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Home My WebLink About11537-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z. J .2.3.9.3. ........ Date ...... ~).R.C.H...2.9. ................. 1986 THIS CERTIFIES that the building . .?.d.d.5.~..i.o.n. Location of Property ...28.55..CT.r.o.n.4. A¥.e ............... l'~.~.~.J,~ .ug.k. ................... Hous'e No. ' ' ' Street Hamlet County Tax Map No. 1000 Section .'1.0.~. ........ Block ...0.6. .......... Lot .... O.'J ~ .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~).e.c.~]~fi~.. 23 ..... 198.'q. pursuant to which Building Permit No ...... .~fi.535~ ......... dated ..... ~Ta!q.~a~2y..7 ............ 19~32., 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 ......... ~or a~ additio~ to e~isti~g dwelling The certificate is issued to Johrz & Aurelle S~ack (owner, le~ee or tenant/ of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. N 5 9 9 3 6 9 Building Inspector Rev. 1/81 No. Permissior FOEI~ NO~ ~ TOW~ ~0~ BUILDING TOWN HALL SOUTHOLD, N. Y. ~1537 BUILDING FEPJ~iTi (TH S PERM T MUST BE KEPT ON ~TH,E PRE~IS~S UNTIL ~ JLL : COMPLETION OF THE WORK AUTHORI~ZED) Z Date .. · iS hereby granted to: ........ ~...,~m~ ...... ~....~, ....... .....~ at premise~s located at · ............ ~ .......................... ...... ~ ......... i.....~........:: ....... , Mop No. 1000 S,ction ;,..ff~.,~.--.i-~1~ {}..~ ..~,; ....... ~L~t No, ,..~.g.~ ........ pqrsHant ~0 application dated ...~;~~..,,.,~ ~. , and bpprov~ by the , ; Bu,il~lng Ihspector. ; ~ ~Rev.i 6/30Z80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec~ tot with the following; for new 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 installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect 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" lend uses: 1. Accurate survey of peoperty showing a~ property ~ines, streets, buildings and unusua~ natural or topographic features. 2. Sworn 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 informa- tion required to prepare a certificate. Fees: 1, Certificate of occupancy $5,00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3, Copy of cert{ficate of occupancy $1.00 use--['re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date . .~.~.t.~... '.~...~. .... / ...... New Building .............~'s~5' OId,~or Pre-existipg~_ ~ Building ............ Vacant Land ............. Locati of Prope ty , · · · ....... on r ................................................. House No. Street Ham/et Owner or Owners of Property .. r .................................... County Tax Map No. 1000 Section ..... ./.~..~. ..... Block ..... ~. ........ Lot .... ,/'..~:": ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ././.,5. ~.~. .Z,. . Date of Permi, ..//?./~.2T..Applicant ....~...c-~......z~..~,-- .............. Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ........................ Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted $ ............................. Construction on above described buitding and permit meets all applicable codes and regulations. Applicant ....~ ............................. ' ...... 1000771 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTR CITY. 1 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,.re ~pril ~.5.1983 App,ieat,o. No.o.S"e ~304~-~1 N only the electrical equipment ~ descrlb~ be~ and introduc~ by t~ applican~ ~ed on the above application number in the premises of John S~ack, s/s Knoll~ood Lz.100%~/ G~and Ave~ ~attiCuck~N~Y~ was examined on a [)~ ~l ~ ~ ~)8 ~ and found to be in compliance wlth the requirements of this Board. FIXTURE OUTLETS 38 FIXTURES SWITCHES 47 33 38 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS LJNIT HEATERS MULTI-OUTLET DIMMERS SYSIEMS NO. OF FEET RANGES COOKING DECKS OVENS EXHAUST FANS SERVICE DISCONNECT S E R V I C E OTHER APPARATUS: NO OF CC COND, PER ~ AW, G, OF CC COND 4/0 NO, OF HI,LEO NO. OF~EUTRALS AW, G OF NEUTRAL P.O. Box 143 ~~/ /· Matt~euck~ N.Y.11952 lie.~42E ~ GENERAI~ MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be idehtified~ b~, their 'credentials. COPY FOR ;BUILDING DEPARTMENT. THIS COPY OF C A~.Y MANNER. Ru.~,,1 t!oute 19o. 1~ Box Ma'ttltuck: ?I.Y. 11952 i~oi!dii! , tns?ctor Towa Hall Sout,hold~ Dear recod?llzo the re. sort for 'tho stair-railing] require;,}ent. In our c~.se~ however~ [~ay I point out ~ohai tho stair?ay loads only to ;0y sLudio~ in which I paint. [~hs sto~irv~ay is in a house occopiod onl~ by Lwo ad.miLs an~] the stud~o is normally used only by ,~,self. ~ railing would be an impedJ, msn~c 6o moving ]ar~er canvases. t;'or those reasons~ I respoctfully roques±~ a v~riance o~ this re(julaLion and do hereby absolve Lbs building department 5f any responsibility in this ma±:ter. Thank yoo for your intorowt. Sincerely, FIE~D I~SPECTION ~ DATE COMMENTS 1st) 2nd) ADDITIONAL COMMENTS: FOUNDATION FOUNDATION 2. ROUGH FRAME FLUMBI FINAL INSULATION FER STATE ENERGY qODE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H.Y. 11971 TEL.: 765-1802 Examined .~./'~77 .... .~..,., 197./. Disapproved a/¢ ....... : .......................... (B ' 'gl ) mkhn nspector APPLICATION FOR BUILDING PERMIT ' Al~plication No././.~-/.~..y ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build' Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiu,¢ to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre or areas, and giving a detailed description of layout of property must be drawn oll the diagram which is par{ of this ap[ cation. c. The work covered by this application may not be commenced before issuar~ce of Building Permit. d. Upon apprc.'al of this application, tile Building Inspector will issue a Building Permit to the applicant. Such pen shall be kept on the premises available for inspection throughout tile work. e. No buildk]g sbalI be occupied or used in whole or in part for any purpo§e whatever untg a Certificate of Occupan shall have been gnmted by the Building Inspector. APPLICATION IS tIEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t Building Zone Ordinance of the Town ~f Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describt The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for neces~~ons__.,~.,,~ '~7..' .... ......... (Mailing addr~'ss of applicant) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build ........................... ........ '.:..: ................. · ' ....~/' .......... ('a; ;'n the'~x'r'o'li or lat''" ' ;~t'~ie'd')' "' '-:'" ................. If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....~2.'/. ................... Electrician s License No.' Ot, lmr Trade's License No ...... 1. Location of land on which proposed work will be done. ~.k"~-f~-./,,~.. Q..-~. ~ ............ House Num her Street Hamlet County Tax Map No. i900 Section ...... /:O..'--J ........Block ....c~..~. ........... Lot...o..t..~-(. ......... 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 ~,,~,a,~? Repair Re~i~oval Dzmolkion Other Work ........................... ~ .......... (to be paid on filing this application) If d,,'elling, number of dwellin:g u.~nits .... ! ......... Nu:nb%r o. f dwelling unit: on ~ac.h .floc%. ]{] .......... If garage, number of cars ...i,.~ ....... If business, commercial or mixed occupancy, specify nature and extent of eac x type of use ...~. ............ ..... Rear Depth Dm~ens~ons of ex~stmg structures, if any: Front ..... ' Height ~ Ni~ber of Stones Dimensions of same structure ?ith alterations or additions: Front ................. Rear .............. Depth . Height Number of Stories Dimensions of entire new construction: Front · Rear Depth Height Nt4mber of Stories ' Size of lot: Front ' Rear Depth Date 6f Purchase ' Nr~me of Former Owner Zone or use district in which .oremises are situated ' :' Does proposed construction violate any zoning law, ordinance or regulation: ....................... Will lot be regraded ....... '. · .' ............. ..... Will excess fill be removed from premises: Yes Nc Name of Owner of premises . i ............. ' .....Address ................... Phone No ............... Name of Architect ~ Address Phone No Name of Contractor ....... ~ .................. Address .................... Phone No ............... PLOT DIAGRAM Locate dearly and distinctly ali buildings, whether existing or proposed, and.~ndmate all set-back dunens:ons fron roperty lines. Give street and bloc~k nmnber or description according to deed, and show street names and indicate whethe ~tcrior or. corner lot. 'fATE OF NEVqYORK' · (Na~e of indMdual siJning.= cont,~ac,,~. -~ .. being duly sworn, deposes and says that he is the applican ~ ~d own~ or ownc~, m~d >pHc~fio~; ~ha~ ali s~aV~mcn~s co~h~ed ~n fifi~ app~afion are ~me ~o fl~c bc~ o~ hi~ know~edg~ and b~H~; and fim~ ~h; worn ~o before otaw Public ~ ...... ' LOAD CA,LC UL ON',:. 247 ~,~. -21' ~ .69 60 10225 ,~ ,'~ inc. ~/~indo~S, F. 6720 . 1400 inc ~ceiling~ ~, 22~ c,~, 1.08 ~ 60 14256 I certmzy tha~ the design for 'the two ~torv the Ne~ York Stmte Ener~ Conserv~tlon code, AMG ' MANIO ~ ~ $,_,~,, CODES. NOT RESPONSIBLE F~R ~'~ ~ DESIGN O~ qDNSTRUCTiON ERROR~, AP~ROV::D AS NOTED ! ' NOTIFY BUILDING DEPARTMENT AT FOLL_O\^r/ING INqPECTIONS: 1. FOUN~AmlON . TWO REQUIRED '2. POll~14 - FRAMING & PLUMBIng ALL CONSTRUCTION SHALL ME~T THE REQUIREMENTB OF THE N.Y. STATE CONSTRUCTION & ENERGY II EAST .I .T ~r ~ NOIIIII II SOIl_TH VEST AM(3A ': -7 ~L ' " ~TI _SE(~ ON d _ .TtlIIU A-A ANDIqlW M., OILy1111 AIIOOIATlil d~ J 'J PN AN I1 MARLO GIANNONi date