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Home My WebLink About11839-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.d.d69,3 ......... Date ....... .Jw.n.e...1.7 ................. 19.8.~. THIS CERTIFIES that the building .New..clwel~,~.I~g ................................. Location of Property . .~2~.~. I~Io.. P~o. ad. D.c..~aY:C..~,OW ................................. House lye. Street Southold Hamlet County Tax Map No. 1000 Section . . .Q~.'~ ...... Block . ...Qq ......... Lot ..... Q~9 ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to thc Application for Building permit heretofore filed in this office dated ..... J. llly..~ .......... 19 8~ pursuant to which Building Permit No...q ~. ~}.9.~. ............ dated .... ~u,~ua~;..4,. .............. 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 ......... .............. ~or..a. ne.w. ona .£amily. d.w. elli~g ............................... The certificate is issued to Joseph ~. Quinn (owner, of the aforesaid building. Suffolk County Department of Health Approval ~1 2-~o-~4 UNDERWRITERS CERTIFICATE NO.. l~...6.0.6. 0.7 .1 ...................................... Building Inspector Rev. 1/81 N? ~39 z I~r~nission is hereby gra~ted to: ...... T~ N ~0 I~ BUiLDIN~ T~W~ BUILOING~ FERMiT (THIS PERMIT MUST BE KEPT ON ~H,E PR£~ISiS, ~NTIL COMPLETION OF THE woR~ AOT~I~RiZ~Di i i ~ . Date, .,~,. tO · ~pyemisels located at Map No. 1000 Section Ond appro¥od by the FORM NO. 6 TOW~ OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y0 11971 APPLICATIOn4 FOR C:ERTIFICATE OF OCCUPA~qCY Instructions A. This application must be filled in typewriter OR ink, end submitted in DUPLICATE to the Building Inspector with the following; for new buikJings 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 instatlations, 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), Nonconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner es to use, Occupancy and condition of buildings. 3. Date of any heusing code or safety inspection of buildings or premises, or other pertinent formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dweUing or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ......X. ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. 3275 North Road to Bayview - Southold. N.Y. Location Of Property ................................................................................................ : ................................ Owner Or Owners Of Property Joseph F. Quinn ................................. .................................................................. Subdivision ~.u...f..*...C..°...'.....T..a..~....M.~12.....D..i...s..t.....1..0.~.0.... Lot No...0.~..9..... Block No...0...1. ...... House No..~..2.7..,~. Permit No......1..1...8..3...9...~ Date Of Permit ......8../.~./..8...2..Applicant ..G..1. enn .F.. l~eidtmsnn & Son, Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... Inc. Sworn to before me this ...... ...... ..... ~ y,I/ x /~/ j ~ / ~ q0TR~Y PUBLIC, State of New (stamp or seal) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL for pe~it to construct...~ ........ Location of Property h~ County Tax Map No. 1000 Section ...~ ..... Block ...~)Z ........ Lot . .~.~ ...... Subdivision ...... .'y~...". ...... Filed Map No. Lot No. ' - . ..... is returned herewith and disapproved on the following grounds...--....'~'. ~..4~:~.. ~¢-;7..3...~.... ~.. c~- ~.c~ ~. ~ ~/.: ~... ~ ~/~, w.. ~.~.. ~, ~ ~. c . .~.. ~.~. .~w~ '. .... RV 1/80 1001071 THE NEW YORK BOARD OF FIRE UNDERWRITERS I18 BUREAU OF ELECTRICIT~ ~' 85 JOHN STREET, NEW YORK, NEW ~ORK 0038 1 Oate Jtme 15, 1983 THIS CERTIFI~ THAT it~ the followlng Jocatlott; ~ Basement ~ Is~ ~. ~ 2nd FL Section Block Lot was exa,nined on J~l~ ~ s 1~ and found to be in compliahce with the requirements o/this Board. OUTLETsRXTURE SWITCHES FIXTURES RANGES OVENS EXHAUST FLUORESCENT VAPOR 25 37 33 25 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS i~IME ~LOCKS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: This S E R NO OF CC~COND, A, W. G OF CC COND 2/0 C E OF Hi-LEG 2/0 P. O. ~ 215 $ou~hold, N.Yo, 11971 must not be altered ~n an ' manner; return to the office of the Board GENERAL M~tNAGER may bekidbntiiie~ by their credentials. ~JNER. FIELD INSPECTION 1. IN DATE COMMENTS (1st), ,,. ~NG ADDITIONAL COMMENTS: ,, FOUNDATION FOUNDATION ROUGH FRAME & PLUMBI~ INSULATION PER STATE ENERGY qODE FOruM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Approved ~.~.~...c. .......... 19 .~..~ Disapproved a/c ........................... :;~ ............................................ ................................................ .............. ..................... /........,. ................ Application No. APPLICATION FOR BUILDING PERMIT July 1, 82 Date ................................................ , 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 diagram which is part of this application. 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 issue 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) P.O. Box 932, Cutchogue, ~.y. (Address of applicant) 11935 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises Joseph Fo Quinn If applicant is a corporate, signature of duly authorized officer. Glenn F. Heidtmann (Name and title of corporate officer) Builder's License No. 10 Plumber's License No. to be selected Electrician's License No. to be selected Other Trade's License No ................................................... 1. Location of and on wh ch Drooosed work will be done Man No 234 ,~, ~.~, none ~ ~'-7(;--- - ' '- ........... ~ ................................................ ; ................. :Street .... ana ~um~)er~ /.~ North Road, South.o..1..d..!...Ne.,w.....Y...o.r..k,.. .......................................... '~__~.~. ........ ../~.,,~,/~ ....... ,.r~-/~/.~/~,~.~ ~ Municipality 2, State existing use and occupancy of premises and intended/use and occupancy of proposed construction: Vacant a. Existing use and occupancy ................................... ; ................................................................................................ b. Intended use and occupancy Single Family Residence Tax fJ 1000 071 - 1 - 39 o 10. 11. 12. 13. 14. property lines. Give street and block; number er interior or corner lot. Nature of work (check which applicable): New Building ....2q;~ ........... Addition ..................... Alteration ............... Repair ......................... RemoVal ......................... Demolition ........................ Other Work .................................... ' ~,~[~,~,;~;~, ,f, (Description) Estimated Cost $ 80,000,00 Fee ..~.. iii;;~'~i;';~ii'~;;~i ................................. If dwelling, number of dwellinglunits ...~.B9 ........ Number of dwelling units on each floor ......................................... If garage, number of cars node If business, commercial or mixed occueancy, specify nature and extent of each type of use ..................................... Dimensions of existing structures, if any: Front ..................... Rear ........................... Depth ................................... Height ~ ..................................... ~ ..................... Number of Stories ............................................................................. Dimensions of same structure With alterations or additions: Front .......................... Rear ......................................... Depth ...................................... ....... Height ......................................... Number of Stories ........................................ Dimensions of entire new construction: Front .....~fi......0. ........ Rear ...~.~..-J~.!~. ............ Depth _.,~.0...=.0. .................. Height ....................... .[..6. .......... i ............ Number of Stories one Size o~ lot: Front ....~.,3.,%,.~.~.; ................... Rear ..... ~.QJ..,.7.5 ....................... Depth .....1,6,5.0.2.~. ............................... Date of Purchase ........... D.Q~...k~Q~.~I.... Name of Former Owner ............................................................................ Zone or use district in which premises are situated "A" Residential Does proposed construction viblate any zoning law, ordinance or regulation: .......... ND .............................................. Will lot be regraded ........ .~eS. ................... Will excess fill be removed from premises: [ ] Yes ~] No Name. of Owner of premises ~9~p~`~Q~J`~B~7~f~[~L~y~~[~X~5~,, . Ad ress) . ( hone No.) ..... Donaldl A. Denis A.I.A. Aq~e~ogue 722 351~ Name. of ~rcmtec~ .................. ' ........................................................................................................ ^. i . . . (Address) .(Phone No.) ~enn F. ~e~dtmann & Son, Inc. Cutchogue 734 7484 Name of Contractor ...............i .......................... ~ ............................................ ~ ............................................ I (Address) (Phone No. PLOT DIAGRAM Locate clearly and distinctlyiall buildings, whether existing or proposed, and indicate all set-back dimensions from or description according to deed, and show street names and indicate wheth- See Plot Plan STATE OF NEW YORK. Suffolik ) COUNTY OF .............................................. i ....... ) SS Glenn ~. Heidtmann .................................................................... J ..................................... being duly sworn, deposes and says that he is the applicant above named. (Name of' inclivldaal signifig contract] He is the Contractor ,! (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 ~lg~l~lla~)elief; and that the work will be performed in the manner set forth in the application filed therewith.! ~oIASY P~J~LIO, State of (._.~~ ~ ~ ' (Signature of applicant) HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~A NEAREST WATER MAIN MI. -+ ~A SOURCE OF WATER: PRIVATE __PUBLIC __ N SUrF CO~ TAN MAP ~$~'~00 SECTIOH 071, RLOCK OI LOT 059 I~THE~ AHE NO DWELLIH~S WITHIH I00 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON. R THE WATER SUPFt. Y AND SEWAGE DISPOSAL SYSTEM FOR THIS RE~IDEH~ WILL ¢ONFOI~M TO THE STAN~ROS OF THE SUFFOa..K COUNTY DEPARTMENT OF HEALTH SERVICES. AODRESE TEL O: PIPE FOUND SURVEY FOR JOSEPH F. QUINN AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y_S. LJCENS/ NO. t2845 HOWARD W. YOUNG, LAND SURVEYOR NY, S. LICENSE NO 45893 JAN. I0, 1985 DATE: SEPT. 7, 1982 SCALE: I" = 30' NO. 82-5i9 RIVERHEAD, NEW YORK AVENUE ~ ~ATEMENT OF INTENT THE WATE~ SYSTEMS OR THIS RE~ENCE WILL ~ I SUFFOLK COUNTY DEPT. OF HEALTH OF ~ ~ CO.ST.UCT~O. O.~V ~ H. ~. ~EF. NO.. ~ ~ ~OkK CO. T~ M~P ~SI~N~TION: SUR VEY~S J ~' NEW YORK C :[ OCCIJ? IiC'Y OR USE iS OCCU?A,NC¥ r 765- 80~ 9 AM TO 4 PM FOR FOLLOWING iNSPECTIONS: ~ FOUNOATION - TWO REQUIRED FOR pOURED coNCRETE ~ ROUGH - FRAMING & pLUMBING 3 iNSULATION 4. FINAL - cO~TRUCTION MuST BE CmMPt~E FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE coNSTRUCTION & ENERGY COD~S. NOT RESPONSIBLE FOR DESIGN OR coNSTRUCTION ERRORS. NOTIFY BUILDING D~pARTMENT AT ~_L ~ J~'~o'~ ~*' FOL'LOWING iNSPECTIONS: ,~. FOUNPATION - TWO REQUIRED ,o* ,ou*** co*c**** ~ ROUGH - FRAMING & pLUMBING I. FINAL - CONSTRUCTION MUST ALL CONSTRUCTION SHALL MEET ~HE REQUIREMENTS OF THE N V. DONALD A. DENIS A.I.A., P.C. ARCHITECT J% *-4i ri :1 DONALD A. DENIS AiI.A., ARCHITECT iF- ,%