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HomeMy WebLinkAbout21053-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22372 'Date JUNE 3, 1993 THIS CERTIFIES that the building ADDITION Location of Property 51655 MAIN ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 6 Lot I Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated_ OCTOBER 27, 1992 pursuant to which Building Permit No. 21053-Z dated OCTOBER 27, 1992 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 TO AN EXISTING STRUCTURE AS APPLIED FOR. The certificate is issued to GRISWOLD-TERRY GLOVER POST 803 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-272450 - APRIL 13, 1993 PLUMBERS CERTIFICATION DATED N/A uil ing Inspector Rev. 1/81 FORK NO. s 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) N2N? 21058 Z Date ....Q.A.A.X, a:.7 19..9.1- Permission Is hereby granted to: X7.1 *a4.. t~~W Gi .17...... ?~~3 ' .Q.X...,5.` A to C,.O-A f ................................y.........................................................../f.......Q............................. at premises located s......:••'1• R,(-M.... a ..............4A-~`~r!~1r4 t . f County Tax Map No. 1000 Section ...(....Q Block (;~J.6...... Lot No......4L pursuant to application dated ...PrbXl3a~......7 19.and approved by the I Building Inspector. I Fee i . . Building Inspector Rev. 6/30/80 i Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL r-^ 765-1802 C 555~~~"` 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 - $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 ....5.7.!•9:3 New Construction........... Old Or Pre-existing Building........... / Location of Property..Sir?. s 9 7. House No. Street Hamlet Onwer or Owners of Property.a.R1. :L"'Lp; fzoz/iY„ Goup;y„~osT o v Q~:~wy. ~eq~®n~ County Tax Map No 1000, Section... .3..... Block 64.7 .......Lot Subdivision.......... .................../........'...Frrrilled Mlap............ Lot..... Permit NO..A.1aj.,?Z.Date Of Permit o... 7 ~,r4Applican Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate... Fee Submitted: $ . ~SLC y 6111 ICANT AP6 n THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 10001.21 BUREAU OF ELECTRICITY F- BS JOHN STREET. NEW YORK, NEW YORK 10088 Date APRIL 13,1993 Application No. on file 04312293/93 N 272450 THIS CERTIFIES THAT only the electrical equipment as described below end introduced by the applicant named on the above application number in the promises of GRISWOLO TERRY-GLOVER, RT.25, SOUTHOLD, N.Y. in thefollowinR location; ® Bosement ® let Fl. ? 2nd Fl. Section Black Lot was examined on NA R C H 2 6 , 19 9 3 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKNO DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS EFTACUIS !WITCHES INCANDESCENT FLUORESCENT OTHER AMT. K. W. NAT. X. W. MIT. K.W. MIT. K. W. AMT. H. P. 28 14 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE POROUS SPECIAL REC'?T TIME CLOCKS ULL UNH HEATERS MULTI-0UTIET DIMMERS AMT. K. W. Oft H. P. GM M. I. NAT. N. A. W. G. AMT. AML. MIT. AMPS. TRANS. AMT. H. I. SYSTEMS AMT. WATTS NO. OF FIRE 1 2N SERVICE DIsCONNRCT NO.OF S E R V I C E AMT. AMP. tYPE METER T ]W 1 R 3W 30 SW 13X AW ND.OF CC. COND. A. W.O. NO.OF XFIEG A. W. G. No.OF NEUTNAlS A. W. G. D< NEW. WUV. PER a OF CC. COND. OF "G OTHER APPARATUS-. 2 PAUL R. BURNS LIC.t282 B 275 TOWN HARBOR LANE SOUTHOLD, NY, 11971 MANAGER Per II 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. INSPECTORS Victor Lessard j`rF17( Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector t tit, 7 Southold, New York 11971 Gary Fish ~01` Yg S Fax (516) 765-1823 Building Inspector - Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD APRIL 29, 1993 GRISWOLD-TERRY-GLOVER POST 803 BOA 591 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) x1[B 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21053-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. • / ~ ~ L~L~ ~ Imo. OUNDATION (1st) a ' c Q OUNDATION (2nd) cr S;-6v o (i) OUGH FRAME & s ' h -PLUMBING to 3 y 3 n C>_ tISULATIOT! PER N. Y. • • • STATE ENERGY CODE I _ ti FINAL I G7 AD TIONAL COMMETITS: R4 t, m H m - a H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL REMARKS: DATE bO)' INSPECTOR o 53 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ] ROUGH PLBG. [ ;:oYNDATION 2ND [ ) INSULATION [ RAMING FINAL REMARKS: iLGct-v r DATE INSPECTOR I 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL r94 REMARKS: DATE L INSPECTOR PLANNING BOARD MEMBERS 'Al SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 October 26. 1992 John P. Sullivan 1st Vice Commander American Legion Griswold-Terry-Glover Post, No. 803 Main Road Southold, New York 11971 Re: Waiver of Site Plan Amendment for Griswold-Terry-Glover Post, AKA American Legion Hall Southold, N.Y. SCTM #1000-063-6-1 Dear Mr. Sullivan; The Planning Board has reviewed your request for waiver of site plan approval for the expansion of the existing building by adding about 720 square feet, along with a band shell of about 96 feet to the west side of the structure. The purpose of the addition is to better utilize the existing meeting room or hall, as explained in your letter of October 13, 1992 and other supporting documentation that you submitted for the record. The Board waives the requirement that the site plan be amended. If further assistance is needed, please do not hesitateto contact this office. Sincerely, Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector v ~ j f 3 li, -32 b OCT 2 6M PLANNING BOARD MEMBERS ,COD~•'- SZ L HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 October 26, 1992 John P. Sullivan 1st Vice Commander American Legion Griswold-Terry-Glover Post, No. 803 Main Road Southold, New York 11971 Re: Waiver of Site Plan Amendment for Griswold-Terry-Glover Post, AKA American Legion Hall Southold, N.Y. SCTM #1000-063-6-1 Dear Mr. Sullivan; The Planning Board has reviewed your request for waiver of site plan approval for the expansion of the existing building by adding about 720 square feet, along with a band shell of about 96 feet to the west side of the structure. The purpose of the addition is to better utilize the existing meeting room or hall, as explained in your letter of October 13, 1992 and other supporting documentation that you submitted for the record. The Board waives the requirement that the site plan be amended. If further assistance is needed, please do not hesitateto contact this office. Sincerely, Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector i ~pp--yr4riGE r + GRISWOLD-TERRY-GLOVER POST. NO. 803 r~5 SOUTHOLD, NEW YORK October 13, 1992 Mr. B. Orlowski Jr., Chairman Southold Planning Board ° Town of Southold Town Hall 53095 Main Road Southold, NY 11971 Dear Mr. Orlowski: The American Legion, Post 803, Southold, NY is desirous of expand- ing the present one story frame building. This expansion will comprise an area of 601-0" x 121-0" (720 sq. ft.) adjacent to the main hall. This is considered necessary in order to provide a more pleasant and desirable atmosphere for the various functions held at this facility. Currently, depending on the number of persons attending, two areas are required to be utilized, one of which precludes the majority of patrons a clear vision to the entire area of the main hall. Additionally, the Southold Fire Dept. has recently requested the use of our facility for an emergency shelter with respect to an OSHA mandated emergency plan in the event of a natural disaster or/ and in particular to a disaster at the Van Duzer Gas Co. (refer to attached letter). The proposed'expansion would provide additional space for this purpose also. Respectfully, ~ohn P. Sullivan 1st Vice Commander OCT 1 3 SOUTAD r ~:iia E P~arlraR,c B0.~ !;U~~ _d GRISWOLD- TERRY - GLOVERP OST, NO. B03 SOUTHOLD, NEW YORK LPL October 26, 1992 Ms. Valarie Scopec Southold Planning Board Town of Southold Town Hall 53095 Main Road Southold, NY 11971 Dear Ms. Scopec: Pursuant to our conversation of Oct. 14, 1992, regarding the square footage of the Post building, the following information is forwarded: Existing Hall 1800 sq. ft. Addition 720 sq. ft. Side Room 716 sq. ft. Total 3236 sq. ft. Above does not include Kitchen, Pantry, Business Office, Executive Office. • If additional information is required, do not hesitate to call. Very truly yours, John P. Sullivan 1st Vice Commander n ? SOUTHOLD TIRE DEPARTMENT Chief P.O. Box 1469 pn Mike G Dawes, Sr Main Road. NY Rl. 25 (516) 765-2457 Southold. New York 11971'i1k ~ First Assistant Chief H (516) 765-3385 Wdham H Sawicki (516) 765-1567 Second Assistant Chief 71 William F Salmon y' !Wi (516) 765-5680 Secretary Keith Purcell asurer (51 30 Treasurer ' Tr JLL O LAC ~Ep~LrGN2CKG Ronald Bulko~ich G (516) 765-2139 September 8, 1902 American Legion Griswold-Terry Post No. 803 Main Road Southold, N.Y. 11971 To The Members Of The American Legion: The Southold Fire Department would like to request the use of your facilities as part of a pre-plan involving the evacuation of citizens in the area of C. F. Van Duzer's Gas Company. We would need to know who to contact during the day and as well as the night. The maximum capacity of your facility.A map or layout of the building and areas that can be used. We will be glad to discuss the pre-plan at any time. ThhaF You, A 7 Keith Purcell Department Secretary ..p D Vf i r,~ BOARO OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY _ _ _ . BUILDING DEPARTMENT C11CCK . . . . TOWN HALL SEPTIC FOR:t SOUTHOLD, N.Y. 11971 TEL.: 765-1802 N, OT I r-Y CALL " -7xamined .CC>4A.r/ (h¢4,. 1., 199?- MAIL TO: lpproved ©5~t4Aw-4, - Q7., 199?: Permit No. o~ O,J,3 Disapproved a/c . (Bui mg Inspector) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 tall 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 tall 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Imit authorized inspectors on premises and in building for necessary inspections. (Signature applic , or name, if a corporation) (Mailing address of applicant) -tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. r.' 1 lame of owner of premises 41a - I , o:, ~o s $a3 (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No. . v.,,,,,,,,,,, Electrician's License No. IL Other Trade's License No. , , , Location of land on which proposed work will be done . . (louse Number Street / Hamlet County Tax Map No. 1000 Section V .N.+.1.... Block )k....... Lot ...=L 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 ....A.PPI' ?!C.? 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Igo................. lq9!aH v ' ' ' ' ' ' ' • ' ' ' • ' . • ;u :6uc Jt sPlnlotuls Sut;stxa ;o suotsuatutQ -L asn PUP Jo luolxo puc olnluu yoods'Ao 11000 paxtut Io Irpiatutwo `ssawsnq 11 '9 9 (y / i5( sn:0 3o Iagtunu `aSglc3 jj ' ..l..... 10OU goco uo sifun R 7)tIIPm du uoteotddcstg;Sutlg uo pied PJolagtunN eI/~j sl, nSutltamplolagtunu'9ug{amP3I 'S ...Cu aa3 (uo!lduosaQ) / b'p p'Is/1 ;sod paletu!lsg q VOM I01110 ' UOpgotuaQ {enowag neda-t uOtlelat{\! UOII!PPd X Sutpling maN :(a{ge0tldde g0igm lloago) xlomlo aimuN 1 t ENERGY CODE RENEW non-electric 7813 (Part 4) Table 4-1 ~ 41Z 3 h f r tew v" ~ n ~ g FOR. JFf?'1 E r ,~-e 1`",r/ Per DWGS f `7 pJ rv / . DATED: ~Y v `J- Z J ENVELOPE,COMPONENT U. VALUE R VALUE 1 ;Exterior WaAl 6.24 EoaflGeii' hr , 0.65 El or 0.05 Foundation Wall R-5.0 Slab Edge Insulation R-5.0 En' anbe boots U.4o R-2.5 All HVAG Equipment to meet requirements of 7813.12 thru 7813.21 All HVAt Control Systems to meet requirements of 7813.13 All Duct_Syftems to meet requirements of 7813. 9_ IAli Ventilating Systems to meek requirements of 7813.16 Ali Piping insulation to meet requirements of 7813.1,8 All service Water Heating Systems and Equipment to meet requirements of 7813.32 All El otrio and Lighting, Systems to meet requirements of 1813 s, thru 7813.54 Air znfiltratien of Envelope Systems to meet requirements of 7813A Ali Fo#aCes to meet requirements of 7813.5 All Baildhiq Service Water Heating Systems and Equipment kAegquik6b6 €ts of 7913:32 thru 7833.34 To the best of my knowledge;: belief, and professional *,OF NEW judgement; these plans are ce Ofi in compliance with the code y Qw~ a r 032254 ~OFe°SRic P~ /s_~ I, 1. j I' krl Sly - - - I f`= ilk 7-12 - Y - - - - - ; _y E c PV N'O T E- woo I-J1.EARTILY.G_--U$~ -E X.L$_ TLfV6. 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