HomeMy WebLinkAbout25620-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27687
Date: pS/lS/01
T~IS CERTIFIES that the building
Location of Property: 1060 NAVY ST
(HOUSE NO.)
County Tax Map No. 473889 Section 25
Subdivision Filed Map No. __
ADDITION
ORIENT
(STREET) (HAMLET)
Block 4 Lot 3
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 4, 1999 pursuant to which
Building Permit No. ~25620-Z dated MARCH 18, 1999
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 SECOND FLOOR DORMER ADDITION & INTERIOR RENOVATIONS TO EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN H & MA~THA TUTHILL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTCf DEPARTMENT OF ~LT[{ APPROVA/~
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
H-070669 02/22/0~1
12/11/00 JOHN H. TUTHILL
Authorized Sig/ure
FORM NO. 3
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)
PERMIT NO. 25620 Z Date MARCH 18~ 1999
Permission is hereby granted to:
JOHN H & MARTHA TUTHILL
544 EAST FULTON ST
LONG BEACH~NY 11561
for :
CONSTRUCTION OF A SECOND FLOOR DORMER ADDITION AND INTERIOR
RENOVATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 1060 NAVY ST ORIENT
County Tax Map No. 473889 Section 025 Block 0004 Lot No. 003
pursuant to application dated MARCH 4 1999 and approved by the
Building Inspector.
Fee $ 75.00
~Aut~orized ~nature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~ ' TOXIN HALL
. 765-1802
~PLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Dept. of water supply, and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board o~ Fire Underwriters.
4, Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Co~ercial building, industrial building, ~ltiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 19~7) non-conforming uses, or buildings and
'.'pre-existing" land uses:
1. Accurate survey of property showing ail property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - , .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
0
Date ........................................
New Construction ........... Old Or Pre-existing Building.[.....~.. ....... ~ ~'
Location of Property .... ¢.~. ....... ,~,,/?~.,l~.,.. ,~"7-- ~)I/~/e~J%/ I
House No. Ha~et
Street
Onwer or Owners of Property ........... '.;.- ....................................
.. .......
County Tax Map No 1000, Section .............. Block ................ Lot ......................
Subdivision .................................... Filed Map ............ Lot .................... . .
Permit No.~..~..~ .~..Date Of Permit .... ,..., ....... Applicant
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................ ~//
Request for: Temporary Certificate ........... Final Certicate ...........
...................
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
October 23, 2000
Mr. & Mrs. John Tuthill
P.O. Box 538
Orient, NY 11957
To'Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX
~'x'~..~ XX
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 25620-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
THE NEW YORK BOARD OF FIRE,UNDERWRITERS
8082955 BUREAU OF ELECTRICITY - L . .
J-~ 40~FULTON STREEt] NEW YORK,NY 10038 ":
· 'D~te FEBRUARY 22,2~1 ~ Applic<~.. No. o.~ic Ii~357~i~i/~; H 070669
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by t~te applicant named on the above application number is in the premises of
JOHN & ~ARTHA TUTHILL, 950 NAVY STREET, ORIENT~ NY
in the following location; [] Basement [] 1st FL [] 2nd FI. Section Block Lot
was examined on FEBRUARY 14,2001 and found to be in compliance with the National Electrical Code..
~UTLfX1~E~T~ RECEPTACLES SWITCHES I,CANDESCENTFLUORESCENTPIX~URES OTHER '
DRYERS FURNACE MOTORS ] FUTURE APPLIANCE FEEDERS
AMT. AMP, WPE EeUIP. I e2W le3W 3e3W 3e4W NO.O~OND.
RANGES
SPECIAL REC'PT
AMT. AMP,
R
TIME CLOCKS BELL '
AMT. AMPS. TRANS.
I
AW.G,
OF CC, COND. NO. OF HI-LEG
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
OF HI-LEG
EXHAUST BANS
AMT. H,P.
DIMMERS
AMT. WATI~
E
NO OF NEUTRAL~ A.W.G.
OF NEUTRAL
OTHER APPARATUS:
SECOND FLOOR EXTENSION-1
~NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactor~ condition was Eound.
JOHN H. TUTHILL
P. O. BOX 538
ORIENT, i*~, 11957
Per GE\NER~IL 'MANAGER
This certificate must not be altered In any manner; return to the office of the Board if Incorrect. inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER
Town Hall, 53095 Main Road
P. O. Box 1179
Southo~d, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
nr,'rs: /1-
Building Permit No. ~
(please print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Plumbers S[gnatu-re )
Sworn to before me this
CLAIRE L, GLEW
Notary Public. State of New York
No. 01GL4879505
Qualified in Suffolk Couo~¥,~..~ ~.
Commission F_~pir es Dec. ~, ~
ENI~I~GY CODS CALCUbATIONS
(For Non-Electric lleat)
Design Criteria
O.A.
PElt:
6,000 Degree' Days
10aF i.A. 7U~F
DESIGN , TIlE ihMEL REMARKS
SUDSYSTEM AREA "U" RATING
z~terlo,: walls (opaque) ~0 ~ ~ 0~7 ~ ~
skylights %
Floor
Pou~da tion Walls
Slab Insulation
[ TOTAL e / /
No res:
13uilding Envelope Systems to'meet requirements of 7815.2
HVAC Equipement bo meek requirements of 7815.11
[IVAC Systems bo meek requireme~ts of 7815.r2
Duck Systems to meek requirements o~ 7815.13
Ventilations Systems to meet requirements of 7815.14
Insulation of Piping Systems to meek requirements of 7~15.15
Service Water Heating Systems & Equlp~ent to meet requirements of 7~15.21
Electrical & Lighting Systems & Equipment to meet regulre~euts of 7815.31
To the best of my 'knowledge,
belief, & professional
judgement, thepe plans are in
compliance with the code.
NJ F REEVE
Rod - '
/V 89~47 O0 ~
\
235
40~
GAPAGE
I ~Z STORY
woo0 trRA Mg.
RE 51DENCE
:?32
S
[ff~K FENC~ GEN'LY SOU1H O
N/F SMITH
CM Fd : C:.'ocrele Mor.um¢(,I Found
~lendi~ g ~t~;n, if ~,, ',' , teen, and
MAP OF
DESCRIBED PROPERTY
SITUATE
ORIENT, TOWN OF SO'JTHOLD
SUFFOLK COUNTY,
?' cr('r ,~s o,u , tf~.~sl, l';I..' to SURVEYED FOR ANN LA'iHAM
GUARANTE£D TO
ANN LAThAM
~,t()OR TITLE GUARANTEE CORP
'IOWN OF SOUFHOLO
~w~y ts a Vloldi,>n of S~¢tion 7209 of
C'd~ie~ o~ th;~ svrve'l mup not
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ! , I~ATION
[ ~VFINAL
[ ] FOUNDATION 1ST [,~' ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~///~~ ,NSPECTO~
7G5-180~'
BUILDING DEPT.
INSPECTION
/
[ ] FOUNDATION 1ST [~] ROUGH/PLBG.
[ ] FOUNDATION2ND [~/./~iNSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLA~E&~fllMNEY
I
BUILDING DEPT.
INSPECTI?N~'
FOU~ATION 1ST [~ ROUGH PLBG.
[~,~OUNDATION2ND [ ] INSULATION
FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
REMARKS: ~ ~~--~
DATE
INSPECTO~~~'~
765-1802
BUILDING DEPT.
INSPECTIO/N/
[-, ~OUNDATION 2N9 [ ] INSULATION
~.~ [~ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. ~ ~
,~ 7~ ~/~
DATE INSPECT
~LI) INSPECTION Po~PORT DATE
)U~I FRAI4E &
PLUI4BING
~qSULATION PER N.Y. ~
L
STATE ENERGY
II
ADDITIONAL CO}~'4ENTS:
B '
LDG, DEPT.
TOWN OF SOUTHOI
FORt/ NO. I
TOI/N OF SOUTHOLD
BUILDING DI/.PARTHENT
TOION HALL
SOUTHOLD, N.Y. ] 197 I
TBL: 765-1802
SUR~EY .................
¢ltEC~ .........................
SEPTIC FORH ...................
NOTIFY:
Oisepproved a/c ........
......................................... .....
t~IqPLICATION FOR BUILDING PERHIT
INSTRUCTIONS
HAIL TO:.
Date ............. ,19..
a. This application must be a~pletely filled in by type~iter or in ink and sul~altted to ~be Building Inspector vi
3 sets of phms, accurate plot plan to scale. Fee according to schedule.
b. Plot plan daoidng location of lot and of hildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property mast be drann o~ the dingr~ ~hich is parr of
this apptlcation.
c. llm ~ork covered by ~hls application my nor be camenced before issoance of Building Permit.
d. Upon approval of thia applica£ion, the Building Inspector will issue a lluilding Penait to the applicant. /k~ch
pemit shall be kept on hhe p/eedses available for inspection thmughont the ~ork.
e. NO building shall be occupied or used in ~aole or in part for any pm'pose ~aatever tmtil a Certificate of
Occupancy ahall have been granted by the Building Inspector.
~ APPLICATI~I IS ~ ~ to the lluilding Departmant for the isseanca of a Buildin§ Pemit I~rseant to the
Building Z~e Ordinance of ~he TO~ Of Sontbold, ~uffolk COunt'y, ~ York, and oflaer applicable La~a, Ordinances or
.P, egmlations, for the construction of buildings, additions or altoratioas, or for re,trial or &~alitioa, as herein
described. ~ applicant agrees to c~ply vith all applicable 1~, ordinances, building code, housing code, and
rngulatious, and to admit asthorized i~spsetors on premises and in building .~f~ nacesse~ insl~iona.
...............
(Signature of applicant, ot- m, if a corporation)
................... ~. .... ~. ...... ~
(Hailing ad~lres~ of t~pplicant)
State ~hether applicast ia~r, lessee, agent, archltact, engineer,'geseral co~tractor, electrician, plt~nber or Imilde~
(Name and title of corpora£e officer)
Ph~bers License No ............
I/lactriciass License No ......................
Other Trede~s License No
Location of land on ~hlch proposed ~ork will be aoee ..............................................................
................. .... ........................ ..... ..... z ............ z. .........
~ li~er/ Street P~nl et
County Tax Ilap No. 1000 Section .... .(}.,g..~.. .... Bleck ...~..~. ........ Lot .,.~.J. ........
S~lxlivision ...................................... Filed ~ No ................ l~t ...............
State existing uae and oconranrT of pr~i~s and inten~d use and occupancy of proposed construction:
a. ~a,Ung ~ ~a ac~ ........ ..~.: ~.~...~..~. ¢.-'.Z.~....F...~.a.Z.%..~.~.¢ ........................
3. I~ature of ~ork (check vhich applicable): ~ Building .......... tsidition ..... Alteratmn ........ .
l~ep~ir ............ R~,0o~al ............ l~mol itlun ............ Other l~ork
ti ' fee
Es m~ted Cost ................... , .......................................
: (to be paid on filing thls application)
If ~elling, nt~ber of dselling unlits / tlu~ber of d~elling units un esch floor .... /. ....
If garage, m~ber of cars ....... .~. .............................
If business, ~mercial or mi~,d Occupancy, specify nature and extent of each type of use ......................
' .al' ~.//
l)in~nsims of exlativ~ structures,: if any; Frunt ............ P~ar ............ Depth ~ /
,~i~t .......... %. ............ ~ of Stories....~...
~ ........... lteil~ht i,,.fZ.~,.~ .......... It~ber of Stories ,,~. ..........
~Pth ..... ~
Di~eseions of entire m~ construction: Front ............. .. . I~ar ............ . . . l)ep~ ......... .... .
......................... limber of Stories .....................
~0. Oate o~ t~rd,ase ..,j;~J~?J.?.~ .... ~ of Fomer O~er ..J~, ...... ~.d~.~. .................
! I. ~ or use distric~ i= ktlich Premises are situated ................................................... , ............
~2. Does proposed constrne~iun violat~ an~ zeni~ 1~, ordinaace or regulation: ..... ,/~.,0 .............. '..
~.~s o O~er of ~,~, ....~.. ......... e. 77~ ..... ~r~se .q~...~ ..... ,.~.'....~ .. ~ ~o ..........
Nme of architect .......................... Nldress ................ Phone
~ of ~tr~tor ........ e~m~ff~ ............ . .... ~ress ...... .S.',.~.~...d~.~ ...... ~ so...............
15. Is this property within B00 feet,b~ a tidal ~etland? ~ ~ .......... I~0 ......
PLOT DIAl;RAId
locate clearly and dlstiactly al! 10uildings, s~hether existing or proposed, and indicate all set-back dimensions ·
£,,~. proper~y lines. Give street ~nd ~lock nmber or descieiptio~ according to deed, and sho~ street m~ee ~ indicate
~hether interior or corner lot.
OF ~'Z~l ~, SS !'
the ............................ . ...............................................
(~tractor, ~nt, ~o~rate offlcer, e~c.)
8~lication; ~st ell stat~ntS c~tai~ in ~is s~li~ti~ are t~ to ~e ~st of his ~1~ s~ ~lie[i s~
,9~orn to before me this
l~otary l~lbhc ..., 2<f<. . TXi.,~. l~ .
No, 4952245, lluflolk
Term Exoirss June 12, 1,9..~
(SlBnaCure o[ Applicant)
Y£
.z.'<V~ $/..J oC
7"/0,/-/,_,c' __ _
............. SCALE; V~*
PROVIDE ~ENIN~S FOB
EMERGENGT ESCAPE A~
RE~UIRED BY PART. 7~4 OF
ILY. STATI. BUILDING COD&
UNDERWRITERS CERTIFICATE
REQUIRED
PLUMBING
AU. PLUMBING WASTE
& WATER UNES NEED
IES'~I, NG BEFORE COVERING
if ~ tubino r~ usecl
of tlq~_K or L only
APPROVED AS NOTED
DATE- ~'/<~'q '~ B.R # ,=.~..~--(=,=D.O
FEE:' ~ BY: J. ~,c,H
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTR_UCTION MUST.
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE
..... CGNGTRUCTION & ENERGY,.
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
occUPANCY OR
USE iS UNLAWFUL
WITHOUT CERTiFiCATE
OF OCCUPANCY
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
E-C-E-~7/F/CATE OF occu~i-~C-~'
sOZ~ER USED/N WATER
EXCEED 2/10 OF I% ~AD.-
3o
-'-?//
......
SC:ALE ~/~.'