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Home My WebLink About11999-zFORM NO. 4 TOWN OF SOUTHOLD BUtLD[NG DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13150 Date Ja~. 16 ., 198..5 THIS CERTIFIES that the building ....... .A. qc..e.s.s.o.r, y .............................. Location of Property ..1..5.0 ................. .M.a.p .1.e..R.d.: ................ S..o.u.t.h..o.l.d. .... House No. Street Hamlet County Tax Map No. 1000 Section ... 0..5.4 ...... Block ... 0..9 .......... Lot . .. 0..0.9 ........... Subdivision .......... X. .................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated October 22 ..,19.82. pursuant to which Building Permit No. 119997. dated .... .N.o.v. ~ ..... 4. ............. 19 .8.2., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which ttfis certificate is issued is ......... ~ccessor¥ Shed The certificate is issued to JO ANN & FRANK RIZZO (owner, le~e~ of the aforesaid building. Suffolk County Department of Health Approval ............N/.A. . ...... ..................... . UNDERWRITERS CERTIFICATE NO .................. .N/.A. ............................ Building Inspector Rev. 1/81 BUILDING DEPARTMEN TOWN !HALL SOUTHOLD, BUILDING" PER~iT Rev. 6/30/80 nspector (THIS PERMIT MUST BE KEPT ON TH,~ PREMISES UNTIL ~ULL COMPLETION OF THE WORK AuTH(~RiZED~ ! ~' ..~; ~ .....~ . , ~s ~ z ~,~ .~~ ............. ~.~ Permissio~ is hereby granted..........to:,,.,,~~., ... ~ ..,. ~ ~ ~.~ , ...~:} ......... ~~ .... ,.....,.., ~...~.~ .........~......?: ....... ~ ................................................ ~t premi~ [~t~d ~t ......... i.. .;-. .............. put,ant ~6 application dated ...... ~:..~..~:...~:...., 1 nd ~*pprov~ by the mP ~'~s~ec'or. Buil~ing FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter OR ink, and submitted ±n dup±tothe Building Inspec- tor 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" land uses: 1. Accurate survey of p~operty showing 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 informa- tion required to prepare a certificate. C. F~es: I. certificate of occupancy $5.00 2. certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 , Date ......... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Pro arty //.~.,~..~ ..,~/..' ~ ~ ~.'~..~..; ' OwnerorOwnersofProperty ~/~9~...'~,,~.~..t."~.~19~/-~'< ....... ii i} iiiiiiii[.;.il.'~ County Tax Map No. 1000 Section . .~./. ........ Block .. ~.. .......... Lot...~.. · ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./..~..~x~.,~. · Date of Permit ~//-/~/~ppJicant ............ ,. ..................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~. ................ Fee Submitted $....~,', r.~_~.onstruc~.on on above described building~at~d pe~it meets~ppli~e codes a[~Vregulations. .................... Rev. 10-10-78 FIELD INSPECTION 1. FOUNDATION ( 1 st ) COMi~,ENTS . FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: .,> ~5-T802 9 AM 'TO ~ PM FOR THE ~OLEOWfNG ik~?FCTfO~4S: L$. FOUNn~mIOH - TWO REQUIRED FOR pr~uRrn CONCRKT~ ~. ROUGf4 - FRAMW~ ?' p/.tJMS~NG ~E CO~~Pf f'TF FOR C. ~ ~LL CONSTRUCTION 5~ALL THE REQUfRFMENTS OF THE N.Y, ~A~ CONSTRU~ION & ~ODES. NOT RESPONSIBLE FOR ~IGN OR ~RU~I~ ~RRORS. 12 Concrete Grade Slabs Slab-on-Ground Construction: Floating Slab Foundation bars, 26" concrete 2 in;utafioa spaced 2 ~nches apart af 24" centers fo form concrete keys for bearing relnforcement -- molsfure barrier 6" mtn. other notes and d~mens[ons not shown, same as in drawing above any wood bearlng -r-~- ~relnf°rced , partition or masonry [ ] ~co~crefe stao .onbearlng partition I I ' t ,art, er · ~... ~.%~ '¥ ,.:..T .. ~' :_ q,~-',~ ~4 min. compacted, 4 mm., uniformly gra~ed / ~ I 6" max. crushed stone ~ mm.[ 8 mm. ~8 m~ or gravel fill Constructions illustrated are for wood frame buildings with heights of 12-foot maximum from floor to cave and 20-foot maximum from floor to gable peak. For concrete and concrete rein- forcement requirements, see text entitled, "Concrete," part 3, page 16, and "Reinforced Concrete," part 3, page 39. For anchorage of wood sill to foundation, see illustration entitled, "Anchors and Nailing for Exterior Stud Walls," part 3, page 71. Proteetlon Against Frost Ac- tion-The adjoining ground is to slope away from the foundation in all directions, and the underlying soil should preferably be sand or gravel to reduce to a minimum heaving due to frost action. Silty sand or clay soil should be avoided. For perimeter wall foundation, bottom of footing is to be below frost line. If necessary, footing drains or other means that would reduce height of water table below the slab may be installed. For foot- ing drains see illustration entitled, "Foundation Dampproofing and Waterproofing," part 3, page 11. Note A: two ~ bars for wood bearing partition if one story; two #5 bars for wood bearing partition if two stories and for masonry nonbearing partitions; masonry bearing partitions are to be sup- ported on separate foundations. Far additional requirements, see text entitled, "Concrete Slabs an Soil," part 3, page 10. CODE MANUAL FORMNO. 1 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N'Y. 11971 TEL.: 765-1802 Disapproved a/c . . :': .--: ....: ........................... ~ / APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No. Z/.~..~.~. ....... a, This application must be completely f'flled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bull~ on pre~, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout bf'l~roPe~ must be drawn on the diagram which is part of this appli- cation. ~. ,,The work cove. red, .by. this ,app..li. cati~ m, ay.~0t ~ commenced .hoforeissuan~ ofbailflt~ Permit. · upon approval oz this application, the uullding Inspector will issued a Building Permit to the applicant. Such pe~iidt shall be kept on the premises available for inspectior[ throu~a~out the ~ork. 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-smart,by theJ~u~Uag laspeetor. - .............................. APPLICATION IS HEREBY MADE to the Building Depa~:haent for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Suuthold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr~ed. .T~ applicant agrees to comply with all applicable laws, ordinances, building code, ]lousing !~odeu~nd regulations, and to ad.it authorized inspectors on premises and in building for necessary inspecti0nsj /// ~ _ : .... .... .......... -- ~ (S~pp~. 9.-in~, ~ name~corporation) ,. - -~q ~ .~llllll :I~ .~.filing addre*s of applicant, State whether applicant i~ owner, lessee ~ architect ~,~l~ll~ .;~,i~ '. . ,, ge.~k. ' , engigl~r,, generq~ntractor, electrician, plumber or builder. ............................. ~~I !?~- ...... r~- -- i ;. ' ~, ' ............... ~neofownerof~remises .... C.~:':~ ~_~ !~..;~ ' ..... .... ~ias 0~ ~-'~ii;;&;;~) ......................... If applicant is a corporation, signature of duly authorized officer. ~ (Name and title of corporate officer) ,,~ Builder's License No .... ~.~..L.~ .............. Plumber's License No... 21 ....... : ............. Electrician's License No .................... .,.... , o ~, . Other Trade's License NO ...................... on which p~po~d work wai be done. ./Ye ..,~..~Z'~,_.../_F..~.. 1. Location of land House Number ~;r'e;i Hamlet County Tax Map No. 1000 Section .... ~.~.. ~.. ...... Block ..... ~.. ~. ........ Lot ~..~..~.-.~1~~ Subdivision ...... ~ ............................. Filed Map No ............... Lot (Nme) ............... State exist~g u~ ~d occup~cy of pmmises~~and ~tended use and ~p~cy of proposed construction: a. Exist~g use ~d occup~cy .... ~.~O 7 [~ b. intendedu~doccup~ ..~..~. ~ . ...... :7 ..... y ...... ,. ........................ [.. 3. Nature of work (check which applicable): New Building ....~..... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... Fe, ,i __ (Description) 4. Estimated Cost ...... ~..o. ............................................. ........ (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, commerciai 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 9r additions: Front .. ~ ./~. .......... Rear .. ~.&.' ............ Depth .. ~ .................. Height .... ~. .............. Number of Stories.../ ................... 8. Dimensions of entire new construction: Front .... /..'~..( ..... Rear ..... /..Z</../ .....Depth ...~'f. .......... Height . .~f.( .......... Number of Stories ....... /. ................................................ 9. Size of lot: Front ........... : ........... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vio!ate any zoning law, ordinance or regulation: . . . ,~S,!.~. ......................... 13. Willlot beregraded ........ ,(]~.0. ",,"y.~' ~ ',: .... Will excess fill be r,emoy~d~from premises: Yes t~ Name of Architect ..... ~. · ,~.',~ .- Address Phone No . . PLOT DIAGRAM Locate deafly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEV~DR~,/~./ o o . (Name of individual signing cdntractf~'~' above name~. , He is the ......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dull, authorized to perform or have performed the said work and to make and file this application;ithat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be, performed in the manner set forth in the application filed therewith, Sworn to before me this ' .......... ~..day of ...... , Notary Publk~c ......... -¢-, ...... ~. £ounty ~SOTARY PUBLIC, Stere of New Ye[~, ' No. 52.8125850, Suffolk eouja,,~t~. ' rsrm Expires 'March 30o I~Zz- being dul~ sworn, deposes and says that he is the applicant