HomeMy WebLinkAbout14309-zFORM NO. 4
TOWN OF SOUT~OLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18046
Date MAY 22, 1989
THIS CERTIFIES that the buildin~
Location of Property 1795 ANCHOR IJ~NE
House No.
ADDITION
SouTHOLD~ NEW YORK
Street Hamlet
County Tax Map No. 1000 Section 079 Block 4 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9~ 1985
pursuant to which
Building Permit No. 14309-Z dated SEPTEMBER 24~ 1985
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
GEORGE & LEE MABER
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N-070771-MA¥ 9~
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
i989
~uilding Inspector
FOB~ NO. 1~
TOW'N OF $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)
14309' Z
Permission is hereby granted to: ~ ..
...............
..........
~.~.~.:~.....V..,...../.~..?...~./. ........
.~ ~...~...,...~.....~~......'J~.... .................................. : ..............................................
ot premises located ot .,..L.,').~.,~,U....~I.~.~...,.~:~....~. ........... .'~.~....-,,~,.,. ...........
Co,.,-,,y To,, Mop No. lO00 Sec.on ...... .o.~.2 ...... mock ........ ~ ........... Lot No ....... ~ ..............
pur,,,o,, ,o opp,,cat,o, dated ...;~~....~~" .................. , ,9.~..~.:.---
°nd
approved
by
the
Building Inspector.
Fee $.~...~
Building InsDector
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y, 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUI:'ANfD~ ..............................................
Instructions
A. This application must be filled in typewriter OR ink, and submitted at==------- 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 p~3perty 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 $25.00
1. Certificate of occupancy New Dwelling. $25.00, Accessory ,~$10.00 Business $50.00
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°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ./, .7,, ~. ~-',..,~J. ~ ~/~ o?, L ~ ~/~ ~ ~o /~
Hou~ No, Street Ham/et
Owner or Owners of Property ~.~. ~ ~ ~
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No./ ,~', .~..O.~. ~ Date of Permit?~,~, .~/.~. ?.Applicant ,~','~.~. ?.t~,, .~.. ,~../.-.. ,/.~, ./?. ,/?,~. ......
Health Dept, Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........ ~'.. ............. Planning Board Approval ..... ..~/ .............
Request for Temporary Certificate ...................
Fee Submitted $.,
Construction on above described bu ilding and perr~i~ meets all applica~_ble codes and regulations.
Rev, 10-10-7a
TOWN OF SOUTHOLD
OFt:'ICF. OF BU1LDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTIIOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occul'~,lncy because .of the following reasons.
/._ An application .for Certificate of Occupancy
is zlot on file.'
?k) Un~lerwriters Certificate on file.
/~/~/ The check is (~,~.:L-.i~d/not on file. )
/-_/ No Health Dept. Approval on file.
/~_'/ No final inspection has been made.
Please contact- our office on this matter.
Thank you for your cooperation.'
Buildin[~ Dept.
'~*~/_-/ ~Io Plumber Solder Cortificato on file.
( all permits involving plumbing being
issued after April 1,1984 ~
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N,Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted I~ 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 featu res.
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 $25.00 POOLS $25.00 ALTERATION $25,00
1. Certificate of occupancy New Dwelling $25.(10, Accessory ,$~0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ IO0.00
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 ..........................
NewCons truc tion ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ...................................................................
House No. Street Nam/et
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
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 permit meets all applicable codes and regulations.
Applicant ....................................................
Rev. 10-10-78
FIELD INSt~ECTION ~u~"'~;'~
FOUNDATION
2.
(2nd)
ROUGH FRAME &
?LUMBING
~NSULATION PER No
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE z
1000378 BUREAU OF ELECTRICITY
~ 85 JOHN STREET. NEW YORK, NEW YORK 10038
D.te MAY 09,1989 Application ~o.o./ile 59364188/88 N 070771
THIS CERTIFIES THAT
ordy the electrical equipment as described belair and introduced by the applicant named on the above appl~ation number in the premises of
GEORGETT MABER, 1795 WINDJAMMER LANE, SOUTHOLD, N.Y.
in the follo~ring location: [] Basement [] 1st FI. [] 2nd Fl. S~tlo. Block A~t
~eas exa,nlned on APRIL 25,1989 and found to ~e in coolpllance with the requlrelrte.ts of this Board.
2 4
DRYERS
OTHERAPPA~.ATUS:
STEVE'S ELE./STE. ALBERT.
P.O. BOX 1268
~?~,i~,~SOUT~OLD, NY, 11971
LIC. ~3494 E
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ~dentif~ed by their credentials.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
DATE
'FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ~19...
INSTRUCTIONS
a. Tt~is application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit"h 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 tins 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, housing code, a~/~eguiations, and to
admit authorized inspectors on premises and in building for necessary ..... insp~~~~~~~ ~ .......
(Signature of applicant, or name, if a corporation)
Garrett A. Strang, Architect
..... ~ox..1~$2 ~. ~o~thold ,. ~Y. · · .1.1.9 7 .1 ......
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
Architect
Name of owner of premises ................. Geor.ge · an.d. L ee~ .Mabar. .................................
(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 License No..n.o.t..s..e.l.e.c.t..e.d..y.e..t ......
Plumber's License Ne.ri.°.t. .s..e.l.e.qt..e.d. ~.e..t ......
Electrician's License No. n.o.t...s.e.l.e..c.t.e.d., y.e.t....
Other Trade's License No..n. 9.t..s.e..1.e.c.t.e..d.y.e.t..
/Tq'
Location of land on which proposed work will be done. Anchor Lane and Windj amraer Road
'S'dfi £hb'id ~' ~'~O' Yb'f~ ' ' '1'1'9 ? ] ...................
House Number Street Hamlet
County Tax Map No. I000 Section ..... ~. 7 ......... Block .... ..~. ........... Lot ...... ~. ...........
Subdivision...H.a.r.b.o.r...L.i.t..e.s ..................... Filed Map No ............... Lot ...............
(Name)
2. State existing usC and occupancy of premises and intended use and occupancy of proposed construction:
Single Family Residence
a. Existing use and occupancy ........................................... ;~.,,~:~, ....................
S~ngle Family Res~denc.e:~p~:j CLW-,E. CI.~_~
b. Intended use and occupancy .................................... '~ ~'~'"' *" · ·; '~n,.: ~% .... ~' '- ............
3. Nature of work (cheek which applicable): New Building ..
........ 'Addition .... .x. .... Alteration .........
Repair .............. Rerdovai .............. Demolition ............ Other Work ........
i (Description)
4. tim dCo $20 Q0D~
Es ate st ..... ,. · ~ .......................... Fee ...................................
i ~' (to be paid on filing this application)
5. If dwelling, number of dwellin~ units ..... .l ......... Number of dwelling units on each floor ...............
If garage, number of cars .... ! ................................................... ................
6. If business, commercial.or .mixed occupancy specify nature and extent of each type of use .....................
7~ nnenslons of'exlstm~,~[mctures, if any: Front Rear . . Depth...
~ Height .;... . l. . 'Number of Stones .........
I' Dwnenslons of sama,.str~Cture W~th alterahons or additions: Front ................. Rear ............
t~ .Depth! ,0....~..~1~..~.[..~ · · ,... Height ........... Number of Stones ,.~ ......
8..I,~ D~menslonsofentirene~:ons~ruct~on Front ....... 2.4. ...... Rear .... 2.4. ......... Denth .12
~ ' I ' ' ' "'"~ ' I ...............
i Height .... 9..,.' ......-. Number of Stones ..... .. ...................................................
9.! Size of lot: Front ....... .... i ............ Rear ...................... Depth ......................
10 Date of Purchase ' Name of Former Owner
11. Zone or use district in which p~emises are situated ....... A-xl~fi~.i. clo .n.~.~a.i.. i'. ...........................
12. Does proposed construction violate any zoning law, ordinance or regulation' .Ne
13. Will lot be regraded ...hlO...! .................... Will excess fill be removed from premises: x Yes No
14. Name of Owner of premises .G~orq.~ .~. ~.q~..Igp.b.~Fddress A..n.c.h. qr..& ~..~.n.d.j.a.m.~l~ne I~.u.t.h..o.~.d.~a~,..~xa
Name of Architect F~arre~t;,.A,..~¥i~D.ql ...... Address B. 9.x.. 1. .4 .1.2.,..S..o.u..h..Oi~l~ne No..7. 6..5y.5.4. 5..5 .....
Name of Contractor Ng.tI Selec. t.ed Yet Address . Phone No.
Locate clearly and distinctly al
property lines. Give street and bloc~
interior or corner lot.
PLOT DIAGRAM
buildings, whether existing or proposed, and, indicate ail set-back dimensions from
number or description according to deed, and show street names and indicate whether
STATE OF NEW YORK.
COUNTY OF...S.U.F..F.O.L.K. ...... S.S
Garrett A. Strang
.................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual sig~ing contract)
abow; named.
Archi~ec.t/Aqent
He is the .......................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d~ly 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
6~:.h .day of September .8.5
........ , 19.
,
S.u. ffolk .... ' County ,.
N°tary Public' ' ' ;~ii~~'~'
~mc~,,~ ~,~ "~~V 'g~kX~ ' '~ ..............
Ne. 473~ (Signature of applicant)
A:': ' :~ 3 .~S NOTED
765-18~2 9 AM ~0 4 PM
FOLLOWING FOR THE
INP~ECTIONs,
I. FOUNDATION _ TWo REQUIRED
2. FOR P~URED CONCRETE
ROUGH _ FRAMIN~ & PLUMsIN~
3. IN~ULA?fON
GARRETT A. STRANG
architect
Main Fload P. 0. Box 1412 $outhold N,¥. 11971
516- 765 - 5455
LOCATION
GENERAL
NOTES:
1. CONTRACTQ~ WORK ES TO CONFORN TO ALL LOCAL ORDINANCES S NEW YORK
STATE BUILDING & ENERGY CONSERVATION CODES, LATEST EDiTiON.
Z. ELECTRICAL i PLUNB~NG WORK SHALL BE GOVERNED BY ALL NATIONALt
STATE AND LOCAL CODES, LATEST EO/TION.
3. ALL CONNECTIONS Of UATER SUPPLY LINES TO BE NADE WITH 95/5 SOLDER.
&. CONTRACTOR* SHALL VERIFY ALL FIELD CONDITIONS & DZNENSZONS, COOPERATE
WITH OTHER TRADES S COHIPLETE THE WORN EN ACCORDANCE WITH BEST STAN-
DARD PRACTICES.
S. ALL D£#ENSIONS ARE #ONCNA~ AND TAKE PRECEDENCE OVE'R SCALE ALL
ABBREVIATIONS ARE STANDARD, '
6. ALL ITENS QF #QRK ON THE DOAWSNGS ARE NEW, UNLESS OTHERWISE NOTED.
?, PRQP~ETORY HA#ES iDENTIFYING ZTERS Of WORK ARE USED SOLELY TO PRE-
SCRIBED STANDARDS OF CONSTRUCTION. ZTE#S OF EOUAL GUALITY HAY BE
SUBIqZTTEO FOR THE ARCHETECT*S REVIEW,
6. ALL WOOD FRANS CONSTRUCTI~N SHALL CONFORfl WiTH THE AflERICAN
INSTITUTE OF TERGER CONSTRUCTION~S 'TERSER CONSTRUCTION #ANUAL",
LATEST EDZTZON.
9. ALL UOOD FRA#ZNG REMOERS SHALL HAVE AN ALLO,AWLE EXTRERE FIBER
STRESS EQUAL TO OR GREATER THAN STRUCTURAL GRADE DOUGLAS
Fb ~ 1ASO P.S.I. , Fx · 95
10. DOUBLE ALL HEADERS AND/OR TRINNERS AROUND ALL FLOOR OPENINGS.
11. PROVZDE SOLID BLOCKING IN ALL JOIST SPANS Zg EXCESS OF O'-O'.
T2~ ALL HEADERS & 6ZRDEES ARE TO BEAR ON A RZN/NUN OF ~-~"x*" OR
2-~"x6" STUDS H[TH DOUBLE ~OJsTS BELOW UNLESS OTHERYZSE NOTED.
HALL ZNSULATZON SHALL 8E 6" (R-19) KRAFT FACED BATTS UITH VAPOR
BARRIER FACING HA~N SiDE OF HOUSE. ROOF INSULATED# SHALL BE 6~/~',
(R-19) KRAFT FACED BATT$ WITH VAPOR bARRiER TO THE
1~. CONTRACTOR TO PROVIDE ONE LAYER OF 8UJLD/NG PAPER BETWEEN SUB
'F:"AW_..-T'I/x,L__- :F-'oOU NI'N:'.A,'-r- I MI ALL NE"DOUR S,ALL BE ZNSULAtEO GL,S, W,YL CL*D ,iT. SCREE,*
-:r~,~,.~._..,r,=_.:_: ~/~" - t'-,-.~' AS NANUFACTURSO BY ANDERSEN, OWNER SHALL PROVIDE SAFEGUARDS, PLANTER
EIIRUBS OR OTHER PROTECTXVE RSANS TO PREVENT iNJURY CAUSED BY CONTAC~'
-- WITH OP~,IJ CASENEIIT N.tNDONS. CASENENT SASN ARE REI;ORNENOEO ONLY
THESE CONOYT[ONS ARE CO#PLiED
16. ALL WZNRONS & EXTERZ*OR DOQRS TO NAVE ALUNZNUN DRIP' CAP CTYPZCAL),
17. ALL DOOR HARDUARE~ BUTTS & DOOR STOP~ SHALL BE SCHLAGE~
18, CONTRACTOR TO iNSTALL ALL iNTERiOR & EXTERIOR TRZR (TYPICAL)
19. CONTRACTOR ZS TO CLEAN ALL DOOR & gZNDO~ GLASS & LEAVE ALL FLOORS*
gALLS & CEJLZNGS FREE OF DEBRZSa ZHREDZATELY PRIOR TO FINAL co~-
FOUNDATION NOTES:
TO PLACEHENT OF FOOTZNGS.
4- ALL CONTRETE CONSTRUCTION SHALL CONFORH TO THE
CONCRETE INSTITUTERS 'BU~L~NG CODE REGUZREHENTS FOR
REZNFORCED CONCRETE", AC~ 31.8, ~ATEST
5.ALL HASONRY MONK SH~L CONFOR~ ~ZTH 'NATIONAL CONCRETE
HASONRy ASSOCiATiON STANDARD$"~ LATEST EDITION.
6.THE ULTIRATE CORPRGSS~VE STRENGTH OF CONCRETE ~ ~8 DAYS
~ZLL BE: FOUNDATION ~ FOOTINGS ~000 P.S.Z.
FLOORS ~ SLABS ' 2,500 P.S.~.
,. CONC'ETESLARSNILL.AVEEKPA,SiO, O, CO.TROL,O,NT.SAS
-~: T~"= 1'-~" 8. DOUBLE ALL FLOOR JOZST'S AROUND OPENINGS & BELOg ALL
BEARING AND PARALLEL PARTiTiOnS.
GARRETT A. STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516- 765 - 5455