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Home My WebLink About11934-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No..Z.l..2.2.0.fi ......... Date JANUARY. 20 19 84 THIS. CERTIFIES that the building . .blEW. DhrJ~L~I N..G ................................ Location of Propert~ County Tax Map No. 1000 Section ... ~1.15 ..... Block ...... 1..4 .......Lot ..... 5. ........... Subdivision ~ ./~EF_,B. I-lOB. CREEK. [STATE.S .Filed Map No...4.2.5. ~..Lot No....5 .......... eon£om substantially to the Application for Building Permit heretofore filed in this office dated .... $~p.~.~..I~..~.R...2¢..., 198..2. pursuant to which Building Permit No. 11934Z dated . BI~II~TEIVlBER. 2.5 ............ 192.2., 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 ......... FOR A NEW ONE FAMILY DWELLING Ihs c~rlfficate is issued to ..................... [oT,;o),¥~s~o'~r't~,~3'O ...................... of B%e afol'esaid building. SuffoLlr County Department of Health Approval .... 12.--so-,96 ............................. UNDERWrR1TERS CERTIFICATE NO .... Ale 2 5154 8 ..................................... Building Inspector FORM: NO. 9 OWN OF SO~*I;HOI~D? BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ Y. BUILDING PERMI~ Rev. 6/30/~80 - Buil~Jing I~spector. Fee ~,.-,~... 4 ............... (THIS PERMIT MUST BE KEPT ON THE ?REMIS~ES UNTIL ULL COMPLETION OF THE WORK AUTHORIZED) N? i1934 Z Date ~/~"Z~,"~'.~.~~ · Permission is hereby granted to: / ~ ..... :....~,.~....~z:~.. ...x~.....~ ..... , ~.:......4. ...2~.~.~....~.~....~.z~ .7~ ~o..~ ...... ~D.~.c~.~T~.....c~:...~~2~.........~ ........................................ ...... : ......... ~ ........................................... : .................... ...:..L~.~. ......... ~2 ............. . .......................... at premise~ located at ................. ..... ,. ............................................................... : ......... : .............. :....( ....... ~ ...... ;? ........................................ Co~,~ ,~ ~p Uo. ~o0o s,~t~o~ ..... ~d~.....:. ~ ~...Z.~:...:..~%t ~o.~.~.~ ...... pursuont to opplic*Hon dotod 19~nd ~pprov~ by tho 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: I. Final sur~ey of propertv with accurate location of all buildings, propertv 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 use~, 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 buiMings or premises, or other pertinent informa- tion required to prepare a certificate, C. Fees: 1. Certificate of occupancy $5.00 J 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --?re-Exl~tmng C.O. $15,00 Vacant land C.O. $ 5,00 ~)ate .......................... New Building "'f' ~ Old or Pre-ex st ng Building ..... Vacant Land ooa,,oeofP,ope,,v ....... -l .... ......: .............. Hous~ No. Street Ham/et Owner or Owners of Property .~,..~ ~.~ ! ~.~ . . .4..~, .~ .~ .... ~..~..~..~. .......................... County Tax Map No. 1000 Section ..... /. /. .'~.'~. ..... Brock ....... ],¢. ..... Lot ..... ~ ........ Subdivision. ~ ~-¢. ~.~4. ~-.~.~..~, .Filed Map No..L~.~'..~.,..Lot No .... .~% ....... Health Dept, Approval ............... ? ........ Labor Dept. Approval Underwriters Approval, ~,.~. ..... '~¢ ~...,.¢¢ ~',~,,.,.,Planning Board Approval , .................... . Request for Temporary Certificate ..................... Final Certificate ,. ~ .............. Fee Submitted $....~. ' .~.'-.~..~ .................. Construction on above described building?d permit meets all~ble codes and regulations. Applicantc~-AcZ¢~, . . .¢~,~ ......................... lOOl071 THE NEW YORK BOARD OF FIRE UNDERWRITERS ll~ BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10033 THIS CERTIFIES THAT Jo~ & Ion'a~ ~hbry, ~730 ~e~sa Dr., Uattt~ N.Y. FIXTURE ~ ~ FIXTURES RANGES COOKING DECKS ~ OVENS DISH WASHERS EXHAUST~FANS ~ F 1 30 Motors:l-F, Th~s certlflcote must~ not be oltere~ in uny mooner; return to the oHke of the ~oor~ COPY FOR [~UILDI~G DEPARTMEN] ~ MANNER. FIELD INSPECTION FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY CODE FINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................Date .~.~/9~7~,~/~ .,~-....,a2,...~. ., 19~. · o ~.~,~-. ~~ ......... · 7~:,~ .... ,~7~.~4.~ ..... .~~.~.~ ..... ~7~ ~ Street Ham/et co.~t~ ¢~ ~ ~o. ~00o S~ct~o. ~ZZ~ .... ~oc~ ~ ~. [o~ ~ ~u~,.~,~~,~.. ,~,~,~o. ..... ~o,~o .... ~ ............ RV 1/80 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 August 11, 1982 TEL. 765-1802 INSPECTION REPORT Mr. & Mrs. Fabry At approximately 3:40 I met Mr. & Mrs. John Fabry and Mr. Warner (owner) to inspect this dwelling in Riverhead to see if it could comply to the Southold Code. (Next to the last house on the left on the road to the Yacht Club) Regarding Zoning: This building is 36 X 22 which will need additional habitable area to meet the required 850 sq. feet. A building permit will be required to move this building into Southold and to make it comply to our Code for a one-family dwelling occupancy. Regarding Construction & Housing Code: The building appears to be in good condition. The exterior needs painting, glass re- placement and possible repairs under the door sill behind the patio slab. The roof and ceiling appears that there is suffi- cient construction in the attic area which has no access. The attic area needs vents. There is a double floor on 2 x 6 timber, 16 i~ohes on center~ with approximately 6 foot 6 inch span bea~ring on two girders. Each bedroom will need a longer-lower window to comply to the second means of egress. The bathroom needs a moisture resistant floor. The toilet is missing. There is a domestic hot water tank and oil fuel floor furnace-- condition unknown. There is no smoke detector. Regarding Energy Code: Through a hole in the kitchen wall there is insulation. The ceilings will need minimum of R19 insulation. The cellar founda~ion or ceiling will need to be insulated. Ail doors and windows will need storm--most of them do have them now. I would accept this building with above conditions so as to issue a building permit. I left the sight at approximately 4:10. GHF:ec George H. Fisher Sr. Building Inspector 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [,~,~,' ROUGH PLBG. FOUNDATION 2ND /] INSULATION tFRAMING [ ] FINAL REMARKS: INSPECTOR 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTRO/D, N.Y. 11971 TEl..: 765-1802 ........ ,. ./. Disapproved a/c APPLICATION FOR BUILDING PERMIT Date ...... ..... INSTRUCTIONS a. This application must be completely fried in by typewriter or in ink and submitted to the BuildinE Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot a~d of buildinge on premises, relationship to adjoining premises or public streets or areas, and ~iving 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 Buildin~ 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 buildin~ shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been ~ranted by the Bulldin~ Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buildin~ Permit pursuant to the Bulld/n~ Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of bulldinge, additions or alterations, or for removal or demolition, as herein described. The .applicant a~rees to comply with all applicable laws, ordinances, building code, housin~code, and re~llations, and to edmit authorized inspectors on premises and in building for nece~ (Mailing address of applica/lt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................. ........... ............................................ Name of owner of premises ~'~' 'f~' 2 ~ '~'~' ' ' ']" ...... ~' ' ' ' '~' '[ '~'~' ........................... iii (as on the tax roll or latest deed) If applicant is a co~poration, signature of duly authorized officer. (Name and title of corporate officer) Builder's License NO.~. (ligI~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be do.ne ........................... , ................ ........ ........ ...... ................... ......... iiiii House Number Street Hamlet County Tax Map No. 1000 Secti~nf, . Subdivision..~..e~.. ~.0. / .e-.: .....~.~. ~..~..J~...tC.S.. (Name) Filed Map No...~.? ~..[ ~. ..... Lot.. ~.. .......... State existing use and occupancy of premises and intended u/~/a~d occupancy of proposed construction: a Existing use andoccu ancy . .~..~fffT..~t ~' ~.0..~. ~. b. Inten use and occupancy . . . ~ ........... .... ~.,. ~., ....................... 3. Nature of work (check which applicable): New Building .... ]. ..... Addition .......... Alteration .......... Repair ..............Removal .............. Demolition ..............Other Work ............... (Description) 4. Estimated Cost · 0Y:~. :. ........................ Fe . ~.: .............................. eTt'r (to be paid on filing this application) 5. If dwelling, number of dwelling U~s ..... ]. ........ Number of dwelling units on each floor.../ ............ If garage, number of cars ..... : .~x. . . 6. If business, commercial or mixed occupancy, specify natt}re and extent of each type of use ..................... 7. Dimensions cE existing structures, if any: Front....J~. & ........ Rear ...~(~. ( ....... Depth..z~...~.. r. ........ Height . 2¢ ........... Number of Stories... ~.//~_~ ............. 't .... ~ ...... ............ t ............ Dimensio, as of,~alue structure with alterations or adc[itions' Front ~. ~. Rear ~ ~ . Depth ~9...~-,..d,4 09~ ~.~. Height .... ./.~. ............... Number of Stories...]. ....... 8. rhmens~ons ofe. n;t~e rle{~constructmn Front .... 2.6. ........ Rear ...,~./. ...... Danth ~0. L. ?...~. Height' . .... /. ~t.:.. ~j... tNumber of Stories....fl ..... ~ ........ '' - .o"_ 9. Size of lot: Front ./.0.~, ...... Rear../~ipiT. t/T..~ i: .~iJJ. J.. 'Depth '~,~bP,'/'~.~. ~7~' ' .~..?~ 10. Date of Purchase .... g/.~X'~ ................. Nanl. e.o~f Former Owner ................ 1 1. Zone or use district in which p" r{mises are situated.., tt~ff.p, pa .~. td<L4f~. ..... ^ .t ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..{.L/.0. ....................... 13. Will lot be regraded ...... ~ .,' .-:-., ............... Will excess ?1 be removed from premises: _. ~Yes 14. Name of Owner of premises k...q: .~/.. ~7..q/a .F.~/ ..... Address ~7..3."~'...~-~.p.a. ~hone $o(;~/~ Name of Architect .......... .. ......... /.. .....Address ................... Phone No ................ Name of Contractor ......... i ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly allI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~ ~- LLJc ~d CA{ STATE OF NEWYORIg,/ ./ °S COUNT~~~' ..... ~~ ./~.~: ................ being duly sworn, deposes and says that he is the applicant (Name of individual sitt(yfng contract) above named, ~He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;~that all statements contained in this application are true to the best of his knowledge and belief; and that the work will bd performed in the manne~ set forth in thee application filed therewith. Sworn to before me this Notary Pub~ ....... ':i~. · · Notary Public, State of New York .~- ./--~. ~ .. ~..~"~....~ ............. [ .... No. 52-0344963 Suffolk 'Countyp/~ ///(Signature of apphcant) Commission Expires March ~10, < opera ~ell / 2X~ 1l/6' O.C, CLf~/VV~ '~ ~,, P SUFFOLK co. HEALTH DEPT. APPROVAL H. S, NO ...... well s~FOLK~. D~. OF ~ERLTH SERVICES SU~OLK COUNTY ~T. OF HEALT~ ' SUFFOLK CO. HEALTH DEPT. APPROVAL disposal /. ~er21 ~.,~O~O~ THE WATER SU~LY AND SEWAGE DISP~AL , . SYSTEMS FOR THIS RESIDENCE WILL C~~- ~=~ ~=[KO~ ~'~ CONFORM TO T~E STANDAR~ OF THE ~ = v~Z~ SUFFOLK CO. DEPT. ~ HEALTH SERVICES. / ~tCANT / SU~K C~NTY ~T. OF HEALTH / ~ ~'~: [~ v[u~[b~a 5h~W~ ~'~ SEEVIC,E~ -- FOE APPROVAL OF ' CO~E~:~N ONLY ~. ~CT, ~K PCL. . , '~ SEAL LtCEN~D LAND SU~EyOR$ ~EEN~RT ~W YORK ,,ti ' J ¥" /¥ · 7 765-18~ 9 AMTO 4 PM FOR THE FO ~ING INSPECTIONS: 1. ~uNDATION - TWO REquIRED FOR POURED cONCrETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - coNSTRUCTION MuST ....... B~coMPLETE FOR C. O. ~L ~b'~ST~[J~~ MEET THE REQUIREMENTS OF THE N.~. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. '0 23' 3/' U '"1