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HomeMy WebLinkAbout13902-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z14238 No .................. Date February 21 19.8.6. THIS CERTIFIES that the building ... ~,4 ~ ~ .t.~ q ~ ................................... 5 I~ waters & Location of Property ~ Ll~le ?econic Bay Rd. Cutchogue ~l~s~ ~oi ....... '8't;eet Har~l'ei County Tax Map No. 1000 Section 1 1 1 .Block 1 1 ..... Lot 23 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore ~ed in this office dated .... A.p.r. $1.2. ........ ,19 ~35. pursuant to which Building Permit No .... J .3.9.0.2..Z ........... dated .... g.a.y.. ? .................. 19 .8.5., 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 ......... .... Addi.tj. qa..t.o..elc~.s.t~_~g..one familM dwelling The certificate is issued to . THOMAS & KATHLEEN DESPAGNI .................... ...................... of the aforesaid building. Suffolk County Department of Health Approval Iq / A UNDERWRITERS CERTIFICATE NO ................. #.~ 7.2.7.7. 6. .8 ............. ~lumbers certificate Feb. 6, 1986 Building Inspector Rev. 1/81 ]~Oli,~ NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N! 13902 Z Permission is hereby granted to: ............. ~...~....~.... ..... ., ...... ~ ...... i.~.~..~ ....... to..~ . ' ... ' at premises IocatJd at ....~.....°...~-..V...~..~~-~.....~...iiii',...~, ...:1.!.!. ......... Block ...................... Lot No ....... .~...~ ........ County Tax Map No. 1000 Secti~L~.. j app caton dated ~ ...~' . . '"~" - pursuant to .... ,.~ ..................................... , fy.¥..'~.., aha approved by the Building Inspector. 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 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. 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 $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant La~n?O. $5.00 Date ..//..~. ?.~/?../'~. ........... r~ne~New Building ..... %' ....... Old or Pre-existing Building ............ Vacant Land . ............ . . i ............. ' ....... " ' Owner or Owners ................................................ County Tax Map No. 1000 Section ... }.1 ......... Block ..... I.! ........ Lot,, ."~,, .~.. ......... Permit No.~ .~.0.{~)c'Q Z, Date of Permit ~.lt/~'~ Applicant Health Dept. Approval ............ , ........... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Fee Submittad $ ~ ...*.. ~ ..................... Con stru ction on above described building an~l~t_m eet~o~li~cabl~e~tions. Rev. 10-10-78 ' Ap p I ,c a n t (./../:4x./'/ -/~ f'.&~i~ ~'~. · ,. .... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY S5 JOHN STREET, NEW YORK, NEW YORK 10038 FIXTURE OUTLETS SW)TCHE$ 29 DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS MULTI-OUT[ET SYSTEMS NO. OF FEET OTHER APPARATUS: ~moke Detoctors.,. 2 E R V I C E ~own l~arbor Lane Southotd~ I%Y. ~ IJ. 971 GENErAl. MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors mc~y be ;dentified by their credentials. CJ)PY. FOR BUILDING DEPARTMENT, THIS COPy~OF CERT!E{CATE MUST NOT BEALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~ ~-~ (please print) (p~ease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~( p lX~u .~ e~r ,~s ~s ~ e ) ~ Sworn to before me this _/~.-x~ day of~/~'?/J~-~%~I · Notary Public,~c~/./.~ . .County N~tary~Publi UNDA J. NOTARY PUt~UC, State of New Yor~ No. 4822563, Suffolk County Term Expi~'ee Maroh 30, FI~LD I'~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 kpproved 19 ~ .~. Permit No..[ .~. 3isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. TOWN OF SOUTHO[D Received ........... ,19... Date ~p.Y ............. , 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildkngs on premises, relationship to adjoining premises or public streets ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 hall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or (egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant agrees to comply with all applicable laws, ordinances, bui/ding code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessar,2 inspections. . __ , · ./Y. .... (Signature of applicant, or name, if a corporation) . .L4-. . i c.-.C. .L. . e._..,. .',5.. . . . (Mailing address of applicant) gtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ~.E?.~ .,-.c~L,. C~..~. ...... ~..~Z C/:.O.~. ............................................................ ~ame of owner of premises..~...~. ~)..~..a.'~..~..~. ~(~.. ~./-)/E~..(-{ (?. · .~..~.'~ .~. · .(~.~] ~. i ...................... (as on the tax roll or latest d~ed) ~licant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....~.~..~.7 ............... Plumber's License No.~.~'~tt)r.~ Electrician's License N .~1~-~,./~..J~..~..~.. · · · Other Trade's License No ................ ~ Location of land_on which propose,d work will b~.-g,one 3~Y /¢]Ot'-~..'~/q ...... .......... House Number Street Hamlet County Tax Map No. 1000 Section .... ['.]. [. .......... Block ........ 1 I. ....... Lot.. ~ .G~x..~. ..... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ] ........................................... b. Intended use and occupancy ............ .?fi~....n.(~. .................................................. property lines. Give street and block interior or comer lot. 3. 'Nature of work (check which Applicable): New Building ..... ' ..... Addition .. Alteration .......... Repair~?i[!l g.g. ,. ~?~' .... Removal .............. Demolition .............. Other Work ............... st~..~..% ' (Description) 4. Estimated Co {2(2~, O ~ Fee ..................... i ~ (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ............... 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. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Sto~es ........................................................ 'D~ensions of same structure Mth alterations or additions: Front ................. Rear ~,-~.g ............... Depth ................... ~... HeiSt ...................... Number of Sto~esz.~ .................. 8. Dimensions of entire new construction: Front Rear .7~epth . . Height ......... NuCberofStofies~~ ..... ~~...:~('j~'.~ ~' ~ 10. Date of purchase .......... ~ ................... Name of Fomer Owner ............................. 11. Zone~or use district in which p~emises are situated ...................... ~ ............................... 12. Does proposed construction violate any zoning law, ordinance or re~lation' / ..... . .~ . 13. Will lot be regraded ...... ~ ..................... Will excess fill be r~m~d fro~:pr~ ' Yes No 14. Nme of Owner of premises ~.~.~[ ....... Address ~~ .... Phone No ................ Name of Architect .~ ..... ~. ~...~ ......... Address ....... .':.~ ......... Phone No ................ Nme of Contractor~./~t2 .~O ..... Address ~./~/.~, .... Phone No. ' ] P~T DIAG~M Locate cle~ly ~d distinctly ~1 .bufldh~, whether existing or proposed, and. indicate ~1 set-back d~ensions from number or description according to deed, and show street nines and indicate whether STATE OF NEW YORK, COUNTY OF ................ S.S ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual si ning contract) above named. He is the ..................... i ................................. * .................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~nake and file this apphcatmn that all statements con,tuned m th~s apphcation are true to the best of his knowledge and belief;and that the work will be performed in the man,er set forth in the application filed therewith. Sworn to before me this Notary Public ....... HELEN K, DE VOE ~' NOTARY RUBLIg, State ot NewiYor~ No. 4707878, Suffolk Term E×p~res March 30, j r ~ccpper lubing is used for water distributing .;,. ,.m: pip;n_,2 ~h. II h~ of types K or I only' SOLDER U~'ED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1~ LEAD. PLUMBE!? CEB, T[FICATIOI~ LEAD CONTENT BEFORg'x CERTIFICATE OF OCCUPANCY A?rP, O~) AS NOTED DATE: ~--]I/2['BP, :~ ) SOJO;~ '~ NOTIFY BUILDING DEPARTMENT AT 765-1802 9 A~ TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3 INSUt ATION 4. FIN~,L - CONSTRUCTION MUST BE C%~PLETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REO~HP~MENTS OF THE N Y, STATE CONSTRUCTION & ENERGY CODES NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ~ I~ ~ TIL TM I CCUFANCY :_ Ai?I:7IT I ON ELEVATION__(~ ELEVATION~ 7 !Ir h t J PE'CONIC consultants One Bootleg Alley P.O. Box 672 Greenport, 516- 477-0030 ASSOCIATES Inc. N.Y. 11944 F-I ~= All rooms end occupisd spaces nhnl! be heated to 7g' F. at 24" o~ ~$nlshsd ~loor ,hen the outlide temperature is g' F. and the prevailing #isdn ars 15 mph, ~ fabricated in accordance ~lth S~ACA Standards including transitions, bends, t&ke DE/S, etc., designed ~or minimum static losses. Duct material bo be galvani~ed sheeb metal PI 26 gauge up to 24 inches ~ide and Z& gauge shove 24 inches made. Ss~ms and Joints shall be such that leakage not more than 3t. Ducts shall have rigid /tbarglasa acoustical and therm&~ liners, 1 inch thick /or supply and- 1/2 inch /or return. 2" ~s'~ rig--iberglask routed in cram1 apa~e areas insulation ~ith va~ot barripr, ~: ~all and ceiling unite to be H&~t & Cooly or Air Guide ~odel V ~ith adjusbable opposed blade dampers, adjustable discharge vanes and enamel ftniahed trim, Floor units to be Tuthill and Bailey, 43gg R-EO. ~eturn Grilles to be Tuthill and Bailey Nodal ~ith adiustabls opposed blade dampers. System Balance and Completeness: Heating system to be complete ~ith all components and items normally supplied. Each supply and return for each space to be properly balanced. .'" B5 ro er ~0 PECONiIC ASSOCIATES Inc. : consultants ~~10~. One Bootleg,~lley P,O. Box 672 Greenport, N.Y. 11944 " PLUMBING All Plumbin and sanitary work to be done in accordance with New York State codes and Suffolk County Health Department requirements~ Pipinq: a. Type "K" copper throughout water supply system. b. 3/4" main, 5/8" risers, 1/2" branch lines to all fixtures. c. Place shut off valves in accessible location to each fixture. d. Sose bibbs to be frost free with interior drain and shut off valves. 5. .All Pininq Routed In Crawl Space Arc- shall be insulated with 1 1/2" rigid insulation. 4. ~: American standard. Tub - Recessed: Selected by Owner. Hater Closet: Selected by Owner, Lavatory: Selectgd by O~ner. 5. Sanitary Drainaqe and Vent PiDin,7: ABS plastic Schedule 4~ or PVC plastic. 45 degree fittings. 6. Supply an~ install all mi~ellaneous materials such aa flashing, cleanouts, valves, hangers, unions, trim, etc. normally installed with good trade practices. '"d" ~,eui, q TrZIIP wi ,~,, , /-~" WA~f~2 j': ,: r) Lu M611qG ~u,t. DYF VAZ V~, PECONIC ASSOCIATES Inc. consu tants , One Bootleg AIIley P.O. Box 672 Greenport, N.Y. 11944 =ILO' 516 - 477-0030 *,,,,~. "