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HomeMy WebLinkAbout22097-z i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-24565 Date August 12, 1996 THIS CERTIFIES that the building addition and alteration Location of Property 80 Arrow Lane, Southold House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 13, 1994 pursuant to which Building Permit No. 22097-Z dated June 1, 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 porch addition and alter garage to habitable space of existing one family dwelling as applied for. The certificate is issued to Joan C. Mathis (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 360595 dated October 2, 1995 PLUMBERS CERTIFICATION DATED August 6, 1996 Building inspect 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) Date 19.~( N2 22097 Z j Permisslon Is hereby granted to: Q.....ax..../a~ y...................... I j to ..i~~L E s:.:.:! G ~1 1~.................................. .......r~?!....... ~r..?r° E I f at premises located at e...l? C r County Tax Map No. 1000 Sectlon Block ©Z Lot No. f pursuant to applicaflon dated . 19.....~/ and approved by the k Building Inspector. Fee 5....7 i Building Inspector Rev. 6/30/60 f =,PN of 30UT'OLD .x 7.236 3UILJING DE??1?T_•=_ L I147~ T7[JN HALL '65-L30 P°TlC T_OY ?OR c.T-F7C3T7 _ OF DC-JP:IKCT A. 'his aooLta Ccn Bust be za by c pewricer OR iaic and suomiccad to _he building iaspeccor ui=h the .oLlcw_ag: -or new building or new use: L. Fina- survev or prooerty wick accurate location of all buildings, pr~oerty '-Lines, streets, and unusual natural or :opograonic features. Lnal .~ot)roval __~om Healcn Deo C. Jf water suopl"? and sewerage-disposal'S-9 form). aooroval of aiaccr= f C31 LnSLa113C10n from Board of _re 'InderTlCers. Sworn statement from hlumoer certiZTing that the solder used in system contains lass than 3;110 of L; Lead. Commercial building, industriai building, mulciola residences and similar ouildings and inscal_acions, a _ertiiieate of Code Compliance _'_om archic=_cc or angineer rasponsibla for the 'building. b. Suomit Planning Board Ioproval or completed site plan requirements. 3. For axisciag buildings (prior co aoril 9, 1957) non-conforming uses, or buildings and ore-e_x±scing" Land uses: dccuraca 3ur•:ev cf oropert;7 showing all property .Fines, sc-eels, 'bu-ding and anusual natural or topograpnlc :eacures. A 7Cooerl"7 completed apo L'cac=on and a consent to Lnsoecc sl fined by :Se applicant. if 3 Jart=-=t3Ce or O ccucancy is denied, the 3ui_ding Inspector 3hal_ State the _easons therefor in wr=tLng to r ie anullcanc. Fees Carti- irate of Occuoarc•7 - New dwelling 525.00, Additions to dwelling 325.00 zlterac'_ons co dwelling 325.00, Swimming pool 525.00, accessory building 525.00, Add_tions co accessory building 525.00. Businesses 550.00. Carrificata of Occupancv on Pre-exist=ao 3uildin2 - 5100.00 ',op•? of Certlficace of Occananc•? - .251 Undacad Carri_icate of Occupancy - 550.00 Temoorar7 Carti-irate of Occupancy - Residential 375.00, Commercal SL5.00 G. ~.G ' ` Data ' f~ Jew Construction...... Pre-existing Building. ..y~S Location of ?ronert;;... ~~.../.'.:c.~G,[%? LlC House No. Street n Hamlac Onwer or Owners of Property...:,.. . !.'.~x. ! C~ 3oune7 Tax 'Xap No L000, Section ..7 Heber.-.`C......... Loc...~ V Subdi•:i3ion .........Filed Hai) Loc.......... C / T 'ermic :Ze..a.G,I7.Z.Data Of ?e ~.iDOLican:...y e?? =ealth De?c. ~Dprovai Jnder-wrizers Approval......................... 'lannlrng 3oari doprovai Raduest -jr: Tempcrary Car.=. ic_t a........... -fuel i sae Submitted: 3. . . . . . . . . . . . . . . . . . . / ' _ :_PDT : CANT rep 5177 co . - zy5~5 i A - Mac -own rail. 2:.095 .Main ;caa ;n 2 Fax 15161 -65-1823 J. 'ox i 179 ,C Taleoncne,.SI6) 755-1802 :cu[ncic. Vew Ycnc 1197' _k:~! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE : S - 6 i E Build-inq Permit No. Owner: please print ?Lumber: -1 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1§ Lead. 1 1 (Plu ers ignat re) Sworn to before me this a _ day of c. l 19 Notary Public, u_ count/,, /,MPdit Yaky~/~ ftolvowlew 1 - - \ LI ppoE 001433 BUREAU OF ELECTRICITY THE NEW YORK BOARD OF FIRE UNDE7Code. 88 JOHN STREET. NEW YORK. NEW YORK 10038 Date OCTOBER 02,1995 Application No. on file 862295 44/94 195 THIS CERTIFIES THAT only the electrical puipment as described be low and introduced by the applicant named on the aboin the premises of HR.ROY HATHIS, 80 ARROW LANE SOUTHOLD, N.Y. in thefollowinA location: ? Basement ~ Ist Fl. ? 2nd Fl. OUT Lot was examined on SEPTEMER 2S ,1995 and found to be in compliance with the N. FIXTURE IIQRf f1NITGIK X RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 15 MttE7{ NGNaESCsPa FLUOk%"MT OTHER NAT. K. W. AMT. K. W. T. K.W. AMi K.W. AM}. M.P 14 13 18 14 1 F DRYERS FURNACE MOTORS FUTURE APFUANCE REDERf SPIOALRK•PT TIMECLOCKS EEII LINK NEATEES MUlil-OUTIET pIMMERS 8 NAT. K. W. OIL M. P. CMS H. P. AMT. NO. A. W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. M. P ISYST . SYST FEET EMS ET W. WATTS 1 20 SERVI0 DIECOFMgCT No. OF S E R V i C E AMT. A,M. PIPE 1 J 2W 1 / TN t / TN t f lW NO. 01ERKSCOMD. OF CC. COND. NC. OF MI LEG A W.G. IMMO. OF NEUTRALS OF A. W. NEURAL OTHSI APPARATUS: 1 PADDLE FAN-1 MOTORS il-F H.P. G.F.C.It-1 ~pp !II' TfifklAB J. BALL LIC.#2524E P.O. BOX 1708 SOUTHIOLD, NY, 11971 GENUM MANAGER 11 Per • This arHRcaN mum rat be altered in any manner; return to the office of the Board if incorrect. Impactors may be identified by their credentials. ' COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i ~o~~gUFFO(,pco o Gym w x Town Hall, 53095 Main Road p .F Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. Box 91971 Southold, New York 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 3, 1996 Mr. & Mrs. Raymond Mathis P.O. Box 1236 Southold, NY 11971 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) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22097-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. tom` CONMGNTS li pill - m FOUNDATION (1St '-!q c FOUNDATIOII (2nd) m 2.• v z ROUGH FRAME O .PLUMING zz- 3. rmn INSULATION PER N. Y. I STATE ENERGY II C^ CODE I ~y a 4. FINAL • I aR ADDITIONAL COMMENTS- x ~lj m . x • per, N a \ O 1 v m H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ INAL ( ] FIREPLACE & CHIMNEY REMARKS: lah,' DATE INSPECTO 765.1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ] ROUGH LBG. [ ] FOUNDATION 2ND [ SULATION f [ ] FRAMING FINAL REMARKS: i t 7k (f i i f 4 l f k 4 DATE INSPECT 4 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ARAMING [ ] FINAL REMARKS: O/V- DATE `l D INSPW ~ C ~ 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS:. DATE INSP vp t U kk ° t ~ ~N ~N'4 i 4 p . r ! Q j c1 ~C ~ `'9 S i_ ENERGY CODE CALCULATIONS (For Non-Electric Heat) Design Criteria 6,000 Degree Days O.A. 10°F I.A. 70°F FOR: PER: ~cy<. 0~ h` I - 1-7 DATED: DESIGN THERMEL SUBSYSTEM AREA "U" RATING REMARKS Exterior Walls (opaque) S L o f Glazing 11f 8 33 _A;6 61 Doors Ceiling/Roof (Opaque) D r f 7ffil Skylights 3-`N 8 Zf 3,' C~fH R- J , Floor Foundation Walls Slab Insulation TOTAL 4- ` 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 To the best of my knowledge, t*.OFHE?yY belief, & professionai r p judgement, these plans are in ~E T~r9q compliance with the code. ' Q q - r r ~ t W 032254-1 ~~FESSIONP~ Sol 14 LOT o w P ~ to 3s.o• ~ L o o o % M L?iG1-Y.9M ~?/9y A 01.0 LAN0 ' c vG y1. LE~q v rV O * i a ° - r 7r o3g9e ' e r ~~~NEW YQP s.;o . M.9,o of Lor /7 W'19TE•eo Bor. n..n'Ghicega 7iy'/4 I .xeCo. ,9T ,SO~/THOLD, S~"F~X COV'vTY SC,9LE - /"=QOM ~9.vTiVGWY iS~ LE~?r9NGLVfJ•ri' D9lE • Mq~Pc~ /D, /976 ~i9.t/O .SGcpVEN9,e Fi/e d 7AIep s Aoap No• 5/P~ ~ .4~ TECH Sequoia SHEET (./Sequoia Clearance,------ UNPROTF.CrED SURFACES PI:OTrM-D S()RFACFS Pmllel lm"ll.do s Coma lnsle))atims "ZOe staOWmr Coma lnrnlhuw Stove Clearance Side Reu Coma Side Coma N. hm shields IAI 32" 1810 mm) 181 42" (1070 an [Cl 36" (910 mm) (DI 16" (410 mm ) 660 stint) IF) 20" (510 mm) Top exit, ma h s. only IO132" (810 mm) In142" (1070 min, 111 36' (910 mm) IJ1 16" (410 non) FKI 26" (640 nun) ILI 20' (510 mm) Top cait, m.A (hf132'(810rmn) (NI20"(510 mm) 10126"(660 mm) 1P116"(410 mm) fQ114"(360 a.) is 112"(300 mm) cmn<na sWdds Rurcxit, rurhs any IS132' (810mm) rf)20"(510 mm) NA IUI 16"(410 mm) IV) 14" 360 nun) NA Chimney Connector AO buta8rums AO Inatdlsums Clearance N. h.. shields 36' (910 mm) 19" (480 mm) Cunnccmr heat shelds 14"(360 mm) 8" (200 mm) Front CI arence to AO Inntlluims Combust bles 48" (1220 mm) Unprotected Surfaces _Protected Surfaces B F B # t 7LnMD ?rA O - C• O - F Installations in which no heat shields are used. K i ? O 1.t-I-. n777=? I Top exit stoves with rear heat shields. P?Ylf ? M ? -P-? O f Q r O rtj~ Top exit stoves with rear and connector shields. S• NA ? -U- ? NA Rear exit stoves with rear heat shields. The spec fications ind clearances included In this tech sheet are for prollminary planning purposes only. r Before beginning any Installation, consult your local Authorized Vermont Castings dealer, 9 20 BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . BUILDING DEPARTMENT CHECK . . . TOWN HALL SEPTIC FORD[ SOUTHOLD, N.Y.11971 TEL.: 765-1802 t:OTIFY; Of C Examined 1`?.~. ALL . . 19. MAIL Approved , 197~Permit No. / / 0 ~pX y 3 6 Disapproved a/c ~D f. X71, I°. (Buis g Mspector) . MAY 1 31084 APPLICATION FOR BUILDING PERMIT v ; ,2~ , / Date O. '.R / 3 19 9 T 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 f mo 1 or demolition, a described. The applicant agrees to comply with all applicable laws, ordinances, bu' mg cod ousing co to admit authorized inspectors on premises and in building for necessary ' spection . . . - ~(5ignat e f applic t, or name, if a corporation) ~ - ~d/~ /Y3 G SO u~a~ stP•y (Mailing address of applicant) State whether applicant s owne , lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................T Name of owner of premises ~..C el-,r d4. Y (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. Ro,- c-.~ Plumber's License No. . . .~GG Electrician's License No. rf... ...!...L.... . Other Trade's License No . 1. Location of land on which proposed work will be done . . U z) .R ~d .1. ./ft,~/ Sr?. ~ 7-/ G....................... . House Number gStrre~et Hamlet County Tax Map No. 1000 Section Block Lot. . Subdivision ?1/E/.R.". (~d!? f~ . Filed Map No. . . . . . . . . . . . . . . Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: C ¢R ~~a2~~ a. Existing use and occupancy . l........ .~W/Q G C;ir~ o? b. Intended use and occupancy / i spti~~-~ st n.t~Cyy- P_~7;7_1e911v- 8 7/ •A`iG ~`R 3. Nature of work (check which applicable): New Building Addition Alteration . . Repair Removal Demolition Other Work (Description) 4. Estimated Cost D 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 ofStories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number ofStories 9. Size of lot: Front Rear Dep/t................... . 10. Date of Purchase ......................Name of Former Owner . , 1Y......................... . It. Zone or use district in which premises are situated . 12. Does proposed construepon violate any zoning law, ordinance or regulation: 13. Will lot be regraded ` A:F . '71 11 Will exc ss g1 be remo-vec~ f J3pm premises: yes 1p. /~7f1-/~ p ffROW b/t~? 76S --~Co 14. Name of Owner of No . o . remises Address Name of Architect~f~C'3'/Frr! ~!l ae ~rix(r?(K1Address ~ok 13_ _h1 MAn No. Name of Contractor Address hone No. 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, S.S COUOF ........../7 . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) )f said owner or owners, 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. this c worn before .....:.......day of 19 i lotary Public, County JOYCE M. WILKiNS Notary Public. State of NewYork (Signature of applicant) No. 1952246, Suffolk County Term Expires June 12, 78 f A P 4 x e--~i+w c a r~ y I=I r , - . a n: : 1 .bT TE.,~•- `N 77 i l y ,J KUMBM AMSMIO ti ALLmIyUy ~UMVNe11 ¦~fgYlMeli 7EiI11W ~OIIEOON611 IElONEOONENN9. ONOERNTif1EQEUIRED RSCEIN/IOITt DATE' A! OASNOTED N ~ e.P,x FE BY.' PLUMBER CERTIRCA CERTIFICATION NOTIFY, BUILDING DEPARTMENT AT { :"y 785-1802 9 AM TO 4 PM FOR THE C~' ONLEAD CONTENT B! )NTENT BEFORE. O FOLLOWING INSPECTIONS: ' CERf WATEOFO=j OF OCCUPANCY M UW p 1. FOUNDATION TWO REQUIRED Y~7G IS N/L?~AWR L~ FOR POURED CONCRET9 . SO4DERUSED INM ISED /N WATER M >?FfiBU ~/f~~ 7. ROUGH IFRAMING L' PLUMBING ON - 9. INSULATION' VfiBU lf/f1r1 SUPPLY SYSTEM CAP STEM CANNOT o OCEEU 2110 0f M i }Oaf.I%LEAD. uruuia mwf BE COMPLETE FOR C.O,~ ALL CONSTRUCTION SHALL MEET --~'I - - - THE REQUIREMENTS' O_F, THE N.Y. j _ STATE-CONSTRUCTION i ENERGY,,, _ CODES. NOT RESPONSIBLE FOfl+ DESIGN WCONSTRUCTION ERRORS 77 - t -44 I l ~ i~ / I , i I I ~ I I I I f /~,r= I I I I,, I UW~sflNGf S'fRV41~lRFi ~-/~l I II ~ I ~ j I j 1 I ~I I ~ it I li °T L 1 I I ( f iLi C:3 1 1 _ 1 ~ ~ I L--d I ~ I ~ I I If f If _ ~ I li, ~ i__ 11 F -ii~ 1 Az tA 100 A .7 RaY ~aaw7 Mft1'kk~ R , , vi t ; ~ 77 ii r.J i f ~I -rrr - A2rE4?i I i 3l-W 51E6~ j I l y- IL U I i `(4f 101W MA11 t6 F". 1f WYF11 1 D0 l~ ~ Y [ GS~~3 Y1_fJl d.l/ Prw. V i I l u ri i{ c tuE APRIL, 17,199$ i ,q I i~ I J-T- I' 1. I; - Mf~t u~J to VAW f1.Ne1 ,J 1Ex ti ti~ S tRuc~p-~. 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