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HomeMy WebLinkAbout11950-zFORM NO. 4 ~OWN OF SOUTHOLD B01LDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z12987 No. Date November 15 , 19 84 THIS CERTIFIES that the building Addition ' s Location of Property 2950 Sound Dr. Southold County Tax Map No. 1000 Section ...9.3.3 ...... Block 01 .Lot 009 Subdivision Eastern Shores ...Filed Map No. 4586 .Lot No. 110 P/Olll conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... S..ep.t.: .... 2.8..., 19.8.2. pursuant to which Building Permit No .... .1.1.9. 0..5.Z ........... dated October 5 19 82 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 ......... Addition of Pool,Deck,Garage and Bedroom The certificate isissued to ..... AGNES & MARTIN EHRENREICH of the aforesaid building. Suffolk County Department of Health Approval . N/A UNDERWRITERS CERTIFICATE NO...'.. N629386 & N603944 (Pool) Rev. 1/81 Building Inspector TO~ of SOU,HOL~'~ i BUILDING D~;PARTMI NT TOWN HALL t SOUTHOLD, N~ Y. ~ BUILDING P,ERMITi ~ (THIS PERMIT MUST BE KEPT ON TH.~ PREMISES UNTIL COMPLETION OF THE WORK AuTHORiz£Di ~, ~ 11950 Z ULL Dote .............. , 19 Permission is hereby granted to: ~... ..~.~.~.~~..~c.....l, /.~..~,:.~..~. .~. ...... Z, ¢~. ~ ~;~...~...,~.~ ~. ..L.~. ...... ..... ~ ...................... .... ~, ~,~,,~ ,~,~, ~, ..~..,..~.~=...~~~.,...~ ............. ~ .......................... ............................................. . ......... co..~ ~.~ ~=~ No. ~ooo s~:~,o. ,.~.~.,.....~ ~ ............ ,> o~ N. ......... put,ant to application dated .~~~..-~..., 1~ and hpprov~ by the Bu~l~lng Imspector. FeeS........,. ' .............. Rev. 6/20~80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-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. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling land use --?re-~;x±st±ng C. 0. $15 · 00 3. Copy of certificate of occupancy $1.00 Vac~nf,':[and C.O. $ 5.00 Date ........ ./.~. Z/.. ?~./~. · ..... New Building ............. Old or Pre-existing Building ..... .~..... ,Vacant Land ............. Location of Property....~..?.~.~'?. ............ .~~. ~ .... ; ................... House No. Street Hamlet Owner or Owners of Property .... X.~, .~'~.'......~~' .~. · ........................ County Tax Map No. 100~0/Section ...~...~...~. .... Block ...P./ ....... Lot...~.C~..~. ...... Subdivision~..~~...~,..~.. ........ FiledMap'No. ~.~.'..d~.....LotNo../../.0..?. ,/,/./f "erm,tNo ........... Date of Permi, ..... ~P~..Ap,I a t ..... ~:..~i .... Health Dept. Approval ~,j. ~):c{ .~ ............ Labor Dept. Approval ...................... Underwriters Approval :~:,~o .~...'~,ct..~..~. .~.?::~. ...... Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate .... ~ ............... Fee Submitted $ ~ ................... .~ ..... Construction on above described building and permit m~ all applicable codes and regulations. CO -~_ ~ ~'-qgQ Applicant .......................... Rev. 10-10-78 %~ - ~(~,~ ~ = THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as dezcr~bed belo~ and ~ntroduced by the ~pplica~t ~m~d on tl~ a~e ~pp~icatlo~ ~6er in tAe premis~ of in the following location; ~ Basement ~ 1st FI. ,~.sex..ni~edo. ~.~uer 2cJ~ 195:5 FIXTURE RECEPTACLES SWITGHES FIXTURES OUTLETS FLUORESCENT DRYERS [~ 2nd FI. Section Block and found to be in compliance with the requirements of this Board. RANGES ~'OVENS Lot EXHAUST FANS OTHER APPARATUS: R V I C A. W.G. NO~ OF HI-LEG OF CC. COND OF HI-LEG NO, OF NEUTRALS OF NEUTRAL Dettnor Electric Co~ Box 482 Ri~r~w~d~ NoY, i1~)1 Lic#643 This certificate must not be altered in any manner; return to the office of the Board if may their credentials. NG DEPARTMENT, THIS COPY OF I J'B~ ~LTE~D IN AN~ MANNER. ].ooo~,~]. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 8.5 JOHN STREET, NEW YORK, NEW YORK 1,0038 ~-,. ~*~"~""~" ~.""¢"~ N 603944 THIS 6ERTIFIE~ THAT only the electrical equipment as described below and introduced by the applicant named on the able application number in the pretnlses of in the followlng location; ~ Basement [] 1st lq. was examlned on ~1' i9 ~ FIXTURE OUTLETS SWITCHES FIXTURES NCANDESCENT FLUORESC6NT [~ 2nd Fl. OQI~si(~ Section Block Lot and found to be in compliance with the rm uirements of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: S E R V I C E A W O NO, OF HI-LEG pER ,~' OF CC, COND OF NEUTRAL A W O NO OF NEUTRALS OF HI-LEG 1-G.F.G.i. Del; ~,.uer Elect° Box tbtverhe,~d~ N.Y. 11901 This certificote must not be ohered in any manner; return to the office of the Board Lic#~3 !I~AL M~NAGER may be identified by their credentials. C,O.~Y Fg~BUILD! ANY MANNER. FIELD ~' .~--~INSPECTION COMMENTS ~',,, FOUNDATION (1st) FOUNDATIgN 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: Memorandum from.. · BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN I~[ALL, BOX 728, $OUTHOLD, N.Y~ 1.1971 765-1802 BUILDING DEPT. · INSPECTION FOUNDATION XST ROUGH PLBG. FOUNDATION ZND ~ INSULATION [ ~ Fi~MING REMARKS: [ ] FINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Application No../../~..~.~.~ ....... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 o? 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 Town 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildingfor necessary ',~pections. ~.~. ~ . ~_ _ ~ 2 (Sl0hature of applicant, or name, if a corporation) ~4~(Mgiling address of_applicant~ , ,~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N~e of owner of premises.../'/a ~' .¢.'. '... ~..&~....~Ce.*..re:</, .................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ......... . ......... Plumber's License No.....~.W.~ ..... Electrician's License No. ~/~.. ~.. Other rade s License No ............. 1. Location of land on which proposed workwill be done. ...~...~....~...~.....~..~.....~..~(./..~.... . . . ~. ~.55.© ............... xo. .v~. . . t,,~, ............ ~. ~.~i~ ...................... .~.~ House NumberStreet Hamlet County Tax Map No. 1000 Section .... .0. 3. -5 ...... Block....~.. [ ........... Lo~.~. Subdivisiou .e~~. · · 5~¢a~Y~-S..,.&.C. '.~Filed Map No...lq(..5.~..~. .... Lot./fl.~ .z.../. ( ./. ~.. (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed ~~nstructi~n: a. Existing use and occupancy .......... ~.- .~-- t d.~. ~. t..~. ................... , ...................... b. Intended use and occupancy ...,~t~.C.~.ee ...... :,....:.'. :,,,..'. ...... ~.:: .... :.:.'.. 3. Nature of work (check which applicable): New Building .......... Addition ....... .t,]feraflon ......; .~. Repair .............. Removal .............. Demolition .............. Other Work ............... j (Description) Estimated Cost ............ ............... Fee .... .......................... (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number of dwelling units on each fioor ................ If garage, number of cars ..... ...~. .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of 9ach type of use ..................... 7. Dimensions of existing structure's, if any: Front .....~4.~~ ............. 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 ............... Depth ............... ight ' · lie ............... Number of Stones ........................................................ 9. Size of lot: Front ...... I~.O ........... Rear ..... }.~.0 ............ Depth .... ~.O.~ .......... 10. Date of Purchase ........... i .................. Name of Former Owner ............................. 11. Zone or useI district in which premises are situated ..................................................... 1~. Does proposed construction violate any zoning law, ordinance or regulation: ...~,~.~ ......................... 13'.Will lot be r~gr~ded ........ ~¥.~. ........ o.~ ......Will excess fill be. re.moved from premises: Yes 14. Name of Owner of pxemises ~,~,~7~3/4 ~'t/'~t .... Ad6ress . .~/}¥~..~}~ .~ .... Phone No. ~tl~.~.. Name of Cohtractor ~.~....'/&J~. ~kddress/~i.g/?e~i~'.//.~..' .~ No. ,~. ~..~.~.~..'~... PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from prope~iy lines· Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK . ~ S.S · · .~..~-. · · · · · .-. ·. ·. · ............. being duly sworn, deposes and says that he is the applicant ....... ~" '(~i: ne of individual sign!rig contract) above named. He is the ...... , ................................................................................... · ~ ' ' (Contractor, agent, corporate officer, etc.) of said owner ( owners, and is duly. authorized to perform or have performed the said work and to make and file this appli,cation; tha~ ~1[ statements contained in this application are true to the best of his knowledge and belief; and that the work will be ~ert ~rm~d in the manne~ set forth in the application filed therewith. Sworn to before ne this ............. z, ......... oay o~ ..... ~.' ............. , ..... Notary Publi ~ ..... County ,NOTARY PUIIL O, S a a of New ¥o~ , . ......... 25 ....... ~0. 52.4524771 .... qualified in Suffoll{ Coun~ .[ (Signature of applicant) ~mralssion £xpire~ Maqrch 30, / .OCCUPANCY OR '~ IJSE IS ~JitL^W.[UI WlT~iIt~T C[RTIFICATE OF OCCU~AN,CY TYPICAL NEW ROOF CEDAR SHINGLES ON 30~) ROOFING 5/8" EXTERIOR GRADE PLYWOOD 2 x 8 16" OC. 6" FOIL FACED BATTE INSUI~TION 1 x 6" CEDAR FINISH CEILING TYPICAL NEW WALL 1 x 6 CEDAR SIDING ~" EXT. GRADE PLYWOOD SHEATHING 3'2" FOIL FACED BATTE INSULATION ! x 6" CEDAR WALL FENIBE ALL WINDOWS (NOT SHOW~) ANDERSON CASEMENT ~ITH THER~kL GI~ING TVPICAL NEW FIRST FLOOR 3/4" PLYWOOD SUB-FLOOR 2 x 8 16 OC 6" FOIL PACED BATTE INSULATION i'~YPICAL BAS~ENT WALL & FLOOR '2 · 2 x 6 PLATE wITH ½~'0 ANCHOR BOLT 18" OC ,10" CONC BLOCK WALL DURAWALL REINFORCING iEVERY OTHER COURSE. '1 x 6 CEDAR T & G SIDING ON FURRING STRIPS TO 8" AROVE GP~E. 18" x 12 CONCRETE FOOTING ~XPARBION JOINT. ,~ 4" CONCRETE SLAB WITR 6 x 6 9/9 WWF ' ON 6 m~l PLASTIC VAPOR BARRIER & 6" OROUS FILL '"~ ' TTPIC~L WZ~LL ~'GTION FEE ~_~ BY: NOTIFY BUI~TNG DEPARTMENT AT 7654802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNQATION - T~O REQUIRED FOR POURED CONCIRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULAT}ON 4. FINAL - CONSTRUCCTION MUST BE COMP] ETE FOR lC. O. ALL CONSTRUCTION :SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION4 & ENERGY CODES. NOT RESPO)NSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ALTERATION & ADDITION TO THE RESIDENCE OF MR. & MRS. M. EHRENREIOH GREENPORT, N; Y. 111 , AU~t~ ~ELOkJ ~ ' / I~ FOOL ,~c~i,,,E 14'"= ILO~ Il: copper tubing is u~ed for water distributing system piping shall be of types K or L only L J ¢: ~'~" TO p ~F dsi,J i4^~.L To EXIST ~? cokJc. $1--OClq K~,LL OBI)AR T~.6, ~,lPlkJ6 TOP TOP' OF kJEk~ Flt!(¢ -~_ Z~L FLf~ f--L L~'oUt,JD EL .4-7,o