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HomeMy WebLinkAbout12080-zFORM NO. 4, TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of OccuPancy N Z16181 o .................. Date ...8..ep.c.....I.8 .... !.9.8.7 ............. THIS CERTIFIES that the building .A g r.i.c u 1 l:.u~ a 1..b.u i l- .d.i.q g ...................... Location of Property . .2.~. 5. .0. ?. 1. i j a h s L a n e M a t t 5_ t u c k House NO. ' ................... '~'t/e;i ....................... I~t,~t~/ei County Tax Map No. 1000 Section . .1.0.8. ....... Block 03 ..... Lot 006. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... O.~t:...6.,.. ] .9.8.2.... pursuant to which Building Permit No ..... .1.2.0.8.0..Z .......... dated....D e ....... c. I 7, . ..... 1982. .... . ..... . 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 ......... p. grs_cultural builds-ng for work shop. The certificate is issued to LOIS F. WOODHULL ..................... ?o¥.'e;, ................... of the aforesaid building. Suffolk County Department of Health Approval ..... ! .27.8.0. 7 .7.0..J..a .n....2. 6. .,..1.9. 8..3 ........... UNDERWRITERS CERTIFICATE NO ............. .N .5.9.9.4...6 .9..A.p..r 5_ 1 I 8, I 983 PLUMBERS CERTIFICATION DATED: Frank Meyer Feb. 17, 1987 Building Inspector Rev, 1/81 BUILDING 'D[PARTM~NT TOWN HALL ~ SOUTHOLD, N.Y. N.o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL I~ULL COMPLETION OF THE WORK AUTHORIZED) ~ ;1~080 Z Doto ...... >....;, ............... , ................. I¢ .... Fee $ ........ i ............... Permission is hereby gronted toy~ i ; Building POR~ NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ,~ Ilmm,m,~a~ 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 p~operty 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................................................... ftouse No, Street Ham/et Owner or Owners of Property ............................................................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.~ ~).~..~ Date of Permit !~.'."1.1~..D--. .Applicant .................................. 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. Applicant .(~.~ .................................. no,. :a-,0.,a _ 3o]d ? THE NEW YORK BOARD OF FiRE UNDERWRITERS BUREAU OF ELECTRICITy ~-- T~S 85 JOHN STREET, NEW YORK~ NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ described belo~ and irltmduced by t~ applicant ~med on the able application r~umber in the premlses of in the following Iocat~o.~ ~ Basement ~ 1st ~. ~ 2nd FL Section Block Lot w~ examined on ~ril 11, 19~ and found to be in co.~pliance with ~he requirements of this Board. DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: Motor~ ~ 1-F. PaDelboards: 1-4cir. 125~nps. 1-G.F.I. 1-4.5 K~. Hot Water Heater. R V I C AWG, OF CC, COND NO OF NEUTRALbI __ OF NEUTRAL '*C~ Elect. ~%c. Box 4~R ~ound Ave. Riverhead~ N.Y., 11901 ~T. THIS COP~ OF C 7GS.'1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING , REMARKS: [ ] FINAL INSPECTION 765-1802 BUILDING DEPT. FOUNDATION 15T [ ] ROUGH PI. BG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL r REMARKS: DATE /~~ INSPECTOR TO N OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 B .D TOWN OF 80U Date ~//? Building Permit No. /,~O~D~- Owner ~0;~ [~)OOD~ULt_ Plumber (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber ' s ~ signature) Sworn to before me this ~O'~ day of ~ 19~.. Notary Public, .County FIEL~ INS~EC ION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~DE q ADDITIONAL COMMENTS: FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEAS-E'TAKE NOTICE that your application dated..~C~.. .... ~ .......... 19 .~ for pe~it to const~ct ~(a~~ .~.. ~.~~ ................. at ~cationofProperty C ~ ~ ~ ~ . ' Z~C.. ....... ~ ....... ~a ....... .... ~. .......... County Tax Map No. lO00 Section .............. Block .............. Lot .............. Subdivision ................. Filed Map No ................. Lot No .................. is ~eturned herewith and disapproved on the following grounds .~?Tff ./(. C'~..."~./..c~'J~ ......... . . ~. c c~ f ~' . .-. . . . .?. //. .~. ~ : :. .~/. ~. : . . .>.~. ~ ~ ~ .z. .~. ~ . . ~. ~ ~ h .~ce ~.~. e ~. . . ~.,,~. . . .~-~. . .~ ~. . ~ ~. .: . . ~ff.~.~.e_ . ~,~. ........ · To,v:e:.~., .............................................................., ~~.~. ........ 'Building Inspector RVI~O *%*~COURT CALENDAR AND NOTICE TO APPEAR**** OFFICE PHONE 765-1153 HON. FREDERICK J. TEDESCHI, TOWN JUSTICE PRESIDING MAGISTRATE **** POSITIVELY NO APPLICATIONS FOR ADJOURNMENT WiLL BE CONSIDERED UNLESS AN AFFIDAVIT ALLEGING A LEGAL REASON IS FILED WiTH THE CLERK NOT LESS THAN 48 HOURS IN ADVANCE OF TRIAL DATE CALENDAR CAI]L: ** MOTIONS AND APPLICATIONS FOR ADJOURNMENT FIRST** DATE:Deoe~er 17, 1982 TIME: 9:30 2~2v~ (fore-noon) DEFENDANT COUNS EL COMP LA I NANT ...................... CHARGE PURPOSE 1. Timothy Dunleav~ n/c Tpr. Pe?son VTL§llSOB-Speeding Conference 2.Peter Cherapowicz Glickman P/O Fiedler VTL§600-1 ,leaving scene of incident Conference 3.Wallace Voegel n/c DCO B~ Dunkirk Agr.Mkt§ 356, Failure to provid~ proper food or drink to an impounded animal Arraignment DCO Csajko Ct. 2-Agri.Mkts ~355, Abandonment of an animal Arraignment 4.Paul Duff n/c P/O H. Stepnoski VTL§319-no insurance,~402-4 improper plates,$306B,uninspected MV §401-lA unregistered MV, ~375-2A, insufficient tail lights. Arraignment 5.Richard Green n/c DCO Csajko 6.James Hemminger n/c P/O Clark Agr & Mkts §l19-1a ARt. 7 unlicensed dog, Town Code, Chapter 38 allowing dog to roam at large. VTL$1124-failure to pass safely,§306B, uninspected VM Arraignment Arraignment 7.Paul Cimmino n.c P/O Stepnoski VTL~735-2a,insufficient tail lights Arraignment 8.Ginnie Mims n/c B. Smith PL~120.00(1) Assault 3rd° Arraignment 9.Brian Hansen Legal Aid M. Capuano PL~120.00(1) Assault 3rd° Arraignment JUSTICE COURT IS LOCATED: SOUTHOLD TOWN HALL, 53095 MAIN ROAD, (RTE 25) SOUTNOLD, NE¥~ YORK (11971) ~ ****COURT CALENDAR AND NOTICE TO APPEAR**** OFFICE PHONE 765-1153 HON. FREDERICK J. TEDESCHI, TOWN JUSTICE PRESIDING MAGISTRATE **~* POSITIVELY NO APPLICATIONS FOR ADJOURNMENT WILL BE CONSIDERED UNLESS AN AFFIDAVIT ALLEGING A LEGAL REASON iS FILED WITH THE CLERK NOT LESS THAN 48 HOURS iN ADVANCE OF TRIAL DATE CALENDAR CAi[L: ** MOTIONS AND APPLICATIONS FOR ADJOURNMENT FIRST** DATE: December 17, 1982 TIME: 9:30 AM (fore-noon) DEFENDANT COUNSEL COMPLAINANT ........... CHARGE PURPOSE Edward W. Caven Lundstedt ] Robert W. Moore ct 1 ct 2 Michael M. Osip 1. William E. VandykeJR. Legal Aid Det. Burke i2.Scott Corwin n/c 13oEdwin W, Jones,Jr. n/c PL~120.00(1) Assault 3rd° PL ~155.25,Petit Larceny PL~ 240.14(1) Harassment P.O. Bannon ECO ob%nauer P/o Cochran Arraignment Arraignment Arraignment lct pL~145.00(1),Criminal Mo4o Conference 2 cts PL§140.15,Criminal Tresp.2~ Conference lct PL~140.20, Burglary 3rd© Conference PL~140.25(2),Burg.2nd° Conference 6NYCRR-~42-SG, Transporting untagged bay scallops Conference VTL§5Og-3,oper.inviolation of restrictions, ~319-uninsured ~ Conference ~401-1,unregistered,402-4,improper Dlates ll02,failed to comply,306B,uninspec~ed MV 14.David Zwinkel n/c P/O Cochran 15.Robert W.Detrick n/c 16.Edward Derrick Lotto VTL~319-uninsured MV,402-4, improper plates,~401-1A,unregistered MV,~306B, Uninspected MV P.O. Charters III VTL~511- oper w/license revoked (5-24-79) Der. Burke PL$110/165.40,At%empted C.P.S.P. Third degree Conference Conference Sentencing JUSTICE COURT IS LOCATED: SOUTHOLD TOWN HALL, 53095 MAIN ROAD, (RTE 25) SOUTHOLD, NEW YORK (11971) ,. COURT CALENDAR AND NOTICE TO APPEAR**~* OFFICE PHONE 765-1153 .. HON. FREDERICK J. TEDESGHI, TOWN JUSTICE PRESIDING MAGISTRATE ***~ POSITIVELY NO APPLICATIONS FOR ADJOURNMENT WILL BE CONSIDERED UNLESS AN AFFIDAVIT ALLEGING A LEGAL REASON IS FILED WITH THE CLERK NOT LESS THAN 48 HOURS IN ADVANCE OF TRIAL OATE CALENDAR CALL: ** MOTIONS AND APPLICATIONS FOR ADJOURNMENT FIRST** DATE:December l?, 1982 TIME: 9:30 2~dv~ (£ore-aooa) DEFENDANT COUNSEL COMPLAINANT _ CHARGE PURPOSE TRIALS 1.Ronald W. Angst 2.Williaia N. Belletti 3.Edith Mercogliano n/c P/O Cochran VTL~509-1,unlicensed opera%or (motorcycle) TRIAL n/c ~pr. Person VTLl180B,Speeding TRIAL n/c P/O Cochran VTL§llSOB,speeding TRIAL SOUTHOLD TOWN CODE David N. Bertram Alice L. Rosenberg Russo &Margary Walker DiPietro Graseck Lee Bldg. Inspectors C.W. Horton E.Hindermann C.W.Horton VIOLATION CONDITIONAL DISCHARGE-RESENTENCING ~100-32B,100-141,100-144A-1 TRIAL-Permpt V. Def. §100-30A(2) & 100-145, TRIAL YOUTHFUL OFFENDERS >' FORM NO. 1 · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined /~...c~..../. 7 ...... 19 .~..~" approved~%C.../.~. ..... , 19~..~. Permit No..//~.~..~.~. ~ Disapproved a/c ...... '.. ~....~. ........... · . . ................. 2.. ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT ' ~' t'Oate ...... ./~./d~' ..... Application No .............. 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. 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 Depart~nent 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 i.nspel~ions. / . ,, ..... iS>D.. h z....... ........................ (Signature of applicant, or name, if a corporation) .... (Mailing address o[ applica~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~/~ ~' ~f~r~z~htt~r--/--- (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. Electrician's License No ............ Other Trade's License No ...................... 1. Locationoflandonwhichproposeaworkwillbedone...~.~.O.,/..~'..~.~./..~.....~.'.~ ~,~_~.~ House Number Street Hamlet ' County Tax Map No. 1000 SectionX'. .... /.~..~. ....... Block .~. ................ O~.~ Lot..'~....~..0. ........ Subdivision ..................................... Filed Map No. ,, ............. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupaBcy of proposed construction: a. Existing use and occupancy' '~'~' '~' '~.' ~~. · .~.~ .~.'... i. ' b. Intended use and occupancy..~..~/.. ~ ~...~../. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .... :'. .... Repair Removal Demolition Other Work . . .~./(~./ i ~ ~_-~ ~.-.~_._ (Description) 4. Estimated Cost.. .(~.~O...O. .................... Fee . ./.~ ................................. i (to be paid on filing this application) 5. If dwelling, number of dwelling Cnits .............. Number of dwelling units on each floor ................ If garage, number of cars .......................................................................... 6. If business, commercial or mixed~ occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... !.. Height ...................... Number of Stories ...................... D~mens~ons of entire new constructmn: Front ............... Rear .............. Depth Height ............... Number of Stories ........................................................ Size of:lot: Front ...........J ........... Rear ...................... Depth ...................... Date of Purchase ........... : .................. Name of Former Owner ............................. ~gone or use district in which pr~mises are situated ..................................................... Does p~oposed constructiona~iolat~.an,y- zoning law, ordinance or regulation: ......................... .. ~--~ Will lot be regraded ...... ~. 0 ................ ~Will excess fill be removed from premises: Yes ' '~N~ fp Name of Owner o remises ...: ................. Address ................... Phone No ................ 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. G~ve street and block number or descnptmn according to deed, and show street names and indicate whether interior or corner lot. 9. 10/ 11. 12.' X13.' 14. STATE OF NE~FDRK. L S.S ....... . ~,.~X~%. ~..~~ ....... being duly sworn, deposes and says that~e is the applicant '-" (Name of individual signing contract) above named e is ~he . . ........................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicationl 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. Sworu to before me this;' .................. day o . Notary Public, .............. :l'H ANN HEVILL~ ........................... NOTaRy p DL g, State 0! Now Ver~ (Signature of appEc~t) ~ Ne. 52-~ 125850, S~fo~k Co~ t~rm Ex~ires M~C~ 30, 19~ , ~' ~ ~ ~o~9 ~"' 28 ~he ae~age d~posaZ ~ ~e~ ~ ~WN OF ~OUT~OL~ SCALE: 1" ~ ~OO' tactllt/eS ~o~ ~hia loeatto~ ha~e ~ SUFFOLK COUNTY~ NEW YORK NO. Chief ~r ~en~l ~gt~e~ P~S ~ THIS SURVEY NOT ~AR~G THE LANO HEAL~ DEPARTMENT-DATA FOR APP~O~L TO C~STRUCT ~ ~ ~V ~c. I I ~ V~I IKI~ ~ V~l Ikl~ ~O NDE ENUE I.~ / /UUI~ ~ IUUI~ RIVER~AO, NEWYORK ~ ~ HOWARD W. YOUNG, L~ND SURVEYOR ' For Construction Only H,D. Ret. No. ~ This approval is granted for the cm, st,'uc/t~,of~ ~, ~s~)wage disposal and water supply facdlbes tar ~_~.2_~?.....v~,~ _ and is not a~ expressed ~or im¢~ed ~ ~ ~e from or occupy this budding(s). This approval expires one year from the date of approval. DAT~ CHIEF OF GENERAL , ENGINEERING SERVICE~ "it should be noted that since fhif pi'eperty is located in an agricuHura) oreo, tile possibiJity exists that the water supply may contain trace omountS of pes?~S and J or nitrates, Special onoJysls ~ req~ked. Contact this D~orfmen~lor ~amp!ing', HEALTH DEPARTMENT :~)AI'A FOR APPRO~,,. TO CONSTRUCT OFH~LTH jICJI.. / SUNVEY FOR AT MA'/Y1 TUCK TOWN OF' ~'OUf~OLD SUFFOLK COUNTY, NEW YORK YOUNG a YOUNG ALDEN ~YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.~UCENSE N0.1~84§ HOWARD ~ YOUNG~ LAND SURVEYOR N.~S. LICENS£ N0,4§89~ AVENUE NEW YORK DCCU~^I~CY OR iE IS [!HL^WFUL OF OCCUPANCY slabs SLAB INSULATION Degree Days Min. By Zone R Value 5000 5,5 6000 5,5'/ 7000 5.5 8000 5.5 9000 ~ 5.5 The insulation must extend at least 24" under the slab or at least 24" below grade down the foundation wall. FOUNDATION ~JALL 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. ~-alternate location o-.'i-.. motective g over insulation 32 7~