWN OF SOUTHOLD CHECK . . BUILDING DEPARTMENT SEPTIC FORM BLDG. DEPT. TOWN HALL 70WNOFSOUTHOLD SOUTHOLD,NY.11971 NOTIFY (~n~~•• TEL. 765-1802 CALL . Examine ~~^~^~^^'I.y.3:., 199 MAIL T0: 73~_ ~~7~f Approved .:Q-~-~•Y~!-!+vlv 13., 19~ Permit No ! ~ ~ 6 ~ Disapproved a/c - . . C~.~ F. G/. wsa.. i-?~ ~L . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 15 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit 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 ad~otning premises or public stre or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this ap • cation. c. The work covered by this application may not be commenced before issuance of Budding Permit d. Upon approval of this application, the Building Inspector will issued a Building Permit to the apphcant. Such peri shall be kept on the premtses 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 Occupa, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Butldmg Department for the issuance of a Bwldtng Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constivctton of buildings, additions or alterations, or for removal or demohhon, as herein descnb The applicant agrees to comply with all applicable laws, ordinances, building code, houstn~ code, and regulations, and admit authorized inspectors on premtses and in building for .iecessary mspech~toy'/ry~~ ~(St~n ure Ot' apphcant, or name, tf a corporation) (Mailing address of apphcant) State whether appltcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build; . Qr,~n~fr . Name of owner of premises . . - .!!.°~~t~rt' . - f .~C~.... . (as on the tax roll or latest deed) If appltcant is a corporation, signature of duly authorized officer . . (Name and title of corporate officer) Builder's License No .Ow!? . Plumber's License No rev - . /V~ c~n~.. Electrician's License No. f Other Trade's License No. . I. Location of land on which proposed work will be done - . 7 . / 95 . tr....1~.. ~ House Number Street L/ Hamlet County Tat Map No 1000 Section OQ • - • Block - - ~ 7 r D© ©~jr„ ~0O . Lot....... Subdivision Filed hiap No . .Lot . (Name) 2- State enstmg use and occupancy of premises and intended use .ind occupancy oC proposed construction• a. Eristmg use and occupancy • ~?[°S~~Ne?GG 0 ~ D f/~f?c~/"S i/ /I I b. Intended use and occupancy , . ,~,,..Y+l_ ad~e~4t4.'x 3. Nature of work (check which applicable). New Building Addition ~ Alteration Repazr Removal Demol,t,on Other IVgrk.... . ~ (De, cr3ptio, . 4 Esttmated Cost . ~ ~ SOD • ~ , , , . Fee F i (to be patd on filing the application} 5. If dwell,g, number of dwelling un,ts Qf Number of dwelling untts on each floor . If garage, number of cars . 6 If business, commerc,al or m,xed occupancy, specify nature and extent of eac type of use , , . 7. Dunens,ons off' extstmg structures, rf any Front ~ ~ Rea Depth . ~ He,~ht .C7Jt...... w~ttl gtf0.c~ie9~ ara N_ .~o' i ~ ~ ...Number of Stones i • .y., Dunens~ons of sa~~}}e stfucture w,th alterattons or ad~,ttons Front .3~ Rear 3.H........ . Depth ..Y.~ He,ght r~ . Number of Stones , , . . 0 8. Dimenstons of e~tue new constructton: Front c~.......... Rear , a~.~....... Depth ...r'%..... . He,ght ~ Num~er of Stones . ......Qt'1.~'.- 9. Stze of lot Front ~ s-`~.. ,ay Rear .....~a.?~.5, • , , , Depth ~,I/©~ , , , , • , , , , , 10. Date of Purchase o?.~ O~ [z~r~t~ . Name o Former Owner F~ ~'f'7-.. , . 11. Zone or use dstnct m wh,ch premises are sttuated . ~~`rf ~C'19.1a.Q ~ . 12. Does proposed consiruct,on v~t99late any zoning law, ordinance or regulation : . 13. Will lot be regraded N.Q.. ..-y. W,11 excess fill be removed from premises• Yes , 14 Name of Ownet of prem,sea ,t~gF.,~re; , .Address [''95.~~,s•/!~ tea! ~ftTPhone No. 1~.3~`:.7.8.y" Name of Archttect ! ~!fntI.. ~K~??/14'!....... Address . C~~+. ~rn~T Phone No..:f a~O! Name of Contractor ,,~4f.'~'.C,--,~ , , , , . , ,Address /SS.~~.sltc ~~i.%~..C.~ n Phone No . °f,3.~.' r' 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dtstmctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property fines. Gtve street and block number or descnptton according to deed, and show street names and indicate whet mtenor or corner lot. ~ s'eB G t-f a C~i ~ ~ .Sv,Pv~ y . STATE OF NE~V YORK, S.S COUNTY OF . • • • • • • • • • • - • • • • • • • • • • • being duly sworn, deposes and says that he ,s the appl,c (Name of mdrvidual s,gnmg contract) above named He ,s the . . . . . . . (Contractor, agent, corporate off,cer, etc.) of sa,d owner or owner, and s duly authonzed to perform or have performed the sa,d work and to make and file i appl,cat,on, that all statements contained m this applrcat,on are true to the best of tt,s knowledge and bel,ef; and that work will be performed m the manner set forth m the application filed therewith. Sworn to before me thts q a ~ ...day o~f/~..~-~- ]9 .4~d Notary Public, /`.':t-~-!=r!. . ~ County i ~o q~gjg ~NulkCrau_ n~,iq ~y~ (S,gnature of applica Ttm+ Expires Much 39, t --rt•( _ _ . w ~ ~ 3 ~ a5y `rE~'"e _ c $4 ~ ~ ~ P ~ z m Y-, C 1 e C $ 0 ~ E" ~Q? S i v - N 4. ' „ ~ 0 _C C L V 0 c o ~~u c 8 a ~m 80 ~j d' .y.. r?o ~ i. ~ `r c4= Y~~~~c~i rn o~ 1~v~~ Cyr a• pt'r r i ~ ~ - ~ ~ - . ~ ~ ~ n r~ '~f. ~x - r ~C C~ ~ ~ ~ ~ w _ ~ ~ ~ r ~ N . iV d'~ ~ ~ a GN x 3, ar _ ~ .Q ~ ~ ~ e, r ~ f ~ ~ ~ 4 • ~ ~ ct ± r 't- klt. i i _ I