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Home My WebLink About12256-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building . 9 ?.e.e.n.D. 9.u.s.e. . 9.d.d.~.~. .i.o.n. ........................ Location of Property ...3. q q..w.~.~. $ 9.~..v..o.~.~..~.d .......... S <u.eh o. Ld ............ t~ouse /ye. Street Ham/et County Tax Map No. ! 000 Section0 .5 .~ .......... Block .... 0.5. ......... Lot ....0.3. 1. .......... Subdivision ..... ~..~ .1 ~.o/...]?.o.~.n..~ ............ Filed Map No.4 conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...M ~?.qh...2.8 ......... ,19 .8.3. pursuant to which Building Permit No..].2.2. 5..6.Z .............. dated A pr ± 1 1 3 19 8 3 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 ......... Greenhouse addition to one family residence· The certificate is issued to Frederick P. & Mary Jane Groll (owner, of the aforesaid building. Suffolk County Department of Health Approval ......... .N./.6 ............................. UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 Building Inspector 12256 Z Permission is hereby granted to: BUILDING' PERMit:· · , CT'HIS PERMIT 'MUST BE KEPt ON tHE pp.~Eg~ $~S' uNTIL: ULL COMPLETION OF THE WORK AUTHORIZED). ?! at p~emise~ pu~s~Jant t~o application doted B~ I~lng I~spector. ,~qo. ~,~ .......... and ipproved by the FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~outhold, 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwellingf land use -- ?r e-E× ±s t,±ng C, 0. $15.00 3. Copy of certificate of occupancy $1.00 ~'acant'land C.0. $ 5.00 · Date ....... ", ~. ...... New Building .,, ~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .. ?..~.., ,~. ,t. ~.L, ,~.'.v~,,,, House No. Street Ham/et Owner or Owners of Property ...~.((,,..~ ~:~1 c-t~ County Tax Map No. 1000 Section . .O.~,,~. ,~ ......... B lock . .o..~,-~. ......... Lot .... ,O..~. i ....... Subdivision ~ ~1'~ ~ ~ ~" ~ ¢~ ...Filed Map No. /-I ~-~ /~tNo PermitNo, l.~.E~'fi2 Date of Permit H'/~"~'.~,.Applicant Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described buiiding an~J,,~ermit me)ts al,~ppl~able codes and~/, ,,) ~ /z~ regulations. Applicant ~;~ .... ~,,~ ...................... Rev. 10-10-18 Z t 735'- FIELD INSPECTION ~ COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: B (BASE WP&L INSTALLATION) The exact width and length of your ~reenhouse is easily deter- mined from the drawing or table on thts page. The height can be chosen fi.om the next page. Once the height, w~dth and length am determined use the details on this page to accurately locate your base Generally, it is advisable to mt the ffreenhouse sill 1" or 2" back kom the outside edge of the slab or base wall. Generally the Flat Slab installation is the easiest to construct, but in some cases the base wall iostallaiion will be more desirable. When building such a base wall remember to leave a 60" opemng (30" on either side of the glo,zing bar centefline) for doors, whether they be in the front or the end. Also, specify the base wall height with your order (i.e., 7-5/8", 15-1/4", 22-7/8", 31-3/4") or say you don't know and we'll provide an adjustable panel kit for over the door. If you are at~aching to a roof overhang, you may want to order the side filler kit. Each k~t will give you the material to fabricate the filler panel any width up to 30-3/4' by any height up to the height of your greenhouse. You can order more than one for larger walls, or both sides These kits are made to be customized ~n the field. Doors can go in any two bays (except the one indicated) on the end; and in many cases can also go in the fi.ont. See next page. Double lite or singJe lite windows can go in any bay except the one indicated. Power ridge vent (ex- haust shown by arrows) is optional (see page 5). NO DOOR OR WINDOW HERE FLAT SLAB or DECK INSTALLATION TABLE A flashing (by others) joint backer __ sealent eafl insulated glass Mngth given to and lmm this point DETAIL B GABLE END FLASHING applicable only when gable end is a~h~l tn hu~m9 DETAIL A RIDGE Pow-fl-Vent adds V4' to height ca[ insulated glass glazing bar sealant -- joint backer caffmg bleck DETAIL C SILL 6 sealant glazing bar insulated Diana snail-in insert cap DETAIL D WALL BAR -sealant FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 (Building Inspector) APPLICATION FOR BUILDING PERIV]IT Date... ~.:..~..~..5 ....... 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. 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 Buildh~g 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 building for necessary inspections. (signature ~f applicant, o~ nXame, ifa cor oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. {~as ~n the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ?~.>(ev.~. ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................. ~ ................................ ¢.? ............................. ....................... House Number Street Hamlet County Tax Map No. 1000 Section ....O..~.~. ......... Block ...O...-~-. ........... Lot....~. :3. I ..... ~.~ ..... Subdivision...~.. [tr. ?.o..~.. ?.o.L~. TT. ................ Filed Map No. ~..~..-?..~. ...... Lot. ~.'.-]. .....?.~... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....?fl. I.v. (4. ?.~....O..~..ff:...F..~. ?2. '..tT-.~ .... ~ .(g:.~ ~. ?..~...~. ..................... b. Intended use and occupancy ................................................... Nature of work (check which applicable): New Building .......... Addition ........ Alteration ..... 2 .... Repair ............ RemOval ...... Estimated Cost (~ o 6 o , e ~ If dwelling, number of dwelling pnits ..... ...... Demolition .............. Other Work .............. ,. ~ (Description) .............. Fee ..... *?.5. .... .< ...................... (to be paid on filing this application) · [ ...... Number of dwelling units on each floor.../. ............ If garage, number of cars ......... I ...... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structur{s, if any: Front .. O. ~ ........ Rear ....b.c. '. ....... Depth ......... Height ............... Number of Stories .... I .................................................... Dimensions of same structure with alterations or additions: Front .. p.o., ............ Rear .&.q '. .............. Depth ..... ~. J.* ........... i.. Height ' Number of Stories .... ] ................. 8. Dimensions of.entire new construction: Front ...... /. 0 ....... Rear .... I..O ........ Depth .. l .o. .......... Height ...~..~ .......... Number of Stories... ! .................................................... 9. Size of lot: Front ..... I..o..o. ! ........... Rear ....... cl..o~. ! ......... De h 10. [)ate of Purchase . .l.;Z .-.~ k.'7.~ ............... ..~'/ame of Former Owner 1 1. Zone or use district in which pr~mises are situated... ~'(~..t o ~.~.~t/~-~ ......... 12. Does proposed construction violate any zoning law, ordinance or regulation: ../~. ?. ........................... 13. WilllOtofb;ryngraded ..... '~¢'~",~.'t~ .......... Will ex~oe~ss fill he re~?ov~om premises: c~ Yeos No 14. Name w erofpremises .Of;ia; ............... Address~..O.O/~-:...'.~ ...... PhoneNo. 7..¢-f'.:.~.7.~ ..... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ........................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alll 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. STATE OF NEW YORK, , "' S COUNTY OF..4.ql,/r...,~,.t~Z.. r ' (Name of individual signing contract) ' above named· being duly sworn, deposes and says that he is the applicant He is the ...................... i ................................................................... i (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 be performed in the manna[ set forth in the application filed therewith· Sworn to before me this .~..? 7c/x .day ofl ~fl.'.~.F-:../?z. 19 ~.~. Notary Public, .%.. IJNgA F, KOWALSKi .~.~ ...... [ .... NOTARY PU~I.IC, State of New Yorl~ ' ' ' No. [~2,45~4771 k ( \ (Signature of apphcant) Qualified in Suffolk County ,[ l~0111missi0a [xpiras M~rch \ \