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HomeMy WebLinkAbout21805-z f FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23297 Date OCTOBER 20, 1994 THIS CERTIFIES that the building ADDITION Location of Property 495 ANGLERS ROAD GREENPORT, NY House No. Street Hamlet County Tax Map No. 1000 Section 36 Block 2 Lot it Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 1993 pursuant to which Building Permit No. 21805-Z dated DECEMBER 2, 1993 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 A TWO CAR GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY & LILLIAN QUINTIN (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION SERVICE 4678 MAY 23, 1994 PLUMBERS CERTIFICATION DATED N/A ild.tng Inspector Rev. 1/B1 FORM NO.3 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) /yI Date ~d2 19..<.-~... N® 21805 Z Permisslon Is hereby granted to: 3..... r val....... ~!E./ .............J......... ?s'7 to ............................Jf,.......,.........~~r~.. ...Qrvlf5............ l~~i°•°4.... f ~iC , /i? ................................................................/!S~T.................................©.........1......................... j at premises located at ~?G r~ 5........./ !?o......................... c//I!PC7/.......................................................... County Tax Map No. 1000 Sectlon Block L........ Lot No. pursuant to applicatlon dated 19..7..x......, and approved by the Bullding Inspector. Fee I i .444 ( Building Inspector Rev. 6/30/80 f m m ~m Form No, 6 ls~ TOWN OF SOUTHOLD Orr 1994 BUILDING TOWN D HALLTMENT 765-1802 !_C)lnp.l OttlwCUTNOLf~ _APPLICATION 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. 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, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer t 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 dwellin. "0, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming , $25.00, Accessory building $25.00, Additions to accessory building $25.00. ;usinesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. 'Temporary Certificate of Occupancy - Residential $15.00, C ercial $15.00 Date ....l.~L. New Construction.......... Old OOrr/ Pre-e/x~ist/in/g Building Location of Property 0.4~1?.0LY ..A ; y,~r , , , , , , , V ~O House No. Street Hamlet Onwer or Owners of Property...(7./l . County Tax Map No 1000, Section Block Lot...................... Subdivision...... .Filed Map „ . ,Lot Permit No.. /SDI. ,Date Of Permit..~10k_/„/,,-Applicant .fY... Health Dept. Approval. .........................Ulllnderwriters Approval......................... Planning Board Approval Request for; Temporary Certificate........... Final Certicate...~ Fee Submitted: d~,,,,,,,,,,,,, Ric 3 ..t . AppT Tf 4NT .rz r i ( e P o e o 0 ELECTRICAL INSPECTION SERVICE, INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 4678 Dale 5-23-94 1St. APPLICATION No. ON FILE c ADDRESS: 495 Meadow Lane VILLAGE: GYeenportf 11944 c TOWN: .SOlltllOld ) T ISSUED TO: Henry Quinti.n ° INSTALLED (3Y: LaSdealann Electric Inc. Llc. No. 4141-E c ) T was examined on 5_23-94 and found to be in compliance with the National Electrical Code. FI%TURE CEILING WASHER RANGES OVENS ( OUTLETS RECEPTACLES SWITCHES C.F.I. FAN AMT K.W. AMT K. W, AMT I( W. c 4 7 3 1 DRYERS DISHWASHERS EXHAUST FANS FURNACE MOTORS FUTURE APPLIANCE FEEDERS o ) AMT K.W. AMT K.W. AMT K.W. OIL H.P. AS H.P. AMT NO. AMT e ) o ) SERVICE DISCONNECT President ~D NO. OF METERS AMP TYPE A~A c ( ° ) OTHER APPARATUS: ( o Thls c9rllhcolo mull of bn nllnrrrl In nny mnnnnr ( Inalgclors may be IdenhOed by Ihelr rrndnnlieH P ) (`0 0 0 0 0 0 0 o v d v o o e o a v o 0 o e v o 0 ti M, i ~o~Og0fF0(Ir~OGy o ~ Town Hall, 53095 Main Road go x Fax (516) 765-1823 P. O. Box 1179 yC Telephone (516) 765-1802 Southold, New York 11971 ~•t•~~ ~a0~ OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 11, 1994 Mr. & Mrs. Henry Quintin 95 Meadow Lane Greenport, NY 11944 To Whom This may concern: We are unable to complete your certificate of occupancy because of the following reasons: xx An application for 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21805-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~ g6ANMfy,'~_ A r ~rq~s~ ,~tvr ur est. ,e~+d h`^ '4 -crs l~dt pv A. 'tl tLdFT.'°t:,S m t y~ a %OUtt6ATI0*t "(1st) .`F<' g~ - y r r o r w . 'OUNDATSON (2nd) m ~OUGH FRAME & PLUMBING ri ' n 4,f I)SULATIOf( PER N. Y. n-- STATE E117RGY CODE 1 FINAL 6 2 ADDITIONAL COMMENTS: s' _ i M max, - . y 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ J,-F(N'AL REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG.. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARK rfl~r ~ DATE d b [(?(Z, INSPECTOR A6t4 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ } F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: . 3 _ DATE INSPECTOR 2 M-18026 BUILDING DEPT. SPECTION /FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE 7~~ INSPECTOR Gi L a H d i of RQ ` J` aVerd a e /i X50 ~ ~ f +4 yy., o o e C J H C MF"ACC'rV' ; Lf~INc` J 4 L Q 50 - 50 MAP CF' /-~ROF~c R?'Y 54RVEY.~'t7 F'OR a HE,^?RY l .-i,Alo L/L! /.4/1/ QU/NT//V GUOYt.7.^XCf ,7,!~ ,'~?1G 'r"~r7 a:~nP sr~rve ie OC 1 50 fly f9 ~M-1~ I-1 e FIT I<' v I m = .IY'Op1 pier - L/C~rt.sc'rc( Lahq !Ir BOARD' OF HEALTH 14?...... FORM NO.1 3 SETS OF PLAYS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM . NOV 1 6 SOUTHOLD, N.Y. 11971 TEL.: 765.1802 NOTIFY: p j Examined Az „z 97 CALL 19p! , MAIL TO Approved ~Z/L 1&?. Permit No. _ - ; HAROLp,E. , GE GEBHARD A.I.A. Disapproved a/c ' 363 North WeiW OAK 11757 LINDENHURST, NEW - (rr10) 226^3708 ing Inspector) APPLICATION FOR BUILDING PERMIT Date ,Novemb.e.r 10. 199.'.. INSTRUCTIONS a.. This. 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. 1 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 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 pufsuant 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 appljcant agrees to comply with all applicable laws, ordinances, building c ho 'ng code4anregulations, and to admit authorized inspectors on premises and in building for necessary i pect' (Signature of pplicant, or name, if a corporation) 95 Meadow Lane, Greenport, NY. 11944 (Mailing address of applicant) State whether applicant is owner, lessee,'agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises llian Henry Quintin' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 1 • Builder's License No. 77 1..2.... 70000 . . Plumber's License No. Not. Ap.P.licable Electrician's License No, .75.2... . f Other Trade's License No. , , . , . 1. Location of land on which proposed work will be done . . . ` . 95 Meadow-Lane, Greenport, NY 11944 House, Number Street Hamlet 036 02 11 County Tax Map No. 1000 Section Block Lot................... Subdivision Filed Map No. Lot , . (Name) , 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction., a. Existing use and occupancy Single family residence S b. Intended use and occupancy . , Same . . . • . 3. Nature of work (check which applicable): New Building Addition . X........ Alteration . Repair' Removal Demolition Other Work (Description) 4.. Estimated Cost . $10,,000 r.~~ Fee, $.75.•.40............................ (to be paid on filing this application) S. If dwelling, number of dwelling unit ....1.......... • Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..N A . 7. Dimensions of existing structures, if any. Front . 55.', Rear, 55,............ Depth 33 , , , , , • , , • , Height ....15:... • Number of Stories .1 " 55&25 Dimensions of same structure with alterations or additions: Front , $0, , , , Rear . ,26.. Depth . 26' Height ..15.1 . Number of Stories ..1 . 8. Dimensions of entire new construction: Front ....Z5 Rear , 2,5, , , , , , , , , , , Depth .Height ..15:.., .NumberofStories.....L... 1Z0Trr~g: 206.83 Rear..,]50 ±;Yrreg•.. Depth • • 9. Size of lot: Front Brown & Hal •sey • ,6, , 10. Date ofPurahase ..$4'Pt •'t) 8, , Name of Former Owner 9 esidenc - R 40 11. Zone or use district in whichlipremises are situated ...12.. • :.....e No, ]132.. Will Does lot probe regraded osed constructionPaxtz v,a Folate any zoning law, ordinance or regulation: • • . • • • . • • • . • • • • • • • • X ' k2 .:.3b. gQ17 StF.R4f• ~:e14ill excess fill be removed from premises: Yes N 14. Name of Owner of lim mises &H Q.Gebh ft?- Address9.5.MedA4w. L ne.. Phone No .......10 Name of Architect Harol~ E. Gebha~`d. Address363 N:. Wellwood gheNo. 2 geor . Knab .Address9.6 Ostnd Rd. ,Phone No. 431..635.. 15.' Ienthis Iproperty wit ~n 300 feet of a tidal •wetlanV . *Yes • • • • • • • Noy........ ¢ Town Trustees Permit may.be required. PLOT DIAGRAM Locate clearly and distinctly lel1 buildings, whether existing or proposed, and, indicate all set-back dimensions frol property lines. Give street and block number or description according to deed, and show street names and indicate vrhethe Interior or corner lot. SEE PLANS I,. • STATE OF NEW YORK, S.S COUNTY OF . Li 11 i,~n , ¢u i nt in'i, , , , , , , , , , , , , , , , , being duly sworn, deposes and says that lie is the applicai (Name of individual signing contract) above named. • SHeis the ...QVPe..r of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th application; that all statemen contained in tliis•applicati6n are true to, the best of his, knowledge and belief; and that tl work will be performed in t manned' set forth ' the application filed therewith. Sworn to before me this day 19Vt H OLD A Notary Public, a+ Yor \ • • . County No. 52- 1F 6120 Qualified in ufWkCounty 'Commission Expires j*%j%,@j4 (Signature of applicar i , i « 3 .., 4.srroi+r':tp'WW.'.Rvw•°`_,."'ra�a+ie,mc:..+.,y .<.:-a_..tl�w�'°�c`:..e. _ _t Tx 7 h i . , ............ .L (M�' j \ y'k.6' , } '` t y _ III �♦ TO" INV Au W c., r ..... � yam. .,., ,t IL ,` !•c i �'!f"� �""1`"' 61 w y � e tt h r i I ° I rZ � l , , E� M i i } E � �qp �11, NJ 16'T --- n. F1 -. ...... .roa.- v...,+acrv,. _ .�:...,q..,�,:-,.-�_...... _ ".: ...+a., »�e.."a,.,�:...:.,......-.:,�»„�.,:=-�„rw«,:•,u,,,..-w.s�..s,,,,M»,..s.,,.,,,.,w.x,,,,, _a,i�rYrM1;�Xwr _ x , , m . .. � " :- .mot r. EL Wt 4219 - . , 1/� {4 �a !S �t -. I J Harold E. Gebhard Architect e } : . 363 North Wellwood Avenue job sk � �,: " Lindenhurst, N.Y., ! 1757 , v ' of 516-226-3708 fax 226-3088 4 4 CONCRETE NOTES ES s �A « ALL CONCRETE TO BE F"i C - , tit:} P.S. T DAYS Utr(LEGS NO TED EXPOSED CONCRETE BE AIR ENTRAINED. !aOILVA�:UEASSUMEDATTO TONS PER SO. FT, AT DEPTHS NOTED.'� ` w. BOTTOM OF EXTERIOR FOOTMINIMUM I NGS TC3 BE: 3 r. ALL FOOTINGS TO REST ON VIRGIN UNDISTURBED SOIL S `EP FOOTINGS DOWN AS REQUIRED. MAXIMUM 51 EIS FOOTIN NAi > F FSE ONE VERTICALLY TO TWO 1-(ORIZONTALLY WHERE ELEVATIONS � x' ...,iW1111a CHANGE. `` =w7. WALL FORMS TO REMAIN IN PLACE G DAYS MINIMUM. R f_COAT, 'B. CURE AND SEAL ALL SLABS ON C ADE WITH -, � HCIR(r4 •,, ,.� i _ CLEAR SEAL OR EQUAL 19, CONCRETE CONTRACTOR SHALL PROVIDE ADEQUATE BRACING FOR ALL ids t'g. -.-..,+w.....,:.,...,-..- ...,.,,..,,.w.w....w.._..,-..o..»+L:-w—.... .....ww.._...ww.,.•-rr:+r+-....,_.......,.«.._ ..,,,__,_.._._. - ` WALLS AS REQUIRED TO RESIST WIND AND CONSTRUCTION LOADS 10. PROVIDE SAWED ORKEYED AND FORMED CONTROL JOINTS FOR SLABS spa , ... �. �.. y . ., . .....�. - N YV AND WALKS ON GRADE, AT .�-,�'_ _i_�,a MAXIMUM IN E+CtTH DIRECTIONS. 1 1 . PROVIDE SLEEVES IN FOUNDATION WALLS AS REQUIRED FOR ELECTRIC= PLUMBI1tiIG, MECHANICAL, ETC. COORDINATE WITH. OTHER,. _ CONTRACTORS=DRAWINGS A�ENC I ES, ETC. AS RECdU I RED D. •-, -� ASl" MONOL T`TH I C, NO 1 CONCRETE FOUNDATION WALLS TO I=E C SHALL. � r E IN WALLS WITHOUT THE __.,.�.. ._..__.______.._ .�--_.�:-....._-._ --.____�__� -•..----...-. 1 HORIZONTAL JOINTS �N A L L. 1�E PLACED r WRITTEN APPROVAL FROM THE ARCHITECT. _,_....._,_.,...,._....,..-,.P_...._,....,..„_,w_.___.... _ :_ . 1S. ALL EXPOSED COt�ICBETE SLABS' �C0 RECEIVE ARCHITECTURAL FINISH h ( AND SCORING A5 PER PLANS AND SPECIFICATTONS« ° �� << ,..; __. ���.z�V� (_�:.'�CI^�"t"; -•----+--� ' _ ; , ._____._.,.._,_.___ .,.._..._..__---____-___,_-__ _. ._,. _.__f._-.. ,._. � REINFORCEMENT _NCJT ES v ° � 1 . Q L 1_ RE I hJFORC T NG BARS TOBEOF THE D T AM« SHOWN, DEFORMED INTERMEDIATE GRADE NEW BILLET STEEL CONFORMINGTO ASTM A .o-.-. E,15 GRADE GS_y i « HAVING A DESIGN STRENGTH OF G , ta>00 PSI . .:. _ TYPICAL COVER FOR ALL REINFORCING EARS TOBE THREE tS:� ` -�- ^ G��-ice•'' ��-'�lf�.'.1�►�.,.� INCHES WHERE CONCRETE ADJOINS EARTH, TWO (21 INCHES WHERE, r "" 7 ,c,,rm,R_..._ .. _ _.„,._. "• CONCRETE ADJOINS FORMS, UNLESS OTHERWISE SHOWN. ALL BARS TO BE CONTINUOUS UNLESS SPECIFIC LENGTHS ARE ka _ SHOWN. ALL SPLICES TO DE FORTY �:40". BAR DIAMETERS MINIMUM. . _- -_ -��,�. �.,,-,_ _-__. _ _. ._ . -_ _._- 4. ' WELDED WIRE FABRIC SHALL CONSIST OF COLD DRAWN MEMBERS ___._._._ - HAVING AN ULTIMATE STRENGTH NOT LESS THAN 70, 000 P. S. I . > _ r - W. W. F. TO BE SIZED AND PLACED AS SHOWN ON PLANS ('NOTE WIRES 'SPACED AT SIX S6), INCHES SPAN THE SHORTER DIAMETER) . __ t_ __ : ABS TO BE CXE #1(=)\1i� IN SLABS ON 5 ' -- � r i ( _w___- _... ` GRADE,JMANDRSX N# \ IN SLABS Oil DECI,". 5. WELDED WIRE FABRIC SHALL BE IN ACCORDANCE WITHASTM A-185. 1�4 1. E. ALL REINFORCING TO BE SECURELY FAG `CENED 3O RESIST MOVEMENT DURING CONCRETE PLACEMENT. ' 97E 7. ALL CONTINUOUS FOOTINGS TO HAVE S #G REINFORCING BARS tTN, ii � i 0. ALL FOUNDATION WALLS TO HAVE °4—3 REINFORCING BAPS CONTIUOUS TOP AND BOTTOM. 14 L...�.. EXC;AJATTNC SA�.'is::FILLI_h►G �.< t�C1f�iPAC�lIC3t�_h�Cl'r'�:5 U 1__ _ CCJ1!RACTOR if C7 EXCAVATE TRUE TO LINES AND GRADES_: . � . KI EXCAVATI© 15a + DOWN TO SPECIFIED LEVEL. ALL TOP SOIL TO BE STOCK PILED FOR FUTURE U"E ALL EXCAVATED GOOD MATERIAL. NEEDED FOR BACK:FI L.T_, TO BE STOCK: `^ P i PILED SEPARATELY. NOT NEEDED MATERIAL AND BAD MATERIAL TO g ° J ESE LEGALLY REMOVED FROM SITE. �, ,�. BACkFI LL SHALL BE PLACED IN 12" LIFTS AND C( MPACTED TO '957 OF MODIFIED PROCTOR DENSITY. t CONCRETE, REINFORCIING & EXCAVATING NOTES 3 tr, A _ 4 � - � d _Tl- re,�C-4 L. jo Of R OCCUIPAN Ulz` 1"' U`UA`i#":UL r w: X. _ k , (Gt ` C1 P A N111 C y x UNDERWRITERS CERTIFICATE REQUIRED �S APP OVED AS NOTED k _ t pA J- L R Q# :> FEE, 'r BY; NOTIFY BUILDING DEPARTMENT AT 765.1802 J AM TO 4 PM FOR THE . ,� 8 REQUIRED . M'. .:�`°' � 1 '' #` �,, • �,;..: `• '!®PSDtlrilDAT4(J�IPECT!'ll�t�.. (�; �`'f - �� EC1R POURED CONCRETE 2. ROUGH - FRAMING 8, PLDBdNG 4 F SA -LA CONSTRUCTION MUST BE COMPLETE 1FT"3R C.O. ALL CONSTRUCTION SHALL MEET a THE REQUIREMENTS OF THE N.Y; -.__ __.. _.._.... STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR ,"r' "*j, `� DESIGN OR CONSTRUCTION ERRORS' �-- ,, fir t �- � �-S��:. '�" �:��'�'� �.•�� , �..� �'� ' ' l RED.m� _. G cam,+,, i <! 14 421 W y as ­F j\I x , aann x , Y Js� ., g, '!* y s Harold E. z Cn i t Architect � T _ .F.,.' .� date $ j g k , 363 North Wellwood Avenue job'no. Lindenhurst, N.Y. 111757 of < A .a' > ��$V ' n faX 226_ R . 's 51 f-22�-$7{�$