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HomeMy WebLinkAbout17943-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18594 Date NOVEMBER 27, 1989 THIS CERTIFIES that the building ADDITION Location of Property 4170 PECONIC BAY BLVD. LAUREL, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 128 Block 04 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 1989 pursuant to which Building Permit No. 17943-Z dated MARCH 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 2ND STORY ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to DONALD McALLISTER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-102416 - NOVEMBER 10, 1989 PLUMBERS CERTIFICATION DATED NOVEMBER 6, 1989 - DONALD McALLISTER ~LL.et7C1~ Building Inspector Rev. 1/81 f'08M NO. f 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) N o 017 9 4 3 Z Date ~ GLLCN o~ ~ 19. Permission is hereby granted to• ..~5.,.4~?~......... Gi.a . at premises located at ~ 7~ w...~a*-t... l.k~.V.:Af. t.........~..Y.!d.,~.~..t.~C..,~ . .1......................................................... . Counh~ Tax Map No 1000 Section Block Lot No .~a!4. pursuant to application dated ~ l.d ~ ~ i9~ and approved by the Budding Inspector. I Fee . Building inspector Rev 6!30/80 TONN OP SOUTIIOLD BUILDING DCPART2ICNT TORN IIALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCBPANCY / -fit, DATE_ ~~l ~i/v/........ NEW CONSTRUCTION ..._...OLD OR/~PRE-E%ISTING BUILDING. .VACANT LAND._..._.. Location of Property. ~f/7D...//L't-,at...~-'~y`J ~L!'.~.... L ~77!/'~°~._...---.. DOUSE NO. [ STREET IIAMLLT Ovner or Ovners of ProperCy.ftk.N:r:";~.Y~~.~~. _ k ~~5f~~;` . . . . . County Taz Map No. [000 SecCion Block Lot Subdivision Filed Map ........Lot........_. / 22 / / 5 1'? Permit No. [.7?y.~?...Date of Permit .3C Z31".~..Applicant ~....'~~~i~:... Hea1Ch DepC. Approval Underwriters Approval_...____...._. Planning Board Approval RequesC for Temporary Certificate Final Certificate Fee Submitted: S:. f,~~~1f~~ ~1'y/`'C'`~`~ {(i .ate i~ rev. 10/14/88 6t.t,~,.3 8 465 2 0 1~5~~ L~ y FORM NO. 6 TOWN OF SOUT110LD _ HIIILDING 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: I. Final survey of property with accurate location of alI buildings, property 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 Undervriters_ 4_ Sworn statement from plumber certifying that solder used in system contains less than 2/l0 of IZ 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 Pla~ining 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: I. 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 9, ]957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date 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: I. An 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, 1457 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state [he reasons therefor in writing to the applicant. D. FEES: - 1. CERTIFICATE OF OCCUPANCY - New Dwelling $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 Commercial ev. 10/14/S8 . .moss mimes ~ ~usfom ~urf~r ROSS MARCHESE HOME IMPROVEMENTS 19 FORESTON CIRCLE MANORVILLE, N.Y.11949 (51 b) 87&8651 r , ire ///,~y'~~l ro: L J . `7~/L~ . . NOV 2 ~ 199 TEL. 7G5-I80? ~~~F ~(k~ ~,~p5 COGy. TOWN OP' SOUTIIOLD ~ =,c Of'I'iCL' OP IIUILDSNG iNSPECTOR Jr ~ T P.O. IlOX 728 ~ TOWN BALL yoyf~01 ~ ~~Ot- SOUTEIOLD, N.Y. I 1971 NOVEMBER 3, 1989 ROSS MARCHESE 19 FORESTON CIRLCE MANORVILLE, NX 11949 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. $X1: An application for Certificate of Occupancy is not on Lile. ~'.XtC No Underwriters Certificate on file. The check is(e~~cla~ted/not on file.} $25.00 % / No flcalth Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Bu1]dznq Permit it 1 7 9 4 3 2 2nd floor addition Building Dept. ***/y~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued afl-cr April 1,1989 ) • • TEL. 7G5-1802 ~oS~FFOLJ,'~~1~~ TOXIN OF SO"rJTFiOLO lc•' ~c OFFICE OF BUILDING INSPECTOR o i rn P.O. BOX 728 3~ TO1VN HALL .r0~~0~ SOUTHOLD, N.Y. S 1971 C E R T I F I C A T I O N Date ~ 1 _ Building Permit No. ~ 7 9 Owner p~rl~}-L(J 1^7G f} LL15i (please print) P1 u.^.n e r ry 1 G y( ~m-~ ~ /'I R-© (7 (please print) I certify that the solder used in the water supply system contains Less than 2/10 of 1g lead. a~ I'~ ' 1 (plumber's signature) Swo ~n to before me tYas day of ~.~,,.~..f~ , 19~, aLy Public C tlotary Public, ~ 6~ounty ~ `2~, ~f~' 3 i ~ i F. 1WttTM ~ f ~Id~at ewuc, tt~. a neK von ~~t''!~ ~ ~ p. sasms 'tfoepw M ausrc, county ~~y 1cL0 I:. S:? .lU;i ~~Ue,.E ~~.YMLNTS ra 1 . ~ /C vt~ m ~ FOUIIDATIOII (1st) m ~ ~ ti POUNDATIOt7 (2nd) ~ ~ o ROUGH FRAME & _ PLUMBING ~ y 3. ~ m - n IIdSULATIOfI PER N. Y. STATE Ef1ERCY CODE _ a J e 4 . ~ /f~EJf ~ ~ y FI;dAL ~ ~ _ 'C o £ f 1 ADDITIONAL COMMENTS• x c u r - i• x b H S H = H - O ~ m r H _ _ d m -n H THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 " 1025083 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 - Barr NOVEMBER 10,1989 ApplmanonNo.onfde 62689389J89 N 102416 ' THIS CERTIFIES THAT PERMIT N0. 17943 only the electrical equipment as desenbed below and introduced by [he opp/icant Homed on the o6ore application number in the premrsea of -~I -1 - DONALD McALLISTER, 4170 PECONIC BAY BLVD, POLE 64, LAUREL, N.Y. I';IS-'' -t~ in thefollowinq Iocohon; ® 8mement ® la[ F! ®Ynd F7. ATTIC/OUT 5ec[uui Block Lot iroa examined on NOVEMBER 01,1989 artdfound l0 6e to corrtplmrtce weth the regeurernrnta of Chia Raord. = - t_ -I _ NXTURE FIXTURES RANGES COOKING DECKS OVENS D15H WASHERS EXHAUST FANS OUTSETS ECEPTACLFS SWITCHES INCANDFSCENf RUORESCENi OTHER AMT N W AMi N W AMt RW AMi N W AMi H P 28 1 25 41 F DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC'PT TIME CU]CKS gEp UNIT HEATERS MULTI-OUTLET DIMMERS AMT R W OIL H P GAS H P AMT NO A W G AMi AMP UAT AMPS TRANS AMi H P SYSTEMS Ma WATia NO OF FEET 1 F 3 600 SERVICE DISCONNECL NO OF S E R V t C E 1. AMT AIM rypE METER I X TN 1 X 7M/ 3 X Dw ] X IW NO OF CC COND A W G NO OF HI lEG A W' G NO Of NfIRRAlS A W G EQUIP PER % OF CC COND OF NI LEG OF NEUTMI, OTHER APPARATUS 1, ' 1 ~ - MOTORS:1-F H.P. PANELBOARDS:1-9 CIR. 100 tl ' ' SMOKE DETECTOR:-1 - , ',F J _ 7r RI P JAMES J. BERMEL LIC.#E-3665 124 CEDAR AVENUE PATCHOGUE, NY, 11772 GEN ANAGER 11,E _ ' Per II ' This certlflcate must not be altered In any manner, return to the office of the Board If Incorrect Inspectors may be Ildentlfl d by ihelr credentials a. - 765-1802 BUILDING DEPT. INSPECTION [ FO DATlON 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: / fvt.C r J 1 a L?~"j DATE r INSPECTOR r ~ ~ ~ ~3 ~-zSO2 UILDING DEPT. C~~-~ INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND ~ ]INS TION [ ]FRAMING ( FINAL REMARKS: ~cG~'SS DATE ~ INSPECTOR . lF"M * k CoJ~lPl,1ANC~. wJrN 1J•YSrar~ ~,oer.~sY Co(t15,~J~V/i7,o1J CoN51r~'. CD:G~, NMRNs7>"D gYl~)98`1 SUMMARY OF TOTAL. TI-,ERMAL RATING 1f thu Tot~ayA.,f~F_p' oN G.POO .1»=4A'AA^ J~A1~~ 1 Il~ann•1 ketury tt ,uro (U) ur Uroetuh Nw propossd dattyn for thu bulldLip uuv~lupu cumpllut with tLu Euurgy Cudu. lu[Itlul TAkLE IUSfILA71uN i AI(EA U-VAtuE knIING Us[D 'rol;i U:,ED A. soot/cEluuG Typr 1 /.3GD o~ tZ/ _ (-I ~ k,~O o e. NET HALLS Typa 1 ~ .O~ D f~-% ~YPu 2 . ~l \~t I C. GLA2lI+C \ Ntndar Typr i ~ 0 ~0-3 _ .58 ~ Ninaov Typr , _ ~ ~ Y U Q Dt, fLOOfts~L 1, ntx ,05 O f~-! /9 ' ~XT :UooR'S _~Q ~ _CL_ Max• _ . D2. DASC14CNf/CELLAR HALLS Nall Par~metar _ fiat. Expoturu ALovr Gredo fuel , Noll U-V?lur Daptn of Nall U-Velar - ~ Dalov Gredr Incnas D3. SLAV INSULATION h• ~ ~ SLb ParLnatrr feat InsuLti°n ft-Velw E. lufILTRATIOU CONTkOI U ~ Conditiona0 floor Arnn Sq. ft. F. SOUTH FACING GLAZING y Cl South Glass/Total Glets Pcrcunt C1. Arne/Cross Nall Arue Parean6 Condlttonad floor Arae Sq. ft. I • TOTAL TNEkrwL kATIUG . ..•.w-.~~.-wp/~r.-Mr.1r.Y. I L ~?rW •~1~ Y• ....+ti.-.~.....r rte... . C14~S u7 1ti1 al fl/Q~~ e ~ r1~X11,~ l~' ~ . },Jaa`cl Garagc~/Jn'icgot}rJclu c ?,I cvtn pr• ~RVeop~ Geurpl no}ea appl/cablc }o ~hcse, plans, . 1) 7hccmosfal' scjtiru~-: Nluxin/um ~5.'F., Minimum 45'F, z)1~1a,~• ~'cmp• sclfing ~crdomc~l~ic llY,~ 1>ra~ersc~~}em5r 14o°F 3) l~lcchan,tal hca~-,rrg 5r~s~cas ~hal1 7rJcd1• c,l! rccluire- nlcn fs o.F 1J•Y5• •~rlcra c~ Cans • ~rw~n Cod e /911 hc~J• condrlcf lrrg or 11ot ~ra~ct prpts; 1oca,~cd ,n ~ , ~Jnticgl-ed arcos sl/a 11 b~ igsularGed in cvnforrn~~J • will! rcyuircn~cnf of IJ•YS'•+~ncrgl~ Cns•~'Cpns}~ Code • b") FrrcpJacc rciJuircn~cn~s, Ld~ror r, I,F ~ • ••?o cFin• Y ° I • s~,~,~ ~ • . 1-uY7:'olnl yva„,pcrct~ a+r yurJa, _ _ , 37w~.~ c'ochs,dc ~r u+ ltcaf~'h, ~ ~u~u~ CaJ~aC,~~ J,~U t'v • • I I~_ _ ~ 2ao c f,,,Jtn,,,. . " 1/cn} lu ou.t~,de . ,~~~J_`t'rIop , M1 7~• Foy: r JJ /~,7'~1~'.,,_.L-K• ~•~J U 1., BOARD OF }!E.\LTH 3 SETS OF PL,\ S ` FORM N0.1 SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORti • TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ~ ~ C ` pq TEL.. 7G5-1802 CALL y.. C•eammcd..!'1.1.~-t-~ 194!. L T0: i'~1, ; (z'~r " ~J)t! ~ ~ 1, P .13 Approved 19 Permit No ~ 7 . 7~ , . Disapproved a/c U~~ 1•ih:{ ~ . , , . BI.UG DEPT, ' cy~,Q~ 70WN OF SOUTHOLD § (Buildmg Inspector) APPLICATION FOR BUILDING PERMIT Date . I5 . . INSTRUCTIONS a Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apph capon. c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of tlus application, the Buildmg Inspector will issued a Building Permit to the applicant Such perms shall be kept on the premises available for inspection throu~Iiout the work. e. No building shall be occupied or used in whole ar in part for any purpose whatever until a Certificate of Occupanc± shall have been granted by the Buildmg Inspector. APPLICATION IS HEREBY MADE to the Buildmg 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 o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t, admit authorized mspectois on premises and m building for necessary ins ions. , ~ - ( ignature or applicant, or name, if a corporation) • (Mailing address of applicant) State//whe~ther applicant/is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder UYNCIUJ'L Cca/j729-+?TOYL Name of owner of premises 0 c. Q ~t_a 5J L!/2_ (as on the tar roll or latest deed) If applicant u a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. .~S CaS lfS nn Plumber's License No. O ~ ~..li . EIcctrician's License No . Ot}ier Trade's License No . . 1. Location of land on w}iich pr posed work will be done. . 174' ~ O ~ Hv 2zF rr- House Number ~ Street • • • • • • Hamlet County T.i~ hi,ip No 1000 Section~.tZ~.. Block / Lot. .Z,I?............ Subdivision Filed t<tap No Lot . (Name) State «istmg use and occupancy of premises and intend •d use and occupancy of proposed constriction. a Existing use and occupancy SP's. ~ d rr b. Intended use and occupancy 3. Nature of work (check vrhtch applicable). New ButldmS • • • Addition . • Alterapon . Repazr Remova! , . Demotttton Other Work . (Description 4. Estimated Cost ~gj [`v0 Fee . ~7,.,~~e~cr„•~ be pmd on filing this application) 5. If dweihng, number of dwelling units !J.! , ~fh'~i umber of dwelling units on each floor . If garage, number of cars ,~i• . . ~ , , , , 6. If business, commercial ar mixed occupancy, specify nature and extent of each type of use :r. / , . 7. Dimensions of existing structures, if any Front . , , yy:. Rear yy Depth . , .~j•, g, , , • , Hei^_ht ...............Number of Stones . Dimenstor~s of same structure with alterations or additions Front Rear , Depth IIctght ......................Number of Stones . Dimensions of entue new constroction Front . Rear Depth . Hcigltt t .Number of Stones . ........z . 9. Size of lot• Front7R! ~ ~ . Rcar . ~~Qr~$..... . Depth 10. Date of Purchase . .Name of Former Owner . 1 1. Zone or use district m which premtses are situated , . 12. Does proposed construction violate any zoning law, ordinance or regulation . 13. \Vdl lot be regraded , Nf?R .......Will excess fill be remfjved from premtses. Yes 14, Name of Owner of I}~emises V~^~0?-Q, 1~;-%?-US'TY/~• , pddress~ ~~'.'7!~~'.'!!`d..... Phone No. `~!k..~~~~~ Name of Architect 4~1t^! ~!'`."r .Address .~a?4fri , ~ ~7y.^.! .Phone Na , h / Name of Contractor ~f trh ~tneN~tSt=........... ,Address (5. f,?e:~ZS/.•:'1'. c/. .4~lione No . . 15.Is this property located wiChin300 feet of a tidal we land? *YES....NO. *If yes, Southold Town Trustees Permit may be required. PLOT DIr1GRAM /'~.'/mug ~-~fGr 'i' Locate clearly and distinctly all buildings, whether existing or proposed, and, indt to all set-back dunensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth~ interior or corner lot. STATL OF NE1V YORK, S S COiSNTY OF . . . • • • • • • • • • • • being duly sworn, deposes and says that }te is the applicat (Name of mdrviduaI signing contract) about named Ilctst}te (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tlt apphcauon, that a[! statements contained m this apphc~tton are true to the best of hs ].nowlUdge and belief; and that tl work wdl be perfotnted m tite manner scI forth in the application filed therewith, Sworn to bctore me [his g • .day of ....y12Gy?-cry:-:....... 198. `otary Public, Z1:.. /1/.4 County ~~/C~/// HELENiCtlEYOE i~ • ~ . ! . . . NOTARY PUBLIC St»e of New York (Signature of apphcan Na 470788, SufWik CauMf~„ Term lxpires March 30,1