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HomeMy WebLinkAbout22434-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23507 Date FEBRUARY 24, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 330 ORIOLE DRIVE SOUTHOLD, N.Y. House No. Street Hamlet i County Tax Map No. 1000 Section 55 Block 6 Lot 15.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 1994 pursuant to which Building Permit No. 22434-Z dated NOVEMBER 2, 1994 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 WITH ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to JOSEPH F. McILVAIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-94-0087-JAN. 31, 1995 UNDERWRITERS CERTIFICATE NO.-N-343345- FEBRUARY 21, 1995 PLUMBERS CERTIFICATION DATED FEB. 23, 1995-ARTHUR MALAUSSENA, JR. Building Inspec or 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) i Q~j Date 19..`... N® 22434 Z f i Permission is hereby grad to: ~ ~ ~i1j'Y~~,..c 0.%...... ~.y r ! to......... .1 i at premises located at E v..,~............................. County Tax Map No. 1000 Section .......-r/1~5......... Block Lot No.../ j pursuant to application dated ...................t.'••. ..,..,19.../../fr.., and approved by the Building 01nspe f or Fee I r ` Building Inspector Rev. 6/30/80 Form No. 6? ~~ppl TOWN OF SOUTHOLD 11 Jil, BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. 765-1802 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 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. B. '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 Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00 Date . /.....f....dS New Construction.. Old Or Pre-existing Building., Location of Property.. 'Zo 49 ........4 ~/011_Z zwk 5j6W0 41 House No. / Street / Hamlet Onwer or Owners of Property /?,(`/t0 County Tax Map No 1000, Section. _NP . Black..... ...Fo ...Lot. ~3: / Subdivision....... ~ pp. Filed Map............. Lot...................... Permit No... Aeow ...Date Of Permit.. ......Applicant.. O,,°d Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate. Fee Submitted: 0. ~5 41, A". 94 r t Town Hall, 53095 Main Road _,a Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 ->or-rzz,U"vXrr OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: J Building Permit No. o~ ~ ! y 7 J Owner: P~G6/JIG ekoloERTLS RmA114 60,5/V7"CORP fad (please print) ~T S~S epl~ iLVXJIV 77/tiQ Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead*(Plumbers nature) Sworn to before me this 6t"' day of a 19C[S Notary Public, County JUDITH A Q" x: n~ SING Notary Publio. State of New York No olSI5031228 Expires Aug. 1 1996 Suffolk ~ i;DMMENT° V~'~~\ t t!D?yTIO! (1st) -3 IDATIOI! (2nd) ti r - m an C. /v ,g Pen. ;H FRAME - I ' I /p WA aW-42 AID p,Zk - •LATIO:I PER N, Y. STATE EriERCY a a CODE i4l IYA FIN L ADDITION' x Sm y ,k i.?.••.Lr~ria.p...•.~-•.w c•.~a r 4.5:~'.. .i.~1 ~ r . ~ - H .;.A.yy~ ENERGY CODE CALCULATIONS (For Non-Electric Heat) Design Criteria 6,000 Degree'.Days J O.A. 10°F I.A. 70°F FOR: jo_S PER: ~¢G6r„~ J"''~'Wi 7 DATED: SUBSYSTEM AREA DESIGN THERMEL REMARKS "U" RATING Exterior Walls (Opaque) / - 6,3 * Glazing r„sf, Jrw 8 .33 - 53 ,rvt7 Doors !f d . Llo - 8 Ceiling/Roof (Opaque) 1 / Q 0 Skylights % Floor Foundation Walls Slab Insulation TOTAL Notes: Building Envelope Systems to meet requirements of 7815.2 HVAC Equipement to meet requirements of 7815.11 HVAC Systems to meet requirements of 7815.12 Duct Systems to meet requirements of 7815.13 Ventilations Systems to meet requirements of 7815.14 Insulation of Piping Systems to meet requirements of 7815.15 Service Water Heating Systems & Equipment to meet requirements of 7815.21 Electrical & Lighting Systems & Equipment to meet requirements of 7815.31 *,Of NEpy To the best of my knowledge, qA% c ~p belief, & professional g Q~N r~ judgement, these plans are in compliance with the code. QP if3L`2,.s M-1802 BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL i REMARKS: i DATE INSPECTOR ¦ M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING IF NAL REMARKS: of l C DATE INSPECTOR VOJa3dSN1 -a 3lva t f` x Fem. j :smavw3 v , 7vN1~ JNIWVaA [ ]NOIlV-1 11 J aNZ NOIIVaNAOi [ ) .Val d HJAOa [ J 1St NOI"GNAOd [ r NOLI33dSNI 'ld3a Maims zoos-89L M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ FINAL REMARKS: ~j7 lm. 40& 'J1f(z 2 - 1~ge ~~Aooo, 2 DATE '9761h INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUN TION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMA KS: 40 DATE INSPECTOR T7 765-1802 BUILDING DEPT. INSPECTI N [ ) FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL j REMARKS: &d& i i f DATE INSPECTOR F i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING ( ] FINAL REMARKS: a~j[ Eg,~ DATE INSPECT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000837 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date FEBRUARY 21,1995 Application No. on file 87137695/95 N 343345 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of M. LANE DEV. CORP., 330 ORIOLE DRIVE, SOUTHOLD, N.Y. in thefollowing location; ® Basement EN l.Rt FL ® 2nd Fl. GAR/ATTN.`/OUT Section Block Lot was examined on FEBRUARY 16,1995 andfound to be in, compliance With the National "ectrical Code. FIXTURE SWITGNES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. X. W. PMT KW. AMT K W AMT. H. P. 28 45 2h 28 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. Oll H. P. GAS H P AMT. NO. A. W. G. AMT. AMP. MIT. AMPS. TRANS. AMT, H P SYSTEMS NO. OF FEET AMT. WATTS 1 F 3 -7F- 1 .11 SERVICE DISCONNECT NO. OF S E R I C E METER . A. W. G. . W. . . W.G. AMT. AMP. TYPE EQUIP. 102W 1 X 3W 3.a 3W 3,e 4W NO OF PER CC%COND OF CC. COND. NO. OF HIAEG OF HIiEGG NO OF NEUTRALS OA F W W. G. I 1. 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: MOTORS:2--F N.P. G.F.C.I:-5 SNORE DETECTOR:-2 SPUDS ELECTRIC SERVICE LIC.#192-E 175 iRD.ST. BOX 166 ' GENERA'MANAGER ST. JAMES, NY, 1:1.780 11. Per 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. BOARD OF HEALTH FORM N0.1 3 SETS Or 94-ANS SURVEY TOWN OF SOUTHOLD CHECK 2 4 BUILDING D PARTMENT " " " " " ' ' TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 r"OT 1FY01 CALL Examined 19 MAIL TO:.. Approved ...4621111Cl .~77., 19~?KermitNo ...}C/.~.... Disapproved a/c uiding Inspector) AP I ATION FOR BUILDING PERMIT Date I 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 nece mspection (Signature of a licant, or name, i corporation) (Mailing addre of applidY) State whether applicant is ownneriessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...c.. t•••.• Name of owner of premises (as on the tax roll or latest deed) If ap ant is a co por tion, sig ature of duly/a/utthoriz d officer. . v (Name and title of corporate officer) Builder's License No. Plumber's License No. o 6.3. .1P Electrician's License No. .1.9.a,.-.,E Other Trade's License No. 1 • Location of land o Which rropooosseed work will be done. ..11.1 ...~/l'! . " • • • House N tuber Street/LCtf ' Hamlet County Tax Map No. 1000 Sect'onn .........~'p~~ ~ . Block ...........0. D... Lot ....~4c~ • . • • • • • Subdivisionf / w • . ` Filed Map No. © ..C? . l.JI...... Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: r ~{y ~ ~ 4 "'•x~ ~'452,vr` E • 'mended use and occupancy 3. Nature of work (check which applicable): New Building ..X.... Addition , , Alteration , , . Repair Removal , Demolition . Other Work . . , c lM1l (Description) 4. Estimated Cost Fee (to be paid on filing this application) 5. If dwelling, number of dwellgg 9; , , , , , , , , , , , 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 Stories , . Dimensions , , of , , same structure with alterations or additions: Front , Rear . . Depth ~ Height . . . . Number of Stories , , , , , , . 8. Dimensions of entire new construction: Front . Rear , . , , , , , , . , , Depth , ......4.... . Height Number of Stories , , . 9. Size of lot: Front Rear Depth 10. Date of Purchase , . . Name of Former Owner 11. Zone or use district in which prertiises are situated . . . . . . 12. Does proposed construe ion violate-any zoning law, ordinance or regulation: 13, Will lot be regraded ,/.1(O , , , , , , , , , , , , , , Will excess fill be removed from premises: Yes No 14. Name of Owner of premises I . Address Phone No............ . Name of Architect , . Address . . Phone No............... . Name of Contractor . . Address . Pho~~ggNo................ 15. Is this property within 300 feet of a tidal wetland? *Yes, No.x . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all puildings, 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. III l I STATE OF NY.. S.'S COUNT OF (N me of individuaP . . • • • . • ' • ' . • being duly sworn, deposes and says that he is the applicant signing contract) above named. He is the =nt r, entcorporate officer, etc.) of said owner or owners, and is duly au rform or have performed the said work and to make and file this application, that all statements contained in this application are trut 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 / C7 day of 191, Notary Public, . , County CLAIRE L GLE1N Public, State of Now York G% NofafY No.48795061 Qualified in Suffolk county (Signature of applicant) Commission Expires pepember 8,19 r O b A O ~o\- ~ Op (q OCO p ~ •M .ob,61e8 •N ~ win w ° n 01) 0 ,66•£00 cn 2 00 ~ i W to O N V, N to 0 t11 Co °z A N 0 a~~d~d I s. 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I C110,11MUST ALL CONSTP. C,If'IP` SO I J SHALL MEET THE REQU!Ri-fi:!EN?S OF THE N.Y. ' STATE CONSTRUCTION !L ENERGY a lc, X CODES. NOT RESPONSIBLE FOR 12PLUMBER CERTIFICATION DESIGN OR CONSTRUCTION ERRORS ~ a G / . x {p'- rt t.cq,- 3'-0V CD' ON LEAD CONTENT BE=FORE x CERTIFICATE OF OCCUPANCY SOLDER USED IN 6'V'ATER ~rwl~~s Ex .1.! o SUPPLY SYSTEM? CA,AINOT EXCEED 21I0 of I% LEAD. NCI: F r N C«ve l_.N~;~'.:'_`~ L-1~.~t~ 5> PLUMBING ALL PLUMBING WASTE A WATER LINES NEED 1, Fj - t TESTING BEFORE COVERING i6-O If Copper tubing is used _ 10'4' for water distributing (c' - - system; piping shall be Of types K or Lonly - p 03 I I N I I i i ~ I Cz ~ rz~i~ ~ I . K- WALLS FIRE RArEb SFieeTrock I o i 1XG~ ceiLi - NOYIDE DrERRRiR IM ! 0 4J dERRERCr ERM M ~12KE .i1~~'- IREDRrMRAt• 1 x'a MI STATEN Mw OK F1e•_CFbS CHIMNEY lI I ~ J M "OIIIDE S W. FIRE - - _ - ; vxo i NATED SEPANATION TO 3 W 717.311)(5) OF N.11 STATE NMDINB CODE. - ,4I, b)'~ II 1,528!.. --~aAS C 3 Il, O G~ ® - µ { Cl 'l (At 11. I I L- per- ~ t•~ _~~1X14 _~e Ati-EEL~V ~ - I 8 S' t o A C.. iEA n!~)t Cortc.(~r RnrJ--'' ~ ~ rr~A#s g)keA ON Li - pE NEW Y0 J' .f lh Y `IC 1 ~YR P"t cE r q do se S~3Q¢N VTSr suu t/ n_ I A"Na 11o sr. wx WNAY FIRST FLOOR PLAN J A IATE. 'AR I$ED w -17-4 r °F( G 'I a p rosz64t W D~g0F6S9WbP~i)MewiNO aI` INDg4. ` LIf"' ~ _-._..._.8.. X _ -/6,rzo = 3~0 - a5 -x 3~=fea - - F a~ I 2-0 70~ Xb PROVIDE OPENINGS FOR PROVIDE OPENINGS FOR f Jfr a o EMERGENCY ESCAPE AS I_ I`I-- r-- - -f EMERGENCY ESCAPE AS I REQUIRED BY PART. 714 OF P REQUIRED BY PART. 714 Of Q N.Y. STATE BUILDING CODE. / LoW Ruc,FT()F Gf\RA t 3 - -y a- N.Y. STATE IWIIDING CODE. I ~ i a i rO S ® <EOF NEW ---this" AREA ONLY EA oN t Ji S ; ~2 , 20+1 l~ Esslo fl I ~A r tf 12 VG,h 'r~ PPPpVF91Y, "AWM By q RR L, 1 1 4 DAM __f~ND.hZC~ gt~lCJ-_~r l7vcR._T_AlK I p wWp NUMµ~II " PGA , ca~y~•'.., , ' - _ I I i -I _ _ „I E1 4( I'1 t 12,F _ --~H ~ 1 - T arm, - - - - FAN ~ u~ r'«~,r _3 '-IC _~,.1 IF 9 I ~I I v-rs 1 I I j _ ' -I - - ~'~'~Ii LLL~ I - - - i I ' ~ ' I 1 i ~ TI 'LoC,Nrii'• Lt~ L.~Adi_ `WLIO\Alcs 1 i"~Il..i'0 IJOt)!r I z, ~ ~ i I III 9 STEII i ~ c \ Ir I ~ ` ~~fgfq~i J,S o I lb"`_~ ;~r Lte,-_ Fa l!a .~J ( 1 S ~t n A,Rr-A OHL i, ,17 b . ~I~J ir- ~ a 1 y _ s -h b~ Y-i lX, ' ` rGI.) o IN 9 r 1 - 1. o ,6 i ` ~ F Ii ri 1 \i ~ q u - ~ I i A Lr~l i ~ r\,~ iC_ 1 li , ll; X6, U, i V-4/ L I Lrdr~_i(i k~'tu~~ 11 ~I i J-O\„'T UN,vER LrvKV1 „ 1 sr J - S?tALL >E ~ 1 a L).r_ Ty eRS Ip Cyr i -'<XG, CC~k tLLS P~ a tj N I r + - " J0322 9 I 1 ' q N1U51 8~_-N}iN~MyN1 ~ f z5- l~ ~ - Y I'.~h~ SCAL _ I ~ { T is 'p v pR Y J Y ~I _ C- 0 3 OF NEW), 'u.'~-'E E 4,f P FES51ptlP I, 'n r i I I I i i flkelh J o sDp FAA ELF)MTtoo