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HomeMy WebLinkAbout20498-Z a~6 r s FORM NO- 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. jt CERTIFICATE OF OCCUPANCY No Z-22287 Date APRIL 28, 1993 THIS CERTIFIES that the building ADDITION`& Af.=ATION[ Location of Property 725 TERRY "LANE SOUTHOLD, N. Y. House No. Street Hamlet County Tax Map No. 1000 Section 65 Block. T Lot 17 Subdivision Filed Map No. Lot NO. conforms substantially, to the, Application for Building Permit heretofore filed.in this office dated MARCH 23, 1992 -----Pursuant to which Building Permit No. 20498-Z dated MARCH 24, 1992 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 DECK ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD & SEANNE KURZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH. APPROVAL N/A UNDERWRITERS CERTIFICATE NO. R-033955-3/23193 & R-031592-1011:9[92 PLUMBERS CERTIFICATION DATED APRIL 22, 1993 - DONALD A. KURZ Bdilding Inspector Rev. 1/81 FORM NO. 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) it i N2NQ 204982 Date ~4 C Permission is hereby granted to, C . Z 11~7~ r ` Vin.... at premises located at . County Tax. Map No. 1000 Section ......4............ Block ...........1....... Lot No........./... pursuant to application dated ~ ~ 19;F....2-1 and approved by the Building Inspector. Fee . . B dying l or Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTkENT 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, ofwater 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 ins}taliations, a certificate of Code Compliance from architect or engineer responsdible for the building. - 6. Submit_Planning t6ard Approval of completed site plan requirements. a " V a kr~ (prior to April 9, 197) non-conforming uses, or bindings"'and 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 - $1.00.00 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 July, 131 1992.. `:ew Construction....X...... Old Or Pre-existing Building................. Location of Property ......%25 Terry Lane...,..,.._.. Southold House No.. Street Hamlet Onwer'or Owners of Property D.PAZLI(L& JQ~Lnne,Kurz County Tax Map No 1000, Section ...Cl~......... Block 1.......... Lot..... 17................ i II Subdivision ..............Filed Map........ ..Lot... Permit No..20~U8..Z...... Date Of Permit.. J/ ZA4 .....Applicant... Rgn.Morizzo. Builder ,.Health Dept. Approval ..........................Underwriters Approval.............-............ :'Planning Board, Approval equest for: Temporary Certificate............ Final Certicate....X 'ee6/Sub~mi`tted: 2.~ O zr~~ APPLICA aw~^m.~.w~^®ma 1 TEL. 765-1802 4q Cdr TOWN OF 'SOUTHOLD _ T c OFFICEOFBUILDIIIGINSPECTOR P.O. BOX 1179 cpr~ E i c TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N I r i I , y~~l 3 I Date Building Permit No: J~';o K Owner 1Ja<Yz_ r<GllZz- /(please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 10 lead. _ (plumber's signature) Sworn to before me this 77day of 19 (?7. Notary Public Votary Public, s-tv tc County Cy,AMELGL64 ryJt"jc,Se"05 of W Y** (1uat3fyed a uffk COU" t8 ~mission ExP i i y, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY.., ' r 85 JOHN STREET, NEW YORK. NEW YORK' 10038 - Date CH 23t1995 ApP J 7°3523931°3 II E133 5s !;cation.No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on'the above application number in the premises of ' t DONALD A. KURZ, 725, AIRY 40,01 Sq#5°.FIav, m. in thefollowing location; ? Basement ® 1st Fl. E 2nd Fl. OUT .Section Block Lot U04 19 v wag examined on " 1993 and found to be in compliance with the requirements, of this Board. - V.'F URE I EPTACLES SWITCHES ;FIXTURES RANGES. COOKING DECKS OVENS DISHWASHERS EXHAUST FANS' g TS INCANDESCENT FIUORESCENi OTHER PMT. K.W. AMi K W: AMi. KW. AMT. KW. AMT. H. P. , IRE C DRYERS FURAIACE MOTORS FUTURE APPUANCEI*EDERS SPECIAL REC oT TIME CLOCKS ,BELL UNIi HEATERS MULTI OUTLET . 5+,,,'DWMERS SYSTEIAS AMT. K. W. OIL H. P. GAS 'H P AMT. NO bA. W. G - AMT. AMP. AMi ° ~dMPS,, TRANS. ' AMT. H P. NO. OF FEET AMT WATTS SERVICE DISCONNECT ' NO. OF - 5 '..E R V 1 C E AMT. AMP. TYPE METER 1.0 2W 10 313 % 3w. 30 4W NO OR CC. COND: A. W. G. NO OF HI-LEG A' W 06 NO OF NEUTRALS A W G. EQUIP. PER % OF.CC.COND OF HI IEG Of NEUTRAL' OTHER APPARATUS: t s ZIIt3FZ IIYQtMI ;s+ ,~1RAL A, %URZ 16 WPM COURT W',ASFIN-VaTox, R7't 1.1:0Se GENERAL MANAGER 13 ¢ r This certificate must not be altered in any manner; return to the office'. of the Board if incorrect. Inspectors "may be idenffied by their credentials. ' COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ ` q THE NEW YORK BOARD OF FIRE UNDERWRITERS PHI 1 80348&0 BUREAU OF ELECTRICITY 85 JOHN STREET NEW YORK, NEW •YORK 10038 Date OCTOBER 65,1992 Application .No. on foe 7809749 132 031592 THIS CERTIFIES THAT only the electrical equipment as described) below and introduced by. the applicantnamedon the oboes application number in the premises of 31QRRCD & 3FA R XURZ 1725 TERRY 4421, C ~"T~C# 10 -05.5. e ~t# 3i 0€t~.t f4. : I} bf3 X317. . in thefollowing location; Basement ? Ist Fl. 11 2nd Fl. Section Blceke3<. Lot OCTOBER 16,1992 was examined on and found to be incompliance with the reyuirernen4c of this Board. ~ p FIXTURE FIXTURES RANGES 'COOKING DECKS OVENS DISH WASHERS EXHAUST FANS. 1 ECEPTACLES SWITCHES OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K W. PMi. K.W. AMT.- K. W. AMi. H. P. 11 30 14 14 DRYERS FURNACE MOTORS` FUTURE APPLIANCE FEEDERS SPECIALItFVPi TUTU CLOCKS -'tat UNIT HEATERS MULTI-OUTLET DIMMERS.' - AMT. K. W. OIL H. P. GAS H P AMT. NO. A W. G. AMT AMP AMT AMPS` TRAN£, AMT. H, P NOOF . OF FM$EET AMT WATTS "SERVICE D?SCONNECT NO..OF S E R V 1 C E *METER NO. COND . AMT AMR TPE ¢OUIP. I Z 2W 1,93W 3 OF CC $ 3W 3d 4W PER $ OF A. CC. W, G CONE NO OF HI LEG O HI LEG NO. OF NEUTRALS O A. W. NEUTRAL 3 OTNER`APPAAATUS: I 'DONALD a, KURZ ' 7" TRRRY LANE soulg v, yY 11971 GENERAL MANAGER Per This certificate most not be altered in any manner; return to the office of the Board . if incorrect. Inspectors may be identified by their credentials. A -E NIM NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. P"ISPECTION [ I FOUNDATION AST [ } ROUGH P ,BG [ ] FOUNDATION 2ND INSULATION [ I FRAMING FINAL I REMARKS: I 5 i. DATE lzl:l? INSPECTOR E I 765.1802 BUILDING DEPT. INSPECTION [ l FOUNDATION 1ST [ ROUGH PLBG. E I FOUNDATION 2ND [ I INSULATION [ MING [ ] FINAL REMARKS: ~I DATE / z INSPECTOR :17 t i u T6S-1842. BUILDING DEPT. INSPECTION I FOUNDATION 1ST [ ] ROUGH PLGG. ] FOUNDATION 2ND [ INSULATION [ 7 FRAMING [ J FINAL REMARKS:e d' y, ATE`' v INSPECTO I 0 r M-1802 ;K / BUILDING DEPT. INSPECTION k [ ] FOUNDATION 1ST [ ROUGH PLBG. i [ ] FOUNDATION 2ND [ I INSULATION [RAMING [ I FINAL REMARKS: G DATE INSPECTOR 7f~~ 765-1802 BUILDING DEPT. INSPECTION [ 1 FOUNDATION 1ST [ ];a. ROUGH PLBG. [ ] FOUNDATION 2ND [ I INSULATION { 7 FRAMING [ ] FINAL. REMARKS: r DATE ~414 /4F INSPECTOR r t I 1 765-18®2 BUILDING DEPT. F INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ INAL J~j REMARKS: I i DATE INSPECTOR FOUNDATION- (1st.) ?OUNR;AT,ON (2nd) 2. v r~ ',OUGH. FAME & .PLUMBING Y "r C a H '3. ~ m iNSUL,lTION PER N. Y. fl,~TE ENERGY CODE 1 ¢ ohm ~'IIIAL so + ' ADDITIONAL COMMENTS: , a H N n ' '.~kj I = O H BOARD OF HFALT.Ii 3 SETS OF PLANS FORM NO. 7 . SURVEY . TOWN OF'SOUTHOLD C11ECK BUILDING DEPARTMENT SEPTIC FORM BLDG DEPI TOWN HALL T'OWIU,OFSflUCtlfSLb $OUTHOLD, N.Y. 11971 NOTIFY Ron MorizZO TEL.;: 765 1802. CALL 75`77?.... , , Examined , i9- Mill TO Approved Disapproved a/c (Bu' mg I alr)~ APPLICATION FOR BUILDING PERMIT I Date ..I?arch• lls_,..".; 15 92 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sect's of plans, accurate plot plan to scale. Fee according to, schedule: b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets qr areas, and diving a detailed description of layout of property must be drawn on the diagram which is part of this apph- cation... c. The work covered by this application may not be coMmenced before issuance of Building Permit > d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work, e. No ;building shall be occupied or used in whole or in part for any purpose' whatever until a Certificate of Occupancy shall have been granted by the Building Inspector, 'APPLICATION IS HEREBY MADE to the,Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tofivn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the, construction of buildings, additions, or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws;, ordinances, buildngg Cade, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. „,$qrl MOr1Zzo Builder, Inc. (Signature of applicant, or name, if a corporation) P.O. Box 789, Southold, NY 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........Bui.1der Name of owner of premises ..,Donald A. and Jeanne Kurz (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) j Builder's License No. 6772 HI Plumber's License No, . . Electrician's License No . Other Trade's License No . 1 Location of land on which proposed work will be done; Terry Lane Southold [louse Number Street Hamlet 065 01.00 017.000 County Tax Alap No. 1000 Section Block . . . . Lot. , , , , , Subdivision . , Filed Map No, Lot .(Marie) State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existin~useandTocupaney` ~ single family dwelling b. Intended single family dwelling w/alter~ah;bn~t&de+~am use an'doccupancy `r.fsxx. r _ 3. Nature of work (check which applicable) New Building Addition Alteration X Repair Removal Demolition .Sri min - : 11 Tennis Court Accessory Building Fence ......zOther [cork.. DECk 4. Estimated Cost . $55 .OOP,. QQ, Fee i (to be paid orr4adtg this appticaamn` 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 p Depth . Height Number of Stories . 8. Dimensions of entire new construction: Front , Rear Depth , . , . Height Number of Stories . 9. Size of lot Front Rea . Depth . . . 10. Date of Purchase , , ..Name of Former Owner . 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 remises- Ye 14. Name of Owner of premises , , Kurz Address Phone No..... , , Na. . . Name of Architect ........................:..Address , . . Phone No . Name of Contractor .Ron , Mori z zp , , Address Sputhold, , . , , , phone No._75a-5772:-. . . 15.Is this property located within 100 feet of a tidal wetland? -YES__..#0._..s *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 front property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. {4 e ( G STATE OF NEW YORE, S.S COUNT.Y_QF • . • • • r ' i '~tZ • • • • • • , being duly sworn, deposes and says that he is the applicant f (Name of individual signing contract) above named. AA { He is the .....l t4 ~IXC,IT . (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 1 day 0f • h ~L~ 19 Notary Public, r I- z 7.4 ounty "VELENE PUbrra, V. HOR?d~ .i ~S~Newyork Qaar1$9d ne,&WO k ~rnY gnatnre of applicant) i, Con1miasioa,PesAtla) 22, 19 m U~°~ JL o a ~ (Arid '6z r~~'" o > R F d:a•~~y,~ o~ 2~' ~ m J z o pO/i7 U R O M h7 ? ~ ~ Q . LL } ' a t=if > 3 v O /4in-/a/,1j ovF/ Q ~niaa f o ~a = ~ W h T Q .Q II Q 4 3 , 49 k, © m aza~~p Q 11-1 Q U Q ~oao~Zpc ~v l U "J 4 F dwc~ vwpo~n rU (Qn 1U 1~ r 0 n q° c) ~a~unFr \1V o w Z) w F D w Q\ LL z a O, Z Ol R t a- LLL o vi . U) N O m' 0,~ (lam fly - z~IZ4 I fZ,Gll I (t)TINCa C-. vp ~T 6T 2T m LIr1~.cF ~ci'K. Oc=xvc. 4x~!~ }~T /1Y; C n -K. I ~ 0 p IR b" 12-10" ~z) ~ B„ J I ~ i k- t+ ?P- I''!; - - o qupR. T "L4. cL NI x 4 ~ ~iovE 5LlxL, C~ PI(~ ors Wc~L -p^ V ~ ~j uJ 3 T3 - r k IT L~y1NG I ,,p J) cr1 ~ N i {sue. n O U ~rls ~ L* Z 5 Yu q~s{~~ .V m a. rl~~Tr ~r upi 14R m w m G LET ` 4 I ~ ~ 4K2s IA~bTCil t-? s x amen lv _l t- so6~ 'a u i V o 7 t O" ) 0 I p o x 1L i (GX1ST:) :Ec - ----(T 27 12 d UNDERWRITE RS CERTIFICATE rjch~ -7 -T I + ~ o ` Fl-l iT . - _ - REQUIRED ~ ~ - i Ad I _I R -tip a ~ "'s - Li r-lE of NIaW nraGi c^/,~; ©rK=-s ~l II II ~ 4~ 11 ~ ~-----~C - f} SEIS9.ANLAV1 xo N' P6 icu IN i i - - - t4,. - - f - AP FRO D AS NOTEU~9~ S~° p„ VEE 1 BY: ` "GCF• c-VKI 4T° NOTIFY 161L DEPART NT Al r~• iGrae. J ~.r ij I"' 765-1802 S AM TO B PM FOR THE I FOUNDATION - REQUIRED FOR CONCRETE L 1 FOLLOWING INSPECTIONS: ff lJ / 1 Y L L L 2. ROUGHI R FRAMING &O PLUMBING 1--~ I~ L PLC-- 3 • & INSULATION \1W= 1 -C:5 h. FINAL - CONSTRUCTION MUST -lvoI2 Jo/S7- BE COMPLETE FOR C.O. T I-- I CC ~2" pL 7h c y G cd bM ALL CONSTRUCTION SHALL MEET 'c544zz Gom.,aL '/AI// C L L c L_ EST IG L LEL-IEr-AC 0 Z z THE REQUIREMENTS OF THE N.Y STATE CONSTRUCTION & ENERGY /~{UFIS~Yd PLUMBER CERTIFICATION CODES. NOT RESPONSIBLE FOR+ GEiL.IrIC~ 1=~xIUPS Q I-E~)- I+IGLL I~1017NTL-c ~iXNRc Z a u1TE ONLEAD CONTENT BEFORE DESIGN OR CONSTRUCTION ERRORS I Te fu,le y.ld CERT;FICATE OF OCCUPANCY 1 ac:~ s~o .r SOLDER USED IN WATER LLI PaN~LI CaHT -Sk~ITCH SEaT-EF'rbTEt4; b~.~-f -('o ~.}r.-Iti_h'ncr. .t I ~ i ^ cohiTW . roc-~n~l xro c~- Iro"7_ J _ x b W,F-R~:.E t; f • :~~a~vErrr 1~ L ~iv~~11~ ~ l 1~C- F-' v~ • sc, SUPPLY SYSTEM CANNOT Is used - - - M or tubing *r„ ~ EXCEED 2190 of 1% LEAD. 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