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HomeMy WebLinkAbout25676-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26713 Date: 09/29/99 THIS CERTIFIES that the building Location of Property: 72250 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 45 Subdivision Filed Map No. -- INFORMATION BOOTH (STREET) Block 2 GREENPORT (HAMLET) Lot 11 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 1999 pursuant to which Building Permit No. 25676-Z dated APRIL 9, 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 TOURIST INFORMATION BOOTH AS APPLIED FOR. The certificate is issued to TOWN OF SOUTHOLD (OWNER) of the aforesaid building. SUFFOLK COUNTY-DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 0088045 I0/]/99 Jack Gi-smondi ~ilding Inspector 06/17/99 Rev. 1/81 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. # 25676 Z Date APRIL 9~ 99 Permission is hereby granted to: TOWN OF SOUTHOLD 53095 MAIN RD SOUTHOLD~NY 11971 for : DEMOLITION OF EXISTING & CONSTRUCTION OF A NEW 18'X20' TOURIST INFORMATION BOOTH WITH 6' COVERED PORCH AS APPLIED FOR. at premises located at 72250 County Tax Map No. 473889 Section 045 pursuant to application dated APRIL Building Inspector. MAIN RD Block 5 99 GREENPORT 0002 Lot No. 011 and approved by the Fee $ 0.00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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: 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar building: 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, 1957) non-conforming uses, or buildings and '~pre-existing" land uses: 1. Accurate survey of property showing all 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 Qccupancy 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 Date. ............. New Construction ..... ~ ..... Old Or Pre-existing Building ................. Location of Property ....................................................................... House No. Street Hamlet Onwer or Owners of Property...'~.~.~..~. ..................................................... County Tax Map No 1000, Section .... ~..~ ....... Block ....... ~. ........ Lot .... ~! ............... Submitted: $ ......... .~..~. Subdivision................. ................. .. Filed Map ............ Lot .................... Permit No...~.$~.~.~..g...Date Of Permit .... .~.'.~..'..~..~...Applicant...~.~ ....... ~ O~...~.~.~. .. Health Dept. Approval ..... ~.%.~.~ .......... Underwriters Approval ............ Planning Board Approval ...... ~.~ .............. Request for: Temporary Certificate ........... Final Certicate...~ ..... JAMES C. McMAHON Administrator Telephone (516) 765-1892 Fax (516) 765-3136 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TOWN OF SOUTHOLD COMMUNITY DEVELOPMENT OFFICE September 23, 1999 Empire State Development 633 Third Avenue New York, NY 10017 ATT: Ms. Frances Huppert, FAIA Senior Vice President Design & Construction RE: Certification of James A. Richter, R.A. Southold Town Engineer Southold/Greenport Tourism Booth Constructioa Project #E410 Gentlemen: The undersigned, duly qualified and registered to practice architecture/engineering in the State of New York, in connection with the Southold/Greenport Tourism Booth Construction Project, does hereby certify that construction of all work required by the construction agreement has been completed in accordance with the drawings approved by the Southold Building Department and applicable building codes. IN WITNESS WHEREO~nto set my hand this 23rd day of September, J a m e/~ ~x~':~N~. 02~ T°w~z~uth°ld ~ . Town Hall, 53095 Main Road P.O. Box1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. (please print) (please print) contains less than 2/10 of I certify that the solder used in the water supply system 1% lead. Sw to before me this / day of Notary Public, ( P~~ers Signature) County RICHARD NONCARROW RICHA;¥; ;' NOfa~/Pub~, State of New York Notary PU?;~ . NO. 2~0211~0C0u , 'c, :' Qu~ In ~ ~ , 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE&CHIMNE~Y REMARKS: .~~~_ ~ DATE 765-1802 BUILDING DEPT, INSPECTION 765-1802 BUILDING DEI~q'. '~' [ ] FOUNDATION 1ST [~'J' ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: , '~ CO~qENTS ,U~H FRAME & PLUI~ING [SULATION PER N. Y. STA~EENERGY CODE FINAL ADDITIONAL COI~4ENTS: FORI*! NO. TOIdN OF SOUTHOLD BUILDING DEPARTPIENT TO~I HALL SOUTHOLD, N.Y. 1197 I TEL: 765-1802 INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ' ...... SURVEY ........................ CHECK ......................... SEPTIC FOR~I ................... NOTIFY: CALL .................. [~AIL TO: .................... a. This application ~,,-~t be cmpletely filled in by type~iter or in ink and subnitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan ahoaing location of lot and of buildings on premises, relationship to adjoining praises or public streets or areas, and giving a detailed description of laycot of property must be dra~n on the diagram dnich is part of this applieatico. c. llm work covered by this application way not be cannesced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector ~dll issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection thronBlXmt the ~ork. e. No building shall be occupied or used in ~&ole or in part for any purpose ~hatever until a Certificate of Occupancy d~all have been granted by the Building Inspector. APPLICATglt IS ~ ~ to the Building Department for the ism of a Building Permit pursuant to the Building Zone Ordinance of the Tm of Suuthold, Suffolk Camry, ~ York, and other applicable La~a, Ordinances or ltegulatioas, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to cmply with all applicable lin, ordinances, building code, housing code, and rnguIatlons, and to admit authorized inspectors on premises and in lmilding for necessary inspections. (Signature of applicant, or name, if a corporation) (liailing ~&ess of applicsat) State ~i~etber .applicant is oaeer, lessee, agent, archxteet, engineer, general contractor, electrician, plmtmr or builder ........... .......................................................................................... of of se, .... ............................................... (an on the tax roll or lateet deed) If applicant is a corporation, signature of duly authorized officer. and title o[ COrlaorate officer) Builders License No ........ Pltm~ers License No .......................... Electricians License No ...................... Other Trade's License No .. Location of land on ~ahida proposed work will be done .............................................................. £.s ......... lk~ee Nm~er Street Ha~et Camt~ Taxliap NO. Ig]O Section ..... .~.k~. ...... Black................& Lot ....... L[ ....... Sulxlivision ............ · ......................... Filed 14ap No ................ I~t ............... state exisdr6 ~ a~d eca,~ o.~. _pr~ises ~ intena~l use aad · ,.a ............................... Cf--t-: .... ,-l.,,, ~- ;i, ',; %:~ ....... b. Inter.Md t~se a~l occupancy ............................. ' ................................................ r .............. T' " zt~on ......... mr ................................ i .(Hescription) 4. Estimeted Cost ................ l ........ fee ........................... (to be paid on filing this application) 5. If dt~elling, t~ber of dwelhnglonltS ............ lqa~er of d~lllng units on each floor ..... If garage nmi)er of cars 6. If besinees, oemnarelal or mi~,d occupancy, specify nature and extent of each type of use ...................... 7. Dimensions of existing structures, if any: Front ......... Rear ....... Hepth .... Relght ................... i limber of Stories ...................... Dimenaioas of sam smmture wich alterations or additions: Front ............... Rear ............... DaPth--.... ..... · · ...... . Height ...... Ii,er of Stories ....... Iii i ti ~ ' 8. mens OhS of on re ee~ construction: Front . . . Rear .... Depth Height ' Number of Stories 9. Size of lot: Front ...... ..... . ........ Rear ...... llepth ........... I0. Date of IS]rchase ........ ... Nam of Fonmr Owner I I. Zoee or use district in ~hlch tses are situated ....................... 12. Does proposed construction violate any zoning h~, ordinance or regulation: ........................ 13. Will lot be regraded ........... i ......... ~l~ll %~cess fill be removed Eton premises: ~ NO blame of Architeet ........... i .................. Address ................ lt~ee lqO ........... Nane of Contractor ~ Address Phone No 15. Is this property within 300 fsetI of a tidal wetland? * YF~ .......... NO .......... , PLOT DIAGRAM I~cate clearly and distinctly al! buildings, ~hether existing or proposed, and indicate all set-back dimensions ~ property lines. Give steer and block uuuber or description according to deed, and show street nares and indicate ~aether interior or coreer lot. f SS He is the ............................ . ....................................................... (~tractur, ~nt, e('r~rate officer, etc.) of ~id ~r or ~rs, a~ is ~ly ~thori~ to ~rfom or h~ ~rfo~ ~ ~id ~ ~ to ~ ~ file this a~llcati~]; that all stat~nts c~ta{~ in thisa~llcatl~' ' are t~ to the ~st of his ~1~ a~ ~ilefj a~ that the ~rk will ~ ~r[o~ in tim ~m~r ~t forth in ~e a~ti~ti~ film tHe~. (~tu~ of a~tie~) ELIJAH A STATMIS NOTARY PUBLIC, S~teof NewYo~ No, 01 ST8008173, S~ol~ ~n~ T~ ~lms June 8, 2~ / SITE PLAN SCALE: 1" = 20' 25 ?AN&L ~01.0il I 4'.o' 71. o" ~1!o" ' I-, iJII I[~- 2~4)" X 4'-~" SURFACE MOUNTED FLUORESCENT LIGHT FIXTURE, ~NT TO ~T~ -- ~.CAN~NT U~UT ~X~Un~ ~ ' DUP~ R~EPTACLE ~ --TELEPH. OUT~T $ - SW,T~ BXTERIOR WALL BRACKET EXTERIOR 1~0 WATT FLOOD LIGHT ~,x (~ - IO//IO ~.1~ ,F, - / WITH SCREEN. (OR APPROVED EQUAL) _~ '.,,~ .~' ~. (~)' 3'-0"x4'-0" ACORN DOUBLE HUNG = , . WITH SCREEN. (OR APPROVED EQUAL) ;:: ©- ,..0,.,-., ACoR. DOU,LE .U.G {~' 3'-0~' x 4'-0" ACORN DOUBLE HUNG u~ ~Y~0 ® I ~! '? ® WITH SCREEN. (OR APPROVED EQUAL) t,,~- 3 -0" x 4'-0" ACORN DOUBLE HUNG F-- WITH SCREEN. (OR APPROVED EQUAL) DOOR SCHEDULE /-p'O" ~l'Od ~,'.O" ~ - 34)" x6'-8" FLUSH PANEL, METAL ~ EXTERIOR GRADE DOOR & FRAME. PROVIDE DEAO BOLT & PASSAGE ,: . ~RDWARESE,. ~- 3-0 x 6-8 LUAN, FLUSH PANEL. U U r~J 0 ~ f,/_~ J~,J f.~.L~.,~ ~.[ --HOLLOW CORE- PROVIDE DEA0 ~ BOLT & PASSAGE HARDWARE SET. F a ~ ~ R P a f~ bJ ¢~-'"O"'"-"""'"SED.A.EL. EXTE.,OR GRADE ENTRY' DOOR & FRAME- PROVIDE DEAD BOLT AND PASSAGE ~C~L &: HARDWARE SET. (SEE SOUTH PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.6(K) N.Y. STATE BUILDING CODE. If copper tubing is used for water distributing System; piping shall bB of types K or Lonly PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF ~% LEAD. OCCUPANCY 0R USE IS UNLAWFUL ~/'!Tt-tOUT CERTIFICATE ~ ::'PANCY ELEVATION FOR GENERAL STYLE.) APPROVED AS NOTED DAI~: f..(,,,,~.c~'~ B.R#~'~'7~- NOI1FY BUILDING DEPARTMENT AT 76S-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: t, FOUNDATION - TWO REQUIRED FO~ ~OURED CONCRETE 2. ROUGH - FRAMING & PLUMBING S. INSULATION 4. FINAL - CONSTRUCTION MUST BE CC~MPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS UND~WRITE~ CFJTi'IBCATE REQUIRED PLUMBING ALL PLUMBING WAST~ & WATER LINES NEED 'r~STING BEFORE COVERIN~ --N/IN. NfL ~,IDIN~ OJ, J 5Hb~HIN(,- / FILL 'VDI[~, %01.iD LJlDIN~' I~lbb~& I/¢..PC'(~flk% ~N6P, OR ¢oofl~&-Co~,II'tNBous- ~ · I~, ,~ ,,.,.,~... ,~ ~ ~,,.o,,o~. ~ I~! I N~LI LAT~.D C.O~'E..RI&D I~ ~H~¢E, /~ILIJMIhIU~ D~I'~L ~r ~H££~1' A~ NOTE: CONTRACTOR SHALL PROVIDE AN ALTERNATE FOR 1x8 BEVELED CEDAR SIDING WITH SIX ($") INCH EXPOSURE. THIS SHALL INCLUDE SCALLOPED CEDAR SHINGLES AT EACH GABLE END, CEDAR GABLE VENTS AND lx4 CEDAR TRIM AT ALL OUTSIDE CORNERS, EXTERIOR DOORS AND WINDOWS. THREE QUARTER INCH THICK CEDAR TRIM SHALL BE USED TO ENCLOSE ALL EXPOSED FRAMING MEMBERS. lx6 BEADED TONG & GROOVE CEDAR MATERIAL SHALL BE USED AT THE ENTRY SOFFIT. VINYL J~o/~ R DS 9 E,L C.N/A1~ 1(_2 I'~ t N <~U LA"ri?., D pLUS~ ORT'F BL L, VAI" I0 I',,[ -j I'0 PLaN OCl'~lb lid- Ptl'CH f +"~ rvc F- .GdFFou~- C.4)BHI't Df,,P~R'fldF/Nff' ~P H&ALI'H PRovl Df.. N~14 {'ILL A~, RE~UtP,~D. rye Pkl'b GBPTiC "I'RN K. LF_.P~. HtA6 RiHln-'ff R +'V' PVC CRo~ PoOL O 0' ~((~ - I0/10 I~.N.f, 7 , WITH$CREEN. (OR APPROVED EQUAL) / · -, ,~. - -.. " 3'-0" X 4'-0" ACORN DOUBLE HUNG ~ ' WITH BGREEN. (OR APPROVED EQUAL) ,' : '1~ .... - - WITH ~CREEN. (OR APPROVED EQUAl.) _ ~ , -~*~ -__ i) O' 3'~"x4'~" ACORN D*JBLE ~ -*' [~' , u~ '''-~ ~? +'.o" .~ ~- ~'~"x4,~,, AeoN. ~ .u.~ ~O ~.1 f~ [ [~ [ WITH ~REEN, (OR ~D E~) ~' 3'~'x4'~" ACO~ ~BLE HUNG ~TH SCREEN. (OR APPR~ E~AL) ~- 3'~' x4'~" AC~N ~BLE HUNG ~ B m WITH SCREEN. (OR APPROVED EQUAL) ~',o" ~'.o" ~'.o" ~ ~,~,,}[~"'°"~ ~.~'. OVlDE D~D BOLT & PASSAGE  HARDWARE ~T. ~- 3'-0" ~ 6'~" LUAN, FLUBH PANEL, -- HOLL~ CORE- PR~IBE D~ BOLT & PAS~GE ~R~ SET. ~- x 6'-B" ~SED PA~, ~T~I~ PRO'DE DEAD BOLT AND P~GE F ~CAL£'. PNOWOl~ Nm-SCALD AND/OIl THERMAL SHOCK PREVENTING DWICE$ AS TO PART. 902.6(K) B,¥. STATE BUILDING CODE, PLUMBING .,M.L PLUMBING WASI~ · WATER UNES NEED ~11NG BEFORE COVERING If copper tubln~ Is u~ed for warm' disU~butln~ ~ystem; piping $1~II bi Of types K or Lenly PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY sOLDER USED IN WATER HARDWARE SET. (BEE SOUTH ELEVATION FOR GENERAL Sl~fLE.) APPROVED AS NOTED FEE: ~ BY: '~r NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~1~Te~G'''~'~-UP-L'''"'''T~'~'~''~NNOT 1, FOUNDATION - TWO REQUIRED FOR ~U,ED CONCEDE EXCEED2/IO OF 7% ~AD. 2. ROUGH- F~MING & PLUMBING 4, FINAL - CONSTRUCTION MUST ' BE CdMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET OCCUPANCY OR ,.. REQUiRE,ENTS OF THENaY. STATE CONSTRUCTION & ENERGY ~v~ .v v ~. DESIGN OR CONSTRUCTION ERRORS WITHOUT CERTIFICATE, i t**~YY ! I¢ rZ. /~'a?HRLf I~ooF 5Hm~Lr~ ON ~,o~ F&Lf PLA 1'~ 5LI I LIDI k] O00 0 u. 'VINYL E~:~R DS qL~15 ~J5 APPRDvF.,D 15"[* .,r'~E, ~L tN/AT lu~ ~ NOTE: CONTRACTOR SHALL PROVIDE AN ALTERNATE FOR lx8 BEVELED CEDAR SIDING WITH SIX (6") INCH EXPOSURE. THIS SHALL INCLUDE SCALLOPED CEDAR SHINGLES AT EACH GABLE END, CEDAR GABLE VENTS AND lx4 CEDAR TRIM AT ALL OUTSIDE CORNERS, EXTERIOR DOORS AND WINDOWS. THREE QUARTER INCH THICK CEDAR TRIM SHALL BE USED TO ENCLOSE ALL EXPOSED FRAMING MEMBERS. 1x6 BEADED TONG & GROOVE CEDAR MATERIAL SHALL BE USED AT THE ENTRY SOFFIT. 5CALf.; '/~ -' RT'H Lb DVAT'I~NL ~C~ LL; 0