Loading...
HomeMy WebLinkAbout10735-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z]&366. Date ,.. December 16 ....................................... 19 .8.2. THIS CERTIFIES that the budding ................................................ Locatmn of Property .... 5 7.(15. S Lil lwa.ter, kv.e,. C.~cg.o.~.q¢ ....................... House No. Street Ham/et County "fax Map No. ]000 Secnon .1.37 ....... Block .... 4 .......... Lot ...4 .............. Subdivision.. -Elee.t. wood..Cove ............ Filed Map No..1.2.6.5...Lot No....1.6.-.t. 7 ..... conforms snbstantmlly to the Application for Building Penmt heretofore filed in this office dated ·.. J.une. 1..1 ...... ,19 B.{I pursuant to wkich Building Permit No..1. Q .7.3.5.Z. ............ dated ... June. 16 ................ 19 !3.0., was issued, and conforms to all of the requirements of the apphcable provis~ons of the law. The occupancy for wluch this cert~flcate is issued is ......... ·...to. construct, one .car..gar ag.e addit. $9.n. &. alto?. :, .2.n.d...f.l. q9 .r' .t.q..1..iXi.~. 9 space in exisiting dwelling, The certificate ss issued to . ~ernamd. R....Demp. aey .... : ........ , ...... (owner. ~es~ee-oc~o~v~) .... of the aforesaid building. Suffolk County Department of Health Approval . UNDERWRITERS CERTIFICATE NO .IxJ .4.936.7.9. ....................................... Building Inspector Rev 1/81 FORM NO. ~ TOWN OF SOUTHOLD ~UILD~NG DEi>ARTME~T TOWN CLERK'S OFFICE SOUTHOLD, N. Y. (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHOPdZED) N.o 10735 Z Permissmn is hereby granted to: ...... Z~Z-~.~,~,.~......~.. '~,. ~?.~ ..... .~..©: ...... :~,.....~.~...~. .................... ....6t..r..c ~,~.~.c,. ~->....~,.~ ...... z.: ~.. ~ ~.- to ...z...~...~.~.....~...../.,.~,___,,_ _.-~. ~"~'* ...~.~z ....... ..,.:~..z-x,~z~.~f...,~=z/,.~ at premises located at ,~..../.(..)~.....,...~./../..Z,~--.,~:'../~,/---~-~.~.~.~-~,-.....4~..l~,,'f.~-,?~.y ................................ .,~1 ~.- ~ pursuant to application dated . .~ ........ ./..~.~. ....................... , 19..?...(~.., and approved by the Building Inspector. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation 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. F~nal 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 Planmng 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" ~and 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 e certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1 .. New Building ~./~ Old or Pre-existing Building(X)., ....... ~ rVacant Land ............ Locat,on of Property .... .]/~-.]%. ........ ~~.~. Hou No. Owner or Owners of Property ~~~. ~ .2~~ ..... ..... .lot:.47 .... Health ~e~t. Approval .... .~[.~ .............. kabor ~oOt. Approval .... Unde~Hters Approval ..... ~ .............. Plannin~ 8oard A~proual . . .~ ...... ~equost for TemporaW Certificate ..................... Final Certificate ........ Construction on above described building and permi~meets all ap~cabl~o~es and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS '[:~3. BUREAU OF ELECTRICITY ~ B5 JOHN STREET, NEW YORK, NEW Y~)RK 10038 ~,,,te ~p~a'~. :~7, '~.~ ."ppl,c,,t,o,,,'~o.o,,/ile o~:~oz~ N 493 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the _applicant named on the above application number in the premises of Be~N30cd Dei~,~.y, St~illwat~. Av~,, Cu~ct~Sgue, in the following location; [] Basement [~lst FI. ,~as exam,nedo.~pE'~b(5~. 15, 1980 FIXTURE OUTLETS ~ECEPTACLES SWITCHES £2 12 FIXTURES FLUORESCENT [] 2nd FI. Section Block Lot and found to be in compliance with the requtremeuts of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS OTHER APPARATUS 1,~F. moke Det:eceoz' E R V i C E NO OF CC COND PER ,~ 1 AWO OF CC COND NO OF HI-LEG AWG OF HI tEG NO OF NEUTRALS AWG OF NEUTRAL Paul ~ Eot~'hold, N,Y. 11971 INs certificate must not be altered m an' L~c. 2~2 11 COP~ FOR THIS TOWN OF $OUTEIOLD OFFICE OF BUILDING INSPECTOR ' P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 -~ Ja~-~, o~l. ~.~ - Applicant This is to adJise you that the job under Building ~/~. ~or ~r,~~ f~s completed and a final mnspectio~ha~ has not~' $~ done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please f~ll out the enclosed form(s), return same to the above off~ce with a check for $5.00 payable to the Town of Southold. Please indicate to whom the Certificate of Occupancy is to be and arrange with thzs offzce for an inspection date. Thank you for your prompt attention. Very truly yours, Victor Lessard Admznistrator VL:ec Enclosures mailed, FItteD I~SPECTZON COMMENTS FOUNDATION (gsa) FOUNDATION 2. ROUGH FRAME PLUMBING ( na) INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;3 Examined ................ ,19 ... Approved ................ , 19... Permit No. Disapproved ale .................... -': ............... Application No .................. PPLICATION FOR BUILDING PERMIT ~~'P~ca~e.__ ~ ~//) O~c~ Date ....... ./.ff ......... 19 ,~./. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 giwng 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 issue 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 buildings for necessaw.~i~ctions. /~ ~ (Mailing address of applicant)/t/~'3~' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... .~..g.. ~.~.~.~.O. . t. . ~..,~ ~. ./~. P /.~. ~ ._~.£,e.t ~.C..,~/. .............................. (as on the tax roll or l~est 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 ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ........... ....... ..... ......................... House Number Street Hamlet County Tax Map No. 1000 Section ......... 'I .3. 7. .... Block ...... .~. .......... Lot...5/ .............. Subdivision... ~(--/f~ .~.~. c~.4~ .... .~.~.~ ............ Filed Map No. 0..O./.,3./.~.] ...... Lot ..~..~../.~' ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ?. p ~. ct ........................................................ b. Intended use and occupancy . ~,~,,q.~.....'7~..o .... .~.,q.~.~../?..~ ~'~ .................................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal ........... ~l. Demolition .............. Other Work ./~...¢.~ ...... &,'~,~v~,~,, ~r~r~k,~,~. ~,, -G-~ ~',~,*--- ' ~ ,~o (Description) 4. Estimated Cost ...... -~s~.-~P. t2., ................... 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 m~xed 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 ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ' Rear ...................... Depth ...................... 10. Date of Purchase ........... i .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ~ .o .......................... 13. Will lot be regraded ....... ~:~ .................. Will excess fill be removed from premises: Yes No 14, NameofOwnerofpremises ...' ................. Address ................... PhoneNo ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .?~..t:t .,y..~. r. 2 :.'F ............. Address ~.ig I.l.&.I. .g'.~.o.~.~.o.~k .... Phone No. I.~.~.7.g.a?. ....... PLOT DIAGRAM Locate clearly and distinctly all'buildings, whether existing or proposed, and. indicate all set-back dimensions from property 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 Y~qliP~. ~ COUNTY t s 5> ../ '(Name of individual signm contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have peffo~ed the said work and to m~e and file this application; ~at ~1 statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ne~r set fo~h ~ the application filed therewith. Sworn to before me this .......... ~.~. ......... ~ay5 ........... 19../ Nota~ Public,. .......... ~ F .... 2"', ...... County ---[-.. ~ Examined ....... CT...(.~.., 19 .. FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c .. ~.~. .--:.~. ."~' . .................... ,Z~. . / ~.~,g,4~..,6J~ ~,~.~_ APPLICATION FOR BUILDING PERMIT Application No././~'/.td..~. ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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 buildings for~on~,~.~) .~~-'~' '~ ~ ,,~(Signature of applicant, or nXche, if a co~oration) -~2~ 5. ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... .................................................................... ~qame of owner of premises ..../~77..-~.. ~..~../')... ~P... ~]'~7~r-/.~S;~7.~ ..................................... (as on the ta~( roll or latest deed) If applicant is a corporation, signature of duly authorized ofhcer. (Name and title of corporate officer) Builder's License No...~.~?..~.~.. ?.~.~(.7'/.~.~) ....... Plumber's License No.../~..~.,v,~..~. ............... Electrician's License No. ~.),rVg ............... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .......... .3V. ........ fi;~;i ~;~ir' Street '~;~'I;; '~'- County Tax Map No. 1000 Section ...... ~ ~ ~ ...... Block .... ~ ............ Lot.. ~' ............... Subdivision. 7~~..~ ........... Filed Map ~ ~Q../~.~.. Lot .~ 7.( 7 ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ~ t'$~.~ ................................................... b. Intended use and occupancy . ~(~.~(~ ~ ~..~~. ~.~..~ ~.~. ~. ...... 3. Nature of work (checl/which applicable): New Building .......... Addition .~ .~..~...~.. Alteration ~.,l,!j..~.L... Repair .............. Remoyai .............. Demolition .............. Other Work ............... , ~ (Description) 4. Estimated Cost ....... /~/.o..~.o. ....................... Fee ...... ,,(. L-K'... ........................... : (to be paid on filing this application) 5. If dwelling, number of dwelling Chits . ./.. ~dr.,~. ~.'x.7'. · · Number of dwelling units on each floor ................ If garage, number of cars ..... i/' ............ /" ................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wi~h alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ....... ~..o..o ........... Rear .... .f.~.a. ~..o:. ........... Depth . .7..~: .~-9 .............. 10. Date of Purchase .... i.~. 77.7. ................. Name of Former Owner . .2)er.,'r./~....L.),,p..~-~ ......... 11. Zone or use district in which premises are situated ........ ~ ............................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~.o. .......................... 13, Will lot be regraded ....... ~P,c?.' ................. Will excess fill be removed from premises: Yes , No 14. Name of Owner of premises~.,~,e*~ ./q...~.. Ie~ .,e¢c~Address.<.?.o. s7..-~.,,&q~.~hone No.. ?...~9'f.-r .~/~..d>. . Name Of Architect .......... ............... .~. Address ................... Phone No ................ Name of Contractor ~O?.,~-~t:.....~..~..~o../~ 0 ........ Address$~./.':~. ~Yf',f-a,.../~.4-... Phone No..7.,,~ ~. 7..o'?..~-~.. PLOT DIAGRAM ,, Locate clearly and distinctly all I buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block: interior or corner lot. mmber or description according to deed, and show street names and indicate whether STATE OF NEW )r~)R~[/ ~, ,, ,, COUNTY, OF. ? ...... B,~,~,~,~,~,~,~,~,~,~,+,,,'4~-. t5. ~ .4)~-~ .~. r. de.,~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing conSract) above named. He is the ....... 7...~. t:¥.~..?~....:...' ......................................................... ~ ....... : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;' that all statements contained 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 e],~%/th~s,']~ ' -"'--~//-~/g'~ ~.('~) ' . '~" ;~ da,, o~ ''~ ,o Nota,r~lh/b 'c ,., .............. e,~,k&,' ' County , ;ELIZABETH ANN ~EVILLE .-~"'.~..,,.~" HOTARY PUBLIC,State of~e~ York ~ ' No;. 52-8125850, Suffolj~'~ty Term Expires Uarch 30, Eg_ 'H'ALI'~ ~,~T(.~JLkrl'~l~5' (see. att~,che, d ahee~. #EC-W.7 Ao (Total' .wa'l~. area)=*~.1~:~ I~ ' Ag (Tot~l" gI.a=in0 are'a';) = '1'~ I~l" Note- AL1 ~o~ 24.~· qlazLnq area to I')e used Ilea~ Lbss: RO0~- C~ILI~IG .CALCUL~TION~ (see'mattached sheet # EC-C-7 ) · Ao '(Total cetling azea)= )36, ~' ~g uo= . , z.e o. · up (.~ .V~lue:oi' Ao) '" ' .' ':: '~ - Ao 13(, !. Url(UValue of .~rl)=" Uz' (U value ~f ~2~ =, · ~ . " U-- --,sY/~I~,'Le.T+,e')yjr~3~.,,Y" . ' = u.--.. : ' :~6, s"- .'. . :. F!obr'Ca'lcula%tons ( see at.t. ache~ sheet AfI (CaV"Lty a~'ea of AO) "' Af2. ( ~ ~.,~.:, : · ~':~: · ; , . . · .. ~ ... . . ../. ,:, . , }~.:~1.~1''~:~ :~:::~ .~ ~:::: ' : .... :AO:f., : ' '~ ' :'~ '~':. ~'~: :.,-., ::.:,.- .,; .;~. :,,.,,, JAG.. ~. ......... .:,,~ : " ....... ' ' '. oR' , ., Ec- -2) ~Va~e of sl~- . , · He~'~;~-;~'~':~F-3) O~ 7.38. . . .,, R~Value Uf1 ( U value of Af ) = ,~¥~' .of:&'o~_ , Uo- Uw x. Aw +_Ua x ~ +Ud x Ad Uo · _ - --., . Aw '(Tota'l OPaqUe wa,Il ~ea~ = i'O ~'J,:':~l~ · Ud. (Uvalue o~ ~*d) use.~-3/4 spltd wood.doo~ = .,..- · ' . · *" Ht~AT LOSS C~LCULATIONS AP~EA Floors SHEET 2 of ~ Hea~ed Sl~b." Unheated !in./ft ~ btuh/ft Btuh lin/fi @ 40 btuh/ft Btuh Btuh Btuh Btuh Btuh Total ' Btu~ Totai Btuh Code-Desiqn ~arisons AREA ' ' ' Og ............. ' Oo ~alls ........... . Uo Roof-Ceiling ..... .05 Uo Fio.ors .......... . Unheated Slabs ~- ~n, ~=- 5.00 ............. Heated Slabs ..... ~n, ~= 6.30 ......... ~--- DES I(~] DATA 1) pegree Days-- SUFFO~ County---&eoo ..... see NYSECC Part'2, Table 2-1, pg. 21 2) 'lpside air temperature 72 ..... -_ see Nysecc Part 2~ Sec. 202.2a~ pg. 19 3,) Outs[de air temperature I0 .... rsee NYSECC Part 2~ Table 2-2~ pg. 22 ~IAGRA~ ~ATERIAL · c~w~Y (w~) R-V~LUES FRAMING I;% O. &O 0.$~ 4. o/?7 0.17 UW2 = I/RW2 UW2 = UWi = , 070 U~2 =. t33 DIAGRA~ CAVZTY (~l) SHEET ~ Ec-w-~l-b FRAMING (W2) O.3. Z. ~'"1 = 1/RWI UW2 1 = /RW2 UWi= UW2 = 1/&.~? UW1 UN2 = · 06,3 = · o. cl2 o. r14. o . Cl ,!- I q .oo I o.31 Jff.oo 0 2 ~ , 09 l~,Fi 0.9'2