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Home My WebLink About16510-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17345 Date SEPT. 23~ 1988 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property 1750 BROADWATERS ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 09 Lot 09 AMENDED Subdivision MAP A NASS. PT Filed Map No. 156 Lot No. 260 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 2, 1987 pursuant to which Building Permit No. 16510Z dated OCT. 11~ 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 ADDITIONS & ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to KILLIP~ MR. & MRS. THOMAS (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 PEkinG SLIP 8/ i/88 P FECrIO 8/10/88 Buildin~ Inspector FOB.~[ NO. 0 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..~.. Permission is hereby grontec~ to: ~ . . .g..~.....~.,....~..,l....~...~.:~ ......... ~.._..~.:.%,,....!.!..~.~..I ........ ,o ..~~....~...-....~....~....~....~...~,.. ..................................................................... at premises located at .....,']...~..'~....'-~...[.'..~..,~ ....... ~441,,~,,~ ................ County Tax Map No. 1000 Section .... J...O....~. .......... Block .......(~...~. ......... Lot No .......~...~. ........... pursuant to application dated .........~ ~ ........................... ~" , 19.~....~.., and approved by the Building Inspector. Fee $....~[~/ ............. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Dapa,~,ient T~wn Hall Suuthold. N.Y. 11971 765- 1802 APPt. ICATION FOR CEPTI~ICATE OF OCCUPANCY Instmction~ This application must be filled in typewriter OR ink, and submitted m Im.am~ 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 unuaJal natu~l or topographic feature~ 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 sifrnilar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. B. Submit Planning Board approval of completed site plan requirements where applicable. For existing bu[Idings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pL"operty 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 $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.V~cant ~.and C,O, $5.00 5. Updated C.O. $15'. 0O $15.00 New Building ............. Old or Pre-existing ~luilding ..... ;~ ...... Vacant Land ........... Location of Property ----- ' .~ ~'.q~I~TA~(~T ~ ~ ~p. hoq ...~.;. .... ~.. u ue~ New York Hou~ N~ Street Hem/et Thomas and Diana K~ilip Owner or Owners of Property .............................................................. County Tax Map No. 1000 Section . .1.0.4. .......... Block 9 Lot Subdivision Filed Map No Lot No Permit No. ] .6.5.1.0..Z... Date of Permit ] 9./.1.!/, ,8?.Applicant..........Garrett .A.: . ~.~.~...a..n?.,. . o......0..Architect Health ~apt. Approval ....... ~/. ~ .............. Labor Dept. Approval ....n/.a. ................. Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ........ ~ ............. Faa Submitted $ .... , ............. Construction on above described building and permitters ell applicable code~nd regulations. a,v. 1o.,~;a ~,~ 3~?~/ GARRETT A. STR~G TOWN OF SOUq['I1OI,D · · ': OF BUILDING INSPECTOR OI' I' ICl. P.O. BOX 728 ToWN IIALL, soUTIIOLD, N.Y. 119"/1 TEl,. 765-1802 cERTIFICATION Building' Permit No. O ..- Owner_2 . __ '"(please pr.~nt) . le'~?Used in the water supply system · s~rorn b0 befor~ me this 19~>~_~ , ' ' N~t~r~ Public, Count7 R~GINA B /~ATTHI~WS Nogary P~lb~I~R~Y PUBLIC, Store of New York ' No. ~}"2-4636665, Suffolk County Commission Ex~ires 36 /~0 IIDATE . ,,.~. FOUNDgTION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL DMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []/ROUGH PLBG. / FOUNDATION 2ND [~ INSULATION FINAL [ ] FRAMING REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~/~"INSULATION FRAMING FINAL iNSPECTOR 765-1802 BUILDING DF. PT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. ,] F/OUNDATION/2ND [ ] INSULATION FRAMING ,r. ] FINAL 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~/FOUNDATION 2ND [ ] INSULATION FRAMING ,r. ] FINAL 765-1802 BUILDING DEPT. INSPECTION ~'~ N/~~DATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINIAL J TAd, 0 MI,4 ,,.5- ,'/z ,6 ,,' ' IYl,4P O,~' P~BOP[ TY 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 Examined .o..e~... , .~.~ .... 19 .~.-t. Approved .~.~., ![ .... , 19~.3.. Permit No../~.~ ! O. ~ Disapproved a/c ....... .. ............................ .............. ................. (Building Inspector) Received ........... ,19... APPLICATION FOR BUILDING PERI'lIT Date . .Sep.t, . 9., ....... , 19 8.7. INSTRUCTIONS a. This application must be completely filled in by ~pewriter or in ink and submitted to the Building Inspector, with 2 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 streeb 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 permi' shall be kept o~{ 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 Occupanc5 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 th~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances el 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 tc admit authorized inspectors on premises and in building for necessary inspecti, o0s.~ ~ / "' .... · .~.o.x...~ .4.%2.,..sg.u.t..h.o.~.d.,..~7....~ J.9.7. ! .......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, eno'~eer, general contractor, electrician, plumber or builder. Architect/Agent Name of owner of premises ...M. ¥..} .~r~¢t..M..r ~,..T. hc)~.s. ,J.,..K.~..1 J..ilq ............. , ....................... (as on the tax roll or latest deed) If applicant is a colporation, signatuYe of duly authorized officer. (Name and title of corporate officer) Builder's License No. n.qt;, s.e.l~¢ .t.e.d, .y.e.t. ..... Plumber's License No.' " Electrician's I~icense No " Other Trade'~ License No. " 1. Location of land on which propo~d work will be dor~e~ ;~ .............................................. ............................ ~~..~.~.o..~.dy?.~. ?.~?.:..C?.~.~.h. 757' ........................ House Number Street Hamlet County Tax Map No. 1000 Section 1 04 Block 9 Lot.., .9 Subdivision..A.m?.n. ,dg.d. ?.a.p..A.. o.~..b{.a, s..s.a.u., .Pg.~.n.~. ~ Filed Map No .... 1. 5..6 ........ Lot .aO~.0. .......... (Name) 2. State existing use and occupancy of premises and in,:et~ded use and occupancy of proposed construction: a. Existing usc and occupancy ......... Single. F.~m~l~..;.re~:~cl,~l~'.. -'~:! . b. Intended use and occupancy ........ .S.i.n.~ 1..e..F.a,m..iJ.~y,~i-$ s.&:¢lenc~X,;¢~,,?,'~3 ............ , .......... 3. Nature of work (check which applicable): New Building ..... ' .....'Addition .......... Alteration .x. ....... Repair .............. Rbmoval .............. Demolition ............ Other Work .............. ,I (Description) (to be paid on filing this application) 5. If dwelling, nBmber of dwelling units ........ ~. ...... Number of dwelling units on each floor .............. If garage number of cars i . If business, commercial or mixed occupancy, specify nature and extent of each type of use ................. ~e~jging structures, if any: Front ....... iD ...... Rear ... ', ~.0 .... Denth 3 I~. '~¥ of's~am~ ~m-~,~[~ ~ith alterations or additions: Front .... 6 D ........... Rear ..... ~ 9,. ~[i~qpsio~ntir~ll~lw c~struction: Front ............... Rear ....... Depth ....... " Zone or use district in which p'-remises are situated A/~.~-~er~±a~ . Does proposed construction g~olate any zoning law, ordinance or regulation: ...N.c. ................... Will lot be regraded ,NO ........................ Will excess fill be, removed from premises: Yes Nc Name of Owner of pr~mises ~..M/.M..T. ;..K.±i..l.ip.. Address ~500 4o.~.nson Ave~- Name of Arcifitect . .G..a.r.r. ~..t..S.t.r..~.n~.I ....i t<.x. ver~ta'~e.. N~... rhone mo .... Address BOX ~41 Sou holl~hnn~N~ '~"~4~' Name of Contractor ......................... Address ................... Fhone No ........... . .... PLOT DIAGRAM Locate clearly and distinctlyI all buildings, whether existing or proposed, and. indicate~ ~11 set-back dimensions frorr property lines. Give street and block number or description according to deed, and show street names and indicate whethe: interior or corner lot. II. 12. 13. 14. See Attached STATE OF NEW YORK, COUNTY OF..s.u..ff.o.~.k. ..... ,. S.S G~rett,,A. Strung ............... ~ ' '1' '~' ' ' ':' ' .... ,. ,,, .......... being duly sworn, deposes and says that he is the applican- (Name ofindividua ignihg cont~acO above named. ; (contractor, agent, corporate officer, etc.) of said owner or owners, and is iduly authorized to perform or have performed the said work and to make and file thi= application; that all statements contained in this application am true to the best of his knowledge and belief; and that th~ work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .95.h. , q ~y ,~ t~gna/ure o~ applican~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ t)002A7 BUREAU OF ELECTRICITY ~-- 8B JOHN STREET, NEW YORK. NEW YORK 10038 · ") · B~:~49,~7/~7 ~ o~:~1~ THIS CE~IFIES THAT in t~low~g ~at~n; ~ ~mnt ~ Ist Fl. ~ 2~ ~]. .~tlon Bilk w examin~ on O(YFO~ ~, 19~ andf~nd to ~e in ~mpliance with the r~uirements of th~ ~. RXTUII! RXTU~E$ KANG~S OVENS DISH WMI$ ~Y, HAU~T FANS ~ 10 40 31 SI~VIC~ DIS~ORNBCT S E R V I C NO. I/0 If ~l~per tubing is used f~ watar distributing aY~tam~ pIpi~lo shall be USED/N WA~'ER SUpPLy SYST'EM CA~t07 EXCEED 2.,'10 of I% LEAD. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY' OCCUPANCY OR USE iS UNLAWFUL WITHi~UT CERTIFICATE , OF OCCUPANCY = 1~ 0 · INd-. GARRETT' A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765- 5455 '~l LOll ~ 'TL lilt t J~L~rI jjL~II . .%9 EN Y :VAT )N S: .BEQU, I~EHEN~S Gf ~THE NEW~~RGY , r r I ti ~ t~,[~/l I II I I I Main Road RO. Box 1412 Southold N.Y. 11971 ~ ~P J ............ ,, / .... ~ ~ ~_~~_~ ....... ~ . ~ . ~ , -~ ~ ? ' ~.~~ ~ ',, ,,~ ~ : ~ .... ~ ~ .......... ~1~7~ :.** ~ .' . , , . ' ..: . - . .. · , ~ ..... _ _~:~,=.= ~~//~ , , , . ~; . ,~~. , ,: , ~=- ~ ..... ~.~,,--,-~ . , ~ ...................... . . - ~ ..... ~. ~ ...... . .... ,,,., , , , . , .~x~xxxx~x~:~... ,,' , ' '" ' '. 't t . . ~~:==._.~~ ...... ~?~, ~J F~ , .., , , ,,~ , ...... , . .... . .- ..:.. . ~ ~.~ _ .... -' ~,,~ ~ .......... ,, ,, ' ............... ) GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 ~ ~ ~ ~ ~, 516-765 - 5455 _ ...... 75 Z' -- :}: I. CONTRACTOR~ WORK IS TO CONFORM TO ALL LOCAL ORDINANCES & NEW YORK STATE BUILDING & ENERGY CONSERVAT/ON CODES, LATEST EDITION. 2. ELECTRICAL & PLUMBING WORK SHALL BE GOVERNER BY ALL NA~IONAL~ STATE AND LOCAL,CODES~ LATEST EDITION. ALL CONNECTIONS OF WATER SUPPLY LINES TO BE NABE WITH 9515 SOLDER. CONTRACTOR SHALL VERIFY ALL FIELD CONDITIONS ~ ~IMENSIONS, COOPERATE WITH OTHER TRADES & CONPLETE THE WORK IN ACCORDANCE WITH BEST STAN- DARD PRACTICES. S. ALL DIMENSIONS ARE NOMINAL AND TAKE PRECEDENCE OVER SCALE. ALL 0. ALL [TERS OF WORK ON TNE DHAWINGS ARE NEW~ UNLESS OTHERWISE NOTED.- PROPIETORY NAMES [DENTIFY1NG ITEMS OF WORK ARE USED SOLELY TO PRE- SUBMITTED FOR TNE ARCNITECT'S REVIEW, TRUSS-JOIST CORPORATION. INSTALLATION AS PER MANUFACTURER'S SPECl- FICATIONS. ~. ALL ~OOD FRAME CONSTRUCT]ON SHALL CONFORM IIiTH TBE AMERICAN iNSTITUTE OF TIMBER CONSTRUETION'S "TIMBER CONSTRUCTION MANUAL" LATEST EDITION. 10. ALL NOOD FRAMING NEMBERS SNALL HAVE AN ALLO~ABLE EXTREME FIBER Fb = 1~S0 P.S,I, FX = ~5 P.S.I, 11. DOUBLE ALL FLOOR JOISTS IN ALL BATHRO0~ AREAS BELOB TUBS. ROUBLE ALL FLOOR JOISTS BELOH BEARING 6 PAOALLEL PARTIT~OHS 16. pROVIDE 1/~" MOISTURE RESISTANT GYPSUM BOARD ON WALLS AND CEILINGS OF A[.~ BATH & LAUNDRY RO0~S{ 112" WONDER BOARD OH TUB ~ SHO~ER UALLS GARRETT A, STRANG ar-chit;ect; Main Road MO. Box 14t2 Southold N,Y. 11971 516 - 765 - 5455 -1 t ,] L'--:. n , ELECTRICAL NOTES: I. ALL WORK SHOWN ON ELECTRICAL DRAWINGS IS OIAGRAMATIC. ELECTRICAL CONTRACTOR SHALL COORDINATE HIS WORK WITH THAT OF OTHER TRADES. DO NOT SCALE DRAWINGS FOR OUTLET LOCATIONS, VERIFY ALL OUTLET & EQUIPMENT LOCATIONS WITH ARCHITECTURAL DRAWINGS AND OHNER OR ARCHITECT BEFORE COHMENCING HORK. ALL ELECTfl[CAL WORK IS TO BE DONE BY A LICENSED ELECTR[C[AN AND IS TO COMPLY WITH UNRENWRITERS STANOAROS. ELECTRICAL CONTRACTOR SHAM COORDINRTE ELECTRIC SERVICE, INSTALLATION AND SERVICE EQUIPMENT DETAILS AS REOU[RED AND APPROUED BY LILCO. ALL ELECTRICAL NORK SHALL CONFORM HITH ALL NAT[ONAL, STATE AND LOCAL CODES~ AS 1HEY APPLY. ELECTRICAL CONTRACTOR IS TO PROVIDE ~00 AMP H[NIHUM OVERHEAD SERVICE. 6. SYSTEM TO PROVIDE ADEQUATE SERVICE AND C[RCU[TS FOR FUTURE EXTERIOR LOADS~ 7. Hain Breaker Panel to be Located in Basement areaanQ to service Entire First and second floor. 8. Service Entrance end main disconnect to be Located in Basement 9. LIGHTS ON S~ITCHES TO BE LOCATED IN ALL ATTIC & HASEHENT AREAS. ELECTRICAL CONTRACTOR StIALL PROVIDE ALL HEAT[NO &~ VENTILATING PONEN AND CONTROL B[HING. 11. ELECTRICAL CONTRACTOR 'TO PROVIDE RDEOUATE RECEPTACLES ~ CONNECTIONS FOR ALL APPLIANCES. 12. ALL K[TCHEN~ OATHROOH~ PONOER ROOM AND EXTERIOR RECEPTACLES TO BE G.F.I. DEVICES. 15. PROVIDE DE¢ORA SNITCHES AND RECEPTACLES N[TH RESPECTIVE COYERS~ COLOR AS DIRECTED O¥ O~NER. 14. PROVIDE TELEPHONE PREWIRING~ OUTLETS & SERVICE REQU[REHENTS~ AS DIRECTED BY NoY. TELEPHONE CO. 15. FIXTURES TO aE EaU[PPED WITH "WATT H[SER' LAMPS WHEREVER APPLICABLE. ELECTRICAL CONTRACTOR SHALL FURNISH A CERTIFICATE OF INSPECT[ON FROM THE 80ARB OF FIRE UNOERNRITERS~ UPON COMPLETION OF TtlE WORK UNO~R THIS CONTRACT. SUCH CERTIFICATE SHALL [NO[CATE THE APPROVAL OF THE WORK INSTALLE~ & OF THE COMPLETED ELECTRICAL SYSTEM. "1 GARFaETT A. STRANG architect Main Road P, 0. Box 14~2 $outhold N.Y. 1197~ 516- 765 - 5455