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HomeMy WebLinkAbout19066-z / ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24514 Date JULY 22, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 600 2ND ST. & 17130 NEW SUFFOLK AVE. NEW SUFFOLR,NY House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 28.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 22, 1990 pursuant to which Building Permit No. 19066-Z dated JUNE 1, 1990 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate ie issued to MICHAEL A. & SHANNON S. SIMON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-161504 - NOVEMBER 19, 1990 PLUMBERS CERTIFICATION DATED N/A e' .r9i ils s.ng Inspector Rev. 1/81 ~ i N®. TOWN OF SOUTHOLD B1i1LDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. IIRy1LDING PEIUAIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 'i ~ ~J ~ F Z Dat® ~..c..~~.x....l 19.q.c~ ` Permission is hereby granted to: ....t~1.~:,...c~.~:~:~..zed E to ...}.+k;~.~1,!k°h1..i4n.....:~~4 :4ti':•<`~....1~.....A ..J..~k' `?::~"4~....~.:?....9!!~'fa 1U U U• ` of premises located at "'d l.:Z~.~~.4 ~ ~'':J....... N : S 11 .r......................... f • • •.................................................r.................................................... ~ , County Tax Map No. 1000 Section .......~~.Z........, Block Lot No....a1.~~~?.~.... I pursuant to application dated ........~~.o..~r.2 19..4..., and approved by the Building Inspector. i Fee 5..4~?.a.:... .~S:f .~?-..~.r4.~ Building Inspecto~ Rev. 6/30/80 f TOWN OF SOGTHOLD ~ BL'ILDNG DEPART:IENT ~ ~ ~ ~ ~ ~JI ~ ~ TOW`S FALL 765-L802 f ~ ~5~1~ ~'l~ ~ 2 ~ G t~ c APPLICATION FOR CcRTIFICATL OF OCCUPANC`L ~ k TOWN of SO~I 7HOLD A. This application must be fi?,1ed in by typewriter OR ink and subm~t"~'-e'3"""~o"~"'~he "bui"'Td"ing""~ 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 alectrical 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. ' S• Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. b. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, 'or buildings and "pre-existing" land uses: L. Accurate surrey of oroperty 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 den'_ed, the Building Inspector shall state the reasons therefor in writing to the applicant. , C. F°ees 1. Certificate of Occupancy - New dwelling $25.60, Additions to dwelling 525.00, Alterations to dwelling $25.00, Swimming pool'S25.00, accessory building 525.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existinP Buildins - 5100.00 3. Copy of Certificate of Occupancy - .25¢. Updated Certificate of Occupancy - $50.00 ' 5, Temporary Certificate of Occupancy - Residen~tjial 515.00, Commercial 515.00 Date ~ VVn/~ Vew Construction......../... 01d Or Pre-existing Building... o L Location of Property...l.7~-3.~... M~lf?.. S?.~ .............!!~.4`~.W....:~V ~F.. K............ House Vo. ~pStreet Hamlet Onwer or Owners of Property...':1~.~.t)~k~~....1?. ~:..~!MQ0!~!,,,,,,,,,,,,, County Tax ~fap No 1000, Section.... ~~.~....B1ock..... ~~,........Lot..~ Subdivision~.~.~ ~ .................:s`.........Fi1ed ~1ap..........~~~Ct.............. 0.,./.... Permit Vo ................Date Of Permit................Applicant..... (~f1.C~..~l/~'1../" Health Dept. Approval ..........................Underwriters approval... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... See Suomitted: .5..°~. S.'U ~ APPLICANT S~6S' c~ ~-a Ys f THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ :~^,~<~i~=,~t 201}{)'i, `<`,7 BUREAU OF ELECTRICITY ~ ~ ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date fdC)VA~YeI~f.'~R ~Igr;~y+9f7 APPNcntion No. on file akfil`i i',$~)Qf`~, (7 3d 'L6l Tilt THIS CERTIFIES THAT only the electrical equipm¢nt as described below and introduced 6y the applicant named on the above application number in the premises of 5 INI<'PCP.e;L ~~ZYi{Lp(, 1"713tY P17wlI fail'f~17?„( fatty:. ad.a;t3 :atl~'I~f?i.Y, I~~;_ in the following 4rcationg ? Basement © lxt Fl. ®2nd N1. 197f~' Section BIoK:k Lot was examined art jQD\!C°SYfI~'R L °r r } G1i)i) andfourzd to be in complimLCe with the requirencents of this Uoord. FIXTURE ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMi K W. AMT. K w. AMi K.W AMi K W AMi H P [4 it 'i1 3.ly .h i r t F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL M. P GAS H. P, AMT. NO A W. G. AMT AMP qMT. AMPS TRANS. AMT ry, p SYSTEMS AMT. WAITS NO. OF FEET SERVICE DISCONNECT NO.OF $ E R V I C E PMT AMP rypE METER r 9W I ~ 3W J,a 3W 3,e' 4W NO OF CC COND. A. W. G. NO. OF NI-LEG A' W G NO. OF NEUTRALS A' W G' EQUIP. PER A OF CC COND OF MI-LEG OF NEUTRAL OTHER APPARATUS: ' StlOdCN; UJtiTA~t"i'l=fit - C ~T~l7t, R. 1fUlt1'73 d,)i',~2>;2(; 74. 'PC1WS0 }}jt}rl~i>tt 1a171'aF, S~7t1'P14/JIIP, NY, .1171 ~ 6ENERAI MANAGER a 1,f Per '~.Y~•s/ 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. TkIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r1ELD Ii:S:'~.kti^ilU.y ~~Dbic~ ~ COMMENTS y -o ~ 1 . a .Q 0 r-~ - - H _ ~ FOUtJDATION ( 1st ) m ~ - ~ - ~ FOUNDATIOfJ (2nd) ~ 2 . rf ~ o ROUGA FRAME & z PLUMBING a ~a ...1 y 3. ~ W R7 O IiJSULATIOPJ PER N. Y. • • STATE ENERGY ~ CODE x a 'FIiJAL ~ 3 / z~ ADDITIONAL COMMENTS: ~ •f . ~ ro H ~ ~ . 9 ` H H O „p z x m A • r ~ ~ v m ^o H f ~0~ r6s-zsoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU ION [ ]FRAMING [ FINAL [ ] FIREPLACE~~ CH/IMNEY REMARKS: `_,.p-c.. ` I DATE ~ l INSPECTOR i 765-180:1 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATIO [ ]FRAMING AL [ ] FIREPLACE ~ CHIMNEY REMARKS: DATE INSPEC 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL MARKS: RE ~e.~.. DATE INSPECTOR ~ i 1 ~ rss-><soz BUILDING DEPT. INSPECTit?N [)FOUNDATION i5T ( J ROUGH PI.BG. [ J FOUNDATION 2ND [ ]INSULATION [~RAMING [)FINAL REMARKS: DATE t ~ ~ INSPECTOR ra wvun.rau;y ...aw..:wm.eme~ .•:,•`:v+~r.w..,~.....x.u..~«wseww~.+~e~uwa~m,~..daa.uvmwum.:b ~xr....,..+ -a..~.r._...se~x a..s~svw.a~.:.-re;..~.wra-sce:' DIRECTIONS: For each component of the proposed building design enter the design information requested such as Areas, "U" or "R" Values. Additional lines are provided for designs with more than one component construction type. Obtain thermal ratings for each item by consulting the appropriate Tables. A. ROOF/CEILING Obtain Thermal Ratings from Table 6-1, 6-2, 6-lE or 6-2E depending upon degree days and heati22ng type. Area: U-Value: ~~?~3 Square Ft. Therm~ing Area: U-Value: Square Ft. Thermal Rating B. NET WALLS Obtain Thermal Ratings from Table 6-1 or 6-lE depending upon heating type. Area: 1©~ U-Value: OroG.~ Square Ft. Thermal Rating Area: U-Value: Square Ft. Thermal Rating Note: Net Wall Area = Gross Wall Area minus Basement/Cellar Walls, Glazing Areas and Door Areas. C. GLAZING Obtain Thermal Ratings from Table 6-3 or 6-3E depending upon heating type. WINDOWS Area of Glazing: U-Value: Square Ft. Thermal Rating Area of Glazing: U-Value: Square ft. Thermal Rating SKYLIGHTS Area of Glazing: U-Value: Square Ft. herma~l Rating 42 i+r 3e 2~extrp.,A gi¢gr,^efpf nr dd•'ttlGR ^A 4hi^ s ~ oeaon 72^^, of ¢tsa Mew York SU;EK , 'ducetian i.,.3w. , t.nplsa D9 Phf^e s.;PJtn' mer n7¢ hg~;r4+~_, _ ,..,_...-.~....,..»..a.. _ Rho fond avreoyar'f. inked sl3aV p. . ~ -~-~.~w_......., - crnfsossad seal snail not he conslderpd to bo s vztid tme copy, Guaraneeas indlra¢sd hernon shalt rin 0nfy ;o the parson ?or whram'hp ; i,ue; ~ i6 prepara~., and an his bebn;(ro ;`+o bElo company, governmoatrl ;<"-,~~y and s ' Tend+nQ ine¢ieutipn limed har~rn ,3 ~ ,r/ ~ /1 ,rf ~ "T'~~ 4~'~~ to Pn0 oa'a+{pnoe5 pf rile lm.0~r:~ ~:.-tt- / V / /°r1 / v / r ?ueion. Gv-0rnnioes ore not ti -;n~., •rdrla to addRionsO tnstitunona nr subs i~tnn; owners. ~ a - ~ - r d ~ P r.:~ f• Q ~ ~3 1 ~ , , ~r> t ~ti v, o i ) W l-~-r,. ~ ~ 1 _ 0 t1 4 ~ ~ ~ ~ ~ , ; > ~ ~ ~ s , ~ r i Lamed of P<~vt~er , P ,~-7-- r /~/f~' C.~''v` ,~e:..~c s'4"y ,t + ~,,.r A ~l,:dGAP`t~P''i' 4r7/%er ..l'L:""'l/~//~.1.'.7f~~~..~r;~r{'ti„+r ~"~tt'PfG :.S.:v G~7~fV17". ~~~~~~f~C~.ar~I`~~"~ tit`~~~`7~~~'~nf/s'~''J r~.Xfif?rK ~F o~ rv~V,, r ct s/'~~L~:~rr~°~~~:z~:tl,~~./d-rte,- /8}, /.~~a;3. a~" ~P~(.K VArLT~'A,F C?T 9~J ~ !/~f~ FG(L.fP ti G q G r r .y Q {b ,+s .c c ~~.ry p~ / 'c~, 20 3~,;`„:~r=`~w d~ ls::C"J"fi,^a",„"'CY L~..~rr~C°~ /,.l%f.'F ~P"~.'J ~SFh<szSSJ~s~~` ~l"c'>~.P,~r'af"%~~ /!~'1f(t' ~ P"~~ .,`,LA~lD D1. FLOORS Obtain Thermal Ratings from Table 6-l, 6-lE or 6-4E depending upon degree days and heating type. floor Area: U-Value: ~~~~__s_`~= Sq, Ft. Thermal Rating D2. BASEMENT/CELLAR WALLS Obtain Thermal Ratings from Table 6-4, 6-5, 6-6 or 6-5E depending upon degree days and heating type. Wall Perimeter; Linear Feet Exposure Above Grade: Feet U-Value of Wall: Depth of Wall U-Value Below Grade: ______~V_LE-~~ Inches Thermal Rating Note: Use the above grade U-Value of the wall. The Thermal Rating Tables have been designed to take into account the insulating effect of the earth, D3, SLAB INSULATION Obtain Thermal Ratings from Table 6-7 or 6-6E depending upon heating type. Slab Perimeter: Linear Feet Insulation R-Value: ~ ? Thermal Rating 43 E. INFILTRATION CONTROL Obtain Thermal Ratings from Table 6-8 or 6-lE depending upon heating type. If the building does not meet the following conditions, enter NA (Nct Applicable) for Thermal. Rating. YES NO _ A11 windows have an air leakage rate of 0.35 cfm or less per linear foot of operable sash crack; _ _ All net wall areas have an infiltration barrier; ~ and _ _ A heat recovery ventilator, which tran~.fers heat between the outgoing airstream and the airstream entering from the outside, is installed. Conditioned Floor Area: ~ y (Shall not include Square Ft. Thermal Rating basement/cellar floor area) F. SOUTH FACING GLAZING Obtain Thermal Ratings from Table 6-9 or 6-8E depending upon heating type. If the building does not meet the following conditions, enter NA (Not Applicable) for Thermal Rating. YES NO _ _ The building is no less than 1,250 square feet in conditioned floor area; At least 45 percent of all glazing faces within 30 degrees of true south; All glazed areas in buildings are no more than U(9lazing) = 0.58; South facing glazed areas are free of any site obstructions during the heating season; and - ~ An area of four-inch thick concrete or masonry is exposed to direct sunlight from south facing glazing. The area of this concrete or masonry sha11 be no less than three times the area of south facing glazing. Conditioned South Glass/Total Glass: ~ floor Area: Sq are ft. (See Above) Glass Area/Gross Wall Area: 7 j? ~ Therr~a Rating 44 NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE PART 6 WORKSHEET THERMAL RATING METHOD ONE- AND TWO-FAMILY BUILDINGS BUILDING ~ ~ fir' ADDRESS GROSS FLOOR AREA/ '~-y~,L.,,~/-I.~~-U~'=dL~ NUMBER OF STORIESL~(~~ ~'"~-'O~~ l-i. ~ f DEGREE DAYS ADO©O ~ ~~cG ~ CONTRACTOR, ARCHITECT OR ENGINEER ~~~~'Cc~..~' i ~ ...-mot ~ `~~CO~~~$~.*`'.~ r ~g a° TELEPHONE ~ r STi1TE ~ ~ If the building does not meet the following pre-qualifying conditions, Part 6 of the Energy Code may not be used. YES NO Building is one- or two-family residential. Building is detached. Building is less than 5,000 gross square feet. Building is three stories or less in height. Entrance doors have a storm door or certified U value of .40 or less. Glazing area/gross wall area is equal to or less than: 247 if 5,000 degree days 237 if 6,000 degree days 207 if 7,000 degree days 187 if 8,000 degree days 167 if 9,000 degree days If all of the above conditions are not met, either PART 3, PART 4 or PART 5 of the Energy Code must be used. 41 B0,1RD OF HE~tLTH~./......... 3 SETS O~PL.\NS FORivl NO.1 SURVEY TOWN OF SOUTHOLD CIlEGK G . BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL SOUT{TOLD, N.Y. 11971 NOTIFY < TEL.: 7G5.1II02 CALL ..../J~~: ~O.~J.7...... D r1AIL T0: q~-`-3i~~J Examined .,l.!!i:•!4 . ~ l9 g. . . APProved 19~~ Pcnnit No. ~,o~ . Disapproved a/c CR e~~ l`~ ~ t~ i ~ ~ U Mar 2~, i~ao i ~ ~ (Building Inspector) ' APPLICATION FOR BUILDING PERDAIT ...,.w_. Date f.4~ 1 INSTRUCTIONS a. Tltis 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 tltis 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 agcees to comply with all applicable laws, ordinances, building code, housing code and regulations, and to admit authorized inspectors on premises and in building for necessary i etians. f70,/. ~ . . mature ai applicant, or nam if a cor oratwn) ~~~~~~X~~~~~ _ (Mailifi' address of applicant) ~j~~/ State whether applicant is^~owner, lessee, agent, architect, engineer, genera! contractor, electrician, plumber or builder. ,.DGG/G(J , .......................y.y./...~...........~...................................................... Name of owner ofpremises +!A. ~!lt1 ~ .'.~.t'!.G'~!!t!~?~~ ~d ~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ' Y' • ~ • ~ ~ • • (Name and title of corporate officer) Builder's License No..~r.~sYt~,Y. Plumbei s License No.~~~~l45 . . . Electrician's License No . Other Trade's License No . . ~Qd .~ECON~ clZ` _ 1. Location of land on which proposed work will be done; 1 ~(~E? 1~a=~f',~ttrFA~•K Flouse Number ~ Street, Hamlet ff.~. Block .C~`~.t~o........ LOt.Y.r~Tr. ~ County Tax Atap No. 1~~00~~0 Section , , Subdivision .......!i!.:'.~.~" • Filed ktap No . Lot . ..(Name) Slate existing use anJ occupancy of premises and intended use and occupancy of proposed construction: ` - a. Existing ~ 2 , ,tl,~` use and occupancy 1 ~ • • • ~ •~d~.~ ~r.Q~,~-„, , , , , , , b. Intended use and occupancy ~ ' 3. Nature of work (check which applicable): New building Addition rUteration . Repair RFmoyal Demolition „Swi:aning pool............ Tennis Cour[~.. Accessory Building..........Fence........Other ldork.. Y ~ . . . . . . . . . . 4. Estimated Cast ....~,l~r'.~?~~ . Fee 5. If dwcllin nwnber of dwcllin u (to be paid on filing this ap~plic,a"tion) g nits . . , , , , , , Number of dwelling units on each floor . l ,/uZrQ~!..... If paryge, number of cars 6, lCbusiness, commercial or mixed occupancy, specify nature and extent of each type oC tut:.. ~t~r . 7. Dimensions of existing structures', if any: Front Rear , ,,.d?q , , Depth . . Hci_h[ s~?S!~ Numticr of Stories Dimensions of samc.Str~tcturc with alterations or addi ons: Front , Rcar~, , ~v, , ~ • • Depth Ilcight . Numbe/r of Stories .p ~ ~ • . . S. Dimensions of entire nett', constniction: Front Rear .a~~.:~........ Depth . Hci;ht . t Numljer of Stories . • 9. Size of lot: Front ~¢y Rear .....~'E' Depth . 10. Date of Purchase • , , , ; ~ • • • • • %ijl'9 NamIme//of Po cr~ s~'~ , I I. Zone or use district in which prctitises are situated ....:/!/~L?. r~v, , . l^_. Does proposed construction viol to any zoning law, ordinance or regulation: 13. Will lot be regraded y~,~~+ ~ \Vill excess,~,fill b • mo .d from premises: • Ycs No . . 14, Name of Owner off pises/?7 4/.41 JltCl~ddress/~1?~!~.,~~~ .+!iPhone No. • Name of Architect ~t-~'S~-.F~ ~!~j~~; • ,Address ~ ~'i"~~~~'~f. Phone No. ~~.~e.~,jL~-J'. Name of Contract .e47It-°.S ~2('r}!, , , , , , , , Address ~~F. ..Phone No.~4~ a • IS.Is this ,property' locatied within 100 feet of a tidal wetland? *YCS....NO~/~ *If yes, Southold Town!Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block dumber or description according to deed, and show street names and indicate whether interior or corner lot. ~ ~ ~ / q / ~?y ~6 STATE OF \E1V YORK, S.S COUNTY OF • . (Aa~ c oC i~ivid~~i+~nit r~~ ~ ~ ~ ' ' ' ' • being duly sworn, deposes and says that he is the applicant • ' L , 'to co tract) above named. ,,pp He is tltc ..........,G~E~I'~f.~4.y (Contrataor, agent, corporate officer, etc.) • • ~ • • ~ ~ ~ • of said owner or owners, and is duly' authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application arc true to the best of his knowledgt: and bclieC; and that the work will be perforntcd in the manner'sct Corth in the application Glcd therewith. Swam to before me this ~ Notary Pu61ic, - . ,~u~~~~~e:~-tt:.. .County 'LINDA J.Ct)OPER Q , ~/l~i Notary Public, State of New York v%` No. k822663, Suffolk County 9D Signature of applicant) Term Eicpires December 31,19_.__