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Home My WebLink About6212-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..~..~..'~'? ~ Date., .......... ~..~. Y:.....~.. ...... , 19.73. THIS CERTIFIES that the building located at . N/.B. · ~tt~l..VSew. F~xtenti~reet Map No...x~.. ....... Block No...~ ..... Lot No. :gX~....S..ou.t. h0!d... N..~(*. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ Oct ..... 31..., 19.72. pursuant to which Building Permit No. 6212Z. · dated ........ Oat.. 35 ...... , 19.72., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. Pr. irate .one..famil~r. d~alling. & Accy .paJ;io,.deok ................ The certificate is issued to .Pau~ .Vie.y~a. &. ~tanley. Aber¢l~ombia ...... 0wne~.s.. (owner, lessee or tenant) of the aforesaid b:uilding. \ \ Suffolk County Department of Health Approval July .... 20...1973...by. ~ .ViLla.. UNOERWRIT:RE C:RT,~,C^~E No..,.~l~...~.--. 1.03...~...~......~....~...~..~ }.. HOUEH NUMBER. iO% ........ S~rcct ....3oumdvl~w. Ave .Extentlon ................. \ Btnldmg Inspector I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~.EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6212 Z Date ......... ~'~ ........ .... ~ ........... l ............. , i,.'2.. ~ Permission is hereby granted pursuant ,o application dated .................. ~.......~.-./. ............. , 19.~....~, and approved by the Building Inspector. Fee ..................... 'tOWN OF SOUI'HOLD Tevnl CledrJ Office IINd'hold, N. Y. 11971 APPLIGATIOH IIOIt CERTIFICATE OF OCCUPANCY In,tin.imm A. This application must be filled ifnort~n~riter OR Ink~ and submitted in triplicate to the Building Inspector with the following; buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical Jnstallation~from Board of Fire Underwriters. 4. Commercial bu d ngs, Industrial ~ildings, Multiple Residences and similar buildings and installations, a certificate of Code comp lance from the Arch tect or Engineer responsible for the building. 5. Submit Planning Board apprOVal of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Swam statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety Inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date o..~./~.~/....~..'~ New Building ..... ~ .......... Old or Pre-exist. i.ng Building ............................ Vacant Land ...... ....~ ............... Owner Or Owners Of Property ..~.~.Z~. · .... Subdivision ................................................................ Lot Iqo ........... Block No ............. House No ............. p, rm,t,o, of P,rm,te .. "cant ................... Health Dept. Approval .~.../.~....~...7. .................... Labor Dept. AppraYa! I>t co _.. ........ .................... Underwriters Approval ........ I ..................................... ~-m n ng Board Approval Request For Temporary Certificate .......... ? ............................. Final Certificate ....~.... ................................ ....... ................... Fee Submitted $ Construction on above described building and permit meets all applicable codes and regulations. .Sw°mt°bef°re menIals .. v _~. ~ /~'~ · ...... ~.....~day of ...~........~......L.~...."/...~... (stamp or seal,~,3- '7 ~jl.- Notary Public .................................... County , TOW. OF souT. o~. ~ ~ ~ BUILDING DE~RTMENT ~ / ~ TOWN CLERKS OFFICE 7~1~ ~4.~ ~/~ ~.~N ~ ~UTH~D, N.Y. /~//~ ~ ~ ~ ~,m~ .,.~ ................. ........... , ~ ........ ~ ~ o ................................ ~proved ~:~ ................................ , IV ........ rem. ~o ..................................... ~ Di~pprov~ a/c .............................................................. ~ ......... ~] ~ . ~., '~ . ~,, ....................... :..: .......... ........... · , ................. .................................. 3~ - / (Buil~g Insp~for) ,.~,.~ ~~.,' ~D.D~ Date... .......... ~....~..~ ............. ,19.~.~..~ INSTRUCTIONS a. Thi~ a~imtion mu~t ~ mm~l~t~l~ filled in b~ W~writer or in ink and ~ubmitted in tri~lic~t~ to the 8uildin~ In~ctor~ 3 ~t~ o~ ~lan~, a~urate ~lot ~lan to *cal~. F~ aceordino to ~chedul~. ~. Plot ~1~ ~owin~ loc~tion o~ Ioi ~nd of buildin~ on premix**, r~lation~hi~ to ad~oinin~ ~r~mim~ or public *tr*~t* or fli~in~ ~ d~tail~d d**cri~tion of la, out of ~ro~rW mu~t ~* dra~n on diagram ~hieh i~ part of thi~ a~li~tion. ~. Th~ ~ork ~ver~d b~ thi~ *~lication ma~ not ~ commen~d ~fore i~uanee of Buildin~ Permit. d. ~n a~ro~l o~ thi~ ~Heation, th~ 8uildin~ In~ctor will i~u~ a ~uildin~ ~*rmit to th* ~licant. Such ~rmit *h~ll b~ k~t o th* ~mmi~ ~il~b~ for in~etion throughout the work. · . ~o buildin~ ~h~ll ~ oeeu~i~d or u~d in whole or in ~art ~or an~ pur~ wh*t*v~r until a C~rtifieat~ of Oeeu~an~ ~h~ll h~ ~mn~d b~ th~ Buildin~ In~ctor. ~PkIC~TlO~ IS Hfi~fiB~ M~ to the Buildin~ D~artm~nt ~or the i~u~nc~ of ~ Buildin~ P~rmit ~ur~u~nt to th~ Buildin~ Ordinan~ o~ th~ To~n of Southold, Suffolk CounW, ~ ~ork, and other ~p~lie~ble kaw~, Ordinanc~ or ~ul~tion~, for t~ ~n*tru~ion buildin~, ~ddition~ or ~lt*r~tion~, or ~or r~mo~l or d*molition, ~ h~r*in d~eri~d. Th~ a~lie~nt a~re~ to eom~l~ with all a~plieabl~ ordi n~nm*, buildin~ cod~, hou~in~ code, and renu lation~, and to admit authorized in~ctor~ on ~mmi~ ~nd in ~uildin~ for n*~*~*r~ in*~ion~. State whether applicant is owner, lessee,/~'~nt, a~C~'tact, engineer, general contract°r'delrectHcian'ip/Ut)n~ber(A dess°fapP/can or bUilder. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 1. Location of land on which propose~d work witl be done. Map No.: ..................................................... Lot No ............ Street and Number .................................../0') .-m~O.~t~lZ.~....~..~.~ .~. .. ... .. ~.~... ........................ ~ ....... S['I . MunicipaliW 2. State existing use and occupancy of premises and i~tended use and occupancy of proposed construction: ~ ~ ~..n:..~T' ........ a Existing use and occupancy ..... ~ ........................................................................................... 3. Nature of work (check which applicable): New Building ..... ,..~..... ........ Addition ..................... Alteration ............... Repair ......................... Removal .................... ,.... Demolition ........................ Other Work .................................... 4. Estimated Cost .......... .~...~.,~...e.~ ................... Fee (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ ~[.. ...... 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 usa ..................................... 7. Dimensions of existing structures, if any: Front ..................... Rear ........................... Depth ................................... Height ........................................................... Number of Stories ........................................ ~. ................................... Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ..... ~.~-... .......... Rear ....~. .................... Depth ...... ..~....~.. ................... Height ................................................. Number of Stories ......................................................................................... 9. Size of lot: Front ......... ./.....¢~...:....~... ........... Rear ................ .~....~.;.....'~...~.. ........ Depth ....... ~,~'~'.~.~ ........................... q/ 10. Date of Purchase ..................................... Name of Former Owner ....................... ~ .............................. ~..f.;.:~... 11. Zone or usa district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............ .../~.....~.. ...................................... 73. Will lot be regreded ........ ~..~. .................. Will excess fill be removed from premises: [ ] Yes [~ No 14. Name of Owner of premisas ~4~'/.~..~IJl/K..~~....~.4~..?~I~.*....'~.'~....,.~.Z.T.~..'~...]..%~.,. -- -- -- ~' " '(Address)' (phOne r~o.l Name of Architect ............................................................................................... N a me °f CO n trectu r ' ~[~'~'-' ' '~I1~'~1~!~ ........ !~"~'"~t~"'{~ddres,} ......... ...... ~'~on~'~o.}~' '~' "~'''~' '~' ~ iPhone ,o.I .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot." STATE OF NEW ¥O. RK~ ~.~.//~ S~ COUNTY OP ............. ..... .................... ~ing duly sworn, de~.s and says that he is the appli~nt abo. named. He is the ................................................................. ~...~ ................................................................................... (~n~tor, ~nt, ~mte o~r, etc.) of said owner or owners, and is duly authorized to ~dorm or have ~or~d the ~id ~rk and to make and file this appli~tion; that all s~mmen~ contained in this application are true to t~ ~st of his knowle~ and ~lief; and that the work will ~ ~Horm~ tn t~ ~nner ~t fo~h in the appli~tion filed t~rewith. ~ . TERR[ ~E E~ ~ ~ / NOTARY "~ Yor~ ~ ~ ..................... ~-...day ot ........ ~.5~ .... 19 .... .~ ~ ~ . ~ualifie~ Suffolk C0un~ ~ ~ ~,. ~ ~/~ .o,,. ........ Coun ............ ................................................ v (~m~ of ~pl~t} 7'0S-04379 lONG ISL. AND SOUND Unauth(~rJzed ahemfion or addition to this survey I~) o vIda~k~n of )'209 of the New Yor~ State ~ducofi~n Law, this s~ey map not bearing t~ ~ond ~s~ ~a~ shall not ~ co~ide,~d to ~ a ~a~id co~. VIEW AVENUE..,. ELEVATION8 ARE REFERENCED TO AN ASgLIMED DATUM. SURVEY FOR PAUL. VIEYRA ~, STANLEY ABERCROMBIE SOUTHOLD TOWN OF SOUTI. K)LD SUFFOLK COUNTY, SCALE: 1% 40' JAI~ ~, 197'1 NOTE: dAN. ~9,197'3 · .I~IOlt~NENT dUNE ,~5,1973 ~u-T'~ PFe~rkt~, FII~PbkeF-, ~STS ~ de'IsT'5 hNP ~_.QdiP~ rte ~-~F'~r__4i~ E".*e'~ff~'. ,k UIVIN- L 7 I GENERAL N()T E~ 1. Contractor is to check and vsrtf3 all dimensions before proceeding with work. 2. All work is to be strictly in cora~liance with applicable codes, Ordinances, and generally accepted standards. 3. All material is to be new, ~d ~he installation is to be done in a neat ~d wor~-like m~e~. 4. Installation of standard p~oduots is ~o be as per 5. No variation from plus and specifications ~d no substitutes will be allowed ~less approved by nat~al elements from d~a~e. of trash and debris, and b~l¢inK is ~o be clean." IHT ,'.RIu~ C}'ECZFICATIO~S 1. Floors th~oughou% (exoep~ fo~ ba2~ooms) fl~h 3oint Do~las ~i~ elea~ of kno~s, sealed with 3 coats plastic ~eth~e varnish. 2. Ceilings thmoughout and exterior walls of bedrooms %o be 1x6 TaG flush joint Grade A Redwood. 3. Pl.wwoo~ walls, doo~s, ~d cabinetwork ~o be A~edi~ Density ~erlaid with all exposed ends painte~i with 2 coa~s high gloss entel in color selected by architect. be left ~finished. ~. Reeesse~ ~ood base ~ kitchen ~d bathroom echoers. No bases a~ wood and D~,;wood walls. ~.PEOIAL ITEMS ZNOL~ED IN CONTRACT 1. P~efab~icated fimeplace ]~amk 123, }~Iodel 3028, "Heritage" faucets 4150.017: cup s :8ine 4331.013. "Oa4e~" ~oileZs, 2122.059: "Spectra 70" ~ubs, 2605.103: 4. Welt and submersible ~p ($700. allow~oe). 5. Se~aKe disposal s,~s~em ($800. allowance). cAT,~o H~O ze~ ~e~, b~e~ ~n~8~, ~ ~%~e ~ ~e~ (o~ ~p~o~ eq~) w~ b~-o~ ~f~e8 ~o~ 8~o~e ~. ~e~% ~g, e~ f~) ~ e~e~ b~oom. }f~) IFrSTALLED BY CONTRACTuR 1. 5~ildoo~ 81idin6 Blsss doo~s. (cook~op, wall oven, ~ishwashe~, EXTNiiIOR SI f;C ] Fl(; ~lT IONS 1. Siding and soffits to be lA6 T&G flush joint Srade A Redwood. 2. ~)ecks 'bo be M{6 Grade A Redwood with 1/8" open joints between planks. 3. Insulation in walls, floor.s, and ceilings to be "Alfol" type barfs between studs and joists. 4. Allow for 2 exterior hose bibbs, one at west side of house, ~ud one at east mide. 5. Install conduit for 4 e:<terior lighting fixtures (fixtures by owner). -tl h ,1 F~6~ f% \ / \ /I 'x I ." ! \ / i '",b/ [ ",,I / ";L..' LX," /1\ ] ,\ : ,/ \ ~ /\ Y / ~ \ 2 ~N~ 3 \ , I \i/ el,~ 'D C e f ,I ; r-j lq Lkl'.I'e') ~/ Fl~. ~ ?eFt'T, ~F_x~Ti~ l~T Fl~pt~ce & IrSI' = I ~o Nb~ FTP. Fb, 8