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HomeMy WebLinkAbout12793-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22113 Date JANUARY 15, 1993 THIS CERTIFIES that the building DWELLING Location of Property 655 {a/k/a 702) FLINT STREET House No. Street County Tax Map No. 1000 Section 48 Block 2 Subdivision Filed Map No. GREENPORT~ N.Y. ~ Hamlet Lot 15.5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 6, 1983 pursuant to which Building Permit No. 12793-Z dated DECEMBER 9, 1983 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this cerqificate is issued is RECONSTRUCT EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRISTINA M. DINIZIO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL G-18 - NOV. 29~ 1984 UNDERWRITERS CERTIFICATE NO. N-676342 - JANUARY 24, 1985 PLUMBHRS CERtIFICATiON DATED· ~-~T~lding Inspector Rev. 1/81 FOB,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12793 Z Permission is hereby granted to: ................ ...~...~...~.~.....~ ............................. ............................................................................................................... at premises located at .............. ~.-~.~..~.' .~.......~ ...... ~.~.~.~ ......................... County Tax Map No. 1000 Section ..... ..O,,,.,~,,?. ....... Block ..... ~.~ ........ Lot No ....... ~...~. ............ pursuant to application dated ..~...1~.~.,.,-~, ................... , 19.~....~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY Certificate Of Occupancy No .... .z.1.3.1 ~3.6 ....... Date ...... ?.e.~..v.u.a.E~-., .6 ............ 19 .8.5. THIS CERTIFIES that the building Remodel dwelling Location of Property 7.0.2..F..~.~.n.~. . .S.~?.e.e..~ ........... Gz'ee. nport~ N.Y. House No. Street Hamlet Connty Tax Map No. 1000 Section 0.~..8 ......... Block ... ? ........... Lot...gfi. ........... Subdivision ............................... Filed Map No ......... Lot No.:: }:.;-~;~e~ Sept. 6 198.3, . pursuant to which Building Permit No. 12793Z --'"~" dated ...... .D .c.c.....9 ............... 198,3. ., was issued, and conforms to all o~" the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Remodel private one family dwelling The certificate is issued to .g3~J~.N~OI~.T..~0~J,S.%SG. AbL~rA.2¢~ ........................... (owner, le~q~ q,~y~q~rC~rF.~ X of the aforesaid building. Suffolk County Department of Health Approval G-IE Temporary .90 days Building Inspector Rev. 1/81 ~NI' IH' ~ H ~-,P d :" I r ; 85 JOHN STREET NEW YORK NEW YORK 10038 IIl!~'p~,e": '~anuary~"24!L [985, ~p~,t~c,tlo,,No. onfi~, 297820-84 ~ ~7~9 ~' THIS C[RTIFIES THAT,t~ , ~ , ~ , ' ~ Greenpor~ Ep~s~ng' All~.~n~e, Flint St., Greenport n.y ~n the follotving location; ~ .a;encent [~7~ i~t FI. ~ 2nd FI. .%,etlo,, Block Lot 15 38 31 15, TIME CLOCKS UNIT HEATERS MULTLOUT[ET DIMMERS SEIEVICE OISCQNNECT ~ S E ,Smoke Detector Sal Prate E,lee. Wiggins Lane Greenport N.Y. R v I c 3 11944 Lie. 1049 E This ce?tificate must not be altered in any monneo return to the office of tho Board if incorrect, Inspectors may be identified FORUM NO. 4 TOWN OF sOUTHOL, D BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. TEMPORARY Certificale Of-Occupancy Remodel dwelling THIS CERTIFIES that the building .................................... Locatmn of Property .7...0.2;.ti $ .z.n.~...S .~.p.c~ e..C ................. 9£.e.e..n p.o. rs..6, County Tax Map No. I000 Section 0.4..........8 .Block ...........2 .... Lot Subdivision ............................... Filed Map No ......... Lot No... Date .. Fe?uav~ 6 19 ~ ttan~lot .( conforms substantially to the Application for Building Permit heretofore flied in this ...... .S.e.p.~.:..6 ....... , 19~3.. pursuant to which Building Permit No..?.7.9..3~.... ~-~'. ........ dated . .D .e.c.....9 ............ 198.3. . , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wtfich this certificate is issued is ......... Remodel l~r~vate one family 'Ilte certificate is issued to .~ ~ J,~.Iq ~9 RT..?J OlJ~.:~ ~G..g4 L. ~rA~ ~ ........................... (owner, leTts~qf~e~qOX X of the aforesaid building. Suffolk County Department of Hea~th Approval G- ~ 8 TempoPar7 90 days UNDERWRITERS CERTIFICATE NO ........... ~ ~.7.fi ~ (~ ~ ............................... Building Inspector Rev, 1/81 Community Action of S0athold Town FORM NO. 6 TOWN OF $OUTHOLD Building DepartJment .': ~At, ~3 Town Hall ~ ~ ~ ~outhold, N.Y. 11971 j: . RECEIVED APPL CATION FOR CERTIFICATE OF OCCUPANC¥~.'i:.' instructions ..:'.,~ ,~,,~ :.~..~.... ~ A. This appli~cation must be filled in Wpewriter OR ink, and submitted ±n du~ t he 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 p~operty showing all propertv 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. Co F~es: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling ,~15. O0 , 3. Copy of certificate of occupancy $1.00 4.Vacant Land CoO. $5.00 ,-~,~ Date .. Ja~%ua~¥..~ ~ ,. -3-9 $ .~ ..... New Building. { .r.e.~.o.¥.~,t.e,d,)OId or Pre-existing Building...,........ Vacant Land ,..... ...... · Location of Property .. '~ Q,2, .~.~t.. 5~;~.eel;..-..~re.~npor.t,. ~F..~.~,~, ................... ' House No. Street Ham/et Owner or Owners of Property ..................... ! ...................................... County Tax Map No. 1000 Section 0~ Block .2. Lot ~.~ Subdivision ................................. Filed Map No ........... Lot No .............. Greenport Housln~ Allla. n~ge,..Inc. Permit No..~.2.'~..2.. Date of Permit ~.2./.~./'.8.3..Applicant ............ ~. ................ Health Dept Approval , Labor Dept Approval ......... Underwriters Approval A~t,~C,%.(td Planning Board Approval .... Request for Temporary Certificate Final Certificate att .a.che. d. ........ Q0. " Fee Submitted $..1 ~;.. ....................... Construction on above described, bui~ing and/~rmi~s and regu,a~ _ 7 / / FORM NO. 3 [ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File N4~ ........ ~:?o. · '~U ~"~ ....... Date .......................... , 19 ..... To/~....~. ~;~9,'' .*..'T:'. ·. ,m~ 0~ ~ ......... ' G ~:' ~; "~ ~':": .......... PLEASE TAKE NOTICE that your application dated . .~. ¢~ ~'~ ~ q 19 ~ ~ ~ouse ~vo. ~treet [ , I e County Tax Map No. ] 000 Section .... c~. ~..~ .... ~lock .... ~ .~ ..... Lot ...... ~ ...... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following gro,unas, .,. ~,.*... :... ;..-'. ................. · '"~'~ ""Y"¢~":"' '~'q '~ ..... ~' '" ~": .............. ': ......... t ....... ': ....... : :"" ..... .. ~. . .~. . . . ~ :. :. : . . ~ ~. ? : ~ . . 7~ . . :-~. ~ ~ . ~. . . .~ ~ ~ .c. ! ). . . ~. ~ .~ . . Building Inspector RVI~O FOUNDATION (~st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: PECON C ASSOCIATES, INC. Engineering, Marine & Energy Consultants Environmental Planning 29 November 1983 54655 Main Road P.O. Box 318 Southold, New York 11971 (516) 765-2669 GREENPORT HOUSING ALLIANCE, 18 SOUTH STREET GREENPORT, L. I. NEW YORK - 11944 INC. - FLINT STREET UNIT II. III. IV. NEW YORK STATE ENERGY CALCULATIONS AND COMPLIANCE (ACCEPTABLE PRACTICE) BUILDING TYPE: Single Family Dwelling,- 2 Story ENERGY SYSTEM: Heating Only - HW Baseboard &.,,,,Radiator DESIGN DATA: a, Heating Degree Days b, Outdoors - Winter - c. Indoors - Winter - BUILDING ENVELOPE DATA: Area In~!. Proposed Code Walls: 1. Opaque Wall ~45,~ R-il Uw ,08 U~ .08 2, Glazing ,,257 Ua .71 U~ .69 3. Windows ~ ~ !4.7 ~ 23.0 4. Doors 38 Ud ,40 Ud ,,40 5, Walls Overall 1747 Uo .179 Uo ,.,,22 * NOTE: Even though the U factor of the windows is not in compliance the overall U factor is significantly less than the code requirement, therefore the entire building is in compliance. Basement Walls: Not Insulated, Roof/Ceiling: ~619 R-$,,0 Ur .93 ur .05 Floors: Floors Over Unheated Space 703 R-19 Uf .05 Uf .98 GREENPORT HOUSING ALLIANCE FLINT STREET UNIT VI. VII. VIII. AIR LEAKAGE: a. Infiltration Rate: 1. ~indows 2. Sliding Glass Doors 3. Swinging Doors 4. Proposed Code 0.5 cfm/L.F. 0.5 cfm/L.F. 0.5 cfm/S~F. 0.5 cfm/L/F. 1,0, cfm/S.F. 1.0 cf~/S.F. Joints - Caulked and sealed between walls and foundation, walls and roof, all exterior joints and o~enings. Overall NTE One air change per hour. COOLING PERFORMANCE: Not Applicable. MECHANICAL EQUIPMENT PERFORMANCE: a, Gas/Oil Heating Equipment Efficiency MECHANICAL SYSTEM CONTROLS: a. Thermostat Proposed Code 75% ..... 75~ 45° - 75° F. range IX. MECHANICAL SYSTEM INSULATION: Sizes Insl. Th. & Rating a. Ducts ., N/A b. Piping 1/2" 1!/2 Inch R-4.0/In. 1" 3/4 Inch R-4%9/In. 1 1/4" to 2" ..... 1 Inch R-4.0/In. PLUMBING SYSTEM: Domestic ~ater Heater: Meet ASHRAE 90-75 Standard. Heat Loss NTE 15 BTU/Hr./S.F. of Tank Surface. Electric ...... 4 ~att Hours/S.F. Standard Loss b. Piping Insulation: Pipe Size - Up to 1 Inch - 3/4" Insl. Controls: Automatic Temperature Control with High Setting NTE 140° F. with Separate Shut-down Switch. 2 GREENPORT HOUSING ALLIANCE FLINT STREET UNIT XI. XII . ELECTRICAL DISTRIBUTION: fnstallation to be in accordance ~ith the National Electric Code. b. Power factor of eguipment rated greater than shall not be less thanm 85~. c. Voltage drop to any service termination shall not exceed 3%. d. Local switching shall be provided for each lighting circuit. HEAT LOSS CALCULATIONS: BTU/Hr. Walls .............. 7,000 Glazing ............. 11,000 Doors .............. 900 Ceilings/Roof .......... 1,120 Floor ........... 2,100 Infiltration (Factor = .027) 17,000 Total October 4, 1983 Greenport Housing Alliance, 18 South Street Greenport, L. I. New York - 11944 I~lc. Re: Flint Street Renovation - Greenport 8ou~ sing Alliance. Project consists of the renovation 6f~'two'~f.2~),~houses relocated from Corwin Street to ~he corner Sf.~th Street and Flint Street. The houses are basically in/good structural condition, but otherwise need a complete ~rehabilitafion to make them livable. Originally, the plan wa's to convert both houses into two family units, but a detailed inspection indicates that House ~ 2 shou~d~x~ain a single family, 3 bedroom, and that House ~F 1 be ~n~(~a%~d as a.combination, two two-bedroom units (one up andyne down).' In order to keep'~'cpsts to a minimum, the Housing All'ance plans on accomplishing as much work on a self help basis as practical.~., The.~wor~.~d.~9~s ~to be. accomplished include the Bouse ~!: Replace deteriorated sill members. Repl'ace~'"~fl Repair chimney. Replace exterior trim, Replace broken and missing asbestos shingles to matc~ existing. Install storm windows (combinationL0 Hook up water, electrical and sewer (Village Systems)r Construct a new entrance with door for both floors. 1 Greenport ~ousing Alliance, October 4, 1983 Inc. Modify interiors to provide a living room, kitchen, bath, and two bedrooms on each floor. Remove interior plaster walls (self help). Rewire and install new electrical service. Insulate walls, floors, and second floor ceiling (self help). Install new dry wall (self help). Install new oil fired H. W. boiler and uel tank. (Reuse existing radiators if poss~ible.) System to be zoned for each occupant, t~ Install oil fired H. W. heater. Replace plumbing where required.. Install new kitchens in' total including window replacement. ~ ~/ Replace bathroom fixtures, and install exhaust fans. Install new floor '~'~erlayment~%throughout. Install tile ~flooring in kitchens and bathrooms (carpet to be used in other rooms - supplied by occupant). Spackle~ ,wa!ls &nd~ceilings. Ext~ef.{or trim painting. Interior Painti~'ng (self help). Install glazed hardboard on kitchen and bathroom walls. ~4alk, an~ driveways. Landscaping (self help). Estimate for Renovation of House ~ 1 .... $47,50~.0~ Greenport Housing Alliance, Inc. October 4, 1983 ~ouse,,~ ~ Replace roof. Repair chimney. ~ook up water, electrical, and sewer (Village systems). Replace exterior trim. Install gutters and downspouts. Replace exterior siding. Install storm windows (combination), Install new entrance doors ~/~storms. Replace kitchen floo . , Remove interior dry w~lls (sel'f help). Insulate walls, floors, and Second floor ceiling (self help). ...... Rewire and install new~,electri~al service. Install new dry wall (~e~f help). Install,~,new oil,fired'H. [4. boiler and fuel tank. /?:~ExiB'ting~, radia~{or~ to be refurbished and reused, Install oil fired H. W. heater, Replace plumbing where required. instal'l~,~ kitchen in total including new relocated wi~ao~s. Replace bathroom and dryer. fixtures and make provision for washer Install exhaust fan. Install new floor underlayment throughout. Install tile flooring in kitchen and bathroom. (Carpet to be used in other rooms - supplied by occupant.) Install glazed hardboard on bathroom and walls. Spackle walls and ceilings. 3 Greenport Housing Alliance, Inc. October 4, 1983 Exterior trim painting. Interior painting (self help). Landscaping, walks, and driveway (self help). Estimate for Renovation of House F~ 2 .... Total for Renovation ............ $83,90~.0~ A. E. Fee including preparation of Plans and Specifications for Contractual Accomplishment- 6~ $ 5,~0.~ Contract Inspection at $4~.00/Hour (Est.)' Total Project Estimate - -J- .... ~89,900.0~ NOTE }} 1 - Renovation work Will bring buildings into full compliance with all codes including New York State Building and Energy Codes. NOTE ~ 2 - Water h~0k~'~"by Village of Greenport. NOTE }~ 3 Connections to Municipal Sewer by Southold Town Community Development Funds. NOTE F~ 4 -.Elec~ri~l~.,~e~vi~e by contract included in the ?~ ~,aboPe estimat~ ' Respectfully submitted, PECONfC ASSOCIATES, INC. MEW/iw Merlon E. President Wiggin, PH.D.,M.E. 4 Examined..~. ?..c~...~...~..., 19~.~.. Approved'i 5 ~.~.~.~....~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:a .., 19}.~. Permit No. l 4~.."J.~..~ ..~ Received .......... ,19... Disapproved a/c ................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~? .P.~.°..6.: ......... 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 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 Occup~y shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buildi.ng 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 regul_atic~?_, and to admit authorized inspectors on premises and in building for necessary~)ge~ons. · .................. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Chri~l;X:a~ Mo ]3inizZo ~r~~ f,/'~~ (as on the tax roll or latest deed) If applicant is a corporation, signatur~e o~ duly authorized officer. ~.homas R. Watkins~ (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ...................... r.. Electrician's License No ....................... Other Trade's License No ...................... - ' 1. Location and on which proposed work will be done.. ~ az ach,~d House Number Street Hamlet County Tax Map No. 1000 Section Oq-$ Block O~ Lot .... 98 Subdivision ..................................... Filed Map No ........... ' Lot ............... (Name) 2. Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Unoccupi~,d subs'candard housing u~it : ' b Intended u~e ~,4 ........... R~,z~ova'P,d uni-¢~ for occupaucx ( t~t- , ~ ~ ................. ' ..................... ,..v.'.:~..O-::::~.~]./ .......... 3. Nature of work (qheck which applicable): New Building .......... Addition . Repair ' Removal Demolition ...... Alteration .......... . Other Work ............... , (Descriptioni $58~000.00 ' 4. Estimated Cost ............... . ..... Fee , (to be paid on filing this application) 5 If dwelling number of dwelling units Number of dwelling units on each floor If garage, number of cars .I~.,.A....., / 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .R. 5'.a;L.d.q~9 .~ ....... :. '. ;~ 7 Dimensions of existing structure~ if any: Front Rear.. - ,, Depth Height ............... Number of Stories .... 2. ................................................. Dim6 io of ith It raft dditi F nt ns ns same structure w a e ons or a ons: re ..... , ................ Depth Hight N r of St ri , .. ................... ~.. e ..................... umbe o es...% .............. ,. 8 ! Dimensions of entire new construction: Front Rear Depth ' Height ............... Number of Stories . .2,.. i ............................................... *,9. Size of lot:Front ........... : .......~... Rear ................ ' .....Depth .., 10. Date of Purchase. d.o. nat ipio,. ............... . . Name -,ne Fnrm~-___~, ,-,w,,~,r~ .... .W'a~t...,..w'n(:l i .~l~p.' .~<....~.o.'m.' p.' .a.~ '. 11. Zone or use district in which premises are situated. ¢9.a5. ,~. ~.n.t.5.a. 1. ........................ . ............ IZ Debs proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Willlotberegraded ..~'~ .... ............ ' Wille,,ces~fil,,- ....... ~ ....... . ~ -, · .. . ,, x eve tro prmmses. ~ r~o 14. Name of Owner of premises~.~'.,i'~-J~l~t.. ,Hp.u.~.~.¢~. Address~.~.' ~.ou'~ ~, Name of ArchitectlV?,z~9~.~.:L~-~,n-ns a,t,~,~--Mazn ~d.. oou~ho%~l;,. ,. 765-'2'g69 ........................ ,.~...~Sa ........... 0 ....... FIlOne rio ................ N,'nne ofContractor~o~d, ~hO;c~.. ~;cg.a. Ma.~..nr~ Aclctr~ssEas'b Ma~ion, ~ Ph,,,,~ la,, /4~7-2525 K~nn~lly Brothers Movers $outhampton~ , ' PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-babk dimensions from property lines. Give street, and block number or description according to deed, and show street names and indicate whether interior or corner lot. ., .... : . · o~ a~ach~ s~t~ an * So~ attache( dim nsmons COUNTY OF .~ig-f-4[ .... ; ~"~' .,. :. ~-.~. ? ,. beiilg .duly sworn, deposes and says that he is the applicant [marne et lnOlVl(lUal slgmng contract) 'J:rlOm~ .k(. W~ICL~2$ ~ ' , above named. ' ' ' ' ~ '~ " He is the ~.:~iip. rl.~ q~e~.pqr.'~ ,Hp, q@$.n~, Alliance. ~' Inc. ' ' ' .(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 a l~ation; that all statements conta ned in this a lication re tr ' ' · ,~P[!i ..... . .... ~ _ PP a ue to the best of hm knowledge and behef, and that the w0rg ~! .p.?, penormea. ~n the manner set forth in the application filed therewith. , ' . Sworn to bet'O[~. ~e thru . i . . ............ ..... dayo,! ' , li~ ~,~'. mr~h ~, t~ ' (S~gnature of apphcant) FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ................. 19... Received .......... ,19... Approved ................ ,19... Permit No ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT .................. , 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 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 Buildi,ng 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 regul_atio_n!, and to admit authorized inspectors on premises and in building for necessary~~s,~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N ~ ~ . Christina N.D.~nizio . owner or premises .... ~ ......... - ................... ~ ~x~,x.~ ~), ~V,~3~ (as on the tax roll or latest deed) If applicant is a corporation, signatur, e o~ duly authorized officer. _Thomas R. Watkins, ~r^sid.~nt (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... · Pli 9..rs ~.ep 9r.%. 1. Location of land on which proposed work will be done. n~ S%P~-~% ~.. S~,~: at-~ac~h~d map House Number Street Hamlet County Tax Map No. 1000 Section .Q..&~8 .............. Block 0..2 ............. Lot...95 .............. ~bdivision ..................................... Filed Map No. . ............. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy Unocc. upi~d substandard housing uni~ b. Intended use and occupancy Rqn. 9¥~.'~.~.ql. Rn.~q~. ¢?.q~;~. 99.o.q~gggy,, ..~. ~.) ............... 3, Nature of work (check which applicable): New Building .......... Addition .......... Alteration ...,.. ...... Repair .... ~ .......... Removal ......... , ......Demolition .............. Other Work .R. ~. .1.o .e .a?. ~ o. '.a ,o~ ~ , : .. two housing units (Description) 4. Estimated Cost j~5.a.,0OQ,90 .................. Fee ...................................... r ' (to be paid on filing this application) 5. If dwelling, number of dwelling Units ....... ~ ...... Number et; dwelling units on each floor ..... .1 .......... If garage, number of cars .~,/& i ........ ~ ................................ ; ...................... · ....... ~i d fly r,~s ~.cl~nc ~ · 6, If business, commer al or mixe occupancy, spec nature and extent of each type of use . ;1;....;..., .......... 7 Dimensions of existing structureS, ifany: Front Rear ' Depth Height Number of Stories 2 Dimensions of same structure with alterations or additions: Front Rear Depth .: ................... ,., Height ...................... Number of Stories,., ~, ................. ,~ 8, Dimensions of entire new construction: Front ..... 2' '" ..... Rear ........... '. ,., Depth ..... , ,. ...... Height ,' .............. Number of Stories ..................................................... .~ 9. Size of lot: Front ........... ........... Rear ...................... Depth ,.. .................. 10. Date of Purchase , .d.o.~a, ,~.,ip~. ................. Name of Fenner Owner ~a.a, .~, .~,.n.~,..S.up~'..~.o.m.t~a..riX.,. 11 Zone or use district ~n which premises are s~tuated q 2. D.?s proposed construct.ion violate any zoning law, ordinance or regulation: .............................. 13, Will lot be regraded .. ,t.%a. ,.., ................... Will excess fill be re~oved from premises: 14; Name of Owner of premises~5$1~8,~, gp,u. q5,~.~6, Addressl. q ,S. ,olaie.h...S?....q .~.9'?Phone No, ./??, -, ...... .0,..N.o, N.'une of Architect }1~2~] on..t¢iga£aa .......... Addressaq¢.n.. .d.o... .o.u. gg. .ctPhone No ..... Name of Cent actor ~q~r.~ S~or Excavat~n ~ast Mar~.on , r ~.. ...... ~.. · ......,~Address .. ............ , .... Phone No..¢.77.-?.5.2.~ ..... K~nn~lly Brothers Mov~r.s. $ou'~harapton,~ 285-2820 PLOT DIAGRAM ~ " Locate clearly and distinctly all Jbufldings, 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. S~. a~ach~d si~ plan ~ ' * S~-. at-~ach~d dlm~nsions STATE OF NEW~'-'I~, .~d %,, ' cou rr¥ oF .... ?" (Name o~individum signing contract) ~ omas R. Watk~ns ~ , ' above named. He is the ?r~sid~n~ Gr~npor~' Housing Alliane~ ~ Inc. - ~ (Contractor, agent, corporate officer, etc,) ,of said owner or owne~, ~d is duly authorized to perfo~ or have perfo~ed the said work and to m~e and file application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfo~ed in the m~ner set forth in the application filed therewith, Sworn to before me this Nota~ [ublic, .... ,., .~. ·, ~,: .~ ...... ounW ~ ~ . T~m Expires March ~, I . _.___ _(Sianaturo of annlican~/~....