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HomeMy WebLinkAbout17093-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18490 Date OCTOBER 23, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 225 ROSEWOOD DRIVE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 2 Lot 16 Subdivision ROSEWOOD ESTATES Filed Map No. 5240 Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated May 31, 1988 pursuant to which Building Permit No. 17093-Z dated JUNE 10 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 ONE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. The certificate is issued to ANTHONY & BARBARA SENIA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-50- SEPT. 27, 1989 UNDERWRITERS CERTIFICATE N0. N-040448-OCT. 18, 1988 PLUMBERS CERTIFICATION DATED SEPT. 27 1989-ANTHONY SENIA Bui ing Inspector Rev. 1/81 Fosat xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ 017093 Z Date .............,.l~k:..~..d..............., 19...0 Permission is hereby granted Q .9...~.~44V at premises located at . Z~ .y'......>JS..~?1..41~'~' A......~~........r...........!I..?:..l..S~f":-....... Caunry Tax Map No. 1000 Section .......I.~..~~........... Block Lot No......./..~. pursuont to application dated 19.?)..4.., and approved by the Building Inspector. 2/ Fee $..~4+5..:.. ~/~3r~~ •R' Building Inspector Rev. 6/30/80 ~ ~ u ".i"--.~«« FORM NO. 6 '.f pl~~ ~ ~ . ~ ~ TOWN OF SOUTAOLD s l i , ~ t BIIILDING DEPARTMENT . TOWN MLL ~ , 765 - 1802 ~ i,,..,.~.ti,....,~..,..... ~ ~ rt~a s:, v.1~~S ~ ~'~"e;j~",`~"~X~Y'.~~RION"*FOR (JERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the follgwing; for new buildings or new use: 1. Final survey of propA~rty with accurate location of all buildings, property lines, streets, and unusuallnatural or topographic features. ~ ' 2. Final approval of Ue~I[h 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 solder used in system contains less than 2/10 of JE leads 5. Commercial buildings; industrial buildings, multiple residences and similar buildings and instal],ations, a certificate of code compliance from the Architect' or Engineer responsilile 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, buildings and unusual natural or topographic features. 2. A properly completed;'application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in griting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information' required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, aad a certified abstract of title issued by a title company showing single and - separate ownership of~the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasonns therefor is writing to the applicant. D, FEES: 1. CERTIFICATE OP OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2, Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Cer[i~icate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial i~ APPLICATION ON BACK ~ .:~}j, ~ rev. 10/ 14/38 I i j p ~ bpd TOWN OF SOUTIIOLD BUILDING DEPART?LENT ~C'~ 8 TOWN HALL ~ SOUTIIOLD, NEW YORK 11971 BLDG. DEPT. 7 6 5 - 1 8 0 2 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCIIPANCY / DATE NEW CONSTRUCTION ..~-f ...OLD OR PRE-E%ISTING BUILDZNG......VACANT LAND......_. Location of Property..~~~~..~0Se,~0~~~_,~.4.~~~._._,_... UOUSE NO. STREET HAMLET Owner or Owners of Property,~i'!~,? ..~E~;~1~i~~~i.~~iU`/,~ County Taa Map No. 1000 Section ,~[L..-!. Block Lot" ../y. Subdivision.~0,SFG?~~.~..5~~.1`... Filed Map -~lmC,y.C~'.Lot..~ //yy Permit No. ~l~7Q~~..,Date of Permit .C1~:~:~d Applicant w Health Dept. Approval Underwriters Approva Planning Board Approval Request For Temporary Certificate Final Certificate Fee Submitted: $ APPLICANT.. r ~r~ 9~ lei rev. 10/14/88 co~isyQo 9~'7 - THE NEW YORK BOARD OF FIRE UNDERWRITERS Pnc:g ' 7.185059 EUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date OCTOHF:R 18']988 APPlicationNo.onfile 57387588/88 N 040448 THIS CERTIFIES THAT only the efaetrlca! puipment a. daacribed 6shrro and introduced by the opp/tcont named on the a6orw application number in the promises of AN'T'HONY SRNTA, 125 ROSF~itf>n0 DR., MA'PTCTt)f'IS, N.Y. in thefollouinq I«odon; ~ g~ e n ? tat Fl. ? 8nd Fl. Sertiao 7 BI«k~ (.ot ] ~ cx;TOHV:R 0"!r, t"~°i8~s maa examined on ondfound to be id compliance with the reyuirementa aJ this Boord. RXTUR! RXTURES RANfiK COOKING DICKS OVENS DISH W EXHAUST !'ANS OUTIlTS ACIK tWITCNK INUNDESCFNi. PIUMESCFNT AMT. K. W. AMT. K. W. AMT. k.W. AMT. K. W. AMi. M. P. 4 1 9 DRYERS RlRNACE MOTORS IIITURE AMRIANCR tRROlRS SMCIAL RK'?T TIAA! pOCKf RRL UNIT 11lATlRS Atls~1 ~T1iT DIMMlRS AMT. K. W. pl N. P. GAS N. P. AMT. NO. A. W. G. AMT. AAV. AMT. AMK. TRANS. AMT. N. P. ~ ~T AMT. WATTS SERVICE DISCONNECT tq.OF S ! R V 1 C E - AMT. AMP. TTn t/tW 1/aW t/tW ]//W NO.O~C COND. OF CC .G. NO. OP N4IEG Of~HW41EG No.a1¢lIfM15 a'I fVTGIUI 1 200 CA 1 X 2/0 1 2/0 OTMR AM•ARATUS: MUTORS:1-1 H.P. GHR T.1lP:C'T'kCC P GRFC,4RV RODZAVIR 35 WN,NNOOD ROAD p~ HAUPPAU6F., NY, :11788 17 LY(:F;NS}: N0. :3655 R Psr Thit tMificoh mwt not be altered in ony manner; return to the office of the Board if incorrM. InspeNOn ,may be idsMifiad by Hwir cwd~nNOb. COTT (•WIl ~#1N.OINO DEMRTMENT. TNIS COr1f OF CtRTIFNJITE MfJ6T NOT 4E A1}.TERED IN ANY MA1MdER.. TEL. 765-1802 0 5~~ ~ Ole TOWN OF SOyJTB(OII.1J ~ CtE OF BUILDING INSPECTOR o ~ rn P.O. BOX 728 'r' TOWN HALL O ~ ~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No. C7/~D93 Owner_ /~~Lia ~/a ~~`;v/i~ (pl ase/print,) Plumber~7i`~O2.v ~.~y/.f (ple se print) I certify that the solder used in the water supply system contains less than 2/10 of l~ lead. ~ i ` ~ (p3,~` tier's signature) Sworn to before me this day of - ~ i°vti -P~! IId~1NY N~ d1MwYwk ~'~~J~ry u 1i - Notary Publi~i;'; County 4 t' ' ~'~h.,,, nLL. 7~s-1 an' •~'~S~rF~I.~{C' T0~'N UI' SOUTIIOLD , ~~~~,,N~~ Cwt ~ , /::Z9tu;:'~~ Y,~ ~ OI~I'ICI? OP DUILDING INSrI:CTOR v~ ~ ~ ~ TOMNIfALL ' C',y fit" S0l1TIt0LD, N.Y. 11971 ~yo~, r~ . October 16, 1989 ANTHONY S BARBARA SENIA 54 RENISON DRIVE WESTBURY, N.Y. 11590 'Po [•Jhom This, May Concern, P;e arc unable c.o complete your Certificate of Occupanc;~ because of the folloc•~ing reasons. An application for Certificate of Occupancy is not nn fil.c. PJO Undcra~ritcrs Certificate on file. / / 't'he cheep; .i:: (nutcl.ite<]/nut on file. ) No Itenl.th Dept. Approval on files. No final inspection has been made. Phase contact: our office on this matter. Thank you for your cooperation. ISu.ilclin<J Penn.i.t: Q I 7 0 9 3 Z DuilQing Dc;pt•. , ?k~h/-/ tlo Plumber Solder Cert.ificat-c on file. ( al.l prrriitc involving plumbing being i~sucd aftrr April 1,1984 ) BEFORE THE CO CAN BE ISSUED, PLEASE SUBMIT ADDITIONAL $24.40 FOR THE DECR. E . ! ~ T6S-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) IN CATION [ ]FRAMING [ FINAL REMARKS: DATE INSPECTOR l 2D R'3 ~ 765-1802 BUILDING DEPT. iNSpECTio~ [FOUNDATION 1ST [ ] ROUGH PLBG. (]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ O ~0 V ~l.(,1~ ~ j { 0 ~ ~ ~ DATE 7/~~ ~ INSPECTOR ~C.Y1iLf~,_ ~ 7ss-1802 BUILDING DEPT. fNSPECTION [ ] FOUNDATION 1ST ( ] ROUGI# PLBG. [ ]FOUNDATION 2ND [ ] {NSULATION [ ]FRAMING [ ]FINAL f~ REMARKS: ° ~O ~ ?"7 a Lti! DATE INSPECTOR ~ 6 7 6 ~3 ~a~-isoz BUiLDiNG DEPT. INSPECTIC~I~1 [ ]FOUND ION 1^5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATfON [ ] FRAMING [ ]FINAL REMARKS: _ 4 / DATE ~ V ~ INSPECTOR 3 ~ ~ _ . , i FIELD Iz~aP~%TION DATE COMMENTS - m J _ (.t-~ ~ Q y W _ FOUNDATION (1st) w~~ ~ ~ T - _ ~ ~ ~ t FOUNDATION (2nd) _ r/ 2• o N ' N ROUGH FRAME & K PLUMBING H ~ 3. ~ J y h INSULATION PER N. Y. ' STATE ENERGY CtODE • - r ~ en . H 4. FINAL a ~ - 't- z,~ ADDITI AL COMMENTS: ~ ' ~ rn x ro N H ~ H p Ham. O ~ z ,.,.o ' x eV a ~ r,' t. ~ H W x o d t ~ Vl H ro tl THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185059 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~ ' Date OCTOBER 18,2988 ApplirofionNo•on(Ile 57381588/88 iv 040ad8 ~ THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the opplicant rwmed on the above application number in the premises of ANTHONY SEN1A, 225 RO5?!14i00D DR „ MATmrTUCK, N.Y._ in the following lnretion; ©Haternent ? 7st F'l. ? 2nd N'1, .Sectionl .'-3 Blork2 Lot 26 ~ uws examined tnt OCTOBN,d U7, 1988 andfomtd to be in contplionre with the rryuirentenls u(this ltonrd. ~ FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS J OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT fWOPESCENi VAPpq AMt K.W. AMT. K. w. AM1. K.W. AMT. K W AMT. N P. ~ A 2 3 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REG'PT TIME CLOCKS ggLL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS ~ AMT. K. W. OLL H. P GAS N. P. AMi NO. A. W. G AMT, qMP AMT AMPS 7RAN5. qMi. N. P NO. OF FEET AMT. WATTS 2 c SERVICE DISCONNECT NO.OF S E R V I G E ~ METER NO OF CC COND. A W G A W G A.w G. Ami. AMP TYPE EQUIP. I q 1W t ,e' 3W ~ R' 3W 3,a' 4W PER .0' OF CC COND NO. OF H4LEG OF HbIEG NO. Of NEUTRALS OF NEUTRAL 1 ?.00 CB 1 X 1 2/0 ~ 2/0 c OTHER APPARATUS: MOTORS:].-1 H.P. G~~~~~ I, ~l GkR ELECmR''C GREGORY RO;J'l.,EV I;K j 35 WENWOOD ROAD GENERAL MANA(G~ER +I HAi1PPAUGE, NY, 11788 ~-1 (~l LICENSE N0. 3555 E Per F- This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. t j o _ ~ ...A-'° ~ ~i L I I x 4 r i ~ I I i ~ i c'd ~ ~ ~ ~ ~ J I ~ ~ ~ I ~ ~ ~ i o~ ~ ~ ~ ~ ~ i ~ ~ J ~ . \ ` ~ X ~ 0 I ' ~ ~ ~ ~ I I ~ \ ' ~ ~ ~ ~ i ~ ate" . u ' ~ ~ , .~h `O ~ ~ ~ I o_ ~ d 7C~~ ' ~ ~ ~ i ~ ~ ~ ~ ' w,~ ~ ~ o' Q ~ ~ I I ~ ti ~ ! i ~ I ~i~i; I ~ ~V 4 w ~ r o ~ ~ I . I I ; I j ` J~h ~ ~ I ~ o ~ ~ i ~ ~ ~ i Q i i I I i, i ( i ~ - ~ ' s s I i i J i I I i~'~i I I I s-_...~„a_; ....s_.s ~__~4 ' ! SUBJECT TOs °nll ~o::_;,g* ~'u1l:;.in~ anti IAeel1G[1 Saws. Water supply and sewerage disposal plans apcz'•ovsd by Dept. of 33ealth. ' No business (or hobbies of pigsons or ~ ~ livsstock) to be conducted on premises. ~ No building shall b3 er?c~ed unl?ss plans ~ znd spAnific.ations have been arproved in writing by the sellsr~ futuxe im~ ' prnvamenta to outside must also be approved. FU4THER i3~STHICTI0N8s AIO trsilors or outbuildings. No feness permitted. till houses to be sit back Srom xoad building _ line SO• Frith exception to Iota No. 1 to " ~ 6 inclusive. ' All hnusAs to h3vs a minimum of 1.300 sg.St. of live.bl-~ area (does not include garags~ porch, attic or.bassment.) Garags~ c~hethsr one or tcro car typs~ should be attanhed to house. ) ~ . ~ t3uL~~ Dom ~9~ i~ G ~ k ~~,v ~ ~ rti~~ i ~Ne~ice: This material may be protected by copyright law (Title 17 U.S. Code). - BOARD DF HEALTH .G. K• n 3 SETS OF PLANS . D:l(.'. y¢~a-Q~ U FORMN0.1 SURVEY ~•K'. ~ ~ TOWN OF SOUTHOLD CHECK • ~•'~-L . BUILDING DEPARTMENT SEPTIC FORM ~_w TOWN HALL NOTIFY BLDG: ts~~:*r. SOUTHOLD, N.Y. 11971 TOWN OFSOUiHOLD CALL N - TEL.: 765-1802 MAIL T 0 : ~~„u,.,_o_„_, d~ Examined .l. 19~~ ~ Approved . 4 19~.~. Permit No`. 2 ~~q.~ ~ t ~ S yu Disapproved a/c . .....................................p.~,.,, (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS 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 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 baiiduigs, additions or aiierations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hous g code, and regulations, and to admit authorized inspectors on premises and in building for necessary i ction . .'.~2~ Signatu of applicant, or name, if a corporation) (Mailing address of plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises :!G?!i'd?4!!. 5~~~~•..••••••••••••••• (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . , Ow:'1~!•1 . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . House Number Street Hamlet County Tax MapnNo. 1000 Section Block ~ Lot ~l1............. . Subdivision ...~`YI:S.Cwtx~'~~5.~t~ Filed Map No. ..~~!ff?....... Lot ..-1 . (Name) 2. State existing use and occupancy of premises,a/nd intended usepand occupancy of proposed construction: a. Existing use and occupancy ...........U,~.m-w'+~.. OC/c~~?;~ . . b. Intended use and occupancy ...-5?.~~~..Lr~'f~'7!/Y• •~IVClS~:....... • 3. Nature of work (check which applicable): New Building . ,v , . , .Addition Alteration . Repair Removal Demolition .Other Work . (Description) 4. Estimated Cost .'~~iooe? Fe ; L . Ito 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 . Depth ......................Height .Number of!Stories . Dimensions of entire new construction: Front 57~,~.......... Rear . S. , .Depth . oZ2:4:....... . Height ...............fNumber of Stories .../........A . 9. Size of lot: Front L3.9.9~............ Rear /&~Z,~4 . iDepth . 10. Date of Purchase . /~7.: ~F Name f~f Former Owner ~i~D•g ..Ov.~!~ . 11. Zone or use district in which premises are situated .~.J~~S!R°E~~?~..... 12. Does proposed construction violate any zoning law, ordinance or regulation: , ~Q . 13. Will lot be regraded ........:.Will excess fill be removed from premises: Yes No 14. Name of Owner of premises f~v:~v;~•~~ti/.h':::: Address ~~~~~.~.u.~^ ~~~~hone No.3~6. 99.7.:36/... . Name of Architect ....Phone No............... . Name of Contractor d!~ Address P P Y y q s No ~C... 15.*If yess Southold TowntTrusteesnPeNrmitema obeareiuiredetland? eye ."Phone No . PLOT DIAGRAM Locate cleazly 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. ~~j ~ , STATE OF NEW YORK, S S COtiNT F . . a • • • • • • • • • • • • • • • • • • • • • • • • • • • . • • being duly sworn, deposes and says that he is the applicant ( me of individual signing contract) above name . He is the ! (Contractor, agent, corporate officer, etc.j) 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 per~'ormed in the manner set forth in the application filed therewith. Sworn to before me this ..........:3~...~/.~......d~ay/of/~.././/Ylf~:~........, 19~~ I Notary Public, ~ lT c . !S-!R. Yom,-...®..... County s~- ~ DE VOE ' 1ldtAR'f PUBLIC, Siote of New York ' 1 •I A7A7S7 ,$uffolkCbo i ~ • . • . s„~j~~~~~:y'~p@~~r~;~+~toh30~19:. 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