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Home My WebLink About14946-zFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15847 Date June 15, 1987 THIS CERTIFIESthatthebuilding ONE FAMILY DWELLING WITtt ATTACHED DECKS Location of Property 455 Lloyd Lane Mattituck, New York House No. Street Hamlet County Tax Map No. 1000 Section 099 ,Block 03 ..... Lot 4. I 0 Subdivision..M./.o...H.op.e. y...8.u.c. ~ .1 .e..H.i..1 .ltl .... Filed Map No. 70 19....Lot No. 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated May 22, 1986 pursuant to which Building Permit No, 149/46Z dated J un e 7, I 986 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 ATTACHED DECKS The certificate is issued to WILLIAM & DIANE WALTERS ..................... ..................... of the aforesaid building, Suffolk County Department of Health Approval 86 - S O- 73 UNDERWRITERS CERTIFICATE NO... PENDING PLUMBERS CERTIFICATION DATED: June 4, 1987 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAI.L SOUTHOLD, N. Yo 6UILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~.~...!...t...! .................................................. .~..~....~.......~...~.,.....u...~.~ ,o ,.,~.....~....~...~.~,.~.~.~.~.......~.. .............. -"~'~'-~-':,~o,~ ................ ~:"-~"'-'-:','~"'"~ ........ x"_'-~'~;~'~ ........ · ~/'~'~ q~ C~....~ .... ...~Z...I ~/u~,~, ~ at premises at ...................... ~...~..........~.. .................................................................... pursuant to application dated ..... ...'~).1~..~..~... ................. , 19.~..(~ and approved by the Building Inspector. Rev. 6/30/80 FIELD INS~'ECTION ~DATE COMMENTS FOUNDATION (~st) PLUMBING -/ / C 0 D E FIaAL .~~ ~' / Z ' ADDITIONAL 0 SH?~OtK COUNTY DE?2RII~E~ DF t~EAtt~l S1~RVICF_,$ -- FOR APPROVAL OF CONSTRUCTION APR 11 1986 S,C. D~?T. OF HEALTH ~RVICE$ · a%er supply and sewage dt~ for this'residence will go~'Im %o %he s%andard of %he Suffolk · ~t¥ Depar%men~ 'of Health Service. ,~,~I~J~FOLK COUNTY HEALTH DEPA ShNGLE FAMILY DWELLING ONLY SEWAGE DISPOSAl HAVE BEEN ~D TO BE SATISFACTORY. Chh FOR THI', . DEPAR.T, ME~.T AN[ J[~N 9 SC D~PT. OF 765-1802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [/~ROUG. PLBG. 2ND [/-~NSULATION [ ] FOUNDATION [ ] FRAMING REMARKS: FINAL DATE INSPECTOR [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH pLBG. ~ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~FINAL 765-1802 BUILDING DEPT, ~ ~4NSPECTION [//'~FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE 765-'~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL INSPECTOR FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m I~m,~a~m 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 ~.///./.~.~//' 5.Updated C.O. $ 50.00 Date ................... NewC°nstruction ...... Old or Pre-existing Building ,_, .......... Vacant Land ............. Location of Property ........... ~ .................... House No. Street , Ham/et Owner or Ownersof Property .. ,~.l.~J.[..11 .GL..~.. ,, .......,Q ½~J~' i.~!~-iQ~-~ ....... l~ ....!.~-.~.~. ~ ...... County Tax Map No. 1000 Section ...... ~?. ...... Block,..~. .......... Lot .... .L~.%/..~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. i..~..~.~ .(P..7~. Date of Permit ./~l.~./..~.~.Applicant..~fi~l..~....~.~ f..~.~i~ ~ ...... Health Dept. Approval ........................ Labor Dept. Approval ....................... . Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and p~rmit meets all applicable codes and regulations. ~.ppl,c . . .~.~* ..~.-.---... ................................. Rev. 10-10-78 _.32 51 I s th/7 HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N,Y, 11971 (516) 765--3690 Inc. CERTIFICATION D a t e _-J~_4~_~Q87_ ..... Building Permit No._~6_Z_. 0wner_~_~_~i~_~e~*~_~_~Z~b~_Lane Plumber Henrz. J. Smith I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. H~u~ry P. Smith Sworn to before me this _4_t~__day of June ~ 9~2__. #4844893 ~;~ary Public Notary Public, Suffolk County BERNADE~ L. TAPLtN ~0TARY PUBLIC. State of New York R~sid~,in Sut~ County ~s~On [xP~ Mm~ 30, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined . -~..,'~'~. · · .~ ...... 19 Disapproved.... ............ a/c ........................ ....~,..........P,i ............ -- (Building Inspector) APPLICATION FOR BUILDING PERMIT 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. (Sj~l~f~;r;of ap.p~)~,~/~me, if a corporation) · .. .......... ........ ~fi;iiifi~' ~;tfi31~;' 6~' ~33ii~fi~5 ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... .............................................. ....... Name of owner of premises ...~/.~..~/.~'~...~... f .......... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's LicenseNo .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................... c--- z,' e,C ................. ............... ........... '. ......... House Number .t~ ,'xa-,,--~/-t9 ',~~[ ,.";~ H~amlet. County ZaxaapNo. 1000 Section .'~'~.. Block ..... ~ ..... ..... Lot'i...ZS, z/.....,.':.-- Subdivisio .~.~...~...~.~..~fi.'... ~//~. ...... Filed Map No..?.~.1.~ ....... Lot .... [.0. ..... }ii' -- (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ..,5..... a. Existing use and occupancy .................... b. Intended use and occupancy .,/~'~.. ,.~/,ad~".~,¢'... ,/~'~.~.~,'.; f~.~ .~../.~...~Z. ................ 3. Nature of work (check ~hich applicable): New Building .... Addition .......... Alteration .......... Repair'~t~Dl'~ ~ ~u' · 'l' Removal .............. Demolition .............. Other Work ............... ' ' ?~ ~ .~ ~r~ ~ i ~ - (Description) 4. Estimated Cost , .... ~ .ff~)..~2.~. .................. Fee ..................................... ~. . ' ' ' 4' ~ ; (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... [ ... Number of dwelling units on each floor ................ , /. If garage, number of cars ...................................................................... 6. If business, commercial or mix'ed occupancy, specify nat¢_re and extent of each t~e of use ........... 7. Dimensinns o~fzexistlng structures, if any: Front ..... 4,, .... · · Rear · . · .~ff.. · ....... Depth Height . .~ ......... Number of Stones ................................................... ...... Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth .................. ;... Height ...................... Number of Stories ...................... 8. Dimensions of eant~p new cons:truction: Front ...... ~" 'r~ .... Rear .... ~ ....... Depth .... Height ..... ,4..~. ..... Number of~tories ......... ~;.. Size of lot: Front ..... .."]~../.~. ..... Rear ....... " ............ '/~..' ~/0'~ .................. Dl~pth ...~i i '.~. ~,~~t/rO .... .... Date of Purchase ...... ..~/~.~ ................ Name of Former Owner .~.,~'/~.'. ~,,t~.. ~...~, ..... Zone or use district in which plremises are situated ................................................... Does!proposed construction vi¢late any zoning law, ordinance or regulation: ................................ Will lot be regraded ....... 4 .................... Will excl~ss fiji be removed from premises: ~Y~, ,,o No Name of Owner of premises ~.~t~...' ........ Address /r/t~. ~./.~./. ....... Phone No. ,~..J~?...~.O..~?.... Name of Architect ........ i .................. Address ......... ~. ........ Phone No ................ Name of Contractor ....... ! ,~,~ .......... Address ... ~ .~..' ......... Phone No...-.~,~..t:~. ....... 15. Is this property located withinli00 feet of a tidal wetland? * Yes ..... No ..~... · If yes, Southold Town T~ustees Permit may be required. · PLOT DIAGRAM q0. 11. '12. 13. 14. ]Locate 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 o~ 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 applicant He is the .: .................... ; ........................................................ ; ......... (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 am 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 , ,,; .n. · ~..~ ......... day f ................ 19 ~..~ Notaw Public, J~-.e~. ~' , L)£ Uo4.~ County~ · ......... ............ i le~'~l~ (Signature of applicant) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY If ~ tubing b usm:l for w~ter distributing Wmtem; plpl~ ahmll I~ "f W;m~ g or L onl,/ ON ~ coKrEr~r ~m TL FOUNDATION NCTES: 3. 5. 6. ?. 8. ALL FOOTXNE~ SHALL B~AR UPON UNDISTURBED SOIL, HAVING AN ASSURED BEARING CApACiTY OF &~OOO P,S.F. BEAR~3G ~APACITY Of SOIL TO RE VERZF/~O BY THE CONTRALTO(' PRIOR ~0 PLACERENT OF FOOTINGS. CONTRACTOR 1~ TO VERIFY ALL FIELR CONOZTIONS PRIr.~ TO ~EGINNING Ok CONSTRUCT'~ON & %B TO REPORT ANY & AL.~ DIS- CREPANCIES TO THE ARCHITECT. ALL CONSTRUCTION WILL CONFOR~ TO ALL STATE & LOCAL CODES, ~ATEST EDITIONS. A~L CONTRETE CONSTRUCTION S~ALL CONFORN TO THE AN~R1CAN CONCRETE INSTJTUTE~S 'OUILRING CORE REGUIRENENTS ?OR REINFORCED CONCRETE'~ AC~ ]LB, LATEST EDITION. ALL ~AS~NRY WORK SHALL CONFORR N1TH "NATIONAL CONCRETE ~ASONRY ASSOCIATION STANOARR$"~ LATEST EDITION. THE ULTIMATE CORPRESSIVE STRENGTH OF CONCRETE @ 2C DAYS MILL BE: FouNDATION & FOOTINGS - ~000 FLOORS & SLABS - Z#500 P.S*I. CONCRETE SLAB~ @ILL HAVE EXPAt!SZON OR CONTROL JOINTS AS REQUIRED. ROUBLE ALL .~LOOR JOISTS AROUflR OPENINGS BEARING ANO'~PARALLEL PARTITIONS, & BEL0@ ALL GARRETT A. STRANG archiCect Main Road P.O. Box 1~12 Southold N.Y. 11971 516- 765 - 5455 ENERGY CONSERVATION NOTES: THI'S RESZOENCE HAS BEEN DESIGNEO FOR & MEETS ALL THE REOU~REMENTS OF THE NEW YORK STATE ENERGY CODE. X OF GLASS -~ S,F. 77~ ~ = .17~4- = I7.~GLA$$ -SIDEWALL ALL WINDOWS TO BE INSULATED GLASS~ THERMAL BREAK~ WEATHERSTR~PPEO & FLASHED AS REOU~REO WiTH A HAXI~UM "U~' VALUE 0f .69 & A MAXIMUM INFILTRATION RATE OF ,5 CFR PER LINEAR FOOT, ALL EXTERIOR DOORS TO BE INSULATED THERMAL BREAK,~ NEATWERST*RZPPEO~ & FLASHEO AS REQUIRED ~ITH A VALUE OF .~O ANO k MA~I~UH INFILTRATION RATE OF ~SO CFN PER SOUARE FOOT (SLIDING) ~ ~.0 CFN PER $OUARE FOOT (SWINGING)· HVAC EQUIPMENT MUST CONFORH TO SECTION 40~.13 OF T~E NEV YORK STATE ENERGY CODE. THE DOMESTIC WATER HEATER SHALL HAVE A MAXIMUM TEmPERaTURE SETTING OF 140' F,AND WILL CONFORM TO SECTION 40&.3 OF THE NEW YORK STATE ENER6Y CODE. 6- -ALL CONTROLS TO CONFORR ~0 SEET~ON &O3.3 OF THeE NEW YORK STATE ENERGY CODE. ',?. THE FIREPLACES SHALL BE CON%TRU'CTEO IN COHPL~ANCE H!TH SECTEON ~0~.~ (d) OF THE ~EW YORK STATE ENERGY CODE. -% GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 ,516- 765 - 5455 A~L 'LOC, AL ~E3H&NCES & NEM, YORK CO~ESi LA:TE~T ED~IT}ON. 10. 11. 1;~. 13. 14. 15. 18. LATEST 21. 22. ~5. A~%O~-A~ P~R ~NUFACT~RERiS $~EC$~ i~NSTRUETiON RANUAL", ALL MOOR FRA~ING HERBER~ SHALL HAV~ AN ALLO~AB~E EXTrEmE STRESS EOUAL TO OR GREATER THAN; S~KUGTURAL GRA;DE DOUGLAS FIR fb = 1450 P.S,I, FK = ALL FLOQK JOZ'ST$ IN ALL GATHROOH;AREAS BELOg TUBS. ALL HEAa~R$ AND/OR TRINRER~S AROUND ALL FLOOR O~EN!NG$, OOUBLE DOUBLE pRQI~IDE SOL~O BLOEKENG IN ALL JOIST SPAN~ IN EXCESS 0'~ R',-O". ROUBLE ALL FLOOR dOE~TS BELOM OEARING & PARALLEL 'PART,,1TZONS ALL HERDERS & G~RaERS ABE T~ BEAR aN A"~ZNZ~U~ OF 2-~'~'x(" OR Z-Z"Xb*' STUDS ~ITH DOUBLE JO~STS BELO~ ~NLE~S OTHER~I~f NOTE~ 16. PROVIDE 1/~" NO1S~URE R~SZ~TA~T GYPSUM BG~RO ON HALLS ANO OF ~LL BATH & LAUNDRY ROOHSI 11~" WO'NOE~ BOARD ON TUG & SHO~E~ 17. PRO~OE 5/8, TYPE "X" GYPSUH BOARD ON CALLS & CEILING5 EGU[~PHENT AREA OF BA~EHEHT ' ~ALL INSULATION SHALL BE 31.~'C~-11) KRAFT FACEg eATTS ~T~ VAPOR BAR~IER FACING. ~ARH ~ZOE ~F'fl.~SE, CEILING ZNSU~AT. IO~: SHALL BE 63A ~(R'-a2)'~RAFT FACEDB~TS' ~T [ATTIC Ra~ 6" (e'~9) K'RAFT 19. CONTRACTOR TO PROVIDE ONE ~'~Y:ER OF B:U~LDZNG PAPER O,ETU~EN SUB &: F IN/OH F~QORS. : ' Oil. RUGS o,R OTHER ~RQ.~ECT~E"'NEk~[~ TO PREVENT~1NjURY. CAUSg~ ~Y ~oNTRCT ALL ~ZNDOHS & EXTERIOR DOORS To HAvE A~UHZNUH DRIP CAP ALL DOOR HARO~ARE~ BUTTS & O00R STOPS SHALL BE 5CHLAGE~ FZ'NZSH AS SELECTED BY ALL CABZNETRY~ SHELVING & CASEHORK SHALL GE GIVEN AN ~ZTH STYLE & FZNZSH~ AS ~SELECTED BY ~'ND .~O~rD POLES, * LaY~OUT' AS DIRECTED -CONTRAC'/OR TO ZNST~LL ALL INTERIOR & EXTERIOR ~RZM (TYPICAL), ACL DEC~ ~TAZR STRINGERS TO BE ~" x ~2" FIR RABBIT OUT FOR TR~ADS. TREADS ¥0 BE 2-Z"x6' g/ ~/&" ~PACE BETWEEN. PROVIDE ~-0' HIGH RAZLZN'~ NHERE REQUIRED. (SEE DETAZL~ DRA~ZNG A-8). 27. INSTALL ~ZRRORS ~N ALL BATH &' PONDER RO0~S~ AS DIRECTED BY ZB. CONTRA:;TOR ZS TO CLEAN ALL DOOR & gZNDOg GLASS & LEAVE ALL FLOORS, gALLS E CEILINGS FREE OF DEBRIS* IMMEDIATELY PRIOR TO FINAL COM- PLETION. GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 GARRETT A. iTRArNG ,architect Main Road:P.O. Box t412 Southold N.Y. 119,71 516- 765 - 5455 GARRETT 'A., STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 5~16- 765 - 5455 , - z:;~- ~ B ~ [tk," ~ ' , ,i , , ~ - ,- ~ ~ ~'~ -~ ~ . - . _ ,' _ ,, ~ ~ ~ " . ,,, , ~ ~ . _,, .,..~ . :. ~ , , ,, , ~ ~ ~ ,', , . __, . ' ~ ' ' " : ' ~ ~~-~:~t~ . ~ . ' [ '~' ' ' , , ' ' ,' ' ~ . . ' % ' t ~~ ~ ~,~ ~ ~ -' ' ,. . , . ..... _......, .., , ...... ~ ~ ~ r .....,., .. ~ ~ . . ,, , ,.. , , , .. ~ , . .... , . ~ , . , ~ . , , , ~.~t~,~,, [ ,:' , ~ J ~ v~. ~, ~, ~~~ . . x :, , ,, .. . . '~ ~ ,, ~~ y~ ~ y/~ ~ ~ ~ ~, ~, . ~ ., , ~ ' : ~ ~ . ~ 1t ..... =~ ' , , · - ~ , . , ~ ~ , l~q?~,l~k, ' ' ,, -,,. ', - * ~a~l~l 'Ir ;' .. '~' "il.I u' tk~l~diaali~il~d.I ' ~'~ ~"~ ' ' . U ' ' "~ . I~ _,,~ ~ .I i~ ~~.: ~ . . ,; ~ -. ' , 4, , '' ', I , ' ~ ' ., - -. I ;:; ~P~'~'~'" i Main Road P.O, Box 1412 Southold N.Y. 11971 '*~' ~/~/~ A-~ ~ ~ -- ~ 516 - 765 - 5455 on*w. ~ ~ ~. ; ' 015244 ~ ,-' ~-~i'-~-~ , ,