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HomeMy WebLinkAbout16235-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18400 Date SEPTEMBER 21~ 1989 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 4845 R.O.W. SOUTH HARBOR PJ3. House No. Street County Tax Map No. 1000 Section 087 Block 01 Subdivision Filed Map No. SOUTt{OLD~ N.Y. Hamlet Lot 17 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10g 1987 pursuant to which Building Permit No. 16235-Z dated JO-LY 19~ 1987 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 ALTERATIONS TO EXISTING BUILDING AS APPLIED FOR. UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED The certificate is issued to MARK & EI~IE ~ORDON ( owners ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL H-004115 - FEBRUARY 6~ 1988 Rev. 1/81 Inspector ~ORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 162~5 Z Permission is hereby granted to: .... County Tax Map No. 1000 Section ..... .0..~..~ ....... Block ...... ..(~...J ......... Lot No .......I...'1 ............. pursuant to application dated ....... ...~..~...{..(~ .................... , 19.~..'J.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m mmmmm to the Building Inspec- tor with the following; for new buildings or new use: 1. Final suwev of property with accurate location of all buildings, property lines, streets, and unusua! 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 installs- tions0 a certificate of Code compliance from the Architect or Engineer responsible for the buillilL'~l~. 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-existinll" land uses: 1, Accurate survey of p~oparty 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. C. Fees: 1. Certificate of occupancy New Dwe [ [ i,i~, (i25.oo. Acce.~so;y 2. Certificate of ~ccupancy on pre-existing dwelling ~ 50.00 3. Copy of cert f cate of occupancy $ 5.00, ovec 5 yeats ~10.O0 4.Vacan~ ~and C.O. G 20.00 5 .Uodated ~.O. $ 50. O0 Date .. ~P.~q~, .~, .~'~, .... 6. ~lteratlon~ $25.00 NewCo~s %rbc ~ ton ...... Old or Pre-existing Building~ .X .......... Vacant Land ............. Locati~ of Property .... ~. ,~01~~. .~ou~ h. ~:Arbo~ .~ oe.d ........... ~9~.g.~Q[~ ........... H~ No. ~tmet ~lt 11~ iii ~, 1 ~ll ~Ii~ ............ ~l~i ............. ~I ............ ,, Subdivision Flied Map No Lot No ~' k r [ 7/19/87 ~.. ~=.~nvironment Permit No.l~.,.. Date of Permit,. ....... ~..,~.. ....... : ............... ~/~ Labor Dept Approval Health Dept. Approval ...................... ....... Unde~riters Approval Planning Board Approval R~uest for Temporary Certificate Final Certificate Fee Submitted $ Construction on abova damrib~d building, an Applica ... ~~nt East, I~c. for TOWN OF SOUTLIOLD OFFICI~ OF BUILDING INSPECTOR P.O. BOX TOWN IIALL SOUTIIOLD, N.Y. 11971 Environment East, Inc. 3075 Indian Neck Lane Peconic, N.Y. 11958 TEL. 765-1802 February 18, 1988 Re: Mark Gordon To Whom This M~¥ Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /5/ /.--_/ The check i:;(outdated/not ou file.~ /~/ No llealth Dept. Approval on file. /--/ No final inspection has been made. An application for Certificate of Occupancy is not on file. No Underwriters Certificnte on file. Please contact ()ur office on this matter. Thank yon for your cooperation. llt~ildir;~j Permit # I 6 2 3 5 Z Building Dept. *'~*/_--/ Ho Plumber solder Certificate on file. ( all perm) ts involving plumbing being issued after April 1,1984 ) UNDATION (1st) UNDATtON (2nd) UGH FRAME & FLUMBING SULATION PER N. Y. STATE ENERGY CODE · ADDITIO COMMENTS: TOWN OF SOUTtlOLD OFPlCE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 11971 November I8, 1987 TEL. 765-1802 Environment East, Indian Neck Lane Peconic, New York IBC. Re: Mark.& Ellie Gordon To Whom" ' ~ Ihlo May~, Concern~ We are unable r,o complete your Certificate of Occupancy because .of the following reasons, /_-_/ An application for Certificate of Occupancy is not on file. /_~ No Underwriters CerLificate on file. /_~/ The check is(outdated/not o1% file.) /~/ No }lealtb Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on Thank you for your cooperation. lh~.ilding Permit # I 6 2 3~ 5 Z Building Dept. * * * 1'2/ this matter. No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING £]FINAL DATE~ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING [ ] ROUGH PLBG. 2ND [ ] INSULATION DATE ~//~? INSPECTOR ~-*~ .~ ~ / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION FRAMING :)ND [ ] INSULATION [ ~FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []/INSULATION / FRAMING [,~ ] FINAL DATE INSPECTOR Environment East, Inc. R. R. No. 3 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 October 22, 19~7 Southold Town Building Dept. Town Hall Main Road $outhold, ~Y ].1971 Re: Gsrd*n Residence, Permit # 1623~Z Dear Sir, [;nclosed are pictures showin,~ the ~nstallat~Oa of roof vents on the Gordon residence on South Harbor Also enclosed ar~ the aeplication for the Certifi- cate of Occupancy and a check to cover the fee. The Underwriters Certificate will follow° ~f any further information is needed~ plead, se lot me know. ) Thank you. Sincerely, Peter ti. 9tou ?gh t re szdont Environment E t, Inc. E ncl. PRS:Jm TILE Tile acker ~0~ CERAMIC .... AN ALTERNATE SUBSTRATE FOR TILES USED IN TUB & SHOWER 3'x 6' ?/16 , thick 4' x 4' , 4' x 8' available on special order. Weight - approx. 4~ per SF Ceramic Tile wall installations that fail in wet areas have become a continuing problem. Usually ~he failure is due to the substrate disintegrating as it is exposed to moisture. To solve this problem, IBP has developed. ,~L$ ~AS~ - a mineral fiber reinforced board that is unaffected by water. TILE BABE will ne~ deteriorate under extreme humidity. It cannot rust or rot. Non- · organic and nonmetallic, it cannot burn, contribute fuel , ac smoke. TILE BAS~ is dimensionally stable .... ideal base for thinset application of ceramic tile. Like reinforced concrete, it will cure and harden andgrow r/' stronger as it ages. ~ · WILL N DETERIORATE UNDER EXTREME HUMIDITY CON [~I_TION S NONCOMBUSTIBLE. CANNOT BURN, CONTRIBUTE FUEL OR Nonmetallic : Cannot Rust Or Rot ECONOMICAL AND EASILY HANDLED In Your , !~.,.2 Menufuelured by... ~ ~i , ~ ~ International Building Products ~ New Orleans, Louisiana TILE BASE A~ation _ - - ~ . nstruct~0ns~ Woo.,d.. ~,~.,~_~Neta.l, Stud_~s - All stu,~s to be installed plumb and square. Wood studs to be tralght ,dry 'spaced not S ~. minimum stud depth. ~etal studs to be 20 guage or heavier, minimum stud depth. to exceed 16" on center, spaced not to exoeedl6" on center, For metal and wood studs ~zn~mum l~ Type S 12 drywall screws sh~13 be used, For wood s ' '' ~tuds, TILE BASE may be ~r~d~.~ ~ ,.' --^,, · and then ~ .... - ,~ ..... ca, u~lng ±/~ drill bit, ,,~u, using minimum 1~ galvanized roofing nails, Fasteners shall be spaced 8" apart. Screws or nails may be placed ~" from edge o£ board. latj on TILE BASE may be out by scoring deeply with a standard carbide tip scoring tool and then breaking along the scored line over the edge of a board. iAnother method is to use a power saw and a masonry blade. When a ~ "'~ower saw is used, an approved dust mask, Such as 3~ 8710, should be worn. For cut outs and holes, use a power drill with a carbide grit hole cutter. The mandrel holding the hole cutter should be equipped with a carbide 'tipped starter Alternate m?thod, for cuto.uts and holes - Draw an outline of the opening desired. Then drlll a Ser~es of small holes along the outline. After holes are drilled, use a hammer 'to punch out the penlng. 0 eramlc Tile 'to be apple, ed w.~.th Type .1 organic dhes.~ve, presanded drYset mortar or latex Portland Cement Al. 1 vertical and or.].zontal joints and corners to hav~ 1/8" gap which must be Lzlled w:~th mortar. Allow 1/4" gap above tub for flexible caulking, Apply 2" wide self stick ',~ · ng- Glass ~. bet drywall tape with tile adhesive to cover all joints and corners. TILE BASE has a smooth side and a textured reverse side. Either side may be used for application of tile depending on t.~lesetter s ~,~.~ref erenc e 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,eOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .J.c~.., 19~..].. Permit No. ~..~. ~ ~[f:..'..~. Disapproved a/c ...................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ...... ~ .... ,19.. · Date ...4u..17..6.., ........ 19.87 ~IN$TRUCTIONS a. Tt~s application must be completely filled in by t~)pewriter or indnk and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ~or areas, and giving a detailed description of lay¢i~t of property must be drawn on the diagram which is part of this appli- ~cation. - (? c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant ~o the Building Zone Ordinance of the Town 6f Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~1. r~V ;[r.q 0$~ .t~t..]~,: a~.~ ~. I r~c. ,, ................... (Signature of applicant, or name, if a corporation) 3075 Indian Neck Lane · P.e ¢ o~i.o ~ · ~Y.. 119'~8 ......................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... Ge.ne ea.~..C o n.g~a¢ t om .................................................................... Name of owner of premises .... ~4a~k- & .E .1.1.£8 · Go.~den ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................... , ........... .P .r.e.s. :!..d .e .tl 'b (Name and title of corporate officer) Builder's License No...HI..~6 ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. · .48~Rig~t .of..Way. O~.f. Sou.gh .Ha.r. bor. Road .......... Sou.t.hold ........................... House Number Street Hamlet County Tax Map No. I000 Section . .0.8.7 ............. Block .... 0..1 ............ Lot ..... 1.7 ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .1. ?.. a..m~.l.X' .d.w~.~.~..i.n~ .¥.5.~.h..g .a.r.a. ge. ............................... b. Intended use and occupancy . . .1..~a..m.J..J..'~(, .dy.o.~J:..5,..rl~,..¥ .~.~.h..~.; .a.m.e..r..o ?.tn. ........................... 3. Nature of work (check wh,ch applicable): New Building .......... Addition .......... Alteration ......... Repmr .. 0' {' ',l~ ..... Removal .............. Demolition ............. Other Work ............... (Description) 4. Estimated Cost s ............................................................... ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... 3~ ....... Number of dwelling units on each fioor....~ ............ If garage, number of cars ....i .................................................................... 6. If business, commercial or mixbd occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structu}es, if any: Front..?.~t .......... Rear .... 31D.~ .......Depth ..... 30 ! ....... Height . .J-J? ........... Number of Stories .... l, ................................................... Dimensions of same structure With alterations or additions: Front .... J~q. ~h~tlF~.. Rear .................. Depth ................... i. · · Height ...................... Number of Stories ...................... · ' ' ' 'on: Front Rea Depth 8. Dimensions of entire new constructl ............... r .............................. Height ......... Number of Stories ...................................................... 9. Size of lot: Front . .3 .~u.~oS. =..o~ ...... Rear ...................... Depth ...................... 10. Date of Purchase I Name of Former Owner 11. Zone or use district in which premises are situated... ~o.$~.do n.L~.a3. ..................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ...lxI0 ........................... 13. Will lot be'regraded ....... ~o ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premiseslVl&~,. ~oudp.rl ........ Address . ~e. O;t.d.e. Ol> ........ Phone No. ?~>~3~..~. ¢ ....... Name of Architect~..Olu.~k~ma.n .............. Address . .lq¥, .lq~.K .Yg~'~ .... Phone No~l. 2..9.2.~. Name of ContractorF, tavv.i.o dine.hi; .E a~, · ;Luc, Address Y~c o nYc.a~. NY. ..... Phone No.. 7314.-. 7~t7/1. .... i PLOT DIAGRAM Locate clearly and distinctly a~l buildings, whether existing or proposed, and, indicate all set-back dimensions fro~ 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 YORK, i S.S COUNTY OF ................. ............................ i ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sig6ing contract) above named· ' He is the ..................... ! .................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and fiI~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 me this tg~n_~ ~ ' (3iga~ture of applidant) Term'Expires March 30, ~0o~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~-~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Y~rk Oordon~ 8ouCh Hater ~ne, ~/0 t~ch~ Path, Sou~hold, ~,~. in the following h,catl n' ~ B meo~,~ Ist FT. ~ 2nd FI. Section Bilk Lot FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI*OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R Panelboards~l-42cir, 200fi amps NO, OF CC COND A, w. G. 2/0 C OF HI-LEO 1 ?/o Town tlarbor Lene $outhold, N.Y. 11971 Llc. 282]~ GENERAL MANA~R~ This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors mc~y be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS ~ IN ANY/v~HNER. ~,~ I I 5/4" MHIT~ OCCUPANCy OR USE UNU '~ WFUL WITHOUT CERTIFICATE OF OCCUPANCY I .... IM6TA~,&-I~,uk4l~, NIN~,~mA ,O All d;Fawin~s,, specificationS, plBns', ideas ar¢angements aind desi~$ rer~re~ente~, ~r~ to ar~ ~'p~d~ Of~fid.~w~ m~cnare Glpc~m~ Archite~ whether ~he proje¢ for wHi~ not They ~re ¢~ea~d, evolved, d~eloped and produced for the ~le use o6 and,in con- he.ion w~ ~i~ proje~ and ~pn~ oft~e ~ove may, be disclosed or ~ven to or us~ pe~on, firm~ or purpose wha~oeve~ including J~' 'eXqept,uP~.wriCeh ~permBsiO~ and' d~m~on of ~ch~kd, GlUC~ Arcb~, NO, , DATE SUBMISSION 0 AIl drawings, specifications, pJans, ideas, arrangements and designs represented or referred to are the property of and owned by Richard Gluckman Architects whether the project for which they are made is executed or not. The), were created, evolved, developed and produced for the sole use on and in con- nection with thrs project and none of the above may be disclosed or given to or used by an)/ person, firm or corporation for an)/ use or purpose whatsoever including an), other pro- ]ect, except upon written permission and direction of Richard Gluckman Architects. NO. DATE SUBMISSION RICHARD GLUCKMAN ARCHITECTS 463 GREENWICH PROJECT NO I SCALE: DRAWN: © Copyright Richard Gluckman Arbhitects