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Home My WebLink About10085-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22809 Date DECEMBER 21, 1993 THIS CERTIFIES that the buildin~ DWELLING Location of Property 1050 LONG CREEK DRIVE House No. Street County Tax Map No. 1000 Section 55 Block 4 Subdivision Filed Map No. SOUTHOLD~ NEW YORK Hamlet Lot i0 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 1978 pursuant to which Building Permit No. I0085-Z dated DECEMBER 28~ 1978 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 WITH GARAGE & SUNPORCH ADDITIONS * The certificate is issued to GEORGETTE S. BRAUN (owner) of the aforesaid building. SUFFOLK COUNTer DEPARTMENT OF HEALTH APPROVAL 8-SO-150-MAY 25~ 1979 UNDERWRITERS CERTIFICATE NO. N435103-5/79-N605990-6/83-N6561350-8/1984 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-9547 DATED 6/4/79 FOR NEW DWELLING CO Z-12032 DATED ll/2/83-GARAGE ADDITION, & CO Z-12789 DATED 9/19/84 BUN PORCH ADDITION Bui~ing Inspector Rev. 1/81 FOI~M NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10085 7 Permission is hereby granted to: ...... ~....~za..~..~z~z.~ .......... ~0 ............................................... .. ~ ....... · pursuant to application dated ~C~~...~ ....... , 1~.~., a~ a~oved by the. Building Inspector. Fee $..~. ....... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to ~he 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. Gommercial building, industrial 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 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. 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 building $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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date December 17, 1993 New Construction ........... Old Or Pre-existing Building ................ . Southold iLocation of Property ...... ..........1050 Long.~ree~... ......Drive ........................................... . . House No. Street Hamlet Onwer Owners of Property Georgette S/ ~sup County Tax Map No 1000, Section...~ ........ Block..4 ......... Lot...lO ~Subdivision Filed Map Lot Permit No ................ Date Of Permit ................ Applicant .................... . ....... . Health Dept. Approval ....................... · . . Underwriters Approval.... ................. . . .. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certlcate ........... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY [~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT ~Ob~O~ ~o~ho~d, N,Y. in t~e~ol~in~ ~otlon; ~ B~e~nt ~ Is~ FI. ~ ~ Fl. ~tion Bilk ~ exami~ on ~a~ ~ ~ ~ ] ~ ~ ~) a~ fou~ to be in complia~e wlth t~ r~ui~nts of th~ B~rd. = 125 P OTHE R U · ~-~.I~'.'~. fiXTURE LEPTA I WIT I RXTURES 10 ] 33 15 10 S 1-Smoke Deteoto~ RAHGES 1 30 R V I C MULTI,OUTLET SYSTIMS NO.O~ FEET EXHAUST FANS 4 L10.138 This certificate must not be altered in any mannerr return to the office of the Board if incorrect. Inspectors may be identified by tld~ic~c, redentials. .... ce~Y K)B mLO~,~_ OEP.qEn~NT. TH,S COPY O~ CERT,F,~_M~NOT~'la~ m~ANY.~ MANN~ Concrete Cradle Slabs Slab-on-Ground Construction: Perimeter Wall Foundation ii wood frame ]'~-j' insulation f-relnforced or masonry/~ J [127 ltl-~. /concrefe slab tr' ex e ,or ,. ...~._.~.~ . . ._=~,; ;: ~ ~ . · , ...... ~' I tach ~-_/ ,~ v:'., 'd.'., ~' ;:::' '""'J~ graded gravel fill or / ~ crushedsfone L-fooflng drain, x. baH'om of fooling if used below frosf llne Lw xL, R2.7. RI-7 .r, slab insulation Ll--'-7 ./q- slab .motsfure barrier fill ;nsulation :;lab motsfure battler ~ fill J.., ' 1'-8"mln. ~J CODE MANUAL lnsulaflon slab battler -6" minimum' Insulatlon~In dwellings, insulation is to be of the rigid type and tho following materials and minimum thicknesses are acceptable: Cellular glass enclosing sealed-in gas: dipped, after cutting to size, in roofing pitch or asphalt; 2 inches thick for R1 and R2. Use wire ties for attaching to masonry in a vertical position. Glass fibers with plastic hinder: dipped, after cutting to size, in roofing pitch or asphalt; % inch thick for R1 and R2. Cane or wood fiberboards: dipped, ' after cutting to size, in roofing pitch or asphalt to form heavy coat; ~ inch thick for RI, 25z{z inch for R2. Hard cellular rubber enclosing sealed- in gas; 1,~ inch thick for R! and R2. For attaching to masonry in a vertical position, coa~ with asphalt or pitch or use cement keys or metal ties. (See also text entitled, "Concrete Slabs on Soil," part 3, page 10). '.1 TOWN CL~KX'S $OUTHOLD, H. Y. ~=pproved ,:/ ~ ........ ;':":_Z'"":'"".--~ ............ ';~ ................. "?' .................... ................................................................ ...................... ~. This application muSt be completely filled in by typewriter at in ink and submitted in triplicate to lhe Building inspector, wlth ~ sets a~ plans, ~r~e plot ~l~n to ~le. Fee ~ccording ta schedule. :' '~-: :-'~ ~ Plot plan shying I~tion of lot ~nd of buildings on premises, ~l=tians~ip t~ odjoinin~ ~rem:ses o ~ m ~e work c~ered by this ~ppJic~tion may not be cemmenc~ before issuance of Building P&rmit. '.. '..-> .' ,:- d, Upon cppr~ol o~ ~is ap~Hc~tlon~ ~e Building Inspe¢tor will i~ue ¢ Building Permit to the applicant. Such permit h~ll be kept an the premts~ ~ail~ble fac inspection thraughou~ the work. e. No building sh~lt be ~cupied ar'used in Whale ar in pa~ for ~ny pu~ase whatever until a Ce~ific~te.o~ Occupancy hell h~e bee~ gr~nt~ by the Building I~p~or. APPL CATION IS HEREBY ~DE ~ the Buildin~ ~?~.nt fa~ ~he i~u~nce of luilding Zone Ordinance of the Town of Southald, 5urTaik baunW, New York, ~n~ other applicable Laws, Ordinances or tegu arians, for the can~m~ion o~ buildings, additions ar ¢:ter~ian~ ~,~ar removal or demolition, as herelg described. Fha ~ppl~cant ~grees to comply with all appl cable laws, ord~ncnces, bu ~¢mg c~e, housing c~e, and re~~ ~dmlt amhorJz~d inspecto~ an premises ~nd in buildings far n~ess~ inspections) ' . ~-~ ..~ ..... ...~:.:: .............. . . ............ :~ ......... ~. (Sight.re of ~pplic~nt, or ~me, ff o'co~oratlon) '/a , ............... ........... ............................ tcte whether" appliccnt is owneG lessee, agent, ~hltect, englne~G generol ~J --controc,oG elec~ician, plumber or build.r. ~ . , - ~.~:4~ ............................................................................. , ........................................................................... jf ~ppliccnt is ¢ comor~te,' sight, re of duly ~uthorlzed (N~me end title of co~omte officer) Builder's License No ......................... ~ .................... .. , No//' ./.( //.. EJectncson s Licensa ......................................... Other Trode's License Na ............................................... ~'/-.~--7: ................ Lot No..J...O~... ............. Location a~: land on which proposed work will be dane. Map No.: Street and Number ......... /,/~.,,~.~.0 ...... ' Munlclpal[~ State existing use ond occupancy of pcemlses ~nd m.ende~ use ~nd occupen~ of proposed construction: e. Disiting use end ~cupancy ............ Demo~itlon .................... Other ~'ork .............................................. Re~oir ..................Removal ...... ~ ........... /~ ~ ' (Descryt~on) 4. [st'imfted Cast ~ ~t..~ ................. ; .............. rea be paid on filing this 5. I~ dwelling, number o~ dwe[Iing units ............................ Number of dwelling unffs on each flor ........................ If ~arage, number of ~rs ........................................ : ............................. 6. I~ business, commercial or mlx~ occup3ncy, specifi/ natdre gnd exJent of each t)~e of use'. ....................... 7. Dimensions oF existing structureS, ff any: Front ............................ Rear ................................ Depth .................... H,.*gnt ........................ Number of Stories ................ :- -- Front Rear ........................ Oim~ns]ens of same structure with ~lterotions or Cd J,t,:n ..................................... 8. Dimensions of entire new cons,ruchor~. Fro,hr ..,~.. ~.~' ........ ......... ........ ; ...... ............... Z;L ===================== .. ~. ~, ,o~: ..o,,, ............ zT~ ......................................... Z .......................... - --- 10. D~te oF purchcse ...................................................... Nom~ of Former ~nor ................................................... ] 1. Z~n~ or use district in which premises are situated ........... ~..'- ............................................................ ,~., ~_~ ~ ...... ~ ,~ , Will excess fill be removed fron~ premises: ( ) Yes g ~, ~ ~ "~-,. '~ Address I ~ ~~ ..... ynon~ .......... .-". '.,. ~. . ........................ Address .v~,. .......................... :...r,~-- .. - -~.. ................................................... Add e .. ~c:cte cle~r¥ ~nd dist n~ly ~11 buildings, whether e~isti~g ~J' proposed, and indlcole oi1 set~ck dimensi'ons ~hether i~teriar or comer lot. kc.~ave n~med. ~ ff ~:_. ,s t.".e ........ .~jZ~Z(.~'~ ........ i~;;'~i~;~"~'~'::~'~'/'~'~;;;~';~i~'~,'f'ce~, ~'~-~ ' ' · ~ · -," ll--tbn are true to the bss~ o~ his knowledge and bel~e stc~emenrs contempo m ~nts opp, ~-,~ ,- _ ~',- ~ ~r~with ~/83o42'00' 14§.0~ got lB NOTE'C[: MONUMENT FOUND E~: STAKE ELEVA¥tONS SHOW TFtUS. EL: I~.0 ARE REFERENCED TO AN ASSUMED DATUM, SUBDiVISiON N~AP FIL. ED iN THE OFFICE THE CLERK OF SUFFOLK COUNTY ON OCT, 9~ i968 AS FILE N0,5187, L~ot ~5 - - DR/VE CREEK 145.0~ Lot I$ NOTE:II: MONUMENT FOUND El: STAKE ELEVATIONS SHOW THUS. EL-- 13.0 ARE REFERENCED TOAN ASSUMED DATUM. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCT. 9~ 1968 AS FILE NO. 5187. Dot 56 , C EEK NOTE'JI= MONUMENT FOUND I~= STAKE ELEVATIONS SHOW THUS; EL-' I$.0 ARE REFERENCED TO AN ASSUMED DATUM. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCT. 9~ 1968 AS FILE NO. 5187. DR/YE 4 ., ,,, :;, ,,,,,,,,: : ___::'