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HomeMy WebLinkAbout15295-zFORM NO. 4 TOWN OF SOUl=HOLD BUILDING DEPARTMENT Offmce of the Bualdlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17411 Date OCTOBER 14~ 1988 THIS CERTIFIES that the bulldang. ONE FAMILY DW~¥,T,ING Locataon of Property 305 MAIN BAYVIEW RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Sectaon 070 Block 05 Lot 27 Subdavlsaon Faled Map No. Lot No. conforms substantaally to the Applacatlon for Building Permit heretofore filed an this office dated SEPT. 21r 1986 pursuant to which Bulldang Permit No. 15295Z dated SEPT. 21r 1986 was assued, and conforms to all of the requirements of the applicable provlsaons of the law. The occupancy for which this certafmcate is issued is ONE FAMILY DWELLING WITH ATTACH~D GARAGE. The certifacate as assued to WILBUR VERITY (owner, of the aforesaad buildang. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-80-153 9/30/88 UNDERWRITERS CERTIFICATE NO. N852243 2/3/88 PLUMBERS CERTIFICATION DATED BERTSAND PLUMBING & HEATING 10/12/88 ' J ~ull~n~ Inspector Rev. 1/81 I~ORM NO. · TO~/N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PER,AlT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 15295 Z Permission ~s hereby granted to' ~.~ .... .~..~ :...!..!.~..~...t ...... ,o at premises located at .................. , .............. County Tax Map No 1000 Sect,on . .~-'~. J~ . Block ....~....~...'~.. ........ Lot No... ~...~ ...... pursuant to application doted ~P.~ ~ .., 197~, and approved by the Budding Inspector Building Inspector Rev 6/30/80 TOWN OF SOUT~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. ! 1971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner {please print¥ Plumber ~r~,> ~~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (p~umber' s signature) Sworn to before me this /F~day of ~/c , 19 f~ Notary Public, ~ ~F~ County Notary Public Q,J~Mied tn 8uffo~ County Commi~ion E~lrel J~numy 31, L TOWN OF SOUI~IOLD j FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th,s apphcat[on must be filled in typewriter OR ink, and submitted i~ to the Building Inspec- tor w~th 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 topographm features. 2.F~nal approvat of Health Dept of water supply and sewerage dlsposal--(S-9 form or equal). 3.Approval of electrical mstallatmn from Board of F~re Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and mmilar buildings and mstalla- tions, a cerUflcate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed rote plan requirements where apphcable. B. For existing buddings (prior to April 1957}, Non-conforming uses, or buildings and "pm-existing" land uses 1. Accurate survey of p~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 cond~tmn of buildings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees' Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certlfmate of occupancy New Dwelling $25.00, Accessory ,$10.00 Buszness $50.00 2. Certificate of occupancy on pre-existing dwelhng ~t ]00.00 3 Copy of cert~flcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5oUpdated C.O. $ 50,00 Date.. ................. . o ... NewC°nstruc%l°n ...... Old or Pre-ex~sting Building ¢/~.~/.~. x~?.e~.~. Vacant Land ............. Location of Property .............. ';., 'f'.? .......................... House No, Street Hamlet Owner or Owners of Property ................. - ..................................... CounW Tax Map No IOOB Sectmn ........... Block .............. Lot .............. Subdwlslon ~ ...Fded Map No. Lot No. Perm,t No. /..~.~'.~.f.~.'-. Date of Perm,t . ~.//.?...Apphcant ...~/ ~ t ..... .................. Health Dept. Approval . ./ ......... Labor Dept. Approval ........................ Underwmters Approval ...................... Planning Board Approval ..................... Request for Temporary Certificate..~..~: .............. Final Certificate . ./~.. ~ Fee Submitted $ .......................... Construction on above described budding and permit meets.~ll applicable codes and regulations. Apphcant .~'..~ .//~'~. 0 o z ?Y/1 FIELD IN~FECTION DATE COMMENTS FOUNDATION (~nd) STATE ENERGY ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~SU~TION ]FRAMING [ ]FINAL DATE INSPECTO/~~ 76S-1802 UILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION FINAL INSPECT~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [~/]*~FRAMING [ ]FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST [ ] FOUNDATION FRAMING ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL ~[/~ ~ BUREAU OF ELECTRICITY ! It ~i~ F~~..EW YO,K ,oo~8 ~ ~ ~num~mtheprem.es~  u~s examined on and found to be m cantphance utth the reqtltrettte~tn of this Board 24 DRYERS }rrmk Steprosk~ 42 g 1,itt]~ ~eck Road Cutchogue~ NY 11935 MANAGER Thts ¢erhhcate must not be oltered ~n any manner, return to the off*ce of the Board d incorrect Inspectors m~y be ~de~tJ~ed by their credenhoJs COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Z 30 O0 N /0/ F GEORGE H SMITH 8i CHARLOTTE M SMITH ( dwelling ) TEST HOLE ~et 3tO O / F ROSE MAILEs CHRISTINE M. Mc CASE ( dwelhng ) PINE NECK ROAD AREA · 14, 950 SQ. FT. N nF bJ N : '0_, ~o~ o > CO --I 30___5 TEST HOLE el 310 CERTIFIED TO COMMONWEALTH LAND TITLE INSURANCE COMPANY TtTLE NO G 62.4 - 948 - S WILBUR VERI TY CARLECE VERITY pE C ON~i~ (516) 765 P 0 BOX yAIN ROAD SOUTHOLD, N Y 909 11971 Y.S SURVEY FOR WILBUR VERITY CARLECE VERITY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 70 05 - 27 SCALE I" = 40' JUNE 18, 1986 JULY 22 , 1986 AUG. 7, 1987 (foundation loc ) LIC NO 49668 ,,'\~ AUdi 1198-~ IIIII To A ~ A S~i~C-.~'-~4'~E----' L TOWN OF SOUTHOLD Prepared in accordance with the mimmum stand~,ds for title sur~eys as e~tablished by the L IA. L$. and approved and adopted te Land 86 - 327 A .o Z ~ooo AREA = N/al F ROSE MAILEs LEASE NOTE '~ ~' ~ ~ .... (dwelling) dl~t fac ,,,4.~-y amd sewage PINE NECK ROAD The woter supply & ~ge ~sposol s~s- CERTIFIED TO 30 5 l~. TEST HOLE el 3l COMMONWEALTH LAND TITLE iNSURANCE COMPANY TITLE NO G 624 - 948 - S WILBUR VERITY CARLECE VERITY SUR DATJ APPR COUNTY DEPARTMENT OF HEALTH SERVICES FO~/~AL OF CGNST, I~UCT,CN C~LY SINGLE ~ {516) 0 P 0 BOX 909 MAIN ROAD SOUTHOLD~ N Y ~1971 SURVEY FOR WILBUR VERITY CARLECE VERITY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 70 05 - 27 SCALE I" = 40' JUNE 18, 1986 MILy n...~ JULY ROM D.,,.- ~ ONLy ~ t ~b ?i~. L A. L. S. and approved and odopte~ N~ ~ CIG NO 49668 ~r such use by The New York State Land T~tle A~i~tlon. ~ ENGINNERS , P C ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM rr' 28 2§/,~ ~'o ~0 oo N /0/ F GEORGE H. SMITH ,, 8~ CHARLOTTE M SMITH ( d~ell~ng ) S 86 o27'O0,'E. I ~ 199 61' N / O / F ROSE MAILEs CHRISTINE M. MCcABE AREA · 14, 950 SQ. FT. TEST HOLE el 3i N N h o z .J 17' CERTIFIED TO, COMMONWEALTH LAND TITLE INSURANCE COMPANY TITLE NO. G 624 - 948 - S WILBUR VERdi TY CARLECE VERITY SURVEY FOR WILBUR VERITY CARLECE VERITY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 70 05 - 27 SCALE I" = 40~ JUNE 18, 1986 PeCON'e-'~UR~L~,RS I Pll E.G,NNERS P C P o e ox~~ ~49~0~ ELEVATIONS ARE MAIN ROA~~~ TO AN ASSUMED SOUTHOL D , 86 JULY 22, 1986 AUG. 7, 1987 (foundahon loc ) APRIL 25, /'988 (final) REFERENCEu 198~ DATUM Examined~'X~-~~-~a.. ;}-I Avprov~-~FJ~lu,~ gl D~sapproved a/c ... ,,~ ~, a,: i~ .... FORM NO 1 i~il~¢i~-;~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL 765-1803 ,19 igt , 19~[~ Permit No / ~&~ff ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19.. Date INSTRUCTIONS a Ttus application must be completely filled m by typewriter or m ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b Plot plan showing locatmn of lot and of buddings on premises, relationship to adjommg premises or public strew_ or areas, and giving a detmled descnphon of layout of property must be drawn on the dmgmm which ~s part of th~s apl~ canon. c. The work covered by flus apphcahon may not be commenced before issuance of Buildmg Permit d Upon approval of this application, the Budding Inspector will issued a Bmldmg Penmt to the apphcant Such pern shall be kept on the premises available for inspection throughout the work e No budding shall be occupied or used m whole or ~n part for any purpose whatever until a Certificate of Occupan shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the msuance of a Building Penmt pursuant to t Bmldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmances Regulanons, for the constructmn of buddings, additions or alteratmns, or for removal or demohtton, as hereto describ- The apphcant agrees to comply w~th all apphcable laws, ordmances, budding code, housing code, and regulations, and admit authorized ~nspectors on premises and m bmldmg for necessary mspect~ons_~ (Sig~;tur'e of appl---- ;can~,~or~m e, if; 'co[~orat;;n) (Mmhng address of applicant) State whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bufid~ ~c0o et" ...................... Name of owner of prem,ses ~4-'~'/a~/' ]/'~'~/' .vii/ u~...gq.f* ............. ~'(as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's L~cense No. ./9'~ ...... Plumber's Lmense No Electric~an's License No Other Trade's License No ~ 6~ $ ~ 1 Locahon of land on winch proposed work will be done ~cac ~Z ..,~-,.~.~r~ ,/k/~,~ . ~?~.~ u~ ~'~d ~ House Number Street Hamlet County Tax Map No 1000 Section "~' Block ~ . Lot . Subdtv~s~on Filed Map No Lot (Name) State extstmg use and occupancy of premises and ~ntended use and occupancy of proposed construchon a. Ex~stmg use and occupancy b Intended use and occupancy 3 Nature of work (checkwhlch applicable) New Budding /~' . Adchtlon ........ Alteration .... Repmr .. Removal ..... Demolition ........ Other Work ........... (Description) 4 Estnnated Cost k~.?,,. ;:~t¢~ .... Fee ............................ (to be paid on filing this apphcatlon) 5 If dwelling, number of dwelling units g A~,,~ ~/ ...... Number of dwelling units on each floor ...... Ifgarage, number of cars .. z/ ........ 6 If business, commercial or mixed occupancy, specify nature and extent of each typ? of use 7. DLmensions of existing structures, ~f any Front ~.:. .. Rear ... 9/.~. ..... 'D;~t~ .' ~ ¢i'i. Hmght . /. ~ ~ ... Number of Stones .~ .............. DLmens~ons of same structure with alterations or additions Front ,.5'~,~ ¢' ..... Rear . Depth . Height ...... Number of Stones ................... -- 8 Dimensions of entire new construction Front . ~. c. . Rear ~'Y.~ ..... Depth . fl' ....... Height .~ec_.~Number of Stones ... > ............. , ........ 9 Size of lot Front ........ Rear... ~...°'7. .......... Depth . ~ ~ ...... 10 Date of Purchase 7J,'z//~P~' ..... Name of Former Owner .c°./~.r..z'~z~'r...~'~.,~F.~ e:. 1 1 Zone or use d~stnct in which premises are situated 12 Does proposed construction violate any zoning law, ordinance or regulation' . .................. 13 Will lot be regraded . ?/¢-q . . Wall excess fill be rerooved from premises. Yes 14 Name of Owner of premises . .~J4. ~,,~,~7~ Address . .~¥,.o. ~_~e~.~q..?)& Phone No..~"2~.r n./,a~./~ ... Name of Architect '~.~ /:q4~,~.,~ . Address .d~#.~'q. ,d 2,.~.. d~'~r Phone No. ~t.,~rd'~ ag/./~ .... NameofContractor.../~:~ .J~'c,;$.~ . ·.Address ~'~at *~.c,~o4'..~Z;),. PhoneNo. ?(£,-:/.dd~... PLOT DIAG RAIvI Locate clearly and d~stlnctly all bufldmgs, whether existing or proposed, and mdmate all set-back dnnens~ons from property hnes. Give street and block number or descnptlon according to deed, and show street names and ~ndlcate whethm lntenor or corner lot. STATE OF NEW YORK, S S COUNTY OF ........ (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the apphcan~ He is the ....................................... (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the smd work and to make and file ttu. apphcatmn, that all statements contained m th~s apphcation are true to the best of his knowledge and belief, and that th, work will be performed in the manner set forth tn the apphcatlon filed therewith. Sworn to before me th~s Notary Pubhc, .. · · .... 19~7'~. County PRIVATE RESIDENCE THIS PLAN IS THE PROPERTY OF' THE ARCHITECT AND SHALL. NOT BE DUPLICATED WITHOUT HIS PERMISSION OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OFO~U~N~ ~ If eol~ tubing b u~ed water distributing ~ plpln~ ihall be of tlq)el K or L only NOTI~ ~I~ING DEPARTU~T AT 78~-1~2 9 AM TO 4 ~ ~R THE FOLLOWING INS~C~ONS: FOUNDATION ~0 REQ~D FOR ~EO CONCreTE 2 ROUGH FRAMING &'PLUMBING 3. INSU~TION 4. FINAL CONSTRU~ION MUST BE COMPETE FOR C~O. ALL CONSTRUCTION SHA~ THE REOUI~MENTS ~ THE N.Y ~A~ CONSTRU~ON & EN~GY CODer NOT ~NSI~E ~R ~IGN OR CG~S~ION ER~RS. ARCHI-TECT RAYMOND E FELLMAN A I A 570BROADWAY., AMITYVILLE, NEW YORK 516 AM4 .5505 NEW- YORK 8346, NEW JERSEY C-5127 · CONN,ECTICUT 2215.PENNSYLVANIA B-5765 · FLORIDA 5,009 ;7 ly~ Idplng ",hall b~ lc. AT_ION ' - , o~ ~T~ ~ ~ ~ i~ ~ILDING DEPARTMENT ~ * 2 ROUG~ F~AMING & ~UMBING _~ U=~ ~ · c~" Z ~ ~ ~OMPLETE ~R C.O. ~ ~OES NOT ~S~E ~__~ ~ ~ Z ~<~ [ I I I \vA, L L ~ FTG,, II 5 I k il, ! C bill',4 NI ~-Y ,/ 1G"X ~"~ P'O OP-...~ D', GOiNIC~ET~L'3~-OOTI biG. .I %,_ 1'2' C ~ ~. VVALL5 ~..M IG'X~5I~ .POdR. S'D LALLY 'CO LU M kJ .5 '2.4.2 × -'~.4'"X I¢_~ :U~SULAT~' U.O5 I 5 '-- '~" ',.~,Yz" T.C. FLU GARAG'E PIT~:~ E'[::) ,TO 0 ,I )"×TLO" 3c .oA.5. o_^~ .0 I~AT~ IN ~UL~TIE A~PHALTU~ III Z F'L CELL~IZ, , U~I,H'E A,T ~ p DETAIL FLO OF DETAIL TOT&L [2 = I"Z,99 U = : .o7 ' THIS IS TO CERTIFY THAT THESE PLANS HAVE BEEN PREPARED IN COMPLIANCE WITE THE NEW YORK STATE ENERGY CONSERVATION 'CONSTRUCTION CODE. AS FOLLOWS: 1. U VALUES OF THEENVELOPE SUB SYSTEMS A~ SHOwN'ON THE, CROSS SECTIONS AND DETAILS OF THE PLAN AND DO NOT 'EXCEED THE THERMAL TRANSMITTANCE'VAL~ES OF TABLES 4-1' & 4-2 (SECTIONS E402.1, E402.2 & E40~.3) B. - DESIGN CRITEREA (BASED ON 15 M.P.H. WIND) INDOOR DESIGN CONDITIONS CODE WINTER DRY BULB 72°F max E202.2a ~ HUMIDIFICATION 30% max . E202.2b SUMMER DRY BULB 78°F min E202.2~ HUMIDIFICATIONi 60% min E202.2b .M~HANICAL ~NTI~I'IpN qRITEREA E2OB.1 ::,,= AIR,LI~KA(~E Rt~GiJLATIBNS' :.; E402.4 OUTDOOR DESIGN CONDITIONS CODE IlooF E202.l a~ a WINTER DRY BULB Table 2-2 SUMPtEN DR~ BULB 83°F ,HEATING DEGREE DAYS 6~OO0 ~, '" 2"t , 3. ' 4. DESIGN OF HEAT LOSS OR GAIN THROUGH EACH EXTERIOR FACADE IS SHOWN IN BTUH ON THE CROSS SECTIONS AND/OR ' DETAILS OF THE' PLAN. B. "R" VALUES OF INSULATING MATERIALS ARE INDICATED ON THE'~ROSS SECTIONS QR AS A RECIPROCAL OF THE INDICAl "U" VA~UE.' ALL PIPINO SHALL BE THERMALLY INSULATED ]I~CCORDANCE WITH TABLE 4-5. (E403.9). ALL DUCTS, ~ ' ' PLENUMS AND ENCLOSURES SHALL BE THERMALLY INSULATED ; IN ACCORDANCE WITH E403.10, EXCEPT EXHAUST 'DOCTSWITH- .IN HVAC EQPT. OR WHEN THE ENERGY REQUIREMENTS OF THE BUI:LDING ARE NOT INCREASED. " ' ' 6. a~'StZ,ES AND T:Y'P~S OF APPARATOS.,EQU'IPMENT ANb S~s'TE~ . ',, CONTROLS WILL COMPLY WItHN~yi~.~CODE E403 '"B~ILDI'NG ME~HA.N~CAL BYSTEMS".AND E~04 "SERVICE WATER HEA~INGi b. HEATING AND COOLING DESIGNSMUST C~MPL¥ WITH ' A S H ~ A E. STANDARDS 7. a. ELECTRICAl POWER AND LIGHTING WILL COM~LY WITH N.Y.S. CODE E405 "ELECTRICAL POWER AND LIGHTING". EXCEPT FOR~ESIDENTIAL LIGHTiNG.POWER.BUDGETS. TABLE 4-13 WILl BE 'UT'IL!ZED AS UNIT POWER DENSITY CRITEREA FOR' "'~ i' VISUAL TASKS AND.AREAS b. A~L AREAS'OVER 500 S'.F. HILL HAVE SPLIT LIGHT SWITCHINGJ ~. - ' ", o~ ,EbECTR)CAL ;D~sTR~BU~ION SYSTEMS MUS 'coMPlY 'W)TH ' :,N..E C,A'. ' ' , 'T ' NOTE::-BUIL~ER'IS ADViSED'~O CONTA~T'TRENEN YoRKS~ATE, ENERGYOFFICE (8D0-3~2-3722) EOR SPECIAL. DATA.