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 ~__~ ~
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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.