HomeMy WebLinkAbout14966-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17123
Date July 28, 1988
THIS CERTIFIES that the buildin~
Location of Property 1800 SHIPYARD LANE
House No.
County Tax Map No. 1000 Section 35
Subdivision Filed Map No.
ONE FAMILY DWELLING
EAST MARIONr N.Y.
Street Hamlet
Block 8 Lot 5.3
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 21r 1986 pursuant to which
Building Permit No. 14966-Z dated JUNE 10. 1986
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 AS APPLIED FOR
The certificate is issued to GUSMAR REALTY CORP.
(owner, ~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-80-JUNE 30~ 1988
UNDERWRITERS CERTIFICATE NO. PENDING - JUNE 20~ 1988
PLUMBERS CERTIFICATION DATEDMARCH 22r 1988-HENRY J. SMITH & SON~ INC.
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17124
Date JULY 28, 1988
THIS CERTIFIES that the building.
Location of Property 1800 SHIPYARD LANE
House No.
County Tax Map No. 1000 Section 35
Subdivision
ACCESSORY GARAGE
Street
Block 8
Filed Map No.
EAST MARIONr N.Y.
Hamlet
Lot 5.3
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 21, 1986 ~ursuant to which
Building Permit No. 14966-Z dated JUNE 10r 1986
was issued, and conforms to all of the reqUirements of the applicable
provisions of the law. The occupancy ,f~rwhich this certificate is
issued is ACCESSORY 3 CAR GARAGE AS APPLIED FOR
The certificate is issued to
GUSMAR REALTY CORP.
(owner,)D~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
PENDING - JUNE 20~ 1988
N/A
Rev. 1/81
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)
14966 Z
Permission is herebt granted to:
County Tax Map No. 1000 Section .....0....~..~. ...... Block ...... ..~.."~. ....... Lot No.....'.'~.i,...~ .........
pursuant to opplicotion dated ..~......~....~ ....................... , 19..~..~.., and approved by the
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
A. This application must be filled in typewriter OR ink, and submitted m a==~ to the Building Inspec-
t~fr 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 disposel-(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 pm3perty 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~$10.O0 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
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 .... ~.'./././~d,~/..~ ..........
New Cons/~ r uc t i on...~'... Old or Pre-existing Building ............ Vacant Land ............
Location of Property ............. ~/-~/~'.y~..~. ........................ .....
House No. Street Ham/et
Owner or Owners of Property ..~.~J~.~k~...................~,,~-~r~'~ . .~_~. ... ................... .. .
County Tax Map No. 1000 Section ............... Block .......... Lot ....
Subdivision .... '"-
Permit No .............. Applicant
Health Dept. Approval ................ · · · .. ... Labor Dept. Approval ...... /~Jj/.~ .............
Underwriters Approval ........................ Planning Board Approval ..... 4/~. .....
Request for Temporary Cer~:ificate ..................... Final Certificate ...' .J~"... ...............
Fee Submitted $ 25.00
ConsWuct,on on abovedeser,bed b,,,din§a.~rmitm/?~ ..~i_Hcable.~u ~
c?.des and regulations.
HENRY J. SMITH & SON,
PLUMBING, HEATING & FUEL OIL
MAIN ROAD
SOUTHOLD, N.Y. 11971
(516) 765--3690
Inc.
NAR 2 3
CERTIFICATION
D a t e _ _M_a r c_h_ _2_2m _1~_8_8 ....
Building Permit No._l~a966Z
0wner_P_e_t_e_r_F_a_r_k_iri_s~__Shi_p~_a_rd__L_a_nex_E_ast Marion, NY
P 1 u m b e r ___H e n r y_ J__. __Sm!_t _h__& __S_o n~___I nc_.
I certify that the solder used in the water supply
system contains less than 2/10 of 1~ lead.
Sworn to before me this
22ndday of March ,
19 88
Notary Public, Suffolk County
THE NEW YORK BOARD OF FIRE UNDERWRITERS
! O0 ] O~ ~ BUREAU OF ELECTRICITY
[~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
o~y t~ e~tdc~ ~uipment ~ ~$cd~ ~ a~ int~ by t~ ~a~ ~m~ on the a~ ap~i~t~ numar in t~ p~m~es o~
iR the followinR location; ~ B~ement ~ Ist FL ~ 2nd ~. ~ ~tio~ Bilk ~t
~s examined on JUN~; 20,]988 afld found to be ln complluflce wlth the requiremenis of this ~rd.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES
DRYERS MOTORS TIME CLOCKS UNIT HEATEES MULTI-OUTLET DIMMERS
SYSTEMS
NO. Of FEET
OTHER AEIpARATUS:
W~hk.
5 E R I C
PANEl,BOARDS:l-4 CIR. 100,!-22
WATER HEATERS: :1-4.5
G & S COIqTt?ACTOE
BOX 215
SOUTHOhD, NY,
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified
l]
NO. 538-E P~r
credentials.
. COPY FOI~ I~II. DIH~ DEPARTMENT. THIS COPY Of CERTIFICATE MUST NOT BE ALTERED IN ANY MA, lINER.
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION ~,ST [ ] ROUGH PIRG.
[ ] FOUNDATION 2ND [ ] INSULATION
I'~ING I'*1 Fl ~NAL
DATE//~/"/4'~'/~~'(' INSP/ ECTOR
BUILDING DEFT,
INSPECTION
[~] FOUNDATION 'IST [ '1 RO~MI PLBe.
['1 FOUNDATION 2:ND ~_.3/I~SULATION
[~] FRAMING £ '1 FINAL
REMARKS; ~
7&S-t802
BUILDING DEPT.
INSPECTION
[]FOUNDATION 1ST []ROUGH PLBG.
[]FOUNDATION 2ND 1' ]INSULATION
[]FRAMING []FINAL
REMARKS:
F 1 EL.~? I~FECTION
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME
FLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined . ..~.~/..0.., 19 .~.~.
Approved . .~./~ee~t, .I.O.., 19'~6'. Permit No...] .~..~.(~.Q.~.
Disapproved a/c .....................................
................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19,..
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 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, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspectio/~:
(Signature of applicant, or name, if a corporation)
?. ....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ... ~.E?.E?.... ~.~?. {~../.s .....................................................
(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 ..... /-: .~?.~.. ...............
Plulnber's License No .... t?. T.~.. ...............
Electrician's License No...L~..~..~r.~. ...............
Other Trade's License No ......................
1. Location_of land on which proposed work will be done...~.~..~.~...tTfQ.~/.°?.....~/.° f. ..........................
Ilouse Number Street Hamlet
County Tax Map No. 1000 Section . 9.3.~. ............. Block .q~. ............... Lot..~..'.~.. .............
Subdivision....~/./~. .............................. Filed Map No....ty//fl. ........ Lot ...~//(.~. .........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . ?.riff .~. ..................................................... - .......
b. Intended use and occupancy . .R.E.5!.O.c.- .~.T.l.~.~ . . ~.F'~-~ .................. . .......... ...................
3. Nature of work (check which applicable): New Building .. ?..' ..... Addition .......... Alteration ....
Repair .............. Removal .............. Demolition .............. Other Work ..........
iff2 $oj oo o ......................... (Descripti
4. Estimated Cost ............. Fee ..................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units....o.~..~. ....... 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 ..... .'~./.,9. ... Number of Stories s//,0
Dimensions of same structure with alterations or additions: Front ................. Rear ................
Depth ...................... Height ........ :,. ·; .......... Number of Stories .....
8. Dimensions of entire new construction: Front ...8..~.-:o.' ....... Rear . .~'.~.~ .dj ....... Depti~' ':i~[~>~ .......
Height . .5.o.'??'.' ........ Number of Stories 7?..°
Size of lot: Front 3. g.~ Rear :575 ............ ~;~" '~;;' ~t'~ ............
Date of Purchase aa,a. ~qga
............................. Name of Former Owner ~,~P~n-~
Zone or use district in which premises are situated, fi.. ?..6~t p.~.~..r~?.q .~. ?..~.n.. t.c.o, qTo..~.n.c' . ?!~.T.~.t.eT. .........
Does proposed construction violate any zoning law, ordinance or regulation: .. ?..o. ..........................
Will lot be regraded . .'lt.g.~. .,.~ ..... ~ .............. Will ex~e..sos' fill ~b~emoved from premises: Yes {~
Name of Owner of premises .~?.~.a....g'.~)~.L~3 .~ ...... Address ~ ~7~'tn.~.~.~,~ .,,.~,,,o~ Phone No (7/~0 5 q Z- ct~ $~'"-'
Name of Architect .~...s:...~?.9~..~.~ ............ Address ?~- ~#~.~n,to ~'~ ."" Phone N-,~t~ '~'~'~'-'o~'I ....
N L~.'r~tL ' ' ~t.i~t~ '~:~ ',} ~'i-' ...................
amc of Contractor ......... Address ...... Phone No.~X.~ .~\ .~.a.-. 7.,,..~..c.~. ~
10.
12.
13.
14.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
~EF_. PL~T
08,.fa. Ma. P-Ioo
STATE OF NE~ YOR/~,~ . S S
COUNTY OF .~J}~.~'~.Y0,~.~... '
........ ~ .~-'. · ~ ............................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
tie is the '. ~'t4 *, t ,oa~,c (Contractor, agent, corporate officer, etc.) ' ~' ' '
of said owner or owners, and is duly authorized to perform or have performed the said
application; that all statements contained in this application are true to the best of his knowld/_~ a~~e
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
....... ~'~/..5.'~.. ~....e...day of ...AE.~. ('.~' ......... ,19 ?.~'.
Notary Public,....~,~.... ~:./.~.~. .... County
~/ iNotaty Public, S~at~ of N~ York
No. 51-1889550 ............ ~. .... ' ........................
QuaUfied ia New ¥o~k Co~ (Signature of applicant)
Commission Expit~ Ms. rch 50,
A B D E
~UFFOLW CO, FIF..ALTH DEP'T, AI'~P~OWAL
14% ~_o
~'TA'TE~EI,4"T o; IMT;.~T
'~,l-lr~ WAT~ ~I. JpD>L¥ AMO SEWAG[ D~POSAI.
T~ TH~. 5TANBARk, OF THE, c~UFFOLK C.O, OEPT.
PPROVAL OF Co'~$'i'~c-~loN
ATE:
I-'i t P Y A ~ D L A N~.,
REVISIONS
/5
%TA"t'[ ~f: I,.hy
~LI FFOLK ~OOHTy TA'~ ~IAP
,DI$'~ I0o0 I 5F-~,T- 0~5) ~Li<, O~ LOT
TOTAL AR.D,A A-O.~, AC.
APPROX. No~$~' LoT ll2,5oo
5,3
P UO T
, i "i'ii
$OI.Z)ffR USED IN WATER
SUPPLY $¥$~EM C4NNOT
£XCffED 2/10 ~! ]~ LEAD.
','--'~ mmng ~all be
' . R 7 .fC;4tl= bF OCCUPA/VC ,
APPROVED A8 NOTED
FEE: '~'~'~ B¥~
NOTIFY ~IL~ING OEPARTMENT AT
765-1802 g AM TO 4 FM FOR THE
FOLLOWIk~ INSPECTIONS:
FOUNDAtiON TWO REQUIRED
FOR POURF. O CONC~'~E
~ ~'RAMf~[~ & ~UMBING
~LA~,{
FINAL C~R~Cr~ON MU~
,~, NOT ~ ~
OCCUPANCY OR
USE IS UN/AWFUL
WITHOUT CERTIfiCATE
OF OCCUPANCY,,
D
capacity.
are to receive asphalt d~mpproofing ~or th3 full height of the wall. Concrete
will concrete.
3. Plywood sub-flooring to be 5/8" thick and installed with outer plies of sub-
right angles to. floor joists. Screw securely to joists and blocking with wood
jointing.
4. Plywood sheathJ~lg to be 1/2" thick and installed horizontally with solid blocking
at edges at right angles to studs, nail securely to studs and blocking wi~h six
penny rails, 6" on center on edges and 12" on center on intermediate framing.,
5. provide dot~le headers and trin~rs at stairs and double joists under' all parti-
tions Gnat are ~rallel to the direction of the joists.
6. Bearing partitions ~re to be ]laterally braced. Fleer joists to be laterally braced
~ith approved bridging at ir.a~rvals not ~xceediag 8'-0" between bridgin~ and
?. Silt plate at ~irst floor fra~J~g is to be continuous and to be (mir~.) t~ (2"x6")
-~chor to top of foundatior ~alls with 1/2 round x 1'0" lon~ steel anchor bolts
at 8'0" intel~als, for le~qthLs of 8'0" of less, plate to an~hered vfith minin~m of
two bolts. All lumber in ~on{tact with masonry, earth or water shall be C.C,A.
8. MinL~Jm nai~iag is to be as tDer l~iling schedule prescrJ~bed in the code manual of
the State B~ilding Construction Code.
.CODES.:
1. ~nese plsns ~re prepared in compliance with the mininl~ stg~1d~rds of the New
York S~te [silding Construction and Energy Conservation codes and aze subject
to local r~latory agencies. All work is to conform to these codes ~]d all
requirement! of the local Depar~nent of Heal~.
1. As per Seq~on A-502-1a, b, c of N.Y.S.B.C,, E-404 N.Y.S.E.C.C. and all lccal
plumbing c~dc requirements.
2. sanitary !~wer disposal systems to' c~nply with local Dept. of Health regulations.
FNERGY CODE:
1. Design cri,teria as per Section E-202, 2A~ 2B, Section and Table E-202-1A and 2.2.
2. ~he "R" aid "U" values indicated on the typical' section details for ~e various
materials~nd insulation are such that the "U" value for the envelope sub-syste3h
does not ~ceed the thermal tran~nittaDce values as noted in T~ales Numbers 4.1
and 4.2 c! Section E=402.0 and Table 5.1 of Se~tioh E-502.2 (6000° days)-
~xterior
Windows
Maximum
and fra~
bors to be insulated, weatherstripped, framss caulked and m~xim~l~
i/~iltration and "Ur' value of
be insulated glazing in wood freme or ~%erm~ break metal frames.
~" ~.69, r-~ximum air infiltration 5 c.f.~, sash to be wea~herstripped
caulked.
REVISIONS
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REVISIONS
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REVISIONS
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Phone 477 0 Main Road
GREENPORT, N.Y. 11944