Loading...
HomeMy WebLinkAbout17857-zFORM NO. z~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19651 Date JANUARY 11, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Propert~ 655 ALBACORE DR. GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 57 Block 01 Lot 017 Subdivision SOUTHOLD SHORES Filed Map No. 3853 Lot No. 30 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 17, 1989 pursuant to which Building Permit No. 17857Z dated FEB. 21, 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 ONE FAMILY DWELLING PLANS AMENDED TO LOCATE GARAGE IN CELLAR. The certificate is issued to LtNDA & BARRY IMPROTE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-S0-176 DEC. 31~ 1990 UNDERWRITERS CERTIFICATE NO. H019907 JAN. 4~ 1991 PLUMBERS CERTIFICATION DATED BARRY IMPROTE JAN. 8, 1991 ng Inspector Rev. 1/81 FORM NO. O 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~ 017857 Z Permission is hereby granted/It3: _.~ ........... ]..~;..:, .... .o,...0 ....... ; .................. .................................................. ........ ........... Ul ,u ~._.. /,~ ,~/ ~ .~ , ' 7~ ...................... ~ ............. at premises located at ....:~..~.~.....~...G...~....!...,)..,..,~.. .......... ...~. ~ County Tax Map No. 1000 Section .... 0..~..,~. ....... Block ..... ..C~...! .......... Lot No....,~...!..~, ............ pursuant to application dated ...~..~~...l..~. .............. , Jg.~...~J.., and opproved by the Building Inspector. Fee $...~. ............... Building Inspector Rev. 6/30/80 Form No. 6 ~{C~'& TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 PLICATION 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. 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/i0 of 1% lead. ~ Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. ~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 i. 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 buiiding $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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 ./?.! ? ?.( Date . New Construction .... ~...... Old Or Pre-existing Building ................. ~o~t~o~ o~ ~op~r~y..........---...V.~'.--- .... ...... --..--...--.-.-- ....... House No, Street Hamlet L .~ /3! ~/ ~ ~ Onwer or Owners of Property ................................................................. County Tax Map No 1000, Section. ~ ,,.Block, J. ..... Lot... SubdS~s~on ................................. . FSled ~ap. % .......... Bo~ Health Dept Approval Underwriters Approval ......... Planning Board Approval ................. .. Request for: Temporary Certificate ........ Fee Submitted: $ .... ~, ,~i". ~"'~,.. ,~,. .... ~.... /~ / .. .. Final Certicate....~.. .... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Date Building Permit No. 1'7 Owner. ~ ~ ~ { P ±v~J~s e print) {plea~ print) I certify tha~ the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to befo~ me this _ fe~ day of ~ ,. 199! ~/Otary Public, County BLDG. D-PT. 'TOWN OF SOUTHOLD THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 8005356 BUREAU OF ELECTRICITY [-- es JOHN STREET, NEW YORK, NEW YORK 10038 O.te JANUARY 04,1991 ApplieD,lo. No.o.fit. 65521189/89 H 019907 THIS CERTIFIES THAT PERMIT N0. 17857 only the elec tr~ equipment ~ ~scrlbed belo~ a~ intr~uc~ by t~ applicant ~med on the a~e applica[~n nu tuber in t~ prem~s of BARRY IMPROTE, 655 ALBACORE DRIVE, SOUTHOLD, N.Y. in the following h,c. tion; ~ B~,e,nen, ~ 1st Fl. ~ 2nd FI. GAR/OUT ,%¢,ion 57 sl~ 1 Lot 17 ~s examined on DECEMBER 27,1990 and found to be in con~pliance with the requiretnenls of this Board. 45 FIXTURES RANGES 2~KING D~KS OVENS DISH WASHERS EXHAUST FANS 45 73 50 1 13.0 1 1.2 5 Y 2 F ] 1 20 SERVI~ DISCONNECT NO, 1 200 CB 1 X 1 2/0 1~ 2/0 MOTORS: 1-F H.P. PANELBOARDS:l-26 CIR. 200 G.F.C.I:-5 T~CK LIGHTING :-12 P.O.BOX 148 SHOREHAM, NY, 11786 GEN~At ~AGER Per ~ ~, Thls cedlficate must not be altered in any manner; return to the office of the ~ard if incorrect. Inspedors may be identified by their credentials. FOUNDATION (1st) FOUNDATION (2nd ROUGH FRAME & .?LUMBING INSULATION FERN. Y STATE ENERGY CODE FINkL ADDITIONA'L COMMENTS: Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N, Y, 11971 765-1802 l~lovo 13, 1989 Dear Mr. Improte: We received a set of plans to amend your Buildig Permit #17857Z. Please send us another set of plans. Also the additional fee is $125.55 for the add{tional floor area over garage now located in the cellar. Yours truly, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ I~]"F'i~NAL REMARKS: /~ ~ ~ ~~ DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]/~OUGH PLBG. FOUNDATION 2ND [~'] INSULATION FRAMING FINAL DATE INSPECTOR ~/~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I ' R~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~]~RAMING [ ] FINAL REMARKS: ~,~~l~ ~' INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]~//FOUNDATION 1ST [ ] ROUGH PLBG. /FOUNDATION 2ND [ ] INSULATION FRAMING ~r ] FINAL REMARKS: ~c~ t~~~~" P.s. "~ ! ~ ~ ~ 8~ms ~ · ( Te ~o~ ~~_~ FILED M*' NO. ~. DATE FI~EO ~ ~ND. UND. OONST. ~ ~INAL ,, ~ HAWKINS WEBs JAEGER ASSOC. P C. s..C. '~AX MAP NOi DIST. IO0o SECT. ~-/ BLOCK ! LOT ]?l~' / Th~ ~ ~aae disposal al P nd wate[ supply /.eft A ~: ~'~ ~ ~, BLDG, DEPT ~ ,..,;, TOWN OF SUUTP(&r'' t FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~~..&-.I.-, 19'.8.~. Approved ~ ...... 19 ~.~}. Permit No. I ~/'g g"/~ Disapproved a/c .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH .w,..I.\.'. .... 3 SETS OF PLA~S 0.',.~',. ~. ~' V o,. ~ '. SUR EY ..... .............. CHECK ............... SEPTIC FORM ~'; ..... NOTIFY CALL .~. ~¢(~7 ......... MAIL TO: a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,/vith 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 streeE~ or areas, and giving a deta/led description of layout of property must be drawn on the diagram which is part of tiffs appli- cation. c. The work covered by tiffs 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 permil shall be kept on the premises available for inspection throu~mut the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc} 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 thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ Regulations, for the construction of buildings, additions or alterations, or for ~'emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin,~code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp~'-0ions. // . . ..... ._ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of o,vner of premises., k.'.~. 0.~7. ~ ~/~.~ Z ~..~..~5..~( (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.~..../P-A~.....,~..-¢~... Plumber's License No. ~ ................. Electrician's License No. ~ .............. Other Trade s License No ...................... 1 Location of land on which proposed work will be done. House Number Street Hamlet Cotmty Tax Map No. I000 Sectiou 5 7 Block 0 I Lot 0 17 Subdivisiou...Se P~J.e.k~..%.}7~-¢~h ...... Filed Map No.. 3~.~ 3 .... Lot .... % 2 ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing. use and occupancy ..................................................................... b. Intended use and occupancy 7[~ ........... 3. Nature of work (check which applicable): New Building Addition .......... Al:tqration ..... Repair Rlemovai Demolition .............. ' ......................... ~Othe~' Wo, rk~.. · , ' ' ~ 5 (Description) 4 Estimated Cost ./~.O. ~q.O..O. ~,~ , Fee (to be paid on filing this application) 5. vel g ms ........... Nu r f lln nts 6. If business, COmmercial or mixed occupancy, specify rmture and extent of each_type of use . ~./~ ............. 7. Dimensionso,fe,,xis. tingstruc{ures, ifany: Front. i~'~f lOt! ~,, /~rt ~,~lt ~' --" '~'>~l ~'£/ .... ioht LI~ t M ..... ' :-4 ......... a, · ~'.~..q'~ ...... ueptn . He.= ......... ~, ........ l~ulnoer o[ 3[orles ..... ~.. "~'~ ' ~' ....... Dimensions of same structur~ with alterations or additions: Front ................. Rear ................. Depth . .. . ............... He:ght · --' · , i · · · ..._.. ..... , ....... l~Hm Der of ~mrzes 8. u~mens~on~,s o~ent~re new copstruction: Front ~.~.t../.~.~.t ~,~ {~t /OO n~+~' '~'~t ~'~ .... Heiglit .. ~'.0' .......... Number of Stories '7 ........................... ~,~,. ·. e.'r._.z ...... 9. Size of lot: Front ,. J.O.~' ',~ .........,','5-'/ .................... : .....· ......... I0, Date of Purchase "~i ~>i{¢~/.~:~ ........ ~ear..(...LI.~._'. ........... Depth .. ! .7..~..t ........... .... / ................... ~,~arrj, e of Former Owner ..................... 11. Zone or use district in which premises are situated . g']T.: ,~..~.[0~.72.~.~ .... ' .' '. 12. Does proposed construction,iolate any zonin law ordinanc ' rermlati~'~'.' 'J0~ .................. ~ ' g , e or __~, ...................... 13. ill lot be regraded ...... ~..,5. ........ ., ........... Will excess fill be removed ,f,r.O.m r i Yes !4. NNamm~n~ of~ ?w,n .e.r of p re .,~s.es,5,, ~ ~,_l~:t.~.~...~-4~q.../~A~dress ~/~5~u../~../~...~...gl~/~.~.t g.l~0.. ,~ o[~Arcm[ect .. l~.'~l.t .~.c:.h ./JVC .... ; ..... Address ~..~,./~¢~L/~.,<.~.~.~. ~ Phone -,' .name o~. contractor ...... : ................... Addre .¢.~ '"/tO ~l). '" ' N ...... .~.2,2,-~Z. .... IS.Is this property lo~ated within 300 fee~So ~t' 'la S'.~.NO .... ~If yes, Soul:hold To:wn Trustees Permit may be required. .... PLOT DIAGRAM Locate clearly and distinctly !all buildings, whether existing or proposed, and, indicate ail set-back dimensions fron- property lines. Give street and block number or description according to deed, and show street names and indicate whethe~ interior or corner lot. STATE OF NEW YORK, COUNTY OF i S.S (N f i igni t) ....... amp o ndividual s ng contrac above na ed. ~ being duly sworn, deposes and says that he is the applicant P BLIC, State ef New York lerm Expires March 30, 19 r"' / He is the j ~ (Contractor, agent, corporate officer, etc.) ' of, said owner or owners, mid is dqly authoriz6d to perform or have performed the said work and to make and file this application; that all statements contained in tbi~ application are tru~ to the best of his knowledge and belief; and that the Work w/Il be performed in the mann}r set forth in the application filed therewith. Sworn to before me this [ .......... . .day o ...... Notary Public,...~//.~----~..,e:'....~.'...~.~-...~..~. .........County , RI~$T FLoOK PLaN ' ~ ~' J ..... ~ CA~ELEW~ - (~l Cktd' ~ b~ ~" DEEF I ~ErqoH -' _~ - ~ANT~ LEV~F, - pLUSH TNERMAL TABLE AREA U-VALUE RARING USED A, ROOF/CEILING 1Gl2 0.039 23 229 0.051 -1 6 I NET WALLS 1954 0.076 -75 6-1 0 9 000 0 6-1 C, GLAZING Windows BB0 0,310 24 6-3 Window~ O 0 000 0 6-3 Skylights 50 0 360 -16 D1, FLOORS 1643 O.gBa 0 D2. BASEMENT/CELLAR WALLS TOTAL THERMAL RATING Fu-n-, RE. To APP~vED .co F'P T~G NO Cc,M P F lkS~F FL. AcR-¢U~ ':5 p-..'f L I ~ ei"F. ~,[DI'~ % :Ii > -4- ~ECOi'qO FLOOr% PLAN 5~'(LIGMT'-- t (v_)t'k6' HPK, - OEOTIO kl 'fi, I/4"; O-FO. D HP 7L3', 15 LIO" IT 2'kin" r. tDC, p , -- 'z";,,5" F;R~, IC.,"o,c., , -¢., - 'z'~5~' P6rHALT 5Mitq6LP~ N, '. ~-~ INS, EA, ~,A'I' Ft-'T~ooO 5Ub-F-LO31,~. * DAW G ~LLAF,, FELT or4 Vi" ct:,*. -- ~LASIHiN~ ~ .. FULLW ADH~EB DET/-, i b ..4-- I.It~" = ILO" il NOT~; ALL ~3cK LuMfSEI*, '"-o BE .~o ~,>A ~iJFHE~N YE~o~q ~"~ ~ING ON %A,PEKED 2'x~'r EF[)fq PULL~ AQHE~D ~- V4" ~ ' ' ~ PEr< ON FL~R dOl~T& - 5LOp~_ b"4" '~ II,L. .9 'Z'MO" F.,l, ¢. [,~:~ ¢,c. K-iq CHS, HALL ,-xO Pd,¢ -'~GOLID P...;,LOOP.:.I~I~, -(2)" ' ~.to f:LUSb HD~., t ,':¢; I~ o" L IVlN O. 5AW' r L¥~u 00 c., a FELT' I; t- t=F,o N"F'' [[ , : I/ i' , ' E L D VA'T'Io ~q I Lt~P ~- ..G!DP_..