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Home My WebLink About12220-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildln§ Inspector Town Hall $outhold, N.Y. Certificate OI OccUpancy No Zl18/49 Date August 18 ... .................................................. 19 83 THIS CERTIFIES that the building a d d i t i on 290 ....... ~ ~ ~'~'~ ' ~'~'p'~ & i~ ........................... Location of Property 975 ...Oyster Fonds Lane Orient h~s~ ~'oi ................... '~'r/e~i ....................... fi~r~ioi County Tax Map No. 1000 Section 025 . ·Block 01 .Lot 003 Subdivision .... X .......................... Filed Map No .... X. ....Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. ~I.a.p.q h...1.5. ........ , 19 .8.3. pursuant to which Building Permit No... q. 2. .2.2.0.. Z. ........... dated .... .?l.a.~.q h.. ~.9. .............. 19 83., 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 ......... addition to existing dwelling. The certificate is issued to ANDY ASCH ..................... ?o¥,,'o;, ...................... of the aforesaid building. Suffolk County Department of Health Approval ..... ~/g .................................. UNDERWRITERS CERTIFICATE NO ............. ~. 60 ~ 4 ~ 2 Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHpL:D BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.t.1.8.5. 9 ......... Date ..... .A.u. gu..s }..1.8. ................. 19 ..8.3 THIS CERTIFIES that the building ~. g.c.c.e.s..s P.P. 7. ................................... 290 State Street Location o f Property . .9.7. 5. ................. .0 ¥.s.[ e. p.. ?,o.n.d..s..Ltl. n..e ......... O. ~..~.e.n. ~. ..... House No. Street Hamlet County Tax Map No. 1000 Section ...0.2. ~. ...... Block ...011 ........... Lot ..... 0..0 .1 ......... Subdivision .... X. .......................... Filed Map No...~ ...... Lot No... ~. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~.a.~.c..h..1.5. ......., 19 .8.3. pursuant to which Building Permit No...1.2..2.2.0..g. ........... dated .... ~.a?.q 13.. .2.9. .............. 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.n..a..c.c.e.s.s. ?.y..b..u.~.l.d.~..ns.. ....................................... The certificate is issued to ANDY ~LSCH to¥,,'~;, ¥~¥'~'~;,~'e ...................... of the aforesaid building. Suffolk County Department of Health Approval ..... N.../.A ................................. UNDERWRITERS CERTIFICATE NO ............. N.../.g. . ............................... Building Inspector Rev. 1/81 ~ant to application ~dat~d ling I~lpector. and approved 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 all buildings, property lines, streets, and unusual natural or topograph{c 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 Resldences 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. 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, ocdupancy 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 3. Copy of certificate of occupancy $1.00 land use ~;/5'/$5.00 Date .......... ~. ............ New Building . .~.'~.~.~ .'~'~ ....Old or Pre-existi0g Buildi~ogt .......... Vacant Land .5.. ." ....... ' ' Location of Proper~ ..... ......... ~ y¢[~Z'. ~5. ............ Hou~ No, ~ z ~treat Hamlet Owner or Owners of Proper~ , .. County Tax Map No. 1000 Section ..... ,~.. ' ... Block ............. Lot .... Subdivision ........... ~ .................... Filed Ma~ ~o ......... kot ~o ............ Permit ,o. L ~'¢~ [:~"¢~ate of Permit :~ . .Applicant, .-~' ,dC..~q~,g~ ......... Health Dept. Approval ~" -~¢ ~I Labor Dept. ....... ~ ........... Approval ~nde~riters Approval ........... Plannin~ Board Approval .... ~ .......... ~equest for Tem~orarg Certificate ..................... Final C0rtificate ....................... Construction on above described buildin~and permit meets a~:es an:ulations. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE 0FOCCUPANCY 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 all build rigs, 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 Archite~t 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, buirdings and unusual natural or topographic featu res. 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 er land use ,1;/5'/$5.00 3. Copy of certificate of occupancy $1.00 Date ........... t' [''~'!'" ...... New Building . .(-~.~; 0 d or Pre existing Building . ,'7~.c[~' ~ ~_ ~;~.~jz~- .......... Vacant Land ............. Location of Property .H~u.2N~o~ .............. -~.-.~ 4;".~4~.. [~..~4~...~. j..~.L..~. ........... .~.,~-( ~_.~..~...~.. Owner or Owners of Property ........ County Tax Map No. 1000 Section ......... Block ............ Lot .......... Subdivision ........ ',~', ........................ Filed Map No... ]~. ...... Lot No .... ~.'. ...... PermitNo..I,,;Q',~.~,,,~,~)ateofPermit ;~.~.l.~.~.. ...... .Appl,cant ..".~.-~.~..../.~.. ?~..~.~.~,..fl~.4. ....... Haalth Dept. Approval ..... '~,.~,~; .~ ........... Labor Dept. Approval ....... ~'. !~ .......... d App Underwriters Approval ...- ...... ; · ·. ~..; . ...Planning Boar roval ...... .......... ~. ..... .. , Request for Temporary Certificate ..................... Final Certificate .................. Fee Submitted $...h,~,~.'..4;.~ ................ Construction on above described building ~ permit meets all a~a~s and regulations Rev. 10-10-78 F - /' ' .... 49,5 AT SU~"F, CO.T,A.'X' M~P: FIEL~ INSTECTION iDATE COMMENTS ......... '/i- FOUNDATION (2nd) 2. PLUMBING STATE ENERGY QODE FINAL / / / / //\ THE NEW YORK BOARD OF FiRE UNDERWRITERS 100070~ BUREAU OF ELECTRICITY o.~ ~.p.~,,o.~o.o,,/.~ N 608492 THIS CERTIFIES ~HA~ ~ only the electric~ equipment os d~scribeg bel~ ~nd introduced by t~ ~ppl~c~nt ~ed on the above ~licotlo~ ~r in the premises o] in thc following location; ~ Basement ~ff~ 1st Fl. tvas examined on 0 L~(~ ~f~ ~ l~ FIXTURE OUTLETS DRYERS SWITCHES lo FIXTURES 2nd FI. : Section Block Lot and found to be in co~n~liaoce with the rcquire~nents of this Board. RANGES , OVENS SYSTEMS NO. OF FEET E R V HO. OF CC COND pER ~ I*G.F.C. 1 ~ ~a~ t~to, Electrician Wigg~ 'Lan~ This certificate not be altered in on ' manner; return to the of the Board C E OF HI-LEG OF NEUTRAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ./..~.~..~.~..~.~.., 19 ~ Approved ~.~..~:;.fc..?~..~.., 19... Permit No/.C~..~. d..~.: Application No../f..o~.~.d.O. ....... D~sapproved a/ .................................... (Building Inspector) APPLICATION [:OR BUILDING PERMIT Date... ,~/../~ ...... , 1~..~.-' 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 befor¢: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 hhe 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 ~or 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 inst~c/ions. (Signat~:e of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general con'tractor, electrician, plumber or builder. ................. ,.¥:rs/.*. .e.W .............. ' ............................... Name of owner of premises ..... .~.PmLI~. t..~ .....t~.~.~. :].~. ............................................. __ ~,/ (as on the tax roll or latest deed) \ If~plicant isa corporation,~u~ of duty authorized ~,,,,~ } Z ,N?: and titte of c6rporate officer) ""-Builder's License No Plumber's ricense */.'Y .... Electrician's License No .... ~../.~..L~....~ .~.~'7.~ Other Trade's License No ...................... 1. Location of land on which proposed work. will be done .................................................. House Number -' Street t Hamlet County Tax Map No. 1000 Section . .o..Z..~..7../.'7 [ .... Block .................. Lot ................... Subdivision ..................................... Filed Map NO ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and oc~ of proposed construction: Existing use and occupancy 3. Nature of work (check which applicable): New Building ...../~..... Addition .... Alteration .......... Repair .............. Removal .............. Demolition .. ~ ......... Other Work ............... ~ Zg~._7 ..W~'q"-~, (Description) 4. Estimated Cost ......... .'~. · .~ ,. 9.?..O. ................ Fee .~-~./..O. ~7...Z/...)..~. ~ ...... (lo be paid on filing this applicati;~i .... 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars 6. If business, commercial or mixed occupancy, specify natture and extent of each type of use .......... 7. Dimensions of existing structures, if any: Front....~.'./ ......... Rear .. 9. ~. ........ Depth..~'.' .~.' Height ....-~..o ......... Number of Stories Dimensions of same structure with alterations or additions: Front .... q..~ .......... Rear ...% .~. ............ Depth ...... ~ ............. Height ....... ~ ............ Number of Stories .... ."g...: ............. 8. Dimensions otf~ntire new construction: Front ..... ./.?. ...... Rear Depth Height .... /.ns ......... Number of Stories .. . / .............. 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. 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 ~ O Will ex ~.. - ' ' ' '2 ;, ....................... .......................... tess mi oe removeu trom premises: Yes N(,~) 14. Name of Owner of premises/3ff.~.5.../:~...e4... Address ~'~'a~ ~,~4~ ~'~."Phone No ~ame of,~chitect. ~.~ ...: .,~:. '.:_'' ~': ".5::: ^ddre,s l~;03~go;;: ~hone No: ::::: .......... lname of Contractor .,~9.,tg.! ~,.~c?/..~..~..~4,~ Address -- '-'z "- "n/ ~- 3)'~'~"' · }" "r ............ ~ ~-5`'/x4no/'_ _ ~' ~tS~Jn° ~o.>'.~,,,~..-t.,-.. ~-a.... PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street ~md block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ~. RK,c----~- cou~Y OF...,_.~-~. ~. lk S.s ....... v ~y~xto.. .... -V~.~. ~c~ ~ C7. ...... being duly sworn, deposes and says that he is the applicant (Name of individual signing cobtract) above named. He is the ................... .-- ~~;;~t~ ;;;~'t; ;'~;;;,'e;;.'~ ~.' .......................... of said owner or owners, and is duly authorized to perform or have performed the said work and to make and ~e 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 manner set forth in the application ~ed there~vit}l. Sworn to before me this .......... /.-.~..~..~,~_ ...... dayof ...... _.~..~ C}',-- ..... 19~..3 ...... ...... ( ~gnature of a licant ~IOTARY PUBLIC, State of NeW Yell "--.....~/' ' pp ' ) If copper tubing is used [or water d~stributing system; piping shalJ be of types K or L only ~.PPr~o~'~D ~S NOTED FOLLOWING INSPECTIONS: 2, FOUNF)ATION - ~O REQUIRED 2. ROUGH - FRAMING & PLUMBING ~. INSULAT]qN THE REQUIREMENTS'OF THE N.Y. ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE ~R DESIGN OR CON~RU~ION ERRORS, , I INSULATED RODF~ 2x6 framing 24"oc U roof .05 3 ROOF ;NG TH A OF VAPOR BARRIER CEILING FINISH BEAMED CEILING U I roof ,05 4 ROOFING SHEATHING IFURRING RUNNING PARALLEL STO ROOF JOISTS TO PROVIDE - /AIR SPACE DECKING INSULATION AND DECKING WITH A COMBINED R VALUE OF 17.5- EXPOSED CEILING BEAM 58 Y2.II" t Wa ,.. L,.. ./