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Home My WebLink About9511-zFOKM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .~.5.5..qgp~.~.J: .n..R.o.a..~ ........ Street Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated . .0c~cP~9.r, ~./!. ........ , 19.7.7.. pursuant to which Building Permit No..9.5.?..Z.. dated . .09J;.°.b. 9.r. .2.5. ......... , 19.7..7., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ....P~.I.V.$.TE..QISI~..F..A!M~ ~.L.Y...D.W~..L.I~t.M..G .................................... The certificate is issued to ....... .J .am..e.s, .E....R.i..ck.e,t.~, s~ ............................ (owner, b~mxtgamM~ of the aforesaid building. Suffolk County Department of Health Approval .................................... UNDERWRITERS CERTIFICATE No ............................................. HOUSE NUMBER ... ~55 ....... Street ..... .C. gn..k.l.i.n...Rp, a.d. ...................... ........................................... ~a..~.~.~u..o.k.,. ?..e.w..¥o. r.k. ............. Building Inspector ~ NO. ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PEPJvtlT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 9511 Z Permission is hereby granted to: 3ta~,~t.. Coek.....A~.C~..Imuee..~leke.tt e .... ........ ~..~ive~;~i{b..A~e ....... .R{L~heed at premises kx:ated at "G2'~Cl~d'"~.~'"/"~]~']'y]~l'-'J~id ..................................................................... ........................................... Ma.~t -Ltu~_k ............................................................................................... pursuant to application dated ...................... ~:~.....~.~. ................ , 19...~.~, and approved by the Building Inspector. Bulrding lmpl~ct6r~ In October ,of 1977, Bu,tl~.zng Permit ~!v~ll -~ :~;~to you wroth Rober~;~Cook/~s-pplmc~t to ad~ ~-?75,;??;~,-We have made o~ 2~o, al ~nsDoot~on., We now c~ the' Certificate of Occ~5;pancy ~' upon, Deceiving ,-.:),]y~;~.~)(application, fee of $5.00~d a ?CPM o2~ ~he%Underwr'iters 'T~ be Usin~ this ad~tion' W~ thou'~', a' Certify_cate ;/'Occup~cy is a ,violation. ?,; ~ ~: ;1~.'~ ~ ;7:'k~'1~;~ ~closed zs applzcation 2o~s ~o b9 f~.lled i Robert H Cook 526 Riverleigh Ave Riverhead,N.Y. 11901 ~uilding Department '~own of Southold ~outhold,New York Gentlemen: The following specifications apply to the proposed addition for the existing residence at 725 Grand Ave,Mattituck owned by James E. Ricketts. All construction to be in compliance with the New York State Building Gode. Trench footings to be 36" below existing grade Light inch cement block foundation to have termite shield on top course of block Floor joists to be 2 x 8 on 16"centers Geiling Joists to be 2 x 6 on 16" centers Rafters to be 2 x 6 on 16" center ~tuds to be 2 x 4 on 16" center Sub floor and wall sheathing to be 1/2" CDX plywood Roof sheathing to be 3/8:~ GDX plywood 6 x 8 wood girder -east to west in bedroom to break up 22, span insulation: 6" foil faced in all ceiling areas 3 1/2" foil faced in all exterior walls mash: All sash to have insulated glass Eoof: 3/8" CDX ; 15 lb felt ; 340 lb self seal shingle walls,exterior: 1/2" cdx ; 15 lb felt ; asbestos shingle walls,interior: 3/8" sheetrock - with 3 coat spackle Bedroom : Panel over sheetrock ~ath : Marlite over sheetrock "FO · .................. ...... /. ...................... . : APPLI~ATION FOP. bUILDING PERMIT ,. Dote October 24 19 ............ INSTRUCTIONS a. Thls application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspec~ ,~ff¢.'~ 3 sets of I~l~s, accurate plot plan to scale. Fffla~ccording to ~ched61e. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pu.blic streets or areas, and giving a detailed d~cription of layout ofproperty must be drawn on the diagram which is part of thru application. c.': T,h~ ~rk covered by:this application may not be commenced' before.i~uance,of Building Permit. d. Upon approval of~his appficati0n, the Building Inspector will issue 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 Buildi.ng Perm t pursuant to the ~uild!ng Zon.e Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or~, Kegulations, tar the construction of buildings, additions or alterations, or for removal or demolition, as berei.n described. The applicant agrees to comply with.all applic, able.laws, ordinanc_~,.~uilding code, housing code, 9md-regulot~ons, and to II,3 admit authorized inspectors on pmmmes and ,n buddings for ~essary~in~pections. / / ,/~ ,-, ,d (/u/) ...... ............. · ': (Dlgnature of applicant, or rmr~, if a corporation) /_ ................ , ,5.~ s...~.~ .v...e.~! .e.~.....~.e...=.~ .............................. (Address of aonlicant) River~ea~,l~ew Y~ llg01 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Uar~e~ter - General Contractor Name of owner of premises .~f~l~.q.~..~..~..~..~.~(~.~..~lil. .................................................................... I~O0-1~ ........................................................................................ .0~f'-{~¢470 / ~'/eT;~[,~ vi..~,tl,r, = Iooo-/39.3-I.~ ~'~ (Name and title of corporate officer) / /-%a ~ :~- ~ ~ Builder's License No ............. So.~t~{~...9.~,....~...~.~.~....t '76 ;Reciprocal -~outhold ,T~me 15,1977 Suffolk County ~ ~876-HI Sept Plumber's License No ................................................. Electrician's License No ............................................. Other Tmde's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ... ! ~ ~/ Lot No, Street arid Number ....... ~.~...~.~.~..~...~..~l~e...,,~t~.t~L~.13,0.~. .......................................................................... - ~ Municipality 2. State existing use and occupancy of premises and intended use an~ occu~ancyebf prpposecl construction: a. Exisiting use and ,occupancy ...... ~...~'.~,~,~.,~.~.i~g.~. .......................................................................... l~ew rear entrance foyer and porch 3. Nature%'f w~'k (check which applicable): New Building .................... Addition X Alteration Repair .................. Removal .................. DemolitiOn ............. ~ ...... Other Work ..................................................... (Description) 4. ~timated Cost ..... $.;.~,~.O.Q.Q. ............... i.....~ ............. Fee J..~.~..~ ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .O.~.q ................ Number of dwelling units on each floor .....q.~..e. ................. If garage, number of cars ............... N.~..A. ....................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....]~/.A ................ 7. Dimensions of existing structures, if any: Front .....~,~.~. ................ Rear ...._la!.B!! ................ Depth ...~.! ........... Height ...... R! .............. Number of Stories ............1...~.~ ......................................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... ~.0.!. ................... Rear ........ ~0 ............... Depth ....... ~,.! .......... Height .....B.~. .......... Number of Stories ............... ]._.1/2, .......................................................................................... 9. Size of lot: Front .......... 1(~0.~ ..................................... Rear .,1.0.Q....-...;[z~I'.e~%l,lftr..... Depth ..... 10. Date of Purchase ............... .]....g...6...5. ............................... Name of Former Owner ........................................................ 11. Z~ne or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ ~Q ........................................... 13. Will lot be regraded . ......... ~.Q ............. Will excess fill be removed frg~l~n~F~ises:( ) Yes ( ) No 14. Name of Owner of premises ..... [a~e.~..~.....]~.].~]~.~l. ..... Address ~l.~,[t~.., ...... Phone No.~.~..$..~.~.~..~ .... Name of Architect .............................................................. Address ................................ Phone No ....................... ~5 Riverleig~ Aje Name of Contractor ..... ~..0.~.~..~..~......0..(~Ok .................... Address~i~,e~.he.a~...~,.~l-none No.'..~:....~.v.:..':. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description according to deed; and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ ¢ S COU N'FY OF ....... ~.E~lk ........ f ~' ................ ..~..b.$,r.t~..~,...f~D.O~ .................................... be ng duly sworn, deposes and says that he is the applicom (Name of individual signing contract) above named. He is the c~ntractor (Contractor, agent, corp~rate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the Said work and to make and file this application; that all statements contained in this application are true to the best of his knowle~ and belief; and that the work will be performed in the manner set forth in the app~e'~t'Jon~ffl~ therewith. Sworn to before me this ...... 2~.~"k ........ day of .i ............ O~to,b~c ............. , 19..-2.7.., x,l /' ~,J/.,,-'~-~- ~k,,~,~b,~' \' //- ~) ~ . ~ / ~/~/)~ Notary Public,. ................................... $.~,~l,kCounty ...... gl.. - ...~..~~;... o~'..f .~ .~C ................... NO. 52-$X25850. Suffolk C~,,' Term Expires March 30. !