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HomeMy WebLinkAbout21896-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22972 Date APRIL 28, 1994 THIS CERTIFIES that the building ALTERATION Location of Property 1085 BAY SHORE ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section- 53 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 26, 1994 pursuant to which Building Permit No. 21896-Z dated JANUARY 31, 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 ALTERATION & RENOVATION TO EXISTING ONE FAMILY DWELLING TO AS APPLIED FOR TO INCLUDE A BATHROOM The certificate is issued to ROBERT & BARBARA HOLLEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-307685 - MARCH 17, 1994 PLUMBERS CERTIFICATION DATED MAR. 16, 1994-MATTITUCK PLUMBING & BEATING ui ding Inspector Rev. 1/81 lY 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) QQ Date 19.,/.. N® 21896 Z /J Permission Is hereby granted ,per . to.............. !!/~f......_--v~?, ~/~l: ~?G ......i~~l-,......f.......~,~J , at premises located at............ Inp ..................41st. ! V 000 County Tax Map No. 1000 Section. S-............./... Block .....~............~p....~/Lot No. /...1'~ 9.. f... l`..., and approved by the pursuant to application dated ..fP......................., 19-9) Building Inspector. f Fee i uliding Inspector i Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 19 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. gees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling 2 0, 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 - $5,00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15..09, Commercial $15.00 Date few Construction........... Old Or Pre-existing Build g , vocation of Property... /.~.oc~. ~ f l?~: Y... . ~.~OiC47- House No. /Street / Hamlet 57 nwer or Owners of Property../ I ,JJ..~~,,,,,,,,,, , ounty Tax Map No 1000, Section. 4~3....... Block j Lot`.•......X3 ubdivision ,Filed Map. . Lot zrmit No -41k•pp// 7.5'.•Z.,,,D"a~t/e Of Permit I 3~~.......Appllcant.~¢1lU >alth Dept. Approval... ? ,,,,,,,,,,,,,,,,Underwriters Approval...-. , !anning Board Approval /-14,/U 46£,~S 1W 4.6/0 f/7i9i£fi£'0'T0" 3/~G45 Ja c/r~~ :quest for; Temporary Certificate........... Final Certicate~..,..... 19 frg • O L e Submitted: $ „ r . y pgam,-. e 0/ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1060121 BUREAU OF ELECTRICITY F 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date MARCH 17,1994 Application No. on file 05656394194 N 307685 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the share application number in the premises of ROBERT HOLLEY, 1085 BAYSHORE ROAD, GREENPORT, NJ, in thefolloainR location; ? Rosemarie ® !st Fl. ? 2nd Ft. OUT Section Black Lot II was examined on MARCH 10 ,19 9 4 and found to be in compliance with the National Electrical Code, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT. K. W AMT. K.W. AMT K W AMT. H. P. 7 8 7 ? 1 F I DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIALREC'" 71MECLOCKS BELL UNIT HEATERS MUL71.OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P AMT NO. A. W. G. AMT. AMP. AMT, AMPS TRANS. AMT. H. P SYSTEMS AMT WATiS NO.OF FEET f SERVICE DISCONNECT NO.OF S E R V 1 C E "t AMP. TYPE METER 1,6'2W 1 0 3W J,6'tW 3p AW NO OF CC COND. A W. G. NO. OF X6LEG A W. G. NO. OF NEUTRALS A. W. G. EQUIP. PERK Of CC. COND. OF HbLEG OF NEUTRAL C 'f OTHER APPARATUS: ELECTRIC HEAT THERMOSTAT-1 ELEC. ROOM HEATERS-I•.75 K.W.,1-1..5 K.W. G.N.C,IL-2 t f i I PAUL R. BURNS LIC.#282-E E 275 TOWN HARBOR LANE SOUTHOLD, NY, 11971 GENERAL MANAGER 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. IMPBCTORS zr ; if FBI. a (•v",ti SCOTT L. HARRIS, Supervisor d r ;.e w ; 4 Southold Town Hail Thomas Fisher w =~r P.O. Box 1179, 53095 Main Road Building Inspector i + Southold, New York 11971 Gary Fish Fax (516) 7651823 Building Inspector Telephone (516) 765-1800 Robert Risher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: (e Building Permit No. Owner; ©b2T \ c9 e- (please print Plumber: 1 g / °1440 e please print I certify that the solder used in the water supply system contains less than 2/10 of IX lead- ( umbers Si Sworn to before me this :!E f day of ct/ 0 19 5~f Notary Public, ~ X~cj£o~'< Count y ~ Notary____Pub1 "ftP fF York 1 AXW In Suffolk County Tom Dow ft. 16. IM I:. it 1• bt.~J uV 11027 I~D )I w . ...xr w:'yw•Tenyj~. COMMENTS a ~ JUNDATION (1st) -3 )U1dDATION (2nd ) _ - m cZ v• as IUGH FRAME & y PLUMBING C~ m ti H e ~ f1RU SULATION PER N. Y. y STATE ENERGY CODE 146 2]7i fe~- H FINAL L _/L Q A~ ADDITIONAL COMMENTS: s A/0 e, 71 H C~ a O Y a ' x • o m a z FEB 2 3 I'll, PIrY, CN24 WINPOV SEAT X 2660 PO_CISf-f NEW Hj3&Tkt 3?~" 0 50uNP MT"T 7;0. 314, rn 3A• 5'- " i ' O I 11111F 'I _ ExIST w~D 60615 D/ m ~ m .o n O EXISTING 59PPootl W / EDWARD E. WILLIAMS 6UILDINO CONTRACTOR 150 SEAWOOD DRIVE SOUTHOLD. N.Y. 11971 FEB 2 3 ,f a (800) 343-5395 a in NY (516) 989-:3330 Fox (516) 999-3635 COE 1 GAI SWAY DRIVE, WAC)ING RIVER, NY 11'/D l Inc. - - _...r._~ CONSTRUCTION-ESTIMATING SERVICE S REVISIONS TO DRAWINGS & SPECIFICATIONS FOR THE 110T .IX RESIDENCE PERMIT NUMBER: 218962 CONTRACTOR: EDWARD WILL JAMS 765-3000 1: ALL SHADED WALLS ON FLOOR PLAN INDICATE AREAS OF NEW CONSTRUCTTON. ALT. EXTERIOR WALLS ARF. EXISTING AND ARE TO REMAIN EXISTING WITH NO UPGRADE. SHADED INTERIOR WALLS SHALL BE 2X4 CONSTRUCTION @ 1611 O.C. i 2: ALI, NON-SHADED WALLS ON FLOOR PLAN INDICATE AREAS OF ' EXISTING STRUCTURE. THESE WALT., S'T'RUCTURES ARE TO REMAIN, 3: ALL WORK AT "NEW" MASIbk RP,[)T200M TO BE INTERIOR NON- BEARING CONSTRUCTION. EXI:a`I'"ING STRUCTURE IS TO REMAIN. ^x£ ~y 4: "NEW" MASTER BFDROOMS, EXISTING CEILING ARE TO BE INSULATED WITH RII INSULATION. FEB z, 1994 1.0 btJ, OFSOUIh, r f tt 1. 3 T4:C a1 on, , M-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION 1ST ' ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: / t[ I 'r I E k t / DATE ! INSPECTOR y d il. V9 ,a9^ ~ ; t3 tl L1 r Lot < g'Q Q r. d fn t > . ' "Al Y ".40 5 ~ ~ Y tea ;/4_y , ~y -Ile Al w Ibox„' •`S ~V% " r:b lfl ? I.. 'yl".. _ r Y + ~~M(;.3 1 . k~ 't r'Y,1 ~ 't1 i. f~ ia.~~fa. p t j .r rar w J.~:w ^~aY"# J e y M'. .'4irylh~ ay SC y'yM1 Nwd, ~F aa,~.k r., ~ krs' ~il• ,jtti i~ _ - ~.IT~ ~~~~e... x. .g~j •~'SV~( ~Y L~ ',.J~Ier FK'Y ~rwf... >,d 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost . O . Fee............. (to be paid on filing this application) 5. If dwelling, number of dwelling 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 Stories . . Dimensions of same structure with alterations or additions: Front Rear Depth ......................Height Number of Stories . Dimensions of entire new construction: Front Rear Depth Height Number of Stories . 9. Size of lot: Front Rear D pth . 10. Date of Purchase 1.04 Name of Former Owner ....•a ~ ~ T4 . 11. Zone or use district in whic premises are situated . . 12. Does proposed construction vio}ate any zoning law, ordinance or regulation: 13. Will lot be regraded U Will excess fill be removed from premises: Yes Np 14. Name of Owner of premises 1 J~... . . Address . • • • . • Phone No. Name of Architect Cam. Address / 3 'hone No.. TT Name of Contractor . d..C J./.ii9 C........ Address . S.<7.u 7 J.... PTlone No..7.(4 15. Is this property within 300 feet of a tidal wetland? *Yes.... No......... *If yes, Southold Town Trustees Permit may be required. 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. STATE OF NEW YORK, COUNTY OF . Jq. S'S • • • •~`>r • • being duly sworn, deposes and says that he is the applicant (Name of individual signing c ntract) above named. He is the.........U (Contractor, agent, corporate officer, etc.) of said owner ores, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true 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 (16-....... d of.. , 191 y Notary Public, County E M. WILKINS Notary Public, State of New York No. 495224$, Suffolk Cou 'y (Signature of a licant - Term Expires Juna 12, 19 ) a ~7 f' ~1 ! 7 F BOARD OF HEALTt! , R,..:..... I FORM NO. 1 3 SETS OF PL.INSL. TOWN OF SOUTHOLD SURVEY it . . . . . JAN 2 619941i BUILDING DEPARTMENT CHECK: V: . 9 TOWN HALL SEPTIC FORM 3L~i SOUTHOLD, N.Y. 1-1971 L1s~37 TOWN OF ..f3U7"Fit~l k a_ TEL.: 765-1802 NOTIFY 5~.~.~ . CALL F 7. Examined 19 MAIL TO Approved „ 14/ permit No. e . . Disapproved a/c (B il g I zer) APPLICATION FOR BUILDING PERMIT Date ....J / )iJ. ? 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 rem ses and in building for necessary ' spections. ' premises 1 (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner,*.liessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C~Ge1l~- Nance of owner of remises D I (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. . . . . . . Plumber's License No. .......i . I Electrician's License No. Other Trade's License No. 1. Location of land on which proposed work will be done . ~.v (il .D..........4........, un:l............ House Number Street r) Hamlet /3 Count Tax Ma No. 1000 Sectio Block Lot.. Subdivision Filed Map No. Lot ame) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. Intended use and occuppncy r .4 ?l. 3,, k k r. . URZKWA / C~OO4WO 91111 I- 3. ~ • smy TRA CTOR I TRADESMAN Stull, ~ o-•.r___ .s, R ~LAa~.c-YORL. - IMP 3. M?1t~,8r'r'te DRAMINGS. IfAITT1DE DlxnlsIONS ARE TO DE 5 I + a• ALL MCTERZOR MALLS SHALL SS 9-Xf• COMSTRUCTIOrr , ALL INTERIOR PARTITIONS TO DE 2-W COUSTAUCTION UNLESS z° F6oo G.Q r• ia° 'i. i. ALL HEMUS AT XXTEERIOR NALLS MUM W (3) 7EXI0' SnUll 4'PIPE cc' I," PER fcof LQ HNECT TO FXIS TING 3T3 TEH ~61S• ~ f. ~ f. ALL PLOOR JOISTS TO DE DOODLED BELOW PARA`PARTITZONS, J PLUMBING DIAGRAI"I 7. 1 NTS 7. Pl>;OVID3 BRIDGING AT MID POINT or PLOOR JOIST SPAN DIE 1 tts`0! 0^00 *Ax. .;11 ALL YJAM DYDTOY. r S. ALL Wn(DONS TO DE ANDERSEN xmwACPUR161 UNLESS NOTED C J1 9. ALL DOOR ETEIGWB To DE AT 69-80 UNLESS NOTED OTHMMSE. CN24 If copper tubing is used WKV0V SEAT for water distributing system. Piping shall be of types K or L only UNDERWRITERS CERTIFICATE - - REQUIRED m 2666 POCKET CIEw 17A'5Tfg_UvF( M- LD PLUMBING ALL PLUMBING WASTE Erw 3Ns" SOUNP BAIT & WATER LINES NEED TESTING BEFORE COVERING F,~.s++ i3. ESAX14 7'C' _ 3!5 • 13'-9'" _ 31t' S'- - .ri'CATION 'IaENTBEFORE 0 z ~ ,-,JH, OF OCCUPANCY w jLDER USED IN WATER U r SUPPLY SYSTEM CANNOT z Ex Is T EXCEED 2190 of I% LEAD. I m 6068 B: p APPROVED AS NOTED a DATjEr: B.P.# W e ~ i s Cow C\ FEE' ~BV: W NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE I"1 O e m FOLLOWING INSPECTIONS: W 1 FOUNDATION - TWO REQUIRED > t 0 FOR POURED CONCRETE C a 0 2. R011Gi FRAMING 8, PLUMBING 4 H EXISTING BCVK00n j INSULATION M W 4 PINAL - CONSTRUCTION MUST W W BE COMPLETE FOR C.O. O ALL CONSTRUCTION SHALL MEET Any m 0~ W. THE REQUIREMENTS OF THE N.Y. / m STATE CONSTRUCTION & ENERGY 4 m CODES. NOT RESPONSIBLE FOR N DESIGN OR CONSTRUCTION ERRORS W ap o PROVIDE NEW VOOR 5 0 IN EXI5TING JAI-155 x -PROVIVr NEW 514EETROCK ON 5XI6TIN4 CIELINCi Wgl,l S, IN MASTER Dfp. 1"U'UP AaN0 O USE IS ~"~'IUP VITUL DATE L %q3 vr",~N 61 k{uOUT GE RT~T C AT'a E SCALE 0• ~~,CCUIu~~V Ahl Y DRAWN ioa r`9~~.f ld~d -AA REVISED FIRST FLOOR PLAN iG_ I-I,` , _ SHEET ';Ih,,'1lbll fi ;1 JAI 2 61 - j OF ' s