HomeMy WebLinkAbout16184-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17107 Date JULY 22, 1988
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 1350 COX NECK ROAD MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 113 Block I4 Lot 04
subdivision HERITAGE HARBOR Filed Map No. 6853 Lot No. 4
conforms substantially to the Application for Building Permit heretofore
filed in this office dated RIVERSIDE HOMES INC. pursuant to which
Building Permit No. 16184Z dated JUNE 29, 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~ ATTACHED TWO CAR GARAGE.
The certificate is issued to RIVERSIDE HOMES, INC.
(owner, YO{Y~)
of the aforesaid building.
Suffolk County Department of Health Approval 86-S0-112 JULY 19, 1988
UNDERWRITERS CERTIFICATE NO. N850391 JAN. 18, 1988
PLUMBERS CERTIFICATE NO. TRT PLUMBING & HEATING 3/1/88
Building Inspector
FOitlM[ NO. 0
TOWN Of: $OVTHOLD
SUILDJNO D~PARTMt:NT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Na 16~84 Z
Permission is hereby granted to: ~
...............................................
~.......~...~.,...u..~..~...~ ........
at premises located at .... ~,~ k~.....~ ....... ~ ....................~.~ ..............
County Tox Map No. 1000 Section ...... l..(..;~ ......... Block ........ L.~ ........ Lot No ........~....~. ...........
pursuant '0 application dated ....... --...~....~,..Oj ................., 19.~..'[,., and opproved by the
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 ,,,~ 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 equaJ).
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 property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner asto 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 $25.00 -- BUSINESS 850.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewConstructton ...... Old or Pre-existing Building ............. Vacant Land .............
MATTITUCK
Location of Property ...1.3.5.0..qo~ .RE.C~ hO.A.D. ..............................................
Hou~ No, Street Ham/et
Owner or Owners of Property .... ~%%V.E.~S.I. qE..H.O~E.S..I.N.C.· ...................................
County Tax Map No. 1000 Section . .!1.3 .......... Block ..... 1.~. ........ Lot ..... ~. .........
6853 Lot No 4
Subdivision .... UE. SI.T.A.qE, .UA. SB.O?. ..............Filed Map No ........................
PermitNo. 1.6.!8.~..7-- ... Date of Permit 7/.8./87. Applicant RIVERSIDE HOMES INC.
Health Dept Approval 86S0.112 Labor Dept Approval .
N850391 Planning Board Approval
Underwriters Approval ......................................... . .. .
Request for Temporary Certificate ..................... Final Certificate ......................
F Sub itted$ 25.00
Construction on above described building and/per-~ee~s all a~odes and regulations.
Applicant ~, ................
CO x f 7
A-de, ANDERSEN PERMA'SHIELD
D CASEMENT & AWNING' WINDOWS
~..~. ,M Glazed with TOP 0F
L High-Performance Insulating Glass SASH
SUGGESTED INSTALLATION IN FRAME WALLS 7. Insulate between frame and rough opening on all sides.
CAUTION: Do not over-pack insulation. Bowed ~ambs may
(Install units In a vertical position only) result. Expanda~ ty~ ~m ~sulatton matertam may also
1. Remove protection blocks, bow Iambs causing difficult operation.
2. Make certain rough opening is correct. Sill plate ~ust be
level. APPLYING EXTENSION JAMBS
a. Close and lock sash. 8.< When applying extension Iambs before window Is In.
b. Centerwlndowinopening sill plate must belevel. Block stalled, toe.nal/throughbacksi~i~toJ~basshownlntl-
silt from silt plate at side lamb ama on y, as shown In lustratlon (A) or use pilot hole.
illustration. 9. When extension Iambs are applied after unit is installed
thw should be nailed as shown in illustration (B) using pilot
hole.
c. Nail one top corner first, then level window unit ~nd ~ail
oo~osite corner. 1-314" roofing nails are recommended.
WBen using Iow density insulating sheathing do not set
nails to ~event bending and cracking Ilanges. Suggested Finishing Nails:
3. Square the window, check reveal around sash perimeter, 4 9/16' wall dimension - 10d finishing nail
and nail remaining two corners. , 5 1~4" w~l~ dimension - 1~ finishing nail
4. SHIM AND BLOCK AS REQUIRED, CHECK WIDTH AT 6 9/16" wall dimension - 16d finishing nail
CENTER TO AVOID INWARD OR OU~ARD BoW OF SIDE {Count,s{ak nails (~ better holding powe~
JAMBS. COMPLETE NAILING.
5. Caulk around perimeter of window after exterior finish is
applied over flanges. NOTE: nside sto~ am temporarily tacked tn place Pos lion
6. V nyl t; m strip wood filler and Instructions for narrow or and secure with t-t/~" (4dj finishing nails.
suppofl mullions furnished when specified. Available from
A~rsen distributors and dealers.
SUGGESTED INSTALLATION IH MASONRY & BRICK VENEER WALLS
(install units in a vertical position onl~
/
~~ :ll~ ja~~ ~ ~ Vinyl Flange ~moved
t0. FN~wpf~u~lntramewaltswhenusingwoodbucks. c. Center unit in opening, plumb, square and level. Shim
flange. See step 11b. d. Securewlndow withside~b clipslntolurdngst~ips~
a, Close and lock sash. Remove inside stops, fect Perma-Shleld vinyl, but they do atilt glass and
b. Cut and re~ove anchoring flanges at head, sill and side hardware. Immediately wash acid splashed on glass or
exterior brick, etc~inglrustin~;, ,
THANF~ YOU FOR SELECTING QUALITY ANDERSEN® WINDOWS
Winttowalls
High-Performance Insulating Glass
765-1802
BUILDING DEPT.
INSPECTION
76~-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ SULATION
FRAMING ,r.d'] FINAL
REMARKS:
t/- . ..... ..
7GS-1802
BUILDING DEPT.
INSPECTION
f ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
/
FRAMING [/] FINAL
iNSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[. J FOUNDATION 2ND [~SULATION
[ ] FRAMING
[ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
~H PLBG.
INSULATION
FINAL
INSP£CT~(
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ~ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[ ,~I~MING [ ] FINAL
REMARKS: ~,
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ *~] ROUGH PLBG.
[ CJ~UNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
['r"~FOUNDATION 1ST r ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS.- g,/~ '~"~'~~ ~
,_ // , ..~_.~, // / /- .
~ DATE~INSPECTO~
UNDATIO.~ '~1 s t )
UNDATION (2nd)
UGH FRAME &
PLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
Fi'N A L/
ADDITIONAL COMMENTS:
Riverside Homes, Inc.
P. O. BOX 274
1159 West Main Street Riverhead, N. Y. 11901
Phone: 516 - 727-3395
July 24, 1987
TOWN OF SOU'FHOLD
Building Department
Main Street
Sontho]d, New York 11971
Re: Permit No. 16184
Gentlemen:
Enclosed is our check for $39 rom the additiona~ charge for the permit
due because of the revamped plans. Thanks.
/
Sin~ely.
Enclosure ~:azaro
Riverside Homes, Inc.
P. O. BOX 274
1159WestMain Street Riverheed, N. Y. 11901
Phone: 516 - 727-3395
0ctobeP 12, 1987
Building Department
Main Stmeet
Southold, New Yo~k 11971
Re: PePmit No. 16184Z /
Gentlemen: n/f~n
Enclosed please find the undem const~uetio darien
you mequested.
EnclosuPe
location suPvey
THE NEW YORK BOARD OF FIRE UNDERWRITERS
j~,O350[[~ BUREAU OF ELECTRICITY
~r~3* 85 JOHN STREET, NEW YORK. NEW YORK 10038
THt5 CERTIFIES THAT
o~y the electrical ~ipment ~ ~scrib~ be~ and int~duced by t~ applicant ~med on the a~ve application number in the premises of
~O~f~ e/z Co~ ~ec~k Rd.~ 3t5.2(3~ ~/o Westphalia Rd., ~attituck,
in ,helotlowlng &,cation; ~ Basement ~ ,st ~. ~ ~,d ri. ,%¢tlo, BIlk Lot 1099
~sexamlned on 3~%~ 7 ~ ~ at,d fou,~d to be ln co,npllance wlth the requlre,ttents qf thls Board.
FIXTURE FtXTURES RANGES OVENS DISHWASHERS EXHAUST FANS
DRYERS ~RNACE MOTOR~. FUTURE APPLIANCE FEEDERS
TIME CLOCKS UNIT HEATERS MULTI*OUTLET DIMMERS
SYSTEMS
NO. OF FE~T
SERVICE DISCONNECT
OTHER APPARATUE:
S E R V I t' B
OF CC COND OF HI-LEG OF NEUTRAL
~eter Cha~o~eau
35 Shep[~d
This ce~ificate must not,be ohered ~n any manner; return to the office of the Board if incqrrect. Inspectors
~- COPY FOR ~U LD NG DEPARTMENT. THIS
be identified by thei~ credentials.
PLUMBING & HEATING
LTD.
26 CARLTON AY. MASTIC N.Y. 11950
(516) 399-0921
Date: March 1, 1988
Building Department
Town of Southold
Town Hall
Southold, New York
11971
Re:
Building Permit No.: 16184~
Owner: Riverside Homes Inc.
Gentlemen:
I hereby certify that the solder used in the water supply system
for the captioned job contains less than 2/10 of 1% lead.
Very Truly Yours,
TRT PLUMBING AND HEATING
Terrance Taub
President
TT:eac
Sworn~ before me
~/~ day of
~. ~98g~.
Riverside Homes, Inc.
P. O. BOX 274
1159 West Main Street Riverhead, N. Y. 11901
Phone: 516 - 72L3395
July 14. 1987
Building Department
Main Street
Southold. New York 11971
RE: Permit No. 16184Z
Gentlemen:
Enclosed are 3 sets of blueprints that are to b'~ substituted for
the blueprints now in your file. As soon as you have approved these new
plans~ please shed
us the approved copy.
Enclosure
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined....~2.~..., 19 .~?.
Approved .... .~ .... 19~...3. Permit No. J../~..I..~.t/~
Disapproved a/c .....................................
(Building Inspector)
APPLICATIO~ FO~ B~ILDING PERMIT
TOWN 9F SO~ipO~ 0
Received ........... ,19...
Date ............... '...,19...
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.
RIVERSIDE HOMES, INC.
(Signature of applicant, or name, if a corporation)
P. O. BOX 27~[, RIVERHE^D, NY 11901
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner/Builder
Name of owner of premises RIVERSIDE HOMES, INC.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
S. GORDON PRESIDENT
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No. 20~0P
Electrician's License No. 2697E
Other Trade's License No ......................
1. Location ofland on which proposed work will be done. . .E/.S. Cox Neck Rd. 815.28' S/O Westphalia Rd.
.. ! .x..o ................... ................. .....................
House Number Street Hamlet
County Tax Map No. 1000 Section 113 Block 14 Lot 4
Subdivision Heritage Harbor' Filed Map No. 6853 Lot ~
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..,.. Vacant land
Single-family dwelling
b. Intended use and occupancy ....................................................................
=
10,
11.
12.
13.
14.
Nature of work (check~'~/iaich applicable): New Building ,. ,X ....... Addition .......... Alteration . .
Repmr .... ~'~: Removal ... Demolmon Other Work ...........
~'~i ~ (n~scfinti~
Est~ated Cost.../.,~.~ .................... Fee .?~
' ..hr.,.~ ~ ~ (to be paid on filing this application)
............. oor
If dwelling; number of dwelling units .... ~ Number of dwelling units on each fl ioov oniy
2
If garage, number of cars ........................................................................
If business, commercial or mixed occupancy, specify nature ~d extent of each type of use .....................
D~ensions of existing structures, if any: Front .......... Rear Depth
Height ............... Number of Stories ........................................................
D~ensions of same structure With alterations or additions: Front ................. Rear ..................
Depth ................... ... HeiSt ...................... Num~ of Stories ......................
Dimensions of entire new cons[ruction: Front ~5 Rear Depth ... 36
Height 22 . Number of Sto~es
zs0 ........................
Size oflot: Front ...................... Rear ...................... Depth ...2~,~sj.~j..j ......
Date of Purchase Z97~b75 . .. Name of Fomer Owner SAUL
Zone or use district in w ~ch premises are s~tuated .....................................................
Does proposed construction violate any zoning law, ordinance or regulation: ...~ .............
NmeofOwnerofpremises ~g~ ~q~ I~ddress R~ve~head~ NY Phnna~a 72773395
Nme of ~chitect . .RICHARD .~DQ~Q~ ....... Address.Ha~ton. ~ .............. Bays ~hone x~,o ................
R~ve~head, ~ Phone No
Nme of Contractor ...g~Y~,O~P~ .~ ........ Address .................... 7~7r~ ......
PLOT DIAGRAM
l.ocate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
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,
COUNTY OF...S.u??.O.h.~. .... : S.S
ELIZABETH A. CANNAZARO
............................ I ..................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above nara~d.
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file 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 :
Z ~ ~ '"r
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