HomeMy WebLinkAbout21306-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22413 Date JUNE 22, 199~
THIS CERTIFIES that the building ALTFR1ATION8
Location of Property 8885 & 9025 RAIN ROAD LAUREL~ NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 122 Block 6 Lot 20 & 22
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 29~ 1993 pursuant to which
Building Permit No. 21306-Z dated APRIL 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 INTERIOR ALTERATION TO ~r~TING BUILDING AS APPLIED FOR.
The certificate is issued to NORTH FORK BANK CORP. (owner}
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAB INSPECTION NO. 2646 DATED RAY 14, 1993
PLUMB~ CERTIFICATION DATED N/A
ililing Inspector
Rev, 1/8'1
FO~,M NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~,° 21306 Z
Permission .is hereby, g,rantecLto: . / --' '7, \ -- ' -- ~ -
../.~....~....~..,.. ........................................... ~, ~
· ~~_,..~~ ........... ./../...¢...~.~,... .
,o~ ~,~¢.~..~...~ ....... .k~.~~ ....... :~~..~.....: .......
at premises located at .. ,~..~,~...,[.~.,,.,~.,....ff.~... ,~,.~....,'~.~-- ...... .~..: .....................................
County Tax Map No. 1000 Section .... ./..~.... ,~:,. ...... Block ........ ..~.. .......... Lot No..~....~....,,~.,..'~
pursuant to application dated ....~.../...~..~... ....................................... , 19~., and opprov~ by the
Building Inspector.
,ee ,.~.~..~
Re~ 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICA%E OF OCCUPANCY
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 I% 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.
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.
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 - $5.00 over 5 years - $i0.00
4. Updated Certificate of Occupancy - $50.00 '
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00
Date ...~/~.~J~ ......................... ... . .
New Construction ...... Old Or Pre-existing Building ...... x
Location of Property ~8~5 ~ 9025 Main Rd., Laurel, NY
House No. Street Hamlet
Onwer or Owners of Property..N..o.r.t.h. Fork Bank Cot . .!.S.u.f. folk .C.t..y....I.D.A. )
122 ,6 20 & 22
County Tax Map No I000, Section .............. Block ............. Lot .....
N A Filed Map Lot
Subdivision ............. / ........................................................
· 21306Z ~ .. 4/6/93 Hank Flynn Architect, for
Permit mo ................ Date Of ~ermzn ................ Applicant. No~h. ~k.t~ameo~.p,. ....
Health Dept. Approval .......................... Underwriters Approval...~f~.~$.~J ......
Planning Board Approval .................... .. . .
Request for: Temporary Certificate .......... Final ?~te...g .......
Fee Submitted: ~..5.0.~.0.0 ............... i ''/'I ~p~L~.~
........ · ....
~0~ ~%' Sr. Vice President
Date
ELECTRICAL INSPECTION SERVICE, INC.
1322 MONTAUK HIGHWAY
EAST PATCHOGUE, NEW YORK 11772
5-14-93 Application No. on File
THIS CERTIFIES THAT EECO Electric Cor~.
LIC: ~2816-E
on the electrical equipment as described below and introduced by the applicant named on the above application number
in the premises of North Fork Bancorporation, INc. 9025 Route 25, Matt/tuck, t~
11952
in the following location:
5-11-93
was examined on
__ Basement ~lst FI. __ 2nd FI.
COHNERCI~L
__ Pool __ Hot Tub
and found to be in compliance with the National Electrical Code.
FIXTURE 24
OUTLETS RECEPTACLES
62
SWITCHES
4
CEILING
FAN
FURNACE MOTORS
OIL H.P. GAS H.P.
264~
SPECIAL REC'T TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS DIMMERS
AMT AMPS AMT AMPS TRANS, AMT H.P. NO. OF FEET AMT WATTS
.o.J.' ;ci "scT,?CT TY.Et
O~HER APPARATUS:
200 At4P PANEL
200 M~P A.L. PANEL
President
This certificate must not be altered in any manner.
Inspectors may be identifi6d by their credentials
OUNDA'TION (1st)
OUNDATION (~nd)
OUGH FRAME &
-PLUMBING
:NSULATION
FEB N.
STATE ENERGY
CODE
FI;;AL
ADDITIONAL COMMENTS
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [~NAL
DATE
INSPECTOR ~'7' ~
Form No. 6
TOWN OF SOUTHOLD
BUILDIHG 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 I% 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 requiremenq~.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'Tpre-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 - $5.00 over 5 years - $10.00
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 .........................................................................
House No. Street 'Hamlet
Onwer or Owners of Property ..................................................................
County Tax Map No 1000, Section .............. Block ................ Lot ......................
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $
APPLICANT
..~ ~AR ~ 11993
Examined . ~' '/~/ ........ , 19q~.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.; 765-1802
BOA'RD OF HEALTH .........
3 SETS OF PLANS .........
SURVEY ..................
CIIECK ...................
Sr. PTI C FORH .............
CALL ...................
HAIL TO:
Disapproved a/c ' ~.~
' '. - ........... ' ~, ~ d.~ ~-¢g"- ,,
· .~-/..r.~ ..~. :z~. l.z'~, e ........ · .... ~,
~ . ~uil~g Ifispedtor) .
APPLICATION FOR BUILDING PERMIT '
D~t~ ........ , 19 ~
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the B~ilding Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of tot and of buildings on premises, relationship to adjoining premises or publin 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 w6rk.
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/n building for necessary insp, ections. - .
_
(Signature o~ applicant, or name, ir a corporanon)
.:../~...,W, oz,~..
· (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...........
Nam~ of owner o~ premises ...Z/. ~.~.. ~ze~. './3xWbo, cm~. ~ .m/.,../..,¢:~.. .... : ...................
/ · (as on the tax roll or latest deed)
If .... applica..i~t ' corporati~, a~i' at o uly autt~oriz officer.
· /.. (r~ameff/tld title ofcorporffje omcer)
Builder's License No ..........................
Plumber's License No .........................
Other Trade's License No ......................
1. Locafion ofland on which proposed work will be'done. "~'~/~.~d~'T/~Z~ ....
tlouse Nmnber Street Hamlet
County Tax Map No. 1000 Section .... d~ ....... Block ..... ~ .......... Lot..~.~ ~ .....
Subdivision ..................................... Filed Map No.
(Name) .............. Lot ...............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... ~~..X~ff
Intended use an occupancy .............
(check which applicable): New B ' ' '
.3. Nature of work Uilding...' ..... .~ddifion .......... Alteration ..... · .....
Repair .............. Removal .............. Demolition'
4. Estimated Cost ........ escription)
........... Fee ...... .'77. .................
(to be paid on filing this application)
5. If dwelling, number of dwelling units .. ~/.~c.. ·. Nu ' . .
· If garage, number of cars .. -~'~-~ ..... tuber of dwelling umts on each floor...
6. If business, Commercial or mixed occupancy, spec/fy nature an'd
7. Dimensions of existing structm-es, if any. Front J~t'e~ of each type of use .
· Dmlensl°Ts 0~ saT.e s:ructure with alto. rat,ohs or add.,tions: Front .... /)d/~... '. ...... Rear ...... , .......
Height .... '- ' /?"ff ........ , Rear . Dent~ ' '"
~, · ............ cqumaer ot stories.... . . t ....... '- .............
9. ~ze of lot: Front Ar//4 · ,, .........................
I0. " "--". · ....... l~ear ... " · .....
Date of Purchase ~t/.,t · .......... .I .... Depth .
.................. Name of Former Owner ............. .
11. Zone or use district in ~vhich premises are situated .. ~/~. . [ .. . . ..: ..... ~ . . .
12. Does proposed construction violate any zoning law, ordinance or re;ul'aii~'n" x~.O... ' ''j' '~'"
13. ~¥111 lot be regraded ........ . /JxT.-~- . . u,: ...... r ........................
14. N - ~ , . ,~-,o .--~--' z:~'~' · · .wm excess Im o~ removed from premises /ff~q'-Yes
N. ame of Contractor .... , /ld'Zi[ ..... ^.~,~
is this property within 300 feet of a tidal wetland9' ,%~1 '~//~' .. Phone'No... ........ .
· *If yes, Southold Town Truste~- n ..... ' x~s. ,~'1/~.:. No ......... ' .....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed!, and, indicate all Jet-back d/mensions from
property lines. Give street and block number or description according to deed, land
show street names and indicate whetheJ:
interior or corner lot.
;TATE ~)F NEW YORK, S.S
..... :'..
............ Mt. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
bore named.
is the
(Contracto~t, agent corporate officer ...............................
, , etc.
said owner or owners, and is duly at tbonzed to perform or have performed tile said work and to make and file this
pplication; that all statements contained in tbi} application are true to the best of his knowledge and belief; and that the
'ork will be performed in the manner set forth in the application filed therewith.
worn to before me this
......... .......... day
· ' MIRIAffA ARMUSEWICZ '
No, 4762721 .... . ......
NOTARY PUBLIC, St~{o of New York , '
· Qualified in Su[fotlq County .,,
PERMITTING INFORMATION
TAX MAP INFORMATION: DISTRICT 1000; SECTION 122; LOTS #20 & 22; BOOK 6.
- OCCUPANCY: Cl BUSINESS (OFFICE)
CONSTRUCTION CLASSIFICATION: NON-COMB~JSTABLE, TYPE 2B
BUILDING AREAS:
UNDERWRITERS CERTIFICATE
REQUIRED AREA I 25,394 SF
AREA I UPPER 2,922 SF
AREA II 9,651 SF '
AREA III 3,572 SF
APpRQVED AS NOTED
DATE? ~R.P, # ~/,.¢O 8'~' AREA IV 3,572 SF
NOTIFY BUILdinG UEPART~N~ AT TOTAL 42,190 SF
765-1802 9 AM TO ~ PM FOR THE
FOR POURED CONCRETE
43: P~d'O%oNSTnUOTION MUST ACCESSIBLE 3 SIDES 75% INCREASE: 11,250 SF
8E COMPLETE FOR C.O. FULLY SPRINKLERED 200% INCREASE 30,000 SF
ALL CONSTRUCTION SHALL ME~ '
THE REQUIREMENTS OF THE N.Y, TOTAL ALLOWABLE
STATE CONSTRUCTION & ENERGY
CODES. NC RESPONSIBLE FOR
DESIGN OR CONSTRUC'RON ~RORS _ ~ NO~S: ' ' '
OF OCCUPANCY. CONSTRUCTION EOR THIS APPLICATION IS FOR AREA III
THE 2 HOUR FIRE WALL SEPA~TING AR~ II FROM AREA tll IS BEING RETAINED
~/~: ~/¢ THROUGH USE OF 2 HOUR CONSTRUCTION FOR SAFE~ AND ,NSU~NCE
~ CONSIDE~TIONS. ALL COMPONENTS FOR ALL STRUCTU~L ELEMENTS
SH~L BE AS REQUIRED BY NYS UNIFORM FIRE PREVENTION AND ~UILDING -
~ , ~e CODE AS OF THE DATE OF THESE P~NS.
ENERGY CONSlDE~TIONS HAVE ALREADY BY ANSWERED BY PREVIOUS
~¢~ ~¢~14 BUILDING CONSTRUCTION. INSU~TIONS SHOWN ARE IN ADDITION
MAT
F --1
F~L J
CORRIDOR, TOILET ENTRY, ANTE ROOM AND RAMP.
NOTES
TOILET ENTRY
A~L FINISHES IN THIS SPACE TO MATCH EXISTING, CARRY
WALLS TO UNDERSIDE OF ROOF nECK. FILL GAPS AT ROOF nECK
T
,J
HEADQUARTERS BUILDING
ROUTE 25, M,ATTITUCK, NEW YORK
INTERIOR IMPROVEMENTS TO TENNANT AREA III
M[ARCH 1993
NAR 3 11993
INTERIOR IMPROVEMENTS. TENNANT AREA III
HEADQUARTERS BUILDING; ROUTE 28
MATTITUCK, NEW YORK
Date: 29 March 1993
Scale: As Noted
Hank Flynn, fi!A, ' Architect
Henry M. Flynn, Jr. Associates, PA
13 Main Street[ Southamifiton, New Yoi'k 11968
Tel. (516) 283-1777 Fax. (516) 283-5979'
1
OP Z
,0
'-i
.1/.4II
GENERAL NOTES
1. EEPNR/¢J. IEREGOI.~J~-rI1EB IN FLOOR AND WALLS BEFORE COVERING
WITH FINISHED MATERIALS, WHERE PLUMBING ROUGH4NS IN FLOOR ARE
FOUND, COVER WI~-H FLUSH BRASS PLATE DESIGNED FOR THE P URP. OSE,
BET FLUSH TO CONCRETE FLOOR.
WALLS-UNLESS OTHERWISE NOTED (UON), SHADED WALLS ARE:
112" GWB EACH SJDE OF 4" METAL STUDS @2' DC ON CL OF
SUSPENDED CEILING SEE BATHROOM ENTRY FOR
EXCEPTION.
UON UNSHADED WALLS ARE DEMOUNTABLE PARTITIONS
LOCATEDASABOVE FROM NFS INVENTORYIN
CONFIGURATION INDICATED WITH BOORS INCLUDF-D
PERIMETER WALLS UON ARE 1/2" GYPSUM WALL BOARD ON
2 5/8' METAL STUDS AT 2' DC.
WALLS AT WOMEN'S TOILET ARE TO EXTEND TO UNDEr, SIDE OF
METAL ROOF DECKAB INDICATED IN DETAILS.
3. HVAtC FOR ADJOINING SPACE MAY RAISE CONFLICTS WITH DUCT AN[}
LIGHTING IN AREA OF FLUNG ROOM. CONTRACTOR SHALL MOVE ELEMEN .T~
TO RESOLVE ANY CONFLICTS.
4. NEW HVNC SHALL SE LOCATED OVER S~UCTURAL OPENING
PROVJDED FOR IT. FOLLOWING APPLY:
· HVNC SUB SHALL PURCHASE PREFAB CURB UNIT TO FIT PUMP AND DUCT TO
BE INSTALLED. CURB SHALL SE SELF FLASHING ON ALL SIDES WITH CANT.
· CONTRACTOR WILL INSTALL CURB AND FLASH WITH SII'UMJNOUS SYSTEM
TO MATCH EX]STING IN ACCORD WITH ACCEPTED PRACTICE TO INSURE A
LEAK PROOF INSTALLATION,
· CONTRACTOR SHALL SE RESPONSIBLE FOR CUTTING OPENING IN EXISTING
ROOF TO MATCH REQUIREMENTS OF THESE DRAWINGS AND THE CURB
PROVJDED.
5. BIGMAGE BY OWNER T(~ BE IN CONFORMANCE WITH STATE AND
FEDERAL REQUIREMENTS.
LIGHTING FIXTURE SCHEDULE
1YPE MOUNTING UGHTNG MANUF, , CA~t LAMPS
A RECESSED FLU'OR DAYBRITE LGA424-32 4034
B RECESSED FrUOR DAYBRiTE PGS324-P~8 3~34
C RECESSED FLUOR DAYBRITE PGS222-PI6 2~40(U)
X ,. SURFACE INCAND OEVINE . GCS0-SR 202[}
LEGEND
IO
RECESSED LIGHTING FIXTURE 2X4 OF TYPE INDICATED
CROSS-HATCHED UNITS ON CONSTANT POWER CKT.
RECESSED LIGHTING FIXTURE 2)(2 OF TYPE INCICATED
EXIT LIGHT OF TYPE INDICAT!~D, CONSTANT POWER CKT.
SMOKE DETECTOR
FIRE ALARM PULL STATION
SWITC~
FINISH SCHEDULE
FLOORING .
CARPET:
TILE:
NFS CORPORATE COLOR BY OWNER
MATCH EXISTIN~ IN W. OMEN'S TOILET
BASE
WALLS:
TILE:
4 · GRAY VINYL OR RUBBER ~Y OWNER
MATCH EXISTING IN WOMEN S TOILET
WALLS
GWB
TILE:
PAJNTED GYPSUM WALL BOARD UON
PAINT TO COVER MIN. 2 COATS LATEX FLAT
MATCH EXISTIING IN WOMEN'S TOILET
CEILINGS
SUSPENDED:
I HR RATED NcfECHANIOALLY SUSPENDED ACOUSTICAL
WHITE 'TEGULAR" DESIGN 2X2 WITH GLUED 705 RIGID
FIBERGLASS (BY OWENS CORNING) INSULATION PRECUT TO
2X2 ON TOP SIDE.
GWB
MATCH SUSPENSION SYSTEM IN WOMEN'S TOJLET.
PROVIDE 2 HOUR CEILING AS DETAILED AT SAM E HT AS
FOUND.
DOORS AND
TRIM
TWO COATS T,ro C~VER OF SEM~GLOSS OIL BASED ENAMEL.
r~
ti
L
INTERIOR IMPROVEMENTS, TERNANT ARE~ III
HEADQUARTERS BUILDING, ROUTE 25
MATTITUCK, NEW YORK
Date: 29 March 1993
Scale: As Noted
Hank Flynn, AIA,
Henry M. Flynn, Jr. Associates, PA
13 Main Street, Southampton, New York 11968
Tel. 283--1777 Fax. '(516) 283~5979
Architect