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HomeMy WebLinkAbout20838-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22255 Date APRIL 13, 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 240 ORIOLE DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14, 1992 pursuant to which Building Permit No. 20838-Z dated JULY 17, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & UNFINISHED 2ND FLOOR AS APPLIED FOR. The certificate is issued to RICHARD & BETSY PERKINS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-90-65-MARCH 31, 1993 UNDERWRITERS CERTIFICATE NO. PENDING - MARCH 23, 1993 PLUMBERS CERTIFICATION DATED MARCH 26, 1993 - PERFECTION PLUMB.&HEAT. it ing Inspector Rev. 1/81 h FORM NO. $ 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 00-N° z 19.2 ' 00-N° 208382 7 Permission is hereby granted to: ........(..I..Y:..../..'1.'E......~<~.f..?.~`.- ®cou>.........a to ..~!'A-72r.q§, .1.~7.7hl;~f?6~i~....G G xo C11.....:r.2c ......-Q.V at premises located at ©r-0 /z V 1: a ..............................1!.~cFli32~.......''lr/s.......................................................... County Tax Map No. 1000 Section Block .....~P......... Lot No. pursuant to application doted /~.T......................., 19.7.y and approved by the C Building Inspector. f Fee S........................ f /~l Building Inspector Rev. 6/30/80 ' Form No. 6 TOWN OF DSOUTHOLD EPARTMENT ~Z Y ' BUILDING 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 pector with the following: for new building or new use: vf. 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). Approval of electrical installation from Board of Fire Underwriters. 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 $1 ~00, Commercial $15.00 Date New Construction..... Old Or Pre-existing Building Location of Property ...9 wo L!`/.Ul~... a~.®.~.lT~mc~. House No. / Street Hamlet Onwer or Owners of Property. //..rf !!~1 County Tax Map No / /1~000,JJ Sectt/ioon.11.''.:~ ......Block....! ........Lot... A_. ~3 Subdivision ...//QI,1 ..l.!!el".COlj. . Fled Map..,w~ ....Lot... /V Permit No... C?P.&.....Date Of Permit. 2' 1.....Applicant...l:/~YG/ ~...l~1 ?J....... Health Dept. Approval ...-<"Pf .........Underwriters Approval...V A47. . A. Planning Board Approval Request for: Temporary Certificate........... Final Certicate../.t Fee Submitted: $ Ce•~~~ISS' APPLICANT "r,GI THE NEW YORK BOARD OF FIRE UNDERWRITERS 80dba19 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date APH), 12,1993 Application No. onfile 78938792M 11 034279 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant "motion the above application number in the premises of RICHARD N Pl1TSY 14NMINi;, '96) (MI:OLEi I)RIVEI, SOUTHOLD, N•Y. 1; 1.3 in thefollowinq loco%g~.i(! NE), aC± f''tent 0 Ist Ft. ft 2nd Fl. ,AR/ATT'IC,/OET1 Section 59 Block 0E Lot „ was examined on and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT FLUORESCENT OTHER MIT K.W. AMT. K. W. AMT. (W. AMT K.W AMT. H P 48 53 Ir0 Al 1 E. `r F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECTT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT NO. A. W. G AMT. AMP AMT. AMPS TRANS. pMT. H P SYSTEMS AMi WATTS NO. OF FEET 1 SERVICE DISCONNECT NO. OF S E R V 1 C E PMT. AMP. METER TYPE 102W 1%3W 3%3W 3,e 4W NO. OF CC COND A W G NO. OF HIAEG AW.G. NO. OF NEUTRALS A.W G. EQUIP. PER % OF CC. COND. OF HI iEG OF NEUTRAL 1 200 CB I $ 1 210 1 2141 OTHER APPARATUS: ~rnrnrzx 7. NOTIORSSI F H.P• ' G.T'.C.Iv1;E SMOKE DNTHCTORT-2 TRACK 7IGHTTI)Ge-16 RICHARD PBRKT.NS ~ 550 KING STREET TR'llT ORIENT, NY1 11957 GENERAL MANAGER 12 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. i oc~~FFCLA-e TEL. 765-1802 o... TOWN Or SOUTHOLD ~r•1' OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL ~Ol ~b SOUTHOLD, N.y. 11971 C E R T I F I C A T I O N Date~~~ Building Permit No. -11/0LT Owner w4l~115. /CG, '0W (please print) Plumber e -e, 250 V. oe ion (please print)' I certify that the solder used in the water supply system contains less than 2/10 of to lead. G ( umber's signature) Sworn to before me this day of M A C1A 19 , o Public Notary Public, % W7 CUC. County PAULA. CAMINRI Notary Public, State of New York No. 5581910 (his Commission Expires June 30,19y gUFF0jjt O JAMES C. McMAHON SCOTT L. HARRIS Administrator cc Z Supervisor Telephone (516) 765-1892 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Faz?~S,i 6)>765-1823 TOWN OF SOUTHOLD COMMUNITY DEVELOPMENT AGENCY r" < TO: VICTOR LESSARD, PRINCIPAL BUILDING INSPECTOR FROM: JIM MCMAHON, DIRECTOR, COMMUNITY DEVELOPMENT SUBJECT: CERTIFICATE OF OCCUPANCY - AFFORDABLE HOUSING PROGRAM DATE: March 29, 1993 I hereby certify that Richard Perkins has been issued a valid Certificate of Eligibility for the Town of Southold's Affordable Housing Program and the issuance of a Certificate of Occupancy to Richard Perkins will not permit a use, occupancy, sale or lease of a dwelling unit or unimproved lot in violation of the provisions of the Southold Town Affordable Housing Code. James C. McMahon Director, Community Development Lot 410, Highpoint Meadows A:,tir rvi.xu N 'JixW[':x'xuzwd+1 :Ytutw. xauwaw ENERGY CODS REVIEW (non-electric) 7814 (part 5) 61000 degreeedays For 4 h s Per Dwgs cl/r// Z c- 14 Dated c /P9ti Envelope Component R-Value Exterior "Wall R-18 Roof/Ceiling R-19 Floor R-19 Foundation Wall R-10 Slab Edge insulation R-10 Glazing R-1.7 Entrance Doors R-2.5 I All RVAC Equipment to meet requirements of 7814.11 All IIVAC'.Controk Systems to meet requirements of 7814.12 All Duct"Systems'to meet requirements of 7814.13 All Ventilating Systems to'meet requirements of 7814.14 All Piping`Insulation to meet requirements of. 7814.15 All Service,Oater Heating Systems and Equipment to meet requirements of 7814.21 All.Electric'Systems to meet requirements of 7814.31 To the,ltdat'of my knowledge, beliefo;"and professional judgement, these plans are in compliance With the code " ,~~pE NEWyp , y1r wNOe . rGr 9,f. r $ r ~ fi+~ 0322bA i u,~, C r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ],SIN TION FRAMING FINAL REMARKS: DATE INSPECTOR A M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [V(FRAMING [ ] FINAL REMARKS: T N e'h a DATE I l~ v INSPECTOR ~,pp~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. FOUNDATION 2ND [ INSULATION [ ] FRAMING [4] FINAL REMARKS: i z k DATE d 1- INSPECT r 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: a DATE INSPECTOR f f M-1802 BUILDING DEPT. INSPECTION [LyrOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: a oz 4 DATE - INSPECT6R~ ' i ro k • H 3 FOUNDATION (1st) ~ FOUNDATION (2nd) _ 2. O F.000H FRAME -PLUMBING • 1^ q 3.' m ?p I11SULATION PER N. Y. y q STATE ENERGY CODE C~ 4. 11 A "3 FI;lAL ADDITIONAL COMM S. m x. • x ~ . ro H • H O Y~ S m a r m ^v BOARD OF HEALTH Z row NO. 1 3 SETS OF PL NS , . TOWN OF SOUTHO!_D SURVEY ' BUILDING DEPARTMENT CIIeCI TOWN HALL SEPTIC FORtl f SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NO FIFY; QQ CALL Examined 1910. q, p MAIL TO: Approved i'?.~.7... , 19?2-Permit No.dl/ M . . . . Disapproved a/c . u' ding nI spcctor) APPLICATION FOR BUILDING PERMIT Date , JuReP30Y.......... 19 92. 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 necessa ectlons. ~r_-_--;-- DUX-ZSGw Qtr?rr~~ (Sig ature of applicant, or name, if a corporation) PO Box 1475 Southold, NY 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Gsneral.Contractor...................................................... Name of owner of premises . , Richard, Perk.ins, and. Betsy. Perkins . f/.k/a . Bet. sy K..a...lin . . . . . . . . . . . . . . . . . . . . (as on the t r,-, roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ,16728 BI Plumber's License No. . ,?196 P Electrician's License No. N/A Other Trade's License No . I . Location of land on which proposed work will be done. . d., NY 11971 ...........240,Oriole Dr.. . Southol. House Number Street Hamlet County Tax Map No. 1000 Section ...55 Block DES............. Lot , ,15 :13 Subdivision flighpoint Meadoias 8911 10 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 ......vacant .lInd . b. Intended use and occupancy .....primary..residence 3. Nature of work (check whiclr a 1 Repair t 1 p 'cable): New Building . XX....... Addition Alteration RemOVa i l Demolition Other Work (Description) 4. Estimated Cost ..$95,.000 Fee . 5. If dweller number of dwelling uq (to be paid on filing this application) g, its .......1........ Number ofdwwclling emits on each floor. , If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each ivpe of use , NSA . 7. Dimensions of existing y s ructures, if any: Front • . Rear Depth Height , Number of Slorics . - Depth Dimensions me structure , , , r, . alteralio.ns or additions: Front . . Rear , . 8. Dimensions .-7..i......', Height .........8... , Number of4 Stories 58 1 Front 6.1 Rear Depth ....31 ',4 Height 9 5 90 r of Stories.. , . 105' . Size of lot: Front Rear.,,. 105:.......'....'l1 T~h27,'65''''''.... 40' 1. Zone z. . 9 promises . . . . . . . . ' ' ' • • Name of Former Owner DBM. Co....... . or use c district in which r 1 are situated Residential a] 12. Does proposed construction violate I any zoning law, ordinance or regulation: N4 13. Will lot be regraded Will excess fill be retnc,ved from premises: Yes n Name of Owner of premises I ?Oq :d A ,Betsy Pe11i!Address5.60, KSrig. SL. Prierit.. Phone No. 123 ;1,259 Name of Architect Jim, .Rich Address Southold Lumber Phone N765-2552 Torkelsen Builders,. Inc 790 ib5-4008 Name of Contractor Is thi* property within 30Q Address . . . E~Qi~e No. feet of a tidal wetland? *y'es........ No...XX.... If yes, Southold Town Trustees Permit may be required. ['LOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposer], and indicate all set-hack 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. ,.>oE 1`~0p. 1Xwe i a " b 00 4 M - + r etar 1'--- ----'---'Suffolk P Hap 1 Suffolk Count Tax Ma fk7.000 Section 55 Block 06 i,ot ].5.13 Subdivision Highpoint Meadows Filed Ma #8911 Lot 0 9 TATE OF NEW YORK, OUNTY OF .Suf,fol,l S.S,, , ZPF. , kelsen (Name of individual signing , ' • ' ' • • being duty sworn, deposes and says that lie is the applicant contract) rove named. cisthe......... G.aneral, Coracto pt......ir (Contractor, agent, corporate officer, etc.) ' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 'plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the otk will be performed in the manner sets forth in the application filed (herewith. vcan to before me this ........I.....:.... ..(layof.. 0Ale-........., 194 )Iary I'uhlic, f'ounty e -cP A LA. C (Signature of applicant) N ary Public, a of New Ydrk No. 5681910 Commission Expires June 30, 1,9Q` np n°ti O a .1 N yn M.0b,50 m s9'zlz m R ~ I N F ~ ~ Q m 1t`~ a I N ~ V w~ 0 17 N d., to_~' I giE m~ w ~ z O ~ ;~E o a r N ro tA ° A m O C ~ 1 O ^ ~ m ~ ~ P•8 p IO oAao~ pn,w7d p.61 - Q ~ > v o f s' g'OZ lV N O Ip - 0 ry Rl ,N I nA, a o F ,06.000 r- ' n. .~~ja ~ c. ro ~ FYI n ) O f oohy o " O A D ? fD ~N W :1 lb mo nom ~IV o Sa o D r. ~ D 9~6~b tea" ~ a "raj ON _ym~ NOIS-Ng 8,x ,.C ad08 771W.Lnl }tea ~ O N O O y ~ ^A D o < m ~ O~ m mA -n gz -n wz o c~ rw n~ vJ y Q n~~ Z ~r 9w ~.M~ ~ w~i VI m v' V^ O (f)i d ~i ; a cc•~ to ` ' ra CA O C m g g ti _ ~y~ao- lOn~~ \~O(n~ `I n1 c 5. m '!m= 2c~mnv~ D~ .011 v` Ozj-2 b 1 v= vfbin~~U~ ncz Z ~AZ 6~9~ ~h tvp~~ yO QQO O r~~`~ m 3 u\i~m o oC;ern0 vt •g,, m ~I Z n N n o +1 3 Z C \~v~ ~ O~ ~ ~ ~ ~.y 4D ~ ~ 42nC2ryy p O•r~.~ N Y v° Q ZO (Awp ~Aa ,yo 1 'C m d' ! Sb Or.. \ 1 y I 2 a N Z co ' z yr n ~ a C r °ac~ N D Op NC. 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N F38 FEE r'2• BY: PLUMBER CEIMFICA77ON NOTIFY BUILDING DEPARTMENT AT ON LEAD CONTENT BEFORE 765.1802 B AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: CERTIFICATE OF OCCUPANCY 1. FOUNDATION - FOR POURED CONCRETE REQUIRED SOLDER USED IN WATER 2. ROUGH - FRAMING R PLUMBING SUPPLY SYSTEM CANNOT 3. INSULATION EXCEED 2110 of I% LEAD. 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NY. STATE CONSTRUCTION R ENERGY CODES. NOT RESPONSIBLE FOR rLUMBING DESIGN OR CONSTRUCTION ERRORS A(j,n,WBIy ~ a vwTER UNEB NEED TIMNG BEFORE COVERING n ^ ro-~~ OCCUPANCY OR \ 11~ { USE IS UNLAWFUL WITHOUT CERTIFICATE. OF OCCUPANCY At, } III i, i, ~ r _ _ -I~~ Ij I_ I I' ~ - . _ ~ r_-i L-~ ,_i'm~i ~ v~ I ~ ~ 1 I ~ CHI~He'~ Kevawr~- erasa ~K 7~ ' ~~~pf MEyp` 1 a.. rL 1 ~ ~~MrCtiO"~F4 I J I _ ~ 1 1 _ _ _ 1 2 f. Y~az 375' Rtf, ~ . MR O m Rr w wH Rr Sw R7c Fl. rv' ?.n."I..S:S.fit*1 9 4 , ~RxsEO l2. 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