HomeMy WebLinkAbout11660-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z.1.1.285 .......... Date .... B.o. pg.orqb. O~. ~.~ ............. ,19.8.~
THIS CERTIFIES that the building ................................................
Location of Property . .1§85 ................. B. qt~o{l../~¥~O.u.q .... Geeonpo~-l:
House 31o. Street ................
County Tax Map No. I000 Section . .Q33 ....... Block ...Ot~ .......... Lot...q~l¢ ...........
Subdivision ..... Z ......................... Filed Map No...X. ..... Lot No....X ..........
conforms substantially to the Application for Building Pemfit heretofore filed in this office dated
·. ~lia$..3 ............. , 19.8.2 pursuant to which Building Permit No... ! .1.6.6.0...g ...........
dated .... ~l.ey..13 ................. 19 De., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupan6y for which this certificate is issued is .........
...... a. p~'.~v.a~;.o..ono.-.tamil.y.. ~l~.o.J& l~g ........................ . ................
)
The certificate is issued to ...$p¥~e.~a. ~/~,~al. lJ, otl .....................................
(o wrier, le~ee ~,teleme
of the aforesaid building.
Suffolk County Department of Health Approval J.~.-.S. 9r.4.3. ,..8/1.7../.8.2. ,.. ~ 9.b.~. :. ~....¥ .~.l.~.a. 1.
UNDERWRITERS CERTIFICATE NO ...... ~..5.7. .6 J.8.~. .......................
Rev. 1/81
Building Inspector
BUILDING
TOWN HAL1
SOUTH'OLD N ¥
BUILDING PER~IT~,,
· COMPLETION OF THE WORK, AUTHORIZED)
PermisSion is hereby
granted to:
Building I~spector.
Rev. 6/30~80
BUilding~nspecto~
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features,
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
New Building ..... X ....... Old or Pre-existing Building ............ Vacant Land .............
1585 Sound Avenue , Greenport~ New York
Location of Property .................................................................
House No, Street Ham/et
Owner or Owners of Property ...S.~.¥.r.o.~. ¥.~.s.s. ~.1 ~.o.~ .....................................
County Tax Map No. 1000 Section . ...0.3.3. ........ Block ..... .O.~. ....... Lot ....... 8.2. .......
Subdivision ................................. Filed Map No...8.2,.-.1.8.5. .Lot No ..............
Permit No..1.1..6.6.O.~... Date of Permit .5./. 1..3./.8.2..Applicant .~.N..L~...N~...I.~.O.H.E.S. ,..I.N,C, ?, 7.S..p~ .~.o.s..Ve. ssiliot~
Health Dept. Approval ..... .8./.1.7./.8.? ........... Labor Dept. Approval ........................
Underwriters Approval N576182 .... Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Su bm itted $..5..: O..O .......................
Construction on above described building-at~erm~t ~eet%all aj~p~h'cable c,o~]es and regulations.
Applicant~ ......... ~~_, .. ·
obe= s. ......
Rev. 10-10-78 ~.0. ~ // ~S~
07 0..
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
~,ate ~m~r ~ ~ ,~pplicationNo, o,,~ile ~73085 - ~ N 576182
THIS CERTIFIES THAT
only the electrical eqaipotent as described below and introduced by the applicant rtarned on the above application number i~ the premises of
Inland tkmes~ 8ound Rd,, i~a&n lid. & 8t~ton~ Greenport, N.Y.
in the following location; [] Basement [] 1st Fl. [] 2nd Fi. Section Blocl~ Lot
wasexa,.i.edon 8ep~;cmbcw 9~ 1982
FIXTURE
OUTLETS
RECEPTACLES
and found to be in compliance with the requirements of this Board.
SW~TCHES FIXTURES RANGES OVENS EXHAUST FANS
~7
DRYERS
SYSTEMS
E R V
NO. Oi~ECC COND A. W G
OF CC, COND
OTHER APPARATUS:
Elec. Bocm He~ter/~; 1-2.0~ 3-1.5, 1-1.0~ 2~.75~ 5-°5
1-G.F.C.I.
1-4.5 K,W. P~t [¥ater Heater
NO, OF HI-LEG
C
A W, O NO` OF NEUTRA
OF HI.LEG
OF NEUTRAL
Richard Rolyea
Young's Po~t Mattituck
P.O. Box 372
LmA~I~ N.Y. 11948
This certificate must not be altered in any manner; return to the office of the Board if incorrect, nspectors may be
THIS COPY ~
MANNER.
FIELD INSPECTs%ON ~
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C~DE
FINAL
DATE COMMENTS '~ ~
" [
ADDITIONAL COMMENTS: ~ ~
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, r.l.Y. 11971
TEL.: 765-1202
Approved /..~ ..... 19 Permit No.././. ........
Disapproved a c ....... ' ............................ ~ . -
APPLICATION FOR BUILDING PERMIT
r4ay 3, 19.8.2.
Date
............... , 19 .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build
Inspector, with 3 sets of plaos, .~ccurate plot plan to scale. Fee ~4ccordiug to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining promises or public ske
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such peru
shall be kept on the premises available for inspection throughout the work.
e. No buildi;~g shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupar
shall have been granted by the Building Inspector.
APPLICATION IS t IEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to ~
Btlilding Zone Ordinance of the Town ~)f Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ
The applicant agrees to comply with all applicable laws, ordinances, building code, housi~:g code, and regulations, and
admit authorized inspectors on premises and in buildings for necessary inspections.
u.m.e.s, XNC:
(Signature of applicant, or name, if a corporation)
.150~..1.%7. ). [VlAt.! .J-.t.u.c.k. ~..N.,...Y. :. 11952
(Mailing address of applicant)
State whether apptic?nt m owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bnild
General Contractor 2
.S.p.y. r .o s Vassilio.u J -
Name of owner of promises
(as cn the tax roll or latest deed)
If applicant is a corporation, signature of duly attthorized officer.
Robert E. Hiltz, Pres.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's Licens: No. 517-P
Electrician's License No.' . .2.1.4..Sr,g. .............
Other Trade's License No ......................
1. Location of land on which proposed work will be done. G..:.:.:.r.e.e.n.P. 9.r.t.,..T. pv.n..qr...Sp.u.t.h. 9.1.d.,..N.,..Y... .......
· ( .6'7 .~°. ......................... So. end. A.v. enue., ............. '..Greeaporl:,. At;..¥ ..........
House Number Street Hamlet
County Tax Map No. !000 Section O33 . 04 82
.................. Block Lot ...
Subdivision Filed Map No 82-185 Lot
(Name)
2. State existing use and occupancy of premises and intended use and Occupancy of proposed construction:
a. Existing use and occupancy Vacant -
Repair .............. Removal ............. /0,.mo,l.o~l ............ Other }Vork .......
i (to be paid on filing this application)
If dweiling, number o£ dwelling' units .... .1 ........ Number of dwelling units on each floor ...............
' :1.
If garage, number of cars ~ ..................
If business, commercial or mixed occupancy, specify ~ature and extent of each type of use .....................
Dimensions of existing structtires, it' any: Front .......... . ..... Rear .............. Depth ...............
Height Ndmber of Storles~
D~me'ns~ons of same stm 'ture :W~th alte~'adons or addinons' Front Rear
Depth .................. i ....Height ...................... Number of Stories .....................
Dim4nsions of entire new conitruction! Front ...... : ........ Rear ............... Depth ..............
Height ............... Ntimber of;Stories ............................... ' ........................
Size of lot: Front ......... i .... :'~' ......... Rear ...................... Depth
Da te df Purchase ......... ; ...... : ............. Name of Form er Own er .......... ¢ .................
Zone or use district in which premises are situated... ~...' ............................ ~'. ................
Does proposed construction violate an~ zoning law, ordinance or regulation: ...............................
Will l'ot be regradcd ....... :...' .... ~, ....... ....... Will excess fill be removed from premises: Yes Nc
Nalne of O,,'n~r' ,, of premises $~Y.~O~. .V.a..*.~3.1.:i:. 9U~ddressF.l.u.~..h.i-P. rJ.' ,...N?..Y. :.. Phone No..2..]'.~."L~ ....
Ns,ne ........ ............. :'
Nama of Contractor I.H..L&ND HOM~ .I..N~. .... Address { d '
PLOT DIAGRAM
Locate clearly and distinctly ,~ll buildings, whether ex/sting or proposed, and, indicate a/1 set-back dimensions iron
roperty lines. Give street and blocik numbekr or description according to deed, and show stree[names and indicate whethe:
,terior or corner lot._ '~..:~ x
1ATE OF NEW YORK,
ou rr¥ OF ....
........... ttober.t .lg,. I{ii~* .... i ..............
(Nanie of indMdual signing co~tract)
}eve nalned.
being duly sworn, deposes and says that he is the applican
' Congr~/.ctor
is the ' I;
! (Contractor, agent , corporate officer , etc. ) ..........
said owner or owners, m~d is d:uly auth,~rized to perform or have performed the said work and to m&e and file th~
)phcatmn; flint all statements contained ~ this application are true to the best of bis knowledge and belief; and that th
· ork w/ll be performed in the manhcr set fr rth h~ the application filed therewith.
worn to before me this :
. .day ~f...
eta,tv P~ublic ................ .~x~-qH
1125850, Suffolk
O~,PAHt HENT OF HEALTH
S~F~ ~IY ~U D~P~I SURLY FOR
oA~s_AUO 17 ~ u.o. RS~. ~~ SPYROS VaSSILIOU
dULY 50~ 198~
AT GREENPORT OATE: APR. ~],'
~he sewage disposal and water Suppl~
facili~ies for this looatlon have bse~ ~W~ ~ SOOT~04O SCA~:
t~speeted by this department ~d found SUFFO~ COUNTY, NEW ~RK NO. S~-185
. w VOaK STAT~ ~O.CAV~
~ef et general EngAnee~nl WCOPiES ~ THis S~VEY NOT ~ARWa THE
HEALTH DEPARTMENT-DATA F~ ~PP~O~ TO C~ST~UCT ~ ~R~ FOa WHOM THE SU~EY IS
ALDEN W. YOUNG~ PRO~ESSIONAL ENGINEER
AND LAND SURVEYOR N,Y.S. UCENSE NO. 12845
HOWARD W. YOUNG~ LAND SURVEYOR
. ~AIN PO~
CAVATI I S ECTI H REQUIR
6U~Y F~
5LIFFC)LK COUNTY DEPARTMENT OF HEALTH SERViCe5 SPYROS VASSlLIOU
FC~R APPROVAL OF CONSTRUCTIO~ ONLT ~T GREE~PgRT ~mt[~ ~P~. ~, I~J
~HEN TNM tNOIE INO~ NE~EON. ~ ~I~AL INSTIT~I~I o~ IUI~ENT
,, ,, .......... ,,, ,,- --- YOUNG &YOUNG
HOWARD W. YOUNG, LA~ S~VEYOR
I hereby certify %ha~ I have prepared the plans and specifications
practice method (ES00} PART 5. / / /~
~/t~ark Lichaels~ Architect'S---/
· acceptable
Date
Htg. & Cooling Split
C.
D.
E.
F.
The contractor shall furnish and install construction materials
such that the following ,~,, values are not exceeded~
1. Roofs -~
2, Floor over Unheated Basement /~
"R" Values of Insulating ~faterials- As indicated on the Dram'ings.
TII~rc~OSTAT ~JGE ~ ~ -- ~o~ ~ -~ ~ ~
BOI~R/~NA~ SI~ %~'2 ~s ~-' - ~in. Comb. Elf.=75%
~R~NTAGE GLAZING //. ~.0 ~ ( I~aximu~ 23% )
sheet No. 1 of ~ -
The contractor shall furnish to the e~rne¥ written maintenance
instructions for all equipment ~-hich requires preventative
~ndows which have infiltration loss rates ( at 25mph ~nd velocity
sheet No. 2 of
tt
OCCUPAHC¥ OR
USE' IS UHLAVffUL
V~I~'~9~T CERTIFICATE
OF OCCUPANCY
/ I;MPJtOVED AS NOTED
' IFEE:_~_.,~.j~BY: .~
~OTI~ BUILDING ~EP~RT~T AT
765-1802 9 AM TO 4 PM ~R~S
~LLOWING INSPECTIONS:
t FOR POURE~ CO~CR~E
~. ROUGH - F~[NG & PLU~g~
~. INSU~TION
4. FINAL - CONSTRUCTION
BE COMPLETE FOR C,O,
CONSTRUCTION SHALL '~
THE REQUIREMENTS OF THE N~
~ATE CONSTRU~ION & EN~GY
CODES. NOT R~NSIBL~
DESIGN OR CON~RU~ION ERROR~
I_:
I/4." -'lI' ,~"
i I
I
SLAB INSUL~TION
Degree Days Mie.
By Zone R Value
5000 5.5
6000 5.5
7000 5.5
8000 6.5
9000 5.5
The insulation must extend
at least 24" under the slab
or at least 24" below grade
down the foundation wall,
FOUNDATI0;~ WALL
The insulation is installed
on the ~nside face of the
foundation wall and provides
a thermal break between
slab and foundation.
' code compl
location
OUTSIDE FOUNDATION WAll
The insulation is installed
on the outside face of the
foundation wall and provides
a continuous thermal
barrier at the slab edge
and foundation wall, All
exposed exterior insulation
above grade should be
covered with a protective
material,
)rotective
~9
over
insulation
32