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Home My WebLink About12014-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12952 Date October 31 198..4 THIS CERTIFIES that the building ...O.n..e..f.~.~ ~.Z.y...~.e.s.~.d.e..n.c.e. ..................... Location of Property ..2. ~.2..0: .A..~.b.e.~..t .s.o.n...L~B.e. .................... 9~c.e.e ~p.o.nt; ........ ~louse lVO. Street Hamlet County Tax Map No. 1000 Section .0. ~..2 ........ Block . .4. ............ Lot .0.0..0 .1 ...0. 0. 4. ....... Subdivision ?.q d..' n.'.R e e 1..E s t; a.t,e s ......... Filed Map No. 7.6 ~ 23.5 .Lot No ...... 2. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... .0 .c . ~. .. . .2 .8 ...... ,198.2. . pursuant to which Building Permit No....1.2.0.1.4. ~ ............ dated ...~?Y.: · J .2 .................. 19 .8.2., was issued, and conforms to all of the requirements of the applicable provisions of tbe law. The occupancy for which this certificate is issued is ......... One f.a..mil, y. residence, and..g.r.e.e.n..h.o.u.s.e.:.a.n.d...s.h.e.d.: ..... The certificate is issued to ...0~,o,p. go., P....8~. B.o,a~. ~....Cgfi.t.~l%p ....................... (owner, I~ ~r~t~ of the aforesaid building. Suffolk County Department of Health Approval ... ~. 2. r .S.0. x 1 9.3 ............................. UNDERWRITERS CERTIFICATE NO... # N 6 3 3 9 9 9 Building Inspector Rev. 1/81 OWN OF ~OU,'rHO~ · BUILDING D~p~RTMiNt TO~Ni HALL i~ SOUTHOLD, N~¥., BUILDING (THIS PERMIT MUST BE KEPT ON ?HE P~R~IS~Es UNTIL; ~ULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to:~,,~ ~" ~Z.~..~..J' i~!: .. r~.~t~.~.. .... :~....t.~.~..~.~..'.?.~t.t.~.g. ................. ~..~..~ ........ , ........... ;:.~ .............. ...... ~ .........~ ........................................... ~ .................. ~, .??.......~--.~--.~, ...... ~ ........ . ............. , ........................... County r~x Map No. 1000-Section . ..;. Block. +... . ...L!:hot No..~.~..../.;".. pursuant to application dated ..... ~..~:r.~...~..:.:~.... ......... , i9. nd !aPprov by the Bull~llng I~nspector. - : : Fee iL, "-~ THE NEW YORK BOARD OF FIRE uNDERWRITERS lO001'~zl BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, HEW YORK 10038 ~ ~a~ ~e~;~, :~6,~.'. ~.plic..o.~o.o.~,l~ ~0/~ N 6:33999 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the practises of C~org~ Costello, Albert~.)n ~m~>, Rt. ~, i~,~¢..in BoCz:I~ Greenporl:p N.Y. J,~ the followlng location; ~ Basement ~ 1st Fl. ~ 2nd Fl. Section Block Lot was ex~nined on ]~[~[E~ ~ ~ l~ and found to be in con~pliance with the require~nents of thls Board. FIXTURES RANGES OVENS EXHAUST FANS FIXTURE SWI1CHES OUTLETS FLUORESCENT 49 DRYERS SYSTEMS NO. CE FEET E E R I C NO OF CC COND pER ,~ OTHER APPARATUS: Panelboar~-~ ~ l--~cir. A w.G. NO. OF HI-LEG A W O INO OF NEUTRALS OF CC COND. : OF HI-LEG Detectors, 2~' 0~ ? Lites Track AWG. OF NEUTRAL ~r3 Electric Coz/o. (Cliff Oornell) SZ5 %¥111ow Point Road ~omthold, N.Y. ll~l Lic~ ~81~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector may be identified by their credentials. COPY FOFI SU!!,DI~!G DEI~ARTN1EN~. TI' MANNER. FI~,D INSPECTION ?i COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,~;~0uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitte~l;~cctc to the 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing CoO. $15.00 Vacant land C.O. $ 5.00 Date.. I~.~..~.~~. ~ ~ ........... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .. '~...~..~--. ~-~... j~. [h~JF~.~.. LO~,~/~ .~. ;~..(~. ,~-~l,~0..~,'~. ..... House No. '~ Street ~ _ I Hamlet Owner or Owners of Property . .6 .(~_.J~. q.l~. .... ....HE.."-,'~)~-..~: .C~)~'[~_~(. ~ ........ County Tax Map No. 1000 Section ...(~,~;:~. ~ ..... Block ...,L~ .......... Lot. ,~, ,(~,(~ Subdivision. ~ .... ~..~.l~e [.~'~>.'~. , .FiDd Map No, ,~..c~'.Lot No, ,. Permit No. l .~.0 J.q.~ Date of Permit J.{~ !5, ~.Applicant .~(~.~f..~. ~_~0~'~ 1~..~... Health Dept, Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .... ~ ................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...~..'.(~.~) .................... Construction on above described building and permit meets all applicable codes and regulations. .... .................... Rev. 1040-78 242~4o~7-6563 Oct. 27, 1982 TO Whom it may concern : Attached are the Energy Calculations for the Costello Residence° I hereby certify that this submittal in conjunction with the project plans complies with the State Energy Construction Coder New York State Building Dept, dated 1/1/79. I have prepared both the project plans and the energy analysis. .g. Maz~[ar~rro, P.E. lO/ ¢.g '~. rOI % z. // /' /-:/ / Ti+te No. RODERICK~ VAN TU~ P.C. LICENSED LAND SURVEYORS ~FffNPORT NFW YO~K CONFORM I'0 (s}~~ APPLIQA't~'! SUFFOLK C SERVICES -- CONST r UCT~JDNO~ ! APPROVED: ii DIST, ~C~; o~; DEED: L. TEST HOLE ' FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ./. ..... .'.~7 ..... , 19 . .~. ~/~" ..:, Application No. /~.~..~..~.. ...... Approved.(/./[ ~ ....... ,1 ~;rmit No.. ~.~ ~ Disappmved.a/c .......... . .~ '~ .......... ~ ........... APPLICATION FOR BUILDING PERMIT Date .~.Qt.~ .......... , 19~ INSTRUCTIONS a. This application must be completely filled 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 buildings on premises, relationship to adjoining promises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. __ ............. (Signature ot' applicant, or name, if a corporation) (Mailing address of'applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ............................................................................... Name of owner of premises . .~-?.k°..~)..~.~.~.. P~...~...~. O~.o..lff... ~.:..~_~..Or-o..'. .~..~ .{.0 .............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder s License No .......................... Pinmber's License No..~. Electrician's License No ....................... Other Trade's License No. l. Location of land on which proposed work will be done .................................................. ......... .g,..q.. %..o... Bkb. ..go. ................. House Number Street Hamlet County Tax Map No. 1000 Section .(~.~..r~ .... '; ..... Block ....~.............. Lot .0..0..O.{, O.O.(~.. Subdivision ¢06['1A! ~'~ !. 'C..(~.~.(Z.'-.~. ~ ~....~. ,... Filed Map No.-- .t-~.~.~...~...~..~Lot.. ~ .......... (Name) 2. State existing use and occupancy of premises and intended us~ and occupancy of proposed construction: a. Existing use and occupancy.. ¢..~.~..~V.~.. ).~ .0..U).~..~'.<'!/. .0..~..0'' '.~..~ .~. P ........................... b. Intended use and occupancy ................ ............... Nature of work (check which appli6able): New Building .......... Addition .......... Alteration Repair .............. Remov, ..... , Estimated Cost . ?..~.Oa O.O o. If dwelling, number of dwelling units ..... I ...... Demolition .............. Other Work ............... (Description) ,.t~ll{ ~ ............... Fee .. .1~ ......................... (to be paid on filing this application) ......... Number of dwelling units on each floor ................ If gmcage, number of cars ....... .. 6. If business, commercial or mixed occupancy, specify nature and extent of each tyne of use ..... , -~ ~r ........... ~ ......... 7. D~nensmns of ex~stmg structures if any: Front... [ ............ Rear ..[~' ...... .,... Depth . ~7.~. ....... Height ... 0.' ... Numbe~ of Stories [ .... ~.~6.~.~.~..3)..bc~9~..~'~. .................. Dimensions of same structure with alterations or additions: Front .... ~ .......... Rear .'..: .............. Depth ......... ~ ............ , Height ....'7':.. ~. ........... Number of Stories ..... ~ ................ 8. D]mens]onsofentlrenewconstruct~on Front .L~g . Rear. .g . . Depth .~ Height ...~.. Number of Stories .~, ....................................... 9. Size of lot: Front ~.fik~.O. [ .... : ...... Rear...~C).~.r ............. Depth' .~..C~. [...: :". .... 10. Date of Purchase ].'gm~.~3(~E~..I.q.9.q......... ~lamq of Former Owner (~07D.t.tg.t.~l~..Im. 11. Zone or use district in which premises are situated ~ .--. | ..................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . )~J. O ....................... 13. Will lot be regraded '..N.~..i ................ Will exc~ss fill be removed from premises: Yes (No) 14. Nmne of Owner of remises~E .~)~C~-~0Address ~_~.~ bl~, ~h~.~ ~ Stone of Architect l~ ;.~.,..~.~7~7,o'7~ ~I ~'..~.~-. ~O.... Address ~..~0~,~/;~/';~;~ ~};~'[4.~iqh'7-jT._i ~.'~5 Name of Contractor ~lf~OC. ~. ~ ~. {~c.~,~ (0 ..... Address ............. ~.'.d.~??. Phone No... 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. STATE OF NEW YORK, COUNTY OF.. ::::s's ......... .C,T.~.q.~'.~e~...~,...~.a.,"('.~..lip ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........ ~D~. wq-.f .... .. .................................................................. : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy 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 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 ..... ~.g'~-x .... day of, .~.¢'~...h.e.C ., MARION G. LATHAM Notary Public, Stat~ Of New Yo~ N_~ 6'2=4649732, Suffolk County larm ~x~ fas March 30, 19 ~ (Signature of applicant) RODERICK~ VAN TUYL. P.C. vo _ LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. ~-~,~-lO~ STATEMENT Of INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY SERVICES FOR CONSTRUCTION ONLY DATE: DEPT. OF HEALTH APPROVAL Of h. S. REF. NO.. APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT BLOCK PCL. OWNERS ADDRESS: DEED:L. P. TEST HOLE STAMP SEAL LICENSED LAN[ GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL' SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE[ SUFFOLK CO. DEPT. OF HEALTH SERVICES APpLtCA~T - ,]' sUFFOLK cOUNTY DEPT. sERvIcEs - FOR ^"PROVAL OF~' CONSTRUCT~N ONLY ~FFO~K CO~ TAX MAP I~ OTE ', FOL)~' )L'F~ I ~jt'k. PL.I~FJ 8CC~?AHC¥ OR 'PO2.T fSH'%~ CO~3EC]'C? V\(' / ,'_ ~' rEkl ,f r C.P~ ~ b ) ~,), // If copper ~ubL~g ~ u~d ' ~ J ~~ '~.:~.~ ~ ~---'~'~:~: ....... z'~' ~- ~.J ~ for wat-~r distributing , ~- :'.- ~': 4 ~D~ 0 ~ sys em; p~p~;~g shall be ~'X / of types K or L copper tubing ii Ul0d for water distributing system; piping of types K ar L slabs SLAB INSULATION Degree Days Min, By Zone R Value 5000 5.5 60O0 5.5/ 7000 5.5 8000 5.5 9,000 5.5 The insulation must extend at least 24" under the slab or at least 24" below grade down the foundation wall, FOUNDATION WALL The insulation is installed on the inside face of the foundation wall and provides a thermal break between slab and foundation, OUTSIDE FOUNDATION WALL The insulation is installed on the outside face of the foundation wall and provides a continuous thermal barrier at the slab edge and foundation wall, All exposed exterior insulation above grade should be covered with a protective material. ternate location )rotective over insulation 77 F]'(:C,B3,T ' '" ' --% SOOTH SIDE ?E FE f(' E tGCE ._J Vd E -~,T S~DE CA~.R COL :I J ?OST ]}fi&F_ COIOIOECTO'P-. ,.S E C,T' I 0 ~ C-~ FOP. ~r. Jq LF: t FOK ~ ~'L t"'~l~ I L¥ A/ PLOT C,OSTE[ I O ~)r + 5 7-' ~osrE LLO HOC/dE X- c--E eTlOn5 ~- 'I~ETI~IL5 N'~. mB 7_ Z~. FET~o