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HomeMy WebLinkAbout18392-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218548 Date NOVEMBER 9, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1900 WESTVIEW DRIVE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 07 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 2, 1989 pursuant to which Building Permit No. 183922 dated AUG. 16, 1989 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 ONE FAMILY DWELLING. The certificate is issued to FRANCIS & BARBARA SHERLOCK (owner, RA:~:~L'~:.KXS};XXXXXXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING SLIP NOV. 2, 1989 PLUMBERS CERTIFICATION DATED RICHARD CAMEWZULI NOV. 1, 1989 r Building Inspector Rev. 1/81 ' IPOIF<M N0. ~ 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°- 1$392 Z Date 1. Permission is hereby granted to .G%~~,a~/ ~ ~ /,/yyp~ . B~,` ~ r at premises located at .......,1 x`O.!~...... . j~L;Lry;................................................................. County Tax Map No. 1000 Section Block Lot No..........Z~...... pursuant to application doted 19~, and approved by the Building Inspector. ~a Fee ~0 R`^tr-~~.. uild g Inspector Rev. 6/30/80 TOWN OP SOUTIIOLD 1°I~U^/~ BUILDING DEPARTMENT TOWN IIALL II SOUTDOLD, NEW YORK 11971 IVI aw. ' 765 - 1802 rylJ~ BLDG. OENT, APPLICATION FOR CERTIFICATE OF OCCIIPAf7CY TOWN OP SO/UTh1pLt7 DATE... ~/1'~ y'.... . NEW CONSTRUCTION .OLD OR PRE-E%ISTING BUILDING..VACANT LAND.... Location of Propcrty..~~t:L;•••„:.:5_ ~/'i_:Gi!__/~.~+___•~-7~~~ri~'C'!~ DOUSE NO_ ~ STREET UAMLET Ovner or Ovncrs of Propcrty.,~d~'~(1/;!, .??i~/' ~ Gc. County Taz Map No. 1000 Section Block ~ Lot' .o~~ Subdivision......_..•,.,•_..,._.._ Filed MaP ......_.Lot_..._..._. Permit No. r~~~ /C< ~`.q°"~~.~ ...Date of Permit ,t..~p.~Applicant :~:~.~•Ss`J'.~/~G.:L~ Bealth Dept. Approval Undcrvriters Approval.~eti!.~-G:{~G.. PLaanioB Board Approval Request for Temporary Certificate Final Certificate ~ Fee Submitted: $.s~•~..C~C~I......... APPLICANT..,~„jjcr, :'~:e:~,pt^'~.~•' • • • - • . ~ 3 ~s~~ llg8dsy~ 'ev. 10/14/88 FORM N0. 6 ' TOWN OF SOUTIIOLD i BDILDING DEPARTMENT TOWN DAL. ' 765 - 1802 o',?} APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be~l~filed in typewriter OR ink and submitted to the Building Inspector with the folloFiing; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, aad unusual [jatural or topographic features. 2. Final approval of IIealah 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 solder used in system contains less than 2/10 of lZ lead. 5. Commercial buildings,~industrial buildings, multiple residences and similar. - buildings and installations, a certificate of code compliance from Che Architect or Engineer responsible for the buil"ding. - 6. Submit Planning Board~,Approval of completed site plan requirements. B. For existing buildings Prior to April 9, 1957 non-conforming uses, or buildings t r and "pre-existing" land µses: I. Accurate survey of property showing all property lines, streets, buildings and ~ unusual natural or Copographic features. - 2. A properly completed application, a consent to inspect signed by the applicanC and a certified abstract of title issued by a Citle company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall sCate the reasons therefor in vkiting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other ` pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership ofi the entire loC prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of O~+cupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Cert;ficate of Occupancy - $20.00 5. IIpdated Ccrtific~te of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial I~ Si 10/14 /S8 r'lELD II:S:'EC;iU:i ~~Uip,.E CUtKMENT° 0 ~ - ~ 1 . ~ a pcu FOUtJDATION (1st) c FOUIJDATIOtJ (2nd) m - - ~ P,OUGH FRAME & ~ O PLUMBING ~ ti 3. ~ ~ v m m .l IIJSULATIOPI PER N. Y. • • STATE ENERGY CODE x __q_~_ 3 H © ~ i z ADDI OAIAL COMMENTS: m m \ x ro H ~ 9 ~p,, H \1 H O ~ z 'x m A • r o~ m -o H ~Oc~~F F ~(~,~0/, TEL. 7G5-1802 TORN OF SO~JTIIOd,D f . < OFFICE OF BUILDI24G INSPECTOR t z;;: r;., P.O. BOX 728 "c T01VN HALL pY SOUTHULD, N.Y. 11971 D S, C ~b li9V ! $1999 C E R T I F I C A T I O N BLDG. DEPT. TOWN OF SOUTHOLD , irate //~~gg. Building Permit No._ 3 9 Z Owner F.P,91u~i ~3/-12.a,o.oa~ //~~Gacr< p(please print) _ Plu^,: er rc Ic~nan ~ y~va r,ul (please print) Z certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. (plumber's siynat e) Sworn to before me this o~~`Iday of ~DUe.mbP(- , 19~, ~"'~~-2.Pn~ LtCf2 n I' Notary Public Rotary Public, ~y~~-U~t~ County NOtaryAPUbIEENfato ~ O w Varf1 No. O7MA49337~3 Qualified in $u(folk County Commisalon Expires June 20, 7860 l ` v 765-182 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( j ROUGH PLBG. [)FOUNDATION 2ND [ ] IN CATION [ ]FRAMING r FINAL REMARKS: /G~ DATE ~d 31 ~u r INSPECTOR ~ g 3~ y 765-1802 BUILDING DEPT. -1-NSPECTION [ ]FOUNDATION 1ST (?~®UGH PLBG. (]FOUNDATION 2ND [ ]INSULATION ]FRAMING r ~ FINAL REMARKS: L~~a~ C DATE ! d I ( INSPECTOR ~ T° 765-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [)FRAMING [ ]FINAL REMARKS: ~ o .~o ~ 1~~ ~~G G%~',~ .t' T..~`' e ~ ~ DATE 7 INSPECTOR ~i . ,rte, P/~RT 4 ~ N.YS. ENERGY CODE COMPONENT PERFORMANCE ANALYSIS FILE WALLS ~ AT BAIT AT MEMBER OUTSIDE FILM • 17 ~ 17 SIDING ' .81 .$I 1516. FELT .06 :OG I/2"PLYWOOD .62 .62 3 518" BATTS 13.00 - I/2" GYP. BD. .45 .45 2"x 4" STUDS - 4.37 INSIDE FILM .68 - .68 TOTAL- (15.61) (7.01 ) - U = I/R (.063) (.142 ) U ~_(.15)(560)(J42)+(.85)(560)(.063) Uw =.075 w (560 ) GLASS AREA=( 31 )(5.07.1 rGROSS WALL=(611 , ~ COOR=(20 _ (.075) (560 }+L 51) (31 )tl .40) ( 20 } ~Y~ tl Uo =(:1 I (.18 CODE) oe3 CODE PERMITS Uo=(..IS)>CALCULATED Uo = (ul I fsp E,4"" ` THEREFORE WALL ASSEMBLY MEETS CODE . CEILINGS: FLAT AT BAT'T AT MEMBER ATTIC AIR SPACE .GI .61 R (30) BATTS 30.00 - I/2" GYP. BD. .45 .45 INSIDE FILM .61 .61 2"x6"CEILING BM, - 9.37 TOTAL (31.67) (11,04) U = I/ R (,032) (_091 ) CEILING AREA ~ (220 s.f. ) (:093) (220 )(.091 )+(.~07) (220) (.032 ) UC (220) UC = ,037 UC '(.037>< . 05 CODE - GODE PERMITS Uc (.OS)'CALCULATED Uc (.037), THEREFORE CEILING ASSEMBLY MEETS CODE. ~ ~ . i ~ 6 ~ a 3 S GF se tv 9 s hA t o F' hi s. %Z~' Ly o h A hi,~ ~ o ~ 151 F cr a - ~ 1 RS 1~ oArD t 1 w n ` ~ UI e~ NE N Ep Y • .di~ PRO D S OTD DA E: •p FE BY: 6-182 A 4PMF0 T E FO LO IN PE TI N OR PO RE G NG_ ET 2. O fiH - q. 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SURVEY ~ _ TOWN OF SOUTHOLD CHECK .?.~'..I;^1,~, BUILDING DEPARTMENT SEPTIC PORPi . , TOWN HALL ~ ~ ~ ~ ~ ~ ~ ~ " " " SOUTHOLD, N.Y. 17971 NOTIFY ( TEL.:7G5.1802 CALL Examincd..6..~.........,19.., MAIL T0: )`toG <s.),u,,,,-~ Approved ~6........, 19~Pennit No.~9.~~ ~ Y~~,~i li`i°J i~ Disapproved a/c . D ~ ~ ~ ~ L'1 AUG ~ 2198,9 m Build' ~ Ins.ector BLDG. DEPT. P ) TOWN OF SOUTHOLD APPLICATION OR BUILDING PERMIT Date 15 . ' . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Buildin; 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 sll:.il 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 Rcculations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees [o comply with all applicable laws, ordinances, building co e usin code, a r oula i ns, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, r name, if a corporation) (Mailing address of applicant) • State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~/(,~!^!C~S' ~ ~~!_3r?stiz ~ ~/1 ~/1L® e!t (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ • Plumber's License No . . Electrician's License No . . Outer Trade's License No . . I. Location of land on which proposed work will be done. . Elouse Number Street _ Hamlet ~ ~ ~ ~ " County Tax Map No. 1000 Section .......C~•~. • • Block , , , , , , . 7......... Lot.°?/ Subdivision Filed Afap No. . . (N;utte) , Lot . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .........Qr~ • ~ , , • b. Intended GttQ~' use and occupancy /µt~:~''. . I u 3. nature of work check which • • . • , • ( . PPPlicable): New Building Addition , . Alteration . ~ ~ i~ / Repair Removal Dcmolitiofi Other 4york . • ~ ~ ~ (Description) 4. Estimated Cost >r o ~ . . Fee 5. Ef dwcllin", number of dwcllin (to be paid on filing this application) $ units . Number of dwcllin units on each floor . 4 g fgaracc,numbcrofcars ...f " Nucd occupancy, specify naht ~~nd extent of each t c of u;e~ 6. if business:commercial or mixres, if any: Front A~"f..... .Rear Y,p~f'/`J ~ ~ ~~.yy Depth Hci_ht Dc Inbcr of Stories ....:•d5- . iPunsions of existing structuwtth alterations or additions: Front Rear th ' 8. Dimensions of entire nc v cons ' • Sleight Number of Stories , ~ntction: Front , Rear , , 3,! , , Depth . , ~ Eiciglt ; , • , , , Number of Stories . , , ~ ' ' • • • • m 9. Size of"lot: Front Rear , . 10. Date of Purchase ~~~.,T.. Depth . ..Name of Former Owner . 1 1. Zone or use district in which premises are situated , • ~ ~ ~ ~ ~ ~ ' ' ' ' ' ' ' ' ' ' ' ' . - 12. ocs proposed constnrcuon violate any zoning law, ordinance or regulation; , , , , ~ v • ~ ~ ~ ~ . d of be re"raded ' ..............,.........CLVr/ Name of Architect P , , . I ~a~~vtlvey~ ~ • ~ ~ • 'Will excess fLtjll be removed from premises: Yes l4. Name of Owner of remises • , , , , , , , • • . _ • • • . , , , Addressl9 ....'.`nv?•~ ' ~?r?,f~?•s-pltone No. v~.! ~ ; %,3 4,/, , Name of Contractor . • • ~ • ~ ' ' ' ' ' ' ' • • • • Address ...................Phone No.............. . If es Southold Tows '•.Address ...................PhoneNo. 15.Is this property loc'ted within 300 feet of a tidal wetland? *YES....NO.... * y p Trustees Permit may .be required. PLOT DIAGRAM Locate clearly and distinctly all, buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate wheY,`;ie: interior or corner lot. . 9 i / ~ Damn"tea ~ vmt nnnirio.1~ fn y y house E I , • ST,1TC OP \E~V YORE, ' } g"" w~~v/~w per' COUtiTY OF . SiS • ~ ~ ~ • ~ ~ ' ~ ~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (~amc of individual signing contract) ~bovc named. 'Icisthe (Contractor, agent, corporate officer, etc.) ~ ~ ~ • ~ ' ' ' ' • ' 'C said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this PPlication; that all statements containLd in this application arc true to the best of his knowledge and belief; and that the '+or}; will be perfornrcd in the manner sit forth in the application Glcd therewith. ^vom to before me this .day of..!' 19~.y - otary Public, .....!"~:~?~!..4.'.. Coun[y HELEN K OE VOE • . ~N~~70787&Su4ttolk(bb t~ (Signature oC'applicant) term Eepires March 3p,1 ' - I _ .