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"