HomeMy WebLinkAbout21821-z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23292 Date OCTOBER 19, 1994
THIS CERTIFIES that the building ADDITIONS
Location of Property 500 JENNINGS RD. & 40 BOOTH RD. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 54 Block 7 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 22, 1993 pursuant to which
Building Permit No. 21821-Z dated DECEMBER 6, 1993
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 TWO ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to THOMAS M. & CATHERINE C. O'BRIEN~I
(owners)
of the aforesaid building. -
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL INSPECTION CERT. #3937 - FEBRUARY 24, 1994
PLUMBERS CERTIFICATION DATED AUG. 29, 1994-MATTITUCK PLUMBING & HEATING
Bu lding inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOVM HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ...........!J 19..../..3.
N® 21821 Z
k
Permission Is hereby ranted to:
~ lio rnAS...~`:1>. ~?~.~.~(F-:~1..7~.`..,,~~„Tt!,~!?/....~.r..~..1.~'RlFL?
s.....4.. A4..YV..?P&Q7.TNR/.
-~~u ,~.....r. ~!......1/.9..7./
to.....'s-i r~Z........... eA4J.n! a......... N$....... ~9.:.... ^ G./-~.......... 21
.ll..~ ............A..s......
i
I at premises located at ........................'4 0......... 775`.....
4 ...........,1 t...................:..::......,.................................
r County Tax Map No. 1000 Sectlon.....,,, . T............ Block ®.7.......... Lot No. 40
g pursuant to application dated /i /aV4it9.'`!f ?r........ 19-23...... and approved by the
Building Inspector.
o0
Fee $...7..../2w......
q
! ~ •
Bull id ng Inspector
Rev. 6/30/80
~HIn ?n M y Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
OCT I!8104 sE,i6
TOWN HALL
765-1802
V)LOG. OE;'l*.
TOWN O_F Sb 'TF7OI;C!~w, r
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
New Construction........... Old Or Pre-existing Building
Location of Property 7c? ,-f ENN iGSoR S
House No. Street Hamlet
,M £ ~A7NE2ute ( ~0.:
Onwer or Owners of Property... +VM6_% C)
County Tax Map No 1000, Section...-1.L........ Block Lot ?
Subdivision ...................Filed Map........... .Lot......................
Permit No..,2.1J 2;1„' z... Date Of Permit..1%rirrt~.'!,22?.... Applicant
Health Dept. Approval. .........................Underwriters Approval.........................
Planning Board Approval.
Request for: Temporary ,C,,..e{{r,,tificate........... Final Certicate...........
Fee Submitted: .CZ ~Y.Y I
C~ ' 991 I :-A) glitz. .
Lo t,2 3a pa APPT.Tf erTT _
INSPECTORS n"
~~SLFi:i31.„~ O
SCOTT L. HARRIS, Supervisor
zz !-n e
4 Southold Town Hall
'T'homas Fisher w P.O. Box 1179, 53095 Main Road
Building Inspector
~@ Southold, New York 11971
Gary Fish `'Ut r;?sa Fax (515) 745.1823 41 Building Inspector Telephone (516) 765-1800
Robert Fisher
Assistant Fire Inspector OFFICI3 OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
C E R T I 8 I C A T I 0 N
DATE: p
Building Permit-~No.
Owner:
(please print)
Plumber: tl~ - u c. L ! o c.' 0 ,
please print o
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead-
. L
(P umbers Sig ore
Sworn to before me this
7uJEN t day of Notary Public, dG~ County
Notary Pu' c_ _
ON F. JAM"
Napa SdNow York
TOM E*iwa Fib. 106 F
nV~J C'h-J V~J VJ n n n n n n ~n QQ~n~q~~~p n n n n n n n n n n n
0 0 0 0 0 0 0 0 -0- ~0- ~0 J 0 0 0 0 0 0 0 0 0 0
ELECTRICAL INSPECTION SERVICE, INC.
1322 MONTAUK HIGHWAY EAST PATCHOGUE, NEW YORK 11772
Application No. on File 3931)
Date 2-24-94 '
THIS CERTIFIES THAT Lademann Electric Inc. LIC: #4141-E
on the electrical equipment as described below and introduced by the applicant named on the above application number
Thomas O/Brien Jennings Rd. Southold, NY 11971
in the premises of
in the following location: .,~~erment moist Fl. _ 2nd Ft. °
Pool Hot TubOUTSIDE
was examined on 2-24-94- and.found to be in compliance with the National Electrical Code. - ° )
FIXTURE CEILING WASHER RANGES OVENS -
OUTLETS RECEPTACLES SWITCHES G.F.I. FAN AMT K.W. AMT K.W. AMT K.W. """DDD
3 7 :3 1
DRYERS DISHWASHERS EXHAUST FANS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
AMT K.W. AMT K.W. AMT K.W. OIL H.P. GAS H.P. AMT NO. AMT
SPECIAL REC•T TIME CLOCKS - BELL UNIT HEATERS MULTI-OUTLET SYSTEMS DIMMERS )
AMT AMPS AMT AMPS TRANS. AMY H.P. NO. OF FEET AMT WATTS
"D
o )
SERVICE DISCONNECT
NO.OF METERS AMP TYPE -
President )
1 200 O.HI
OTHER APPARATUS: - '
°
This certificate must not be altered to any manner. Inspectors may be identified by their credentials
0 0 0 - 0 0 0 0 0 0 00 0 0 0 0
.
h~o~Og~FFO(,~
o ~
Town Hall, 53095 Main Road C03 Z' Fax (516) 765-1823
P. 0. Box 1179 W- • Telephone (516) 765-1802
Southold, New York 11971 .j. 0!
~tpl ~ ~a
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 9, 1994
Mr. & Mrs. Thomas O'Brien
500 Jennings Road
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 # 21821-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
f
V,
Town Hall, 53095 Main Road
cc Fax (516) 765-1823
P. 0. Box 1179 Telephone (516) 765-1802
Southold, NewYork 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 9, 1994
Mr. & Mrs. Thomas O'Brien
500 Jennings Road
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 # 21821-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ I INSULATION
[ ] FRAMING [ INAL
REMARKS:
DATE l INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ AL
REMARKS: -6/5
14-7
cod A/ ekw4e..
-Owl
a ea
DATE - INSPECTO
ppl'
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ) RO PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
jrfll
i
f
f
r
DATE INSPECTO
t
f_
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOU TION 2ND [ ] INSULATION
MIND I ] FINAL
REMARKS:
i
4
iI
i
4
FF
I
INSPECTO
DATE l IM
1014
765.1802
BUILDING DEPT.
INSPECTION
[ NDATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
REMARKS:
DATE
A INSPECTOR AA
P'l-LD iGSPEC?i0,) JJDATE COMMENTS
~L~ 3 ~r~
t1. 5 0.
H 1-
-
FOUNDATION (1st)
FOUNDATION (2nd) m d
2. L L
ROUGH FRAME & L e o~
PLUMBING
m
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INSULATION PER N. Y.
STATE ENERGY
CODE
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FINAL y~ o
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ADDITIONAL COMMENTS: x 1(
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BOARD OF HEALTH .../,V.I,4.....
3 SETS OF PLANS /1..........
FORM NO. 1 SURVEY tom. , , , , , , , , , ,
TOWN OFSOUTHOLD CHECK .......t!,,,
BUILDING DEPARTMENT SEPTIC FORM A11A , , , , , ,
TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
QQ TEL.: 765-1802 CALL LAMS...
Examined .....~Zl.IQ.....MAIL T0: 7L•S- 3G<~?
Approved l(r......, 19 !r Permit No.
Disapproved a/c
p )
B g Ins ector
APPLICATION FOR BUILDING PERMIT
Date ZZ_ 15`13
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 necessary inspections.
~~yy~~J!{I/~N~S~C° vvg u .
(Signature of applicant, or name, if a corporation)
Soo Jb14j,) .76S PO 9'0u1-1400, ld ,IIq-71
(Mailing address of applicant) .
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
0GLt11J.cI
Name of owner of premises 4 4t^? A S, a 6, Irl ¢,,i I.. ~ iLc ¢ti~
(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. . J. Q. S ff/
Plumber's License No. ..,n(n/~(~•i5i~.n.p1 ~~!^~1T) 7~
Electrician's License No. t V?t~f L IL?~!x-w:
Other Trade's License No .
I. Locatiion ooff lan orIwdiich proposed work will be done . .
'goJ.........OOLL.r...... J411 N 4n1y s ...g9t'-v ~ y.' MoU?
House Number Street Hamlet
County Tax Map No. 1000 Section 5 .4 Block .....7............ Lot.. 4
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 1. 44-17,ij- ?~4~91. .
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . .
rt
I
3. Nature of work (check wk whichapplicable): New Building Addition Z Alteration .
Repair Removal Demolition Other Work
4. Estimated Cost ...,3, . (Description)
t> OOJ'
Fee......................................
5. If dwelling, number of (to be paid on filing this application)
If dwelling,
number of cars units . Number of dwelling units on each floor .
S e
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . • , , , • •
7 Dimensions of existing structures, if any: Front 4. .1Z-.1 Rear . , y(P Depth .Y6.'.7... , , , , , • •
mber of Stories 1 .
Dimensions of same structure
8, Dimensions of entire new construction: alterations or additions: Front Rear • , , , , , • • , , , _
Depth ~Q ~ Height . , /S,', ,Number of Stones
.
Front-.... / Rear ,J.,3 Depth .
Height /Q Number of Stories . , • . • .
9. Size of lot: Front ./S~•.73.°; Rear,. IS. Yr7S Depth i3.jrSS >2z.sc>....
10. Date of Purchase : . . . . . . . • • , • , , • Name of Former Owner
11.
Zone or use district in which premises are situated .
12. Does proposed construct' n violate any zoning law, ordinance or regulation: .
13. Will lot be gd O • ' ' . • • • • Will excess fill be removed from premises: Yes
14. Name of Owner of P ,remisesdMI"!!t° P14Mq? . Address Al h!vlyf ~c ,.Yv.... Phone No.--2 bs. M
Name Architect
15.Is this property loc, Address Phone No................
Name e of of Contractor ~j ,~j, , Address .~i`.o. $4ri/N.opq , coq ,phone No.-741i'. 3.
Ob
ated within 100 feet of a tidal wetland? *YES-. .N
*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 froim
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
i
STATE OF NEW O K,
COUNTY OF. 6
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
fie is the • . , ~N T!e 69 L b dL_
(Contractor, agent, corporate officer, etc.)
of 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.
Sworn to before me this
q? o2.!JS cCr .....day of . /ctG!v74 4~ 19 g
Notublvc,.~~~wfll~/~ County
LINDA ``J. COOPER (Signature of applicant)
Notary Public, State of New Yorke,
No. 4822563, Suffolk County 7
Term Expires December 31, 78;.._._.
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FLOOR PLAN at SUNROOM FOUNDATION PLAN SECTION at SUNK
:JNROOM
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APP 0 ED AS NOTED p Q.
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2''0" OYBIZIIA1~ (T (p NOTIFY BUILDING DEPART ENT AT (+2) 2"x 10 (02)V Io"++ 2. Exl~iTll-I~
Fort EIJTIIZI' 1.DDYTIOI~• 765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: .q r 1. FOUNDATION - TWO REQUIRED _ I z
FOR POURED CONCRETE - I ~n
IT "TIMlF~ta e,/T' Wb,. To F9E 2"x1c, I Inn In" . CR/n P.FV:JC7 a. PI IMIMING Jam/ uh
_JIUI I-JII_JI 308 3Og I ;j In:SIfLAIdUN -
-ri•II ~lol~q. 4, FINML Cc:f G, i2OCTION MUST _
i;[ COMPLFTE FOR C O. J L
ALL CONSTRUCTION SHALL MEET -
THE RE(IUIREINENTS OF THE N.Y. m J- r D E IJ ~
AMW i pp I/~ 4)OaA•, AID. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR X - w
DESIGN OR CONSTRUCTION ERRORS L J w
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ELEV L E V A "r I O N B UNDERWRITERS CERTIFICATE N LL FKTq. REQUIRED FxTq.
ELEVATION A
~7GOJ-E c I~q D3 I p D '
i~"f`(PILPL For. eoT}i yIc7pC7.
t DEN AREA 0I'
GpF Ro(p1. ho~.ROOFI~4 FLOOR PLAN at DE
ISO-(E~ ~y ~iHI ti1C~L.FJ~ , 15~ FE1JT , '/2°
KOoP P IT6+i -~k ~y.. RIC7l~E 1w. ~I,u~ ~pu ~~Y\~p. ~Ea-7+~i~lq ate[ GiGb-LE (/n 116II an -1
LOG6zTIoO To T/Fi +ket-~ w Vv. ~~u Ex7E 17 2"~co" 200 Ko-f'fI:IL'7
1~~"(EP.MIt.~~ IV.~ FIeLf7.
GP-F RO'(. ~ioJ ~oofii.lGl ~i-NII.~ril.E~i• ~ GENERA: 4RAE NOTES z
Iq 2"Kq"GEILII~ .lhTh• ~ I(o"O.[i.
4 1. ALL WORK SHALL COMPL', 9ALL COMPLY W/ CURRENT NEW YORK STATE BUILDING /
Kemove EXT'!q. ?E FXT'!q. 2"'A CODES, UNIFORM FIRE 1 FORK FIRE PREVENTION, AND LOCAL REGULATIONS. r-I
~Va~G py ~Eq~c py RE4`o. I Z°~~° EXT. ~TfUp \\/A lil/ r./ 1(0" O.G., 2. EVERY CONTRACTOR / TI 1ACTOR / TRADESMAN SHALL VERIFY ALL DIMENSIONS
PARTING WORK.
lll-J ~.O.y ~J W 170~~/ TO ( ~l2" LI M P7G (PyLIM,si~.ET { l2" GOX PLY\vp h+leb ~+III 1C~, I~iE PRIOR TO STARTING WD] FELTf7aPEIZ-,71.11 GjIEJI~L1~~I~). 3. DO NOT SCALE DRAWING! A DRAWINGS. WRITTEN DIMENSIONS ARE TO BE I--I
PEE I w-lrp.-"ar7. FOLLOWED.
EOWARD E. WILLIAMS
BUILDING CONTRACTOR ALL EXTERIOR WALLS 8) 160 SEAWOOD DRIVE INTERIOR PARTITIONS )R WALLS SHALL BE 2"X6" CONSTRUCTION ALL
y?/q i PL-1`( P. SOUTHOLD, N.Y. 11071 NOTED OTHERWISE. ' MTITIONS TO BE 2"X4" CONSTRUCTION UNLESS tWISE.
-rI•II ~il~l~lc~ h/q'
F I 5. ALL HEADERS AT EXTER] ) AT EXTERIOR WALLS SHALL BE (3) 2"XIO" UNLESS
n C ~E\\l 2°xPi° ~L.~~Jfh, e: Icv" O.G. NOTED OTHERWISE. tWISE.
Z"f~" L.E~EIL T+RU q/OL r To 6. ALL FLOOR JOISTS TO E FOISTS TO BE DOUBLED BELOW PARALLEL DATE II• I~'9~7 PARTITIONS,
E><1~1T• "PJOK. AND FLOOR OPENINGS. )PENINGS. SCALE oTE~
3 7. PROVIDE BRIDGING AT ? :DGING AT MID POINT OF FLOOR JOIST SPAN OR DRAWN
b° FjL.OG•K GRPW4 GIPp•GE, 8'-0" O.C. MAX. IN Al MAX. IN ALL FLOOR SYSTEMS.
s ELEVATION C FouNnpTlotil 1111. z,v">7~xP JOB
\\/b-~EK• 'j'RLi~F E~["( IZVOR-. S. ALL WINDOWS TO BE ANC TO BE ANDERSEN MANUFACTURER UNLESS NOTED
~1GP1.E~ ~Iq"=1=0~~ AKEa.oF ti16w/~Ja1ZK. ~ ~Xw1Tl1-k.~. OTHERWISE. SHEET
TIGHTS TO BE AT 61-S" UNLESS NOTED OTHERWISE. Z
3 WALL S E C "r I O N A- 1 9. AL DOOR HEIGHTS TO E
OF 1. SHEETS
STOCI(DI1.6TIH4 FDIIM XD IOId1