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HomeMy WebLinkAbout27855-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29225 Date: 01/28/03 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property: 990 CEDAR DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 2001 pursuant to which Building Permit No. 27855-Z dated NOVEMBER 1, 2001 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 AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & MARIA GIZZO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1683-H 01/17/03 PLUMBERS CERTIFICATION DATED 01/22/03 JOHN GIZZO Aut orized Signa t e 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. 27855 Z Date NOVEMBER 1, 2001 Permission is hereby granted to: ROBERT S & WF KRAMKOWSKI 990 CEDAR LANE SOUTHOLD,NY 11971 for . CONSTRUCTION OF ADDITIONS AND ALTERATIONS AS APPLIED FOR at premises located at 990 CEDAR DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0009 Lot No. 002 pursuant to application dated OCTOBER 1, 2001 and approved by the Building Inspector. Fee $ 300 . 00 Authorized Signature COPY Rev. 2/19/98 co o �� ti x Town Hall,53095 Main Road 5 ' Fax(631)765-9502 P.O. Box 1179 'y�o ��� Telephone(631)765-1502 Southold,New York 11971-0959 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. c2- 5 Owner: t✓� Z Zed (Please print) Plumber: (- (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. (Plumbers Signature) Sworn to before me this day of ( 20 O'S U 1 v e�- 1 'k LYNDA M. BOHN NOTARY PUBLIC,State of New York �f No.01B06020932 j ///ff Qualified in Suffolk County_ Notary Public, � County Term Expires March 8,20 Q..j Nassau Suffolk Electrical Inspections, Inc. I 5A Canal Street Center Moriches, New York 11934 • Tel: 631-878-3500 • Faxa631-878-3764 Application: 1683-H Date: 1/17/03 Issued to: Gizzo Address:. 990 Cedar Dr Village: Southold Zip: 11971 Introduced By: H/O License#: N/A was examined and found to be in compliance with the National Electrical Code Attic 1st Floor Residential❑x Pool Diet.Garage Baseml ltd floor I] ConTrerdal Hot Tub AW ion l] { Switches Receptacles Fixtures G.F.I. Microwave Whirlpool 4 11 4 1 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide 1-paddle Fan Furnace Oil Gas Heat Zones Smoke Bell Detectors Transformers 2 2nd Floor Addition FPSJ MelerPhase Motors Other Equipment: Out,Res This certificate must not be altered in any manner Permit#: 27855-Z STATS OF NEW YORK ) ) ss: COUNTY OF SUFFOLK ) j IZ&,0r-;-a�rJ turn_ , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at �Tf-pins. QIIR I�Gt°-a,G41r That on the I day of ©<� , 2001 deponent architectlengineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- 78 street address 50 Cf 0,o ru 19rz 1 Archrgineer Sworn to before me this day of ©c L Lee- , 2001. MARTHA C.ZARRO Notary Public,State of New York No.01ZA50M74 ♦/� '° CluallfW in Suffolk CountMyy ..Notary Public Commission Expires July 22nd,20�z cc: Applicant TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 9 VILLAGE DIST. SUB. LOT ea&r S, FORMER OWNER N E ACR. . 2 S W TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 10 0y u 6 0 0 0--0 3 EPot(Y 7 30o Sro?o9G F // G vv Ivy 0 370 L13o 0 - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Noodland 3wompland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD G p / �, 6,r, D 600 -louse Plot DEPTH 2 p I BULKHEAD Cotal DOCK ' ■■■■■■ ■■■■■■■■■■■■■■■■OEM ME ' ? • V IJ ! ■■■■■■ ■■■ONES ONE M ■■■■■■■■■■■■■■■■ ' �' zy '1 ■■■■■�■ ■ME&I�u116E■■■■■■■■■■■■ maigni low MEMOSNEER 11111111111101 J ME■■EME, ErciM!i ""ME MEMO ■■■M■■■ !■■K NEM■GS IN MEMO No NONE am E MEN M 0 NEON NEON ■■■M■E■ ENE■■MNONE EONONE ■M : .. Interior Finish BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: /O /Z /01 / \ .DATE SUBMITTED: /:/_/0 1 APPLICANT NAME: I�j2pr<n}� WsK�( / CrIZLo 1 SCTM# DISTRICT: 1,000 SECTION: BLOCK: LOT: Z STREET:q90 CEDAle l gIV6' CITY: SUBDIV.NAME: PROJECT DESCRIPTION: _�Dp�r7oN ARCHITECT/ENGINEER: G FAST TRACK? YE-5 SINGLE& SEPARATE CERTIFICATION-REQUIRED? A NOTES: [ATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconfomting at any time after 7/1/83) ZONING DISTRICT: 'R-* CONFORMING? "VO REQ. LOT SIZE: `t ovo ACT. LOT SIZE: ur 9$9 REQ. LOT COV. C-2° ACT. LOT COV. IJA REQ.FRONT 35- PROP. FRONTy3 REQ SIDE ACT. SIDE rn/yr REQ. REAR PROP. REAR Z_s anip FOQ, .aDD. WATER FRONT? A/o DESCRIPTION: PANEL #: FLOOD ZONE: , AGENCY PERMITS REQUIRED FOR REVIEW APPAQVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES o ,N , (BED#): DTE: / / PERMIT#:R10- NEW YORK STATE DEC: PRE DEC 9/1n5 YES o SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY: YES OR 0 -T— q—G EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP �5-yy6l-Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP /o? - PAC-co 1)weol.UNcT NOTES: 19-9 1:3c!Q9 s� 5-161 co - a. FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR : SF INIT OTHER TOTAL TOTAL: 3(4U SF FEE FEE FEE 'OT( N0 SF)- ( SF)= SFX $ +$ /rU +$ _$ / 1 X? _- �� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ OU PLBG. [ ] FO ATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ti DATE ` i) a 2/ INSPECTOR J' `� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: aio� Q� DATE INSPECTO M-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST -[ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAY CE HIMNE REM S: 4 DATE INSPE 7 765.1802 BUILDING DEPT. INSPECTION [ j FOUNDATION 1ST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY RK �y REMA 5 DATE ! INSPE c FIELD INSPECTION RRPOYt'T DATE .: =r COMMENTS _ or ` v H if FOUNDATION ( IST)'EMMq U � ATION = " O S ROUGH FRAME & c; -PLUMBING [NSOLATION PER N. Y. a STATE ENERGY CODE y FINAL 77 MDITIONAL COMMENTS: i c- TOWN OF,SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 ``�� Surve ��yyy PERMIT NOC2 5I� Check Septic Form N.Y.S.D.E.C. Trustees Examined-1 0 20 6/ Contact: Approved I I 20—A24 Mail to: Disapproved a/c Phone: / r Building hwpeeter- fi fe-M rr e,)e-aovne2 LICATION FOR BUILDING PERMIT 11t1 OGT - I ^^^, Date I/q/z 1200/ BLDG.Of PT. t_D INSTRUCTIONS f sourr�o 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupancy is issued 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,ho g code, regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ( " (Signature: pplicant or name,if a corporation) r (Mailing address of applicant) State whether applicant i owner essee, agent, arphitect, engineer, general contractor, electrician,plumber or builder Name of owner of premises 1`r-A,y\ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land n which proposed work will be done: House Number Street Hamlet CountyTax Map No. 1000 Section Block C�)O 0 C Lot Q 2- Subdivision Subdivision Filed Map No. Lot (Name) 2. State-existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy CD&e :ea UA_ll 9 ^��� N nJ G b. Intended use and occupancy d cy 3. Nature of work(check which applicable): New BuildingAddition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost / , o 0 o Fee (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. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear W Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear f3epth Height Number of Stories 9. Size of lot: Front 100 Rear 100L Depth 2�-Q\ 10. Date of Purchase '�;A a-- j O l Name of Former Owner �06c,-g 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 re-graded 6) n Will excess fill be removed from premises: YES NO 14. Names of Owner of premises--So(e v, 6-eZ?� Address C(CO CeS-4c-PP- Phone No. ?LS --6/1 I Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly swom, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the gl k') e�<' (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 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 l c f day of OaY-g, 20CY Jqotary Public Si e of Applicant UNDA J.COOPER Notary Public,State of Neve York No.4822563,Suffolk County Terre Egwioes Decernber 31, �— � \ \\ HICKORY AVE HICKORY AVE ZONE \\\ '�. , ' ` \ •\\ \ ZONE X \ J 8. v - � FOS a ' 8 VIE " AY W $ w y z x CORFy ZONEOWAISSA AVE ZOh . . \ JOINS PANEL 0168 M4P OIF PZOPE'2rY �- � SUfZVEYEO FG» N N .oma } LO N State: 57�`=!" 84YVIEW s Towtr cu= SourmaLo , A4.Y, j m � Q � o w O Z 5.69 S4'30"E. - IZQdUJ Na l�: L of Kum6er5 Shows refer fss ww (� ��, .j "Me�, o f Ba�+6fdt Terrace", fi+fe�d i a E p + 0 in #pate soffa/it Cow► Glewr f Off i40 as AZO Z �i p z w ! Q h fr,f... U Q I i, N 3• yte,-. IV 1 tiJ Z -- �] Fuorx��tfac4d fb Y-ft SOCAMokf-57awnys affakoarrd -tv Wre American -rtWo lrt1vrarx�r Go+r�rar N .rs surv.►,ydte S-et4exrber 17, /97/. CDG ` UaIv ?"uYL 4 e.33 Soni s � Llc.�xtsecl Ldxd 5'�J✓v��#ar`� `s C~�P•.f-"r":f:F!)(:!I'.'f' ."` c 74 tSf3A'fiv t P UNDERWRITERS CERTIFICATE _ //P/✓'/Sf Ew_o j 'exlZ7Z ���-� —"��` REQUIRED x¢Nnirtt,.xom¢s Ex. 7 w✓Ew✓ .01c' I ALL r 4xrRtXTiON Mn I, S¢', IN k¢NRSNx,eGP,_;�4#N S f `� ♦ CO�c�/fF�.ZI'7T,f . IVIL41RG 'N Y 9 BSy',OGNRIRVATIOIF„Who o q44 _ ' - `1 `°CAL Wxka xAV'SNO JxxJ501°TIGk / - A P VED AS NOT A7 as DA¢ TROT;, �G"w✓j” Z. "•SLF CoxCRpTO�aHALL 4a Nxxixw•xe tSOo eSi - DATE' 1 Ot 01 B.R# a , L 7. .iu. IN0 SEA", AKAR ON VNOISTORERED Roll, HAVING, �.fr//(y(i�A='.T- J"e}H�!A/ 1.G•$ /1 xININGAA¢FNG CAPAOITT OF 2 "Ns P94 4.7. �s* FEE00 BY NOTIFY BUILDING D ARTMENT AT +• ALL LUnxRP AnµL It sogciPia 11q 2 °¢ DAT'(ER rctx z Ia30',' _ :6T.PiF-I 765.1802 9 AM TO 4 PM FOR THE G"Laes °T11 NasNtSt xnrAn . A. ALF PLGl1A . FOLLOWING INSPECTIONS: IN4�.SHAL4 AA INS AGG004009 v/RTATs A LWAL 1. FO'IRMg71ON - TWO REQUIRED cG4Rs " FO;', uREDCONCRETE a, ezgciRlg�jAL wbNN xs zN aGWKIApe6 w/ h;:Se AND se 2. ROUGH - FRAMING & PLUMBING CARrzFI;p 9T AbARS OF Fins UNnRA4RNIYRA _T leg 43., INSULATION .VOT a7RVGrGxAL NRAGAI To 48,121 a : A., uNLRAB GrOcxxzss,,; \' _ a 4v FINAL - CONSTRUCTION MUST • ',41, R „ BE COMPLETE FOR C.O. " `pLL FRANIN4 SNAIL as uovxLln Axovnn GP4NznRq uNxRR; >� A' ALL CONSTRUCTION SHALL MEET DAM TIONS ANp, ,,urn R�4M _ G,A/ o ? EMENTS OF THE N.Y. s. DININ4I0ei 9"" as GRIVIOD Rr GVNTRACTOR PRIOR Tp� ., `N l 1R� a STATE CO STRUCTION S ENERGY G¢asRlnG NATRRIM. VR c°xSrRveTi°7., nin6wa{VNs tAxa CODES. T ON FOR exx°Niru nVRN scAFR. p, DESIGN 0 CONSTRUCTION ERRORS ID, U FACTO a NINODNALk ac wsATxxR srRlrPRn a=capLNRn. NAB Y U FACTOR - OES gXA O figE. MDom 99S t xED Ix. . NEATIN G a ,VRNITWTING xQUZRMSNT TO 4aS! "SIGT F-StlanR' \ RNRROT CAPERIYVATION 'Coot:: .. RARITARLL"0 GA NLis NRRr A9tlAsa AB DAR — "x9i'A^/�-✓ Y'�wR,9�1. _ ---- �- PROVIDE OPENINCIS.fO CSNiec iI4-6NET A I $ole Naz It k'vRA",�Ntx. > ;¢, r. 0 CUPANCY OR EMERGENCY ESCAPE AS U IS UNLAWFUL REQUIRED BY PART. 714 OF /J WIT OUT CERTIFICATE N.Y. STATE BUILDING CODE. f OCCUPANCY vNegav Gone n oq.ngOrhl. v..vo�wJi9.ffr � N qC.gt. I IM.F�1�4 'iR tin i ,. x•IL. ,�' � n1pl i gtvlkT � .Z/, jf(� x,:l I f _ t Y q� .ewU. C �cwaE y�Ac7� . - -- yl N = ICATIONIII"`L"" Aa i, ON L AD CONTENT BEFORPGt R i CERT! KATE OF OCCUPANMIT, SOLDER USED IN WATER Jost S(/PPLYSYSTEM CANNOrj::iar I.: �.�So ✓i -R i a _ 4 EkC' "r D 2110 of 1% LEAD. w°` I oxo .arz, e,n .. srGat¢neR I x-a " ,i poNI LP'" f .Rno If copper tubing is used I ; for water distributing Eiger �� �� �L�,F"G� r�9�/ i✓c'w Ex.s , system; piping shall be MOLOi Ie. Nex"York@CICT]IBnxYx,IPITRATTING a 9 Cgil�Ptlbtlgq. ' of types K or L only Code Rq.kI.L 'Sect/o6-4 For ThiMal Rating! Table.. . --- -- UNDERWRITERS CERTIFICATE '�;j /eco' _-=��i'.rF•YrlcT� S7>'ii✓�s REQUIRED PROTOE ANTI-SCALD AND/OR PROVIDE SMOKE-DETECTING PLUMBING ALARM DEVICES THERMAL SHOCK PREVENTING ALL PLUMBING WASTE AS TO PART. 721.1 ezo 3d ,3 _ DEVICESAS TO PART . 902.6(CODEN)7Es&TING ER LITE NEEawlr, N.Y.S BUILDING CODE. N.Y. STATE.� 3 __ \ �'— ih9lc/1 �X�SYq _ �S FE�P aE,�/I✓f Gam. _ A �G'OR�rsf .. — -- .Y ,Zx6 'c J. 2i6 qac. n -- rP� s O/ - Y - III " /�A//g�1.c=-moo L9is,• .Pi � Poi'" � ,P-/J` �,�Frascio - . . EIM ti �,urd� �i)2avB 4i6"r! j�I h� }6 dM. Q <A' 0 fd �Fil w/!%E�✓!S z+w rx0KN a Gr/�.G4v. Zg ,�, G•e.� - .?2Y6 i�✓-B/.2'D.G .G%e4 fc!O.-J/.[/!.'_'Y_EjL�' . �•PiYo�' � .['!3 F•AlfdG ACJ.✓. .n/c�+/ j ' �xisrs� car. -_-c r�sr1r w.raG ro rxrr�s✓i� �� f 9Tc-:r, TE�rA LA0 /p I C.O. ¢w a µ7_o AR — c•vc•�c-Cr.Yl,:Q-AE7L7�J'/oil/ tcLP._ � ,/• ,�//� „✓,. ,. •, °cs, 9.pQ, :��rvr,..c.a�. _ _ ..-_ . . . _ SlArGrwYw�Ct7'�Y . c yid Ti✓.Tb...�X7S�,(/ " � ." :" ' �D xcALc:s' v¢n xr. p¢Y Seo Y 3 i / s .? Robert J. Gruber Architect _ /L�✓ !J/ r3 Gi �rE� �f �r ; ' 476 �xpreSSuloy Drive So.'Medford• N.Y11763 PAWING Inu reR49