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HomeMy WebLinkAbout16794-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19215 Date JULY 16, 1990 THIS CERTIFIES that the building. ADDITION Location of Property 645 WAVECREST LANE House No. Street County Tax Map No. 1000 Section 100 Block O1 Subdivision Filed Map No. MATTITUCK Hamlet Lot 041 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2, 1988 pursuant to which Building Permit No. I6794Z dated MARCH 11, 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 ADD 2nd STORY BDDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 RICHARD & CAROLYN MENARD ~{004100 AUG. it 1988 RICHARD MENARD 7/13/90 ' ~/ Bu~in( InSpector FOBII~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: · ~..~~.;.~.~.~.~.r. .......... ....... ~~...,.~.:~.,. ....... !.~..~.~ ................. ~ ,o..O,z,t....,~ ...... ~...~......~~....mo......~.....m~...~ .,..~.~~...~.....~_.~... ........... ...../~ ........... ~._..~...::,.~_...., ......................... at rem sas ocate t ~ ~' ' /~ ) ~- ~ ' p d o .... ~ ......... ~.~....~ ........ ~..~.,.....~.C~.... ....................... County Tax Mop No. 1000 Section .... /.....~... .......... Block .....,.~..! ........... Lot No......~...~..1 .......... pursuant to application doted ..... ~/~.0~(~....~.. ........................... , 19.~..~.., and approved by the Building Inspector. Fee $.~...:...../.... ..... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMEMT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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, indus, t~riai 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. 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 amd 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 Building - $i00.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4 Updatcd .... · ~=~Lizmcate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 -w Construction ......... Old Or . · . [7' ~ ''' -- Pre-exzstmng Buzlding~ ..... '~' ......... House No. ) ~treet . Harmlet ' · .............. LOt ........ ~ ............. ubdzvision ..... 2 .......................... f..:Filed Map ............ Lot ............. ;:ealth Dept. roval .......................... Underwriters Approval ......... ~laneing Board Approval ..................... Request for: .Temporary Certificate ........... Final Certicate. TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-I 802 TOWk ~- ;~LD Building Permit No... 0wner:A t~/J///~i~ /~i 7~"' ' '~ ~ .... ,'~/~,/,r~, ~!please print) (please print) I certify thac the solder used in the water supply system contains less than 2/10 of l%'lead. Sworn to before mo this _~L_day of ~ ,. '19.~d . HOtary Public, .~C~ County Notary Public - N~. 4707878~ Suffolk (:mm~. FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL II ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ...J.,,s.- DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND[ ]INSULATION [~j/FRAMING [ ]FINAL DATE INSPECTOR ~/~, ~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~"~LATION []FRAMING []FINAL REMARKS: ~) ~,~ ~ ~~, ~/--'-~ ..... INSPECTO ,~~ 800564~ BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY [--- AUGUST 01. ]98~" JOHN ST,mmmmT. NliW .66~]0{ 8. H 004~00 Date Application No. on/il(, THIS ~'.,ERTIFI$$ THaT FIXTUIII IqXTUIS IIANGIS IXHAUST FANS 9 [5 :13 9 SROKE D~T[CTOR :-! RICBAR]) MENARD 645 VRVE CREST LANE MATTITUCK, NV, 11952 certificate nl~t not be altered in any manner; return to the office of the Board if incorrect. CO~Y FOI~ I~III.MNG DEPARTMENT. ~ ~ OF CERTIFICATE IdU~T ! I MANA~I cmdemiob. ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~pproved ...... Permit ..... )isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19.,. Date .~'.e.b.r.u. ~rZ ,~9 .... ,19.8,~ INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 I~all 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 ~ Certificate of Occupancy i~all 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 milding 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. '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. Envirooment Eadt, ]~.~c.~ ................ (Signature of applicant, or name, if a corporation) 3075 I~dian ~%ck Lan~ .,. P.aoo ni.a ~ . NM ,119.~.$ ...................... (5 ii n~ address of applicant) 5tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner o f premises ..... }'~ $ 9 h.a r 0..[~ ...hie ~.ar d ............................................. (as on the tax roll or latest deed) [f ap,~y~]F~,~/~ora}i~/signature of duly authorized 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 clone ................................................. · ...6.4-~. ................... ~,Jay?.e..r.e.~t.. I.~.a.n.e. .......................... ,*ia~t ~.~.u~: ............. House Nu,nber Street Hamlet ,,c - County Tax Map No. 1.000 Section .... ~[.O.Q .......... Block . . . 0.1 ............. Lot .0]$3, ............... Subdivision..S.a~- .t. A~.~. r~.a~q ~ .................... Filed Map No...146.8.2 ....... Lot ....3B. ......... (Name) State existing use and occupancy of premises and intended use and occupancy of p~oposed construction: a. Existing use and occupancy . .0 pfc'..~'¢¢.i.l, hr..d.w.e. ~._ ;l.i.qg ...................... '~ ':.' .................... b. Intended use and occupancy .Opp..r .a.m.i.l.~y..d.w?. 1. _.l.i. qg. w.i.l:.b.., g..d.d.l..t.i.qn.... '.. ;.. ]'. ~.'i~. ,;'[ .......... . .... 3 Nature of work (check which applicable): New Building ' Addition Alteration · Repair Removal Demolition Other Work ~ i (Des~iptton) 4 Estimated Cost bO' 0 0 a , · ...,I. ....... ' .......................... Feo ..................................... ~ ~ (to be paid on filing this application) 5. If dwell/ng, number of dwelling units .... t .......... Number of dwelling units on each floor ................ If garage number of cars 6 If busine'ss ............................................................. ' ~ "~ ............ · , commercial or mixed occupancy, specify na~ture, and extent of each ty. pe pf use ............... 1 ..... 7. Dimensions of existing structures, if any: Front.. ~.'~..5: ...... -Rear 57.'5'. Depth Height /. (o~ Number of Stories C~.4~. .,~ 4~) .o./'~ Dimensions of same structure with alterations or additions: Front ~7.,~ . Rear ~*f' Depth ..... "~ .~,, ,q ............ Height ..... ~ ............. Number of Stories .... ~, 8. Dimensions of enhro new construchon Front .. ~%.$..~ ...... Rear .~)-~..~0 ....... Depth Height .~.../. ~ ........... Number of Stories ..... ~ ~c5, .F 1 ~,.c} ~ ............... . .........................." 9 Size of lot: Front '..', Rear ' Depth 10 Date of Purchase ' Name 0£ 1 om~er owner 11 Zone or use district in which ptemises are situated Re s. t .d e n.t .t al , 12 Does proposed construction viglate any zoning law ordinance or regulation': 13. Will lot be regraded .Ixl. o. . , .................. Will excess fill be removed from ~remises· Ye No 14. Name oCOwner of premises B. khl. '., .M.°.a..~r.d ....... Adares~J4-5..Mav. qg?P.~...L.q. ?t~one No.' .2.9.~..~p.~.2. Name of Architect., ........ i .................. AddresS/ia..~.~ ~.u.q.k~,..1~..X-, .1.~.9.~one No.,i - '.i .... NameofContracto~nV~vOntaeng ~as~, Inc. ~aa .... 307~5 Indian NkLnphn,~Nln [?~.[ y.~.'?[~,'''' Peconxc, ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, wliether existing or proposed, and indicate all set-back dimensions from property lines. Give street and blo¢l: number or description according to deed, and show street names and indicate wh0ther interior or comer lot. ;TATE OF NEW , o o (Name of individual sign~g contract} bore named. being duly sworn, deposes and says that he is the applicant le is the ' ' agent, corporate officer, etc. ,f said owner or owners, and is d~ly authorized to perform or have performed the said work and to make ~nd fil~'this~ pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ?ork will be performed in ,the manner set forth m the application filed therewith. worn to before me t~his ' i /? NOte~v PUl~,,~lt~f~ew York / ~ - ' '~ "~ignature of applicant) ~ _ Qualified I~ 8uffo ~County s;ommls~Jon ~pire$ Dec'ember 8, ~ 9 5 ~,, · fO' OCCUPANCY OR -. UNLAWFUL · ~ ~ USE IS ,: WITHOUT CERTIFICATE OF OCCUPANCY ¸t. ///4 7 . ,- -. ~ £/AFC- E XL%flqNG ~ ! ! / \\ E C:T-t Ol'q E N ERC~¥ CODE CALCOL.ATION5 C:o~- ,~o~-~,_~_~-,~,~_ ~,,~-> 773 II 0 0. 0.~ 0.$,~ 1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATING CONTROLS TO MEET 7813.13 RANGE 45 TO 75 DEGREES FAHRENHEIT. 3) WATER HEATING PER 7813.31 THRU .38. 4) PIPE INSULATION 7813.19 5 ) WINDOWS - DOUBLE GLASS. 6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE. /¥ a3 o TO THE BEST OF MY KNORrLEDGE, BELIEF, AND PROFESSIONAL 3UDGF24ENT THESE PLANS ARE IN COMPLIANCE WITH THE CODE.