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HomeMy WebLinkAbout31501-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31228 Date: 10/18/05 THIS CERTIFIES tlmat the building NEW DWELLING Location of Property: 3550 STARS RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 22 Block 2 Subdivision Filed Map NO. -- Lot No. -- EAST NLARION LOt 17 (HA2~LET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 2005 pursuant to which Building Permit No. 31501~Z dated OCTOBER 5, 2005 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 SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF VINCENT J. MELLUSI, ARCHITECT DATED 10/13/05. (NOTE: THIS DWELLING WAS BUILT IN JULY 1963.) The certificate is issued to WERNER WAGNER of the aforesaid building. (OWNER) SUFFOLK COUNT"f DEPARTMENT OF HEALTHAPPROVAL N/A ELECTRICAL CERTIFICATE NO. 2064921 08/01/05 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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. Conunercial 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 featurqs. 2. A properly completed application and 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, Access.ory 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 - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date,_ /~- / Z- -D <~ New Construction: {q ~4,9 _ Location of Property: _ 13 .f ¢ O House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: __ (check one) Street Subdivision Permit No. 7 / S 0 Health Dept. Approval: Dat6 of Permit. Block 3( Lot Filed Map.. Lot: {0'-< ~ b 5 _Applicant: [AJ~¢~c ~ Underwriters Approval: Planning Board Approval: __ Request for: Temporary Certificate Final Certificate: (check one Fee Submitted: $ r Applicar~igm~6~re Vincent J. Mellusi, AIA, Architect 2865 Strang Blvd. Yorktown Hts. NY 10598 October 13, 2005 Mr. Damon Rallis Town of Southold 53095 Main Rd. Southold, N.Y. 11971 RE: 3550 Stars Rd. - Southold N.Y. Dear Mr. Rallis, The above referenced property is in compliance with the applicable codes at the time of construction being on or about 1963. In addition, the existing septic system at the above referenced location has been reviewed and at this time, It is functioning without any problems and or malfunctions. We have also inspected the plumbing and electrical systems at the premises, and they also appear to function properly, at the time of inspection. Vincent J. Mellusi AIA 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. 31501 Z Date OCTOBER 5, 2005 Permission is hereby granted to: ANDREAS & ROSA WAGNER 3550 STARS RD EAST MARION,NY 11939 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR PER ARCHITECT CERTIFICATION ON NEW FLOOR PLAN. THIS PERMIT REPLACES BP#2109 at premises located at 3550 STARS RD EAST MARION County Tax Map No. 473889 Section 022 Block 0002 Lot No. 017 pursuant to application dated OCTOBER 5, 2005 and approved by the Building Inspector to expire on APRIL Fee $ 387.60 ORIGINAL Rev. 5/8/02 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by WERNER WAGNER 112 COX AVENUE YONKERS, NY, 10704-4014 WERNER WAGNER 3550 STARS ROAD EAST MARION, NY 11939 Located at 3550 STARS ROAD EAST MARION, NY 11939 Application Number: 2064921 Certificate Number: 2064921 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 600- occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the ]st Day of August, 2005. Name QTY Rate Rating Circuit Type Miscellaneous as built-1966 Appliances and Accessories Exhaust Fan 2 0 Range 1 0 12.1 KW Pump Motor 1 0 1 H.P. Furnace I 0 Oil Wiring and Devices Outlet 15 0 Fixture Fixture 15 0 Incandescent Outlet 30 0 General Purpose Receptacle 21 0 General Purpose Switch 18 0 General Purpose Dimmers 1 0 Receptacle 3 0 GFCI Service 1 Phase 3W Service Rating 100 Amperes seal Service Disconnect: 1 100 cb Continued on Next Page 1 of 2 This ceKificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by WERNER WAGNER 112 COX AVENUE YONKERS, NY, 10704-4014 WERNER WAGNER 3550 STARS ROAD EAST MARION, NY 11939 Located at 3550 STARS ROAD EAST MARION, NY 11939 Application Number: 2064921 Certificate Number: 2064921 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential d00- occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the ]st Day of August, 2005. Name QTY Rate Rating Circuit Type Meters: 1 An as built visual inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the promises wiring system. seal 2 of 2 This ce~ificatemay not be altered in anyway and is validated only bythe presence of a misedseal atthe location indicated. FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS P,ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2109: Z Permission is hereby granted to: V~te ................... ZU~......],.9- ................... t ~..63- Stan~.eY-.Gor~l.n.,.-A/¢--anc~r'eas-,&-Roa~.~agner ............. Gre~npor~c ............................................ to ... bu.i. td...rtew-..one.-'~.nmi, t.Y:--~well&ng. .................................................................................. ot premises located at '"~/~'""~T'S"'ROI~Id' .................................................................................... ................................................... ~a'~t'"Mario~'~ "N;'Y'; ..................................................................... pursuant to oppiicotion dated ..................................... '~1~'~/'"'"~ ..........]963..., and approved by the Building Inspector Fee $~O,.OO..pd.-eash InspeCtor / TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/~ULATION [ ] FRAMING/STRAPPING [/] FINAL REMARKS: [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION TOWN OF SOUTHOLD BUILDING DEPT, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~SULATION [ ] FRAMING / STRAPPING [ ~ FINAL [ ] FIREPLACE & CH~IMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~~-~ DATE INSPECTOR~ FIELD INSPECTION REPORT i DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH F~G & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ~DITION~ COMMENTS FOB, M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ................. ,~ ..................... , ]9 ........ Permff No ........................ J~ ....... Disapproved a/c .~...?::..::..! ...... l...'.'.':i!).?,,- ..... ~ ...... ..(~.~.....~.~,..':~,~.~ ............. I ' ,- ..t 5'.r ........... ....... ..................................... (Building I~spector) Application No...~-.!-.~:?'.".i ......... APPLICATION FOR BUILDING PERMIT ........... , lV ................ INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout of property must be drown on the diagram which is port of this application. 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 o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment 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 for the construction of buildings, additions or alte, J',~'r~ns, or for remo~olition, as herein described. Regulations, The applicant agrees to comply with oil applicable laws, or~cr es and regulatit,~t~ _ ........ :..... (Signature tffappl~ant, or name, if a corporation) ~TANLEY S. CORWIN ................................................... A:r~OR~ ~:~ .,~ ~:. ~.,*.,.,~ ................. (Address o f ~l~l~ffiq')STREl~q GREENPORT, NEW YORi~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .,q.~q:l,~'.O~....l~f~.g.~..~ ~,,I:l.(1 1,1~.~.1~ 3~.a.g.l~q~.,.....h.~.$....W..l..l'..~ ................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: ............................................ Lot No: .................... Street and Number ..~./...8.....B.J~..a.?..s.....B...1.~.d..~.L.~l~.8.~...~.a.?..:~..~. .............. : .................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...Y.~,(I~;I.~. ................................................................................................................. b. Intended use and occupancy .~.~10~.~...:~t~4~0;i,],y..l:l~k¥1~'li.0...~.W~.],,l,,,l~g ..................................................... 3. Nature of work (check which applicable): New Building ......... .~. ....... Addition Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....~.~.~..0...0. ............................................ 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 ................................ Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions/of entire new construction: Front ....... ~.....~..~'.". ...... Rear ....~...~..f....~/~... ....... Depth ......... 2.~.!. ............ · 1 ~ · one Height ......~. ................... Number of Star,es .................................. 9. Size of lot: Front .......... ~....~.... ............. Rear ........../.....~... ........ Depth ........... /..../...~.. .................. 10. Date of Purchase ............... .M..~.~/...~...~.c;J~.~. .................. Name of Former Owner .Q9.~..¢..~.~...~.$.~ .......................... 11. Zone or use district in which premises are situated A~. ~-.6, S~J;;.$~...~L.~.;J,.~.~,.~.~,.~. .......... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? .~..Q ................................................ 13. Name of Owner of premises .J~..~.:~.~..a....8.....~.~,~.~..e..:~...f~Ad~l~s~.~....~....~-~,_-~.Y.~A~. ........ Phone No. J~ror~x~ ~e~ xor~ .................... Name of Architect .....~..0...~.~ ......................................... Address ............................................ Phone No ..................... ~QO~ Nome of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Eocate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK ) COUNTY OF .,.,~...'~.,.,~..0,.~.K, ........ ) S,S. ............................................. .~.~D,]k.~.....~..,....~.¢).?...~.~l,~ .......... being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) above named. He is the .............................................. ~.~...~.~ ..................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to eerform or have per~ the said work and to make and file this application; that all statements contained in t~is application are tr~e tCthe best of hi--ledge and belief; and that the work will be performed in the manner set forth in the appli~a~n flied therewit~ Sworn to before me this , ~ / ........... .~ ..... d~ of ......................... ~.~?,.,,,.~,a~,~.o, ',-York/l/_ .. Notary A ECK ARCHITECTURAL ENTERPRISES INC. TE ARCHITECTURAL & PLANNING SERVICES 21 KINGSLEY DRIVE YONKERS, NEW YORK, 10710 (~14) 779-26O5 October 2, 2005 Mr. Damon Rallis Town of Southold 53095 Main Rd. Southold, N.Y. 11971-1179 Re: 3550 Stars Rd. Southold, N.Y. Via: Federal Express Dear Mr. Rallis, Enclosed find four copies of the floor plans indicating existing conditions for the above referenced property, as we discussed. Also note that there is a detailed analysis indicating square footage of each room for each floor, and the cumulative totals, as you requested. The certification you requested, is also included as part of the layout. Your cooperation in expediting the issuance of the requested Certificate of Occupancy is greatly appreciated. If you have any questions, feel free to contact me. I remain sincerely yours, Anthony cc: Mr. Wemer Wagner ~ CLO. ~ ~ lATH ~ LIVING ROOM ~ ~ KITCHEN ' T FIREPLACE ~ ~ "- LAUNDRY ~ I ~ . STORAGE H IFF-" LAUNDRY ~ I ~ . STORAGE ~ ROO~ ~111~, ~ ~ ~ ~ ~ UTILITY ROOM } v-~' v-4 v2" s'-a vv' r-a */*" B~ .... 14'4o" ¢4 V~' 13'4" ~1 34'4 1/2"