HomeMy WebLinkAbout35080-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34265
Date: 04/07/10
THIS CERTIFIES that the building PORCH ADDITION
Location of Property: 860 WILLOW TERRACE LA ORIENT
(HOUSE NO.) (STREET) {HAMLET)
County Tax ~ap No. 473889 Section 26 Block 2 I~Dt 47
subdivision
Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 19, 2009 purs%~qnt to which
Building Permit No. 35080-Z dated OCTOBER 19, 2009
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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
· ~ne certificate is issued to PIERRE-ANDRE GAZARIAN
(OWNER)
of the aforesaid building.
SUPq~DLKCOI~TY DEp~/IT~T OF ~%L~{~PRO~L N/A
RI~C~RICRkL u~TIFICATH NO. 12189 01/22/10
CERTIFICATION DATED N/A
d Signature
Rev. 1/81
Form No. 6
TOV~N OF SOUTHOLD
BUILDINGTowN765_1802DEPARTMENTHALL,
APPLICATION FOR CERTIFICATE OF OCCUPAN~
This application must be filled in by typewriter or ink and submitted to the Building Dep~
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and nnusual 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% }ead.
5. Commercial 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:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
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, Accessory 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
New Construction: /
Location of Property: ~f~d2)
House No.
Owner or Owners of Property:
Old or Pre-existing Building:
Street
Suffolk County Tax Map No 1000, Section ~
Subdivision
'e mit No. 3 a'"'D
Health Dept. Approval:
Date of Permit. /O [/~/dY~
(check one)
Hamlet
Block Lot
Filed Map. Lot:
Applicant: fff~-~t~ G A Z,4'Y~/A"~
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~',
Final Certificate:
/ (check one)
SUFFOLK
BUREAU of
ELECTR CA~
INSPEC10RS,~nc.
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough in Inspection Date:
Application No.:
County Tax Map No.:
Arthur Ruroede Electrician
3anuary 22,2010
12189
Certificate No.:
Final Inspection Date:
Building Permit No.:
12189
3anuary22,2010
350802
Owner; Pierre Gazarian
Site Location: 860 Willow Terrace Lane, Orient, NY 11957
Owner's Address (if different):
[] Residential [] Indoor ~ Basement
[] Commercial [] Outdoor [] First Floor
[] New [] Renovation ~ Second Floor
[] Addition ~; Survey Other: porch
INVENTORY
Single Phase Heat Duplex Recpt Ceiling Fixture
Three Phase Hot Water GFCI Recpt Wall Fixture
Main Panel AC Cond Single Recpt Recessed Fixture
Sub Panel AC Blower Range Recpt Flourescent
Transformer Appliances D~yer Recpt Emergency
Disconnect Switches 1 Twist Lock Exit Fixlures
GFCt Breaker Heat Pump Electric Heat Pool Luminaire
Other Equipment:
[] Service [] Shed
[] Pool ~ Hottub
[] Attic [] Garage
HID Fixtures
Smoke
CO Detect
Pumps
Time Clock
TVSS
Exhaust Fan
The electrical work and/or equipment described above were inspected and appear to be in compliance
with local, state and national electrical code requirements and this office.
Applicant: Arthur Ruroede Electrician
Inspected By: Roger Richert
License No.: 2334-ME
Date Of Certificate: Jan 25,2010
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or
work described below, installed by the applicant named above, located at the premise of and not after the final
inspection date above:
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. 35080 Z Date OCTOBER 19, 2009
Permission is hereby granted to:
PIERRE-ANDRE GAZARIAN
20 BEEKMAN PLACE APT 3D
NEW YORK,NY 10022
for :
CONSTRUCT AN OPEN PORCH ADDITION AS APPLIED FOR. REPLACES EXPIRED
BP # 32669
at premises located at
County Tax Map No. 473889 Section 026
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
860 WILLOW TERRACE LA ORIENT
Block 0002 Lot No. 047
19, 2009 and approved by the
19, 2011.
Fee $ 150.00
Authonature
ORIGINAL
Rev. 5/8/02
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. 32669 Z
Date JANUARY 25, 2007
Permission is hereby granted to:
PIERRE-ANDRE GAZARIAN
20 BEEKMA/q PLACE
NEW YORK,NY 10022
for :
CONSTRUCT AN OPEN PORCH ADDITION AS APPLIED FOR. THIS PERMIT
REPLACES BP 22849.
at premises located at
860 WILLOW TERRACE LA
ORIENT
County Tax Map No. 473889 Section 026 Block 0002 Lot No. 047
pursuant to application dated JANUARY 25, 2007 and approved by the
Building Inspector to exlDire on JULY
Fee $ 150.00
25, 2008.
Rev. 5/8/02
ORIGINAL
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN ~
SOUTHOLD, N.Y.
N_O
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE ~K)RK AUTHORIZED)
Permission Is hereby granted.to:
..~...~...~.....~.. ~.. ~ ......
....¢......¢........./..¢.~
..... ~~...~:.....././..~....~ ...............
,o..~.~..~ ................. ~ ....... ~~ .. ~ ..........
..... ,~..~.~ ........... ~ ........... ~/...~u. .......... ~.~ ...........................................
at premises located at ......... .?.~..~... ....... ~/~...~.........~.'~.../~..~....~'. ...........................
CountyTax Map No. 1000 Sec~on...~....~- ........... Block ...... ~.?~... ......... LotNo ....... ..~...~.. ...........
pursuant '~o application dated .......... ~..~..~.../~/..~.......,//.~.. ................. 19.....~...~ and approved by the
Building Inspector.
~ee ~....?.~.~ ....
Rev, 6/30/80
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [~NAL
FIREPLACE~ CHIMNEY
DATE
INSPECTO~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~-~S~ ~'~ ~--~-~ ,/'~_/~,. ~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING ~X~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
FIF. L{} IN,qPF. CTION REPORT DATE COHHEN'KS
FOIINI)AT I ON (IST) i ..... ~
II
ROUGII FRAHF. ,fi,"
STATE ENER~ Il
FORM NO. 1
]'OWN OF SOUTIIOLD
BUll_DING DEPARTMENT
'[OWN IIALL
SOUTIIOI_D, N.Y. 11971
.[E L.: 765-1803
Disapproved a/c '
APPLICATION FOR BUILDING PERMIT
,gO,kt,;lJ DF IlEAL[II
] SETS OF PLA?IS
SURVEY
CIIECK ......... t .........
SEPTIC FORtl .............
CALL ~ .................
I'1^ I L 1'0:
INSTRUCTIONS
a. Tlds applicalion must be complelely filled in by lypewriler or Jn ink and submilled lo Ibe Ihdblb~g [nspeclor, wilb '
selsofphms, accuraleplol plan Ioscale. Fee accotding lo schedule.
b. Plot plan showing 19cation of lot and of [mihlings on premises, relalionsbip lo adjoining premises or public s6ce[
or areas, and giving a detailed description of layout of properly mu~t be (hawn on the diagnm~ which is part of this appli
calion.
c. The work covered by this al~plication may not be commenced before issuance of Buihlb~g Permit.
d. Upon approval of Ibis applicalion, il~e Building Inspector will i~sued a Building I'ermit Io Ibc applicant. Such permi
shall be kept on Ibc premises available for inspection lhroughout Ibc work.
e. No buihling shall be occupied or used in whole or in pad for a.y purpose whalever until a Cerlificale o[ Occllpa~lc~
shall have been granted by Ihe Building Inspector.
APPLICATION IS IIHREBY MADE to Ibc lhdlding I)epartmenl for II~e issuance of a Buihlbsg Permit pursuanl Io Ih,
Building Zone Ordinance of lite Town of Smdlmld, Suffolk Courtly, New York, and other applicable kaws, Ordinances o
Regulations, for Ibe construction of buildings addilio sofa ea o s or forremova ¢~Fce o o ,as ee escHbed
The applicant agrees 1o comply wills all ap ~licable laws o.I sa roes, b ¢ ~g cot e, housing c0¢ e a st ~egt lafions a ¢¢
admil atdhoHzed inspectms on premises and in building for necessary insp qions. ~ ~
(Signalu~eofapl~d,~name, racorlm~alion)
(Mailing address of applicant)
Slide whelher applicnnl is owner, lessee, agenl, a[chilect, engineer, general contraclor, electrician, plmnber or builder.
(as on the lax mil or latest deed)
I1' ;Iplflicanl is a coH)o~alion, signahu'e of duly aulho~ized of[Jeer.
(Name and lille ofcorporale officeO
lqt,ml)cr's License No .........................
Elech ician's License No .......................
Olher Trade's License No.
I. Localion of hind on which plolmsed wink will be ilone ................................. : ................
I louse Nt,mber Sh'eet llamiet
Courtly Tax Mai, No. I000 Section ...'...~ .~ ...... Block ....... ~ ...... :... Lot ..... ~ '7 .........
Subdivision . .: ..... ............................ '. Filed Map No ............... Lot ...............
(Name)
2. Slale existing I~se and occupa~lcy of premises alld Jlllellded use alld occupancy of proposed coDslrt~clJoll:
',,%5 .......................
t(cllaJl .............. I'~enlova[ .............. L)einolJtJoo .... : ......... Other Work ...........
(I)cscrJption;
4. ,;.sli,natedCost..~.. '7'" ~','~00 ' ' Fee -
(to be paid on filing lids applicalioa)
5. If dwelling, ]mmber of dwelling units /'~- Number of dwelling units on each floor ................
. If I~arage, mlmber of cars .... ~. .......... ' .................. · ................
6. If business, coom,ercial or mixed occt,pa,,cy s,ecify~ I re and exle Il of cae type oft se . .~ ...........
7. Dimensions of existing structures, if any: Front ..... ~ ....... Rear .............. Depth ...............
Ileighl ............... Number of SIories
l)i,nensions of shine slructu~e wifll allen, tioos or additioos: Fro,,t .. ~ .......... Rear .....
Dcplh .... ' ................... lleigh~ .... ~ ' ...' .... ~ ~ ......................
8. Dimensions of enlire new conslmclion: Front . . .( .~ ..... '. , Nmnber of Sro es
..: Rear .././..~. )cpi
Ileigbt ~.~. ~ .~Umbe~ of Slodes...~&. ' ............
9. Size of lot: lhont ~ ............... : ................................
10. Dale of l'urclmse /~7 ..................... l)epth ...~;~... ¢ ....
.................... ...... Name of l'orJner Owner .~ . dy[
I1. ' ..........
Zone ol use district in which lUemises are situated ...........................................
12. Docs p o)osed construe on violate any zoning law, o~dinance or regulation' ~O
13. Will Io{ )e Jegrat et ~O · , .... ' ...............................
............................ ~Vlll excess lill be removed fronu~remises Yes No
I,I. Na,,,e of Owner of pre,,dses (e, O f) on( ;o
Name of A~chilect ........................
........................... Address ................... Pbolie No ................
Name of Conhaclor .......................... A(hhess ................... Phone No ................
1.5. Is this pt-ol)erty ~ltliln 300 feet of a tidal wetland? *Yes ........ No~.
· If yes, Southol. d Town Trustees Permit may be required. '
PLOT DIAG RAM
Locale cleaily and tlisiiocllM all buildings, whether existing or proposed, and. imlicate all set-back dimensions from
lUOpe[ly lines. Give st~eel and block number or descfiplion according to deed, and show street names and indicate whelhef
JnJeliOf ol' corllef lot.
t
ffl'^'l'E OF N[:.W Y..OILK, ~
· . E( ~(~ .... ~ ~. ~.~.C~ ............... bei,,, duly swo,',,, deposes and says that he is Ihe applicant
(Name of individual signing conhacl)
al)ore named.
lie is tile ..: ................. .0 .C~...~-~-~..
(Conlraclor, agent, colporale ofJicer, elc.) ' ' '
of said oxw]er or owners, and is duly autllotized lo I)erfonn or have I)erformed tile said work and lo make and file (his
apl)Ileal ion; thai all slalemenls contained Jn Ihis applicalion are Irue lo the best of his knowledge and belief; and thai Ihe
wot k will be I)e~ formed in (he ~mer set forth in the applicalioJi filed themwilb. '
Swof,, to be fo,e r,ie ti,is // ..
...............A.. k ...........
// ..................
T(mn 1 lall Annex
54375 Main Road
P.O. Box 117!t
Southold, N Y 11 !t71
Telephone (631) 763-1802
Fax (631) 76,';-9502
P,[ JILl)iN(; 1)IqPARTMI';NT
TOWN OF SOUTHOLD
December 11, 2009
Pierre-Andre Gazarian
20 Beekman Place, Apt 3D
New York, NY 10022
RE: 860 Willow Terrace Lane, Orient
TO WHOM IT MAY CONCERN:
The following items are needed to complete your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $25.00.
Final Health Department approval.
Plumbers solder certificate (all permits involving plumbing after 4/1/84.)
Trustees Certificate of Compliance.
Final Planning Board Approval.
Final Fire Inspection from Fire Marshal.
Final inspection from the Building Department.
Final Landmark Preservation approval.
Building Permit: 35080-Z porch addition
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971-(1959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (631 ) 765-9502
Telephone (631 ) 765- 1802
December 28th, 2006
Pierre-Andre Gazarian
20 Beekman Place
New York, N.Y. 10022
RE: 860 Willow Terrace (porch addition)
SCTM# 26 2 47
Dear Mr. Gazarian,
Please be advised that your Building Permit #22849 issued June 22nd, 1995 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765 - 1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 30, 200~1
Pierre-Andre Gezorion
20 Beekmen Piece Apt 3D
New York, N.Y. 10022
FIRST NOTICE
RE: 860 Willow Terrace Lo. (Porch Addition)
5¢TM: # 1000-26.-2-47
To Whom It Mey Concern:
Please be edvised thet your Building Permit # 32669 issued January 25th, 2007 has
expired. According to the Code of the Town of Southold, a Certificete of Occupancy
must be issued before the use of the structure.
To renew your Building Permit please submit e fee of $1§0.00; at thor time we cen
Schedule an inspection by one of our Building Inspector's.
If you have on), questions, pleese call us et 76§-1802.
Respectfully,
5OUTHOLD TOWN BUILDING DEPT.
TOWN OF SOUTHOLD PROPERTY"J~L~iORD CARD
~?0o ~ --~ 6 -~. - 9'?
OWNER STREET ~(~C) VILLAGE DIST.' ~;UB. LOT ~j ~,! .... ~., ~
'~. S W TYPE OF BUILDING
RES. ~/~ S~S~ VL. FARM CO~. CB. MICS. Mkt. Value
Tillable FRONTAGE ON WATER /Q ~ ~ ~]~ ~)
W~Io~ FRONTAGE ON ROAD / ~ 0
Meo~ DEPTH
H~ Plot ,,~ . BULKH~D
rote I
COLOR
TRIM
Extension
Extension
Po~:h Floors
Rorch
Breezeway
Patio
O. Bo
Foundation
Basement
Ext. Walls
Fire Place
~/~..~ Type Roof
Recreation Room
.~-c> o Dormer
~,¢',/~ / ..
Interior Finish
Heat
Rooms ist Floor
Rooms 2nd Floor
Driveway
KD]nette
ILR.
DR.
BR.
FIN. B
T~al
Z--.' ,' 'T-. ,' . ~ o 0 T ~, 'u ~_r~ .? :-?JU...' c--
, t
/Joo £~