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HomeMy WebLinkAbout17388-ZFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28225 Filed Map No. Lot No. THIS CERTIFIES that the building ADDITION Location of Property: 265 EASTWARD COURT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 7 Lot 10 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1986 pursuant to which Building Permit No. 17388-Z dated AUGUST 31, 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 INSTALLATION OF NEW HEATING & HOT WATER SYSTEM & CHIMNEY ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARCUS H. BURDEN (OWNER) of the aforesaid building. SQFFOLK COUNTY DEPARTMENTP OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-007680 01/27/89 PLUNIDSRS CSRTIFICATZON DATBD Date: 02 21 02 06 11 90 BERTSAND PLUMBING & HEAT. Auth ized Sig ure Rev. 1/81 101Et11it NQ >t 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 3 8 8 Z Date L%~ O 3../ .................... ) 9..~.~ Permission is hereby granted to: to ... at premises loca~tled at ... ................ ~.. G • .. ?2,~ri~~,2Z.._.......L19'J' s. County Tax Map No. 1000 Section ...~..~..~...... Block ......../........... Lot No......~..0........... pursuant to application dated ...~~~.~~...~... ~....., 19..... ..., and approved by the Building Inspector. Fee S..S~.~.Q.~.~.~..... ~ ..............Buildl in`g I~^0~'~` Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF t ~~~ r -'lam ~ )ccuPANC~i~(1~~~ ''.N 2 B ~~`~ I~L~'~' This application must be filled in by typewriter or ink and submitted to the Building A. 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 Cade 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 Apri19, 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. 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 $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~~Z New Construction: Location of Property: Old or Pre-existing Building: 6 S House No. Street Hamlet Owner or Owners of Property: __~~QbdS ~ ~/2 D eN Suffolk County Tax Map No 1000, Section ~ / ~ Block 7 Lot /O Subdivision Filed Map. Lot: Permit No. i ~3go Date of Permit. ~3/ ~~ Applicant: ~~2't-y5 ~~. ~(/,2~t~ Health Dept. Approval: Planning Boazd Approval: Request for: Temporary Certificate Fee Submitted: $ Q.u~,. 1, ro -8~ c v ~ ago a,.s Underwriters Approval: Final Certificate: (check one) ~ v- Applicant Signature (check one) Kolb Mechanical Corporation 11500 Old Sound Avenue P.0. Box 106 Mattituck, NY 11952 631 298 5527 831 298 5534 Fax www. kol hmechanical. com TRANS' It's Hard 7b StopA 7Yone.° February 18, 2002 Mr. Marcus Burden 265 Eastward Court Mattituck, New York 11952 Dear Mr. Burden: This letter serves as a follow up to our recent conversation. The heating system installed at your residence by Kolb Mechanical back in 1988 was in fact installed in accordance with specifications set forth by the manufacturer, Thermopride, Inc. and all local and state building codes. The furnace BTU output does meet the necessary heating requirement in order to maintain 72°F on a - 10°F day. Sincerely, John Zurawski Operations Manager ROBERT BERTORELLO =_ ~~ LICkNSF:D (516) 298.8373 P.O. Box 1451, Mattituck, N.Y. 11952 (516) 727.6514 June 11, 1990 Town of Southold Office of Building Inspector P.O. Box 728 Southold, New Xork 11971 Dear Sir: I certify that the solder used in the connection of the hot water tank is lead free. (Plumber's Signature) - Sworn to before me this //" day of ~-u,tiF , 1990. Notary Public, Suffolk County ~erfdand ~lumdin~ ~ ~eaEin~, Jnc. -~~,I': , ~. h~ ~~ ,~~.~~ (Notary Public) flLEEN M. ROAf71E MOIWyt ~lo.~>ete?fiowl4At OwlHlod In Suffolk Coolly Camniwion Expiree,lsnuery 3t. 19.E THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGS t 8009653 EUREAU OF EiI,.ECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 ' pate JANIIARX 7.7,.1989 ApplicltionNo.onfile 59424:i89JR9 H 007680 T I H S CERTIFIES T H AT L _ . ' 'i _ O.y LhI alaetried puipmsnL N described 11110[0 and Introduced 6y Lke appliclnt Mmed on the afwue application numflsr Ln the promiael Of ARi[ HIiROFYN, 265 XAS1'WARO T"P.; NA7"P)4'1H'K, N.Y. in thefolloteinR -arotlon; ®Basement ^ Ixt Fl. ^ Ynd Fl. .Section Block Lot rlae examined on .7ANiJARY 24 , 1989 ondfound to be in compliance rcith the reyuircmentx of thu Buord. RXiYIE RXTU~f RANGES CODKR96 DECKS OVlNS DISq WASN@S EXHAUST FANS OUTLET{ A~ EwiT~EE NGNCEEClNT HUGEFEClNT OTHER AMT. K. W. AMT. [. W. AMI. L.W. AMT. t. W. AMT. N. P. DRYERS RJRNAG MOTORS PUTUq APNIANd IYOERS SPECIAL EEC/T TISIl CIOCKS ~. WRi HEATERS DTI ~flET DIMMERS AMi. L. W. ql N. P. OAt N. P. AMT. NG. A. W. G. AMT. AMP. AMT. AAVt. TRANS. AMT. N. P. NO. a ~T AMi. ~ WAIiL J•' SNVK7 gSCONNKT ND.q S E R V I C E AMT. AML. TTPE ~ I A LW t / LN' L R LW L X ~W ~~ ~E~ i ~a~ OF Cc COND. NO. Of NIiEG ~~ w'~ NO.OF NEUTRALS Oi NWEUT~LAI OTMlR AMARATUS: ~~ ~ MARK ATIROXN 265 RAit7'tiART7 C'T. MA'PT1:TTIS:R, NY, 1.195? EIEI~AL MANAGER 1, r f Per 1'hit cartilicoM must not ~ oband in any matalary rNurn fo 1ha oNiu of )ha Eoord ii incorrect. Intpadon M..danNFNdby tMir cradeniials. ~., ...CA~Y~d~BUF~.D~iG~~pA~M~N~. •`. IN1N1f.MANNER -_... f73$~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [!i]~FINAL G~ ~ ~~~`` REMARKS: DATE Z g~ INSPECTOR v_~~~,) ~-Qi.~~2 0 f.~.e O~i~t. ~°tu.~.u-ems . v~.k~ ~ G $ c ~ t7 3$S~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [FINAL DATE `/ ~~INSPECTOR REMARKS: ~~,(/vL~o ~ 7C..~' .- _:, .'D ~,;.`~~: _-.,.'_i;;i ~ I;ini ~ i;OMMGNTS i. J R _ _-- CN H _^ yPl ~OUNDATIO"! (1st) _ n~ c FOUNDATIOtJ (2nd) m 2 . z DOUGH FRAME & CA PLUMBING N H 3 . x ~? m ~'t m ItJSULATIOC! PER N. Y. •• y. STATE ENERGY CODE s A ? ~i ~ r ~ 4. H. FI;JAL ~ /`` © ~ n ~C ADDITIONAL COMMENTS: z x~ Gt~c. cn ~n z f~ °~O z Q •• x m a r y S b [+7 H f FORM NO. 1 TOWN OF SOUTHOLD QUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~ ~~ TEL.: 7G5-1802 Approved3~~!ifA_~ ,g~/.~..., 19~!l/Permit No. ~. ,7,.,3. Disapproved a/~c_ .................................... . A- _ BOARD OF HEALTH ........... 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM .....--_ NOTIFY ~~~'.Sa sa wo~K CALL ~9~-. !7~3~~C, • ~~ , MAIL T0: (Building Inspector)%y APPLICATION FOR BUILDING PERMIT Date .. S~ P~a~~...,~y&~ . . INSTRUCTIONS a. This 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 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 i ections. /' 6000C.La ,~/ ~,C~Qe~ Signature of applicant, oLr name, if a corporatton) ~ • .,~ (Mailing address of applic t) State whether applicant is owner,' lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises 1. 1~.U5... N:..~. ~H~eOiv... ~ -...,~~1:?bE~v .............................. . ............ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized oftcer. .............................................. (Name and title of corporate officer) Builder's License No. .....~..`........... . Plumber's License No. ......'... ......... ' Electrician's License No . ...................... , Other Trade's License No. ~- ..................... I. Location of land on which proposed work will be done . .............~/~J / a~.~. . ~AST.wR~?D.. C~.7~~ ...............~!(A'TT:tr/CK........................ House Number Street Hamlet ~ ~ ''- County Tax hlap No. 1000 S¢ction .. ~~5........... Block .... , ,~, , , , , , , , , , • Lot ..... ~~ .......... Subdivision ..................................... Filed Atal~ No. .. , ........... Lot .............. . (Name) ~. State existing use and occupancy of premises and intended llge and occupancy of proposed construction: a. Existing use and occupancy .......... / ~u-'e,l~ ,q _ . • • • ~/yiy,v /<V b. Intended use and occupancy .....................................- ....••••••.•. . •.vl .' ~~ ... Y:eY:: ... 3. Nature of work (check which applicable): New building .....~..... Addition .......... Alteratio ~........ Repair .............. Removal .............. Demolition .............. Other 1Vork 2S,oo (Dcsc " n) 4. Estimated Cost .. ~~(0 0O; 06, .............. Fee ..........:."..... . ito be paid on Lling [his application) 5. 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 nahire and extent of each type of use ,,,,,,, ,,, , , , , , , , , , , , 7. Dimensions of cxistins stnictures, if any: Front ..:....'.:...... Rear .............. Depth .'.. , ......... . Hcigfit ............... Number of Stories ....................................... . ............... Dimensions of same structure with alterations or additions: Front ................. Rear ................ . Depth ...................... IIcight ...................... Number of Stories ........ . 8: Dimensions of entire new construction: Front ............... Rear ............... Depth .............. . Height ...............NumbcrofStories, <~, ,,,,,,,,,,,,,,,, 9. Size of lot: Front ............ . ......... Rear .................:.... Depth ...... ...... . 10. Date of Purchase .............................Name of Former Owner ............................ . l 1. 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 Nc 14. Name of Owner of premises ................... .Address ...................Phone No............... . Name of Architect .......................... .Address ...................Phone No.. . Name of Contractor .............. .. .Address . ... .. .Phone No....... 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.:.: *If yes, Southold Town Trustees Permit may be required. _ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property ones. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. z_ ~xsisTivy ~ use STATE OF NEW RK COUNTY OF~~/~~, , , , S`~.S / .........l. t'[ J'( C.~~4S'.. ~....[J.~G.~ ~Y'~.il.......... . (Name of individual signing contract) above named. lIe is the ............ Q.W.!l!~/,~ .. being duly sworn, deposes and says that he is the applicant ------- antractor, 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 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 [hc application Glcd therewith. Sworn to before me this ~~ota~ Public,_.._ . y~ ... x,,11 ..~ttJ.!„°. 1~.. County (Signature of applicant) aa. ^~ ....day of .. ~~~/ ......., 1~: ~~ Form No. 6 ~3~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 of Fire Underwriters. 4, Sworn statement from plumber certifying that the solder used in system contains a less than 2/10 of 1R 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 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, Accessary building $25.00, Additions to accessory building $25.00. Businesses $50.00, 2. Certificate of Occupancy on Pre-existing Building - $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 ,,,,,~~ia~9c.~ ............................ New Construction........ Old Or Pre-existing Building., ~ Location of Property.....~~03 . ... . ~l9Sf wA ~~~„ ~UJ 1-.(.. • • • • • •~«:CY .'~UC~ . ... .. . ...... . . .... ..... House No. Street Hamlet ~~ Onwer or Owners of Property..~r(ffl(,~uS„ ;,~,~Qc9,,,P~~Jfc(QJ'1...... ... _. County Tax Map No 1000, Section.... ~~~.....Block.....l.. ..Lot.... •• ,..,,,,,,, ...... G~.... Subdivision ...................... ..........Filed Map........ ..Lot...................... Permit No..`1,.3,S~S~;,,,,,,Date Of Permit... .• .............Applicant............................. Real[h Dept. Approval...... ....Underwriters Approval...... ........... Planning Board Approval......... ' ............... Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $..,~~~,'; ~; APPLICANT ',