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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.1.1.9..6.5 .......... Date ........ .~ .e.p.~.? .m ?,e.v...2.7 ........... 19.83.. THIS CERTIFIES that the building .- :-.n.e.¥..d.w.e. 3r..1.~.n.~ ............................... Location of Property .6. ! .3.0 ................ .~.n.d.t.a..n, .~.e.c..k..~.a.n. ? ............ ?.c.c..o.n?_.c... House No. Street Hamlet County Tax Map No. 1000 Section ....0.9.8 ...... Block 05 ..Lot p/o 017.003 Subdivision .... X. .......................... Filed Map No..X. ...... Lot No...X ........... conforms substantially to the Application for Boilding Permit heretofore filed in this office dated ..... A.p.~}.l..5. ......... 19.8.3. pursuant to which Building Permit No. 12266 Z dated ..... A. p..~ .~.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 ' .. a private one-family dwelling. The certificate is issued to GUY HEATER {owner,4e's~e ~r-tenarrtY of the aforesaid building. Suffolk County Department of Health Approval .1,3. ? .S.0.-~ 0..6 .~.· · · ·. · · · · · ·...................9 / 23 / 83, R o b t. /~. V i i 1 a, UNDERWRITERS CERTIFICATE NO ..... N 617637 Building Inspector Rev. 1/81 (THIS PEI~IT MUST BE KEPT ON THE, PP, b~lS~S UNTIL I~'ULL COMPLET'ION OF THE WORK ^UTHORIZED) 12266 Z D~ ~.~.... ~ g..~...~ Pe~ission is hereby granted to ......... ~.~..~.~,.~......~:...,~.....~: ........ ..~ ............ ......... ~~:.~.~ ,o ........ ~~-... ..... c,.~ ,~ ~op No ~ooo Building Inspector.. Fee .. ~ ... Rev. 6/30~8.0 ~ FORM NO. 6 TOWN OF SOUTHOLD Building Depar~men~ Town Hall AP ~,C~.T ON FOR CcR~ lrIC~TE OF OCCUPANCY instructions ' ' This ~pplicadon must be filled in typewriter OR ink, and sub'it:ed in duplicate to ~he Building tor ,.rich [,~e following; for new bui!dings or new use: 1, Final sup/ay of property with accurate location of all buildings, property lines, streets, and unu~ natural or tOOOgraDh[c 2. Final aoprovai of Hesith Dept. of water suop v and seweraoe disoosa --(S 9 form or equal). Approval or electrical installation from Board of Fire Unda~Hters. 4. Commercial buiid[nes, fndus~riai buildings, Mu~dpb Residences and similar building~ and ins:aU dons, a certificate of Code comoJfance from the Architect or Engineer responsible for the 5. Submit Plann~no Board aoprova 'of completed site pi~n e~ ' ~ = - , r ~u~r~m,nt~ where applicable. Fcr existing buildings (prior to April 1~/), Non-conforming uses, or buiMines a~d" ~ ' 1. Accurate ~¢zey of peoperty showing all proo~rty lines, ~r~ets, buildings and unusual natural topographic features. ' 2. Sworn s(a[ement of owner or previous owner as to use, occupancy and condition of buildings. 3. Data of any housing code or s~fety inspect bn of buitd[ncs or premises, or other pertinent Jnform~ tion required to prepare a ce~ifica~e. / 1. C~if[cate of occupancy S5.00 2. C~r:~fic~e of occup=ncy on pre-existing d,,velUng or Jand use S5.00 3. Copy of certificate of occupancy Ne,.,/Building . . .'t/¢...~. ..... Old or Pre-existing Building(:~:) ........ , /Vacant Land ". ............ ....................... ....... Location of Property - ' /~.~..~-. . Ham/e OwnerorOwnersofProperty ~.~ ~ I~l~ ~~ ' County Tax Map No 1000Section ..~ Block ...~.~ ........ Lot. .1 ...... Subdivision ................................. Filed Map No ........... Lot Permi~ No ........... Date of Permit * ~ Health Dept. Approval .... ~.~ ..... ' ......... Labor Dept. Approval .......... Planning Board Approval .................. Reques~ for Temporary Certificate . . ' , . ~ ' '' . ............... Final Certificate ~..- ......... Fee Subm t~ed S ~ ~ ¢ Cons[rucdon on above described buifdinq and permi{'mee[s all apa~cablDcodes and reculations. I I A¢pnc nt : ................. 1135021 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~ate September 23, 1983 ~ppli~atio~ ~o. o~il~ 215886--83 N (5 % 7 6 3 7 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant naffted on the above application number in £he premlses of Guy Heatt~r, 6130 ~dian Neck L~e, Peconic, N.Y. in the follotvlng Iocatlon~ [] Basement ~] 1st Fl. [] 2nd 1;7. Sectlon BIoch Lot w.~ e~..,i.ed o. Sept:~er 19, 1983 and found to be in cornpliance with the r~quirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS 36 DRYERS 52 33 36 FURNACE MOTORS FUTURE APPLIANCE FEEDER~ TIME,LOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: Fmtor$: 1-F. 1-G.F.C,I. 2-Sr~ke Detectors S E R V I C E NO. OF CC COND A. W G, NO A, W, G A W, G, PER ~ OF CC COND, OF HI-LEG OF HI-LEG 1 NO'~NEUTRA 4/0 Three "C" Elect., Inc. Rt. 1 Box 45M Soupxl Ave~ Kiverl~:~ad, N.Y., 11901 L/C. #3327 This certificate must not be altered in any manner; return to the office of the Board if ~ncorrect. Inspectors BUILDI '. THIS COPY OF CER Per_ may be' identifie~"b~Jheir credentials. FIELD INSPECTIO~ FOUNDATION (1st) FOUNDATION (2nd/ 2. ROUGH FRAME & PLUMBING COMMENTS INSULATION PER N. STATE ENERGY ~DE FINAL ADDITIONAL COMMENTS: 76S-~.802 BUILDING DEPT,. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ! FOUNDATION 2ND [ ] INSULATION, FRAMING [ ] FINAL FORM NO. t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ,.l..l..F..., Approved 1 ;e it i ./--. Disapproved ........................ .... ./ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .......... 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 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, build'.mj code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspegr~ons. /2 ~ 1 ~ · .... / \(Signatur0rof applicant, or ua]ne, if a co p ' ) .¢.. ~e y . J. ~ m . . ~ R .... .~. ~. ¢ t '.t J .e.r ./Y' /.¥ . . / /. ~ P 2 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ~.t,d.r~ ~ ~. ................................................................................ Name of owner of premises ~..~/.. ~'7~.~.~.3(¢.~ .......................................................... / (as on 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 .......................... Plumber's License N;.~ ..t ?7..~..~...%~.. (.C.c_..?.~..~... Electrician's License No..' .......... ; ...... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ~ . .... ~,.t 3 .o. .............. ;h,.~ ~.,~. ~.e.¢k...L,,...,,~ ............ ?..e.~..~. o;.~. .................... House Number Street Hamlet County Tax Map No. 1000 Section ...0 .~.g ........... Block ...O..~. ............ Lot~.~..e?.. Iqi~,r ~ ..~.~.~.....~.o.~¢t,.~.~e:.~. Filed Map No. ~q-t .... Lot- ..~. Subdivision ~ ....................... (Name) u 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .~..t~ .~.~.~.'~. '. ..................................................... b. Intended use and occupancy . .~..'~¥; .~.~ ..... .~..o. ~t-~.~- ........................................... 3. Nature of work (check which applicable): New Building . .. Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost . ~.O/ .7~. f..~.~.. ......... ~ ......................... Fee ............................... (to be paid on filing this application) 5. If dwelling number of dwelling units ...... I'. ........ 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 structures, if any: Front...J~. 'J .... Rear . .~ ~ .... Depth. ~ ....... Height ............... Number of Stories ...... ~. ............................................. Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... : .. Height ...................... Number o? Sto,,ries ............. It ....... 8. Dimensions of entire new construction Front .. h&. ~.. ...... Rear . .. &.~l.. ~. ..... Depth' .,F~..t.~. ........ Height ............... Number of Stories ....... L ~ .............................................. 9. Size of lot: Front . .~,~J,.o~. Rear .... .k;~.~...t.~ .......... Depth .{~.~.,~ ........ 10. Date of Purchase ...... ~,~,.i..~ ~. V~..g. 5 ........ Name o,~ Former Owner .'~.,..Q~.'[.~.~...~..~,. 5 ~n-~.*.~... 1 1. Zone or use district in which pr~mises are situated ......... t~ ..................... / . . u 12. Does proposed construction v,~9!ate any zoning law, ordinance or regulation: ...~0,0 .......................... I3. Will lot be regraded ....... ~',¢ .t · · .. ...... .... ,... WilI excess fill be removed from premises: Yes ~ · . ..... ................... .7. .... PLOT DIAGRAM Locate clearly and distinctly ali 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 NEV('~'~RK -'/S coui ?r d .... s.s , ......>~ ~-~- - ' ~ ' · . -~-___ r-,. ~e .,,.e.l~i"'~~. ~,~'---- ......... , being duly sworn, deposes and says that he is the applicant above named. : He is the ~ ; (Contractor, agent, corporate Officer, etc.) of said..~wner or owners, and is dul~ 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 manne~ set forth in the application filed therewith. Sworn~t~ before me this Notary Public,' ....... ~ ..... .~ .~:~.. ~ County ~ I:t~zas£~,_ ~ ~l..I.[B ~_ ~ ..... : ~ ............ ;2: ' ': ....~" ' '.'.' ' ;: ' fllO RY pUBLIC, S a e of New ¥oi'1~ j~ tmsnaru~ otappucanr) ~ I ~ 5'2-8125850, Sa! 01k COUllty ' < ! l~r~ Expkas March 30, 1~ ?0 TITLE NO. TI28Z-3597 HEALTH DEPARTMENT-DATA FO~ APPROVAL TO CC~ISTRUCT N ~flE WATE~ ~S~E DI~AL S~TEM~ ~lS R~IOE~ i,* M~NT FOU~D ~ M ~ C~ ~ ~C(WL ~IC TANK(ST)e CE~S(~) ~N ~NE~ SURVEY FOR GUY C. HEATER & VIVIEN HEATER AT PECONIC TOWN (:~ SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE: JAN. $, 1983 SCALE: I" = 50' NO. 82- 786 NGUA~NTEES INDICATED HEREON ~&LL RUn ONLY THE ~ FOR WHOM THE SU~EY IS PREPAR[O TO A~ITI~AL /NSTtTUTI~S O~ SUBSEQUENT PURPOSE AND A~E NOT TO 8[ USED TO P~P~R~Y LINES OR FpR THE ERECTION ~ FENCES II YOU ~ anO LANO SURVEYOR N.Y.S. UCENSE ~ I HOWARD W. YOUNG) LAND SURVEYOR ~ I N,Y.S. LICENSE ~0.4589~ GUARANTEED TO: THE TITLE ALDEN W. YOUNG) PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 AVENUE RIVERHEAD~ NEW YORK ~ /" 1~0'19,' ~~ 80¢ SURLY FOR SU~O~g ~O~T~Y ~,f~ DgPA~gE~: GUY C. HEATER ~ VIVIEN HEATER ~WN ~ SOUTHOLD SCALE: I' ......... ='~ SUFFOLK COUNTY~ NEW ~RK NO. 8~-786 suevE~a's raKED SEAL OR [~eOSSED S[~ Sa*eL SOUTHOLD SAVINGS BANK MONUMENT FOUND _i~IJ ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HowARD W. YOUNG~ LAND SURVEYOR ~ L~T~ ~ ~L(WJ,~IC TANK($~)~ C[~OLS(~) ~N ~RE~ N.Y.S. LICENSE NO. 45895 m~ F~E~ ~T~S ~ Oe DATA OITm~O F~ OTHEaS IRC. 1618 ,i, 1' ~EOT?~E .4771G ' I -"- ln'.ro~A: ' /l:b" FEE;~_/~_ ~'BY: _~ NOYIFY B~NG D~A~TM~NT AT . 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~0 REQUIRED .... , FOR' pOUReD CONCRETE 2. ROUGH - FRAMING & PLUMBING S&0 fl ¢. ¢/ &O. J N T lC O ARCH'IT~c~mF'S BLUEPRINTS CONSTIT. UTE LEGAL, DOCUMENTS AND SI{ALL BE. REPRODUCED BY FHE ARCHITEC~ONLY. 3. INSULATION BE C©MPLETE FOR C O, ALL CONSTRUCTION SHALL MEET - ."-,--~ THE REQUIREMENTS OF THE N,Y, ~.~,~ t All Yederal, l]tate and -STATE CONSTRUCTION & ENERGY al codes, ord~na~ees, i,, CODES. NOT _RESPONSIBLE FOP, regulations,, etc. ~i)mll be DESIGN OR CONSTRUCT O~ ERRORS: - qon~,x~lered as lmrt of ,~pee- : /_Or ',, and shall take pref*?ence Over , 226' SEVENTH STREET .nyth~ll~ .ho~ll, de.l,~"*bed or A ~ C M I GARDEN CITY YORK 11530 ~d wh~e ~r~,me. oo~,,r.:: T ~ C T 5 PLAN ON[ X C- FZVE I:AM LY DIIW6 f , / 2,26 SEVENTH STREET: YORK II 550 HE-~AAAN 1.[. YOP, E,., ~AYMOND IL C N I T E C T 226 SEVENTH STREET GARDEN CITY NEW YORg 115:50 140MAN I-l. YORK RAYMOND 1: AMI L'V C T 5 / -"/8 PLAN ,: .~ ¢'.~ 4,0 3Oxzl 3 " 30" 0.., :/' m//, ,'/ ,, INSUI~TI ON InSulation in.dicated on local requirements. Insulation (R value) tion rates t~ co~ply FMD-L~AL~ ' and allowable infiltra- ,with latest regulations ~ompany. I _ .~. ~ ~ /~: 0" Z g~G 7HS PA ~ Tt 7101! \ IONS: "' : ,, Cocf.,,,,~/,I FooTixlgs ,/,,,_.,...,, 226 SE'VEN~H STREET GARDEN CITY, NEW y,ORK II RLVISION$: /' 226 GARDEN :-: I ' 'I41:RMA H.x/O~. RAYMOND sEVENTH, sTREET . J A z c ~ ~ T ~ C' T S ~W~. CITY, NEW YORK E I:AMILV Ill:s I D'.L'N:C.'~. Zqov~A... . '~lWC ! SI,,V,V D,W TZlf~ I ] LAV ,,, /VO .'TCA L L f copper tubing is used Jar water dL~tributing system; piping shall be of types K or L on~y _7¸ ', ' ,' II/' I 1:.½/t //,\/ DATE:, . 2,26 'GARDEN SEVENTH 'r STREET CITY NEW YORK II550 't 4 C kl I T E C T DP. W6. & (?? 7 f I:AMILV ~. ~. S R~.VislOhl~: OAT[< t,,' "- ~ BUIL?-UP GIRDER/HEADER NAILING SCHEDULE/ASSEMBLY '' ' ' ' '- " ' "!' ~ ' supports, joints in joists are to be located between one Sixth and one quarter,the ~pan length from an iutermediate support. No two adjoining joists, nor more than one third the total number. are to be lointed on the same side of the support, NAILING Two piece girders are to be nailed from one side with lO-penny nails, two near each end of each piece, others staggered with a distance of 16 inches between hails in a horizontal line, top and bottom; or girders are to be nailed from each side with lO-p~nnv nails, two near each end of/each {Gist, others staggered with a ~istance of 32 inches between nails In a horizontal line, top and bottom, Three-piece girders are to Ee nailed with 20-penny nails on each side with two near each end of each piece, including intermediate joints, and with the others staggered with a distance of not more than 32 inches between nails in a horizontal line. top and bottom. Four-piece girders ,a~e to be nailed with 20-penny mails as specified for the three-piece girder. ANCHORING 226 SEVENTH STREET YORK, I 1'5:30 14. C--N I ON[. LY P,.A¥ OND F=.. 5C LI[.Kiid- "T, I: C ' I S 77% DIZW6. 7 ~F 7