HomeMy WebLinkAbout17866-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18603 Date NOVEMBER 30, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 495 MESROB7AN DRIVE LAUREL, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 145 Block 04 Lot 10
Subdivision Flled Map No Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 22, 1989 pursuant to which
Building Permit No. 17866-Z dated FEBRUARY 24, 1989
was a sued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is FAMILY ROOM ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to THOMAS ESCHMANN
' (owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-102033 - NOVEMBER 9, 1989
PLUMBERS CERTIFICATION DATED N/A
Bu" ding Inspector
Rev 1/81
FOSM NO. f
TOWN OF SOUTHOLp
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED?
NQ X17856 Z Date ....4~..~:~:...~.~ l9.8.~.
Permission is hereby granted to. / 1 , 1
to ..i
?.P.~M~':4:1-,~?...~1'.!?~: s.P.a..Y:...?ku.c-4.Q.~..sti....~~~...1.S./T.tre~s...Gi..~.c~t:illrl,....
C?..Q,nn... ' . ~
'v ~
n -
ct premises located at ..~"1:9~....~~A.-su~.r2:.1~~x, ...l.J:i~.... ..~,r!Sr
County Tox Map No 1000 Sectioyyn . zS..... Block .....5~.7........ Lot No. ...I.~..
pursuant to application dated ...~7.~ 19$~ and approved by the
Building Inspector.
Fee s..ll°?:.~.4..... .
wilding Inspector
Rev 6/30/80
" " FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OE OCCUPANCY
Instructions
A. This application must be filled 1n typewriter OR ink, and submitted r ~r.rr to the Building Inspec-
tor with the following; for new bu ildings or new use•
1. Final surrey of property with accurate location of all bulldlgs, property lines, streets, and unusual
natural or topographlc feawres.
2. Final approval of health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and lnstalla-
trons, acertificate of Code compliance from the Architect or Engineer responsible for the buiiding.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For exlsnng buildings (prior to April 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
topographlc features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa•
lion required to prepare a certificate.
C. Fees:
1.Certlf~cateofoccupancy $25.00 BUSINESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00
4.Vacant Land C.O. $ 20.00
S.Uodated C.O. $ 50.00 Date
New Con truc tt ion „X, , , OId or Pre-existing Budding Vacant Land .
~xtension " " " " " " " " '
Location of Property , , x+95, Mesrobian Drtve Laurel.
. . . . . . .
House No. Srreei Hrnlot
Owner or Owners of Property , ,Thomas Eschmann .
County Tax Map No. 1000 Section ........1~5.... Block 4........ Lot , , l0 ,
Subdivision ,Laurel Park , , ,Feed Map No. 21?.....Lot No . .
Permit No. , 017866 Date of Permit . ?~?~~89..Applicant , ,Riverside Homes: Inc.
Health Dept. Approval . , ,not required , ,Labor Dept. Approval . .
Underwriters Approval ........................Planning Board Approval ,
Request for Temporary Certificate .Final Ceruflcate , . .
Fee Submitted $ ..25.00_ ,
Construction on above described bwldmg s rt E I~ 1 e odes and regulations.
Applicant . ,
Ali ab th A. Ca~naaai^o,~ag~~ ~fb 'RivLP9i8~'Hbt<iAB;'Inc.
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~ T65-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST ( ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ~ FINAL
REMARKS:
y
DATE ~ ` INSPECTOR
1 ~
765-iS02
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ) ROUGH PLBG.
[ ~FOUNDATlON ZND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
DATE ~ INSPECTOR
1 ~ ° T 76S.i8~Z
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ } FOUNDATION 2ND [ ]INSULATION
[ }FRAMING [ FINAL
REMARKS:
DATE INSPECTOR
~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS: _r~c3~.~~~
e
r~
DATE INSPECTOR
~P 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [~NSU4ATION
[ J FRAMING q ]FINAL
REMARKS: _ <~;ti~~ ~9'l~
DATE ~ ~ INSPECTOR Nrn
17 ~~l
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ]INSULATION
[ ~MING [ ]FINAL
REMARKS: ~ /U~
LPL r S
.G~- ~pr~/1~
DATE S INSPECTOR
r ""l/
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Riverside Homes, Inc. C~iutouc '.~uildP.ca
P O BOX 274
1159 West Marn Street Riverhead, N Y 11901 -
Phone 516 - 727-3395 -
November 20, 1989
Building Department
Town Hall
Main Street
Southold, New York 11971
Re: Permit No. 017866
Gentlemen:
Enclosed herewith please find the permanent Fire Underwriters
Certificate in the captioned matter. May we now have the Certificate of
Occupancy.
Sincerely,
~iz~th A Cannazaro
Enclosure ~i ,
.
`.YwigNM o MFMeErt o
~ ~xn
, irarrnne N0~ Itlttttl'~ N
Riverside Homes, Inc. Cuetoac '~uil~ecs
{ _
P O BOX 274 ! f -
1159 West Main Street Riverhead, N Y 11901 ~ ~
Phone 516 - 727-3395 ~ t ~ j
~ ~
October 31, 1989
Building Department
Main Street
Southold, New York 11971
Re: Permit No. 017866
Gentlemen:
We have finally obtained sticker from Board of Fire Underwriters
approving this ,lob for C/0. It is enclosed herewith together with C/0
appll.cat>on. May we have the C/0 by return mail.
/S
ce~rely,
E1' izabe annazaro
Enclosures
'yyeWTIONN nrtHffR
Gwr SYUIJ ~~'wprlew
~ S ~ nc~ ~p~K,pyy~~"
THE NEW YORK BOARD OF FIRE UNDERWRITERS PACK 1
1.035018 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK. NEW YORK 10038
Daw NOYENBER 09,1989 gpplirationNo.onflle 65632389/89 N 30'1033
THIS CERTIFIES THAT
Doty the alectrlcat putpmawe a daecrihed 6elore and tntredaced by the applkant named on the a6ow applioatbn nrAmhn to the premieee qJ
KSCNNANN, +195 MKSRO~~Bry]IAN DRLVE;, LAUREL, N.Y.
in thefollouing lacatly~,,B1SR 3U,ely~Y ~ lAt fl. ? 4nd Fl. OUT serttan 8laclr Lot
ram esamined un tXX::IV S6ftN 30, 19 end found to 6e in compliance with the nyuiremenfAOf thb Boord.
NXTYM M76 fttITC116 X RANOB COOIIINO tNCKS OVtYif UST ANf
tXlltSTf NCANDltClNT rlUOBtbtiNT OT118n AM7. R. W. AMT. R. W. AMT. R.W. AMT. R. W. NAT. N. 1.
7 0 4 7 2 F'
DRYMf RllNACS MOTORS IYTUM MWAdCi RROMf fMOAI MCr+T TRAR tiOCXf. ~ UlRT INAIMS NNN~ OIMMNRS
NAT. R. W. ql N. r. OAt X. r. AMT. NO. A. W.O. AMT. AAN. AMT. IMlf. TRAttS. AMT. M. r. MO: ~ AMT. WATTS
ftiAVl4 tl1S{'"ONtIRCT MD. tJt S R R V 1 C E ~p~
AMT. AAN. T1Tt t~tM. 1 / 7W 117W 7 / SW 7 / AvI NO. p CC. COND. A.~ a NO. q N41t6 A. W: NQ q' NIYfRNt p ~Nla1Ml
OTIMR AMARATUk rdt
RtbN SRTBIISION-1
G.Y,C.I:-1
TRACK LIGNTINC:-12
,Po~
CNARBONIIEAU, PETER LIC.f'L697 K
35 SNEPPARD LANE
SNTTNTONN, NY, 1.1788 gSltrRt M~
This eertNitay. aartt not be aharad in ony nannerT Morn ro tM offiu of the Soard if ineornd. may Ita 1 ,
COPY ROk WIt,01NG DtPARTMlNT. TMIS COPY OF CERTIFIGTE ANKTNO'f~~E hlT p4
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BOARD OF HEALTH ~ /
3 SETS OF ~.1NS 1/..........
FORM NO 7 SURVEY
TOWN OF SOUTHOLD CHECK .~.~e~`-1~ .
BUILDING DEPARTMENT SEPTIC FOR:I .
' TOWN HALL
SOUTHOLD, N Y. 11rJ71 NOTIFY
TEL..7G51802 CALL
J bU1 I L T O
E~amincd , 19 P~
,~pprovcd~sQi•.~.~a.~.., 19~~ Permit No. ~.7.~
gong
Disappro~eda/c 4
~~Q."~t~. r ilt[~ j ;v 7t
(Building Inspector) ° . ~.<T.,,.0`~`~r~~ ~ ~r +~~~;_~p b
APPLIGATIGN FOR BUILDING PERMIT
Date IS . .
INSTRUCTIONS
a. Tlus appiication must be completely filled in by type`vnter or in ink and submitted to the Building Inspector, with
sets o2 plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan shown; location of lot and of buildms on premises, relatronship to ad}ommg premtses or public stree+
Or areas, and giving a detmied descrigtion of Layout of property must be drawn on the diagram which is part of ttus appl
capon.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of Yhis application, the Building Inspector will issued a Building Permit to the applicant. Such penrii
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 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 th.
ButIdmg Zane Ordinance of the Town of Southold, Suffolk County, New Yark, and other applicable Laws, Ordinances o.
Rcculations, 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, housm~ code, and regulations, and tr
admit authonzed inspectors on premises and m building for necessary i ctions. ~
( ignature at' applicant, or name, if a corporation)
Richard Wandnloski
PP. 6Gx. 27'+, . R~YO~'h@dd, .Ngw,Y¢>ik _1J.901 .
(Mailing address of applicant)
State whether appltcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bu[Ider.
agent
.
Name of owner of premises Trxn Esehmann
(as on the taY roll or latest deed)
If applicant is a corporation, signature of duly authonzed officer.
.
(Name and title of corporate officer)
Builder's License No
Plumber'sLiccnseNo 20u0P,,,,,,,,,,
Electcician's License No. ...?697E , , , , , , , , , , , , ,
Other Trade's License No . . .
Mes ob an ave ra f
1. Location of land on which proposed work will be done. .~'09pr}~Q ~ay ~rlvd. aurel _ , . , , , _ . .
..~[q ~ .
Laurel
House Number Street ~ Hamlet
~ f
County Tai ;`tarp No-I100~j0 Section I ~ BIO~k Lot .
Subdivision t~QUCGi . 14~K .Filed flap No .Lot .
(Name)
Slate evsting use aad occupancy of premises and intended use and occupancy of progosed construction.
a. Eeishng use and occupancy S~ng~Q, ~a4i17~Y. dWeJ dlri6 .
b. Intended use and occupancy E1t~ririS1CR. 1:~. 3dd. a. fam7.~y. ropm_ _ ,
3. Nature of work (check wh;ch applicable) New Budding AddtUOn Fam., Rm Alteratton .
.
Repatr Removal , . Demolttton FDroh......... Other 1Vork .
(Descnptton)
$18:040........... Fee
4. Esttmatcd Cost .
(to be patd on tiling flits appltcanon}
5. If dtvelltng, nutnber of dwelling units Number of dtvclltng units on each floor .
Ifgara;c.numbcrofcars
6. If business. commercial or mt~ed occupancy, specify nature and extent of each type3p~~ use .
7. Dtmens;ons of extsttn^ structures, tf any Front 35..... Rear Depth ..38 .
Hctgftt 3.'~..:: Number of Stones . 2.~` , , , , , , , , , ,
Dimensions of same structure with alterations or additions Front , , 35.... , Rear 35
Depth ..............Sfi'...... Ilctght 35......... Number of Stones 2 z
DtmenstQnsof eTtt~e °4tew construcrion. Front . Rear . Depth .
Hct~ht Number of Stones . .gg,.. ...........286 ~ .
9. Stzeoflot: Front 5$:..... Rear Depth
10. Date of Purchase .....................Name of Former Owner
11. Zone e* use dtstr+.ct to •vhtclt prcm;ses ate sctuated .
12. Does proposed construcrion violate any zoning law, ordinance or regulation: no .
13. Ndi lot be regraded \Vtll excess fill be rrueimoved from premtses Yes ~2
14. Name of Owner of premtses , , Tpm Eschm~nn.. , , , ,Address ~Gar~e~n~~~ty.Rd t ....Phone No. :4410 .
Name of Architect , Rieh~rd Wandtaloski Address ...Riaenhead..ryY ...Phone No.:~.?~,-3395
Name of Contractor , TRT Flumbing , ..Mastic, .NX ......Phone No.. ,3,99 ;0921 , , ,
.............Address
15.Is this property located within X00 £eet o£ a tidal wetland? *YES....NO.X..
*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 frr
property lutes Give street and block number or descnptton according to deed, and show street names and indicate wheth
intenor or comer lot.
STATE OF \E13UFOFOLI~ S S
COUNTY OF . .
, _ , , , , , , , RIC[iARP YlANPO?;OSKZ . . . being duly sworn, deposes and says that he is the agplir
(Name of mdmdual st;nmg contract)
above named.
Hctstlte.........agent
(Contractor, agent, corporate officer, etc.)
of sa;d otvncr or owners, and is duly autltortzed to perform or ltavc performed the said work and to make and file t
apphcauon, [hat all statements contmncd m flits apphc~hon arc true to the best of lus knowledge and belief; and that
work wdl be performed to the manner set forth m [h ~ apphcauon filed therewith
Swom to before me tlu~ e,
..day o ~ 19~.!
\otary Pubttc, County 1 ~7 (`/q
Eti~? ~ ~ " i Yotk
NOTAFY Ft+ut VC. 5.. ~ .
Qua tVMo 'S246L1 ~~7~ f~
r R chard Wandplaski (Signature of applica
Cammizsioa ExW~ "