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HomeMy WebLinkAbout22042-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23335 Date NOVEMBER 9, 1994 THIS CERTIFIES that the building NEW DWELLING Location of Propert~ 600 SHIPYARD LA. & 155 MARINA LA. EAST MARION, N.Y. House No. Street Hamlet County Tax Map NO. 1000 Section 35 Block 8 Lot 5.8 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1994 pursuant to which Building Permit No. 22042-Z dated MAY 5, 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 OWE FAMILY DWELLING WITH ATTACHED COVERED PORCH AS APPLIED FOR The certificate is issued to (ownere) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT PLUMBERS CERTIFICATION DATED Rev. 1/81 ROBERT & STEPHANIE INGRAM R-10-94-0029-NOV. 2, 1994 #5476 - OCTOBER 26, 1994 OCTOBER 30, 1994 - ROBERT W. INGRAM FO~M NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL . SOUTHOLD, N.Y. N~ BUILDING PERMIT (THIB PERMIT MUST BF KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE 'WORK AUTHORIZED} Date .................... ~..?.. ........................... 19...~.~.'.~.. 22042 Z ~oo0 at premises located at ............... ~ ........ ...?./~/....'~..~...~....~..~....~,~... ....................................... ........................................................ ~z...~./..~ .......................................................... ooun~,~ox~ap~o. ,000 seo~,on.....~.~Z ......... B,oo~ ........ ~ ............. ,otto...~..~ ........... pursuant to application dated ....~..~./...~.'.. ...... Z...~... ................ ~ 9...,~...~...., and approved bythe Building Inspector. Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD ~ . 765-1802 I BLDG. DEPT. APFL~CAT~ON FO~ C~RTIF~CAT~ OF OCCI~I~'CIOwNOFSOUTMOID 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 Compliamce 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 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-existinR Buildine - $i00.00 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 New Construction.'.~.. ...... Old Or Pre-existin~ Building ................. ' ........ ~ · atreet Hamlet Onwer or Owners of Property...~.~ ~-~ ~ Couu Tax Map No 1000, Section ...... Block ............... Lot ................. Subdivision ...................... .............. Filed Map ............ Lot ..................... Health Dept. Approval ........................ Unde~,riters Approval ........................ Planning Board Approval ...................... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted. $ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: Q~ ~ (please print)tJ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Si~ture) Sworn to before me this Not~w Publio, State of New York No. 4879505 Qualified in Suffolk CounW ~mmission E~ires De~m~r 8, 19 County (516) 286-6642 ELECTRICAL INSPECTION SERVICE, INC. Data 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 54"/6 APPLICATION No. ON FILE ADDRESS:~~[~,I~.._VILLAGE: E. Har:'LOn TOWN: Sou'f.'hoJ, d ISSUED TO: Roi)er'l; 'rnqram INTRODUCED BY ~:~ Mtl]l~r ]~l~r~.c LIC. NO.__~t~ w~ examined on 1 fl/~R/q4 and fom~d Io ~ in compliance with the National Electrical ~de. LOCATION ~ BASE. ~lst. ~ 2nd 3rd Attic Pool ~ DET. GARAGE HOT TUB ~ESID~NCE FIXTURE RECEPTACLES SWITCHES G. f. C. I. I DIMMERS FANS AIR. COND. 35 34 35 9 DISHWASHER DRYER CLOTHES WASH, GAR. DISP, RANGE I OVEN I SMK. DET, ! 1_ 2 FURNACE OIL GAS CIR. MOTORS BELL TRAN, SERVICE DISCONNECT 200 OH 6 Paddle Fans 3 Bath Fans President ,Officers TRUSTEES JOHN A. COSTELLO OEOROE W. HUBBARD VICTORIA SWENSEN ROBERT E. WHITE. SR. 236 ;lllleO STREET ORF. J~IPORT, NEW YORK [ 1~4 SUPERINTENDENT OF UTILITIES SAM~ I. MONSELL ARTHUR J. APICELLO Fax (516) 477-1707 POWER PLANT (516) 477.0172 October 25',1994 Mr. Robert Petrisch Suffolk County Health Department Suffolk County Center Riverhead, NY 11901 Dear Mr. Petrisch, The following water supply was connected to the Public Water Supply by the Village of Greenport. The installation was done according to our rules and regulations; and to the best of our knowledge, meets with the Suffolk County Health Department standards, the location of the work and the date the job was completed is as follows: Robert W. Ingram Shipyard Lane East Marion, New York 11939 Lot Number: 4 Reference #:R10-94-0029 Job ~: F95-047 Date Completed: 09/09/1994 If I can be of further assistance, Please contact me. Superintendent of Utilities JIM:fka 10.25.94 Over 100 Years of Community Service 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~,ATION~ []FRAMING [ ,~],4:'INAL DATE /////~//~//~ INSPECTO~~ N7G5'~'802 ILDING DEPT. PECTION [~FOUNDATION 1ST [ ] FOUNDATION FRAMING REMARKS: ROUGH PLBG. ZND [ ] INSULATION [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING FINAL 765-~.802 BUILDING DEPT. INSPECTION_ [F--~FRAMING [ ~ FINAL R"rMARKS: ~ ~~ INSPE~~ 76S-1802 BUILDING DEPT. INSPECTION / ]FOUNDATION 1ST [ ] ROUGH PLBG, J FOUNDATION 2ND [~NSULATION DATE:::~ INSPECT~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [~GN PLBG. J FO~UNDATION 2ND [/"'] INSULATION FRAMING [ ] FINAL REMARKS: FOUNDATION FOUleD A TI 0~.! ROUGH FRAHE &. .PLUMBi 3. INSULATIOH PER STATE ENERG CODE FI;IAL )DITIO~I~'L CO? App. 26 '94 12:58 0000 TOM COHEN AIA ARCHITECT TEL 201-489-0034 P. i LESTER COHEN~ AIA 'l~OM M . CO~'{EN ~ A I A AR C~-{ i TECTS & [:~LANNER S 234 Clinton Place, Hackensack, NJ 07601 1-201-489-2646 ** ** FAX-- 1-201-489-0034 TO: Mr. Robert W. Ingram 14 Easy St. Sayville, NY 11782 or, To Whom It May Concern E~E : Proposed Amendments to: Plan ~ 4702-R; Original April 26, 1994 Dated 9-13-93 aent lemen, The following changes that the Owner proposes are, in our opin- ion, acceptable: 1- foundation walls are to be poured concrete; 8" thickness; 16" x 8" continuous footing w/ 2 # 4 re-bars ; 2 # 4 continuous re- bars at top of foundation wall; 3000 psi concrete typical. 2- porch piers & footings shall also be poured concrete 3- the masonry fireplace & fireplace foundation is to be omit- ted; a "zero-clearance" type fireplace is to be substituted (UL listed). Install per Manufacturer's directions & Listing require- ments. The original foundation design and the poured concrete version assumes that suitable ground conditions exist with no hydrostatic pressures present. The overall outside dimensions of the build- ing remain the same. Please contact me should there be any question. 0494-1Z1-5 FORM NO. 1 'I1 ' I 8.fl!B TO VN oF SOUT.O,.D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... ~ ..... , 19 ?./~ Approved ................ 19~.. Permit No.."?.'~...~..~.~.. Disapproved a/c ..................................... . (B/gildifig Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS SURVEY .................. CllECK .................... SEPTIC FORM .............. NOT I ~¥: CALL .~ ~7 '~'~'~-9 ....... MAIL TO: 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 l~eguiations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. qlhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit auth°rized inspect°rs °n Pr~mises and in building f°r necessary ia~'secti°ns'/I .... .~~ . . .~.'~ ~ ~ ......... · y.. !\ t.Tv (Mailing address ot' applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~.0.~,;~.,,,7..'~..I.%:t.~.~.-.'q :.cts....q- .... ~ .~x, .% .,?2.fit..../..~..o,~ ~...~...'-L-x--.. ......... ~ (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 ......................... Electrician's License No ....................... Other Trade's License No ...................... Locationoflandonwhich~roposedworkwillbedone [.00 ~~O,.r..~. ....... ........... ........ House Number ' /Street Hamlet County TaxMapNo. 1000 Section .... .~.5 .......... Block .... ~.. ........... Lot '~.~/..,~,.~. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................................... ,,:~ ~ ~ .,.~. ~. b. Intended use and occupancy ...................................... ¥~ ,,,' . .. ~ "e L;?*~ ............ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined .......... , 19 .//T/ Approved .... . .~. ~..~. ...... 19~.. Permit No..~..'~...~.~.'.~../ Disapproved a/c ..................................... . (BJdildi'fig Inspector) APPLICATION FOR BUILDING PERMIT ~ SE,S o~ P~s ~.....'". SURVEY ................... CIIECK . SEPTIC FORM .............. c^,.L .~ 3.9. X~.? ....... MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewrite~ 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 desoribed. 'llhe 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 necessary '.~l~e~.'~. . /f~ "~or -- (Signature of applicant ation) . 75:...,7 (Mailing address oY applicant) -- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. '.....Q~ .,v..~ ?.~ ............................................................................ Name of owner of premises .~.*~);~.,~..~..I.~.~q-~ .?~...n-. .... .~.~.~..~) .~.~72~..... !..~.:_c~ .~..~. ~ ......... tas on the tax roll or retest 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 ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locationoflandonwhich~ro~sedworkwillbedone [.l~O.~~(3.r..~. .... L4' .q ............ House Number /Street Hamlet County TaxMapNo. '000Section .... .~.~. .......... Block .... ~.. ........... Lot ~t.~/..,~,.~. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................ ,,,.,~,,. ~..p..~ ............. b. Intended use and occupancy ...................... 3. Nature of work (check which applicable): New Building ..... Addition .......... A]~'.'[-.~...' .... Repair .............. Remloval, ..... ......... Demolition .............. Other W~l~i~ .i[., ~1[' .i .... t ![(./~)~9 tg~ .... (De~ffl~tion) 4. Estimated Cos , - © ~ ' (t ~ o be paid on 5. If dwelling, number of dwellingi units ............... Number of dwelling units on each floor ................ · If garage, number of cars .... [ ................................................................... Dimension'sIf business commercial or mixeld occupancy specify nature and extent of each type of use 7' of existing structures if any: Fr;nt Rear ..................... · Height Numt~er of Stories ............................. D. epth ............... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... ~ ·. Height ................ Number of, Stories .............. , ........ 8. Dimensions of entire new construction: Front., B.~.r:.~.'.'... Rear .~F~.~...~..~i'~ .... Depth . .~. ,G.: 51 ..... Height ............... N~u~mber of Stories ...oQ~ .... , ............. --. ' . . . 9. Sizeoflot:Front. ~.~.~...~..a Rear /~/ /d:' ........ ~' ;,'",~',h~, 'A[~ ....... ................... .... ...... ' ....... 10. DateofPurchase ...~.-.!.~.;'.~...~/ ....... , ......... Na of Fo net g~n.+~..~ 11. Zone or use district in which pr~mlses are situated ..................................................... 12..D...o.es. proposed construction v!qla~te any zoning law, ordinance or regulation: .... ~ O ..... . .. 13. wiu lot be regraded ~ '~ ... · ........ . ........... .... ~: .~. ~ .............. Wall excess fill be remoyed from premises: Yes 14. Name of Owner of premises .(sO. /.~,*'q..~.. Addr~ l~ ~_~x, s4r~ ,-- .. ~-~ '~- " ...... 'O ....... ,>*~ .~A ......,'. ·. ,.. .....rnone ~o. ¢ .o.t: .~..~?. 1 .... NameofArchitect /~ (2-o/~c~, . Add .... ~' ~Vodl.,g ~q.>,- ,V.?,vcz... ,. ,.~ e~ ~,c:, .. ' 'Lt ..... [ .............. ~a~ . .~.3~4 ..3,L4 ;,~.'~,~ .,~ I..~ ~'none rqo. ~-.: :'.~. ?.t ..... -~,,~, mame of Contractor ~. .~. ~.'~ ° .~...~..~¥7 Address /4tce/~o~,t~-:g~: ~°CY~ph~_^ x~ 15. Is this property within 00 feet of a tidal wetland? eYes ........ · If yes, Southold own Trustees Permit may be required. .. PLOT DIAGRAM Locate clearly and distinctly all property lines. Give street and block: interior or corner lot. buildings, whether existing or proposed, and, indicate all set-back dimensions from mmber or description according to deed, and show street names and indicate whether STATE O.Q,F N EW.2~TRK, co rfv OFr .... .~.~.~Z Z'... ~.. ~ ~ ~ ....... being duly sworn, deposes ~d says that he is the applicant (Name of individual signing c~ntract) above named. Heis the I (Contractor, agent, corporate officer, etc.) of sa~d own r or owners, ~d ]s duly lauthoHzed to perform or have perfo~ed tile said work and to m~e and file this application; that all statements contaioed ~ this application are true to the best of his knowledge and'belief; and that the work will be perfo~ed in the m~ner set forth in the application filed therewith. Sworn to before me . . .' ~ dayof . ' c ,atcot . _ N~ ~ubll0, 8tat8 et NO~ Y~ ............ ~ ................ I I ~UMBER CERTIRCATION W~ C~~ HAS'BEEN APPROVED ON ~O CONTE~ BEFORE CER~IFI~TE OF, OCCUPANCY NOTIF ~~ ~, ROUGH ~ 4. FINAL ~ MUST BE COMPLETE FOR ALL MEET ff~lO~l~llU~l~ THE REQUII~EMENTS THE N.Y. ~d~ ~TATE CONSTRUCTIOnal& ENERGY ~ODES. NOT RESPONSIBLE FOR ~p~ll ~ mESIGN OR ~N~RU~ON ERRORS UN~ ~ , **v,.,.~ CRA- WL ' SPACE PLAN 47¢.'z-~ J q-lS-q~' Ih. P5- LESTER COHEN AND TOM M. COHEN sH~ff ~ ,RCHITECTS 2A ~ ,' /, 234 Clinton Place ' ~ · ' " ~:' HAC~ENSACK, NJ 0760[ ~l~ ~-~piITE,~Y ~*~1~ (201)489-2646 p~ ~ I * Wi2dOW and do~: ~nuiactu~e=~ ~hall c,e=tffy their respective produuts'foz, compti~'n~e f l E ~ ~ I k E i [ E i: $~L~ /~l,. [tOa * Unless no%ed otherwise, structural lumbe~ shall equal or surpass DF-L S21 E~ 1.700,000 psi-. infiltration requirements. ; r 1;r , I~' L~be~ shall con,oKra to span tables of the National Forest Products Association. ~11 * ~i~0w desl~ations are "AnOersen" or' apprsved equal with high performance ~ulatl~ glass.' an~hlng shown, described, or implied where ~ame are at variance. "* StructuKal laminated wood (i~ i~dlcated)shall have a minimum value of Fb= 2850 951 and R= * EF = Exhaust Fan with duct to e~erior. ~au~t fans tn bathrooms ~hall .be * This ~lan LS not legal ~or a Building Permit In the State oi New Jersey u~less the 2,000,000 ps~ unless noted otherwise. :~ providing a minimum of 12 air changes Ret houri : ' ' .. Architect's impression seal and signature are hereon. * All pl~ood to conform to latest Commercial Product Standards and bear the g~ade marking of ' . ~ .. LE ATION * Each contractor shall visit the job-site, base estimate on present conditions, and shall be ] the american Pl~o~ Associati~n. required to complete all ~o~k sho~m,-implied or required ~o complete the ~ork. * ~ Install materials in accordance ~ith standard trade practices and Manufact~rers'~ & Tzad~ ~ · ' ~ ', .., * ~ch contractor shall verify all required dimensions and conditions pertainin to their Associations' spec~f~ations a~d recommendations. $~ ~j..= ~j~ , , ~ * Elevations of garages, porches, terraces, stoops, g~e lines shown on plans, etc., are ? ..q[~/'~: subject to change to meet topographical conditions. * Waterproof basement wails below grade. .,. * Carry all footings to firm, undisturbed bea~ing a minimum of 3 ~ b~low finish grad~. * , Remove all organ~: and other unsuitable materials from the ar~a ,of the building, fill ; ~ulk all maso~zy, metal, and ~o0 joints bo~h in~4e and outside. ~JOJo~ : ~ , In addition, smoke oe~c:ozs snail de loca:~ In ~ne vicinity o~ Bedrooms (h~llway) and' 1. ~70~' ~ q~ J~ )~ ~. ~ 'LESTER COHEN AND TOM,M~ CO~N Double an joists around openings and below parallel partitions. Triple Joists'below petal- * Safety Glas~ where teqUt:ed,'to be installed all exit doors, ~lxed glazed pa~ls that look like doors.' patio ooors, storm doors, shower door. tub enclosures, all unframed gla~s.. ~J~ ~ ~'~.'~&)~ . '. . .lei bearing partitions. Glazing shall pa~s test requirements of ANSI ~97.1- 84; . . ' ' ,' ' I I I I .RIGHT ELEVATION, 4702- ~: j q, I~- ~ I ~-' ~ kESTER COHEN AND TOM III. ~'oH£"' ~I~K~ ~$T C'~l~ '" ....