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HomeMy WebLinkAbout21873-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28000 Date: 10/05/01 THIS CERTIFIES that the building ALTERATION & RENOVATION Location of Property: 1350 WEST COVE ROAD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 5 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 30, 1994 pursuant to which Building Permit No. 21873-Z dated JANUARY 14, 1994 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 ALTERATION & RENOVATION OF MAIN FLOOR IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS & ROBY GLUCKMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-389483 06/24/96 PLUMBERS CERTIFICATION DATED 09/19/01 NORTH FORK PLUMBING - _".1L ) 7~ 1 zed Signature tAlithor 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) ~j Date 19..1...)T... N°_ 21873 Z / Permission Is hereby granted to: k~o.. ii.......P ?~.-.......el 5 S.r to...... .......~~?Cf.....1` r?df%l~T ................/~1 !~~?~4. ~G......../~....... 5 i rte/~,~G. fuu~-r.?.............. . at premises located at......./~3. ~ ".`.Sj...... ~c.7-co.Gtc County Tax Map No. 1000 Section Block . Lot No.................. pursuant to application dated 19... and approved bytiie Building Inspector. Fee $.o? - to " ng I • Bu uilding nspector Rev. 6/30/80 Form No. 6 j TOWN OF SOUTHOLD # BUILDING DEPARTMENT i TOWN HALL 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 bt Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar building and installations, a certificate of Code Compiianoe from architect-or engineer responsible for the building. ' 6. Submit Planning Board Approval of completed site plan requirements. j E. For existing buildings (prior to April 9; 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. Aproperly completed application and a.cousent 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. 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 $25-100. Businesses $50.00.. . 2. Certificate of Occupancy on Pre-.existing Building - $166.00 3. Copy of Certificate of Occupancy - ,25~D 4: Updated Certificate of Occupancy - $50.00 . 5: Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 :Date . New Construction 'Old Or Pre-existing Building 7.ocatiou of Property.-.. a622-.. 15j..~g . House No. J'.--. Street Hamlet. Onwer or Owners of Property County Tax Map No 1000, Section- N.........Biock ...........Lot.... Subdivision w& .......................II.....f.,FJJiled Map............ Lot..................... s Permit No.a 1 U.3-..~: ...Date Of Permit..ILi~L~7....... Applicant Health Dept. Approval... Underwriters Approval......................... Planning Board Approval. Request for: Temporary Certificate....,...... Final Certicate X........ 1?6e Submitted: $ 94r, •boafr~. CC) ~__'a$00.0 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 1195099 BUREAU OF ELECTRICITY F- 85 JOHN STREET, NEW YORK, NY 10098 Date JUNE 24,1996 Application No. on file 85815894/94 N 389483 THIS CERTIFIES THAT only the electrical equipment es described below and introduced by the applicant nomed on the above application number in the premises S( TOM GLUCKMAN, WEST COVE ROAD, CUTCHOGUE, N.Y. in thefollowinq location; ® Basement ® Ixt FL ? Ynd F1. OUT Section Block Lot Teas examined on JUNE .19 , 1996 and found to be in compliance with the National Electrical Code. RXTURE ECNTACUIS SWITCHES RXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS. INCANlkSClNT FIUOIIESCENT OTHER AMT. K. W. NAT. 9. W. ANT. K.W. MR. K. W. AMT. H. P. 26 24 20 24 2 1 3.0 3 F DRYERS RIRNACE MOTORS TUTURE APPLIANCE MINES SFECIAL RK'FT TIME CLOCKS MU. UNIT HEATERS MULTIA ALIT DIMMERS AMT. K. W. OIL M. P. CMS M. P. AMT. NO. A. w. o. ANT. AMP. "T. mps. TRANS. NAT. H. P. SYSTEMS O AMT. WATTS NO.S N!T 1 F 1 40 SERVICE DISCONNECT NO. OF S E R V I C E AUSTIN! AMT. AMP. TYP! P 1 / tW 1 ATM13 AT Sw t,f AW MO. to PER & CC. CC- COND. OF A. OND. NO. Of NI-lF0 Oj' MI LEG NO. OF NEUTRALS O{ t. G, OTHER APPARATUS: WELL PUMP-1 MOTORS:1-F H.P.,1-2.5 H.P.,1-1.5 H.P. PANELBOARDS:1-1 CIR. 60,1-18 CIR. 150 G.F.C.I:-4 SMOKE DETECTOR:-1 TRACK LIGHTING:-9 ~ " ~ tnrs-R..~ tift JIM SAGE ELEC. INC. LIC.#3635- 000" MANAGN 350 MARINE PLACE GREENPORT, NY, 11944 per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ftntified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. s0lS~fFOt~coGy2 Town Hall, 53095 Main Road y Z Fax (516) 765.1823 P. O. Box 1179 0 _ Telephone (516) 765-1602 Southold, New York 11971 y~ol ~ Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 9-19-c / Building Permit No. 21673 7- Owner: GLUCKMAhJ Ft~)BY (please printG c ws4v'c Plumber 'z 7~ ~DsrF f li//i9i (please print) o c~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) MARK ~jIS~CX Sworn to before me this I q -r-U day of 5FP7FJv1 eGP , 19 1 Notary Public, SUFI=cz:> LK County Notary Pub YState oof New York No. 4940985-Suffolk County Commission fires Aug. 1 73 70-1802 BUILDING DEPT. 1 NSPECTIO [ ] FOUNDATION 1ST [ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMAR S: -tv A44,17-4 /7) DATE 0~~ INSPFL" 1 7 3 7is-1892 BUILDING DEPT. NSPECTIO [ ] FOUNDATION 1ST [ ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKSI f DATE INSPECTOR 711 v( BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REM RKS: ~ A I DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) R ON PLBG. ] FOUNDATION 2ND INSULATION [ ] FRAMING Q~[ ) FINAL REMARKS: 6 I DATE l~ INSPECTOR 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ( ] ROUGH PLBG. ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING FINAL REMARKS: DATE ~3 INSPECTOR D I. .i0;7 COMMENTS 7OU11DATION , - - •H7 (tst) 0 1 FOU14DATI017 (2nd) ~ - m 2. i .Z . z~ ROUGH FRAME °v *0" eo'e y PLUMBING Awlz°el-4 d 3. INSULATION PER N. Y. PJ STATE ENERGY CODE ys 4. FINAL ADDITIONAL COMMENTS: m` x! m ,o\ H y O~ • m 9 • r S O m H 2128392335 FROM (MON) 02.14' 94 11:27 % N0, 3062155376 P. 1a M. Habib Architectural and Engineering Consultants One Aron Drive, Woodbury, New yori 11797 • (516) 496-3347 S § r, A& February 9, 1994 - South Hold Town Building Department South Hold Town Hall Main Road South Hold, New York 11971 Re: Gluckman Residence (Formerly Wheeler) 1350 West Cove Road, Nassau Point Dear Sir, This is to advise you that I have inspected the renovation work at the above referenced location on 2/2/94 and found all structural work sound and acceptable in accordance with the drawings and industry standards. Should you have any questions, please do not hesitate to contact me. s, 4P ER r a , y0 a112a ~OFfsS10NA4 BOARD OF HEALTH FORM NO.1 3 SETS OF PL.XNS J N OF SOUTHOLD DEC 3 CHECK OW B ING DEPARTMENT HECK TOWN HALL SEPTIC FORM s;_D=;. DEVE OU HOLD, N.Y. 11971 ;p; _~a c,^t~ry LD~~ EL.. 765-1802 NGTI FY _ CALL .0 176A . . ? . . . . . Examined ? 19 HA I L TO: . Approved l y...... I&Pennit No. jl.. Disapproved a/c Building Inspector) APPLICATION FOR BUILDING PERMIT Date z f Z 1...., 195. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets off' 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- catibn. 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 ;hall 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 ;hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ,egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 1'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections.-' o ~ C a 4:-1 1 G-. naatu \e f applicant, or name, if a corporation) G r-~ lt4 L-l.9......... (Mailin~ address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. - N-rA ame of owner of premises . Q l (as on the tax roll or latest deed) oz / If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No. - Other Trade's License No . Location of land on which proposed work will be done. . ~5~.. W-.- Cew ..s.t. ~o~ ~e ,may..................... House Number Street Hamlet County Tax Map No. 1000 Section . , . Block • Lot . Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~W\' a. Existing use and occupancy b. Intended use and occupancy J T Cr'r~a ! ,y , , , CY•~ A\ ~~J ( „-@a q e 3. Nature of work (check which applicable): New Building X_" - Addition . Alter««a~~tion _ Repair Removal , Demolition • • . • Other Work'", C . c,. awn (Description) 4. Estimated Cost 3 • , , • • , Fee . (to be paid on filing this application) S. If dwelling, number of dwelling units ! • • • • . Number of dwelling units on each floor If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front Rear • . . • . • . . . ' ' Height Number of Stories . Depth . Dimensions of same structure with alterations or additions: Front • ' • ' ' . ' ' Depth Height Number of Stories Rear . 8. Dimensions of entire new construction: Front Rear Height Number of Stories . Depth . 9. Size of lot: Front. Rear Depth............:.......... 10. Date of Purchase ....l I. 7~ • • • • • . .........Name of Former Owner wC ~~71~ , W }~j ~r 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . Address Name of Architect ~ ' ~ ~ ' ' ' ' ' ' • • • • • • • • • • • • • • Phone No.......... . Name of Contractor . ' • • . ' ' ' • • • • • • Address Phone No.......... . *Phone No . 15. Is this property within 300 feet of a tidal wetland? * Yes *If yes, Southold Town Trustees Permit may be require " ' No.... „ 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. TATE OF NEW ORK~~./- OUNTY OF... .ac. r S.S • • 7(ame • being duly sworn, deposes and says that he is the applicant of individual signing contract) )ove named. eis the ................o'R ~T J (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this !plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner set forth in the application filed therewith. worn to before me this ..day of 9re ~4~~~ rtary Public, S.,k1~1 / County FREDER!C'.UESi.iil NOTXgY PUBLIC, "tail of New York k No. B - 33`t t (Signature of applicant) i Qualified in SU' k County _ Commi-sion Expires march 30, 19 . 2128392335 FROM (MON) 02, 14' 94 11:27 / N0, 3062155376 P. 1 . LQfOIb Architectural and Engin22ring Consultants one Aron Drive, Woodbury, New Yori 117477 ~ (516) 496-3347 February 9, 1994 South Hold Town Building Department d South Hold Town Hall Main Road South Hold, New York 11971 Re: Gluckman Residence (Formerly Wheeler) 1350 West Cove Road, Nassau Point Dear Six, accordance with above referenced This is to advise you that I have inspected work sound and acceptable the all structural location on 2/2/94 and fond the drawings and industry standards. Should you have any questions, please do not hesitate to contact me. s, ~r ER y a , ~F~SSIONa~' SKIS? (?OOP ~ ~cn~rr~2 ~ (New) ~ o, N<;W TiE ~ CEr~P~S~D o. Ga L1YIN~ RM k A-P. CP_ 1UNl~ rn ~ °---UiAG y ~p oZ~ ~N o 93 ~ ~ ~ rn Z ttzi ~ t}v 0; -t~ ~ z C ac~N xz N IP. ~ A 3 \ u CC, - U a• N o. T n n Z ~ D 70 h m ' T JUN 13 YIF uNl1 LtF bTF _ G-fk- Efl= E1G= U6IDERWRITERS CERTIFICATE REQUIRED PLUMBER CERTIFICATION L1 O~J LEAD CONTENT a"V,' F~JRE CERTlFlC 4TE OF OCCLfo`'AfvtCY " r, i 6 SOLDER USED IN 6AV~ lTER I/~ ! fl SUPPLY SYSTEM C,41° +JOT r0 U u LA-,V,Ai TU L y (!h•3' ~?•H; NEw .~n;.i~,m.; ~p.~.l1x`•!•1NG 1! EXCEED 2110 of 1 % LL=AD. G CIERTIFICATE ~t t.xtt;j. Wiu1914/f wiNC~dv.d ` Erfl~- IJau-"rloni y Exit. H~ Ly I _ T~' Ci "J> RM 1 I PLUMBIN3 LIVI> ALL PLUMBING WASi'6 Gl.lr w,-U.. Ut Dp & WATER LINES N€€® w OUL GAR- 13AfN t+2 8 PvjF- TESTING BEFORE COI€AIN@ APPROVED AS NOTED~-~~ DATE: 1 I~" B.P.p ;L IM FEE: a DEPARTMENT D NP BY: AT NOTIFY GUIL-1000, III EY i_ Gf 14 1 ti vp 71 If copper tubing is used 765-1802 9 AM \ A PM FOR THE rt,4. (a ~IAbF; 3 ~12~0" C5"G' for water distributing FOLLOWING INSPE\. 'DNS: ol~ oil system; piping shall be 1 FOUNDATION - t v0 REQUIRED -CW PGUREo CONCRETE of types K or L only 2 FRAVAING & PLUMBING 3 INSOLAI KIN LI = 9P €EkzHs - 4 CONSTRUCTION MLIti', rE P n° yA,~ `i[ COMPLETE FOR Co. G-~ ".L.I_ CONS"FRUCTION SHALL MEET v CF.Y? G u TOO REQUIREMENTS OF THE N.Y STATE CONSTRUCTION & ENERGY h C * y CEXtsr/) :Irtt WALL - k~T l o CL^ub 4-FLi, , f ~pUGTJ IIL~:I L~fF--"_ CODES. NOT RESPONSIBLE FOR { TI Zr ow ~x F• 5~ P LL opt' Pto Loo r~rt I ptar~d Lc)cl~"!n1.1 v n9j DESIGN OR CONSTRUCTION ERRORS 11 ~ lu ~ 1?' Stwn ea ~`i I /hlrc U,cf 't-- I III'Llllll ~ -1__-'i ti~~K o mZ.o: yItJU- i y{tt/~,ct~1(,P laSE wau ro L " - ro - A-F Flo rotp- I~ ~I > oll LocF-Trlud ~ tbwt¢ + ~ ~ fllL-Al~ (exist. ~U~rl .ntt`Ilta~ FI`~ H axsr! 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Y t;tR- 1 •~18- w~NDow ~ GLdhE ~WPLL~ /C7 °Lt~ 1>ld~L - y hYMt~Lh lacyllcN LFE~I>7 y TO 6a, hind WaLLh E~Ih(IIJLt To ~eMhIN GLohE•'r _ L~ N1~.W WAU e7 LPl3 CAOl"V--r TPljwr Ill ~TwRcA' N ei t m. 133 -?.AtW-ru$ +39rP43 [I3) Rlhb~~h'~7~~Nf• r-5 -folWr +3r1u~3 (u) tir> P fR l~! lo kJ • - L3 L4-VA10py-1V"1N41'5 (I) ~r7bP J.Ar-,OIhIG~ /LllGkl'IaICCV RbyltiGNcE ~airrlu~ 3~ ya. e O 1 L ~~E NFL'' LZ-M ' lAND11J ~5. b~ W,H'~n2~v., y p Wu VLF O~IU1J _ i GL A tT o! iu52e\0-1 ~l, _ (I hIIJK ~ OF NEWT NEW WIN IJOW~ ~r16W WINL~DW- y1 ~,Q,NERZGB O,P~ ' ~y~yo. 51 X23 l INTERIOR DESIGNEROSPACE PLANNEROPROFESSIONAL MEMBER OF THE A.S.I.D. a 13 R- Lbul~i~7TPi • E T37 EAST 55 STREET NEW YORK, N.Y. 10022 a TEL. NO. (212) 688-4346 e ,U L 1Y ~Q R REV 31ONS ---3=0---~ - AT OLI- WINI~r/ ' IPNi'~IN~ " ' W -1I153.. 'f~3N ~jrRjJGTION pIAN Gtr IITt I Ir T6 ~.OL3~(ION N '^Op NO~51123 ° ~Fcy/.fE~ Z/~(i~/~' D .NO.i. w~9113 M~MIV flovF- ~ wll ~~oov f enl / i' b DWN. RY: NOTE: Al I dimensions to be verified on mire by wocifler or by ~,5 , contreclor. IAA 3 -