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HomeMy WebLinkAbout18574-z A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Otfice of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19104 Date JUNE 4, 1990 THIS CERTIFIES that the bualdang ADDITION Location of Property 620 LAKE DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 1 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed an this office dated OCTOBER 18, 1989 pursuant to which Building Permit No. 18574-Z dated OCTOBER 18, 1989 was issued, and conforms to all of the requirements o£ the applicable provisions of the law. The occupancy for whack than certificate as issued as SOLID FUEL BURNING STOVE AS APPLIED FOR. The certificate as issued to JAMES & BARBARA GENOVESE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF I3EALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NJA PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 IfOSM NO. ~ 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) x.8574 N~ Z Date ~ ~ ~ 19.E Permission is hereby granted to: . ~ ta .l~rl:....1~'.......~~..~...4.r.:~.~.. ...........°..rfrerC~.. ? ~All.:s<`............... ......~.~r... ...i :.................~~~..ry.................~"............................................ . ¢ ~ . at premises located at .....+~t.a~1.i'7......../f.fifff~....si~~~.. . .~G~C~ . .qr~~....................................................................... . .........................................................................ap.. . County Tox Map No 1000 Section ~,l...... Block Lot No...... pursuant to application doted 19......., and approved by the Building Inspector, d Fee 5...~,.~,,~~.. c_ uildin for Rev. 6/30/80 Form No. 6 p ~ - - S Ai"' • ~ TOWN OF SOUTHOLD ~ ~ ~ ~ ~ (Nn~ BUILDING DEPARTMENT ~f S TOWN FALL BLDG Dt3-I, 765-1$02 TOwrv OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 bui131ngs, 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 an system contains less than 2/10 of li 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 sagned 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 525.00, Alterations to dwelling $25.00, SwLmming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Bua.l3ing - $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 . New Construction.....41../}~ Old Or Pre-existing Build~/ing......... ~ q~j.~~i. '7„ Lccaticn of ProperLy....`f. ~:~........~:?4~~C....~~` ..............--~--{i':1-:,F~': ~~.~..n'~L House ~~N~o.~ ,~2,Sgtreet Hamlet Onwer or Owners of Property..lfltLlr;S ~ ~'~~l'l2 A C~.fi'O,y!t~C S~ / County Tax Map No 1000, Section....../.~.....B1ock......./.........Lot...2 .7i Sub~ppd~~ivisio(n........__ ...........................Filed Map............Lot...................... Pe~r~mit No.~`~j'(:.ri.....Date Of Permit ................Applicant............................. i~~~7~ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Tempo~rnary Certificate...../.~.~.j..(.jFinal Certicate........... Fee Submitted: $.fntKA-.'~J.-!~"5-~. ~.wf?.~!~ L G ~ ~ 9I L~ 7 APPLI(~~~Y THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 $015051 BUREAU OF ELECTRICITY 83 JONN STREET. NEW YORK, NEW YORK 10038 ~Le NOYEMBEA 15,1989 Application No. un file b5370789/89 B 012859 THIS CERTIFIES TNAT only the sleetricd puipmsnt a dsecribsd below and Intrudrteed 6y the epplkant named on the ebose opplieation number in the promtwe of JAMES & BARBARA GENOV6SE, b2U LAK.C~ DRIYE, SOUTBOLD, N.Y. in thefoUowinq location{ ®Basement ® IAt FI. ? Ynd Fl. ('AR .Sertiun 59 Blockl Lut 2'l ww examined un OCTOBER 02,1.9$9 andfoundto 6e in cornplienre with the reyuirementx of thiK Board. NXTW! Adis XTUlK RANOlS COOKIN60[tK5 OVlNS 01511 WASNlRS lXNAUST FANS OUTtRS NCANDESCEM tIUDEESCENT OTMEn AMT. K. W. AMT. K. W. AMT. K.W. AMi. K. W. AMT. N. r. DRYNS lUMIAC! MOTORS 1UTIrE AMUANd 1!lOMS SFlGAL RlC'eT 7M1l ClOCKt pLL. UNIT IIlATNS AN1lT40UM DIAtAtlRS M1i. K. W. ql K I. GAS N. I. .AMT. NO. A. W. G. AMT. AMI. MIT. AMrS. TlANS. AMT. M.I. ~ ~ ~T AMT. WATT[ SERVIOI BI!l9FMII!!F IID.aF - S E R V 1 C E AMT. AAV. IWE ~ 1/TV 11 ]W S/]W JR!\V ffNf*COND. q CC. COND. NO.q MI-MiG ~~MI'~~ NO. aF NEUIIIAa Oi ~rK110LM OTMR AF?ARATUlk •RO YISUAL DEFECTS: "An electrical survey has been reds of the exposed electrical eQuiprent is the preriaea indicated." "Ro obvious unsatisfactory condition was found. ~i~'~ JAMES GENOVESE 620 LAKE DRIYE SOllTMOLD, MY, 119'11 dOq~II MANAOtR I1 Psr This artificaH must not bs shared in airy manner; return to 1M office of fhe Board if incorracl. Inspatfors may y 1Mir trsdsntials. ~ COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIPICATE MUST NOT 6E ALTERED IN ANY MANNER. ~l~r„y TEL 7G5-1 E07. ~jF~LiZk ~p~•• ~O `'C. Z'0«7rr OF SOUTIEOLb3 r~.d~~,,q;~i :.c~ OT:I-}C1:OPIIUILUiNGIidSPCCTOR ~u "'1 'r `r i'.O. UOX 723 t1.r • ~f' ' Y "1'Ot4'N 1IALt. ~`~~~f - SOL'}tR~LU,N.Y.i1971 :j~s April 3 , 19 4 0 r 1'?` James 6 Barbara Genovese 620 Lake Drive Southold, N.Y. 11971 To S~;}com This May Con~crn, 4;e are unable to complete your Certificate of Occupancy bocau~e oT the following reason. r 11n :ipplicatzon for Certificate of Occupancy //is not on fxlc. (ENCLOSED) f Flo Undcr:ariters Certificate on £ilc. the check ia:(s~mYt~~~.xffilnot nn file.) S25.o0 / / t:~ ?Ic+alth Dept. Approval on file. L'r~ final in:.p~ct.ion hay been made. Please contact our ofTice an this matter. Thank you for your cooperation. Bu~ld.inr, Permit fl ! $ 5 ? 4 Z Builciincl Dept. tlo Plumber Solder Certificate on file. ( all permits involvinc7 plumbing being i~rue<1 after April 1,19II4 ) - t . _ I~ OUIIDATI0:1 (1st} - I 'OUt1DATI0;1 (2nd} 4 _ 2. I ?OUGH FRAi•SE & PLUMBIiJG (I 3. ?IISULATIOft PER N, Y. I STATE EfIERGY I CODE f ti~ FI?tAL I I - c ADDITIOf1AL COM?1EtITS: r R f S r C r - - I c r~ R H -1 ~ ~ -F- ~ ~ -1---~-~ ~ -,i _ - ' _ I, - - ~ ~ 1__~-I--'1'_ ~ _ - - - t - ~ ~ ~ ; - ~ ~ _ I I i i i ~ r~.., _j ~ ~ _ , ~ ~j ' ~ t ~ ~ r- ~ ~ ~ I ~ ~ ~ I ~ i I i - - - ' d - ' 1 I ~ r i-,, - - - ~ i - I ~ - ~-J----~--~ - --I-_-i--- ~ - - ' i E ~ --L--~-~-- 1 - _ i ~ ! ~n _ _ _ ~ ~ - ~ _ ~rl ' ~ -I ~ ` ~ ' - ~ , i -t---; i - ~ ~ ~ - - ' ~ I`li~'P~. Niini~nurn Ciearanc~s ~'or Safe lns~allation jZ. ~ 3' 40' ` factory bull chrmney roof support support bracket g.. r t8 stove pipe yti y non <ombuspblc stall p•etcctor 1 I 16" ~ stove ptpe, cnr.;ped cr:d down l2" 16" 1 i i 1" f i - I ~ # i ~ I~ ~ I ~ nonmmbusub!e hoer protettron ~ With 3r4" masonry ssaU or 21 gauge 4 From• Combu:nbles shr meta! with I" avspace ' A. Listed Wood Ficatcr f Front 36" - Srdc, Flack 3G" I"' icp 36" 12" F3. Stngic K'all Canncctrr Pipc IS" 9'~ (2a gauge or heavier) C Chimney llcrght 3 feet htghcr than roof, 2 feet htghcr than an}' part aS roof ' svtthtn 10 (cct (mca;ured hortzontallyJ. BOARD OF HEALTH - . • 3 SETS OF PLAYS FORMNO 1 SURVEY TOWV OF SOUTHOLD CHECK - • - • • • - BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N Y. 11971 TEL.. 7651802 CALL MAIL T0: Examined 1~/~,l/~s..~i..... , 19.11./ Approved ~p......, 194! Permit No./a.`~ y~ D DisapprovedaJc ~i BLDG. T F / ~ But ding Spector) APPPLICATiON FOR BUILDING PERMIT Date ~4'.. . 19 f INSTRUCTIONS a. This apphcation must be completely filled m by typewriter or m ink and submitted to the Building Inspector, wit s8[s of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of builduigs on premises, relationship to ad}'oming premises or public str or areas, and giving a detailed description of layout of property must be drawn on the diagrsm which is part of ttus ap cation. c• The work covered by ttus application may not be commenced before issuance of Building Permit. d. Upon approval of this apphcation, the Building lnspector will issued a Budding Permit to the applicant. Such per shall be kept on the premzses available for inspection throughout the work. e. No buildin; shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occup? shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Budding Permit pursuant to Buildtn; Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance- Re_ulations, for >'T$~8l4u'e~~o'~bii~iuildings, additions or alterations, or for removal or demohtron, as herein descnt The applicant agrees t~~gmply with all ~gphcable laws, ordinances, building code, hous e, and regulations, an~~ admit au t:?'dYi~ectors on'fPiises and in building for necessary mspe to s. y l ~n ' ~',x7 ~ a (Signa re of ap 1 or name if a corporation) • , (Mailing address of applicant) State whether applicant a owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil~ :v'ame of owner of ices . ~\~~~~T!/.~1!Q. . ...a " (as on the x II or latest de If apphcarit is a corporation, signature of duly authorized officer. (Name and tale of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plunibcr's License No . . . Electrician's License No . . . . . Otlicr Trades License No . 1. Locatton of land on which proposed work will be done . . House !dumber Stre(e~t / Hamlet County Tat htap No 1000 Scctron ...S~. . , , , , , . Block I Lot , , , , , , Subdivision Ftled flap No Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b.lntended use and occupancy 3. Nature of work (check which applicable): New Bi Idmg Addition Alteration , Repair Removal Demolition Other 11 ork , , . ate (Descnplion) 4. Estimated Cost.. ~ Fee (to be paid on filing this application) 5. If dwelhn~, number of dwelling units Number of dwelling units on each floor . IfFarace,numberofcars 6. IC business, commercial or mired occupancy, specify nature and extent of each type of use . 7. Dimensions of eei •un~ st+~~+ructures if any. Front Rear - - . Depth . Height .~t4rt~t e~r'of Stones . . . . . Dmiensi ~~•~ga~terahons or additions. Front Rear Depth . .......:,`tfeigtit . ....................Number of Stones . 8. Dunensi ei~r~ijc'or~struction: Front Rear Depth Height Nuiiiber of Stones . 9. Size of 1 t. iVz~-a.~:,e Rear. Depth 0 Date of 'Tt•`i;,:,,,..;,,w,,,'-~'~,:~ . . . . . . . . . Name oC Former Owner 1. Zone or use distract in which premises are situated . . . . Does proposed construction violate any zoning law, ordinance or regulation- . . 3. 1Vdl lot be regraded SVill excess fill be removed from premises: Yes Nc 4. Name oC Owner of premises ....................Address Phone No............... . Name of Architect . . . . ..................Address - - -Phone No............... . Name of Contractor ..........................Address ...................Phone No............... . 5. Is this property located within 300 feet of a tidal wetland? *Yes No *rf yoa, $pZ,rhntd T~wm Trustees Permit may be re uired. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions from roperty fines. Give street and block number or descnption accordmp to deed, and show street names and indicate whether tenor or corner lot. A D Jilt lild!'ED DATE:~° ~ el.r. a..L S?~ ,s© a NQTIFY~~O~E~ ass-1802 » AM ro ~ PM FOR THE FOLtOwfNG INSPECTIONS: 1 FOUNDATION - fW0 REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING ~ PWMBIN(3 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALT. MEET THE REQUIREMENTS Of THE N Y, STATE CONSTRUCTION Ai ENERGY CCiOES NOT RESPONSIBI~ FOR L'-SIGN DR CONSTRUCTION ERRORS iATE OF NEIL' RR S.S CL~7YOF--• .ovi^.-~, • - ~.R.~.~-~a.~-..... 6emg duly sworn, deposes and says that he is the applicant Game of indn idual si_nmg contract) ore named. e is the ...............t3.-G-t~"+'t-€:4! • • - - - - . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said wort: and to make and file this pticauon, that all statements contained in this application are true to the best of his knowledge and belief, and that the irk will be pcrtonned in the manner set forth m the apphcaUOn filed therewith. .orn to before me this ..............~a~. day ot.......~~'?~..,19c~ xary P blic, . ~ , , , , JcG~°.~C County ...f EINANNNEVILLE Signature of applicant) Note Pubiie, State of Naw York No. •8125850, Suffolk Coyqt~ Term ves October 31, t 9.711