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HomeMy WebLinkAbout21320-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22609 Date SEPTEMBER 23, 1993 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 1455 ALBO DRIVE LAUREL NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 3 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 1993 pursuant to which Building Permit No. 21320-Z dated APRIL 8, 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HARLEY ARNOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-287521 - AUGUST 25, 1993 PLUMBERS CERTIFICATION DATED JULY 13 1993-GALE KASKE ild ng Inspector Rev. 1/81 FORM X062 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) . N °-N° 21320Z Date (4 . 7 191.. Permission is hereby granted to: !~L[. ...w;' to ...~.rs.cX.Ai. a Q2 S . . , ~,.~.....i........... at premises located at .....................e1i +A.+~ 1@ 1................................ . County Tax Map No. 1000 Section Block Lot No. 1.40 pursuant to application dated ......~A( ,).t.Y.....G~ 192.r , and approved by the Building Inspector. V Fee $ 1.5 ui ing Inspector Rev. 6/30/80 TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR z P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date P 9 513 Building Permit No. A /J 2 G Owner k-- Aj C, (p ease print Plumber t ••r \ C~1C (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this -W- day of Y-/~ r ///7/ ///7", 19-IL Notary Public Notary Public, ounty NOWryPub~ic Sate of Now York No 4882728 Qualified in Suffolk County Commission Expires January 31,188~ Form No. 6 ~f 11,-d^'a t~ TOWN OF SOUTHOLD BUILDING DEPARTMENT , TOWN HALL .~:,.a 765-1802 s' "'r,yt-;y _ _ ' s 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 17 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 - $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 ...9/71/93 New Construction........... Old Or Pre-existing Building WcU iOI1.... Location of Property .1.4.5rj..Abb0•lr..Laurel House No. Street Hamlet Onwer or Owners of Property,.. Harley..Arnold County Tax Map No 1000, section 126...... Block 3.......... Lot.... 116 Subdivision ....................................Filed Map........ ....Lot..... Permit No.... 4,18493..... Date Of Permit.. 2_1320Z ......Applicant. Inland. Homes .Inc.......... Health Dept. Approval ..........................Underwriters Approval. .Aug.25.,.A993,........ Planning Board Approval Request for: Temporary Certificate........... Final Certicate..X........ Fee Submitted: $ c~.ywg APPLICANT y, lJ CO -'~-a THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 100034,3 BUREAU OF ELECTRICITY F 83 JOHN STREET. NEW YORK, NEW YORK 10038 Bate MAY 31. ,1994 Application No. on file 05926894/94 N 3155$$ THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of l4-~-s HARLEY ARNOLD, S.S. A1.80 DRIVE, POLE #7, MATTTTUCK, N.Y. in thefollowinq location; !J Basement IN Ist Fl. ? 2nd Fl. Section Block Lot was examined on FEBRUARY 23 , 1994 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K. W AMT. K.W AMT. K. W. AMT. H. P. 2 I .1 4.3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECPT TIME CLOCKS RILL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P WT. NO A. W. G. AMT. AMP AMT. AMPS TRANS. AMT. H. P N0`07 FEET MAT. WAiiS . FE SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. tYPE METER I IT tW 10 TW S.0 SW 13X dW NO.OF Cf COND A. W. G. NO. OF HIAEG A W.G. NO. OF NEUTRALS A. W. G. EQUIP. PFR9 OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: MOTORSIl•-F H.P. G.F.C.II- 2 i GOODALE ELECTRIC 7355 MAIN ROAD GENERAL MANAGER MATTITUCK, NY, 11952 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. a THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 (~1 !'35i35~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ADGUST '25,11)93 Application No. on file 80891593/93 N 287x2'1. THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MRS, U.L. ARNOLD, 1445 ALSO DRIVE, NATTLTUCF, NJ, in thefollowinAlocation; E Basement ® 1st Fl. ? 2nd Fl. G.WA'TTIVOUT Section Black Lot was examined on AUGHT 19 , 19 9 3 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER MIT K W. AMT K W. AMT. K W. AMT. K W AMT. H P. 19 21 27 19 1. r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H P AMT. NO A. W. G AMT. qMP. AMT, AMPS. TRANS. AMT H P SYSTEMS NO. OF FEET qMT. WATTS 1. SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYRE EQUIP. METER 3W L ,e 3W 3,e 3W 3,e AW NO.OPFERCC COND. A. W G. OF MI - LEG NO OF MbLEG A W G NO. Of NEVTRALS A' G' b' OF CC.COND. Of NEUTRAL 1. 200 ('L 1. K 1 1./0 1 1/0 OTHER APPARATUS: MO'PORStt-F fl. P. G,I',C,TL-9 SHONE DETECTORe-1 JLM SAGE ELEC. INC. LIC,g3635-E C!~~ P.O.CiOA 33 GENERAL MANAGER GREENPORT, NY, 11944 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. R I COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. lip QOA0 r aL SLUR- A IK.~P B ag fig ,yIC~ fiw?° q f ' m rn °7 , r r ik~ ~7 ~ (1 z~~~ ' Q € rn, 1 I s1 i rrs 'U C..'--{,.o oFcK r, /Ax 10 b" e4) er) a C x a Ji, Z v' q yam, I Imo. j 1.7 ;c: NO Uri n o n \ w rv OR\ Q Ira Im ~i t N -m f ~--°a r'1;LD It:SP C:i0;7 JIUATE COMMENTS I C rln L Y - y O FOUNDATION (1st) a C/I FOUNDATION (2nd) m Sb 2. ROUGH FRAME & PLUMBING H y 3 . m ~ . m H INSULATION PER N. Y. STATE ENERGY Q, CODE x a s> i~~ r 4, m FINAL O z ADDITIONAL COMMENTS: x ` dY~ C • m x H O z ' x m • r H ~ S .D d m b H 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: r r DATE J~ INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ F 1-4 DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [WfNSULATION [ ] FRAMING ]]JFINAL REMARKS: L2-4 DATEQ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;:S-U ~LATION [ ] FRAMING ( NAL RE ARKS: i DATE INSPECTOR ~G ~z ~i NI a.. jy40p f e ~.pp t 1, i I ; 1 LA Jv a I (SCI! ~ _~r7T 2i~~ p \ 1 jw: 6-1 Y, co_ C) 44 fe, DOil -j! LIZ Ul"~ - L.f ttt .1 w Z! r l i Cx.k 5f w~l 4 1 s _ `vDp w '1 Lot E . low ii ni F of ' C ~ ~ 2 ` u dl G V~ It ) • t r.ti. 'p, ° OR' , I ~ 4if 6 r i L~ S~ N C O a C < ± Y 9 N k ,C N` C~d ~{,f l i~j +~~~y' ? 1 A~ y Y... J l CN2i I 3VSETS VOF-PLANS FORM N0. 1 SURVEY-' TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL (1(,~( (.t 9 1 NOTIFY SOUTHOLD, N.Y. 11971 CALL- • - ' TEL.: 765-1802 MAIL TO:,, I .rr... mined 199.z . r;v Deed . . 19`x,.3 Permit No..At t. ~ ~ t r ' .I,pioveda/c ........~.~.......I~', APR 2~~', ~'~;14 t' :'t r (Building Inspector). APPLICATION FOR BUILDING PERMIT Date !0193 , 19 .'INSTRUCTIONS <<> c , , n.. This application must be completely filled ini by typewriter or in ink aril submitted to`the Building Inspector, with 3 of plans, accurate plot plan to scale. Fee according to schedule. ' , ' ' ' - , I.. , . b. I Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets Teas, and giving a detailed, description of layout of property must be drawn on the diagram which is part of this appli- 1% The work covered by this application may not be commenced before issuance of Building Permit. . cl, Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit II be kept on the premises available for inspection throughout the work. c, . No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ,II have been granted by the Building Inspector. V I, J: APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ,iIding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 11111ations, for the cohstruction of buildings, additions or alterations, or for removal or demolition, as herein described. I'•' applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to '-it authorized inspectors on premises and in building for necessary inspections. Inland Homes Inc. (Signature of applicant, or name, if a corporation) P.O. Box 117 Mattituck,N.Y............ (Mailing address of applicant) Nvl,etier applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor . . Ilarle nc of owner of premises .Arnold..... (as on the tax roll or latest deed) .i•hlicant is a corporation, signature of duly authorized officer. I (Name and title of corporate officer) A1.1, CONTRACTOR'S MUS.ISI+' SUFFOLK COUNTY LICENSED Builder's License No. ..........b t f Plumber's License No. .2451. P 1;[cctrician's License No. other t'rade's License No. S/13 of Albo Drive I ovation of land on which proposed work will be done: . I louse Number Street ,r1r1,26 'r tc r .,.riv+4 +.ill ' ° ' ,I' ll ~l.•.'~ ounty'Fax Map No. 1000 Section Block Lot., Subdivision Filed Map No. . Lot . . (Name) . Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: ' . One Family Dwelling Existing use and occupancy . tz . b. Intended use and occupancy 'rn er,•;°+: :A f:.......... 'r+ ..i. ,,`t .r~~ tgXdFf6rX:€3t,1 n.9 Y0t{ t-3 ! 2flsEiC'i:d14R°3 3. Nature of work (check which applicable): New Building Addition ....I# Alteration . Repair Removal • Demolition Other Work I (Descripliou) 4. Estimated Cost ~599OUV :©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 •'1 ' . . 6. If business, commercial or mixed occupancy; specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front 63 Rear , 63 Depth ~.2 . Height Number of Stories . Dimensions of same structute With alterations or additions: Front Rear • . Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear : Depth . Height . Nupiber of Stories 9. Size of lot: Front 188 Rear 24~....... Depth 266' See: Survey. 10. Date of Purchase 6/72.1 , , , • • . Name of Former Owner 1 12. Does 1. Zone or use district in which premises are situated •NO.......... • . proposed iWlate any zoning law, ordinance or regulation: . 13. Will lot brUctio Will excess fill be removed from premises: Yes I I.. 14. Name of Owner of premises H.IArnold. Address Xftttj,tt39k......... Phone No..29,59696. . Name of Architect . R .130714U. Address ..Qr0eAP9:rt • • • • • • Phone No.. . Name of Contractor 141PV14.$PAftq......... Address 110Ai uPk • • • • • Phone No..?989 96... 15. Is this property located!wi'ttiin 300 feet of a, tidal wetland? *Yes No *If yes, Southold Town Trustees Permit ma be required. i r ...+'11,11;;. 'I; ,I, : q PL& DIAGRAM Locate clearly and distinctly all buildings, whether existing'or proposed, andAndicate all set-back dimensions Iliw; property lines. Give street and block number or description according to deed, and show street names and indicate whetllt ; interior or corner lot. ' "j .1 11 .t Y.,,.: ; . ~I I a 111,• I ,l i I ~ I 1 ! I;r,;•I 1.111 :;I . SSE AT AC ]3 60VEI'I.'I,I:,;,,,~t.•. •,i. ;i I I STATE OF NF!FYO. SS COU .`=n .~.)V.. • • • • • • • • ; • • • • • being duly sworn, deposes and says that he is the appliL II (Name of individu contract) above named. Ile is the z" (Contractor, gent; corporate officer, etc.) of said owner or owners, and is duly authorized to- perform or have performed the said work and to make and lile (III application; that all statements contained in this application are true to the best of his knowledge and belief; and that III, work will be performed in the manndr set forth in the application, filed therewith. Sworn to before me this r....day of. . ~.1.~..., 19 . Notary Pu ic, County 15 CLAIRE L OLEW! . N ftry Publlo,Su"ofN"Vb ofappliclu 1 I Queiflied In $uNo1k CgN oil Ion toil ~ ' 1 r I ~ \ zoNINC~ , I • ~I ax~5r, LnT SiZ ,GG5 AcIZ 114 nc-n /~4 2 1 NC/N' GGNF=J MIWI LOT F- G4(2oiutec: °Y<J 4UI~JGk9 aQ FT-) f` CII 4 Fa.IZT, ~ e-nl5r, ry/~P rtL~OWEi~ X F1;UL (D Q,N o PFrZMITTr=-P: r 7 (1 Vr G.1L FF-NGL F2DM7 YAYt'G '~l'O Q ~3 ' slate YAtz.DS YAF}~ I/ N ~ - 2eA~ 501 yj ~I fit` E%K f. $TA~r2. NOTES \ 1, svR~E{ INFO $Y R,vaN TuYL Z J v 2 , srlnn~n fC.LkJF = NEW RcOF GOe.b4T, Q Q pi SHGWINC~ fLCXJ~ '{"R.AMINC7 _ > cnNC. y~ P V I= F-AlST Fpmo PE'~OL FE.NGL'~.. --L------- p - - - P\ rush WITH I~ i~;ll 1 I 9a a it I '-d" t cry. ksz3dt-kGfi*57 (W I -----x IAI [N, ~Y I s~ 4~Q a~ ~'I I I sEw 6az LINE- ar uJ o i New 1 Ev-' . CtlNG. NEW STAIZ- -;w -jTAIfL !I!. Folic I ~ III v - I II - EriIST i-a~M:,'• ~ _ I I I ! I~ ~II'I _ II u~ -a"T• IV~ II _ I,! II ~ IIII I___=e_ ''~.-=T-=- 111 III \ P~\ ~1 / Fes, I `NEW AfLI VE. - EKT6N sloty ~2a v APR - 21993 wr~ F$45T, LAMP ^ I 4 • EXIST FQIVE CvN-I-nVF- y~ o, hj0 PLUMBING-T FICf ALL PLUMBING It WATER UNES WASTE COVERING ONDFSR~DIRFD J TESTING BEFORE MA9 / A7 ErilST. n~.. \ P~~E \ AS; PIPIKO 0 \ r F L'k3_ Irv: M~ HY~R.A yT ~ N ~ p~U FIFA P?U!! uin~f4i Y:NF+P,7Ti1;lEhl"E' AT u,-7803 61 avt :'k'? I rPJI VOR THE r / / Is US%d FOI.LCP?+UOG IFiS FcC PV1~l~~3. N t~iggi a cF ilg:~~a O f 7t , R.P.kl11~tELe l Copper n lV4 'D k h lac; TF P~PIf19 ~ h~~ f .iii ' d 1.7 r fi UNNG system. 0, types ,;c-..,':~Cuirl€•,~NV SF VVF-T CERTIFICATION pF HE NA BER ~c~,TO i.:u..rr:,;,-4oiwi rraer:_v PLUM TENTBEFO,,. FOR ONLEAD CON CCUPANCV s,e:•rur,~:w'n,ii0 icTlw"Flwop's CERTIFICATE USED IN WATER SOLDER CANNOT SUPPLY SYSTEM I% LEAD. EXCEED 2110 OF i/~ N ~'wrs/,. c cG•L. NEW r N~-JEW 67}16?, ccP TV; Po¢C-H YF-f& KIT. Z ~t~ co c: sr-"d , cu~sc exr.,r. Gl°EHWC) WITH A_~fJ f-XI:T F12M] ,5/YME SCA C- *IITrl_E c ' ~9°cox RY ~ , - - - L-AuuDhY ASH - r ~ EX15T, = a h 0 2x 8 ccA 6 - I "~IGOC ~ u 9 2M `t • 1 TEGO' I €x ~YI~I, r/4V'Yf= I`L`JCNi G W SECT ~xlsT ~ SPICE Q ' S p WhLL I. OO ~W HW NEW~ OPEMINCI It4r FL'- HEATtw)l ?,x1> cc _ NEW LO"x 7'U° ICI ~yxc :n L~wi.trt €xlsr, -1 ~ 2 swT6~, ~ s ~N. ij17CD ,n ENST. OFF,NI NC11 FpiUM FIJ{.'NILG O WAI_t ExlST- C'Q 4.1.{4C. TO _ NEW r-XAWL sp. a ALT l) (~C-NV2pfjE l' µEw 1•~=-, ' . ALTME.D TO _ GKAWL- .Exlsr, Q 4„_ Q 4 FAMILY RCp1~ c~pgG~ IR.aMIN< RM, A k- S~.GTIUN 2 0 • EX19(I C411MNt{ C$l=- ALSO , F pQo~i 1 0 N, 1 0 ~ 1 Cowc-ZETE NOTE Z 4 r y cOLV MM r I, ALL CONGZETE- ZHALI- gE~ Zi,OCO F51 MIND OF 2,ALL CONC. WALLS AT CELLAR AND co NC, 5LASS ~I E ayT, AT CELLAIL SHALL HAVE ANTI- HYDRO ADMIXTU¢G 57'a.IR 3, ALL. CoNC, WALLS A-r CELLAR IC(LAWL ZPFCE - y SHALL 5E CeaATED WITH P4iWHALTlc 4rc 7ND. CEmwmT R-I~IIWSUa - C;AQArE SLAM -CCOWAQD5 C.1AK, DoeIR- NEW Y I'tiI1C~yP.6~ 1C ~i=0eM - CFI-Wy, ~TG{ 1'; 0. _ = " FODU TO Fovr . u c>,a,aulg h (EXIST:, FAMILY RM - KITGHEl1 PjI,T. C-~A E INTYP~02 31p ~,+>ae 5 Enlcr, rlenu~c-~, 56°su6R.klF~• <G~16 2X6*I~ FL TU FL,JOIST- L IN 6=6'ly_-_ - i- q NEW NEgW ~1yytI,. liT At lb d L O 'c' T• - Zbo~, FFM<.vE- py,ie,r, WINix• :nly'{'. WIN DLY~ R. C). NEW }O %6G"Z p ' R-19 ,7 rupop -MCCA 5aa- _ ~r C!!J`~E OrE r~lryl wlTtl &"~s ldf 7 WITH & I -cXn- ) OPENIW FZON{ , o* l).. 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