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HomeMy WebLinkAbout11088-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10669 THIS CERTIFIES that the building ................................................ 6625 Nassau Point Road, Cutcho,~,ue, New York Location of Property ......................................... House No. Street l:l~/e~ County Tax Map No. 1000 Section 1 1 1 .... Block 1 5 .Lot 7 Nassau Point 156 48 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 31 81 1tO88Z ..................... , 19 . . . pursuant to which Building Permit No ...................... of the apphcable provisions of the law. The occupancy for which this certificate is issued is ......... Addition to Dweltin~ The certificate is issued to Steve and Sandy Eggers ..................... [o~,n'o',', '/&~ob~ok'l//ub~;k'/ ................... of the aforesaid building. Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE NO. N 5 3 2 7 4 2 ......... ~..'.~.'¢':: · · ././.... ,d-c¢.dzrc,/. .... Building Inspec{or Rev. 1/81 FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT. TOWN HALL SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) N9 11088 Z Permission is hereby granted to: ....... ~z~.~.%~.~.....CL...,r.~-.~.~.~.~../.~ .... ~u../..~.F...~......~"~.,~ ./....:'~z,~....~ ...... /~..~,.~4..-..xx.:~:.,...i.....zz.~>:-~/ ko ........ Cgo..~,,.~.z~: o. cT..:......~r~/..~..o, w'.......~..~..i~.4-~..~.~,~*~.....o~ .................. .......... ~.~....,.~,..~ ....... .,~. x~ ~.~.....~..Z.... ~m~.~ ~;~...z~,~ ~;,~.~ .... ~ s'--,~/..~ ~.~..~ ..~.. ........................... .Z/..4.. .......... ~..~..:~.r.~/.. .......... ~ .... ~.. County Tax Map No. 1000 'Section ...... /../../../.. ....... ~. Block. ..... i~/..~...'...., iLar No....~'~"7" ....... pursuant to application dated .... ~:~,:'~.........~..[..'.....'L...., 19~..~'~.., and approved by the Building Inspector. Fee ....... ~ ....... ~ Bui181'ng Inspector 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 featu res. 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. 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 ..~. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ....................... House No. Street ~-/~;mlet I Owner or Owners of Property .............................................. ~-~ .- ..... County Tax Map No. 1000 Section .. ~/~//~.. Block //.;~. Lot .... ~ ....... Subdivision... V/~../~..~../~. ,.~......~0. ~! .~.' .' .~.' .' i i i i i~,,ed Map' ~i' i: .~.'~i .' i iLot N~i ....~ .~. ...... Permit No.~./.~...~..~'.. Date of Permit .~./~./~.~.~. ~/..~/~p/plicant .~.O..z~..~..'~.'.~../~.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... ~...0.0. ................... Construction on above described building and perj:~t meets all applicable cod~ and ~egulat~s. Pp ...~:t ....... ~,. .... ~/Y.:..~ ......... ~,~0009i THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~.~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 oat~ A.W~?3~t ~5 ~ 1981 Jppllcation No. o. file ]21616-8t N ~ ~ ~ 7 ~ ? 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 in thefollowing location; ~ Basement ~ 1st FI. [] 2nd FI. Section Block Lot ~.~e~a..,,,ed,,n ~V~sC 20~ 1951 .ndfoundtobeinco,nphancewithtkerequirement~ofthlsBoard. FIXTURE OUTLETS 15 rECEPTACLES SWITCHES 11 11 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS NCANDESCENT FtUORESCENT VAPO~ DRYERS E MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E OTHER APPARATUS NO OF CC COND PER ~ ~ V t C E AWG OF CC COND 3/0 NO OF HI LEG AWG OF HI-LEG NO OF~UTRALS AWG OF NEUTRAL 3/0 iA.(:: #137 Th~s certificate ~nust not be altered in any manner; return to the office of the 8oard if incorrect, Inspectors be by their credentials. cOPY FOR BU~ILDING DEPARTMENT. THIS COPY OF C~R?'IFICA?E ~U~T NOT ~BE~ ALTERED IN ANY MANNER. FOUNDATZON (1st) FOUNDATION {2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: P. O. BOX 1~18 MATTITUCK, N. Y. 11952 516/298-5230 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1803 (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No.. f~.~.q~..~. ....... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building .nspector, 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli~ ,, :ation. c. The work covered by this application may not be commenced before issuance of Building Pe.rrnit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit ;hall 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 ,hall 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 3mlding 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, md to ~dmit anthoHzed inspectors on premises and in buildings for necessary ins!~)tions./ ..... ?.'< < ......... (Signaturg~6f applicant, or n{~he, if a corporation) BO,X. I0 SOUND AVE M^?TITUCK) N: (Mailing address of applicant) ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... IxJTI. ^.C.T 0E ................................................................ ~mne of owner of premises . .~R.. ~..~ .l~tgS.... STF~V..E .&. ~%ANDL ~;GGEI~S (as on the tax roll or latest deed) tf applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. 9.~.N$1~g& .CONTRACT01t~.2g9 ........ DOUGLAS BOGOVICH Plumber's License No.~/.7..Q6...-:'.-.-.-..-.-.-.':Tr.-.-.-.':-.--~- ......MATTITUCK PLUMBING Electrician's License No.//I3.7..-.-.':-. r.-.".n':~'r:-:x':r ......... PETER BOGOVIC Other Trade's License No..%[.~.~.O.N..//. ~I.2'7. ............... L~0 RU$SEL ,2a5I .... H ATING~ .......... MORCHEL Location of ~and on which proposed wo~ wH~ be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section . .%2[][ ............. Block ...I~5 ............. Lot .... .'7 .............. Subdivision...~A. ~.B.A.q..P.0.I.N..T. .................... Filed Map No .... I56 ........ Lot ... 1.8 ......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construct/on: a. Existing use and occupancy ..... .LIVING QUARTERS HOME KIT~'C~t~I' & DINNIN~ RM ADDITIOi~ b Intended use and Occupancy · 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ~ Repair .............. Removal .............. Demolition .............. Other Work ............... ~. Estimated Cost .................................... Fee .......................... * ........... ~ (to be paid on filing this application) L If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ....................................................................... L Ifbusiness, commercialormixedoccupancy, specdyoatureandextentofeachtypeofuse .................... L Dimensions of existing stmcture~, if any: Front., i .... ~ ~ ;'.'...'. Rear .............. Depth .............. /-/eight ............... Number of Stories ....................................................... Dhnensions of same structure with alterations or additions: Front ................. Rear ................. Dep~ ........ .. ............. HeiSt ...................... Number of Sto~es ..................... ~. Dimensions o[9,~lire new constrpction: Front .... ' ........... Rear ............... Depth .............. Height ........ . ........ Number of Stories ........................................ · · ~,'~ ',; ';, C~ '-' '~' ' ~. Size of lot: Front ........... Rear ...................... Depth ..................... , ~.~ Date. of Purqha~e ...... ~ ...................... Name of Foyer Owner ............................ [. Zone or us~ d~stnct ~n wh,ch prem*ses are s*tuated .................................................... · ' Does p~oposed construction violMe any zoning law ordinance or regulation: L W~I Io~ be regraded ..................... ~ ...... Will excess ~1~ ~e, rem~Eed from premises: Yes [. N~e of Owner ofpre~ses~..~... ~ ..... ~]..Address ~ ..... ,... ~ ...... PhoneNo ........ ~ ...... Name of Architect ~[/...ff~O ~..., .......... Address . ~&~T~ (E~ ...... Phone No. ~ 7. ~ ~ ~ .... of Contractor ~O~bgA..~q~g/~6 ...... Address ~./9~.~ .~dfi~one No. ~?f.Z ~b.d .2,.. N~e / Locate clearly ~d distinctly ¢1; bu~d~gs, whether existing or proposed, and, indicate ~1 set-back d~ensions from -ope~ ~nes. Give street ~d block number or description according to deed, and show street nines and hdicate whether terior or corner lot, rATE OF NEW YORK, ' * * ' S.g ou~rrY OF.. ,5'~.~. ¢.1./( .... ........... .... and says that he is the applicant (Name of individual signing~ontraet) ....... oove named. ,; ~,, e is the ..................... ~ ................................................................... (Contractor, agent, corporate officer, ete.~ f said owner or ownem, and is duly authored to perfom or have perfonhed the said work and to m~e and file ~is pplication; that all statements contained ~ this application are true to the best of his knowledge and belief; ~d that ~ork w~l be performed in the manner set forth ~n the application filed there~t~. worn to before me this ............... day ~; ~~. 19 LINDA/F. KOWALSKI NOTARY PUSLIC, Stste cf Now Yor~ .... No, 52-452.4771 ' Quallfre(~ in Suffolk CalInt? Comralsalml E~p~res March 30, 1~,~ C[I~,W L 5p~E: U= ,0~. I~A~, u= .o~I , ; TI(~$ ~[5 TO ,CERT%Fy THAT THES~E JaLApS 'HAg~ Bi~ ~A~ED ,; : ~ }N C~LZAflCE WITH T~ ~ ~K'STATE ~: ~HS'~T~Ofl . C~S S~CTION$ AND '8~AIL5 OF THE'PLAN 'AND DO ~T EXCEED THE ~E,~ TR~'I~ANCE V~L~ES OF TABLES 4-! & 4-2 (SECTIONS E40~.l; E40~J~ &Eq02 ~) 2; O~'SIGN CRIT~REA (~SED ~ 15 M.P,fl. WINO) F LOOF2 DETAIL TO-FA L WALL DETAIL F L OO~ DE'TAIL CE LLA~Z U N H EA..TI~ D TOTAL U: .o'/ J MAX. U .o~ FLOO~ PETAIL NOTE: OESIGN OF HEAT LOSS OR GAIN THROUGH EACH EXTERIOR R&CA§E IS SHOWN IN BTUH ON THE CROSS SECTION~J AND/OR DETAILS OF THE PLAN. "R" VALUES, OF ~NSULATI~G MATERIALS ARE INDICATED ON THE CROSS SECTTONs DR AS A RECIPROCAL OF THE INDICATED "U" VALUE. ALL 'PIPING SHALL BE THERMALLY INSULATED .)N-ACCORDANCE WIT~ TABLE 4-5. (E403,9). ALL DUCTS, PLENUMS AND ENCLOSURES SHALL BE TNER)IALLY INSULATED IN ACCORDANCE WITH E403.10, EXCEPT EXHAUST DUCTS WITH- IN HVAC EQPT, OR WHEN THE ENERGY REQUIREMEhKFS OF THE BUILDING ARE NOT INCREASED. ,S[,ZES AND TYPEs OF APPARATUS. EQU.IPMENT AND SYSTEM ~QNTROLS WILL COMPLY WITH N.Y.S. CODE E403 "BUILDING MECHANICAL SYSTEMS" AND E404 "SERVICE WATER HEATING': HE~TING AND CODLING DESIGNS MUST COMPLY WITH A.S.H.R.A,E. STANDARDS. ELECTRICAL' POWER AND LIGHTING WILL COMPLY WITH W.Y.S. CODE E405 "ELECTRICAL POWER AND LIGHTING". EXCEPT FOR RESIDENTIAL LIGHTING POWER BUDGETS, TABLE, 4-13 WiLL BE UTILIZED AS UNIT POWER DENSITY CRITEJ~EA FOR VISUAL TASKS AND AREAS. ALL AREAS OVER 5DO S.F. WILL HAVE SPLIT LIGHT SWITCHING. ELECTRICAL DISTRIBUTION SYSTEfl~S MU~T COMPLY WITH N.E.C.A. ~UILDER IS ADVISED TO CONTACT THE NEW YORK sTATE ENERGY OFFICE {800-34~-372g) FOR SPECIAL DATA. J~ # F~[T tZ = .DO = A~Tg' t C : .I WALL ° DETAI. L IZ.=2,~) (14&XU- ' *,V~TMI~II'ST~IPpF. m J MA.X. U-- 0'ol~'J TOTA. L 'lt = 15.4,1 U = ,OG M~x, U = .o~ WALL DETAIL D :1 cODES. DFr. s%G~ OB FOP- i~ ~ Iii I ' I . I ~..A..~ ~,'- ~-~ ~-~ ~ : O~ 4 1 t' ~ Y~II ~/A II~ Il lz~~ . . SCALE:'/~= i-O DATE ,'Z~-~o ~~~ ~ ~ / ~-J.t~ ~Zt~t,.~.~ -- ~ t ' ~ , STRUCTURE ONLY. USE OF THESE PLANS FOR ANY ADDI- ,,.~/~:~)~ ~A ~ ~J~ ~ If--J~.. ~D &~. IX ~ ~ / ~ ~ ~ / ' ~ / IBILITY FOR THEIR USE TO THE USER AND THE AUTHORITY i1~~'F~ ~. ~ {~1~ .* ~ T~TU~,. N.Y~. {1~ ' ' ~ I~ .. ~. · ~O · ACCEPTING THEM.I1 i ' ~~ ~ ~ ~~ : = {LO~ ':: DAT ~RUCTURE ONLY. USE OF THESE PLANS FOR ANY ADDI- TIONAL ~RUCTUEE WITHOUT THE ~ITTEN A~ROVAL OF I ACCEPTING THEM." ,! '1 Il ' ~'"' ' STRUCTURE ON~Y, ' ~ FO~ ANY ., ,., IBI[ITY FOR ~.AND T~E AUTHORITY ' '~; ~, ~ ACCEPTING THEM."