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Home My WebLink About10532-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate O[ Occupancy No. Z 9991 Date June 19 19 80 THIS CERTIFIES that the building ................................................ 85 Deer Path & 1560 Miller R.O.W. Mattituck Location of Property h~[~s'e County Tax Map No. 1000 Section 106 .Block 10 .Lot 02-8-002 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .D. ?.c.e.m.b..e.r...2:.8 ..... 19.7.9. pursuant to which Building Permit No .... '] .0.5.~.2: .Z. ......... dated .... I~.e.e.e.m..b.e.i2..3.1, .......... 19.. 7~9~vas issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Private One-Family Dwelling Stanley and Jean A. Koroleski The certificate is issued to ..................... [d~rie'r,'l~s's$o'~r't'o/ta'n't) ...................... of the aforesaid building. 10 SO O3 Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ............... .~../~.~. ~...~.~.9. ........................ Rev 4/79 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (TH~$ PERMIT MUST BE KEPT ON THE PAEMISES UNTIL FULL COMPLETION OF THE WORK AUTI4ORIZED) N? 10532 Z Permission is hereby granted to: .... ~.z~:~i..~.,co/.J....~ov~'~.~:/ ..... C( ./.~,rc,c....'.,s~6~.,~ ........................... .... ~.~.~..r~.~- ~...=...~..,.~...' ............ ~o .C'~.~,~. ./(~r......o~,.~..~.~..,.~..¥. ..~,,~./...Zz, u.~ ............. ~l~..~zz'. , . . . . . . z. c. . = : at premises located at ..~.~.~....~../~.~./...~.L/~-'.~...~./.2Z~W.....~.~.'~...: ............. ............................................................................................................ Building Inspector. Fee $./~..~....~.~... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewrker 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 featu res. 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. Commemial 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: I. Accurate survey of peoperty showing all property lines, streets, buildings 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. 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...~/~'~,;~'.,~..o~.~_~ ............ New Building ............. Old or Pre~existing Building ............ Vacant Land ............. Location of Property .?.'.~../~';~. F(2~. · ~ .~, .~.~. ~. · .~;~; .~M..... ~ .... House No, Street Ham/et Owner or Owners of Property ~'~'...~..~...~....~....~.-...~. · .~.-'.' ............ County Tax Map No. 1000 Section .. ~.~..~ ........ Block .../~.d. .......... Lot. ~..~..~'~.%47~ .~... Subdivision ....... ,. ......................... Filed Map No ........... Lot No .............. Permit No.~ .~'.~.. Date of Permit/.~./?.///. ?~..Applicant. .. i ..... Health Dept. Approval . ,/,~,..~'..~...47. ,~ .......... Labor Dept. Approval ........................ Underwriters Approval, .~., ,z~/, .~./..~::. ~'.~. ........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 .... .~.: ....................... Rev. 10-10-78 FIELD INSPECTION FOUNDATION (fist) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CO E FINAL DATE COMMENTS :DITIONAL [C~mTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 o ........ 7Y Examine~f.~..'..' '~ / ., 19... Appro;~..%.~....~.~.ff. ...... 19 .~.~. Permit No./.~.-~.~..~.~.-..~. -'~ Application No .................. Disapproved a/c ............... -.~ ................. /../. v- . APP', AT,ON ,.'LD'NG PERM,T ~ ~.~~~ ~ ,, Date...[~/~ ....... 197' a.'This applicatt~n must be completely filled in by typewriter or in ink and submitted in tfplicate 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 prope~y 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 Pe~it. d. Upon approv~ of this application, the Building Inspector will issue a Building Pe~tt to the applicant. Such pe~it sh¢l be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any purpose whatever until a Certihcate of Occupancy sh¢l have been granted by the Building Inspector. ~PLICATION IS HEREBY MADE to the Bmlding Department for the issuance of a Building Pe~it 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 ~terations, or for removal or demolition, as hereto described. The applicant agrees to comply wi~ ~1 applicable laws, ordnances, building code, housing code, and regulations, ~d to admit authorized for necessa~nspections. inspectors on premises and in buildings . ~~~ .... [~~} ........... (SiCMure of,plicant, or name, ~faco poratig=) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .. ~f. Xkt .... Ot,lzt~ ~. ~Ot~l.. ]~,. . ?-O.v:ole& .~.t .................... (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 ..... ~ ........... Plumber's License No .......... i~' ¢'kt~t ~-3 ......... Electrtcian's License No ...... ~.o..t~[.~ ...... 1. Location of land on which proposed work will be done .................................................. ....... .............. .............................. House Number /~0 ~//~~treet Hamlet County Tax Map No. 1000 Section ..... ].~ ~. ......... Block ...... ~ O ......... Lot...Q'~r 9~ ...... Subdiwsion .... ~ 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 ..... ~... t~ ' b. Intended use and occupancy ...... ,.*?&... t~.. 3. Nature of work (check which apphcable): New Building ....... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... i o (Description) 4. Estimated Cost...{*.010P.Q ............................ Fee. f~..~..~/ ............................ ii (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 .................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, 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 .... ~. ~.~r.O i~. .. Rear . .~..~.~ .O.'. ......Depth .o~.~.. ~ .O/( ...... Heigh~ ....... ~.~ f .... Number of Stories ,,~ ............................................... 9. Sizeoflot: Front ..... i.75' .............. Rear . $'1 q7 .......... Depth . .~13,,b~ .............. 10. Date of Purchase .......... i ................... Name of Former Owner ............................. 11. Zone or use district in which p~emises are situated ........... ~t ........................................ 12. Does proposed construction violate any zoning law ordinance or regulation: ...................... ~ ........ 13. Will lot be regraded ........ ~ ........ ,. ........ Will excess fill be removed from premises: No 14. Name of Owner of premises., i.~. .~t~..~t~[e~/Address ................... Phone No ................ Nme!of Architect ............................ Address ................... Phone No ................ Name of Contractor ........ , .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whe~er existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ...... ' ..................... being duly s, worn, deposes and says that he is the applicant (Nam~ of individual sig~ing contract) abow; named, He is the ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file 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 perfonned ~n the manner set 'forth in the application filed ttierewith. Sworn to before me this 19~.~ Utate of New Yor~ ..................... No 52-452~77i (Signature of applicant) Qtlalffmd i,t Suffolk County "MII~ ', -. t~ / g t~ t~ '~ Way STANLEY KO~OLFSKI ~ JEAN A. KOROLF~KI JU~ ' ~, ~ . ,, - APR 4, 1980 ATM~FT/FUCK DATE ~UG. 7, 1978 ~he sewage di~:osn] 8~,1 ~t';'~r '~,~y. ,, . -~ TOWN O~ SOUTHOLD SC~LS, / = 50' Lnspected by t):t:~ d-.,>a~ tmcnt P ,~[ Yound SUFFOLK' COUNTY~ NEW YORK NO . 78 -445 * COPIES OF ~HIS SURVEY NOT ~EARIN~ THE LAND ~F~ ~ H~LTH DEPARTMENT-DATA FORAP~ROV~ TOOONSTRU~'~ ~/ -- THE PERSON FOR WMO~ THE SURVEY IS PREPARED, ) rE~.,[~ ir AVENUE ,: YOUNG a YOUNG .,, , ~¢ ~ ~ , ALDEN ~. YOUNg,PROFESSIONAL ENGINEER ~ ' AND L~AND SURVEYOR NZS. LICENSE NO 12845 ~ ,',~ [ HOWARD W. YOUNG, LAND SURVEYOR W~E~WEUL(W),/i~ICT~K(S~C~P~ICP)SHO~MEREON N~S ~ICENS/NO 458~3 SUFFOLK COUNTY DEPARTMENT, OF HEALTH SERVlCE;~ AP[R?VAL CON"RUC"ON H~L~H ,DEPARTMENT-DATA FOR ~P~ROV~C TO COUSlRUCT N~ST ~R MAIN~MI ~ ~ SOORSE~F WATER, PRIVATE~PUBLIC ~ ~U~.CO, TAX MAP DIST. [OboSECTION~BLOCK ~ ~ LOT ~,,~ MONUMENT SURVEY FOR STAfll gY KOt~OLESKI ~ ~ ~POOL$ {CP)~HOV/N HEREON' AT kfA~T~rUCK TOWN O~ SOUTHOLD SUFFQ:LK:; COUNTY, NEW YORK AND ON ~IS ~EHALF TOTH~ T~TLE COMPANY, GOVERN- MENTAL;~AG.~CYAND LENdiNG ~NSTJTUTION L~STED PROPERTY L~ES OR FOR ~HE ERECTION OF FENCES dEAN A. I(Ot?OLESKI dAN 4, 19~0 SCjALE: /"= 50' NO ~ 78 - ~5 YOUNG YOUNG ALDE~ W. YOUNG, PROFESSIONAL ENGINEER AND L..AND SURVEYOR N.YS. LICENSE NO 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S UCENSE NO 45893 GUARANTEED TO: STANLEY ~ 400 OSTRANDER AVENUE RIVERHEAD; NEW YOR~- .... SURVE~:Y ~OR SUFFOLK, c~ . . .j Tow~ oe SOU~H~D , sc~, / = 5o ~UNA~ORt~E~ ~LT~RATI}NOR~D{TION TO THIS 6UARANTEEDTO: ~ / SUR~EY )~ A ' ~LAT 0N OF~ E~ O~ 72~9 OF THE APPROVED ~ .... ~ I N~w ~e~ S~; TS ~OUCA~I~ ~W ~ *:~ ....... ' ~ THE, ~E ~ )~ WHOM. T~S ~V~I~PREP RED ~-~E~I ~PPLY~ ~ID~F~SA 8~MFORTHI~RES! ENCE ~ ~ - (,FR ' P TY IN ~ ~O -~: ;~-~1;'-~,~:~1~.1/~, ~ '~1 Ikm~ 400 OSTRANDER AVENU~ ~ ~ ) ~U)~, RlvERHEA~,, NEW YOR~- PENNY LUMBER Phone 477-0400 Main Road GREENPORT, N.Y. 11944 11 765~1802 9 AM TO ~ PM FOR THE ALL CONSTPUCT~ON SHALL MEET CODES. NOT RESPONSIBLE FOR DESIGN O~ CONSTRUCTION ERRORS. LAWRENDE M. TLITHILL December 21, 1979 residence Stanley Koroleski Design t~mperature Inside Desig~ degree days 6,000 70°F Outsid e lO°F Insulation "U" SF Floor (over Basemt) R-11 .07 952 " " Gara?~ R-!l .07 480 ~,~alls R-1J .08 1,772 Ceiling R-19 .05 Hoof R-28 .04 196 j~..~ndows (Obl glas- .69 294 Thermal) iDo o'~s per code .40 33 Infiltration volume . 18 14,070 Loss 4,000 2,010 8 5oo 47o 12~200 790 45,910 ner cent of glass 17 He~tin~ and Service water lines to be insulated as per code Thermostat as oer code FUrnace to be manimum efficiency Caulkin~ as per code Weather szripping all windows and doors Mot water heater as oer code )I T