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Home My WebLink About12333-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ~1188zf' Date August 29 19 83 THIS CERTIFIES that the building .. ~ld. D~EL~IN.~ ............................... Location of Property . .325..lJhl. ,T4~r~o ................... 0:RYEND ..................... House No. Street Hamlet County Tax Map No. 1000 Section . D.'[5 ....... Block ..... 05 ........ Lot ...... 02.~...flO ....: 0 ' Subdivision ....~le~..by..~.he. s.e.a ........ Filed Map No.. 6fi.60..Lot No ..... .q.58 ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated April 28 ,19 .~?. pursuant to which Building Permit No..q25~37~ dated . 2Vlay..fl.7. ................... 195.~., 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 one £amily dwelling The certificate is issued to ... ~O~TG..OP~.~ .~Olv~s · ZNG ............................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . q ~-so-¢~ UNDERWRITERS CERTIFICATE NO 1~. 5.'12. G.¢.~ ' Building Inspector Rev. 1/81 FOB~ NO. B T~N OF SoUT"o'~~ BUILDING DEPARTMENT TOWN HALL i SOUTHOLD, N. Y. N°. 12333 Z 0ate ...... ~. ........ ~.Z.. .................. , Permission is hereby granted to: ; ...... ............ ~.,../~...~.,~:.~. ..... ,o ..,.~.c~~z.....~:......~.L~4.~~..~.,.~ ...... ~.~ .......... ~:~.....~:...zc~L..~;~.a~&j~:,: ................ ...Z. C*~--r.~...r~....~: ............................................... '?' ....................... ........ ~.~.....~,..~.:.....:' ........ :'77""'.~ Building Inspector. ; Building nspectoV · ~,/~ Lot N0.~ .<.J.~ ............ ~and approved by the BUILDING PERMITi (THIS PERMIT MUST BE KEPT ON THE PP, E/~ISES UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) ~ FORM NO. 8 TOWN OF SOUTHOLO ., Buiiding Depar'~men~ Town Hall APP,_ CAT,ON FOR CERTIFICATE OF OCCUPANCY instructions This apoi cat[on must be filled in typewriter OR ink, and submitted in duplicate to the Building Inso~ tar ,.vi:h the following; for new buildings or new usa: ' 1. Final sunvey of property with accurate location of all buildings, property lines, streets, and unusu 2. F¢,n,¢l approval of Hea~th Dept. of wa~er supply and saweraae disoosal--(S 9 form or equal). 3. Approval of electrical installation from Bo~'rd of Fire Unde~vrit~rs. 4. Commerclal buildings, Industriai buildings, Multiple Residences and s~milar bu~lding~ and instal; tions, a certificate of Coda compliance from the Architect or Engineer responsible for the buildin 5, Submit Planning Board approval of completed site plan raquiremen:s where applicable. Fcr existing buildings (prior to April 1957), Non-conforming uses, or buildines a~d pre-ex~stm~ 1. Accurate ~¢zey of peoperty showing all property lines, ~raets, buildin~s and unusual natural topographic features. 2. Sworn statement of owner or previous owner as to usa, occupancy and condition of buildings. 3. Da~a of any housing code or safety inspect on of buddincs or premises, er other pertinent inform: tion required * -= ,o p, ~pare a ce~ifics~e. ,,' 1. C~ifica[e of occupancy $5.00 2. C~rt~fics~e of occumancv on pra-exis;~ng dwelling or tend use S5.00 3. Cosy of certificate of occupancy Re~'. 10.10-78 Ne,,*/ Bui!dlno ~// ' '' .............. Old or Pre-existing Suitding(Z) .. ....... = /Vacant Land" . ......... Loc~tion of Property ---',~,~ .~4/.~.L. Z~ 0~ I ~t y Owner or Owners of Property ¢~ ~ J ( ~ County Tax Map No 1000Section ..... /~... Block ..~ ......... Lot.~.~,~. ...... Subdivision ~ I ~,~ ,~ ¢ . ~ ~ ........... ¢'Y' ~. ~'~z~ ..... F,led Map'No~ .¢/¢~,Lot No.../~. ~ ...... Health Dept. Approval .~.~. ?,¢.( .~ ......... Labor Dept. Approval ......................... Unde¢,vHters Approva annMg Board Approval .................. ,., ~ Request for Tempora erdficate .... ................ Final Certificate .. ....... ~ , Fee Submitted S. ~ ¢ ¢ Construcuon on above d~.~r~b~d huiMimj and pertain'meets all aPofipabl~odes and requlations. -'' .... ," " '"' "L ' ~'' '' FIELD I~$[~TION COMMENTS FOUNDATION (1st) F'OUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL TS: 113502,1 THE NEW YORK BOARD OF FIRE UNDERWRITERS E~UREAU OF ELECTRICITY ]~[l~ 85 JOHN STREET, NEW YORK, NEW yORK 1003~ O.~e Au~ms~; 9~ 1~3 22~1/83 THIS CERTIFIES THAT only the electrical equipment as ~scrlbed below and introduced by t~ applicant named on the able application number in the premises of He~ ~nden~ 3z5 ~1 L~e, O~ient~ N.Y. was exatntttea on arid found to be in compliattce with the requlret~e~ts of this Board. FIXTURE FIXTURES RANGES :OOKING DECKS OVENS DISH WASHER DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET EXHAUST FANS OTHER APPARATUS: 1-G.FoC. I., ~-~oke Detectors~ E R V I ' C OF CC. COND 4/0 NO, OF HI-LEG A, WG OF HI-LEG NO. OFNEUTRA[S 1 OF NEUTRAL 410 ElecSrln Inc. Route 1 Box 45 M~ So,md Avenue R/v~rhead, NY~ 11~1 This certificate must not be altered in any manner; return to the office of the Board if'inc6rrect. Inspectqrs may be COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE M BE ALTERED IN ANy MANNER~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING /E~ FINAL REMARKS: ~/¥.--/~,,, DATE ~ ~//? '~ INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180~ Examined./~ .~.../. 7...., 19 ~.d ~,~ Approved..ff~.~../..~ .... 19~..~. Permit No. ~..~.~.~.~.'~'~.~ .~. Disapproved a/c ........... ~ .. ...................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No...z/~..~..~.~..'' ........ 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 approvai 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ... L.o. ~.~...~. R ~..~., H .<~. ~.~., t.~ .. ........ (Signature of applicant, or name, if a corporation) .~.,..~.o.~. p.,..,~ .T.. RO.~..S.o..,,~?..~:?, .~ :~. (Mailing address of applicant) I lq '? I State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ~* ~{l~ .~ .~/.~.. ~. ~..~..~..~! .~..b.~..~..~.1~..: ....................................... (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 No .... ~. ~.~-~..-. ?. ........'... Electrician's License No... ~..-~. 2i2 .~. ........... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ...... l{ ..7 ............. ~. .......... ~. ~. ..... ...... ~ 4~Z ................ ~ ~.c... L~,.~ .................. ~. ~.~,~ .............. House Number Street Hamlet County Tax MapNo. 1000 Section .~ .... J.~... Block...~ ............ Lot..~¢.t~'[~.(~? ....... Subdivision ~I~ .~.Y. ~. ~ ~.~¢r~{.,,~Filed Map No..~ J.~ ~ ..... Lot. ~.~ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. [xisting us~ and occupancy ................ , .................................................... b. Intended use and occupancy .. ~.. ~.~44.}K. A).~/~(~ y ............................. 3. Nature of work (check which applicable): New Building .... Addition .......... Alteration .......... Repa/r .............. Removal .............. Demolition .............. Other Work ............... : (Description) : (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ..... .~. ........ Number of dwelling units on each floor. ~..~'~.~'?..~./. .... If garage, number of cars .... /...~..~/~. ............................................................ 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 ............... Rear .............. Depth ............... Height.. .............. Number of Stories ........ : ............................................... Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth. ................... ... Height ........ ): t · .......... Number of Stories ........... ~ ......... 8, r)imensions of entire new construction Front ~ .. Rear ~3/zr' n~*h ~2g ~ teight ~.~. ........... N. un~ber of Stories .../ ........... ~ .......................... · ......... 10. Date of Purchase . A .~P~Z,.. ..................... Name of Former Owner 4~.~..~..~W. ~.~..1~....~[.~. ......... 1 1. Zone or use district in which premises are situated .......... · ........................................... 1 2. Does proposed construction violate any zonin~ law ordinance or reoulation' ~42~ 13. Will lot be regraded ...... ; ~ · ~...; ............ Will excess fiil ~e removed frozn_~{:~mises: , Yes .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 inter/or or c'orner lot. ' STATE OF NEW YORK, , S S country, oF .... i ' ...... .~...o .~.~-.- ~..-'~'. . .~.o...~..-~x. ~ ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .......... f--~. ~ .~ .~. 4 ~. '~?'.~ .... .~..~.,~. ( .d..~../~... ............................................... i (Contractor, agent, corporate officer, etc.) of said owner 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 to before me this .............. ;~ ......... day of .... .~.//~/..O~_~. ..........1 .9~.. no 52-4~2477! --~. (Signature of applicant) (]ualilied in Suffolk 00unty Commission Expiro~ March 30, SUFFOLK CO. HEALTH DEPT. A~PROVAL H.S. NO. STATEMENT OF INTENT TIlE WATER SUP!:~LY AND SEWAGE SYSTEMS FOR THIS RESIDENCE CONFORM THE STANDARDS OF. .SUFFOLK COUNTY DEPT. OF SERVICES- -- FOR APPROVAL CONSTRUCTION ONLY DATE: ~ H. S. REF. NO:.: ~ SUFFOLK CO. TAX MAJ~ DIST. SEC?. BLOCK SUFFOLK CO. HEALTH DEPT. APPROVAL H S. NO. ; /,t, '~': ~ ~:-c: ~ ? ~ ' , , -~. - , STATEMENT OF INTENT THE WATER SU~LY AND SEWAGE DIS~SAL 9~ .,0 : ~ .~ .... ,~5 :,,'~ .=: [. ~ CONFORM TO THE STANDARDS OF THE ~ ~ ~.- / .., SUFFOLK CO. DEPT. OF HEALTH SERVICES. ~ ~":~' ~' ': : ' ~-"' ' ~*"'" .... APPLICANT '~' ' ~'~ ~ ~ ~ : '-- , ,r~ / , - ..... , * ~,- SUFFOLK COUNTY DEPT. OF HEALTH ~ ;~ ~ . ~' ~ U ~ ~ ~ CONSTRUCTION ONLY ' ~" ~ ; ~ ~,/~/,,: ./~L:' H.S. REF. NO.: ~ H.D. RE~- DIST, SECT. BLOCK PCL, : ' ~ The sewa~ ~ispoSal ~n~ ' ~ a, this department an~ found . 7-~'~---"'~' ................ t., .. ~.-- . ~-~' , ~-~ ~ : ~ , n ))~ p c ~ o..~¢~ /f~ .~ chief o ; DEED; L. N/~ P. ~>~,,, e,~? ~: ,b~: -~z~d - C'~,.,~ 0 ~ ~ 7 re .a~' "~ /~rr : . , ,/~ ,. : ~ ~:((T~O/ ~ ~...~Pd-:~:¢~( ~- 1~'~ ~ ..: ~'~,' :'- c '?./: i SEAL ' /, -' . .:"' ' : . RO~RICK VAN TUYL, P.C. ":, - ..... ' LICE~ED LAND SURVEYORS ~ GREEN~RT NEW YORK II ~ P f __c~:a-o'~ ~-~,,',~. ~ (~zo. .'-.~. ,. . , fro ~ . / ~ ~.:~. 4' ~ (.,._,, c -, ~, ~ ,~ . , z ~ , -~' .~ ~ ~ .~ '~ f~oo', -- ~ ;~ ~ ~ ~ ~ ~ h)~ ¢. ," :~'' ..... ';'4' ~* ~'/'.'¢" ~ ~c~o~r/,~.> ~ .~ ;.I~ '~ ~ ~ '~ ~ ~ . ] ~l,'l~ ~' >. >.'h ~ /~,~,~ f. -~:. ¢~x 'i ~ ~. ~, ~ ~ ~ 0 .-_~' x . , . , -~e~*,~¢ ~U ; 1~/..~/~o ~ . II ~ ~ .. ,, . ~, P ~ - - --.I~ > fl ~-o , -~_~ ~, h ~ ~.o" t ~ ,., ,. ~ ..... / LCON5 TPUC TI 0 y ybIEI C'p~r'~h'~MAsT~LANS~RVC~]NC.P .......... h'r"~y~.n[.d~o~epurc~,,ser,obuddfromthc,.d ...... H ......... y I RUDOLPH A. MATERN '~.~ .... ,.. ......... ,.,,.., ..... , ..... ~,.o..,,...,. ::./2z" SLAB ZNSULATION Degree Days I Nih. ~ R Va~lue 5ooo I 5.5 ~ooo I 5. s z' 7000 I 5,5 5000 I 5.5 9000 I 5.5 The insulation must extend at least 24" under the slab or at least 24" below grade down the foundation wall. FOUNDATIO¢~ [IALL The insulation is installed on the inside face of the foundation wall and provides a thermal break between slab and foundation. mate location code complianco slabs OUTSIDE FOUNDATION_~ALL The insulation is installed on the outside face of the foundation wall and provides a continuous thermal harrier at the slab edge and foundation wall. All exposed exterior insulation above grade should be covered with a protective material, insulation Cr~V E ~ ~ A Y, FO U~lO A T /~9 /V SEC T ]OW DRAWN B~'- APPROV£D BY RUDOLPH A. MATERN ~ I~EEil~"rlFllD ARCHITECT design number hee: no. :fl~ 0 N T 'f L E II ~ T I 0 iV / - ELEVA TIO IV I I t 0 ,/V5 '"'" I ..Ej..,O.OT.K..,,~,..o.,,,.v..o~ ''~' L E y ~ T DRAWN BY ~ .EOlSTEnED ARCHITECT 0 I design number + / 7/0 T£ = / */'..'o.~ ~ --Z: £ F T -- 5"£7X £: £ L E II,47 I 0 ^/ ,¢ ATT I 1 = , CzJ / J ~A 5£CTI0 M t¥1 c N OPEA/ ~W $~ ~E^IT I t ~ F&~ \. PL uM8 Ii copper tubing is esed for water distribrufin9 ~ys~em; piping shall be of types K o~r L erdy / I Lit/i/Al ~ - ATF/c -- see de/,~,/ on SEc T/O/VJ / --- ,/~/ T'CW LI £ £ E V A T /~ AlT A ~ IAIG f' DRAWN BY ~'~ ~- APPROVED BY RUDOLPH A, MATERN ~ I REGISTERED ARCHITECT design number sheet ........ FRAA,'IIM~ DETAIL AT 3:4," fi/VF~ I~?~. me/o/ ~'-1~" CCo~L.s ~- ~tl C T/OIV qlp055 RUDOLPH A. MATERN design numl sheet no. O,N --- c 4,44 t~ ~em ~WpIcn [ .71/~lq~ heol ~G 4,0G BTU/" *,~. W,lm 0.1~ h~{ % 4.~ru/. ~.~ -~v~n~m~ 3/~ cx4e~,o. BTU/. ~.~ ' O~Oh~ I NOTE -~4" ~a~.~ r ave, ~,~4 A~f~ ~I'U"-48) ~-~': $2'~ ~r +he percemf~q~ ~ ~,~o~s ~h +k~ Cro~ e~posed ENERGY-POWER REQUIREMENTS AND NOTES DEGREE DAYS for The CONTINENTAL UNITED STATES This map is to be used as a general guide. Refer to your State Energy Office or to the ASHRAE "Handbook of for the exact degree days in your area, if they are required. Map Courtesy of Dow Chemical Co. BATH EXAMPLE' L H.1-