HomeMy WebLinkAbout21359-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23870
Date SEPTEMBER 14, 1995
TBIS CERTIFIES that the building FIREHOUSE
Location of Property 455 BAY WATER AVENUE
House No. Street
County Tax Map NO. 1000 Section 75 Block 4
Subdivision Filed Map No.
~;OU'I~OLD, NEW ¥O~K
Hamlet
Lot 22.2
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 23, 1993 pursuant to which
Building Permit No. 21359-Z dated APRIL 23, 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 NEW FIREHOUSE AS APPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRIC CERTIFICATE NO. 5192 - MAY 4, 1995
PLUMBERS CERTIFICATION DATED
SOUTHOLD FIRE DISTRICT
AUGUST 11, 1995 - WM. H. DOREMUH
'/ B~ding Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, No Y,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°-N? 2135J Z
Permission is hereby granted to.:~ _ __ ,
..~~...~,,~.....~~
~ /
..... ~/~'.~~~..~..,....~.z.....~ /
at premises located at .................... ..~...~.~...~,,,'~,~....~~ ....... ~ ..........
....................................................... ..........................
County Tax Map No. 1000 Section ....... ~....~.....~.. .... Block ...... "/"l ........... Lot No....~....~..c...~
~..uont to app,,cot,o, dot.~ ........... ~ ....... ~.,.~....., ,9..~ and approv~
Building Inspector.
Fee $..~
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-]802
AFPLICATION FOH CERTIFICATE 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 ese:
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.
G. Fees '
i. 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 - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.O0
5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00
New Construction...'V'.. ...... Old Or Pre-e×isting Building .................
House No. Street Hamlet
:o~ ~ s~p ~o ~0oo, s~o,..~ ....... ~[~,~...0.~ ......... ~o~...~ ...............
3nbdivision .................................... F.i I ed J',lcq~ ............ Lot ......................
?ermit No~.~. Z.7..~..~....,~ote of Permi~ ................ ^pp~ic~n~t....5. ~.~, .................
,,e~i~b D~p~. ^ppro~i. £./~.:-..~. ::/.4 .......... ~,,,~r~,rit~rs ^ppro~. ~.~ ................
'ianning Board Approval ........................
Request for: Temporary Certificate ........... Finul Certicate .......
.e . itted.. $ ............................. ..,. .. . 4
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 31, 1995
Mr. James Rich, Sr.
c/o Southold Fire District
Main Road
$outhold, N.Y. 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)
XX No Underwriters Certificate on file.
The check is not on file. FEE WAI~ED
No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 21359-Z (FIREHOUSE)*
Please contact our office on this matter.
cooperation.
Thank you for
SOUT~OLD TOWN BUILDING DEPT.
*BEFORE CO CAN BE ISSUED, NEED LETTER FROM ARCHITECT THAT
BUILDING IS IN COMPLIANCE WITH NEW YORK STATE UNIFORM FIRE
PREVENTION AND BUILDING CODE.
Town Hnll, ~.",lOgS Mnin Rt~ad
P O. Boz
So,Iht;Id, N~w Yo~ 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
DAT~. ~ August
11, 1995
Building Permit No. 21359-Z
Owner1
Suffolk County Master Plumber's
firehouse)
Southold Fire District
(please print)
lplease
License
No. 2455-P
I certif%~ that the solder used in the water su
contalna lemm than 2/10 of 1% lmad.
( Plumbor~ Eignat%
IlthAa¥o f
August , Iq 95
sau C~unt
...~ Public, State of New YM~
No, 01 HE-6826576
~ Qualified in Nassau County
D Gommi~ion Expires I~o. 31, 1e7~
)ply ~ystom
ROBERTFULLAN, R.A.
(REs.)224-3077
W. THOMASSOHAARDT, A,I.A.
CONSULTANT
SCHAARDT & FULLAN
ARCHITECTS, P,C.
2099 BELLMORE AVENUE, BELLMORE. NEW YORK 117tO-5694
($16) 785-2378
FAX # 516-785-2757
ASSOCtATES
PAUL J. de SILVA
JAMES D. HAVRILLA
DANIEL MEEHAN
June 6, 1995
Town of Southold
Building Department
Town Hall
Main Road
P.O. Box 1179
Southold, New York 11971
Re: Southold Fire District
New Substation on Ba.ywater Avenue
Gentlemen:
Please be advised that as architects we supervised the
above referenced building, and certify that the building
accordance with approved plans and specifications.
Very truly yours,
SCHAARDT & FULLAN ARCHITECTS~ P.C.
.
Robert Fullan
RF/vb
eric.
SEP -. 7
construction of the
has been built in
~'0 U~ DA'TI ON (lst)
~U~I DA TIO;I ( 2nd )
(OUOH FRAME &
.PLUMBING
.~SULAT~O~ PER N.
STATE ENERGY
CODE
FI;IAL
Alber~ J. Kmpski, President
John Holzapfel, Vice President
William G. Albertson
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
June 8, 1994
Robert Fullan
Schaardt & Fullan Architects,
c/o Southold Fire District
P.O. Box 908
Southold, NY 11971
BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ,
RE: sub-station at Baywater Ave. & Main Bayview
SCTM ~1000-75-4-22.2
Dear Mr. Fullan:
After a review of paper work submitted it was determined that
the proposed sub-station is out of the Trustees jurisdiction.
If you have any further questions, please do not hesitate to
contact this office.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:jmd /
cc: Bldg. Dept
June 6, 1994
Southold Town Trustees
P.O. Box 1179
Southold, New York 11971
Attn: Southold Trustees
Re: Southold Town Trustees Permit
As the Architects and Agent for the Southold Fire District, who is building a
new sub-station building on the corner of Baywater Avenue and Main Bayview
Road, Southold, we are asking for a letter indicating non-jurisdiction
regarding construction of this firehouse outside the limit of Gooee Creek (more
than 75 feet from high water mark) I am enclosing a copy of the survey
indicating the property for your use.
If you have any questions please contact this office.
Very truly yours,
SCHAARDT & FULLAN ARCHITECTS, P.C.
OWNERS/AGENT
Robert Fullan
RF/dmw
encs.
FOR AOJOINING AREA ~£E MAP NO. 26
71,
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~8 .URE^U o. ELECTRICr~
~ 85 JOHN STREET. NEW YORK. NEW YORK 10038
O.~e OCTOBER 20,1995 ~ppl~cation No. onfile 87571~95/95 ~ 3675~4
THIS CERTIFIE~ THAT
SOUTHOID FIRE HOUSE, BAY WATER ROAD ~ SOUTHOLD, N.Y.
~s examined on OCTOBER 17,1995 and found to be in compliance ~th the National EIect~c~ Code.
Lot
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS NCANDE$CENT~ FLUORF$CENT OTHER
DRYERS
NO. OF FEET
E
OTHER APPARATUS:
BOILER DAMPERS~2
VENT DAMPERS-2
45KVA GE~EPJ%TOR~ 1
150 AMP,TRaNSFER SWITCH-1
E R V I C
ARCON ELECTRIC
38 POLO RD,
MASSAPEQUA, NY, %1758
LIC. $1823-E
~,:NF~A~ MANAGER
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 DEPARTi~IENT. THIS COPY OF C~RT~FtCATE MUST NOT ~E ALTE~[ED iN ANY ~ANNER,
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1125114 BUREAU OF ELECTRICITY
~ 88 JOHN STREET. NEW YORK, NEW YORK 10038
Dat~ OCTOBER 20,1995 ~pplleatlo, ~0. ,,/,~ 87~95~95/95 N 367~66
THiS CERTIFIES THAT
SOETHOLD F.D.SUB-STATION, BAYWAT~R AVE., SOUTHOLD,
u~s examined on ,OCTOBER 17,1995 a~ found to be in compliance with the Na~on~ ~lect~cal Code.
RANGES
iPECIAL REC'PT
SERVICE DISCONNECt I NO. OF
METER
R V I C
Lot
EXHAUST FANS
DIMMERS
410 [ 410
GARAGE DOOR OPENERS.-8
EXIT LIGHTS- 5
MOTORS: 8-F H.P.
G.F.C.I:-4
SMOKE DETECTOR ~ -5
L.B.EL~C.CONSTRUCTION INC LIC.#4OigE ~~/~
1926 LINCOI~ AVENU~
HOLBROOK, NY, 11741 GENERAL MAHAOER
COPY FOR BUiLDiNG Dr:PARTN~ENT. 'THIS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER.
N
I
--~.' ............... , 19...
Approved~..~..3.., 19 .~.fPe~nit No..~../.f..~.~.z~
Disapproved a/e .....................................
FORM NO. I '
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
B~ARD OF HEALTH SETS OF PLANS
CIIECK .
"°' 7A57-..-.q
CALL . . · . ·
HAIL TO:
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS'
a. T~s applicati~n must be ~mp~ete~y fi~ed in by typewriter ~r in ink and anbmitted t~ the Bui~ding ~nspe~t~r~ with ~
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 sti-eet.'
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 descr/b~d.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit author/zed inspectors on premises and in building for necessary inspections.
(Signatur9 of applicant, or name, if a corporation)
· ' ~. . /~ (jgvailin~ address of a~plicant)
State whether applicant is owner, lessee, agent, architect, en=ineer, general contractor, electrician, plumber or builder.
eofownero remises .
(as on the tax roll or latest deed)
If. · '-~' · · ~..U'..~t-~. ~.applicant is a corporation, si~gnature of duly authorized ........ officer.'.
~,/ ; (Name and title of c~rporate officer) '
Builder's License No. '-"-
Plumber's License No '"'-
Electrician's License No ........ '--'
Other Trade's License No '
ltouse Number / . Street .... Hamlet ................
b. Intended use and occupancy ...'.~..~ . .
'3. Nature o~/'g'ork (check which applicable):
4.
5.
6.
7.
Repair Removal N~w Building .. · · Addition .......... Alteration
.............. Demolition ........
~ ! ' Other Work
Estimated Cost .... ~X~g~"'~.. .... '~' ' (Descfi'ption)
· ................ . ........ Fee ~ .................
~/~rT. (to be paid on filing this application)
lfdwelling, fiumberofdwellinglunits ......... Number of dwelling units on each floor .....
· If garage, number o£cars .... J ' ' · ...........
lib ' . r .......................
USlneSS, commerclal or mixe'd occunancv s~--'~-- - -' ..................................... ...
.... . wcny nature ana extent of.each t pef use .J~'{'r.~.~t~,~,~.4".~..bt,q~'
Dnnens,ons o! exmt~ng structures, if any: Front.~.~/0~. ~.. ~ ' ·
Height . · · · · ~umuer ottStones ........... . ~ ' ........... '.
ith .................................... ..
Dimensions of shine structure w alterations or additions: Front ......
Depth .... '. ....... : . . · · .
8. Dimensions of entire new construchon Front ~~ ylT?TS.: ;4
.Height t~
............... Number of Stories...
.~2~(¥ , .1 ............ Rear ...... ."/7. ....... th q' $ ........
10. Date of Purchase . . .......... Name of Former Owner .~,~~i [
11. Zone or use district in which pr~mises are situated .............. ' ............................ · ....
12 Does proposed construction viol~te any zoning law, ordinar~ce or re ulatlon. ' ~/?t¢i i~. o' .....
13. Will Idt be regraded ........ {' · · ~'~ · · ·, ........ Will excess · ' .............
14. Name of Owner of premises ,..~.a{-~:v>~. ]~)tki-4~ .... Fill be._..re~m~ove.d~ f,r~m premises: Yes N
O
Name of Contractor . ' .... Address .... : ...... Phone No ..............
1.5.' Is this property within 3100 feet of a tidal wetland9 ,
· . *If yes, Southoid T;own Trustee° n ...... ' YeaJ?A~ No.~". ..... '
... ' PLOT DIAGRAM t'r~, 7 ,5"e¢7¢n¢-;/~/
Locate clearly and distinctly all buildings, whether ..... ' . .. ~..~/tetO
, ~z~sung or proposes, aha. 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 NE3~ YD. RK,
:OONTY ....... . S.,
(Name ofindi.viclnai sieningI' contract),, ...... being du!y sworn, depose~ and says that he i~ the applicant
bore named. On. b-.e/~/~~ ~.-~ ~,t'fi~fi~L ~?r'-~ ~ ~S ~¢~ ~ '
., . ,..
leis the ~% ~.~.~'. ~21(9~.,)&g~ Cn~...~ ......................
i (Contractor, agent, corporate officer, etc.) ....
f said owner or owners, ~d is duly mtthor zed to perfom or have perfumed the said work and to m~e and file this
:>plication; that all statements containdd ~ this application are true to the best of his knowledge and belief; and that the
'ork wOl be perfumed in the manner sdt forth in the application filed therewith.
worn to before me this
............ ...... , .... . .....
r ~ / [?!~ ~UBL C, Sf~ OF ~ YoR['// ~ .........