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Home My WebLink About10146-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold,. N.Y. Certificate 'Of Occupancy THIS CERTIFIES that the building ................................................ Location of Property :......6. ~.0.0...I.n.d..~ .8~1. ~.e.~l~. ~ou~ No. Su*eet Ham/et* County Tax Map No. 1000 Section ..... 0..8~. .... Block ...... 7.. ........ Lot ...... 2 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'fled in thl, office d~ted Mar,qh, ~.0 197.9 pursuant to which Building Permit No 10~.;-~ ..... d~ted ..... M..~..c.h..~Q .............. 19~.9., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupanc~ for which this certificat,e is issued is ......... One Family Dwelli.~g The certificate is issued to ......... .F~..a.~pis..P. ,. ~Q~:~,01~lo] .......................... of the aforesaid building. Suffolk County Depa~h.ent of Health Approval ................. N,/~ ..................... UNDERWRZTERS ~RTIFICATE NO .................................................. Building Inspector For e~ergenoy eEress from bedrooms, remove lower sash of window - FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 101~6 Z Date ........................................................ , 19. pursuant to application dated ............. ~:-.~'....~.~;g/. ......................... , 19 , and approved by the Building Inspector. Pee *..6/.......'.'.--..: ..... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. ~9690 Date :3e'o~ember 25 19T~. THIS CERTIFIES that the building ................................................ ,,~. ' '5600 t;'adian ~Xieck Lane Peconic Location of Property .......................................................... h¢~/ei Hou*e No. Street County Tax Map No. 1000 Section 086 .Block '7 .Lot 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'fled in this office dated Mer¢~ ~50 19 .( pursuant to which Building Permit No. dated ... ?.~.."?c..h..'5.0. ............... 19 .T.c! ,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 ......... One FamJ].y Dy:e/Zing ] x'anoes iD, · ' The certificate is issued to ...................... /~'~n~, '~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ............... N./.A ........................ ~,~h. A88~1 UNDERWRITERS CERTIFICATE NO ...................... ;; · .,....~. .................... Building Inspector Rev 4/79 *For emergency egress from bed~rooms~ remove lower sash of window - 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 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. 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 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 Date... ?~.~.~. ?.~. ............. New Building . ,~ .E, 5. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~. (~.O..~...,~ ~4~../P'..~.~.Q/.~...Zz?~'.~, ././?~ .C.q ./?.i.C..../~-.~ .......... House No. Street Hamlet Owner or Owners of Property . ~./~..A..A/.~. ,~.-.5., , ?,,.. ~;~'.O..~...Z-.o..c.~. ~.~. ....................... County Tax Map No. 1000 Section ...(~:).~;~.~ ....... Block .....'~. ......... Lot....~. ........... Subdivision ................................. Filed Map No ........... Lot No .............. Perm it N o. RI O] ~/1~ ~. D ate of Perm it ,%J ,~,°,,/?.~'. .Applicant ./.V. ~.IM?. o. ~..~.T.,/~ ~/.L.D.,...~. ,o:, .~?~..C.,. Health Dept. Approval ~JP~J..~. ~).~..} ! .~.~. !~.-. ...... Labor Dept. Approval . .~..o?.. ~, .P??.t.%~! .~ ...... Underwriters ApprovalS??..~.~.~../ .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ., .~.~.~ ................ Fee Submitted $ ............................. Construction on above described building and permit meets all al~plica~le codes and regulations. Applicant .. ~. ?.~..~.~ ............... Rev, 10-10-78 Memorandum from... · BUILDING INSPECTOR'S OFFICE TOWN OF $OUTHOLD TOWN HALL, SOUTHOLD, ~T. Y. 11971 765-1802 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICrTY ~1' 85 JOHN STREET, NEW YORK. NEW YORK ioo:38 ~,,,, September 12, 1,979 0293?5 THIS CERTIFIES THAT only the electri~d e~u~om~ntj~s de~Grlbe~ belm~ and ~n3~al*C~d~ ~ alMa~ea~ HaShed on.~ a_bov~ app~a~t number in the premises of Lrra~el ~. KOBLOilBK~I':~JUU ,LrtQLflfl-no(~K ua.,~OltlC~N.x. in the following location; [] Bazen~nt [] Ist FI. [] 2nd Fl. Section Block Lot ,~.x,,..i.~d o. September 10, X979 .nd/BUnd to ~e in compli.nce with the requirement~ SERVICE DISCONNECT 1 NO. O~ I S ~L 200 CB METE' X NotO~B: 1-GFCX X-Smoke D~tector 1-6,.5ke Hot water heater E R EXHAUST FANS DIMMERS ' TIMECLOCKS ~ UNIT HEATERS MUt -GU T ~T. ~A~PS. T~ANS.~ i~S.Y~)~/~!ST. A. W.G. NO, O~ HI-LEG A.W.O. .O4cN ALS OF CC. CCND. Of HI-LEG 2/0 1-17.0ke Hoat pump Elec. Room lb~tors:2-X.Oke,3-.75ke,2-.Ske John T. Saparmro Xnc. 102 Oak Ave. Shirley,N.Y. 11967 L:Le. 334 ,p,.. ! "~ This certificate must not be altered in any mannerr return to the office of the Board if incorrect. Inspectors may be identif t b ir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT M ALTERED IN ANY MANNER. 2/0 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y, 11971 TEL. 765-1802 July 28, 1978 Mr. Frances P. Kozlowsky Warren Street East Meadow, New York 11554 Dear Mr. Kozlowsky, In regard to the existing dwelling on your property at 6300 Indian Neck Lane, Peconic, New York which is in dangerous condition. I~ is important the dangerous condition be removed. I~ it is removed, and the foundation left, a building permit can be issued to replace this dwelling within two years. Yours truly, GEORGE H. FISHER Senior Building Inspector ~ H FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~_/--~ O ., 19~. ~: ., 19.7~eermit No...~.O.../...~.~. &'~ Approved Application No../.~-( ./.~. ~ ...... Disapproved a/c "(Building Inspector) APPLICATION FOR BUILDING PERMIT ..... '..~... Date ~.~(~ C/~ .~- ~ .... 19... 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 remoYal or demolition, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and pcgulations, and to admit authorized inspectors on premises and in buildings for necessary insp, ectio_ns. /,~,,,,~,~ // (Signature of applicant, or/~(aTne, if a corporation) / .,~.t~.?P.o.~.O.T..~4,V~. ~¥&s~. l'~ ~ ,.cJl,:s~ l~')(.. 117~/o (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.'}\ . ........ (: ~.~d ~...c.~.~..~T..' .e..~lq:Tf:~ ~ ................................................... .',0 ! Name of owner of premises . . .~.l.~').gO.(7: [ ~..'.~...~.0...2~...b..C~...c~.. ~. .................................... ~ (as on the tax roll or latest deed If....~.~(N.~i.1~¢~75~ .c~r)/~... (,,~.~.~applicant is a corporation, signature of duly authorized officer. B~ilder's License No./.~ ~'. P01 t~ .?.~/~ ~-.1~ &¢. G ~,~-~ t~ ~ ~ ~C/4/(~c Plumber's License No.. ~(~ffld A~. ~d~ ~(,/~ f~ Electrician's License NO. 'Z~PJ./.O.. ?.~.~.].~?.0 Other Trade's License No ...................... Location of land on which proposed work will be done. ~./~ ~.].~,~.... ~.e.C.~-. ~. 0]~/./~. .................. ·. .................................................................. House Number Street Hamlet County Tax Map No. I000 Section .................. Block .................. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises a..nd intended use and occupancy of proposed construction: a. Existing use and occupancy...fiT..)(.~ ./~?-./../~..~..../.~.Dj.~. ¥~.~ .-. Q .~./.~..[~ .~..[~ ./7/.~r~/~ ................... b. Intended use and occupancy ..... '.k).6~ .p~. ~.....~../.~.~.~..d,_.(.~. ~ f-)...M!.[ .L.~./...~.(~k].=q~..~. ............... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~/,! ~. (Description) 4. Estimated Cost ..... ~./. ~ D z) .................... Fee . .¥.t. ................................. (to be paid on filing this application) 5. lf"~welling, number o f dwelling units .... ,/ .......... Number o f 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 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 ............... Rear ............... Depth ............... Height ./. 3. ~..¥ZO.. ,/.~./. N,u,~mber of Stories ,Y- ~ &P ~ ~ 10. Date of Purchase ..... /. ?..?. ?. ................ Name of Former Owner ............................. Zone or use in premises . . . .~.,-..~ .......................... 1 1. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... '~/.-q.0 ........................ 13. Will lot be regraded .... ./kf...~O. ................. ,x,.,Will excess ~11 be removed ~o_m_.,pr~e~m_~,s: . Yes ~, ._No~ Name of Architect .;gZ.z,..< .7'.... Address ................... Phone No.$77.'7..?P.h-r ./?.~.2. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether exisfing 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. STATE OF NEW ~;~)RIO,,,] "' ,~~N~ividual signin~'*'¥c'*~b,,~,~ [J .......... being duly sworn, deposes and says that he is the applicant above named. Heis the . . .~~.~ ............................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e ~d file this application; that ~1 statements contained ~ this application are true to the best of his knowledge and behef; and that the work will be perfomed in the m~ner set for~ in the application filed therewith. Sworn to before me this ..... ~.~..~/ ...... day of .~~ ...... 19 Nota~Public, ...~ ............. County _1 ,~ .~E0ztowsky Residence March 20'~.1979 -Information relatinE to the N.Y.State ..] EnerSy Conservation .C~onstruction Cbde. WallS; Area caiculationS: North: 534; Area'~tazin~,doors: 106 South: 897; Area ~lazing,do0rs: 242 .. East: 459; Area glazin~do0rs: 81 .West: .459; Area ~lazin~',doors: 47' Total 2349 476~ 476/2349 is 20.3% windows and doors (Co~e maximum is 23% ~laziu~) Walls'. I'U" value: (TIP. Assem. ) air surf. ~1 ~ 'oine 3 1/2. f'.~. 1/2 ~p,'~ air surf. Total· .68 -79 .62 I!. 00 .45 .68 14.22 total or U .07 total (0.K.) air surf. air surf. air surf. Total o.r ' Walls "U"va!ue:'(Basement walls at stair hall, heated soace) U .07 plus value of ~" cone. '( Code max. Uw is .08) %~atls U value':(Basement bathroom at outside concrete'walls) air sUrf. 'R '.68 Walls U va!ue:(Basement.wa!Is at bathroom, south and east) R .68' R .64 R .68 R .45 R'll. O0 R .45 R .68 R _4.~8 U .07 total(O.K.) Roo__f U'va~ ue: ( ~g ~al Assembly) ~" Concrete ]. 3 styrofoam ~ 1/2" Eyp.b'd'. R .64 R". 13.65 R .45 Total R i5~42 or U .065 (O~K.) (Code. ~axj 'Uw is ~08) air surf.. 'R .61 asp~a!t eh. R .44 15 !b.felt' R .06 1/2" CDX R .62 7" f~lass R 21.84 !/2" ~-yp~ R .45 air surf. R .'61 Total .R 24.63 or Ur. 04 (Code max Ur .05) Floor U value: (Over un~eated base.) .68 R R R~ R .70 · .62 ' !1.O0 i ~68 !3~68 ' .Uf .O73 (Code max. air surf. 7/8" oak 1/2" CDX 3 1/2 air surf. Total or Other energy conservation measures: " ' I) AlonE. the edge Of the ~nheated slab at the basement'level is 2" of styrofoam extendin~ dowr. 24" and in 2'4" which'is better than. the code minimum.' 2)-Heatin~ system by G.E. elec .... heat pump for.the major spaces (livin~ room, dinin~ room, ~itchen~ other soaces to be heated are he~ted with baseboard electric. ' 3) See'o~o 10 of'~ ~-~ ~ ~ ~ . ~_~ ~ons~_u~t_o~ documents for additional energy use data. ?flOC ~IS~N ?Gb~ "~ .................................. ' Lgl~lL , E~4ST, BOFF'O~ ~,, TA$ MAP D~GI~, Di~T, lO0o: %~cT ION o~0 ) 5~ 7) ~T .Z APPROV~.AS NOTED ,:,ATE, ' o"/z? NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM to 4PM FOR REQUIR. ED INSPECTIONS: 1. BEFORE BACKFILLING FOUNDA- T TION C~R ~iTART FRAMING c 2, FRA.MING "IN~SPECTION ~ 3. BEFORE COVERING PIPES OF ANY IN 4.,FINAL':~HEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS,'. 5, ALL CONSTRUCTION MUST M. EET REQUIREMENTS OF N.Y. STATE· .CODE AND TOWN HOUSING. CODE & ZONING I Fm. Bl~. · u, kl ~I,N J~HF-.P cong., H'F,; ~L-o" FIZ~M TDP oF: TO ONDI~E~DD....~,-O~I'/--JOIST~, (NJ,C,) WALt. c'¥ BlU L KOCH El,4 II L/,qu-r II AN~ N: I FI-. I I ! i -. J I I I I I I I ,/ t n1-1 ~I~NT 2.2 ~_'~. I II //~""?":"1 I I I II L_J L-- / / FL, PLY, FL,JDIST5 PIN~ cap / Typ, Al-I- -, 5 TAIr~ I--ALLY FF-.OM 51.4~ ~ 'FOOT~N(..q ¢.ONTii,,JU~U,.5 J C. E L,.bik~L 'TTP~ . IL ~" ~OP (~Vff. r~HAN¢,I ~TAIt- ~wr__I, Nq Io )~ C. ENLAFI5 I--IN FI-. I ~ ,, I ~ / ~ ~ C # L}