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Home My WebLink About12116-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y, Certificate Of Occupancy No...~.! ! 05.~. ........ Date ............. ~.~..5 .............. 19,83 THIS CERTIFIES that the building ...g,.d. ~t~-~.5,9~ .................................... Location of Property . .~. r~Q..~..m~h.~.' .D~.~..0. ~.o. ................. ~..Q~kq~qt ............. House No. Street Hamlet County Tax Map No. 1000 Section ...0~.~. ..... Block ,..Q~ .......... Lot ..... ,0.'].~ ........ Subdivision..G.o. 9.~.o..i~.~. o.k. ................. Filed Map No...~]66~ .Lot No. 97.~99. ;icqc .. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .. ~.a. qe.~.b.e.~.. ~ ...... , 19.8.~ pursuant to which Building Permit No... J ~.~.q~Z ............ dated.. Janua:ry.. ......................... 3 Y 19 ~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 ......... ..... ~ddition..to. existing, dw~.lling ............. " Meinrod Danzer The certificate is issued to ..................... [o~;n'gr, 'l~s's~o'~r't~Ja'n't) ...................... of the aforesaid building. Suffolk County Department of Health Approval ........ N/g- ... ..... .... ~- UNDERWRITERS CERTIFICATE NO.. lXT598527 Building Inspector Rev. 1/81 ; ('I'HIS PERMIT MUST BE KEI~T ON: ~IE '~ cOmPLETION ~F THE WOR~ · i0 Perr~ ission is hereby granted to: at p~emise~ located at Rey. [6/30~80 end ~pproved by the FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 alt buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and seweragb 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 Architbct or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. 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 premisffs, 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 or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .......... ~../. .. ¢ /u'£ d-i~¢ House No, , Street A Ham/et Owner or Ownars of Property County Tax Map No. 1000 Section ,.. ~'J~-l. ~ .... Block ..... ~. ),,. ..... Lot ..... .~-.~ .J. '.~-. ..... , ', ; , Subdivision. ~. ~.? ;-,~,' ~'¥ ;,~ ,Filed Map Nol J, ~, ~,,~,, ,Lot No..'..".. ~'~ .i. ~*'" Permit No. l..2-. ~./,~., .~. Date of Permit /.?./?T.~..~..Applicant .... .~...~ ?./~..~..~...~/D. .... .~..~..,'~..~.~. ,0'~.,.. Health Dept, Approval ........................ Labor Dept. Approval ........................ Underwriters Approval /if '~ ~) ~ Jo2 ~ .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .................... THE NEW YORK BOARD OF FI[RE UNDERWRITERS BUREAU OF ELECTRIC~IT~ 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 N 598527 THIS[ CE~IFIES THAT only the e~ctrlcal eouio~nt ~ descried be~w a~d introduc~ by t~ ~ppl~ea~Ahan ~d~ the above a~ollcation ~umber in thepremises of in the following location; [] Basement was examined on ~ALL~C~J~ ~ ~L~ [] 2nd FI. ~ Section Block Lot and found to be in comp?ia~ce with the requirements of this Board. RANGES OVENS EXHAUST FIXTURE FIXTURES OUTLETS~;~ 'e/ SWITCHES~ ~ FLUORESCENT FURNACE MOTORS FUTURE APPLIANCE FEEDERS DRYERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: T~ack Lighting: 2~ O, R-Lights S E R NO Oi~EECC,~COND A W G OF CC, COND NO, OF HI-LEG A,W.G. NO OF NEUTRALS A W,G. OF HI-L~G OF NEUTRAL ~einra~ i~uzer, ~ith L~ive , $ou"Chold~ N.Y. This cate must COPY I any manner; return to th office COPY OF CERTIFIC may be' identified by their credentials. ~IER. I?~ELD INol LCJ ION 1. COMMEN I~S FOUNDATION (2nd) ROUGIt FRAME & FLUMBING INSULATION PER N. Y, STATE ENERGY G,ODE FINAL ADDITIONAL COMMENTS Examined .~'-h~/..'.. f.?.. Approved ..~...:.... FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT' TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Application No. ~..~?../( ......... Disapproved a/c (Building Inspector) APPLICATION FOIl BUILDING P£II[VIlT 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 regulations, and to admit authorized inspectors on premises and in building for necessary~ctions. ...... ..... ....... (Signature of applicant, or name, if a corporation) · . . . q. :, . ... (Mailin'g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractt)r, electrician, plumber or builder. ../7xe~ .c.'R~..r~.. ........................................................... :.,..' ................. Nameofownerofpremises ~/[I/~, v'IA~.&)~..,¢~. ..-"~.....,f~...z~.. ~.~..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..~--7.....~..~. 7. ........... Plumber's License No ......................... Electrician's License No .... :.~A~.. 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 ..... .(~..~...~. ...... Block ...(~.~ ........... Lot....(~). [..~.. ......... Subdivision.. ~tT. E2.~k... j~.~..e~. ............. 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 ~.~$ (~3~_~ ~ b. Intended use and occupancy . ~.~.~..~.'..~...~J..~-...~. .... b~...~.. .......................... 3. Nature of work (check which applicable): New Building .......... Addition .... . ./'f~.... Alteration .... ~[. .... Repair .............. Remdval .............. Demolition .............. Other Work ......... ~ .... I (Descri~n) 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 6. If business, commercial or mixe~ occupancy, spec~y nat, ur~ and extent of each type of use ..................... 7. Dimensions of e~i~ting structureS, if any: Front .~. ~. ~. ~ ...... Rear ~..i~/~ ...... Depth. ~.~i/.2-.~ .... Height -~ /~/~..~. Number of Stories ] -- . .... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i~ · Height ...................... Numbe= of Stories ..................... 8. D~mens~ons ~lf~ntare new construction: Front ........ Rear ........ De .......... Height . ~/. '.~. ~ ...... Number of Stories ....... ~. .............................................. 9. Size of lot: Front ........ ' .......... Rear ...................... Depth ...................... 10. Date of Purchase ........... i .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ............................. Will excess fill be remoyed from premises: Yes No 14. Name of Owner of premises ...'~'ct',).~, .~. .... Address~m~r~. ~.~..A~.. ..... Phone No..~..~.&~'.*./.~,-~.~.~...Q Name of Architect .......... , ................. Address ................... Phone No ................ Name of Contractor ......... PLOT DIAGRAM Locate clearly and distinctl~y allI buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block t~umber or description according to deed, and show street names and indicate whether interior or corner lot. /~ ~/~,4~Lt4r, STATE OF. N~EI~'5~OR~,/ ~ t,~ ~ ~ above named. He is the ....................... .f'~....:...~... of s~d owner or owne~, ~d is du~y application;that ail statements eonl ained ~ this applieat work will be perfomed in the m~ner set forth in the app] Sworn to before me this ~T P~bhc, · ...... ~ .... Term ~xpro's garch 30, 1 ~ ·., being duly sworn, deposes and says that he is the applicant ~gent, corporate officer, e~c.) ~rm or have performed the said work and to make and file this on are true to the best of his knowledge and belief; and that the ication filed therewith· .~! .~.;., 19~..~- ~ County_._~-~ ~ ,/~ .' N,80 16.0g TOWN OF SOUTHOLD SUFF. CO., N.Y, SCALE, I" = 40' SEPT. 22,1964 SURVEY FOR SEABURY d. BURTIS LOTS NOS. 97, 98 8, 99 OF "MAP OF GOOSE NECK" BAYV 1EW ' GUARANTEED TO: INTER-COUNTY TITLE GUARANTY ~ MORTGAGE CO, SEABURY ,~. BURTIS PROFESSION'/~I. L~NGI~'~R AND LAND SURVEYOR, N.Y.S. L lC. N0.12114§ RIVERHEAD ,N.Y. NOTE: MAP OF SUBDIVISION IS FILED IN THE OFFICE OF THE CLERK OF SUFF. CO. · =MONUMENT FOUND o =PIPE FOUND slabs SLAB INSULATION Degree Days Min. By Zone R Value 5000 5.5/ 6000 5.5~ 7000 5.5 8000 5.5 9000 ~ 5.5 The insulation must extend at least 24" under the slab or at least 24" below grade dawn the foundation wall, FOUNDATION t~ALL The insulation is installed on the inside face of the foundation wall and .provides a the~al break between slab and foundation. OUTSIDE FOUNDATION WALL The insulation is installed on the outside face of the foundation wall and provides a continuous the~al barrier at the slab edge and foundation wall. All exposed exterior insulation above grade should be covered with a protective material. ~lternate location )rotective Ig over insulation 32 ,t