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Home My WebLink About12745-zFORM NO. 4 TOWN OF SOUT.HOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z12649 No .................. Date ............. Ju3.St. 2.7 ........... ,1984. THIS CERTIFIES that the building ............ D.~W. dw~l 1 lng. ..................... 1180 Westview Dr. Location of Property .... ~.1.0. ....... .B.r. qv/~c..l~ql, ............ Matl;itu~k ....... House Ho. Street ...... Hamlet County Tax Map No. 1000 Section .... ~..0.7. .... Block .... Q 7 ......... Lot .... J, ~ ........... Subdivision ............. ;~ ................ Filed Map No .... g .... Lot No ....... g ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... l$oy.ogober..3.., 19.8.2[ pursuant to which Building Permit No ........ l~ 7.4.5.Z. ....... dated ........ hlo.v.e, mber..~ ........ 19 B.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 ......... new one-family dwelling. The certificate is issued to RICHARD POSSELT [owner, .............. of the aforesaid building. Suffolk County Department of Health Approval 13-SO-9 9 N653316 UNDERWRITERS CERTIFICATE NO .................................................. · ' ' /~'~/~ullding Inspector R~v. 1/81 FOBI~ NO. ~ TOWN OF $O~TSOL~ BUILDING DEPARTMENT TOWN HA~L SOUTHOLD, N. Y. BUll. DiNG PI~RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12745 Z Permission is hereby gronte~, ~ ...... .............. County Tax Map No. 1000 Section ..... [...O....ml. .......... Block ...... ..~..~.. ....... Lot No. I ~ pursuant to application dated ..... !.'.~,,~, ,~-;...-7~...L.~.../. ................. , 19.~...;~ and approved by the Building Inspector. Rev. 6/30/80 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 submitte~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 etectrical 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 features. 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 dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Fre-Existing C.O. $15.00 Vacant l~nd C~O. $ 5.00 Date... Z/~.~-~,-~./.~'..~ ......... New Building ~ Old or Pre-existing Building Vacant Land Location of Property ..... .~..~- ...... .~T. HouSe No. Street Hamlet Owner or Owners of Property . .~./.~.~....~ ........................................ County Tax Map No. 1000 Section . ~.0.~. ........ Block . .°.Z .......... Lot.../..~ .......... Subdivision ................................. Filed Map No ........... Lot No .............. , of Permit .... Applicant ................................ Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ · . Applicant...~~. rTh~ certiflc~te must not be altered in any manner; return to the o{~ice of (ne ~oard i¢ incorr*ct, Inspectors may be FIEL~ INSPECTION COMMENTS FOUNDATION ( ~ st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL Ye ADDITIONAL COMMENTS: 765-180:) BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION /[/~ ~ FI NAL [ ] FRAMING REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-180:3 Received ....... ,19. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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, building code, housing code, and regulatig~Ts, and to admit authorized *inspectors on premises and ~n building for ~ecessary, Zmq*pectio,~s~^ .,,'~ (~ignatgre of~appJican~ QI; name, if a corporation) .° .-~.." ~ .~.;~c../v.., ~ ff..././~.~.'..~. ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .....<,. . &. .................................................................. Name of owner of premises....~..,.0..~..~ .~..~. .... .~.0. r ~. ~i./.~ .7~. ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nd.me and title of corporate officer) Builder's License No ......................... . "~ , - Plumber s License No .................... ... .... Electrician's,Licen~se No ...................... Other Trade s License No ...................... 1. Location of land on which proposed work will be done._~/~. .......... .**'. ................................... .............. ?.'?..:..xo: ...... 5: ......... House Number Street Hamlet County Tax Map No. 1000 Section . ../.~ .............. Block .q.? .............. Lot. /fl- Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy o1' proposed construction: a. Existing use and occupancy .... ~. ~ .~. '~..~../~. .... b. Intended use and occupancy . ~..e'..5 ./.Of. ~..,~../~/./.~.~ .... ~././.o. ~-.5..qT. ...................................... 3. Nature of work (check which applicable): New Building . ~/ ....... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... ' (Description) :stim tedCost .... ......................... Fee i (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 mixe~l 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 ...................... Number of Stories ........... 8. Dimensions of entire new construction: Front . .~.~ ........ Rear .~. ......... Depth . .~.~. ~. .... Height . ~..~..t ...... ,!.. Number of Stories../.ff..~... i ............... ii ............ >.~ ............... 9. Size of lot: Front .. ~5..~..~. ! ........... Rear.../?...~. .... De~th . ~..5 ............. 11.10' [z);tnee O:r Put;;Cdh~;ict i~..~v/~icO~.h-4i.;r~ises ~re situated... Z~.~' e./.~7.~.~r~'.~.r.&O..w.n.e~ .... !']~ ././Y :. ~: .......... : .... 12. Does proposed construction vio!ate any zoning law, ordinance or regulation: .... ~..O. ........................ 13. Will lot be regraded .... ,4/;~i .~o ................. Will excess fill be removed from premises: ~ , Iblo Name of Owner of premises ~.', ~/?. ¢'.~..e../~./.. ..... Address '~.~..f...O..~..e..~./.~../~. Phone No..~.,~.~..~ .~.o.~..~.. 14. Name of Architect ..~....:~. ?.//?.-~. ............. Address .~'5.'.~z(~. t~,~,j... Phone No... Name of Contractor ........ : ................. Address ................... Phone No ................ Locate 'clearly and distinctly ali property lines. Give street and block interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether ....... fi ~c. ~?. ?.c[ ..... ep,s~s. ?~..-~. ................. being duly sworn, deposes and says that he is the applicant (Name of individual ' signing contract) above named. : He is the ............................................. ' .... . .................. (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 apphcatmn; that all statements cont~ned m tins application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notary P~blic ......... County No. 52-4(~12~149 Qual~fJed n Suffol~ County Co, n = ,ioo U 'm (Signature of applicant) 8u.~o~ oou~ F~.ZI~B ~ SURLY FOR ,~= .. 9. ~. ~/~T.~-D~ RICHARD POSSELT ~ LILLIAN POSSELT MAY tl,1984 ,, . DEC. I,.1983 AT MATT TUCK DATE= MAY 25, 1983 the se~a~e atspo~a~ aha ~[e~ ,~pp[~ ~N ~ SOUTHOLD SCALE~ I'= 30' ~aeilit~es for thi~ loeet~oa have bee~ lnspeoted bF this d~tm~nt and found SUFFO~ COUNT,~,v ~K ~0. 83-3T3 SU~VEY~ = 4:VI~ATIO" ~ SECTION 7209 ~ THE M CHAEL C 8 ~ M ANZALONE n i SURVE~R'S I~KED SEAL OR EMBOSSEO SEAL SH~LL SECURI~.~ ~Y COMPANY NOT BE~CO~IDEREDTO B~ AVALID TRUE COPY NGUAR~NTE~S INDICTED HEREON ~ALL H~E~'AHD TO'~E ASSIGNEES OF tHE LENDING , ~F CO, TA~MAP ~tTlOOO SECTION IO~ ~CK~LOT I~ INSTITU~I~. eUARANTEES ARE ~T T~SFERABCE OF H~LTH ~IC[~. PURPOSE A~O ARE NOT T0 BE USED TO ~,. ~ ~' V~I I~1~ ~ V~I IKl~ ~OS~ERAVE~E ~ :; /~1~ /UUI~V RIVER~AD, NEW YORK ALDEN W. YOUNG, PROF/SSIONAL ENGINEER ~ W. YOUNG, LAND SURVEYOR ~ L~T~L(W),MPTICTANK(ST)eCE~OLS(~)~N~RE~~E m~ FIE~ ~ ~ OR DATA ~ F~ m ~ :~ N.~S LICENSE N0.45893 ' BRANDtS & SONS, INC, 1618 . 0o°°1° ,~. IOY P. ,o_ HEALTH DEPARTMENT-DATA FOR APPROVAl. TO CONSTRUCT + / OF H~ALT, I'J~I~NVICI[IJ/~ ., ~ ~j ~ ,oo ROAD ~L, Jl'0 SURVEY FO~ RICHARD POSSELT I~ LII_LIAN POS$£LT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK YOUNG a YOUNG ALDEN V/.YOUNG~ PROFESSIONAL ENGINEER AND CANO SURVEYOR N.Y.S. LICENSE NO. 12845 HOWARO W. YOUNG~ LAND SURVEYOR (5~6) 298-8o;~6 DATE: MAY 25, 1983 SCALE= I'=30' NO. 83-373 VENUE RIVERHEAD, NEW YORK ENF~ TE[{S BUItDINGCONFORMS TO PART 5 ACCEPTABLE PRACTICE OF THE NY STATE ENERGY CODE. GROSS WALL AREA /-~?~ S.F. TOTAL GLASS AREA /~7 S,F. GLASS TO WALL AREA /~,~ ~ DEGREE DAY ZONE 6000 DEGREE DAYS THERMAL INSULATION OF ELEMENTS WiTH AMBIENT EXPOSURE ROOF OR TOP STORY CEILING U _-- .OS R19 EXTERIOR WALLS .08 R13 FRAMED FLOORS .OS R13 HEATED SLABS - 24" EDGE R E GLASS.iNSULATED ONLY ~9 MECHANICAL THERMOSTAT S~IIING FOR HEAT 45/75oF, DOMESTIC WATER AQUASTAT.MAX 140oF. ALL MECHANICAL SYSTEMS SHALL CONFORM TO CODE. ALL DUCTS AND PIPING IN UNHEATED SPACES SHALL BE INSULATED. ALL DOORS SHALL HAVE WEATHERSTRIPPING OR DOUBLE GLAZING. FIREPLACE (IF ANY) SHALL HAVE NON- COMBUSTIBLE DCORS. FIREPLACE TO HAVE AIR VENTS FROM EX- TERiOR TO PROVIDE 150 CEM COMBUSTION A~ j, J /1'- I\ I - I[ copper t~blng is used for water distributing system; piping shall be of types I~ or L onJy OCCUPANCY OR US[ IS UNLA'NFUL WB{ f CB;FilFiCATE OF OCCUPANCY APPRO¥[TD AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE 1. FOUNBATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 4. FINIAl_ - CONSTRU'CTION MUST ALL CONSTR~JCTION SHALL MEET THE REOU~REMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. --'r- -- 'F - fl~ I III]~l~I l¢ Il'h" T 7LO# Zx6. AIME LOADS . LIVING FLOORS · 40 PSF BEDROOM FLOORS - 30 PSF ROOFS ~ 30 PSF~ ALL FOOTINGS TO PEAR ON VIRGIN, UNDI9. T';R'E) ~O L. 4SS ~,~ED SOIL BEARING CAPACITY . 2 TONS PSF. CONCRETE - 2500 PSI AT 28 DAYS, JOISTS AND RAFTERS . CONSTRUCTION GRADE HEM/FIR -- E m 1150 PSi; E -- 014797 SUBJECT DATE / ,,,0 ~/? ~,¢" REVISED DWG./¢?- ~52 ~/ PROJECT [ LE / SHEET /oF 2 i I