HomeMy WebLinkAbout11419-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
Certificate Of Occupancy
No..~.! 9.8.6.3. ......... Date .... g..ag.u.a.r. ~t' .2.7. ................. 198..2.
THIS CERTIFIES that the, building ................................................
Location of Property , .39.0.0. .......... D?. ;.m.a.~..D?.:t.v.o. ................. L.a..uFp. 1' .........
House No. Street Hamlet
County Tax Map No. 1000 Section 1, 2. .5 ......... Block . . .0 .4 ........... Lot .0. 1. .3 .............
Subdivision .L.a..u.r?.]:, .C.o.qn. ~..ry..E.~..~.a.~.o.~ .... Filed Map No. 5.4..8.6. ;..Lot No..3.7. ..........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
0c ~;ober 9 198. 1.. pursuant to which Building Permit No. 11419
dated . 9.¢.~q .1797..1. ¢ ............... 19.8. 1. , was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupaucy for which this certificate is issued is .........
a private one-family dwelling. *
The certificate is issued to Robert A. & Betty Ann Herreros
of the aforesaid building.
Suffolk County Department of Health Approval 3-80-96, 10/18/73~ aobe~e
UNDERWRITERS CERTIFICATE NO N 548214
· Zoning Board of Appeals approval, ~12909, 11/5/81
Building Inspector
Rev. 1/81
(THIS pERMIT MUST BE KEPT ON THE PRE/~I,S~S UNTIL ~ULL
COMPLETION OF THE WORK AUTHORIZED) ·
No. i~4~9 z
Permissio~ is hereby granted to:
..... ~., z, zT..: ...... i.~ ........ i,.,..: ..... ~
...... ~,~.~.~o.c,~....- .~:, .~;~. ...... w.y~ .
~o.~m.r-. ...... ~ ....~ ..... , ..
- . ........ ----____',~ ~
at p'remis~s located at .~. .~ , ..,.-.0~ ........... ~ .... ~ ....
~ ./,.
.... g~ , .?..-~t..+ ................ ~.:...~ .... .~:.~.
C6uB~ Tax M~p ~o. 1000 Section ...Z~.~...; ..... ~1o~ ~..,~ .............. -- ~kot ~o. ,~....~.- ..........
pUr{u~ni ~o ~pplic~tion dm*d ..(~.~.:....'..+ ~....., 1¢: , ond~¢pprov~ by the
BO~ldlng Ihspector.
InSPector
· Rev. 6/30~80 : ~, ~
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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. Commercia~ buildings, Industria~ 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 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 requ ired 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 ...;..~.~..~.~?.~.Y.. 2,7, 1982
New Building ....X. ........ Old or Pre-existing Building ............ Vacant Land .............
Location of Property . .~./.e...c.o.~.qe.z:...o.~..G..~??...S.t....~...D.e.~..~..D?. ;. ~.u..~.e.~. ~...H.,..~.: .......
House No. Street Hamlet
Owner or Owners of Property Robert and Betty-Anne Her~e~:r~s
County Tax Map No. 1000 Section 125 Block 04 Lot 013
Laurel County ~states 37
Subdivision ................................. Filed Map No ........... Lot bio ..............
Permit bio. 1.17..1.9.Z.... Date of Permit .1.0../.1.~./.8..1Applicant .I.N..L~..t~.D...H.O.M.~.S. ~. ,I.N..C., ............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval .~.5.~..8.2.[~ ............... Planning Board Approval ......................
Request for Temporary Certificate .... HO. .............. Final Certificate ...¥ .E.S. ................
Fee Su bm itted $..5. .. ~0.0 .......................
Construction on above described budding and, j~er, m~me_ets all apphcable c~c~es and regulations,
Applicant .. ~1~S ;' 'INC ~ ......
].000744 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY '
~.t~ es Jori. STREET, NEW YO~K, r~Ew ~O.~ ~OO~
~he following loca~ion; ~ Basement ~ l s~ FI.
FIXTURE
OUTLETS
14
DRYERS
~ECEPTACLES SWITCHES
30 ].6
FIXTURES
~ 2nd Il. Section Block Lot
and found to be in compliance with the r~quirements of th s Board.
RANGES OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
NO. OF FEET
OTH PPARATUS:
1-G.F.¢.I.
1-Smoke detector
· E R V I C
PER ,{Y
AW.G,
OF CC COND.
4
NO. OF HI-LEG
NO OF NEUTRALS
1
4
R. Relyea
P,O. Box 372
Laurel, N,Y.
11948
GENERAL MANAGER
This certificate must not be altered ~n any manner; return to the office of the Board if incorrect. Inspector~ may be ~idenfifled by their credentials.
COPY fOR BUltDING ]DEPARTMENT. Il'liS COPY OF CERTIFICATE MUst NOI'~ ~ -
FORM NO. 3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................Date ...............................
To. ~ ~-?...~.... ~. ~'...
..... ~
PLEASE TAKE NOTICE that your application dated ............... ~, ......... , 19 .
for p~rmit to ~nstmct ~/~ .~ r~C~(~,,~ at
........ ~:~..
Location of Property House ~o. '
County Tax Map No. 1000 Section /~ ~ moc~ ~.. Lot .~.~.
.V....~... Fi~ea ap~o ................. ~ ~.
is returned herewith and disapproved on the following grounds... ~ ,~t~. C~ ..........
· . ~ ..... ~ ..... ~c/ ~.~. ..... ~ .................... ~t :.~ ........
Building Inspector
RV 1/80
COMMENTS
FIELD IN-SPECTION
1.
· FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
,~DITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, H.Y. 11971
TEL.: 765-1802
:'. 7......CO ........ .i
Disapproved
"~ ~.~ ~ APPLICATION FOR BUILDING PERMIT
? Original Permit #67372 - 7/17/73 ' Date.................Oct°bet 8 .,19~.1
INSTRUCTIONS
a. This application must be completely filled in by typewriter or ih ink' and submitted in triplicate to the Buildi
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of bnildings on premises, relationship to adjoining premises or public stre~
or areas, and giviug a detailed description of layout of property must be drawn on the diagram which is part of this apr.
cation·
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon apprcval of this application, tile Building Inspector will issue a Building Permit to the applicant. Such perm
shall be kept on the premises available for inspection throughout the work.
e. No buiktiug sball be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan
shall have been granted by the Building Inspector.
APPLICATION 1S HEREBY MADE to the Building Department for the issuance cfa Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other, applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
ad,nit authorized inspectors on premises and in buildings for necessary inspections.
INLAND HOMES ~ INC.
(Signature of applicant, or name, if a corporation)
! .9.5.2. .....
(Mailing address of al~plicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~
General Contrac'cor
Robert Herrerros
Nmne of owner of premises ........................................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
........ Rahert. E, .Hiltz,. ~.~e$.. ............
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's Licens~ No. 517-P
Electrician's License No...2.1..4.8.-.E. .............
Other Trade's License No ......................
1. Location '~f land on which proposed work wiltgo/eFdone.S./.E. ,qo..r.n.e.r...o.f..G.i.n..a..S.t..r..e,e.'c..&....D.e.l.m.a..r ........
Drive Laurel, N.Y.
House Number Street Hamlet
County Tax Map No. 1000 Section ... /~ ~'' Block ?. c/_. Lot....-~C... O.F. .~...
Subdivision. Laurel County Estates 37
...................... Filed },lap No. ~" Lot
(Nmne)
2. State existing use and occupancy of premises an, Cintended use and occupancy of proposed construction:
a. xisting and occupancy...
1- Family dwellin9
b Intended use and occu anc ......... tz . '.C¢ ~-,'C C~..t~.2~., .
· p y .......................... .~..(.4 ................
X
L Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
Estimated Cost .... .~..~ .......................... Fee . C?.. ~....-:-. ................. .'
(to be paid on filing this application)
;. If dwelling, number of dwelling units ..... :1, ......... Number of dwelling units on each floor ................
If garage, number of cars ...........................................................
;. If business, commercial or mixed occupancy, specify noture and extent of each type of use .....................
Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... lteight ...................... Number of Stories ......................
3. Dimensions of entire new construction: Front .... 6.3. ......... Rear 63 Depth 511 '4"
Height 18' Number of Stories 1
;. Size of lot: Front .124 .................. Rear ..... 1.2.4. .............. Depth . .1..8.1 ..................
). Date o'f Purchase ............................. Name of Former Owner . .~a..m.e .......................
I. Zone or use district in which premises are situated ...... - ............................ i': ..................
2. Does proposed construction violate any zoning law, ordinance or regulation: ... ~Q ......................... :~
L WiU lot be regraded ............................ Will excess fill be removed from premises: Yes No
L Name of Owner of premises .RoI:)~Jr.~; .I:I~;r.x[q~];'lr.o.s. Address ................... Phone No ................
Name of Architect ........................... Address ................... Phone No ................
Nmne of Contractor I.N...I~A~....17I...O~..S. ~ .I.N.C... ...... Address B. 9.x.1.1.7. ~ ?l.a.'c.~. 5:..'c .u.e.k. Phone No298':9696
PLOT DIAGRAM
Locate clearly and distinctly ri buildings, whether existing or proposed, and. indicate all set-back dimensions from
;operty lines. Give street and block nmnber or description according to deed, and show street names and indicate whether
tenor or corner lot.
rATE OF NEW YORK,
out, rY OF..S.U F. 9.L.K ........ S.S
........ .RQI~.E.R.T..E.~..H.I.L.T..Z ...................... being duly sworn, deposes and say~ that he is the applicant
(Name of indMdual signing contract)
love named.
is the Contractor
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
)plication; that all statements contained in this application are true to fi~e best of his knowledge and belief; and that the
ork will be performed in the manner set forth h~ tbe application filed therewith.
a, orn to before me this
~ ~ N NEVILLE -- -
t ]gnature ot applicant)
No. 52-8125850, Suffolk
Term Expires March 30, 19
Southold Town Board of Appea!s
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2909
Application Dated October 9, 1981
TO: Mr. and Mrs. Robert A. Herreros
3000 Delmar Drive
Laurel, NY 11948
[Appellant (s) ]
At a Meeting of the Zoning Board of Appeals held on November 5, 1981,
the above appeal was considered, and the action indicated below was taken
on your [ ] Request for Variance Due to Lack of Access to Property
New York Town Law, Section 280-a
[ ] Request for Special Exception under the Zoning Ordinance
Article , Section
[X] Request for Variance tO the Zoning Ordinance
Article III , Section 100-31
./'~ [ ] Request for
7:30 p.m. Application of Robert A. and Bettyann Herreros, 3000 Delmar
Drive, Laurel, NY for a Variance to the Zoning Ordinance, Article III,
Section 100-31 for permission to construct addition to dwelling with an
insufficient frontyard setback. Location of Property: 3000 Delmar
Drive, Laurel~ NY; Laurel Country Estates Map No. 5486, Lot 37; County
Tax Map Parcel Item No. 1000-125-4-13.
By this~'a~peal, applicants seek permission to construct a 10' by 27'3"
addition at the northwest side of existing dwelling with a frontyard
setback off Gina Street at its nearest point of approximately 30 .feet.
Gina Street is a dead-end street, and the dwelling is setback off
Delmar Drive at its nearest point approximately 40 feet. The premises
is a corner lot as defined by Section 100-13. The Board agrees that
this location for the addition is the most practical, and the design
of the dwelling lends itself to the practical difficulties in these
circumstances.
In considering this appeal, the board determines that the variance
request is not substantial in relation to the code requirements; that
the circumstances herein are unique; that by allowing the variance
no substantial detriment to adjoining properties would be created;
that the difficulty cannot be obviated by a method, feasible to appel-
lants, other than a variance; that no adverse effects will be produced
on available governmental facilities of any increased population; that
the relief requested will be in harmony with and promote the general
purposes of zoning; and that the interests of justice will be served by
allowing the variance.
On motion by Mr. Grigonis, seconded by Mr. Goehringer, it was
RESOLVED, that the application of Robert A. and Bettyann Herreros~
Appeal No. 2909, be GRANTED A~ APPLIED FOR.
Location of Property: 3000
Parcel No. 1000-125-4-13.
Vote of the Board: Ayes:
Ti~E SOUTIIOLD TOWN CLERK
Delmar Drive, Laurel, NY; County Tax Map
~ssrs. Doyen, Douglass, Goehringer, Sawicki
n was unanimously adopted.
APPROVED
~TOWN
OF APPEALS
ZONING BOARD
PROJECT
LOCATIO* ~,Z,v,CC'- , -~/
PRO.JECT L/DfI~2..'t ~./~ /
! hereby certify that I hav~ p~epared the plus and specifications
~r the above referenced project and, together with the ~llowing info~atien?
they are, %0 the best of my knowledge and belief, in compliance with the New
York State E~RGY CONSERVATION CONST~CTION CO~ pr%nted January 1, 1979 by the
acceptable practice method (ESO0) PART 5~ , /
SYSTE~f: Gas ~/ . Oil Electric
DISTRIBUTION~ '~/ Water Air Ste~
USE~ %/ floating 0nly Cooling 0nly
Htg. & Cooling Split .%
Bm
C.
D.
F.
The contractor shall furnish and inst211 construction materials
such that the following '~" values are not exceeded$
1. Roofs ~,~.
2, Floor over Unheated Basement
3. Exterior ~lls ,~
4..Glazing
5. Entrance Doors
6, perimeter Slab ~.~
?, Floor over Cra~zl Space
Heating- Design INI~0H ~ir Tenperature shall be
Cooling- Design'IND00R Air Temperature shall be
Heating- Design OUTDOOR lit Temperature shall be __
Cooling- Design OUTDOOR Air Temperature shall be --
?'2_ ~F
Design heat loss/he~t gain through each exterior facade in
BTU/HR. - ~:~; ATTAC~D SI[EET
"R" Values of Insulating )~aterials- As indicated on the Drawings.
N-uT~BRR OF ZOA~ES~
~STIC I!OT WA~2 ;~A~R: T/pe~ ~ CLASS I
~%h automatic controls-- Ran~e~ to 140 F
install ~th shut off s~tch
Electrical lighting and power design data are in accordance with
Section E405.2 of the
~R~NTAGE GLAZING /~.%f ( [¢axim~ ~3~ )
sheet No. 1 of ~
1. The contractor shall furnish to the o~ner written maintenance
instructions for all equipment which requires preventative
maintenance for efficient operation.
The contractor shall furnish and install adequate ventilation in
accordance with N.Y. State Building Construction Code and N.Y. State
Building Construction Code ~!anual, latest editions.
AIR LEAKAGES
Exterior joints around window and door frames; openings between
walls and roof/ceilings and between wall p~nels~ openings at
penetrations cf utility services through walls~ floors, & roofsl
and all other such openings shall be caulkedj gasketed, weather-
strip,ed or otherwise sealed.
The contractor shall furnish and install manufactured doors and ~
windows which have infiltration loss rates ( a~ 25mph ~nd velocity
equal to or less than those listed belows
~]ND~ ~ 0.5 Cfm per lin. ft. of operable sash crack
S~NGING D00~S~ 1.0 cfm per sq. ft. of door area
SLiDInG GL~SS D00RS~ 0.5 cfm per s~. ft. of door area.
FI1L~PLACE D_~.~I~E~R~ 20 cfm
Parnish and install tight fitting, non combustible fireplace doors.
Furnish and install dampered duct in fireplace sides or
in hearth ducted from the outdoors.
5. Insulate supply ductwork in unheated basement or crawl space
with insulation with vapor barrier ~ith R= 5.0 or greater.
6. Insulate piping 'in all unheated spaces and slabs with 3/4" thick
suitable insulation for all pipes 1" and less in diameter.
sheet No. 2 of ~
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