HomeMy WebLinkAbout16794-z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19215 Date
JULY 16, 1990
THIS CERTIFIES that the building. ADDITION
Location of Property 645 WAVECREST LANE
House No. Street
County Tax Map No. 1000 Section 100 Block O1
Subdivision Filed Map No.
MATTITUCK
Hamlet
Lot 041
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 2, 1988 pursuant to which
Building Permit No. I6794Z dated MARCH 11, 1988
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 ADD 2nd STORY BDDITION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
RICHARD & CAROLYN MENARD
~{004100 AUG. it 1988
RICHARD MENARD 7/13/90
' ~/ Bu~in( InSpector
FOBII~ NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, No Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
· ~..~~.;.~.~.~.~.r. ..........
.......
~~...,.~.:~.,. ....... !.~..~.~ ................. ~
,o..O,z,t....,~ ...... ~...~......~~....mo......~.....m~...~
.,..~.~~...~.....~_.~... ........... ...../~ ........... ~._..~...::,.~_...., .........................
at rem sas ocate t ~ ~' ' /~ ) ~- ~ '
p d o .... ~ ......... ~.~....~ ........ ~..~.,.....~.C~.... .......................
County Tax Mop No. 1000 Section .... /.....~... .......... Block .....,.~..! ........... Lot No......~...~..1 ..........
pursuant to application doted ..... ~/~.0~(~....~.. ........................... , 19.~..~.., and approved by the
Building Inspector.
Fee $.~...:...../.... .....
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMEMT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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.
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.
4.Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, indus, t~riai 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.
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 amd
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.
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 - $i00.00
3.Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00
4 Updatcd ....
· ~=~Lizmcate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
-w Construction ......... Old Or . · . [7' ~ '''
-- Pre-exzstmng Buzlding~ ..... '~' .........
House No. ) ~treet . Harmlet
' · .............. LOt ........ ~ .............
ubdzvision ..... 2 .......................... f..:Filed Map ............ Lot .............
;:ealth Dept. roval .......................... Underwriters Approval .........
~laneing Board Approval .....................
Request for: .Temporary Certificate ........... Final Certicate.
TOWN OF SOUTtIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
CERTIFICATION
TEL. 765-I 802
TOWk ~- ;~LD
Building Permit No...
0wner:A t~/J///~i~ /~i 7~"' ' '~ ~
.... ,'~/~,/,r~,
~!please print)
(please print)
I certify thac the solder used in the water supply system
contains less than 2/10 of l%'lead.
Sworn to before mo this
_~L_day of ~ ,.
'19.~d .
HOtary Public, .~C~ County
Notary Public
- N~. 4707878~ Suffolk (:mm~.
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
II
ADDITIONA'L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ~ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
...J.,,s.-
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
REMARKS:
FOUNDATION 2ND[ ]INSULATION
[~j/FRAMING [ ]FINAL
DATE
INSPECTOR ~/~, ~/~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND ~"~LATION
[]FRAMING []FINAL
REMARKS: ~) ~,~ ~ ~~, ~/--'-~
..... INSPECTO ,~~
800564~
BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
[--- AUGUST 01. ]98~" JOHN ST,mmmmT. NliW
.66~]0{ 8. H 004~00
Date Application No. on/il(,
THIS ~'.,ERTIFI$$ THaT
FIXTUIII IqXTUIS IIANGIS IXHAUST FANS
9 [5 :13 9
SROKE D~T[CTOR :-!
RICBAR]) MENARD
645 VRVE CREST LANE
MATTITUCK, NV, 11952
certificate nl~t not be altered in any manner; return to the office of the Board if incorrect.
CO~Y FOI~ I~III.MNG DEPARTMENT. ~ ~ OF CERTIFICATE IdU~T !
I MANA~I
cmdemiob.
' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
~pproved ...... Permit .....
)isapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19.,.
Date .~'.e.b.r.u. ~rZ ,~9 .... ,19.8,~
INSTRUCTIONS
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ts of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining premises or public streets
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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
I~all 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 ~ Certificate of Occupancy
i~all 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
milding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessary inspections.
Envirooment Eadt, ]~.~c.~ ................
(Signature of applicant, or name, if a corporation)
3075 I~dian ~%ck Lan~
.,. P.aoo ni.a ~ . NM ,119.~.$ ......................
(5 ii n~ address of applicant)
5tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner o f premises ..... }'~ $ 9 h.a r 0..[~ ...hie ~.ar d .............................................
(as on the tax roll or latest deed)
[f ap,~y~]F~,~/~ora}i~/signature of duly authorized officer.
Builder's License No..~.~.~ .~ ................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be clone .................................................
· ...6.4-~. ................... ~,Jay?.e..r.e.~t.. I.~.a.n.e. .......................... ,*ia~t ~.~.u~: .............
House Nu,nber Street Hamlet ,,c -
County Tax Map No. 1.000 Section .... ~[.O.Q .......... Block . . . 0.1 ............. Lot .0]$3, ...............
Subdivision..S.a~- .t. A~.~. r~.a~q ~ .................... Filed Map No...146.8.2 ....... Lot ....3B. .........
(Name)
State existing use and occupancy of premises and intended use and occupancy of p~oposed construction:
a. Existing use and occupancy . .0 pfc'..~'¢¢.i.l, hr..d.w.e. ~._ ;l.i.qg ...................... '~ ':.' ....................
b. Intended use and occupancy .Opp..r .a.m.i.l.~y..d.w?. 1. _.l.i. qg. w.i.l:.b.., g..d.d.l..t.i.qn.... '.. ;.. ]'. ~.'i~. ,;'[ .......... . ....
3 Nature of work (check which applicable): New Building ' Addition Alteration ·
Repair Removal Demolition Other Work
~ i (Des~iptton)
4 Estimated Cost bO' 0 0 a ,
· ...,I. ....... ' .......................... Feo .....................................
~ ~ (to be paid on filing this application)
5. If dwell/ng, number of dwelling units .... t .......... Number of dwelling units on each floor ................
If garage number of cars
6 If busine'ss ............................................................. ' ~ "~ ............
· , commercial or mixed occupancy, specify na~ture, and extent of each ty. pe pf use ............... 1 .....
7. Dimensions of existing structures, if any: Front.. ~.'~..5: ...... -Rear 57.'5'. Depth
Height /. (o~ Number of Stories C~.4~. .,~ 4~) .o./'~
Dimensions of same structure with alterations or additions: Front ~7.,~ . Rear ~*f'
Depth ..... "~ .~,, ,q ............ Height ..... ~ ............. Number of Stories .... ~,
8. Dimensions of enhro new construchon Front .. ~%.$..~ ...... Rear .~)-~..~0 ....... Depth
Height .~.../. ~ ........... Number of Stories ..... ~ ~c5, .F 1 ~,.c} ~ ............... . .........................."
9 Size of lot: Front '..', Rear ' Depth
10 Date of Purchase ' Name 0£ 1 om~er owner
11 Zone or use district in which ptemises are situated Re s. t .d e n.t .t al ,
12 Does proposed construction viglate any zoning law ordinance or regulation':
13. Will lot be regraded .Ixl. o. . , .................. Will excess fill be removed from ~remises· Ye No
14. Name oCOwner of premises B. khl. '., .M.°.a..~r.d ....... Adares~J4-5..Mav. qg?P.~...L.q. ?t~one No.' .2.9.~..~p.~.2.
Name of Architect., ........ i .................. AddresS/ia..~.~ ~.u.q.k~,..1~..X-, .1.~.9.~one No.,i - '.i ....
NameofContracto~nV~vOntaeng ~as~, Inc. ~aa .... 307~5 Indian NkLnphn,~Nln [?~.[ y.~.'?[~,''''
Peconxc, ~
PLOT DIAGRAM
Locate clearly and distinctly all buildings, wliether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and blo¢l: number or description according to deed, and show street names and indicate wh0ther
interior or comer lot.
;TATE OF NEW , o o
(Name of individual sign~g contract}
bore named.
being duly sworn, deposes and says that he is the applicant
le is the '
' agent, corporate officer, etc.
,f said owner or owners, and is d~ly authorized to perform or have performed the said work and to make ~nd fil~'this~
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
?ork will be performed in ,the manner set forth m the application filed therewith.
worn to before me t~his ' i /?
NOte~v PUl~,,~lt~f~ew York / ~ - ' '~ "~ignature of applicant)
~ _ Qualified I~ 8uffo ~County
s;ommls~Jon ~pire$ Dec'ember 8, ~ 9 5 ~,,
· fO'
OCCUPANCY OR -.
UNLAWFUL · ~ ~
USE IS ,:
WITHOUT CERTIFICATE
OF OCCUPANCY
¸t.
///4
7
. ,- -. ~ £/AFC-
E XL%flqNG ~
!
!
/
\\
E C:T-t Ol'q
E N ERC~¥ CODE CALCOL.ATION5 C:o~- ,~o~-~,_~_~-,~,~_ ~,,~->
773
II 0
0. 0.~
0.$,~
1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF.
2) HEATING CONTROLS TO MEET 7813.13
RANGE 45 TO 75 DEGREES FAHRENHEIT.
3) WATER HEATING PER 7813.31 THRU .38.
4) PIPE INSULATION 7813.19
5 ) WINDOWS - DOUBLE GLASS.
6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE.
/¥ a3 o
TO THE BEST OF MY KNORrLEDGE,
BELIEF, AND PROFESSIONAL
3UDGF24ENT THESE PLANS ARE
IN COMPLIANCE WITH THE CODE.