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HomeMy WebLinkAbout17302-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22301 Date MAY 6, 1993 THIS CERTIFIES that the building ADDITION Location of Property 1400 BAILIE BEACH ROAD MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 3 Lot 11.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26, 1988 Pursuant to which Building Permit No. 17302-Z dated AUGUST 8, 1988 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to CESAR A. TORRAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-030076 - JULY 24, 1992 PLUMBERS CERTIFICATION DATED APRIL 21, 1993-MATTITUCK PLUMS. & HEAT. B ilding Inspector Rev. 1f B1 ' nosas xo. a 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~ 017302 Z Date .....~~...-...5 19..~.~1 Perrmission is hereby granted to: ....~i9.:~:-clr at premises Iocated at .....r~yl~...Q.Q......~~••4~i....>~~.~~~'.~~r.° s............................................................ ....................................................................p........................................................................................... Caunty Tax Map No. 1000 Section/... Block Lot No.......~~.~. pursuant to application doted G/...:..~ .......:~::-.~.f~~~..........., 19........, and approved by the Building Inspector. 00 Fee $••~i''ylr..lic. .............L... J.. uil Inspector Rev. 6/30/80 ~ Form No. 6 e/ TQ~IN OF SOUTEIOLD ~a/ 2~ r~:.~,I BUILDING DEPARTMENT qq pp qq , MAY 3 _ ~~?A~~N HALL ~ '"i' t ~~~/~fe1~ ~;?4j~ '775-1802 L:',, A~RJ,i,Se~'~° ~J') POR-CERTIFICATE OF OCCUPANCY rj 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 1% lead. ~ 5. Commercial building, industrial building, multiple residences and similar buildings . and installations, a certificate of Code Compliance from archi•:ect or engineer responsible for the building. ' 6. SubmiE Planning Board Approval of completed site plan requirements. 3. 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 Euildi.ng - $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 - ResidentiCal $ 55.070/,/ Commercial $15.00 Date ...J.~°KJ /.~I . lew Construction..... Old Or Pre- isti Building.//. .ocation of Property..~~.d~..........~~i(~.~,....~c~~~..~p~.C~ House No.n` Street Hamlet )nwer or Owners of Property.... ..`...1.~'~JY:°Ud :ounty Tax Map No 1000, Section...~.~.......Block......~........Lot...~.~°.L~ 'ubdivision........ .Filed Map.......... ~Lpo~t... 'ermit No .~~~0~;^;,,,Date.Of Permit ................Applicant...`.~-.~.J.~t..~:~~~..... ealth Dept. Approval ..........................Underwriters Approval......................... lanning Board Approval equest for: Temporary Certificate.........., Final Certicate ee Submitted: C~,°15~9a ~f:0~~............. e p ~a3 Q ` APPLICAN THE NEW YORK BOARD OF FIRE UNDERWRITERS FAGS ! 8033880 BUREAU OF EsLECTRICITY BS~JOHIV STREET, NEW YORK, NEW YORK 10038 ~ Bate 3ULY 29,1992 APPlicationNo.onfile 7771292'!92„ H 03@@76 _ THIS CERTIFIES THAT ~ onl the electric¢l y equipment as described below and introduced 6y the ¢pplic¢nt named on the above application number in the premises of ~ T C&8AR A. TORRA"8r BATLIF DFAC$ CA9TN.#El, NATTZTIICK,',N.Y. ' in the following location; ®Basement ® Ixt Fl. ? 2nd F'l. CRAWL Section Bloek ~ Lot ~ _ w¢s exmnined ort rl ULY 2 9. , ! 9 9 2 ¢nd found to be in compliance with the requirenteats u~ this Boord. ~ ^ FIXTURE ECEPTACLE$ $W17CHE5 FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS MCANDESCENT FIUCWESCENi OTHER AMT K W. qMT K W. hNi. K.W AMi K W pMT q p t DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EELL UNIT NEATERS~ MULTI-OUTLET DIMMERS AMT. K. W OR H P. GAS H. P AMT. NO. A. W G. AML. AMP. AMT: ,AMPS TRANS. AMT. H P' SYSTEMS NO. OF FEET Amt. wnTrs L:' _..sER+neE°DrscoRNECT~-- NO.oF. _~~~_,...v.,.._.;--~..t ~ METER ~--Ff--..-Z.-,_"._'_`Ef"""" MIT. AMP, TYPE t -a' 4W 1 q 3W ~ % 3W 9,6' CW NO. OF CC. COND. A W. p. NO. Of NEVTRAtS ~...w ' EQUIP' PER .a OF CC. COND. ~ NO. OF MbLEG A W G. A, W G. OF HbIEG OF NEUTRAL } OTNFR APPARATUS: , KITCNRN-1 LTVTNG ROON & 9ATNROOM-9. RNO VTSUAL DEFF,CTSs "An electrical - survey has been made of the exposed eler,tri.cal equipment ~n.the premis@s indiCa~ed.," "No ahvi~ous - ansatiafactorp ronditi.on was f.nund, AMOUNT - P4EASE REMIT EY CHECK OR MONEY FLN PAID ORDER TO THE ORDER OF THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ CESAR A. TORRA9 'AS CASN SENT BY MAIL WILL BE AT 11l-3! 77TH. AVENUE RISK GF SENDER. • FOREST IiTLT.rB, NY, ,11x75 % 9,1 ~ Per a - €'~w 7X1515 YOUR BIIl FOR SERVICE RENDERED AND I$NOT gCERTINCATE OF[~Ml11eAU2 rum enr ~ . - - ' _ : ~.T p.c,nr.lne r~ew ryKK OFFIFE, g510HN STREET, NEW YORK, N, Y.,10038 ~O~~Ffa~ CO// TEL. 765-1802 TORN OI' SOYJTB[Ob,D : ' , .c OFFICE OF BUILDIi4G INSPECTOR o ~ P.O. BOX 728 u' ~ ~ -c TOWN HALL ~D~t' SOUTHOLD, N.Y. 11971 Ol~~ C E R T I F I C A T I O N , Date ~ ~a ~ ~q,~ Building Permit No.~ Z. Owner_C ~ Sgr~()f'rc>,S (pliie``ase print) Plumber mc.'TTi~`u~~~1v,.~ra...y~ (please print) I certify that the solder useel in the water supply system contains less than 2/10 of 1% lead. tiK~.....oo W.AY`~~n.s. (p~mber's signz ure) Sworn to before me this 19~. Notary Pub ' c llotary Public, County EtXIH F. JACKSON ~rY ~.~~Nenl~v2k aNNrd F SuNoik County TMm Ep~roa Feb. 18, i997~ ~ TEL. 7C,5-18Q2 c~~FfRf ~C ~ T0~'1'1 OIL' SOUTIIOLD l'+-27~6;,~ YC/.~<t OP('iCti OI' DUILDING INSPECTOR ~ nl+` ~r,,4,~`~~q ~ I'.O. DO?C ] 1 7 9 u 1";r''1 ~ TOWN t(ALL > v~ c~..C.,~J ` ~',y SOUTIIOLD, N.Y. 1 1971 •,tyo~ . June 21, 1989 CESA A. TORRAS BOR 667 MATTITUCR, N.Y. 11952 To P7hom This May Concern, 47e are unable r.o complete your Certificate of~~OCCUpancy because of the folloc~ring reasons. An application for Certificate of Occupancy ~ is not nn fil.c. (ENCLOSED) No Underwriters Certificate on file. 'Phe cbccFc .in(not on file.) $25.00 D!o lieal.th Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. - Thank you for your cooperation. tht.ilcling Permit-. Q 1 7 3 0 2 Z Duildinq DcpL-. k kI{~ tlo Plumber ;;older Cer t.ificate on L-i1e. ( al.l permits involving plumbing being iasucd after :1pri.:l 1,1984 ) / • TEL. 765-1802 ~05~FF°~CG'G TOWN 0~' 50UTII0LD r? ~ OFFICE OF BUILDING INSPECTOR o ` X ~ P.O. BOX 728 ~ t°'~`1 ~ TOWN HALL ~ w ~ t' SOUTHOLD, N.Y. 11971 ~~'y~! r~'~a 1~~0 SECOND NOTICE FEBRUARY 8, 1990 CESAR A. TORRAS BO% 6C7 MATTITUCR, N.Y. 11952 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of- the following reasons. Jam/ An application for Certificate of Occupancy is not on file.(ENCLOSED) No Underwriters Certificate on file. $g/ The check is (outdated/not on file.) $25.00 No Health Dept. Approval on file. A*o final inspection has been made. Please contact our office on this matter. Thank you £or your cooperation. Building Permit 1I 1 7 3 0 2 Z ADDITION Building Dept. ***/R~q/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) A CERTIFICATE OF OCCUPANCY IS REQUIRED BY TAE CODE OF TIIE TOWN OF SOUTHOLD. IT IS A VIOLATION TO BE USING THF. ADDITION 677THOUT A CERTIFICATE OF OC- CUPANCY. c1i:LD I;:S1EO::U;+ ~~'JniE ~ ~UiKMENT° ~ -o m ~ 1 . ' -err `O,~ FOUtdDATION (1st) ~ ~ FOUNDATIO;J (2nd) m 2. z ~ o ~ 2 n P,OUGH FRAME & .PLUMBING y H 3 . m INSULATIOP7 PER N. Y. y STATE ENERGY ` CODE x k : ---1 y ~ FI;dAL ~ y 0 ADDITIOPIAL COMMENTS: x cl p~ x Y\.7 ro H 37 ~ H H O M z W x r~ x v m -c H - - f - _ ~ 1. ~ ~ s! U C~ " ~ ~ ~ ~ti ~ ~ 1, _ ~ { ~ ~ _ ; ~ o ~ ~ f- w ~ Q x w vi z t,,>rS~ ~ ~ m~ ~a ~ ~ ~ ~a~i '1 w p ~ w c~ w ~ Z ~Q~ W ~ ~ z ~ ~az~ri+ea c~O~p~z~ Q h ~ a }w tr-e, ~ ci z ~I. ~ 00 d]O 22 FtC2hO•~~ f.t~u ~ ~ ~ 1 0 SNzo~=~ '~u~i~zz~ oc ~ w~O ~ i i aop ~ 3zgca5~cZC~ o W O ~ \ r ~ - ~ Q ~ ~ ~ ~ Q V V H Z w C~~~.y^ ly 1 ® LLZ n'~.-~- tV tM eP Q~~UO 0 W II'~"' VW 1 1 i ~L. QO V ~~q 1~. ~ 1 Se c~~~ r ~ aX ~Qoo 1 -J tit ~ as ~ W - ~ - ~ U _ . - - - - - i - - . ~ a 4 ~ ~ Z ~ ~ ~p ~v~.l~"~s~ ,Ga s csif ` ~ a9 pr1 ~ tJ 6'4 ~ ~ `S v t R t A k` _ _ ~~m!' _ . . ~ _ _ ~ { Z~ ~ ~~3 - ~ ~ ~ _ . ~ l~ rr i r...~--..a.,. 't .,r ~ ~ ~ ~ _ ~ i ~ . 1- _ ~ ~ , lr ,,,~yy ~ J - FO~O.3 ~ TO~ OF 50UTHOLD ~ ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE 0 SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No . Date 19 To FG.... . PLEASE TAKE NOTICE that your application dated ~ 19 for permit to construct .~/L..4~?%~~~ .~/..~~~~~~'.C~?'/~p. G.~°~/~~ ...~..y./at Location of Property ~~!!/-Qi...!C ~`~y~ House No. Street Hamlet County Tax Map No. 1000 Section Block 3 Lot ll~~. Subdivision Filed Map No. /Lot No. . is returned herewith and disapproved on the following grounds . u'l .1~....1..~/OD-.3~ e B ~lding I ector RV 1/80 e ~ FORM NO. 1 ~ U TOWN OF SOUTHOLD ~ ~~a BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 q yk~9' TEL.: 765.1802 ~ Cam Examined ..~7~........., 19~~ Received........... ,19... Approved 1~(d. Permit No.~ D Disapproved arc ~ • • • • • • • • ~~a~ ~ 70WN O~§OUfHOLD ~uildi Inspector) APPLICATION FOR BUILDING PERMIT Date ~~j~......, 19~$. 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 necessary inspections. (Signature of applicant, or name, if a corporation) .....~k. fo.~.7. . •1 t~/52.:- (Mailmg address of appli State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, .plumber or builder. ...1~..u: . Name of owner of premises - n~''~'-.~ .J . GAS A (as on the tax roll. or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~c'~~ ~ H T Plumber's License No . . Electrician's License No . . Other Trade's License No. ~ ~a ~ 1. Location of land on which proposed work will be done. . Z'A`: • ~~~'`e• ~ V•~ ~u~k House Number Street Hamlet County Tax Map No. 1000 Section • Block Lot !(e . Subdivision Filed Map No. Lot ~ . (Name) 2. State existing use and occupancy of prem~isres, and inte~nd/ed use and occupancy of proposed constxtiction: a. Existing use and occupancy (~Q-i1 .~!.~C~' ~ (~.Ca' ~-K-.. ~!~.~~,t ~/(Jdm • • • • • • • • - - / L i b. Intended use and occupancy ..~rLCh~..?C,..f~~ ~.Oit.~`?.~©f"~~")'.1 ~ . ..y, 3. Nature of work check which a ( pplicable): New Building Addition Alteration . Repair Removal Demolition ..............Other Work . (Description) 4. Estimated Cost ~ .l ~ n.~° Fea . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars 6. Ifypysjness, com~?e geii# T;mixed occupancy, specify natu~e and extent of each type of use ~ . .#1 ~i,~ , 7.e p' . ;e~§~ofis;of ei~isCm' ~S `tures, if any: Front , C~........ Rear ...3~ Depth ..CQ~......... . g ie~ ght I~Iumber of Stories ~ Dimen ' cfdr kith alterations or additions: Front ~~J Rear ~ . !E Depth . ..Height Number o~ Stories ~ .....~..~y~..... . 8. i Dimensions,af entire new const~ttction: Front Rear ....~0~ ........Depth ...7.d......... . i Height Nu ber of Stories y^~ ~s 9. Size of lot: Front Rear . QJ.r Depth .~c.~..~~.~..?(..~1•f~5 10. Date of Purchase . IQa e o Fot~ter Owner . 1 I. Zone or use district in which premises are situated . ~ ~ J ~~c:~C . 12. Does proposed constructiori~jglate any zoning law, ordinance or regulation:.r1C~ . Y ~LJJ 13. Will lot be regraded ....Will exce s fill be em ved from premises: Yes No p 14. Name of Owner of remises .~.~'~`.'aia..T~~-C~1.?•. Address ~~4-.~P(.. ~c~... Phone No~?~~.~Sa.CJQ . . Name of Architect .A~ !...Address ......Phone No............. Name of Contractor ~ ~N.. ,~,-?~:t~'R~.+f?!~ S Address ~?<.~0~-11 M~t~`L~"4tP.~hone No.oZ.~$ : UL~~ 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. ~p,Q~ ,l/"' STATE OF NEW YORK, S.S COUNTY OF . • . • , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ He is the (Contractor, agent, corporate officer, etcJ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his 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 ' ....day o~f 19 ~C~ Notary Public, . !?,s...~Q. Wes-:... County ,,~J~ HELEN IL DE VOE .1~~~~'!~; Cam.. NOTARY Ptt0L10, State of New Yak VVV ~ • Na X707878, SuRoikCou _ (Signature of applicant) Term Expires March 30,19 ~i