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HomeMy WebLinkAbout12409-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12}.31 . Date .. March 8¢. 1984 19 THIS CERTIFIES that the building...on.e........family. .d..w.e.l. 1. i..ng. .. .................... .. Location of Property .3.2.5.15. ~q.o.: ~Iarbor Rd: .......... Southold ~t~,se No. ' ........... Street Hamle* County Tax Map No. 1000 Section ... 9.7.5. ..... Block ....0 .7 .......... Lot O 0 .6 Subdivision ............................... Filed Map No ......... Lot No .............. cor~forms substantially to the Application for Building Permit heretofore filed in this office dated ·.. J. uly..7. ........... 19.15 $ pursuant to which Building Permit No. 12409 Z · dated ... J.uly..7., ................. 19.8.3, 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 ......... .... to. cO,nstrac~c, a..one..Eami.l.y..OW~.],],ila.g. ................................... The certificate is issued to John & Nancy Pearson (owner, lessee or tenaotJ of the aforesaid building. Suffolk County Department of Health Approval ......... 13.-.SO:-2.6. ....................... UNDERWRITERS CERTIFICATE NO ................. 62.7. 897 .......................... Rev. 1/81 Building Inspector FO~ NO. 2 TO~N O~ $OUT~OL~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12409 Z Permission is hereby granted to: .... ~.,e..~/..Z-~.~..~ ..Z~,~..... ......... ~.,~.....-.-.~..,~..,;'~c,,.-.Z... ~ ~./,,z.~:...,~..,~'z~..~: ...... ,,~Y,~.~ "' .... County Tax Map No. JO00 Section ...~...7...~....... Block ,..,~,..;Z... ....... Lot No.~.~. ............ pursuant to application dated ....~..,,ff~.~rf......~....~... ...................... , 19~ and approved by the Building Inspector. , l~'x~° Fee .................... Rev. 6/30/80 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-(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. B. 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 featu res. 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/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date... 2.. New Building .............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~.~'~'-c~' ~-~ ~.,/o ~-~ ~ ~k~Y~_ ................. , ........ ........ ....... ....... : ........ House No. Street Hamlet Owner or Owners of Property . .~.~.~.l. ,/~ .... .~'.....~>t/.?? ~ ..... .~.~..~...k:Jl ?. ~ ............. County Tax Map N o. 1000 Section . 9. ~.~'~..0. 5,) ..... B lock .. (~..~..,. ?. ?. ....Lot....~.0 ?: ~). 0..~.. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval . ~,~. ~ '-~'~ '- '~ ~ .Labor Dept. Approval Underwriters Approval ~. ¢ 2_ Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... ; ....................... Construction on above described building and permit meet]~,~pplicable codes and regulations. Rev, 10-10-78 100t195 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 December 28, 1983 ,ate App'ieat,onNo. on/,,e Z20603-83 N 627897 THIS CERTIFIES THAT only the electrical equipment as d~scribed below and introduced by the applicant named on the abo~e application number itt the prendses of Nancy & John Pear,on, Private Rd. S/Harbor Rd., Southold, inthefollowinsIocatlou; ~ Basement ~'lstFl. ~] 2nd FI. Attic Section Block Lot wasex.,.,,,edo,~ December 12, 1983 and fou,td to be in complianee with the requireme,~ts of this Board. FIXTURE OUTLETS 42 DRYERS IECEPTACLES 52 SWITCHES FIXTURES RANGES 'OVENS DISH WASHERS EXHAUST FAN FLUORESCENT VAPOR 44 42 FUTURE APPLIANCE FEEDERS TIME CLOCKS LINIT HEATERS DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 1-Smoke Detector Tracklighting:10'-0', 6-.lites. Electric Room Heaters:l~o75 K.W. S E R V I C O~ A' W, G / NO OF Hi-LEG A. W G. NO ERCC.~COND. OF CC, COND. OF HI-tEG 4/0 NO. OF NEUTRALS AW.G OF NEUTRA[ 4/0 Quinlan Elect. 5 Auburn Circle Hampton Bays= This must not 11946 LIC.#2839 : return to the office of the Board if DEPARTMENT. THI,' GENERAL may be by their credentials. FIELD I~MSPE~TION COMMENf~ . ~ -~,. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDIT~ ~TS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 June 16, 1983 TEL. 765-1802 Clarence Banks, Esq. 25 Bowden Square Southampton, N.Y. 11968 Re: Nancy C. Pearson, M.D. Proposed new dwelling Dear Mr. Banks: This will confirm our telephone conversation tive to the issuance of a building permit to your Pearson. today rela- client, Dr. On Pearson off So. June 2, 1983, we received an application from Dr. to construct a one-family dwelling on premises located Harbor Road, Southold, (County Tax # 1000-075-07-006). The application, plans, and required permits from other agencies involved have been reviewed and found to be in order. Due to the back log of building permit applications, we were unable to issue a permit when applied for, however, a verbal approval was given to start construction. Their appli- cation has been slated for issuance, and when their's is reached on our list the permit will be issued. You~ truly, / Edward F. Hindermann Building & Housing Inspector EFH:ec YORK ST~T~ DEPARTI~NT OF E~PD~,~NT~ CONSEI~VATION ~ld~. 40. S~{~--~om 2X9 S~ony Brook, ~ 11794 (516) 751-7900 January 21, 1983 John & Nancy Pearson 542 East Main Street Rlverhead, New York Dear Mr. & Mrs. Pearson: A reView has been made of your proposal to: construct a home Location: Richmond Creek/Hog Neck Bay; Intersection of South Harbour Rd. & Hiawatha's Path, Peoonle, Town of Southold, Suffolk Co. New York State~9.~artment of Environmental Conservation has found the parcel .,~ project to be: Greater than 300' from inventoried tidal wetlands, Landward of a substantial man-made structure greater than 100' in length constructed prior"to ~eptember 20, 19~7. XX Landward of 10' contour elevation above mean sea level on a gradual, nat- ural elope. Landward of topographical crest of bluff, cliff or dune in excess of 10 feet in elevation above mean sea level. Therefore, no perm/t under Article 25 (Tidal Wetlands of the EnVironmental Conservation Law) is required at this time since the current proposal is beyond State mandated Jurisdiction pursuant to this act. However, any additional work or modifications to the project may require a permit. It is your responsibility to notify this office, in writing, if such additional work of modifications are contemplated. Very truly yours, Daniel J. Larkin l~gional Supervisor of Regulatory Affairs FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined.. 7,/Z ......... , 19 .~..-'.~ Approved..7/7. ......... 1~...~Permit No..l/(~..~..~..~. ~ Disapproved a/c ....... ~]~.. [~ ....... ./q . .~.../. (Duilding Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. INSTRUCTIONS 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 or 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 building for necessar~ in.spectAol3.s. t~gnatur~rof applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ,~,~ f)Sa,Se¥, . ?..,d . L!~.~t.¢~..~-...g..~5~.e'.~, ............ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Electrician s License No...Q ................... Other Trade's License No ...................... ~,~5 ¢ 1. Location of land on which proposed work will be done. q ~.(...'!~J.¢... (~..~ .~.e.~. ~.~...fi't.'~.v.~...~.a~...~.t ??.~. 47j~)....~..~./~ House Number x~ Street Hamlet County Tax Map No. 1000 Section .... .¢~:/.5: O..c ....... Block ..... .(-}7:6.'2 ?. ...... Lot..~..o.~...~..v ?. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a.Existing use and occupancy .... ~,'.q.Q~r,~/.I,~¥r?'. ( t . . ,/~,...~ ~q~, *~*g'~*~/I.e. ~ .................... · b. lntendeduseandoccupancy . ~.lrtc~[J~r''( (eJt~te,ee ~q cTdc, btj. o~ O /,¢11¢,~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal ..... Demolition .............. Other Work .~ .............. 0,,, o,, ,, _ _; ,,, ~.~J,_ _~'~ z,~,~,d. (Description) 4. Estimated Cost ....... ]..~'?.2.0..v..u.'..°..° ................. Fee .~../..*J.~..~..-~...~..~....~.____~. ~ ./.~..~_~.?~.O.. i (to--be paid on ~ing this application) 5. If dwelling, number of dwelling Units ~ 0 4. Number of dwelling units on each floor. If garage number of cars . .&..wp 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions o£ex-isengstmctur~s, if any: Front ............... Rear .............. Depth ............... , l-£eight ............... Number of Stories ................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ........ . .......... Depth ...................... Hei.g~t .... ~ .~ .~ ............ Number of Stories ......................... 8. Dimensions of e,~t~,tire new construction. Front. ~. b'..(.~.. S~'.~)Rear . ff.. ~.. .......... Depth .V.O. ~ ..... Height ...~.'~?..' ........ Number of Stories :.. . ........ Sizeoflot' Frontfie (~¢'/' ~-~ X-20 '~O ~ 9. · .... ~..-.~ .........~ l .... Rear ...................... Der_th .... ~ ....... J ......... 10. Date of Purchase . .0?.4....L.% .{.~?.! ................ Name of Former Owner . ..~.o.b.~.....~.. ?....V.~ :~.e.t'.c.... 11. Zone or use district in which premises are situated.. -.ftC. ................................................ 12. r}oes proposed construction violate any zoning law, ordinance or regulation: ...... ,(/.(2 ........ 13. Will lo{ be regraded .... ~e ....i .................... Will excess fill be remov}~d from premises: ..... ~';i ....~ 14. Name of Owner of premises ~?..~./~.~..~.,: (J~.[~ I i . Address ~ff.L.. V~ ll [ ~ i~. [ '~} ; .~4.~hone No, 17 L7 ~ ~ { t 3 ' ' ' 'i.s.'; o/ V/z ' Name of Architect ... ~ .~.t.c~?.~..L.i .e q ~ ....... Address ~,.~. ~?...%~.~ !L~.tPhone No ............... Name of Contractor ... t .~.. ~.r!~ [, (q].~ ........ Address P:..' ..... ~¢. ......... Phone No..7.~. ?.2 .c/.{ .q. 5.... PLOT DIAGRAM Locate clearly and distinctly all: buildings, whether existing or proposed, and~ indicate all set-back dimensions from property Iines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWXOgI¢, , / '~' S COUNTY.OF..~.~.C),.~ [.4C~. . ._ . .i~' ..... .... .¢.c . .............. ' (Name rot individual signing contract) above named. ~ being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contOined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...... /.~...5~.. ........... day o;....~...O~.. ............ 19.~. Notary Public '. .Si~l ~OTARY PUBLIC, Stale et New Yor~ No. 52-4524771 Qualilied in Suffolk Coont~ , / : (Signature of applicant) I~ Commission Expires March 80, ! ~fer supply I I~ZO, 99 ' B~Ni~MAN '\ ILO`' JOB SHEET ' ' -' , ,, ,.pmLmNG: 2-~d:> K-- ~ ? MODEL: " 'Z, _ FiRST ~ FLOOR ~E~JLING FINISH: ?-' SECOND- FLOOR :CEII~!NG FINISH: .... ' .... t~' - '" ' NOTE Tbs sasuegestb~ foorD~n ~tbal'dlmenslonstobedetermlne~ - ' - * -- .. , .... ' _ ' sky gh[ oumber qMantity swln~ , ., - . ' : - ' ; , ', , .' · , .... ~ ,: ,g ~ . , ; ,. , '., ' ~ Date:,' = ' Box 973 Amagansett, ~. f. 11930 PROJECT Residence for John & Nancy Pearson; Southold~ N.Y. ENERGY CONSEHVATIO?~ CODE NOTES: Deslgn shall conform to N.y. State Energy Conservation Code, Chapter 5~ Section E501.0 thru E504.3 ~ub-systcm ~nsulation Total "N" Required b Wall 2" Thermax UW =0.0454 Uw = 0.08 R-22.03 aver. Floor 3~" fiberglass Uf = 0.07 Uf = 0.07 R-11 Roof 2" Thermax Ur = 0.0492 Ur = 0.05 R-20 Glass Insulated Ug1 = 0.69 Ug1 0.69 Door Steel insulated Ud= 0.40 Ud = 0.40 or storm door COMPUTATIONS: Total wall area ................................ 2482 sq. ft. Area of glass & doors .... , ..................... 564 sq. ft. % of glass & doors in total wall ............... 22.7% % of glass & doors permitted in total wall ..... 23% NOTES: 1. 2. 3. 4. 5. 6. Each heated floor or zone shall have a thermostat with a range of 45° to 70° F. Hot water heater shall have controls set at 140° F. maximum. Heating furnace shall be Class I and shall operate at minimum of 75% efficiency. Heating ductwork shall be insulated H/R 4.0 to 4 .6 Insulation per Section E 403.13a of Code. Maximum setting of Humidistat to be 30%; of dehumidistat~ 60%. Maximum heat loss thru fireplace damper=2Ocfm or fireplace must have Class A rated glass doors. Fireplace shall have a dampered fresh air vent system, 150-200 cfm. All windows and sliding glass doors doors shall or shall have a thermal break. All glass shall be thermopane (double glaze~ COPYRIGHT ~ 1983 BY T-PEG, INC, THIS DRAWING MAY NOT BE ' WHOLE OR IN PART, WITHOUT DIMENSIONS Q× ?~4 c_Y. ?-4 , ~ I,_ :, ~-Z , . I REPRODUCED OR IN DO NOTSCALE :.~ZteC.V,~5 C..Y, t5 ~ _ /C.~ICF.,ET ID¥ OTH'F_FL~5 CE-DAR. D HA.F,E. 5 ~: "- WHOLE OR IN PART, WITHOUT DIMENSIONS 'X C..LO. c~14 FLOOF( NOTE"- MULLION5 ~Y OTHEf:~% FAT I0.. DOOR5 1~_©" COPYRIGHT © 1983 BY T-PEG, INC. TIMBERPE(~ EAST, INC. CLAREMONT, N.H. TIMBERPEG SOUTH, INC. ELKIN, N.C~ TIMBERPEI~ WEST, INC. FT. COLLINS, CO. THIS DRAWING MAY NOT BE REPRODUCED OR COPIED, IN WHOLE OR IN PART, WITHOUT EXPRESS WRITTEN PERMIS-- DO NOT SCALE DIMENSIONS FROM BLUEPRINTS. TIMBERPE .oo~ [~ 2-0 K--..li~,//A/~:~ RAFTEF~. / ! * i i / ~' xx /' .,, ,,.' ,:t ,,~ '/ I~li II II ~ ,,"' '" ,>~"., /"!"'f, ' ," ~!11t , I . c~. '/ ~,'-~ '/..' ,%/' ~ 4~41IIII ~ . ,.--~'~ ,t ,~ /,, ,. ,.~ ---:~ II . , -" ' ' ~ ', ~ q ~ ~ , --, c~m ,~ ~o~II ,,.' - ~~ ~ tlI!1 I , ~ VEN . ~- -- ~ ....... ~ ......... l---~ ...... ~ ......... ~ ........... T ..... ~ ...... ~ I $ , . .-' ~'-d' ~'E~ ~ . . ~OK8 Al6 K4 TIMBERPEG EAST, INC. CLAREMONT, N,H. REPRODUCED OR COPIED, IN DO NOT SCALE -- ~O~