HomeMy WebLinkAbout19781-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20226 Date SEPTEMBER 18 1991
THIS CERTIFIES that the building ADDITION & RENOVATION
Location of Property 1275 FIRST STREET NEW SUFFOLK NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 7 Lot 28
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 12, 1991 pursuant to which
Building Permit No. 19781-Z dated APRIL 16 1991
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 & RENOVATION TO EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to PAUL FINNICAN
(owner}
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. PENDING - SEPTEMBER 10 1991
PLUMBERS CERTIFICATION DATED SEPTEMBER 10 1991 - PAUL FINNICAN
B ildinq Inspector
Rev. 181 ~
roses xo. a
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)
19781
Na Z Date ..........~~.....~~5 t9.9..c
Perrtlssion is hereby granted to: ~nJ
.....,..~.~...~X.. ~....~r1:St..~4~...:h
~s .~sv S.~i~.~,r.~1'°
..~1~...~.,,:~
~ n.
~ ro ...4:t.dcci..q:.s~~!3:::~r.~: ......~e.~... ..R~h3~,r~i.~.....~..4L..
. . . ~ . . . ~ . . . . . . . l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~
. . . . . .
of premises located at .....1..~:7.~...........~5~......9~~!~R~.7........./l.l.S~dl~....~~.~..~./...
County Tox Map No. 1000 Section ......~....7.......... Block ....~....t.......... Lot No...~~...~
i pursuant to application dated .......~r~ V z 19.9
Z:, and approved by the
Building Inspector.
Fee 5....~~~....
...A.~~.
8 ng Inspector
Rev. 6/30/80
Nd~cs~
Q,Q•~~ Form No. 6
TOWN OF SOUTHOLD
r~: ~
Go
BUILDTOWNDHAARTMENT ~ ~
s~,
765-1802 'z R
~ ~ SAP 161991
3~
~~.~'t~
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ ~~^-~°-•^°~°°s~
1'~4.1"iCa. {"lF..P~'.
YiJUt4~l C3F ~OGTt~f)LC+
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:
i. 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.
G. 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
S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction....... ...~h0i1d Or Pre-existing BuildingcC.X., ~ p
Location of Property....~~.,'r.~............~S:r...~.2~~,......... SCk~ ~O~_lt..
House No. n/ Street Hamlet
Onwer or Owners of Property....~`.Y~~:...~~~~
County Tax Map No 1000, Section ..............Block................Lot.....................,
Subdivision...~~.{{..MM.....11
. ....Filetd Map.. c~`LDot.. J(~
Permit Np...! ..`....r.~.! , .Date Of Permit. ~~ib.~~ !....Applicant.... d?~:3:u'~:'..`..1~~ I~
I
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicata...........
Pee Submitted: $ ~
er -
0 ~ aQ pZ` b APPLICANT
TEL. 7G5-1802
~0l,~ Ol., TOWN Ol^ SOtJTBfO~,D
~l''~"~ . ~ OFFICE OF BUILDII•IG INSPECTOR ~ J' ~ ~
~ c;'. ' ~
°°r, "ry~ P.O. BOX 728 4/ g~
E e?? r ~ 'r TOWN HALL ~ ° 9 ~ ( I
°~bp~ souTxo>_D, N.Y. I I97I ~i ~ ~ ~ 5EP 16 {gg)
~ ~~s'~ ,~~.~.,~'f
t,-~,.. Tf7irtts'1 s;t c:~°t;'t aC7f,y~
C E R T I F I C A T I O N
Date °I (Q
Buildicn~g Permit No.
owner -~->{~1~ ~ (1~ ~ c C fl~
(please(~'print)
Plur,~er~~l. (,11~~ 6 ~C/~ f~J~ ~F~cAt~~(C-~
(please- print)
I certify that the solder used in the water supply system
contains less than 2/10 of to lead.
-
- -
C ~ c
(plumber's signature)
~Qwd~lFR>
Sworn to before m/e, t'h/is
19 r~
Notary Public
tlotary I>ublic, ~~d// Coun
lt7A~'"di',~A.~F16k' ~i'i~ ~~'4ayy
Nolmpi~in,e.+at~~IY3ety'N~s b~ /
Z~
CoeB
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INSPECTORS
['rincipaltBuilding Inspector o~OSpFFOi.kco
Curtis Horton Gyp SCOTT L. HARRIS, Supervisor
Senior Building Inspector °w Z Southold Town Hall
Thomas Fisher P.O. Box 1179, 53095 Main Road
Building Inspector ~ • `F
Southold, New York 11971
Bui ding Fspectar ~ ~a Fax (516) 765-1823
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
September 6, 1991
Mr. Paul Finnican
P.O. Box 126
New Suffolk, 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 far Certificate of Occupancy is
not on file. (Enclosed)
XX 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.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 19781-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
r'1~IvD IGSPEC:iUN ~~llniE ~ SOMMENTS
1 . -~/0 ~ ~ ~ 4
_ y o0
FOUIJDATION {1st)
c
y
FOUNDATIOtJ (2nd) _ -
2. ~
z ~
o ~
P,OUGH FRAME & .i
U
PLUMBING
L ~
a
9
cn
3. ~ ~
m
I17SULATIOPI PER N. Y. ^e
STATE ENERGY
CODE
a
4 . y
F I;d A L
z
ADDITIOPIAL COMMENTS: ~
x.
• x
~n 0
H
~ ~
" H
H ~
O ~
' ~ N
. Z
m
~
H
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4
Y ro ~
3s ~
gL,p $ ~ 4
=~~_s.e,.tu ~hn.:. :;H.~ws~G~'1~:.~„~ t,.2~awkv~~! r.e. .au _c a.aKr..!i~ «~wo-x~~~tHU~..d'',e~`~da+e¢~f.`:~,_ 3ta. ~ i~~~ft
~f
765-1802
BUILDING DEPT.
INSPECTIC°~N
[FOUNDATION i5T [ ]ROUGH PLBG.
[ ~
F UNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
,i`
DATE ~ d ~ INSPECTOR
i
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~i
iLrnr~f
y
DATE ~ ~ ~ INSPECTOR
i
-
;,~~A~~,.., .THE . ~Ekll,1F~,. BOARS #O~F t~11 UND ~T'~R~i
. ~ HM 9TREE~TAUNEW K,LGTgICITy
se:.~>'rsAr:x , a; P$91° "'~~'Ib«.1$~'1° rr a.~>aKat
at. Applieatbn.No. atfw
THIS CERTIFIES THAT
ottty t/u dectricd puipmtmt v dacTihed 6dot. wtd inenodte.d 6y tM yrytNtwtt lurad aw tha ~iow ~tMwiMnt nnwMr Jn the promi.a of
PAUL F3NN[CAN, C/0 ORCHANU STRF:F'{' k FT,RS"P 3T., 'PO{,6;~$, CIJ'CCHOIiUF:, N.Y.
in thsfdbuvnR bco ' ~-~ry I Rt fl. ~ tnd Fl. ()Il'P 9ertbn Block Lot
$F4h' N: r~F~'Ri6°T v
tevu,. eremirted un utdfound to 6. in ceptpl7annrith the rrquirem.nt>f 4l thie.Buard.
IIIITIIRf AGS EXMAIKT RhNf
OYttRt{ NCANDl7ClM IWIaMCMf aT11E11 nNT. R. W. AMT. .t. r. AMT. R.W. AMT. R. W. AMT. n!.
2Q 39 23 7R 7 73.3 1 7.2 H'
ORYrf RJRNAti'~MOTORS IttT11Rl ANIIMICR tRMMf TWR00CMt' ;;frt YIRti1RhlMi ~ OIMMRR6 _
AMT. R. w. aT x. 1. OAE x. A. AMT. n0. ww. a. AMT. AM. AMT. AMIL. 1YMk AMT. x... NO. AMr. wATTt
3 f' 7. i0 ~ t:i10
RMV16r bllCOINNCT ttO.O! S R R V 1 C i
AMT. AMf. rrt! IMTM ~ ~r av i ,r tw 7 ~ rv t.t nv . a ra. or x`t[o a. w. no. a neuriun ~
7 750 CA 7 X 1 t/0 7 ti~~
01tI1R itlMAt11TUS:
MO'I'ORS:7.-0.75 H.F.
G. F.C.7:-4 _
SMPii. F. 6F'C F,CTUR : - 7.
's
GARY DORf)SK{ LIC.N~941,-8 ~
rm
C{iTC,H000F, HY, 11935
~y
Pn
' T6N atMfcaN mwt mat b e1Mnd in mamsr; TNuln ro tM ofNn of t#r H incoreM. ~ ' cr~nNalt.
• tom' 1"~f~!~A1r11'. ~ cxwr of ctlmFiu?'t^E r~gst Nvr ~ AI T~p4~'? ~1 ~r , b
ENERGY CODE REVIE41
(non-alactrle)
7fl14 (Part 5, 6,000 degreedays
Tor ~ / ~ Per Digs
c„ ihn,e~" ~t'hn~~135 S'r
/ Dated
Envelona Commonerit R-Value
Exterior Wall R-18
Roof/Ceiling R-19
Floor R_lg
Foundation Wall R-10
Slab Edxe Insulation R-10
Glazing A-1.7
Entrance Doors R-2,5
All HVAC Equipment to nest requirenents of 7814,11
All HVAC Control ~ysttns to nest requirenents of 7814.12
All 8u¢t 0ystsns 'to mast requirenents of 7814,13
A11 Vantila'ting ~ystsms to meet raqulrments of ?14,14
All Fiping Insulation to nee't requirenents of 7814.15
All Servlca Watex Heating Systans and Equipment to
meet requirenents of 7814,21
All ectri¢ Sys//tens to meet reapiranents of 7814,91
u C.Ci54~~f tiJo~~S /A eCt~rtlAnz~ w~'JZ 7c"~®0,~ ~d~~3~Ci~
To the best of ny knoxledge, ,
belief, and yrofesnlonal ,
,iudgenent. these plans are
in ¢omnlian¢e Hith the soda
~5~ OF Nrg~,Y
~~~~Uc~ ~ r Q9
~:x Z
er ~ ~ P h
~x' r" ~ r
e
- ~
oszzsa-~ v`
~~°,.,~~`ss~ciraa~.
g
i
. -~~.w .
~ ~ ~ BOARD OF HEALTH
+<< 7 SETS OF PLdYS
q ~ly FORM NO.1 $URVEY _
(6~ ~'Itl$(fll TOWN OF SOUTHOLD CIiCCF • • • •
' BUILDING DEPARTMENT SEPTIC PORtt ~ ~ • ~ ~ - - -
' u....._v.,.~..., ~ TOWN HALL .
F~LCl-. f7tc3.7,
TOW(v CtF~(S~l1~MCltatY.~n $OUTHOI.II_ N..Y~ 11271 t:OT • Y ;
TEL.:7GS~1II02 ALL
Exantincd~ ,,...n..~ l9QI. q T0: . • •
Approved:~!lM..~.`4..,1941.PcrmitNo.~.<7~J
Disapproved a/c
\zr (Budding Inspector)
APPLICATION FOR BUILDING PERiv1IT jj
Date ...~arz~ ~ I.....IS.
INSTRUCTIONS
a. This application must 6e completely filled in by typewriter or in ink and submitted to the Building Inspector, wiL`
stets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of ]ot and of buildings on premises, relationship to adjoining premises or public strc:
or areas, and giving a detailed description of layout of property must be drawn on [he diagram which is part of this apt
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 perr.
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 CertificaIe of Occupa:,:
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe^:it ptartant :o t:
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances c
Regulations, for the construction of buildings, additions ar alterations, or for removal or demolition, :s herein describe:
The applicant agrees to comply with all applicable laws, ordinances, buiiding code, h u ' regulations, and c
admit authorized inspector on vremises and in bu[Iding for necessa ons. n - n
- - -
~
_
~ ~ (Signature at applicant, or name, if a corporauon)
(Mailing address of applicant) 1 r~
State wh~ethe1r applic(a~nt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
name of owner oCpremises . C l y^~f~\
(as on the tax roll or latest deed} '
if applicant is a corporation, signature of duly authorized officer.
• ~ • • • ~ (Name and .title of corpo~,ra^te officer) ~ • • • .
$uildcr's Liccnsc No_ ..~I; ~E~- , , ~(I~fZFL~t ~c~1.J ~ ~ S
Plumber's License No . . . . . .
Electrician's Liccnsc No . '
Outer Trade's Liccnsc No .
Location of land on which proposed work will be done;
j-~~=~a7~ ~s-j S
i
~e~,Gz , , ct?c'-c.~ S K
I(ousuNuntbcr ~ Strcct
/ Hamlet '
County Tax \Iap No. 1000 Section b • Block , , , , ~ ,
• Lot.........
Subdivision F.ilcd Alap No. • • - • • • .
Lot............
(Name) ,
Stzte ccisting use and occupancy of premises and intended use and occupancy of proposed construction:
l A. Existing use and occupancy
m trta.
~B. Intended use and gccupancy.... „a ~;~o~
•
_ _ _.a'
•
3. Nature oC work (check which ap licable): New puilding Ad ' ' • • • .Uleration
P drtrcn .
Repatr RFmoval Demolition Qo1.. •
Tennis Court ~ • • • • • • • • t{n~,.,~
• • • • • A9cessory Building. , ~ ° • ' ' ' ' ' ' •
4. Estimated Cost , ~,l,o~ca . • . • • • . ' ' ' ' ' • • ~ ence ter Work......... .
Fce .
5, If darallcnnumbcr of cars`vcllin~ uni (tn be paid on filing this applicanon)
s, 'its NumbcroCdwc
Iling units on cash floor .
d
6. Ifbusincss,commcrcialormixcdoccupancy,spccif•~•.••~•••~~••~~-"'•~"••~~••~-~~••~•~•"""""'
7. Dimensions oC existing structures,'f any: Front , y nature and extent of each type of use •
Hcicltt • • . • • • Rear Depth ,
• Numbor of Stories . ' ' ' ' ' ' '
Dimensions of same structure with alterations or additions: Front ~ • • • ~ • • • ~ • • • '
Depth . ~ Rear........
• • • • • ~ ' lletght ' . Nurttbcr of Stories . • •
8. Dimensions of entire new constnrc;tion: Front . • • • ~ • • • • ' ' '
Hcicltt . Numbor of Rear . , Depth . .
9. Size of let: Stories .
Front P.car . .
10. Date of Purchase Depth
11. Zone or use district in which •re ' ' ' " • • • • Nnme of Former Owner . . .
I2. Does ro osed c P miscs arc situated . .
P P onstruction violate any zor:ing taw, ordinance or regulation: .
l3, 1Villlotbcregradcd _ ~
l~, Name of Owner o ~ ~ • ~ • _ ' • • • 1Vdl excess fill Uc removed from prrmiscs: Yc: _ . , ,
f premises , _ , ~ ~ ,Address ,
Name of Architect • • • _ - . . . . Pltonc No............. , .
Name of Contractor . _ • ~ + • • " " • • • • Address ...................Phone No.............. •
15_Ls^this ro a ••••Address .....,PhoncNo
P p rty 1ocaC~d vithin•300 feet of~a tidal•wetland? -YES..,.NO....
*If yes, Southold Town Trustees Permit may be required.
• PLOTDIACRA,tii
Locate clearly and distinctly ali bll'uiIdings, whethcr'existing or proposed, and. indicate all setback dimcn or, is
property lines. Give street and block nzlmber or description according to deed, and show street names and indicate tc;:c::.
interior or corner lot.
. "
•
•
I •
I
I
I
i
S'i'AT[ O F N[1V YO R
~OUfJT~Q F..:`?w`~-v-t;~L SJS
(Name of individual si ninr " " " bcr°g duty sworn, deposes and says that he is the applica:
• • d contract)
rbove named. n
i • {Contractor, agent, corporate officer, etc.). • • • • • • • • • ~ ~ • ~ • • ~ ~ • ~ • "
tf said owner ar owners, and is duly wthorized to perform or have pcrformctl the said work and to make and file tl:
'pplication; that all statements contained in this application are true to the best oChis knowledge and bclicf;and that t,':
vork will be perl'orntcd in the manner et forth in ihr: application (ilcd ihcrewith,
"vom to bciorc me this _
~ ..dayof.~~"Y/.•• ,
19~•-~__
lour}' Public. County
_ (Signature oCappliesn:
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