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HomeMy WebLinkAbout10590-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No... Z99.61 ........ Date .......... l~lay..28 ................ 19 80. THIS CERTIFIES that the bmldmg ................................................ Location of Property ..... 'l ./455..It1~1111~ el'. l~osd ....................... Sou'l;holcl~. N,.Y. House No. Street Hem/et County Tax Map No. 1000 Section ....O.E}8 ..... Bloc]( .... .0.~. ........Lot .... .O./-[.~ ......... Subdivision... ~'.e.~.:~y. ~.at;ers .............. Filed Map No... 29.01 .t,ot No...10 ......... conforms substantially to the Application for Building Permit heretofore filed in tlfis office dated ·.. ~t~.eh .? ......... , 19~0. pursuant to which Building Permit No ...... 1059.0Z ......... dated ... ~..rg.h, .~.0 ............... 19.80, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ................. ~..e.e.e.~. ~..o.r~..G.ar~g.e..~.n .R..e.a.r..¥.ar~ ............................ The certificate is issued to .......... O.'l:'t;O. ¢a. er'~o~,n.e.r .~) ...................... of the aforesaid building. Suffolk County Department of Health Approval ........... I~1].I~ ........................... UNDERWRITERS CERTIFICATE NO ................... ~./.1~ ........................... · B~lding Inspector Rev 4/79 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10590 Z Permission ~s hereby granted to: ..... ~.~...¥~......C.~.~ ...Z~.,~.. ..... ..~.~.~.,~..~..~.~ ......... ~.. .~ ........ .......... /. f ~/'~ . ......... ~t~z~......~zc~,.,.~$~ ....... ~. c~~ .......................... at premises located at ......................... J~l~...~Z~..ZC....~.~.w~ ~. / -~4~..~4~ ......... ~..,~.Z~d .~ ....... ~..z.~ ...................................... pursuant to application dated ~Z~.~ ..... ~ ................ , 1~., and approved by the Building Inspector. Pee $./...~..-...: ...... Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OFOCCUPANCY 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 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 Date...~.2G,..~9$0 ......... New Building .~7.'~'.~:,, Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ~. ~. .......... !.?.~r~.e.~.. ~ ~.~,~, ................... ,~," o~,~;~1 o ~¢~ ....... House No. Street Hamlet Owner or Owners of Property ,..0~."i;~. ~,',.~.~'~ .............................................. County Tax Map No. 1000 Section .0..~.~ ........... Block . ~5 ............ Lot.. , .~-~-.~. ........ Subdivision...~.~??.~.. I~,,%.~,q?~; ................ Filed Map No. ~cj~.'~ ...... Lot No. '[© ........... Permit No.'t.O.~.© ..... Date of Permit ~./.~Q~/~.0..Applicant . G.~.O~'~'.e..,~b~L~,~.,$. B~i. Id e.~..~.~¢ .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ ............................. Construction on above described building and permi~t~ eets all applicable code,~ ~)¢d regulations. Applicant ....... .~';. .... ~ ................ ' ................... r .0~\ FIELD COMMENTS FOUNDATION ( st) FOUNDATION 2. ROUGH FRAME& PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY CODE % FINAL ADDITIONAL COMMENTS: NEW YORK STATE DEPARTMENT OI ENVIRONMENTAl: CONSERVATION PERMIT REVISED REVISED UNDER THE ENVIRONMENTAL CONSERVATION LAW ~ ARTICLE15, (Prolectimlof Water) ~ ARTICLE 25, (Tldal Wetlands) ARTICLE 24, (Freshwater Wetlands) ARTICLE 36, (Construction in Flood Ifazard Areas) TW 15276-0128"A" PERMIT ISSUED TO Otto Gerry ADDRESS OF PERMITTEE 3602 Coronado Drive, Louisville, Kentucky 40222 LOCAIlON OF PROJECT (Section of stream, Udal wetland, dam, building) Hog Neck Bay DESCRIPTION OF PROJECT Construct a 25' x 25' sa_rage with northeasterly corner no closer than 20' from easterly boundary of parcel on Rambler Road, Lot 10 on ~Map of Terry Waters. COMMUNITY NAME (Clly, Town, Village) Cedar Beach COUNTY TOWN -- Southold PERMIT EXPIRATION DATE JFIA COMMUNITY NO, J DAM NO. Suffolk GEi~F RAt CONDITIONS 1. The perm~tlee shall file in the o(flce of Ihe appropriate Regional Perm,t Administrator, a not~ce of intention to commence work at least 48 hours m advance of the t~me of commencement and shall also nohfy h~m 2. Tile perrmtled work shall be subject lo mspechon by an authorized 3. As a condu~on of the issuance o( th~s permit, Ihe apphcant has ac cepted expressly, by the execution of the apphcal~on, the full legal respom bed of the waterway or flood plato or deep holes that may have a tendency to al the Iocahty shown on the drawing herelo attached, and, ff so prescubed thereon, w~lhm or behind a good and substantial bulkhead or bulkheads, such work herein aulhorized. nondlhon the ,awgabJe and flood capacity of the walercourse. No clatm shall 8. That tile State of New York shall in no case be hable for any damage or injury to the structure or work herren authorized which may be caused by or result from future operations undertaken by the State for the conservaUon or ~mprovement of nawgahon, or for other purposes, and no claim or right to compensal~on shall accrue from any such damage. 9. That ~f t,he d~splay of lights and s~gnals on any work hereby authorized is not otherwise provided for by law, such lights and s~gnals as may be pre- scribed by file Umled States Coasl Guard shah be ~nstalled and maintained by and al lhe expense of the owner. 10. All work carrmd out under th~s permit shall be performed in accor- dance w~th estabhshed engmeenng prachce and In a workmanhke manner. 11. If granted under ArUcles 24 a~ 25, the Department reserves ~he right to reconsider lh~s approval at any Ume and after due notice and hearmg to continue, rescind or modify this permit ~n such a manner as may be found to be Just and equitable. If upon the expiration or revocation of th~s permit, the modff~cahoe of (he welland hereby aulhonzed has not been completed, the apphcant shall~ wHhout expense to Ihe Slate, and Io such extent and in such tmle and manner as lhe Department of EnwronmentaIConservahon may require, s~te to ~ts form~r condition. No ciaun shall be made against the State of New 12. This permit shall not be construed as conveym§ to Ihe apphcanl an), provals, lands, easements and rights-of-way which may be required for this project. 14. if granted under Article 36, th~s permd, ls granted solely on the basis Part 500 of 6 NYCRR (Construction m Flood Haul Areas hawng $~ec~al Flood Hazards - Bmldmg Pernnts) and in no way s~gnlfles that the project will be 95-20-4 (9/75) (SEE REVERSE SIDE) S~ECIAL CONDITIONS 16. Applicant shall be liable for any d~a~age to adjacent waterway resulting from any phase of the permitted construction. 17. There is to be ~o fill placed closer than 20' fr~m easterly boundary of marsh. 18. There is to be minimal disruption to land and vegetation to the east of project site. 2/19/80 Daniel J. Larkin, P.E. cc: U.S. Army Corps of Engineers NYSDEC Law Enforcement - Region I ADDRESS J NY$ Dept. of Env. Conservation pldg. 40, SUNY, Stony Brook, NY 11794 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Examined ................ , 19.~-.. Approved . ./~."~/.(.~.~...~5~.')..., 19~.':'~. Permit No.../.(.?.~.7 .~.~.~ k~_ Disapproved a/c .... , ........................... ~ ? (Building Inspector) e, '~ APPLICATION FOR BUILDING PERMIT · ~ - IJ e, ·'.~ · ·:' INSTRUCTIONS--' r" ' oJ'z-t, a. This application must be completely filled,,in by typewriter or in ink and submitted in triplicate to the Building Inspe~6-r, with 3 ~ets of plans, accurate plot p~n' to soal¢. Fee hZZ~d~n~ to sdh%~file. ~' ' o b. Plot plan showing location of lot and of buildings on pretnises, relations~p 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 th~s appli- cation. c. The work covered by this apphcation may not be commenced before issuance of Building Pe~it. d. Upon approv~ of this apphcat~on, the Building Inspector will issue a Building Pe~it to the applicant. Such pe~it sh~l be kept on the premises available for inspection throughout lhe work. e. No building shall be occupied or used ~n whole or in pa~ for~any ~urpose whatever until a Certificate of Occupancy sh~l have been granted by the Building Inspector. .~ ~ , o ~PLICATION IS HEREBY MADE to the Bmlding Department for the issuance of a Building Pemit 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, ~d to admit autho~zed inspectors on premises and in buildings for necessaw inspections. . ............ (Signature of applicant, or name, ~f a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Centractor Name of owner of premises . . .0.~.~. ,..G.o.P..fy .......................................................... (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... 32, ................ Plumber's License No .................... Electrician's License No...1529E .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done. P~ar~blem .Ro~.d .................................. ...................... Ramb'l.or. R®a¢t ................ S~ugh®.ld ..................... House Nmnber Street Hamlet County Tax Map No. 1000 Section . ~ .......... Block ~. ............ Lot..~.~] ........... Subdivision .... ~r~.. ~r.~ .............. Filed Map No. ~.~P ( ........ Lot... ~./.~ .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy'of proposed construction: ~ Existing use and occupancy ~ ~z~ ~/~_~ ~///Z ~' b. Intended use and occupancy ...garag~ ·. ~ C g. ~~ .......................... ~ 3. Nature of work (check which applicable): New Building .. X ....... Addition .......... Alteration .......... Repair .............. Removal ............... Demolition .............. Other Work ............... . ~ (Descri tion) $9500 ' /CQ 4. Lsbmated Cost.. .~00 ............. Fee ............................ (to be paid on filing this application) 5. If dwelling, number of dwelling iunits ............... Number of dwelling units on each floor ................ ' 'l;w,. If garage, number of cars .. . ............................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structurgs, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure w}th alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. I)imen.sions of entire new construction: Front . .25 ........... Rear .. 2.~ ........... Depth ...2.5 .......... 13.'. ' ' Height ........... Number of Stories .... Ol1~ ................................................ 9. Size of lot: Front .11./4...tt3.., ........... Rear ..... 11.0. ............. Depth .. 150.6A ............ 10. Date of Purchase .U~_Jl.. 9..w!9.. i .................. Name of Former Owner ... Llllkne.w/% ................. 11. Zone or use district in which pr~mises are situated A 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... .N..~. ...................... 13. Will lot be regraded .. no · ·. i ................... Will excess fill be removed from premises: . Yqs nONe 14. Name of Owner of premises .. Ot~;o. Gerl-gr..,...Address .3602. C®r$i%ad®. DiP~toneNo.L.~.u.z.@¥Xl.i.e.~.K~... Name of Architect . Address Phone No Name of Contractor . Ge.orgeI ~ler. s .Bu~ 'I der.l~da'~a...Cugcl-~ogua~..N.~.Phone No. ?.~5/4- .50~1/) ..... Locate clearly and distinctly al property lines. Give street and block interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether See attached STAI E OF NEW j~R~. ~/ ~ COUNTY OF. ~ .... i S.S n [ ........ ~eO~.~e. Air, ers .... , ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. J He is the ................. O.nfcraxlt®r ...................... ~ ..................................... ~ e/~' ~ (Contractor, agent, 8orp0rat~Cofficer, etc.) of said owner or owners, and is ddly authorized to perform or have performed the said work and to make and file this application'; that all statements conlained 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 bef0r~ me this. , 3- ~ Notary Publi .... Cou;i~ y o , JUDITH T. TERRY i ' ' ' Nol~ary Public~ State 0f NowiYorl~ (Signature of applicant) ~ No. 62.0344§63 Suffolk Cgunt~l ,$ommlsslon EXNres Marc~130i 19t~id / . - I ..... '' ~ ' ' ~' "~'~'' ~'; FO~ ~OORED' CONCRETE __. ...... :'~o ~ · ~.¢.. 2. RoUG~ - F~M NG & PLUMB ~ J~ ~ ~ 4.~FINALI- CONSTRUCTION MUSTI J '< N ' t 'J T~E, REQJIREMENTS OF THE N ?~ ~ t I ~TE O)NSTRUCTION & ENE~'G~ ' ~ .....~"~' NOT RESPONSIBLE FOR CODES. DI~SIGN O CONSTRUCTION ERRORS I --? basement // \ unexcavated II 765-1802 9 AM TO 4 PM FOLLOWING INSPECTIONS: L1. FOUNDATION ' TWO REQUIRED FOR POURED CoNCREI'E 2. ROUGH - FRAMING & pLUMBING ~. INSULATION ~UST 4. FINAL - coNSTRUCTION BE COMPLETE FOR C-O. /~LL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & CODES. NOT RESPONSIBL[ FOR DESIGN OR CONSTRUCTION 11 foundation plan dining Ji p pit details bedroom , Il --9 bath dressing master bedroom di.i.g bedroom .I. floor plan Ii ENERGY CONSERVATION NOTES ( NEW YORK STATE ENERGY 1. COUNTY OF CONSERVATION CODE) PERCENTAGE OF GLAZED AREA IS LESS THAN % OF TOTAL WALL AREA. DEGREE DAY EQUAL FOR COUNTY. THE FOLLOWING VALUES OF THERMAL TRANSMITTA~NCE SHALL BE MINIMUM VALUES FOR USE IN TNIS PROJECT:~ ROOFS & FLOORS EXPOSED TO AMBIENT CONDITIONS .................. ~r~ .05 EXTERIOR WALLS ...................... ~w= .08 GLAZING ............................. ~g~ .69 ENTRANCE DOORS ...................... Vd= .40 FLOORS OVER, OR ABOVE GRADE BASEMENT WALLS ENCLOSING UNHEATED SPACES ..... Uf= .08 SLAB EDGE INSULATION UNIIEATED SLAB .. ~i= 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 THE N. Y. STATE ENERGY CONSERVATION CODE. BUILDING MECHANICAL SYSTEMS SHALL BE IN ACCORDANCE WITH PART 5 - "BUILDING DESIGN BY ACCEPTABLE PPJ~CTICE' OF THE N. Y, STATE ENERGY CONSERVATION CODE, SECTION B- 503.0. GENERAL NOTES 2. 3. 4. 5. ALL CONCRETE TO BE CONTROLLED STONE CONCRETE HAVING A MINIMUM COMPRESSIVE STRENGTH OF 2500 POUNDS PER SQUARE INCH AT 28 DAYS. BOTTOM OF ALL FOOTINGS SHALL BEAR ON UNDISTURBED SOIl HAVING A MINIMUM BEARING CAPACITY OF TWO (2) TONS PER SQUARE FOOT. PROVIDE MEMBRANE WATERPROOFING AT EXTERIOR FOUNDATION WALLS. NO NOTE OR DETAIL OR LACK TREREOF SHALL BE CONSTRUED AS RELIEVING TEE CONTRACTOR PRO~ EXECUTION OF ALL WORK IN ACCORDANCE WITH ALL STATE AND/OR LOCAL CODES. FP~AMING LUMBER SHALL BE STP, ESS RATED DOUGLAS FIR OR SOUTHERN PINE STRESS RATED 1200 POUNDS PER SQUARE INCE MINIMUM FOR BENDING (lb) FOR ~INGLE ~MBE;R USE, AND 90 POUNDS PEP SQUARE INCH MINIMUM FOR SHEAR (Fy), AND }lAVING A MODULUS OF ELASTICITY OF 1,500,000 UNLESS NOTED OTHERWISE. VALUES ARE FOR SURFACED DRY LUMBER ONLY USED AT 19% MOISTURE CONTENT. HEADERS AND TRIMMERS TO BE DOUBLED WHERE ~EQUIP~ED. DOUBLE ALL PLQOR JOISTS UNDER PARTITIONS PARALLE~ TO FLOOR JOISTS AND OVER 6'-0" LONG. ALL PLUMBING WORK TO BE IN STRICT ACCOPdDANCE WITH LOCAb TOWN ORDINANCES. ALL ELECTRICAL WORK TO BE'UNDERWRITER APPROVED. CURBS, CURB CUTS AND PAVING MUST CONFORM WITH ALL REGULATIONS AND REQUIREMENTS OF THE DEPARTMENT PUBLIC WORKS. OWNERSHIP OF DOCUMENTS THESE DRAWINGS AND SPECIFICATIONS ARE INSTRUMENTS OF SERVICE AND SHALL REMAIN THE PROPERTY OF THE ARCHITECT WHETHER THE PROJECT FOR W~ICH THEY ARE MADE IS EXECUTED OR NOT. THEY ARE NOT TO BE USED ON ANY OTHER PROJECT EXCEPT BY WRITTEN AUTHORIZATION OF THE ARCHITECT. section =a' liVJllgI I bedroom bath bedroom basement II , section b fronrt right side elevations I: II