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Home My WebLink About10497-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...Z99~.6. ......... Date ...Ap.r.:~.l..~1, ................... ,1980. THIS CERTIFIES that the building ............................................... Location of Property ...1}.6.Q..T'~..e..C..r.e.~.c. eg.t.~..Ij18~.1: .Ma~.:l, Oll ......................... House No. Street Ham/et County Tax Map No. 1000 Section . ,~) ........ Block .... ~ .......... ]Lot .... 22 .......... Subdivision ?,e.b..b,]..e..B.e.a,c.~. ................ Filed Map No. 6266 .... ]Lot No.. 2.3. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .~gy.~.lg..B.~.X2..2."/, ....... 19.7.9 pursuant to which Building Permit No..].O/*.~I7. Z ............. dated . .I~..O.V.o. lg.l~..O~ .2.9~ ............ 19 7.9, 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 ......... ·...o.n.~ .-.f~,ly..dwelling. ~O. th. attached, fm~o-, car..garage ................... The certificate is issued to ...W.o.l.f.g .m3g..St...ara1. ........................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... 9.-. ~.0.-.],.~-2 ............................. UNDERWRITERS CERTIFICATE NO.. P.O.11.~..~13. g[ ....................................... Building Inspector Rev 4/79 l~Ol~]( NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISE$ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 19 97 Z Permission is hereby granted to: ~x/c~,~ ...~:: ..... - -' /~ ........ II. to ~,.~,/~.c.~ ....... ~r~.~....~/~.~...~6¢~.~.h~o~ ............................. at premises bcated a .......... Z~ ~ .... ~'~"'"h" ~;z~c~.,~,.~c~Z ~/~ ................ ~..~,~.l ................................................... by the pursuant to opplic~tlon doted~*~X~....~.-?.. .......... 19~..~.., Building Inspector. Fee $ t. 0~,~,4~ ............. FORM NO. 6 ITOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ao 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 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. 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. 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 New Building .... ..~ ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................. ..................... House No. Street Hamlet Owner or Owners of Property , .'~, · ,(?~..¢~., ,~. ,'~, · · .~.., ,~', ,~,~. · · . ,~, -/'~',~. ,~..~, ................. County Tax Map No. 1000 Section ... 3.~, ....... Block ...... ~:~ ...... Lot .... ~.. ~ ..... Subdivision ?.. Map No ........... Lot ........ Permit No,/, ,~. ,~, .~. ~,~Date of Permi.t/¢~. ¢ ,~,Applicant ~,~,,, ~, ~,,~ ..... Health Dept, Approval ,/~~ ........... Labor Dept, Approval ........................ Underwriters Approval, ,~,,,',, ~ ~'~,,~, .~.,/~, ,~2~ ...... Planning Board Approval ...................... Request for Temporary Certificate,,.. ................ ,Final Certificate ...... ,,,,,.,,,,,,,,,,~ , Fee Submitted $ .... .~.~..'~..~ .................. Construction on above described building and permit meets all applicable codes and regulations. ..................... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIOITY 85 JOHN STREET, NEW YORK, NEW YORK ]003~ Wolfgang H, Stahl, ],360 Grascent Dr., East Marion, L.I~ in the following location; [] Basement w.se~,..i,,edo.April 14, 1980 FIXTURE OUTLETS ~ECEPTACLES SWITCHES 36 42 33 DRYERS [] 1st FI. ~] 2nd Fl. Section Block and fottnd to be in compliance with the requ~retnents of this Board [ot 21 FIXTURES RANGES OVENS EXHAUST FANC~ SYSTEMS E OTHER APPARATUS: £anelboard/s: 1-3cir o I~G.F, I, 1-Smoke Detec~er 1-10amp. Garbage Disposal 16'-0' 4 Lights S E R NO OF CC COND A W G PER ,6' OF CC COJqD 4/0 V I C OF HI-LEG OF NEUTRAL Goodale Eieco Bent. RR l, Box 1SA,Main Rd. Mattztnck~ N.Y. i]952 Lic.783 E return to the office of the Board If COPY ~FOR BUILDING FIELD I~PE,~T ION COMMENTS FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CO~E FINAL /! ADDITIONAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1603 Examine .a~....~..~F. .... , Approved .~.~ ./....a: ? .... 17..7 ee?'lt No ./O (BuiiVding Inspector) APPLIG-ATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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 buildings for necessary inspections. , .............. (Signature of applicant, or name, if a corporation) :/.¢. ~/. ' .~....&:~... ~....::..- :. Y.,. ~:?. (Mailing address of applicant~//7 3? O State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~ .z..,C~..~..c.-~.....~>../...~. ?...~.. ................................ (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... ~..~.. ?. ................ einmb~f's License No ............... ~'.~..~-~.~'~ /~/,-~41~ /~ t~/,~z~iav~'/~'~' Elec;ric~an's License No ............. ~.~ .f_0?..~)..t~ a. Existing use and occupancy b. Intended use and occupancy Other~Trade's License No ...................... Location of land on winch proposed work will be done.. . ~?.-.~-....~...~'..~c-C.. '..~... W<~..~../'~.~-~ ......... ............. .~./¢..~.. C ~ 4~.~ .¥:.~..~. ~ ....... . .~...4. ~/.../~..~...n../.. ~ ................ House Number Street Hamlet County Tax Map No. 1000 Section ... 3.~. ........ Block...~.~. ............ Lot..<~.,¢~ ............ Subdivision .~D..c~T.~.../~..~..~'-~..~. ~.~..C.:-..~. .......... Filed Map No ............... Lot...~.~./ ....... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: . .//(.~.c:,.~..,,:~.-~....&s:': .~.'.: ........................................ ../. ~.~..,..z...~.. ~.~ .~.: ./.~....:..q..~ .~..:_...-:. ............ /,e '/ l /+ c ~ ~' /D' .2.- C.,, ~- 3. Nature of work (check which applicable): New Building....9~. · · .' Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4 Estimated Cost ~ ~>..~(~ .~) O Fee (to be paid on filing this application) $. 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 nature and extent of each type of use ..................... 7. Dimensions of existing stmctures, ifany: 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 ../.~: .-..' ~..'.. Number of Stories ....... / ................................................, "~' DateStZe o£1Ot.of PurchaseFr°nt ...'~_./;/.-..~..' (<~...~. ......... Rear .... Name'S< of / .... Former*/' ........ Owner Depth . .,,~. ~ c..~. ;..~f. '.'. ..... ·../~.~,. ................ ... ....~..,.~ .... :-.. ~ ·. ,,..~ ~. ~)~.,~.,,/ Zone or use district in which'~'' premises are situated .................... ...... ' . .. ~. 10. 11. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... v~...~ .................... 13. Will lot be regraded ~ o~,,v~./~,~..~t,~- ~-/... Will excess fill be removed from premises: Yes 14. Name of Owner of prem~lse, s ~,z z~.g ~ ,,,/.//..~..7.7./~a/.Address ~ ~.,,.~ ~ ~. ,/.~, ~4)l~one No ............. ...~-~ Name of Architect . .~(f~7~c) ._~¢ ~ ~,..-~ ~:¢./.c~.. Adc~ .31 ~./,O/~).~ ~.~, ~,~. Phone No. ~r ~. ~ / o - Name of Contractor .(~/~e~. ~',/t~, ~/_~ ,~.~'~.'~X. Address ,~.~.. ~.F.J~ ~.e' ~Phone No..~ ..... .~. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back property lines. Give street and block number or description according to deed, and show street names and indicate wbather interior or comer lot. STATE OF NEW YORK, COUNTY OF .... ; S.S ., . ~ ,,. ~ a ~ ~ -~ ~...~. being duly sworn, deposes and says that he is the applicant (Nard~o~ md~vidua~ s~nmg contract) above named. He is the ~ ~ - ~ ~ corporate office ) .... ntrac~, a<ge~t, r, etc. of said owner or owners, and is duly authorized to perform or have performed the said work and to make ~md f'fle ~ application; that-ail 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 fried therewith. Sworn to before me this ............... , ....f ..... day of....~.~ ~ ,,>. ........... ,19 ~..~ Notary Public, ..... ~'"'-:'>' "~' '~' i,/'~"-~ '~/'~ ........ · Coun~ ~ARY PuBL~. S*~ e* TIlE SURVEY FOR ' JAN. 4 , 1980 ~ LOTNO 21 "PEBBLE BEACH FABMS" ~t~__ ~ ~T EAST MARION D~ ~ULY 2~,IgX8 .... ~ TOWN OF SOUTHOLD SCALE' I": 40' . ~ SUFFOLK COUNTY, NEW YORK NO ,~ ~~ ~ ~UNAUTHORIZED ALTERATION OR ADDITION TO THIS ,, , , ,~ ~GUAEANT~ES INDICAT[O HEREON SHALL RUN ONLYTO H~LTH DEPARTM/NT-DATAFORAPPROVALTOCONSTRUCT ~ ~HE PERSON FO~ WHO~ ~N[ SURVEY IS P~EPA~[D, ANO ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- · =~ONU~N~ ~ =~K~ ~ ~ ALD~NW. YOUNG, PROFESSIONALENGINEER OF 9~FFOLK COUNTY ON dU~ I1~ I~ ~S N~PN~ ~. AND LAND SURVEYOR N ~S LICENSE NO 12845 HOWARD W. YOUNG, LAND SURVEYOR November 22, 1979 ~sidence ¥~olfgang stahl, East Marion Design temoerature Inside Design degree days 6,000 Lalls MaX Uo allowable .22 Area "U" Ins. UA Gl doors 126 .5~ 73 %~i~ows 179 .52 93 .4o Floor R~I~ Roof R-19 infil~rat~ on (volume~ Outside lO°F Anderson perma-Sh~eld 316/1728 : .18 .18 1728 18,600 .07 1920 8,100 .04 1470 3,540 .05 480 1,440 68O .07 137 .O18 17,760 51,360 Glass 18% of wall area Dorrs Rs her code Thermostat as per code Heatins and ServiCe %rater line %o be insulat.?d as per code l..~eatherstripQing sll windows and doors caulkin~ as per ¢~e Fur~ce to 75% ~inim~ efficient / /// FEE:JZ~' BY~ _~ NOTI~ BUILDING DF2~,P~MENT AT 7&5-1802 9 AM ~O 4 FM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TX~;O REQUIRED FOR POURED CONCRETE 4. FINAL -, CONSTRU'ZTF~N MUST BE COMPL~E FOR C O. ALL CONSTRUCTION S-,ALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, ,? ! k~Av LO C~ C~5' C~5' e.× ;14- c ~.4 J Y ut^ %¥~, tbF-D Roo~~ dj ' c ~g 0 '2_x % --4--~'t ST& '4~' ~ 0 eL. N,Y,, T