HomeMy WebLinkAbout11636-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate O[ Occupancy
No, ,Z,1,I, 4, .97 .......... Date ....... .F?.b.r:u..a.vy..2..4 ............. 198.2..
THIS CERTIFIES that the building ................................................
Location of Property 3915 Vanston Road Cutchogue
House No. Street Ham/et
County Tax Map No. 1000 Section ....1 .1.1 ...... Block ... 1. .6 .......... Lot . .0.6. .0 ............
Subdivision . .X. ............................ Filed Map No..X. ...... Lot No...X ...........
conforms substantially to the Application for Building Permit heretofore flied in tkis office dated
·...g.p.p. ~..1..1.6. ......... 19.8~ pursuant to ~vhich Building Permit No... ] .1.6.3..6..Z ...........
dated ....~.a.y.. 6. ................... 19 .g.2., 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 .........
' .........................................
The certificate is issued to .... ~9.~E.R..T..&.. 49.g. Iq...L .E.E.N..~. g. ? ..............................
(owner, I~.so~ or~term~
of the aforesaid building.
Suffolk County Department of Health Approval 3.2.= S. 9:.4.~,..2.42.2./.8.3.,..~9.b.~ ....3......V ~.3_.~ a. ,.
UNDERWRITERS CERTIFICATE NO ........ bl..5 ~ ~.l.3. zt ................................
Building Inspector
Rev. 1/81
TOWN HALL
SOUTHOLD, N~. Y.
BUILDING PERMIT~
(TH S PERM T MUST BE KEPT ON TH,E PREMISE,$ UNTIL FULL
COMPLET ON OF THF WORK AUTI~0P-IZED)
N? 11 fi36 Z ~ote ...... ~:...~i.E..J,..~...i ............ , ............. l~..~..~
Permission, is hereby granted to: ~70L
........................................... ...... ............
~o .O~...L .ti~O.g.l ...... .C~, ..~.: ..... z ; ..,~.~,~. ~../..[.!~1 ...... , .........................
at p~emises located -* 0/ ( B g~g~ ~/~ ~ g ~ ~t~., .......... ....................
CoU~ *~ ~p Uo. ~000 so~t~o~ .,..txJ .............. ~k .: ..... ~ ......... ~o, Uo. ~..~ .......
pursuant t0 application dat~ ......... 'F' .......... :"'~"'V"'""' ' ....... , 19. and Oppr~ by the
Building. I?pector.
Fee · · ·
Rev. ~/3o/}o
TOWN OF $OUTHOLD
Building Department
Town Clerks Office
Southold, N. Yo 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building
Inspector 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
installations, 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"
land uses:
1. Accurate survey of property shewing all property lines, streets, buildings and unusual 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 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
Feb. 22, 1983
Date ................................................
New Building ........ ~, ......... Old or Pre-existing Building ............................ Vacant Land ............................
Location Of Property ..... .3.?.~.1~.5.~.V...~.~..s.~.~..~..~.d.~.~.~.~.C.~.~.h..~.~.u.~.e.~..~..N.~.~ ..................................
Owner Or Owners Of Property ............... ~,Q~.~..~'.~;...~.¢.~D.~.~.~ .....................................................................
.... Co. Tax Map ~1000 Sec. 111 . . 040 ....1..4. ..... House 3915
~uDaivimon ................................................................ [-or No ............. Block No.
11636 Z 5/6/82 Donald A. Denis, A.IoA., P.C.
Permit No ..................... Date Of Permit .................... Applicont ..................................................................
2/22/.83 . L ................................................
Health Dept. Approval ......... .~..~ ............................. abor Dept. Approval
12/9/82
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ....... .5..t..0...0. ....................... Final Certificate ..........................................
Fee Submitted $ ..... ~...~}.0. .....................
Construction on above described building and p, er~i,t meets all appl~eab,le codes and regulations.
Sworn to before
day of ..........
No. 52-812§850, Sulfolk
T~m I~pi~s Ua~h 30,
(stamp or seal)
ioo,lo?l THE NEW YORK BOARD OF FIRE UNDERWRITERS
~'~ BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEw Y~ORK 10038
,a,e nece~ber 9, 1982 ~pplic,tio, r~o. o,/ile 176622-82 N§ 8 6 13 4
THIS CERTIFIES THAT
Robert Le~rt, Little Peconic Bay Rd., Cutcho~ue, N.Y.
in thefollowing locatlon; [] Basement [] Ist FI. ~] 2nd FI. , Section Block Lot
was examined on D~r 6, 1982 and found to be its compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
41 45
DRYERS
SYSTEMS
NO. OF FEET
~tors:l-lH.P.
1-G.F.C.I.
1-4tonA. C. Unit.
E R V
NO OF CC COND, A.W,G,
PER ~' OF CC, COND.
1 2/0
C
OF HI-LEG
OF NEUTRAL
z/o
G & S El~tri~
P.O. ~ox 215 .
SouChold~ N.Y., 11971 Lic.#578 g
This certificate must not be altered in an)' manner; return to the office of the Board if incorrect. Inspecto[s may be Jdentifie~ enJiaJs.
FIELD&~IN~ECTION
FOUNDATION
(1st)
COMMENTS
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION FEE N. Y.
STATE ENERGY
FINAL
ADDITIONAL COMMENTS:
DONALD A. DENIS A.I.A., P.C.
AQUEBO(~UE SQUARE - RTE. 25
P, O, BOX 565
AQUEBOGUE. N. ¥. 11931
May 5, 1982
Southold Town Building Dept.
Main Road
Southold, New York 11971
ATTN.: Mr. Edward Hindermann
Re: Residence for Robert Lehnert
Dear Sir:
In reference to the above captioned project, the
Plans for which are dated 12/23/81, the required U-factor
for opaque walls conforms to the New York State Energy
Conservation Construction Cod~/~
~~Ver t uly yours,~~i~A~.~i.~~
DAD/iv
6
SEE SEC. NO. 118-0t-0{!
LINE
26
30
{.4A¢c) 31
L6A(C)
1.4
6A(c)
[50')
KEY MAP
(~ COUNTY OF SUFFOLK
Real Property Tax Service Agen
County Cen~er
RiverHeod, L f, New ~ori,
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved'~.~...'¢~...'~-~ , 1 ..~...~... No../..~.~...~.....~.....,~...
....... 7 .......................... __'"*' ..... Permit ....................
Disapproved o/c ........................ ~ ............ ~ ........................................
APPLICATION FOR BUILDING PERMIT
Date ............................... , 19 ....
INSTRUCTIONS
a. This application must be completely filled in by typewriter orJ in ink and submitted in triplicate to the l~uilding
Inspector, with 3 sets of pbns, accurate p~ot p~on to score. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relotibnship to 6djoining premises or public streets or
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.
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 issue o Buitdlng 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 pa rt for any purpose whatever until a Certificate of Occupancy
shall hove been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department f..qr the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Coun~,/New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterat~'on~, or for removal or de'~qlition, as herein described.
The applicant agrees to comply with ali applicable laws, ordinan~e;~, ibuilding code, housing co~e, and regulations, and to
admit authorized inspectors on premises and in buildings for Req~ss~ry inspections.,-~ \
...............
v (Signature of applicant, .dF-name, if o corporation)
P,O. Box 565, Aquebogue, New York 11931
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder·
ARCHITECT
Name of owner of premises ..... .M...r.:.....&.....M.~..s.:....R..o...b..e...r..t.....L..e..h...n..e...r..t. ...................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Plumber's License No .................................. ...-~z...~....<~ ~
Electrician's License No .............................................
Other Trade's License No ...............................................
Location of land on which proposed work will be done. Map No.: ........ ~,~.,6. .......................... Lot No..~.,O.~ ..............
-~/~t~-- Nassau Point, Town of Southold, New York Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ................................. ~,,~.g,~ .................................................................................
3. Nature of work (check which applicable): New Building .....x,X..X. ....... Addition .................. Alteration
Repair .................. Removal .................. Demolition .................... Other Work
4. Estimated Cost $140,000.00 Fee ~ 'f;~c?'~"/" (Description)
(to be paid on filing this application)
ONE __ _
5, If dwelling, number of dwelling units ............................ Number of dwelling units on each floor
If garage, number of cars TWO
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
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 61 ' -0" " 61 ' 0"
.................................... Kear .......... .Z ................ Depth 32 '-0"
Height 25' Number of Stories TWO
9. Size of lot: Front 157' (irregular) Rear 198' 150'
.................................................................................................. Depth ...............................
]0. Date of Purchase July, 1980 Name of Former Owner Michael Tarulli
11. Zone or use district in which premises are situated "A" residence '
]2. Does proposed construction violate any zoning law, ordinance or regulation: NO
]3. Will lot be regraded ....... .,Y.E.,.S .............. Will excess fill be removed from premises: ( ) Yes (x) No
14. Name of Owner of premises ..N..r..'....~...M..r..s..:....R..9..h..'?-..:..L...e.h.n..e..r~,ddress ..?.~.r..d...e..n.....C...i.?:..y..... Phone No...2..4..8..7..2...1..8...8...
Name of Architect Donald A. Denis, A.I.A. Aquebogue.
.............................................................. Address ............................... Phone No...7..2..2...-..3...5..1...1...
Name of Contractor Glenn F. Heidtmann &SON Address Cutchogue
............................................................ Phone No. 734-7484
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back 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.
**SEE PLOT PLAN**
STATE OF NEW YORK, IS S
COUNTY OF ...... .S...U..F..F...O..L...K. ......... )- ·
DONALD A. DENIS
................................................................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ...................... `A~R..~.~.~.~..T~E..~(~~.~.~.~~i~i~ ...............................................................
of said owner or owners, and is duly authorized to perform or I/bv~ performed the sa d r'G'or.k and to make and file
this application; that oil statements contained in this applicatio t ,ar~ true to the best of his knowledge and be et; and
ti,at the work will be performed in the manner set forth in th~ ap~ Iication filed therewith. ~ ~
Sworn to before me this .~ ~ , ~ . ~ '...
...... ............ of . / ..................... , /At, i,
........ ...................
/ ..t/_ / ] (Signature of/applicant)
KAREN J. ORTI~ [../ '
NOTARY PUBLIC, Slate of New York DONALD A. DENIS
Suffolk County - No. 4705364
Commission Expires March $0, 19ocx,.'~
SUFFOLK CO. HEALTH DEPT. APPROVAL
SYSTEMS. THIS RESIDenCE WILL
CONFOR~ 1~ ,THE STAN~ARD~ OF THE
SUFFOLK COUNTY DEPT, OF HEALTH
SERVICES -- FOR APPROVAL OF
S~FOLK CO. TAX MAP ~SIGNATION:
BL~K ~L.
o~T. ~CT.
~v~:..
o0~ ' or
formefly
~A
I SURVEY FOR
SUFFOLK COUNTY HEALTH DEPAETNEN~ ~O~ERT LEHNERT
OATE ' ':~- 2 2-~' ~. D. ~z..¢~.~I..e%c.~J;i~AT ~/ASS~U POI/VT
The ~ewaS~.. disposal and water supply
facilities for this location h~ve been
inspected by thisfdo~partmsnt,~ and fou~jd
be
~'C~j~3.~3.f ~f Goner~t En~in~erinE
'~ ~erv~ces
ADDRESS
· = MONUMENT 0 -- PIPE
~EFE~ ~'0 '*AMENDED MAP ' A * OF N,~$SAU POIN~"*~I~ ED IN
~HE OFFICE ~ ~'NECL~F~K OF SUFFOLK COUI~T>' .~ . *' ~ I~
# THE LOCAI'~N OF Y/ELL(W), L'IEPTIC TANK($T)~ CE$.~IIOOL$(C~) ~NOWN HE.I~EON
ARE FROM FIELD O~ERV~TIGN$ NJO OR O&T& O~TNHEO FROM OTUftR$
BRANOIS & SONS, INC, t618
TOWN OF SOUTHOLD
SUFFOLK COUNTY. NEW YORK
OATE: U,~/V. G, 1985
SCALE: / - ~0'
NO.
' , '~:<' S NDE R AVENUE
YOUNG a
ALDEN W.YOUNG, PROFESSIONAL EblGIN, E ER
N.Y.S. LICENSE N0.45~9]
,1'
L
65
/
NOTIFY BUILDING DEP~RTMENT AT
765-1802 9 A~ TO 4 P~ FOR
FOLLOWING 1*&PECTIONS
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
CODES· NOT RESPONSIBLE FOR
DES[GN OR CONSTRUCTION ERRORS·
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