HomeMy WebLinkAbout11977-zFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z11866 Date August 24
................................................. , 19.83..
THIS CERTIFIES that the building 7 r.n.e.w.. ,cl.w.e. 1..1 .i.n.g ...............................
Location of Property 2405 Star Road East Marion
House No. Street Hamlet
County Tax Map No. 1000 Section ... 0..2.~ ...... Block . .Off. ........... Lot . .0.0. 5.: .3 ..........
Subdivision ...... .S.~.a.r' N.a.n.q? ............. Filed Map No..3.8.6.~....Lot No.. J .7 ..........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..... o.q .~ 9.b?.~...~ .5 ..... ,19.8.2. pursuant to which Btdlding Permit No.. 119,77 Z
dated ....O.c.~. q .b ??..2. .0 ............. 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 .........
..... a...p.~?.a..~?..qn. 9.-.f.a.m. ~.~y' .d. ¥?.~.~. ~..n.g.. ........................................
The certificate is issued to EDMUND & KALLI15E LaGAMMA
(owner, les*ce
of the aforesaid building.
Suffolk County Department of Health Approval . .1.2. 7 .S,O.-. ~ !
UNDERWRITERS CERTIFICATE NO .......... N.., .6 J 9.8.3. .5 ...............................
Building Inspector
Rev. 1/81
BUILDING DEPART/~EI~T
soUTH.OLD, N~ y.
(THIS PEP. MIT MUST BE KEPT ON TFI, E P~,~V~IiSES'UNTIdFULL
COMPLETION OF THE WORK AuTHoi~IZED)!
N? 11977 Z 'Date ....:,...¢,. .............. ~ ............................ , 19 .......
Perml,s,on ,$ hereby granted tp:
...... r-..~ ............ .~....,..~ ....... : ~ .~....,~ ......... ~ ..... '~"
: ~ "*'*~ ......... ~ ........ .......... ~7'"':"Y*~ '~'''* '7"?"'4'~; ' , /
~0~ ~. ....... ~ ........ ~, ................................. ~ ~ ~~' ........... ~ ~'~" ' ~ ~'' ~ ~' ' ..........
.... ; .........
......
Co~n~ **x ~p Uo. ~000 Soct~,.:~-~..,;-,... ~t~f..,) ....... : ........ ~ Uo~ .....................
~u~uont .to ,pp~ico~on ~ot~d ............................. ..z....;..:..~....:~ ....... ~ ...~...., ~ PP Y
Fee' $
!nspectbr
FORM NO. 6
TOWN OF SOUTHOLD
BU ilding Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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 s~rvey 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-iS-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 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 safeW inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
I. Certificate of occupancy $5.00 ~/$
2. Certificate of occupancy on pre-existing dwelling ~ land use 3;/ 5.00
3. Copy of certificate of occupancy $1.00
New Building . .~-~ .' ..... Old or Pre-existing Building ............ Vacant Land . ...~..: ...
Location of Property Ho~L~.^%.,~....~.~..~--... ~ I~.~..~"D ...... ~1~?.~...~/~ t~c. J~.~ ~,~, . ,/J~),t~.,..~/~r~/.e~
Owner or Owners of Property . ~--.~.)~'~ OJt,)o~'.'~, ~t'~,l~ [,L,,,~e ~L .... b//~..~[,. ,14: ~1~,, .N~, ./~..,. .........
County Tax Map No. 1000 Section ~.~t.~. ........ Block ..... ~.{ ...... Lot... O. ~).~...~ ....
Subdivision .................................. Filed Map No ........... Lot No ..............
Permit N~ate of Permit ~.~...!...~..~pplicant .~...~..~.I.W)...~-.~,. . .(~(..~..~ .....
Health ~ept. Approval . J ~.~ ~.~ ~. [ ...... Labor Dept. Approval ... ~
Unde~riters Approval .................. Planning Board Approval ......................
Request for Temporary Certificate .... ~-. .......... Final Certificate ..... ~-..~ ........... .
Fee Submitted $.. ~.~.~) ....................,
1000174 THE NEW YORK BOARD OF FIRE UNDERWRITERS
QS BUREAU OF ELECTRICITY
~ 85 JOHN STREET NEW YORK, NEW YORK 10038
~,~ ,~:~ ~, 19~ ~.~.~,,o~.~,,~,l~ ~o~847-~3 N ~ 083.5
THIS CERTIFIES THAT
gd~nd .LaGamma~ W/~. St:~rs Rd. N/O North R~., ~st t. iarion, N,Y.
in the followlng location; [] B.sement
,~.~.,.i.~do~ July :t.~ , 1983
FIXTURE J SWITCHES
OUTLETS
22 23
DRYERS
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
NO. OF FEET
E
OTHER APPARATUS:
WFut~'e Appliance Feeders:l-2~14,
1-G.F.I.
1 -$~ok~ Detector
R V C
i 1 1
E.E.C.0, Elect. Corp. (Cliff Cor~lell)
325 Willow Point
Southold, N~Y., 11971
LIC. #2816
This certificate must .ut be altered in any manner; return to the office of the Board if ncOfrect. Inspector's may be
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIF
(,OMMEN~S ~ ~
FIELD ~NSPECTION
1.
FOUNDATION (1st)
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION FER N.
STATE ENERGY
QODE
FINAL
ADDIT ONf~-~COMMENTS:
765-1802
D£PT
BUILDING
INSPECTI ON
[] FOUNDATION 1ST [ ] RouGH:~PI~BG.
FOUNDATION AND [ ] INSULATION
FRAMING [ ] FINAL
765-~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
FINAL
REMARKS
DATE
INSPECTOR
765-1802
BUILDING D'EFVT.
INSPECTION,
FOUNDATION 2ND [ ] INSULATION
~.]FRAMING ~ .... [ ]FINAL
765-1802
BUILDING DEPT,
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
, ,INSPECTOR
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
APPLICATION FOR BUILDING PERMIT
Application No.ff./~.. ~Z .......
Date..../.~../t ~. .... i., 1~ .~..~'
INSTRUCTIONS
a. This application must bei¢Omplotoly filled In. lJy typewriter or mmk and subnutt~d 16 the Building Inspector, w~th 3
sets of plans, accurate plot plan to scale. Fee~ac~ol~ to schedule.
b. Plot plan showing location o~ l°t ~nd of building~ on premiss, relationship to adjoining premiss or public street~
cation.°r areas, and giving a detailed description of layout of pro~r..~*y must be drawn on the diagram which is part of this appli-
c. The work covered by this application may not be commenced before i~suance of Building Permit.
d. Upon approval of ~ application, the Building Inspector will i~ued a Building Permit to the applicant. Such permit
shali be kept on the premiss 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
~ have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Dep~tt,uent for the issuance of a Building Permit purnaant to the
Buildin~ Zone Ordinance of the Town of Southold, Suffolk Co ~t~nty~ 'New Y~o~k, and other applicable Lav~, Ordinances or
Re~ulatiom, for the construction of buildings, additior~0r afteta~.i~ns, or fof~removal or demolition, as herein described.
Th~ aplflicant ~rees to comply with ali applicable laws, ordinance~,.buil~ding code, ~ou~: code, and regulations, and to
admit authorized inspectors on premises and in building for
.........................
of applicant,~gr name, if a corporation)
....
(Mailing address of applicant)(/
State
~ngineer, general contractor, electrician, plumber or builder.
/ J ,~ (as on the tax roll or latest deed)
Bu"der's License No..~: ~..' ..... ~ .........
Plumber's License No. ~.q~...q...'~....~..~..~..~.-. ~
Electrician's License No .......................
Other Trade's License No ......................
l. Locationoflandonwhichproposed,
Work will 1 , .. ................ . ................
..... .................... '.
House Number Street Hamlet
County Tax Map No. 1000 Section .... .~...~. ......... Block ..... ~ ........... Lot ..... ~..'~...~. ,J .....
Subdivision ..... ~ ~'"J~.~... ~/~ ~'~].0 .~ ........ Filed Map No. ~,~/o~ ....... Lot .... [ .~. .......
(Name) ' '
2. Stateexistinguseandoccupancyofpremise~d~eandoccupancyofproposedconstmction:.
a. Existing use and occupancy ~. . . ~ .................................................................
b. Intended use and occupancy ..... ~. f~..~...
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair ........... .... Removal .............. Demolition .............. Other Work. J .............
~ : ~ 9 ;D'~-t:~ (Description)
4. Estimated Cost ........ 0,0.0 ..................... Fe0~...~..(~ ................................
(to be paid on filing this application)
5. If dwelling, number of dwelling un;its .... / Number of dwelling units on each floor.
If garage number of cars '
6. If business, commercial or mixed Occupancy, specify na.ture and extent of each type <?f use Depth.. ~.~... ~/ ....
7. Dimensions of existing structures, if any: Front .... ~./. ...... Rear .. ~.~. ...... ' ............ x' · ',~' '
Height /...~'~,).t~)/ ...... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear
Depth ..................... ~ Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ...............
Height ............... 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 violate any zoning law ordinance or regulation: ................................
13. Will lot be regraded .......... . .................. Will excess fill be removed from premises: Yes No
14. Name of Owner of premises .................... Address ................... Phone No ................
Name of Architect . ~3 ....... ./a. 'l'l'~ .......... Address ................... Phone No ................
Name of Contractor ItO~,.~. · .~.q~4-~.~. ..... Address~/..~J~./tt~l~& ,~. ~,ne 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 nbmber or description according to deed, and show street names and indicate whether
interior, or corner lot.
STATE OF NEW(Y~RK, ,
COUNTY O~~.. ~'~
~'7~(N~'f'~'d~'( amc of individual
· -. signl.g.X.^~.+,:~.c.,~,'~'~"~"~ .......... being duly sworn, deposes and says that he is the applicant
above named.
He is the.. .. j. :. .. .........
~ .(C ntractor, .agent, c4rporate officer, etc.)
of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this
application; ~at ri statements contained
work will be perfomed in the m~ner set forth ~ the application filed th0reMth.
Sworn to before me this
.............. day of ...... 19.
Notary Public, ................ County
~o~. ~..0[ a~.~*? ~ (Si~ature of applicant)
/
AT
August 30, 1982
Mesidence - Ga~iners ~ay Construction
Penny Lumbsr Plan NO. 331
Design temoerature Inside 70°F Outsi~e lO°F
Desi?n ~egree days 6~000~
Floor F-l~
~indows (thermal
Doors p~r code
Infiltration (volume~
Area Loss
"U" SF BTU/Hr
.08 1,384 6,650
-05 1,390 4,170
.06 974 3,290
· 69 284 11,760
· 40 42 1,01~
1,320
.018 10,400 11,300
39,300
Glass 22~ of wal area
Weath~rstripoin~ all ~ndo~ and doors
Furrmce te be 75~ min e,~ficiency
Exterior duct and non-combustible doors to be provided
for fireplace
Heatin~ and service lines to be insulated as per code
Doors, Thermostat, Hot water heater and Camllkin~ as per code
! /
copper lubing J,s used
,~or w~ter distributing
system; piping shall be
of t-/pes K or L only
1¢¢'-o"
o~ t¥pes
_.I
r 0 'ED AS HOT~.O
DATEi .P'
765-1802 9 AM TO 4 ,uM FOR TiRE
FOLLOWING
]. FOUhIDATION - %WO
FOR pOURED cONCR~E
2. ROUGH - FRAMING & pLUMBiNG
3. iNSULAT~OFI
I 5LO''
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