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Home My WebLink About10546-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z9951. Date Hay 27 19 80 THIS CERTIFIES that the building ................................................ 2310 The Long Way East ~ar~on, Location of Property ~/~s~ h/'o .......................................................... 030 Steer 123 Hamlet County Tax Map No. ] 000 Se(~tion ............ B]ock ............... Lot ................. conforms substantially to tlie Application for Building Permit heretofore fried in this office, dated dated .. J..a.n.u.a..l~...1,.8. .............. 19 .8.0., wa~ issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this Certificate is issued is ......... One Family Dwelling T.G.M. Construction Corp. The certificate is issued to ........................... a-tx ...................... of the aforesaid building. IO$~BO--O1 May 21, 1980 Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO. N 1,79161 Building [~spector Rev 4/79 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C[.ERK'S OFFICE SOUTH'OLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~EM. ISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10546 Z Date .......................... 19. Permission is hereby granted to: ...... /..: :./,z:.. .~.,.~,~z., . : ..... .Z~. ~.¢...Z,x~ z~ ,~.~;,~....j,2.f_ .. .... ~./-.- V.,' ....... ,o ........ .Ca ~ ,s.rz~.c~.cT:..... a ~.... ~,.~ .~,.... ~:~z,~ Z/,,~.,~ ........................... f~ at at premises located ....................... ............ ............................................................. ................... , ]~0~..., and approved by the pursuant to application dated ..t,,J~....../..~c., Building Mspector. Fee $,//.~..~'~'~.. ...... Building Inspector FORM NO. 6 TOWN OF SOUTHOLD 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 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 propertv 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. C. 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 Date ................ New Building . ..~. ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~. ~./.~?. '"T~IL"' ~[.~;;~1~: 1~1'~, <~. House No, Street Hem/et Owner or Owners of Propertv~..~.../?.., .C~°. · .1~,..1'..~. · · · .~'. · ,~..: ............................... County Tax Map No. 1000 Section ...O~.?. ........ Block ..... ~ ....... Lot.. ~. ~.~. ......... Subdivisionl~..~..~!?.....1~...~?...~...~..~*~.. ....... Piled Map No ........... Lot No. ~./ .......... Permit No.~..~. ~..~..2-. Date of Permit ~.: ./.~."~....Applicant .'~...~.~/. ~ .ll-~?.~..~;....~...~Z¢~..'. ....... Health Dept. Approval ,/..'~.'..'~.. ~..?./ ............ Labor Dept. Approval ........................ Underwriters Approval ..!~../1/.?. ?./.~../ ........... Planning Board Approval ...................... Request for Temporary Certificate ..................... Finat Certificate ....................... Fee Submitted $ ~ Construction on above described building and permit meets all applicable codes and regulations. · Only the electrical equipment ~ described bel~ and introduced bN t~ applicator ~med on the a~e appllcati&n ~umber in t~e premises ~ . ~ W. P~eedy~~ e/S/0-The L'ong'..W~y} :2266 './to .Main:~ Rd; ,~Eas?' M~rib¢,?:~. ~. . ~- ~. - . ~ ~ ' ' ' - , ~ ~ ~-,J., :~ ~.~;, 'L~ ~S~ct~on ~ ~Block , ~, Lo~ ' 5~ FIXTURE . RANGES EXHAUST FIELD %NSPECTION COMMENTS FOO~OA~O~ FOUNDATION 2. ROUGH FRAME & PLUMBING (an~) INSULATION P~ N.Y. STATE ENERGY FINAL ADDITIONAL COMMEN¢S: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19~. ., 19~?. Permit No. Application No..~.'..~.Y.~. ....... Disapproved a/c ..... .-~+-:~ ......... t~ ....... '//' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application ~nust be completely filled in by typewriter or iti 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 apphcant. 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 M[ADE to the Building Department for the issuance of a Building Permit 15~rsuant to the Building Zone Ordinance of the T6wn 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 necessary inspections. .......... (Signature of applicant, or nam~ ifa corporation) ·. ~ ~.~1~. ~ .~. :7'-..I.}.~' ~'6 .............. (Mailing ad~Iress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· Name of owner of premises .~..~..~...~ ~..4..T~..: .... .~-~?...ff~...- ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Namg ar~t~ltle of corpor"ate officer) Builder's License No .......................... Plumber's License No ~ °°] °~ ~' Electrician's License No...?/..~....~. ........... Other Trade's License No ...................... House Number Street Hamlet County Tax Map No. 1000 Section . ..~. ?...~ ......... Block....'~,. ............ Lot...~....~..~.~. ....... Subdivision..~.~...~..L...~ ....b..~0 ?.~... ~ g~'l--~ Filed Map No. Lot/~ 5/ ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~. var ~ Io b. Intended use and occupancy . O .~,..U.~ ..... . ./~...]..~.~. ...................................... o 10. 11. 13. 14. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ~ .............. Removal .............. Demolition .............. Other Work ............... ,I ~/./.~... ~ . (Description) Estimated Cost ~..~. :~o'o Fee ' (to be paid on filing this application) . , . If dwelhng, number of dwelimg umts .......... Number o f dwelling units on each floor ................ If garage, number of cars ..... ' ............................................................. If business, commercial or mixe4 occupancy, specify nature and extent of each type of use ..................... Dimensions of existing stmcture~, if any: Front ............... Rear .............. Depth ............... Height ............... Num:ber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth .................... I.. Height .......... ~ ............ Number of Stories ..................... D~mens~ons of ect~re new construction: Front...~. ~.. ......... Rear . .~.~. ......... Depth ...."~A'. ~. ....... Height . ."~,..~...~7 ...... Number of Stories ...,'2~...~. ~ .................................. ~ ........... Size of lot: Front ...~. {~. .... i ........... Rear .... ~.~. .............. Depth,...~"~.7..C? ..-7. ......... [)ate of Purchase .. I1~ ~..'2. 7. ............. Name of Former Owner/~.I~/,K./6...~'.~.c..~,. 5~.- .R.t~.3'.'/:.. Zone or use district in ~vhich premises are situated. ~..~...IF'~,..~.. ~. ~ .~ .~.~.... ~IE.~.I~.V".~..C.~... ~'Z~.r5 ......... Does proposed construction vioiate any zoning law, ordinance or regulation: .. IJ. O ......................... Will lot be regraded ..... t,.J. ~ ............ ;~. .... Will excess fill be removed from premises: Yes NoV Name of Owner of premises ~1..t~.~'.f3. ~.~' ~./?£13 P y, Address 4~O~ 1'~o ti.*/ t~,~'. . Phone No Name of Architect ~..~.: .~.. 3,~. ]~-7.~,i i]]. i i i i i ] ] ] Address~'~i~] i~.' ?.''. i]. ]Phone $oi~.'~'.~i .2 ] .~?.' .~.~i i i i Name of Contractor q~.~'~ .~.~. T~.'...~..¢~.. ~ ..... Address .. tg~,g4~,*.~,.. ~ ~.: Phone No. 4'.~. :-.~.~..~.77'. . PLOT DIAGRAM Locate clearly and distinctly alt 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, 3-7o , STATE OF NEW YJ~RF,~ / ,~a COUNTY OF..~~---~ S. S ·~'.,~--..'....~.~Jxt~ .......................... f~ being duly sworn, deposes ~d says that he is the applicant (Name of individual si ~mng contract) above named. He is the ~ : ....... ~ ~ ' (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is 4uly authorized to perform or have perfomed the said work and to m~e and file application; that all,statements cogt~ed ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~er set forth in the application filed therewith· Sworn to before me thi~ ................ day,of... ,19.~ N~otaw Public ounty , . , r ~mmlsslon Expires March'~O, LOt ~' , \~ ,~, . _ -'-% S~O~ ~T~ HmLS'H DEP~T}mN~ SURVE~ FOR WILLIAM PpEEDy ~ ~_ ~, ~ m~, ~/~.~i LO~N~ 51,"P~BBLE BEACH F~BMS" MAY 15, 1980 AT EAST MARION DATE The sewage disposal vnd ¥,ater m~ppl~ ~N OF SOUT~OLO SCALE /'~ facilities fez' tH~s location kav~ b~en inSpeoted by %bls dcpartuon~ a~d found SUFFOLK COUNTY, NEW YORK NO. BO-20 / ~ ~,;~:~ . SURVEY · ~ VIOLATION SECTION 7209 ~ THE ~NEW YqRK $TATE EOUCAT~N LAW CHICAGO TITLE INSURANCE CO. ~hiel' of Oene~'al Engineerln~ ~COPIES ~ THES SURVEY NOT 8ZA.~G TH[ LANO SURVE~R'~ INKEO SEAL OR ~MBOSSED SEAL SHALL HEALTH ~EPARTMENT-DATA FOR APPROVAL TO C~STRUCT AND ~ HIS" BEHALF ~ THE TIILE COUP~Y, GOV~N- Dr.S. T,,. T.os~ s.ow. ,~.~oN o~.~.~s H//~~~''~' WtLLC~FORM TO THE STAN~RDS OF THE SUFF~K COUNTYOEPARTMENT TOEKiSTN~ STRUC~RES AR[FOR ASPECIFIC ~ ~ ~'~ /~ ~ - TEL m ~m / /~UIIO ~ /~UIIO RIVERKAD, NEW YORK ' SUBDIVISION MAP F/LED IN TH~ OFF/CF OF THE CLE~F ALDEN W YOUNG, PROFESSIONAL ENGINEER ~ ' ~/ HOWARO WYOUNG, LAND SURVEYOR ~ L~T~W~(W),SEPTICTANK(ST)aCESS~OLS(CP)SN~NHERE~ ~ ~ ~: ~ NYS LICENSE NO 4589~ ARE FR~ ~IELO OBSE~ATIONS ~O OR DATA OBTAINED FROM OTHERS TDY POST [0494 SURVEY FOR TGM CONSTRUCTION COPP AT EAST MARION D~T[ DEC 28,197~ SUFFOLK COUNTY, NE~ YORK NO ~ OSTRANDER AVENUE ~ YOUNG a YOUNG ..v[..[~. ENERGY CONSERVATION NOTES ( NEW YORK STATE ENERGY CONSERVATION CODE) 1. COUNTY OF LESS THAN EQUAL ~U~W~u~ . PERCENTAGE OF GLAZED AREA IS % OF TOTAL WALL AREA. DEGREE DAY FOR COUNTY. THE FOLLOWING VALUES OF THERMAL TRANSMITTANCE SHALL BE MINIMUM VALUES FOR USE IN THIS PROJECT: ROOFS & FLOORS EXPOSED TO AMBIENT CONDITIONS .................. U ~ .05 r EXTERIOR WALLS ...................... Uw= .08 GLAZING ............................. Ug= .69 ENTRANCE DOORS .... Ud= .40 FLOORS OVER, OR ABOVE GRADE BASEMENT WALLS ENCLOSING UNHEATED SPACES ..... Uf= .08 SLAB EDGE INSULATION UNHEATED SLAB .. Ri= 5.5 SLAB EDGE INSULATION HEATED SLAB .... Ri= 8.0 HEATED BASEMENT / CELLAR WALLS (ABOVE GRADE) ....................... Uw= .08 HEATED BASEMENT / CELLAR WALLS (BELOW GRADE) ....................... Ri = 5.5 FIREPLACE CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE PROVISIONS OF SECTION E - 402.4 OF THE N. Y. STATE ENERGY CONSERVATION CODE. ALL DOORS AND WINDOWS TO BE DESIGNED AND CONSTRUCTED TO LIMIT AIR LEAKAGE IN ACCORDANCE WITH SECTION E - 402.4b OF TEE N. Y. STATE ENERGY CONSERVATION CODE. BUILDING MECHANICAL SYSTEMS ,S~ALL BE IN ACCORDANCE WITH PA~T 5 - "BUILDING DESIGN BY ACCEPTABLE PRACTICE' OF TEE N. Y. STATE ENERGY CONSERVATION CODE, SECTION E- 503.0. II DATE' FEE: fl~4'; BY: /,~L_ ,. NOir]FY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS' 1. FOUNDATION - TWO REQUIRED FOR pOURED CONCRETE 2. ROUGH - FRAMING & pLUMBING 3. INSULATION 4. FINAL - CONSTRUCT!ON MUST BE COMPLETE FOR C O. ALL CONSTRUCTION SHALL MEET THE REQU1RE~AENTS OF TNE N Y. STATE CONSTRUCTION & ENERGY CODES NOT RESPONSIBLE FOR DESIGN OR. CONSTRUCTION ERRORS. I I 4- 7 II F 8 ¥ II 4II 4~ II I N 7-% 7-7 t A I I GENERAL NOTES 1. ALL CONCRETE TO BE CONTROLLED STONE CONCRETE HAVING A MINIMUM COMPRESSIVE STRENGTH OF 2500 POUNDS PER SQUARE INC~ AT 28 DAYS. 4 -1