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HomeMy WebLinkAbout26009-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27977 Date: 09/27/01 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 1450 JASMINE LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 3 Lot 24 .9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 1999 pursuant to which Building Permit No. 26009-Z dated SEPTEMBER 29, 1999 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 DECK ADDITION AND SECOND FLOOR ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN E & LESLIE A TASCA, JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 069853 11/08/00 PLUMBERS CERTIFICATION DATED 08/26/01 JOHN A TASCA JR. C , �''6"X1 Aut orized Signa re Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26009 Z Date SEPTEMBER 29, 1999 Permission is hereby granted to: JOHN E JR TASCA 1450 JASMINE LANE SOUTHOLD,NY 11971 for CONSTRUCTION OF A 2ND FLOOR ALTERATION & A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS REPLACES BP24378Z . at premises located at 1450 JASMINE LA SOUTH/PEC County Tax Map No. 473889 Section 069 Block 0003 Lot No. 024 . 009 pursuant to application dated SEPTEMBER 29 1999 and approved by the Building Inspector. Fee $ 127 . 00 Authorize Signat e ORIGINAL Rev. 2/19/98 Form No. 6 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 4 765-1.802 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 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 o� 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 buildin and installations, a certificate of Code Complianoe from architect or engineer -responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 4, B. For existing buildings (prior to April 9; 1957) non-conforming uses, or buildings ani pre-existing land uses: 1. Accufate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A-properly completed application and a.conseut to inspect signed by the applicant. If a Certificate of- Occnpancy is denied, .the Building Inspector..sh_al1 state .the reasons therefor 1n 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 $25.90. Businesses $50.00. - 2. Certificate of Occupancy on Pre--existing Buildine - $100.00 3. Copy of Certificate of Occupancy - 4: Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $ 5. 0, Commercial $15.00 Date . . . . . 6J . . . .. . . . . . .. New Construction. . . .. . . . :. . Old Or Pre-existing Building. . . . . .. . . . .. . Location of Property. .. .. 5�.. ......E.�.j. :� : . ...� 1 . . 0 tl�(d . . . . . ! . . . .. House Mo. Street Hamlet.• .5� OnWer or. Owners of Property . . . . 9 .f" .� . . , . . . . . . . . . County Tax Map No 1000, Section. .Biock. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Sub divisi.on'.�.1.. . .� . . . . . . . . .. .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. .Q;bQ�. . . . .Date.Of Permit. .`. ��7.1.:.' . . �� . .Applicant. , . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . .. . . . . . . . . .Underwriters Approval. . .,. . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . . .. .. . . . . . Request for: Temporary Certificate. .. . . . . . . . . Final Corticate. . .- . . . . . . . . Fee Submi/t�t d: 1. "N0 u . "r . . . . . . . .. . . . . . .: . . . . . . :. . . . . . . . ... . . . ... . . .. . . ROBERT A,1NApnNSON Notary Pubilk State of New York Qualified In Suffolk County Commission Expires August 17,19_- - THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8074572 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date NOVEMBER 08,2000 Application No. on file 17752399/99 H 069853 THIS CERTIFIES THAT PERMIT NO. 24378 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JOHN TASCA JR. , 1450 JASMINE LANE, SOUTHOLD, NY in the following location; ❑ Basement ❑ lst FL 91 2nd FL Section Block Lot was examined on NOVEMBER 02,20@0► and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCAN FWORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. 4 25 11 4 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC COND. A.W.G. A.W.G. A.W.G. n AMP. TYPE EQUIP. 1 R ZW 1/SW 3•�W 1 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FANS F-3 G.F.C.I:-1 SMOKE DETECTORI-3 JOHN E. TASCA JR. L 1450 JASMINE LANE SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per This©edtIlcate must not be altered In any manner;return to the office of the Board If Incorrect. Inspectors may be Identifled by their credentials. COPY FOR -B=DtNG- DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM 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) 2 N? 24378 Z Date ..... ........:��...................... .. 19. Permission is hereby granted to,� ....................... /- ��.................. ....1.���....... . . . �........... ....... .. ........ ..................................... to ..........: .1. ....,�! ....... .... . .. .. .. :....... . . ... ..... o ... ..... .. ....... ........ ... . . .. ...... .. . . ... - .... ...... .............................................. .......................... at premises located ot..... r ....... �� .. ......... .......... ............. y County Tax Map No. 1000 Section ............ ... ...... Block Lot No. ..... ............... ............ pursuant to application dated ................. o:?/..............., 19 ,,4, and approved by the Building Inspector. 7 Fee �. .. ./.............. \.... .. ....:.. . ...... . . ................ l .... Building Inspect f Rev. 6/30/80 J7 �/yy oyf Z- VVI o . ,jam U 0 c, to c � - �� , 1) -76 tip u�f SOIffNOLD �__ Toy. .3//P Iq 1 J ftfJ r 9( e� f : fP foA rr 4 2 43 7 8 z 2q aT Ar a S/X Mox4i L� XT�WfiW / m Ger;" �l� ` A- Gf vt � lacy i m H -// a il'-a7eZ _ G S �Z1 S (S 'fi4-K t 07 L��r� sr n �i T7" (`,� 4 q r7 g -z JOHN T L5 � � I�fS� JASYM( NE 500.1 H0, L () � N (I cr71 516 - 7�5-- 1390 J S J(iot- C`dO or, wr i �t uv(4� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS. DATE %� INSPECTOR G/ �� 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ �RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: AtiJ DATE « INSPECTOR /L yrs-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ SOLATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: <r DATE � INSPECTO M-1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY MARKS: o2tia��/� ;DATE dId3 UQ INSPECTOR o '�J �s M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] "NSATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY 7EARKS• rJ7Ct DATE �� N INSPECTOR M.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIM REMARKS: - N DATE 9/A6z52JNSPECTO I' tt1.1) I(I:ir41;1 (tilt it 1:r1)11 Ur 'Jlrtll)n (UPI- i--- _ ^�-^ ^�___•I t! t ,,Irr:,I r-rtAtlr'. rl.Urnt 1 NC r: t !;'1'ATF. ----------------- ------------------------------------------ 1 ____--_ -- ------------------------1 rin1. ________.________..___-__ __--__-------------------- 1 i 1 r t- f rt . 1 i r BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . j_a;_ •. i, TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . .5 6- .-7. _ . : . .3 Examined. MAIL TO: . . . . . . . . . . . . . . . . . . . . i Apprrned �.. ,:,;;.19/ �., _- Permit No. _... f .... .................................... Disapproveda/c .................................. .................................... ....................................... ...... ....... ft:::Building Ino APP CATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19- - - - INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the lluilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee accordirug to schedule. b. Plot plan showing location of lot and of buildings on promises, 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 application_ c. The work coverer] by this application my not be commenced before issu.iance of Building Permit. d. Upon approval of this application, the Njildiug Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building sluall 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 I REKHY MADE to the Building Department for due issuance of a Building Permit pursuant to the `iuilding Zoxpe Ordinance of the Town of Soutbold, 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 lescribed. 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 inspecti S. .................... (Signature of applicant, or rum, if a corporation) .4q 5�.- ASW --%t-V.ct..-5Q u iZJP-k:,P............. (Mailing address of applicant) Stage whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pltnbper or b0ilder. Uu?►.��=�5.................................................................................................... None of owner of premises .:�o1.J. .............................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly autborized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plrmlx-rs License No. ......................... Electricians License W.. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. .............................................................. Ilouse Number StreetI4amlet 00 County Tax Map No. 10Section ..-�.9------ Block ......0..j........ 'Ll-ot .......... Subdivision ,_;�vU,��.�_O�;Q...v�.L�A'-S ......... Filed Map No. J. ;I...... l.ot ...q......-... (None) 2. State existing use and occupancy of premises and intended use and occuparxy of proposed construction: a. Existing use and occupancy .....!h' .�N..WpS(� 1UC£:.............................................. b. Intended use and occupancy .... //V....1� S I lU( �Y-d C({(� 1. Milure of work (el►eck al►id► al,lAicable): New Milding .......... Addition .......... Alteration ...!-- Itepa i r ............ R,emoval ............. I)en 1 i t io► Other Workof t7 Ec fL 77 (Description) 4. 1 C inarted Cost .... .....r G'DZ�!!y fee .... .............................. (to be paid ot► filing this application) 5. If 4 el l ing, mmi er of dwelling tr►iLs ....(....... Nu►ber of rla,,el 1 ins traits o► each floor ...... If garage, miller of cars ...........AfA....................... G. If Ix►siness, commercial or mixed occupancy, specify nature aril extent of eacli type of use......../v 1. Diwensio►s of existing strictures, s. ........ Depth .... if any: FrmL....3 �....... Rear ...�5/ Z ;..•••..• ..- ............. lleiglit ......................... DAnber of. Stories .......L............, Dimeosicx►s of same structure will► alterations or axklitions: Front .....?. ` s �.i ........ Rear 3 Depth ......Z .......... neigl►t .................... Umber of Stories .....Z......... tl. Diwensicx►s of entire new construc_Ho►: Front Rear ..... ........ Depth ... Ileigl►t Rmi►er of Stories ....... ............. 9. Size of lot: FrrxiC ............... Itear .................... Depth .................... M. Rafe of Purchase ... !_q.�........... Nan►e of Former Otn►er ........ �A If. Zooe or use district in wl►id► premises are situated ................................. ............................. 12. Does proposed co►►stmetion violate any zcx►ing law, ordi►><-r►K_e or regulation: ......M 1"i. Will lot be regraoled .....W........... Will excess fill be raimed frau premises: YES )) Ill- It--r►►es of Owner of prenises ........................... Acklress N►ox' Aka. ._._.......... Name of Ard►itect .................................... Acklress .............................. Pfx)ne- No. .............. N:n►e of Ccxatractor . Address ...............................I1►one No. .............. 15. Is this property within 300 feet of a tidal wetland? * Yl--9 .......... *IF YES, -Ax/lumn 1"m 11dlSIE s my I , 101pimm. PLOT DIAGRAM Lcx_ate clearly and distinctly all buildings, whether existing or proposed, aril indicate all set-back din►ensions frcn► property lines. Give street and block nud6er or description according to deed, and slow street na►►es and indicate rd►etl►er interior or corner lot. AP RPP EAS NOTk NC)iIFY BUILDINGDE IT AT wll,w-' 802 9 AM TO # PM FOR THE `. lOLL.EWNCI IitlSFcc,TI(1NS: fliliL!�ATPC)N 'IVVO REOIJIR T FOR F(: URED CONCRETE 2. ROUGH - FRAMING 8: i'LU MCRING ;It1;;O[AT ION ar. VH IAL - CONSTRUCTRC)PV MUST Rr COMPLETE FOR" ALL SHAIA., MEET C;C1l�;TRl1C;"CPCJN (:.0, THE REOUIREfMENTS OF THE AIX. {31 tit i rr STATE C ONSTRUC TI ON 13r ENERGY SLATI: (>!" Ni[J Y(M2K, Of Cf.;il'ES. NOT RESPONSIBLE FOR c><><1NIY c�� 5'v FF o I IL ss DESIGN OR CONSTRUCTION ERRORS ,4 c c 1 a S �A-- ....... .... .......................................... ..Itei:)s July ;worn, Jelxrses a►xl says that Ire in lite appl icimt, (Nrnv of ir)(livichral signing ccx►tracl) :rlxive ►unreel, gle i!; the ....... ................. Itv1, :t:l.............................. . (Contractor, agent, corlxrra(e officer, etc.) of said owner or omx:rs, and is duly authorized to Ix.rfonr or have INerfonred the said work and to make and file this application; that all sLatenenls coafaim-d in Ibis appl ica►fion are trcie to tl►e Ixe:a: of Iris: k►xxalcedl;e and IxdieF, aux) chat (lie work will be perfornled iirl- the sinner set forth in the application filed Lherewith. / J `,kxrrn to I►efore rr: ll►is � ......day of: 19 Notary PuI)l is .. ::�:..... ROBERT 1.SC0yC JR. (Sil;►u►t-ore of ppl icmit-) Notary Public.State Ipf New York Qualified in Suffolk County No-01SC4725089 Tarm Expires May 31, W9(T , I I I � I R.R.S. RT 25 GREENPORT NY �t4t #!C 6• FRC�'�€'F ANTI-SCALL) AINDIOR ,, , �L4 THERMAL SROCK PREVENTING PPOVIDE OPENINGS FOR DEVICES AS TOPART 41t2fi�� EMERGENCY ESCAPE AS N•Y STATE BUILDI "t rRMY MART 714 K ON efA TlrUL7(Q Y�`STATE BU�LDING CODE. (� 2X 1F CANSN Mie �.............. .,` _. fits- WA t6 S 407,4 tfittN6r, Silgrif °aeJe w.4/1f s Ct;tiivG �I f 1 w�oAto' rltowvo 'sfrwTu1 j 3FsDtr ; ;f9f.4 19 � � � � ,� CIiSt�` ��yW�IV��"iN �� �►k / Q #W' poof_r*WA Ks 3o x FV �� �` ...� '.< fN$V�afrd�►• '9<< El�'lS2raL CTIL-IBJ staff down MA5'r�Q TO NtIV wA« u I� PROVIDE SMOKE-DETECTING UNDERMW"cm p. ALARA DEVICES AS TO PAIM 721.1 NXS BIALM COOL 7G acs,o ll P `OF�I.jr ''! The locations of wells and cesspoois per. shown hereon are from held pbservotions SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY 39 ��_ and or from data obtained from others. A so. 0 The water supply and sewage disposal ` DATE HS. REF. NO, 93 SD 27 systems for this residence will conform 2 to, standards of The Suffolk County , foo• '0� D+�`�'tment of Health Services. I APPROVED PC-D %S1 /c - A� c�Q 4r 0 v SURVEY OF LOT 9 'U4P OF SOUTHOLD VLLA& SEC77ON TWO" FLEDAUC 4, W9 FXENO A-,04 AT SOUrHOLD 4(0r TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. P� 1000 - 7a - 01 - P106 l• Scale: 1" - 40' Mar. 15, 1993 Oct. 21,1993 (foundation) Nov. 19 1993 (final) S,,"7OLK CUU��TY DEPARTMENT OF HEALTH S";Vi ES C ',.4.1 V Cr ,, va� 'ot Contruc�e ' 4ti'irks �• �x / h i AREA = 21,472 sq.ft. H.D. Ref. No. 3 The sewage j sposai and water supply facil;ties 21 this location 3s.o have been sat,stactwily ;nspec!ed by this Uepartrr ent and are R-50.00 0 in compliance with theve as oum pans 19. 6�C.,0 21993 �t of NEW _ DATE i P f CHIEF Or GEfiERAI /C N. 66'56'/0" W. 3�a/ 3 O .w 4 ENGlIvEERIN& StRVICESS� �N t. Mer -10 i '66, DEC 0 Prepared in accordance with the minimum Nstandards for title surveys as established wN� Q by the L.I.A.L.S, and approved and adopted — 6,(il IC. NO. 496/8 F N o Q �!. for such use by The New York Stole Land ��.Rt{iGE� Title Association. CONIC , P.C. M (5/6) 765 - ELEVA TVt6 AM REFEREM= P. O. BOX 909 To AN AsstLu" oa nM MAIN ROAD SOUTHOLD, N.Y. 11971