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HomeMy WebLinkAbout12021-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. g.'l.q$5.~ ......... Date ....... J~UgRs.~7.2~. ............... 1 ¢3.~.. THIS CERTIFIES that the building . ad.di~x±r>n .&. a~.~er~.~ioxz ...................... Location of Property., .... 2.~.© ............ Osm.ao. g-.~'.aI~o ............... ~o~-.~.h,Q~Lcl. . i-iouse No. Street Ha~nl'et County Tax Map No. 1000 Section ...05~ ...... Block ...... 0,,~ ...... Lot .... 022 ......... ~ Subdivision ........... x ................... Filed Map No .... ~ .... Lot No ..... .x ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ,Bogem~o~'. 2.c) ..., 19 8~, pursuant to which Building Permit No .... .'1 2.Q2q 7, ........... dated ..... ~o~rom~o~..'1.~. ......... 19 ~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 ......... .... · Ad~i~.i.o~. a-~d. al.terat£or~..~.o .exi~tin6. .dv~el&ing ....................... The certificate is issued to ~HOFIAS & ~DNA SF_~RIDJL~T ..................... ?o¥,,'o;, ..................... of the aforesaid building. Suffolk County Department of Health Approval ~/t~ UNDERWRITERS CERTIFICATE NO. N588956 Rev. 1/81 BUILDING DEPART~i~N~ TOWN ~HAt. L , $OUTHOLD, N. Y. ( PEIU~AiT BUILDING (THIS PERMIT MUST BE KEPT ON ~HE PEEN~ISES UNTIL I~ULI. COMPLETION OF THE WORK AuTHORiZED) N°. 12031 Z Date ... ~../~.. Permission is hereby gronted to: ........... ~.~ ........... ,o.. ,....~ ~,~.~..7.~ ~..~...~..~.;~. ~...,~. ~,~... m. ~..7..~, ~ ..........,...~.. 2~~.~ .~.~.//./...~r.....~... ....... ~ ................ i ........................................ ...... 77 ..... ~../..~. ................. ~ ................................................................. ~ou~ To~ M~p No. 1000 ~ction ..~ ...... ~. 81~k .~ ......... ~ot No. ~.O..~.~ ..... pU~gant ~o amllcatlon dat~ ........ ~...:;,., ...... .'i.. ;.,., 19. nd dPpr~ by the Building Ifispector. ~ev. 6/30~B0 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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- 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 ~r 3. Copy of certificate of occupancy $1.00 / / land use $/~'/$5.00 E)a~ )//7, New Buildin§ ............. Old or Pre-existing Building(X) ..... ~Vacant Land House No. Street Owner or Owners of Property /~,'~"~' . ./(-_;~. ' ,~ ~ ~ ~z~ z (~ ~.~ County Tax MapNo. 1000 Section ,.~.~ ....... Block ~ Lot... Subdivision .... .~ ......................... Filed Map No ........... Lot No .............. Permit No. ~:~.~Date,of Permit ...~... ~ Health De~t. A~rova~ ................... kabor ~ept. Approual ...................... Unde~Hters A~proval ........................ ~lannin~ 8oard Approval .... ..~ ~equest for Tem~orarg Certificato ..................... Final Cert[ficato ........ - ......... Fee Submittod $ ............................ Construction o n above described building a~_~ mee~s ~1 app~c~co,de, ~g,u latiO~s. Applicant .; ..,..'-~,~.~ ..... ~,~,.U..: .... . .~__~.~~ ... Rev. 10-10-78 ~oooo9[ THE NEW YORK BOARD OF FIRE UNDERWRITERS DJ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK~ NEW YORK 10038 ..~ .~,~v ~, 1983 .~,~.c.tio. ~'~o.o,~f,,e :L9~,180-82 N 5 8 8 9 5 6 THIS CERTIFIES THAT only the electrical equipment as d~scribed below and introduced by the applicant named on the above application r~umber in ghe premlses of %"nomas W. Sheridan, 270 Oszeo Ave., SouChold, N.Y. in the followlng location; [] Basement [] 1st FI. [~ 2nd FI. Section B~ock Lot w.s ~xami,,ed o,, Jaramry 3, 1983 .,,d /o~,,d to be in compliance with the requirements of this Board. FIXTURE __ FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 3 3 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: E R ;V C Pa:er ~o~ovic aatn Road $our~hold, N.Y., 11971 L:Lc.~137-E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspecto?s may be k COPY FOR~ I~UI~DING DEPARTMENT. THIS COPY OF CERTIFICATE, , , NOT BE ~LTERED, I~· their credentials. ~IELR INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2J ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE Y4 FINAL ADDITIONAL COMMENTS: Examined t~.?..7~../. ~. ..... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Approved .~...c/~..../..7. ....... 19~.~... Permit No./.d.~. Disapproved a/c ............. ~ .~. ................ i.../ APPLICATION FOR BUILDING PERMIT Date 0o~qber. ~?,. q. 98.2..., 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 premises 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. Tlie work covered by this application may not be commenced bdfore 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, ~nd to admit authorized inspectors on premises and in building for necessary inspecti(~n$,. 0/ ~ / ~ (Signature of applicant, or name, if a corporation) ....... 77. . ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . Thorms. We. and.. ¢~. ~;0.p.a..~.hgr~.d.ap .......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ............... m ......... Electrician's License No. Other Trade's License No..~t~ .~¢'fl.-. ~_[. &be ~OS PA' 1. Location of land on which proposed work will be done .................................................. · '.~. 7.(~. .......0e a eo .Avenue., . S euthold. ~ . New.York· . 11971 ...................................... House Number Street Hamlet County Tax Map No. 1000 Section O F r~ Block ©,.3 Lot... tD o~ ~ Subdivision... ~( ................................ Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy ofpr0posed construction: a. Existing use and occupancy 9~lagtx.~. {~.n~. Brick Patio ~0. Intended use and occupancy . ~.nelo~ e. azad. peveg, exia Ping. (llaheaged). pa glo. £ox'' pox'aerial ........... u~e ae All-Weather space. 3. Nature of work (check which applicable): New Building .......... Addition xx Alteration Re, pair ............... Removal .............. Demolition .............. Other Work ............... i ,~ O (Description) 4. Estimated Cost.Appox.$/4~0004................. ..... . . Fee.. ...... /...5~- .......................... . . : (to be paid on filing this application) 5. If dwelling, number of dwelling ulnits ............... Number of dwelling units on each floor ................ If garage, number of cars ...... .......................... ........................................ 6. If business, commercial or mixedloccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmctures~ if any: Front.. 40. Feet; ...... Rear /~0Feet ........ Depth. £~F~at ........ Height ............... Number of Stories...'Da$ · atory. Frame ...................................... Dimensions of same structure with alterations or additions: Front .. 40~aet ......... Rear .................. Depth ..................... !. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories~. ...................................................... .. 9. Size of lot: Front .77.70. I~00~ .......... Rear .71,35.~9.g.' .......... Depth 10. Date of Purchase ........... ; ................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated....Rg@./.dg.n.~.i.a.1 ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: lq0 .............................. 13. Will lot 'be regraded ... ~I9 .... i .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . 2/~ ~' gh~rl.d~n ........ Address 0~aoo. Ave~. $out~holdPhone No.. 7.6.5.'~.~.19 ...... Name of Architect .......... ~ ................ Address ................... Phone No ................ Name of Contractor .......................... Address ................... 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 interior or corner lot. tumber or description according to deed, and show street names and indicate whether (See Accmpanying Survey Diagram) STATE OF NEW.~ORdK~..~ ~ S S .............................. i .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above n med. , He is th ...................... j ................................................................... i (Contractor, agent, corporate officer, etc.) of said ~wner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicat [on; that all statements contained in this application are true to the best of his knowledge and belief; and that the work w: [1 b~ performed in the manner set forth in the application filed therewith. Sworn ~ before me this// ......... · . of ...... glotary Public, St'ate of N~w York No. 52-0344963 Suffolk l Coun~ : (Signature of applicant) Commis.*doa Expires March ~0, 19¢~.,.P---__;~ . CONTENTS 1. Written explanation of prposed cnstruction and use. 2. Four photos of house and existing concrete and brick patio. 3. Diagram of proposed construction of roof and three walls ( S, W, and E) 4. Est~w~ted material cost list prepared by Fleet Lumber. 5 Diagram of proposed construction and floor plan 6 Copy of original survey indicating distances from property lines, ApP2.C"7?D AS NOTED DATE:///_,~../~.P. ~ ~ NOTIFY g~ !H-~'F~G r)"r-P~::t"f:~Ei'qT AT 765-1809 ~ ~.~ ~q / ~M FOR THE FOt l~"']~ " .~ :~ .: S. 1, FO~1~' ''~ ~ - T~!q REoUIRED 3. Ih'~m '~ * 4. F~h''' ............ ~'}N MUST ALL C~NF'~m;C-F~'~ ?'ALL MEET THE RF~,..~7~*~qq ~F THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FQR DESIGN OR CONSTRUCTION ERRORS. lhWp~e of and use of vrovosed Construction Flmpos® of the proposed construction is to enclose and cover the existing Cement and Brick Patio so it may be used as All=Weather space for personal use. The enclosed area will NOT be heated other than by the solar effect created by the large glass area. The surface of the ex~sting patio will be raised to approximate the level of the interior floor of the ~xisting house. No change will be made in the existing structure and present gliding door wiil remain. To conform with building requirements five (5) pou~ed in-ground concrete piles of 8" X 36" Xn a sleve will be constructed. These piles will support the proposed construction. A new cocrete foundation of (8" X 36" X16' ) will also be poured ~arallel to existing house and existing patio. Roof and floor will be insulated and a vapor barrie~ will be installed over the entire surface of the existing patio prior to construction. Plates and all contact lumber will be CCA treated and will be inst~lled with termite shield and insulation. Lumber to be used is Fur unless otherwise indicated. Rafters are2= X 6e , Studs 2" X 4", Plates 2~ X 6" Header Beam 4= X 10" , all in proper lengths. Windows and gliding door - Andersen with double pane insulating glass/safety glass. \K