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Home My WebLink About10880-zN9 10880 TOWN OF. $,DU, TH~ TOWN' HALL SOUTHOLD, Nd Y"I BUILDING PERMIT (THIS PER/V~IT MUST BE KEPT ON ~H,E PR IS, UNTIL lULL COMPLETION OF THE WORK AUTI-I~RIZED) , Date ...;.,!t..~. ?.?..?.?..b..?.?,...~ ................... , Permission is hereby graf ted to: FTDTA GUASTINI at premises located at ..... ~ 7¢0 OH~P~Zlq, Coun~ Tax Map No. 1000 Section .......... Septembe~ pursuon~ to cpplicction~dcted ....................... B~ildlng Inspector. ,~. ...... :.! ........................................ .. ~ .... .lot NO. ..... , '19..0..~.., ~nd approved by the 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 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 buddings (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 certihcate of occupancy $1.00 $5.00 V/ Date ....... New Building ............. Old or Pre-existing Ejuilding(:~) ........ ~ ZVacant Land ...................... Owner or Owners of Property ~; ~'T (~{--- County Tax Map No, 1000 Section . ~ ~ Block ~ Lot. Subdivision ................ . ................. Filed Map No ......... ~,.Lot No .............. Healtb Dept Approval .[~ 50 ~OC Labor e royal ...................... ,.. ...................... g pt. App Underwriters Approval ~..'.~..~..~7 ........... Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate .....~/. ............ ' Fee Submitted $ ........................... Construction on above described building and~erm[t~mee,ts allfapp~cable~c~o. _des~ ' ' ~- and regulations. lOOO3~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIC~.IT~ ]~.C~} ~ 29 .... ]()~,].--85 JOHN STREET, NEW YORK NEW YORK< 1OO38 54 only the electrical equipment as described below and introduced by the applicant ha~ed o~ the able application number in the premises ,n the following location; ~ Basement ~ 1st Fl. ~ 2nd Fl. Section Block Lo~ ~,ts examined on ~2~fl~r ~ ~9~L a,~dfo~ndtobei,~comphancewlthtberequlrementsofthisBoard. FIXTURE OUTLETS SWITCHES DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 22 DIMMERS SYSTEMS HO OF FEET S E R V I C NO OF NEUTRALS AWG NEUTRAL 2 Landing Meadow Ro~ b~.Ithtown~ NoY~ 11787 lic o 176-E GENEI~AL MANAGER Per ~ This cert,f,cate must not be altered ~n any manner, return to the office of the Board ,,t inco~'rect Inspectors may be ,dent,fled by the,r cFedent csJs ~l COPY FOR aUILDING DEPARTMENT. THIS COPY OF C IFIC4T) ~T T BE;ALTER.mD~ IN ANY mANN~a. ~ F~E'LD~INSPECTION FOUNDATION COMMENTS FOUNDATION (2nd) ROUGH FRAME& PLUMBING INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL COMMENTS: LAWRENCE M. TUTHILL PROFESSIONA 1 ENGINEER Seot. lb, 1980 Residence - Mr..O~ ~ ~O~A~TJU~ Robinson Lane) Green~ort Design temoerature DesiEn degree days Inside 70oF Outside o _ 6)000 Area Loss Insula___~tio? "U" SF BTU/HR ~loor ~-11 .07 672 2,820 ?o~fit P~19 .0~ I12 3hO Ceilin~ P-19 .O~ 78h 2,3~O 13indovs D~ Glas~, .~2 218 6)780 Anderson -~hermal ~ Glas~ doors .~8 160 ~,~0 Doors Get code .40 ~2 1,OlO Infiltration (Woi~e) .018 11~6~8 1~,~30 36,~80 Glass 22% of %all area ~jeathersiriopin~ all w~ndows and doors P urnace to be 75% min. ~'ficient Heating and Service lines ~o be insulated as per code Doors, Thsnnostat~ Hot ka~er Heater and Caulking as per code FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1801] Examined .... ~ 19 ..?~ Disapproved a/c ........ ~ ....................... ........................... / . APPLICATION FOR BUILDING PERMIT ......... INSTRUCTIONS a. This apphcation 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 buildingsfor necessary/~nspections.i( '~~O' ' '~'~'' ~/' 'G~) '~' L ~' (Signature of aplSlicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nmne of owner of premises .......................................................................... (as on the tax roll or latest de~d) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. O(AJ kJ'r~f2~ Electrician s License No. ~ Other Trade's License No .................... ',' /~O r ~ ~-~ 1. Location of land on which proposed wok will b done ................. :e ............ 1 ......... T. ........ .......................... :...:. ..................... .... House Nmnber Street County Tax Map No. 1000 Section O5c~ Block '-~" Lot [ ~ Subdivision ..................................... Fded 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 ..................................................................... b. Intended use and occupancy ... ~.~. ( ~ .~.?. 5~?' ................................................ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemoVal .............. Demolition .............. O_th_er Work ............... ~ ~ (Description) 4 Estimated Cost... Fee ................................ (to be paid on filing this application) 5. If dwelling, number of dwelling Quits ............... 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 structure% if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i.. Height ....... ._..~ ........... Number of Stories ...................... 8. ' Dimensions of entire new construction: Front ......... Rear .... 2: .~ ........ Depth .. './<..q. ......... Height .......... ~ ~. r, Number of Stories ...... .t.,. ~e-..( ....................... ~ .,O~3 .............. Size oflot: Front ..~.~.).,.,._..., ,..~,~. .............. ../. : Rear I vi . .. Depth Date of Purchase ....l~fi~..Y.', .-~..../.~.. l .'¢/7.~ ....... iqame of Former'Own'e}' Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or reg~,lation: .... .~.. ?. .............. ../ ....... Will lot be regraded ...... ~.~ ................ Will excess fill be remoYed from nremis~s:_ ~ ~s No Name or Owner of prem,ses .qT.! .C.%.¢.4.~.'~..[./?! .... Address ~..p~¢-.~ .~.D~..~..P..~...~&hetet~?.q.. ~ .t.~..g?..bp.. Name of Architect ................ Address ................... Phone No ....... Name of Contractor ............... Address .............. Phone No ............. 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& 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. :, too. O ~00 , O0 STATE OF NEW, Y~J~_,.~ /~ ~ e ' .......... Fl:dJq~ ...... .'~.[~.~.~.. i'. ~1 ~ ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 performed in the manner set forth in the application filed therewith. Sworn to before me this : Notary Public ........ County , ~IZABETH ANN NEVILLE ~ k, (Signature of applicant) I NOTARY PUBLIC,State of New Yor~ [ No. 52-8125850, Suffolk County.., Term Expires March 30, I9~Y''-~