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Home My WebLink About16652-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16897 Date May 23, 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1575 Sterling Road Cutchogue, N.Y. Ifl~S'e 'N'oi .............................. Street Hamlet County Tax Map No. 1000 Section 104 .... Block 02 .Lot 22 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 25, 1987 pursuant to whicb Building Pem]it No. 16652 Z dated November' 25, 1987 was issued, and conforms to all of the requirements of tbe applicable provisions of the law. The occupancy for which this certificate is issued is ......... ONE FA~IILY DWELLING WITH ATTACHED DECK AS APPLIED FOR The certificate is issued to JOHN DEMPSEY ..................... io¥ ;f ¥; g4 W¢;jglgx ..................... of the aforesaid building. Suffolk County Department of Health Approval .... 8.5.7.8.0.-.2.4.}..-..A..p.r.i. 1.. ?.0.,.. ! .9.8.8, ....... UNDERWRITERS CERTIFICATE NO....~9.1.0. 6. !.8..Z..A.p.r.J:. 1...2.8. ,.. ! .9.8.8. .................. PLUMBERS CERTIFICATION DATED: May 6, 1988 - T & G Plumbing Rev. 1/81 FOEM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT Ci'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~ . ................... ....~..?..~...~).3 ..................................................... .~.~~...~;.~..;...u.~.~;~ ......... :. ~t premises I~ted ~t ./.~..~.~ ....... ~....~Z ....... ~.,~~~ ................. co~,~, Mo, No. ~000 S~o, ..... ~..~..~ ....... B~ ...... ~.~. ..... Lo~ No ...... ~.~ ..... Building inspector. Building Inspector Rev. 6/30/80 TOWNOFSOUTHOLD- ;- '' ~ LICATION FOR CERTIFICATE OF OCCUPANCY · , i~''- ' " application must be filled ~n typewriter OR ink, and submitted ... ~ tO the Budding 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 equ.a I 3.Approval of electrical installation from Board of Fire Underwriters.. {~st"all 4.Commercial buildings. Industrial buildings. Multiple Residences and similar building~ and in a- tions, a certificate of Code compliance from the Architect or Engineer responsib)e for the building. 5. Submit Planning Board approval of comPleted site plan requiremeqts whet, appl!cable~% B. For existing buildings (prior to April 1957). Non-conforming uses. or l~uildings and ~'?re-existing" 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features, i , , · , ' : , 2. Sworn statement of ownerior 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: Additions $25.00 1. Certificate of occupancy ,New' Dwel~ng',~$25.O0, ,'Aqcessor~M-,~ 10.00 Bus[neslsl, $50.00' 50.00 ~ ~.-' 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $5/00, over 5 yeats $10.00 4.Vacant Land C.O. i, $ '20.00 NewConstruction...X~., . O~d or Pre-existing 9uilding ............ Vacant Land . House No. ! · Street · .:{ [ ~ Ham/et Owner or Owners of Property ~To~13..~ei~sey ..... ' . ....... ..... . ..' ..... ~ ....... County Tax Map No. 1000 Section ...:LO .......... Block . ~ ............. Lot. Subd s or] ~a.p. O£..~e¢,~.a~L. ~'~'z[t8 .......... F led Map No. ]~?.~ .... Lot No...; .......... Health Dept. Approval ................ Labor Dept. royal .............. ~ ......... UnderwritersApproval~T01.O.~:L~ .......... · . ... Planning Board Approval .................o.... tf yC tiff ICetiff Reques or Temporar er cate ..................... Finn r cate ..................... Fee Subm tted $2~5..00 . ' - ' , Construction on above described bu Id ng and perm t meets all app cab e codes and regulat OhS. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Ma7 6, 1988 Building Permit No. 16652Z Owner John Dempsey (please print) Plumber T. & G. PLUMBING (please print) Tom Azzera/Gale Kaske I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swor9 to before~ this /0)~0 day of ///~Z~_ , 19~ . Notary Public, ~/~ County ~(plumber' s ~ignature) Tom ~zzera /Gale Kaske D~ISE $. Note5' Public, State ol New York No. 4891481 ~,~~ 0ua~ili~d in Suffolk C~unty Comi~ion Expir.~ May 4, Notary Public FOUNDATION (1st) FOUNDATION (~nd) 2. ROUGH FRAMe& .FLUMBIN~/ INSULATION PER N. STATE ENERGY CODE ,! ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ F~~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: ~./~ ~ ~ ~~_ _...~ DATE /'~/~//~//~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZND [ ] INSULATION [ ] FRAMING FINAL REMARKS: 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]~)UGH PLBG. FOUNDATION 2ND ~'~ INSULATION FRAMING ,r. ] FINAL DATE ,~///~////c~/ 765-1802 BUILDING DEPT. INSPECTION ] FQUNDATION 1ST [~ROuGH PLBG. ]//FOUNDATION 2ND [ ] INSULATION [/~ FRAMING } [ ] FINAL DATE INSPECTOR ...~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE ~//~/'~ Total lot area ( sq. ft. ) Lot width ( ft. ) l~t depth (ft.) iv rent yard ill. ) One side yard ( lt. ) ]Both side yards ( ft. ) Rear yard (ft.) Livable floor area ZONING ~wo- Fatuity Mu]Biple-ltesldonce 40,000 80.000 20.000 30,000 40,000 2o0,000 PAGE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY { APRIh 28,19888s .JOHN STREET. NEW YORK. N~6Y~O3B-- -- N 010618 ~ ~ppllc~ion No. on ~il~ THIS CE~IFIES THAT ~y t~ ~t~ ~u~nt M ~ ~ a~ int~M ~ t~ ~t MM on t~ a~ JOHN DEHPSEY, STERbI~ RO~D, CUTCMO~OE, ~.V. ~ ~ 1042 22 in t~ ~dlowin~ l~h ~nt I*t fl. ~ 2~d fl. ,~tlon BIlk ~ exami~ on and~nd to be in core.lance with the ~ui~me~ts RXTU~I BXTUIES RANGIS OVENS DISH WAIHIIIS IXHAUST PANS OUTLETS SWITCHES 20 ~2 21 20 SIRVIC~ ~ S E R ¥ I C - E SMOKE DETECTOR: -1 I/0 SOUTH PARK ELEC. CONTR. 4 PARK PLACE PATCHOGUE, NY, 11772 This certificate must not be oltm',KJ i., , manner; return to the office of the Board if incorrect. Inspectors may be iden~ed by their credentials. - 67 - id) A)I insulation which is capable of absorbina water shall be protected by a vapor barrier located on the wi~ter warm side of the (nsulatton. Insulation shall be installed in a manner that provides continuity of insulation at Glare lines, sill lines and corners. (el Insulation may either be installed in floors over basements/cellars or in basements/cellars walls above and below grade. If, however, comfort heating is provided in the basement/cellar, the basement/ cellar walls shall be ~nsulated. Slab edge insulation shall extend from the top of the slab to either a minimum depth of 24 inches or to the bottom of the slab then horizontally beneath the slab for a minimum total distance of 24 inches. TABLE 5-1 THERMAL PERFORMANCE VALUES FOR BUILDINGS REGULATED BY THIS PART Non-Electric Electric C~fort HeatiNg Comfort Heating Floor Uf~ Uf = °053 Exterior Wall Uw Uw = o0~ Glazing Ug = .58 Ug = ,39 Entrance Door Ud Slab Edge Insulation Rt = lO,O R! = 10.0 Basement/Cellar Wall Uw - °09 Uw= ,09 1. At 7000 degree days and over U = .O&, 2. At 5000 degree days U = .0~[ 3. At 8000 degree days a~d over Uf 7814.3 AI~R LEAKAGE All buildings shall meet the provisions of 7813.5 of this Code. ~i~],LDING MECHANICAL SY, STEMS 7814.11 ,~E, NERAL (a) All HVAC devices, components and their elements shall conform the requirements of sections 7814.11-7814.15 of this Part. (b) Systems other than combustion heating equipment and unitary cooling and heating equipment regulated from a single point of controi shall be designed in accordance with the requirements of Sections 7813.11-7813.23 of this Code. 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 BOARD OF HEALTH -~. .... 3 SETS P p. NS ..... SURVEY .~ ...... CHECK .~..).1~2~ . s P zc FoRM .... NOTIFY CALL ................ TEL: 765-1803 (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. · INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink 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 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 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 ~ 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 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, and to admit authorized inspectors on premises and in building for necessary inspections. INI~AND HONES, .i~I.C .... (Signature of applicant, or name, if a corporation) · ?.o..x. !?..,. ....... (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. G. aneral.Co~t=acgom ............................................................. Na~ne of owner of premises .John..Demp.sey ........................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ...... Rohert. E~.Hiltz,.P~esident ......... (Nameandtitleofco~orateofficer)~ ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder'sLicenseNo .......................... Plumber's License No..25.~119 ................. Electrician's License No ...... 27~E ............ Other Trade's License No ...................... 1. Location of land on which proposed work will be done] ................................................. t ~7~..Stet. ling. _.Road.,..Cutchogme.,..Ne~, Jerk ..................... .............. ~ ............. House Number Street Hamlet County Tax Map No. 1000 Section 10/~ .............. Block . ~ ................ Lot..pe.l.~ .22 ........ Subdivision.. Lc~C. No.'.s. re.f. er · I~,ap. of..~[~8I~u · Filed Map No ...... 1..1-7.9. .... Lot .......... ,... (Name~ 2. State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ..... 3..Family. I~o].L~ ng ................ ,: ......................... 3. Nature of work (check which ~pplicable): New Building ~..' ..... ~dd. itl~f~' ..*'-~,:;%°.~': 'i '. Alteration .,.... ....... Repair .............. Removal ............ Demolition ..... .,~.:, .,,... Othe~,W .. · ~ i" (Description) Estimated Cost ,2 <:~ ~ <~ ~x ,~ Fee i' " (~O be paid on filing this application) : 'gmnits on each floor 5. I f dwelling, number o f dwelling units ............. Number of dwellin ................ If garage number of cars ' 6, If business, commercial or mi8ed occupancy, specify nature and extent of each type of use ............. .... " ' ' Depth 7. D~mensmns ofex~st~ng strac~Ur?s[ ~fany: Front Rear Height Nu:mb~er of Stones .... Dimensions'of same structure with alterations or additions: Front Rear Depth ;~ ~ ~ Height Number of Stories 8. Dimensions of entire new con§tru.ction: Front ..... ~.0. ~... .....Rear ..... 59.~. Depth . .~.~. Height NUmber of Stories 9 Si eof lot Fro t ' Rea ~ ?~' "Dep'~,h ' Name of Former Ow~n~'r 10. Date of Purchase ......... ....................... ~ .................. I I Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ....... ~ ..................... Will excess fill be removed from premises: Yes No l 4, Name of Owner of premises .John, .DempJley ..... Address P. ~,.Bo~c .5, · CuA;, · Phone No...?~lI--60~8 .... Nmne of Architect ~ Address Phone No Nmne of Contractor I~II.,ARD !.ItOPI~S ,. ZRG. ..... Address Bo~ :ll?.,l'lat:b&.'l;u¢l~hone No..290L9696 ..... 1.5. Is this property located wi'thin 300 feet of a tidal wetland? *Yes ..... . No ..... · If yes, Southold Town T~ustees Permit maybe required. : , ~ PLO~I' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, a'nd, indicate all set-back dimensions from property lines. Give street and blo~k number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, '" '~ S.S ' COUNTY OF ................ ...... ~g~g ........... ~. ~[ .g~X~ ...... being duly sworn, deposes and says that he is thc applicant (Name of mdtwdual s~nmg contract) above named. ~ *.. lte is the ....... .~O~O~. ~ ..................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dulY authorized to perform or have perfo~ed the said work and to m~e'and file this application; that all statements cohtained h this application are true to the best of his knowledge and belief; and that the work will be performed in the m~er set forth ~ the application.filed therewith. Sworn to befor~ me this ~ ........... 2~ ........ day ~of.. ~O~mBS~ ......... ,19. Notaw Public ............... [UffO~ .......... County Not.~ Public, 8tare of N~ Yo~/ RoBerg E. Hi ture of applicantl No. 4822563, Suffolk Coun~ fi6 Te~m Expires December 31, 10 STATEMENT OF {NTCNT oATER SUPPLY AND SEWAGE D~SPOSA~ MS FOR THiS RESIDENCE WIL~. R~ TO THE STANDARDS OF TH~-'- ! SUFFOLK CO DEPT OF HEALTH SERVICES. i APPLICANT SLiFFOLK COUNTY DEPT OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY I iOATE . !, ,. S. REF NO. SUFFOLK CO TAX MAP DESIGNATION' DIST. SECT BLOCK PCL ,IJwNERS ADDRESS. P.o, ~3o~' HOLE SEAL OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD. PLUMRER CERTIFICATION ON LEAD COltlTENT BEFORE CERTIFICATEOF OCCUPANCY I iI