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HomeMy WebLinkAbout16595-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17615 Date DEC. 20, 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Propert~ 8630 PECONIC BAY BLVD. LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 05 Lot 001 Subdivision A.L. DOWNS Filed Map No. 21 Lot No. 01 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 2, 1987 pursuant to which Building Permit No. I6595Z dated NOV. 5r 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 ONE FAMILY DWELLING WITH PORCH. The certificate is issued to JOHN J. ABBOTT (owner. Y~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-183 12/14/88 UNDERWRITERS CERTIFICATE NO. N049438 12/12/88 PLUMBERS CERTIFICATION DATED MASTER PLUMBING 12/12/88 Building Inspector Rev. 1/81 FOI~M' NO. ~1 TOWN OP $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) Permission is hereby granted to: ~ , .....~...~...~ ..................................................... ~.~.~.~....,....~..:~.:......~..~.J. .......... ~, , ~'~ .,~ t ,. ~ ^ ' I~' ,~ ~ ... / t~.~..~..~. ~.,~d&....*~........~,~....~ ...................... ~ ............................... ~.t premises located at ..~.~..D.. .......~.-9,~,~4;.~ ......... ...~ ..l~-...~..*......~...c~/,,4d,~..-~-~.-- ............... County Tax Mop No. 1000 Section ...... ~/..e~..~ ....... Block ...... .(~..~., ....Lot No ...... .~.....J. ........... pursuant to application dated ..~..~......~... ................ , 19.~.",',~., 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 BLDG. DEFT. 765 - 1802 !QWt~ ~>F SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ 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. 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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: Additions 825.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.C. $ 50.00 Date ../.~..~.~f¢../..~.~ ..... NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of ProperW ,...2~. ~ .~. .... ~.C.~ ¢///.{.C.., ./.~...OL-~...].~.//.U.~ ....... ~.~ /~ouse No. /~ / islet Ham/et Owner or Owners of Propert ~__~.~..~, ~ ~ ~/~O .... . ..... ,...2. ........ ...... ...... _. Subdivision ...... .~...'/¢-.'../~:;).W./k/f~. ...... Filed IVlap No.. 2.. l ..... Lot No... Permit No ...... Date of Permit .~.~ .~ ?.Applicant ................. Health Dept. Approval i~.~f~..J~... ~..?.-.~.O../.~.~. Labor ..... Dept. Approval ................,. , Underwriters Approval.. ~./. ~,/~..~2./~. ~. ,~.. ...... Plan,lng Board roval .................. App .... Request for Temporary Certificate ..................... Final Certificate .~. .................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. ~'" (p' ease print) Plumber ~, ~./~ P~ ,~.~--t--~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this · /i%ay oZ. ,Z~ ~ 19 Notary Publi¢~~-~Ounty LOTTIR U ROMAINE ]OTARY PUBLIC, State of New York NO. '32-3334625.8uffotk Countv~ ~ Commission E×oire~ M~y 31, 19.~_/ . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ~. 100O174 SU.EAU OF ELECTR,CI'~Y ~ B5 JOHN ~TREET, NEW YORK, NEW YORK '10038 Date D[C~MBS~ 12,1988 ~ppllcation ~o.o.f'e 52072887/87 N 049438 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed be~w and intr~uced by t~ applicant ~med on ~he able application number in the premhes of CAA INC., S/S PECONIC BAY BLVD., LAUREL, N.Y. ~. th~ fo.o~.~ ~,,~at~on~ ~ ~.s.me.~ ~ ~t ~. ~ ~nd ~. ~%~,~o. ~t~ Lot K~sexatninedott DECEMBER 06,1988 FIXTURE OUTLETS -- ECEPTACLES SWITCHES 80 3 66 DRYERS f80 FIXTURES INCANDESCENT FLUORESCENT RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO, OF FEET E OTHER APPARATUS: ELEC. ~ATER HEATERS: :1-4.5 K.~. G.F.C.I:-5 SMOKE DETECTOR :-1 E R V I C NO, OF CC COND A.W,G. NO.OF H~-LEG A,W-G NO OFNEUTRALS 2/A'WO G P~R ~' OF CC, COND OF HI-lEG O~ NEUTRAL 1 2/0 E.E.C.O. ELECTRIC CORP. 35650 COUNTRY RD. 48 PECONIC, NY, 11958 GENERAL MANAGEI~ ~ LICENSE NO. 2816E Per~ This certificate musl not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. FOUNDATION (t~) FOUNDATION (2nd) 2. ROUGH FRAME ~/ .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~ULATION FRAMING [/']~ FINAL REMARKS: ,INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE _ INSPECTO 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [,]~DUG#/, PLBG. J FOUNDATION 2ND [/~' INSULATION [ ] FRAMING REMARKS: _ FINAL INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING [ ] FINAL DATE '~/~~ ,NSPECTOR~.:~ 765-1802 BUILDING DEPT. INSPECTION ~ou,,D.T.O,, ,s~ i~°u~. FOUNDATION 2ND [ ] INSULATION [/FRAMING []FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ] FOU~U.~DATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL DATE //~/~ INSPECTO~-~~ 7r, s.s8o, BUILDING DEPT. INSPECTION [ ]~)/UNDATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [~] FOUNDATION 1ST ~ ] ROUGH PLBG~ FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: TOWN OF SOUTHOLD BOARD OF HEALTH .Q..~.~. 3 SETS OF PLAINS 'FORM NO. 1 SURVEY .e4P-~.~'- ~., TOWN OF SOUTHOLD CHECK ~%~% · BUILDING DEPARTMENT SEPTIC FORM q'.'f.' ......... : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL Examined .g-~. 4,~..~'., 19 ~.'1. Approved/~. ~S.z~04~...~,., 19~..?. Permit No./..~.~.~.~.~..~.. Disapproved a/c ..................................... ............... (Building Inspector) APPLICATION FOR BUILDING PERMIT TO: Date../2~..~..'~. ........ 19~. 7. 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 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 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, ho~png code, and regulations, and to admit anth°rized inspect°rs °n premises and in building f°r necessa~,~' /a) ~L~[d//[7~ ' · 7 i~i'gnature' ' ' ' ' "~ ~l[~a'n'tl ;? naine, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... e ............................................................ Name of owner of premises .... /. ] . ~/.~)~/A · .~. ~ · · Z.~.~.t~O.7~. · · · ·; ... · .~ · .d.'.--~ ' ~~ ........................ (as on the tax roll or rarest ee ) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED' Builder's License No .......................... Plumber s License No ......................... Electrician's License No ....................... Other Trade's Licensd No ....................... 1. Location of land on which proposed work will be dOne~ ....... , .......................................... House ................. Number -- Street t Hamlet County Tax Map No. 1000 Section .../.gk: ........ Block .../.7 ........... Lot.../. ............... Subdivision. At ~.. ~.../~.. ~. ~. N.~. ............... Filed Map No. ~. l .......... ~ot . ./ ............ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ~Fxisting use and occupancy ...... :.-:/'~-.[~..' J.V.'..~..~. · · .t0 ............................... b.j_~nt, e. nJ.ed use and occupancy'. ........ ~.~..~. ~/i..~...~....c~.. p~.~. O1o...~..~.../.~././~. ~4~,./~ .... 3. Nature of work (check whic applicable): New Building .......... Addition ........ ~ .... Alteration ... Repair .............. Removal .............. Demolition .... ~. Other Work ........ ! ...... 'q · ~ (Description) ' (to be paid on filing this application) 5. If dwelling, number of dwelling units iiii ii/i_ ~/~......Number of dwelling units on each floor .. garage, number of cars ...... ' ..... ) ........ , .......... : ............. 6. If business, commercial or mixed occupancy specify nature and extent of each type of use .Z~.~-.. ,, ... Danenslo. gs of existing structures, if any: Front...~O .......... Rear .. fl.O.., i ..... Depth .. ~'('fl ....... "Height .~ ............ Number of Stories . ~ .......................... t ......... ' ................. Dimensions'of same structure with alterations or additions: Fron} ............. ;... Rear .................. Depth ...................... Height ................. i.. '.. Number of Stories ...................... 8. Dimensions of entire new construction: Front..~'~. f... .... Rear ~.'.~.~.l , . Depth /]~./. ... - 9" Height .JO../ .......... Number~ of Stories .... ~.. ........... ~, ........... ~, .......................... Size of lot: Front ...j/~.. ............... Rear... ~.~..,'.~ .~' ........... Depth .,~'.~ .o~.. ........... , .... ~01' Date of Purchase ./.~.J.~.~ ................. Name of Former Owner I~/P,['J~lt~.~.~°~]..~.'~7..~/.~... I 1. Zone or use district in which premises are situated .......................... ; .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation ..... .A~f~ ................ ....... 13. Will lot be regraded ....,~O ..................... Will excess fill be removed from ~a~emises: _ .t~e~ _ No 14. Name of Owner of premises...~..~tt..~.~ ~]~'.. Address~7.041v'/~.Y~i~o~ No. /'/~1~'.1~.~,2~) ..... Name of Architect .~.,~.~o~..,~'~.L~..~t--'~.~,~ t~ ....... Address/.~.~(~.'~ ~l~l~-~'~a~.~. ~P't~)~e No. ¢7. ~.'~..... Name of Contractor ../.-~¢'O'~. (,q?. C~l~/~t~-]'l~/d. Address .~t~.' .~~A~/Phone No.'2. g~'..~t/~.~.. .... 15. Is this property located within 300 feet of a tidal wetland? *Yes: ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM ' Locate clearly and distinctly all build/rigs, whether existing pr proposed, and. indibate all set-back dimensions from property lines. Give street and block number or description according to dee~l,.and show ~treet names and indicate whether .nterior or corner lot. n'AT OF N W- ' YmrVa S ;OLkb~Y OF. ~ .S ~ ~-, 7~'. (~./~.~'f [J)~ ~1~--~_~..C~]~a~a--'-- ~/~ ........ being duly sworn, deposos and says that he is the applicant t (Name of individual signing contract) , . , ' ~ov~ named. , (Contractor, agent, corporate officer, etc.) ~ '~' : c~ said owner or owners, ~d is duly autho~zed to perform or have perfo~ed the said work and to m~ke and file this pplication; that all statemenls cOnt~ned:~ this applicafi6h h~6.true to the best of his ~nowledge and belief and that the york w~l be performed in the m~ner set forth ~ the application filed therewith. ;worn to before me this .... '" . .'. ............. /..~. ....... day of..~. ~ ~ ( ~ I ~ 8~ ~ New York 19X. 7 : County e'~ ~ j ~ .~ .... ~' (Signature of applicant) E N £R~¥ C ODE CALC OLAT I 0 N5 ~ XT£.&.I6~. \V,~,LL5 O.A. ' /0°,-r' _T.A. ' 1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATING CONTROLS TO MEET 7813.13 .RANGE 45 TO 75 DEGREES FAHRENHEIT. 3) WATER HEATING PER 7813.31 THRU .38. 4) PIPE INSULATION 7813.19 5) WINDOWS - DOUBLE GLASS. 6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE. TO THE BEST OF MY KNOWLEDGE, BELIEF, AND PROFESSIONAL JUDGEMENT THESE PLANS ARE IN COMPLIANCE WITH THE CODE- TOWN CLERK TOWN'OF SOUTnOf., N? 2425 Suffolk County. New York 51~ - ~65-1801 Southoid,,N. Y. 11971~'?.d:~- '~ 19 Jtuhlh I. lorry, lown Clerk ~OM~ ~. ~OTT COVW~ D~ARTMENT OF H~ALTH C; 5UF~LK LOT NO. I ~" MAP OF PROPERTY OF A.L. DOWNS" ~oT' AT LAUREL DATE: AU~. 12, FOR APPROVAL OF CONSTRUC~'ON ~ ~ L ~N ~ SOUTHOLD SCALE: ~" : eo' DATE / ~ S REF. NO. ~ · HEALTH DEPARTMENT-DATA F~ A~ TO C~STRUCT ~ ~R~ ~R WHOM THE SU~Y I~ PREPARED YOUNG YOUNG .~R~AD, NE, ~RK NOTE:·: MONUMENT SUBDIVISION MAP FILED IN THE OFFICE ~ THE CL~K OF ALDEN W.~UNG, P~FE~I~AL ENGINEER AND LAND SURVEYOR N.Y.S. UCENS[ NO. 12845 SUFFOLK COUNTY ON A~. 14,19~9 AS FILE NO, HOWARD W. YOUNG, LAND SURVEYOR H ~ L~ ~ ~L(WL ~IC TA~(~I CE~S(~) WN ~E~ N.Y S. LICENSE NO. 45893 SURVEY FOR  JOHN J. ABBOTT u~ ~5,~qal LOT NO. I,"MAP OF PROPERTY OF A.L. DOWNS" mmT~ ~lmm~ AT LAUREL OAT[: AUG. 12, 1987 ~WN OF SOUTHOLD SCALE: I" = 60' ~U~UTHORIZ[D ~L~ERATION OR ADDITION m ~IS su~v[~ ~ ~ v~oL~o~ ~ s{c~o~ 7zo~ OF TH[ TEL. ~ ~~~ ~ OSTRANOER AVENUE Y NG YOUNG NOTE~ B = MONUMENT ~= STAKE ALDEN W. YOUNG~PROFESSIONAL ENGIN[[R SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ANO LAND SURVEYOR N.Y.S. UCENSE NO. 12845 SUFFOLK COUNTY ON AUG. 14,~929 ASFILE NO. 21. /_~ ~, ~ ~, ~, ~,~i~ ,',,',, ' SU~Y FOR . . ~./~tLY DW~I~y LOT NO. I, MAP OF PROPERTY OF A.L. DOWNS" : I>:r[~-~-~H.~ ~F.~. ~?~)-Z~ AT LAUREL DATE AUG. 12, 1987 ; [:~s~',~3~d~';[~s~*r~dwa~rsup~ty~~ ~WN ~ SOUTHOLD SCALE: I" = 60' ~ :'~h',r~Y'a~L~n~rXedb~this~a~ta~/~ SUFFOLK COUNTY, NEW YORK NO. ' 87- 1076 i - -;' :;e~'''~._ ',;:.' ~": .-,....,. ,o.. ,..,,.,*.-,..,,.-..~.,o.....,o.. ,..~ t ~ ~ ~ ~ ~COPI[S ~ ~ll ~VEY ~OT ~AR~G THE LANO SURVE~'S I~0 ~AL OREMI~ED SEAL SHALe NOT BE CONSIDE~OTO ~AVALIO TRU~ COPY HGUA~ANTEES ~OI~TED ~Ofl ~L RUN ~LY ~ ~ KR~ ~ WH~ THE SU~EY ~S HEALTH DEPARTMENT -DATA F~ APPR~L TO C~STRUC T ANO ~ HfS BEHALF ~ T~ ~TLE C~Y, GOV~N- OWNERS OF HEALTH S~ICE~ PURPOSE ANO ARE NOT TO BE U ESTABLISH  ~.~o[. AV~[ ~L YOUNG ~ YOUNG ~..<AO, NE.~O"K NOTE:I: MONUMENT ~= STAKE ALDEN W.~NG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE ~ THE CLERK OF ANOLAND SURVEYOR NY. SUCENSE NO SUFFOLK COUNTY ON AUG. 14~1929 AS FILE NO. 21. HOWARD W. YOUNG, ~AND SURVEYOR ~ ~ L~ ~ ~L(W),~PT~C TA~(ST)a CES~OLS(~) ~ ~[~ NY S. LICENSE NO 4589~ .I N 0 SUPPLY ,SYSTEM CANNOt EXCEED 2/10 of 1% LEAO. PLUMBER CE~TIFIgA TION OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY l I ,~iN~IOVED Al NOTED I ~. 9~.~ C,k-, ,,, NO+l~ ~ILDING DEPAETM~ A~ 785-1~2 9 A~ TO ~ P~ ~ T~ ~UNOATIO~ '~0 ;~EQUIRED 8" thick poured concrete foundation wall keyed to 8"x1'4" poured concrete footings, 1/2" dim. non-corrosive anchor bolts 8'-0"o.o, m~x.- 100 sf 5/8" type 'x' gyp. board above bqiler,, Insulate all heating p~pee in basement to R 4.6 m~n. Insulate basement with R-~9 baits. I% H ' q U' -I - -4::I--- : ¢ H:::F d SET 2 TErfLEb :1 A =-~ ITM ~ 4 L ,I ti iS. ~L Ar/ -fEY