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Home My WebLink About10539-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. 710125 Date September /~ ., i9 ~.0. THIS CERTIFIES that the building ................................................ 2510 Pvt. Roed #8, Edwards Laue, Orie~n.t. Location of Property ............................. ~r'e3t' ..................... Hamlet House No. County Tax Map No. 1000 Section . . .0.~..~ ..... Block . . .0.~. ......... Lot.. 9.0.6..: .O.0.P: ..... Mi~or .P.h.y.~..~p..~.~.~.~..{?.~.0. ...Filed Map No. ,Lot No. Subdivision.. · ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated December 26 19. ??pursuant to which Building Permit No. 10539 dated .... ~'9~.~'..~. ............. 19.. ~3,0was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ....... !:~.-~y.~.e.~. 9.~.~.~r. ~.~z.~..~.w.~Z. ~.~.~.g..(.~.~A..~ .e.~.o.n. ) ........................... The certificate is issued to . Ph. yllt~ ~ale ................... ?o¥.bL'~r/~i/~2r×'x ................. of the aforesaid building. Suffolk County Department of Health Approval ..... .~../.~ ................................. UN~E~W~IrERS CE~ZIFICAZE ~O ............. ~-.~.~9.7.0..~ ......................... Building Inspector Rev 4/79 FOI~W[ NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P'rREMISES UNTIL FULL COMPLETION OF THE WORK AUTt-IORIZED) N? 10539 Z Permisston is hereby granted to: z~ ...~ ~-z~,~,.~....~.Z~ .~..~2~ ...... - - .(__~ ~ ~i ...G,~,,~'~..,,~.~.....-;~,~.~,'.~.-~ ~...~. ~. ~:~ ~:,..~:. ~o .....~ ~ Z: Z~ ~. ~.. ZL.. ~.~2 ~..~2 ~ ./~...:~.... 2~.~ ~ ~ ~ Z~.... ~ ............... ........ z~.~.~.....~.~ ..z~. ~ ................................................................................. ~, ..e~,s~. ,o=,~ ~,~.~../.~ ....... ~.~..... ZC~.~,~.....~..~?.....~/C,.~,~?..~.-f pursuant to applicefion dated ~.,~.~~'~' - ~ .... ~..-., ]9~. , and approved by the Building Inspector. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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 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. 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 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- t~on required to prepare a certificate. C. 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 )~ Old or Pre-existing Building Vacant Land Location of Property . ¢~,~-,/.0 ..... ~.',~C .~..~. ,~&t ...~~..~ .~. ~.~ Hou~ No. $t~et Hamlet Owner or Owners of Property ........................................... County Tax Map No, 1000 Section ...~ f~ ...... Block ... ~. ~ ....... Lot.~.~.~.. Subdivision .............. /~...Filed Map No ........... Lot No .............. Permit No. ~ Date of Permit .¢~/~ .Applicant .,~. ~~z. Health Dept. Approval .... ~/~ .............. Labor Dept. Approval ..... ~l~ ............... Unde~riters Approval ~T ~'~,~ ........ Planning Board Approval...~/~ .............. Request for Temporary Certificate ..................... Final Certificate .... ~ ................ Fee Submitted $ .... ~ ................... Construction on above described building and p,~rmit meets all applicable codes and regulations. Applicant . .~/~....~../.~ ...... ~,.. ~. ,, ~ I THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW Y~)RK 1003~ Date ' ~ LI~ ~ Application No. on file THIS CERTIFIES THAT : · only the electrical equipment as described below and introduced by the applicant ,turned on the above application number in the prefnises of Rode t~le, 2510 F~k~cds Lmae, Orient, N.Y. i, tbe following locatlon; [~ Basement ~ ;~t Fl. [] 2nd FI. Section BIoch Lot was exafnlned on and found to be in co~npllance with the requirentettts of this Board. FIXTURE RANGES OVENS EXHAUST OUTLETS 3z DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS, E R V I C NO OF CC COND PER .~ A W, G NO OF HI LEG OF CC COND AWG OF HI LEG AWG OF NEUTRAL 1/0 Paul R, Burns Town Harbor Southold, N.Y. 11971. Lic 282 GENERAL MANAGER Per_ 11 This certificate must not be altered n any manner~ return to the office of th~ 8oard if ,~cor~iect. Inspectocs may be ~denhfied b the,r credentials.. COP~ OR BU LOING DEPAREMENT. THIS COPY OF ¢$~fflC~M~T;NO~ B~ LTER ~ IN ANY MANN[E FIEL~ IN~PECTION COMMENTS FOUNDATION (Ist) FOUNDATION 2. ROUGHFRAME & PLUMBING (and) INSULATION PER N.Y. STATE ENERGY CORE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND K] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ,F~..~.~... )~.~. ..... 19 .~.c~ 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 gtving a detailed description of layout of property must be drawn on the dia~am 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 autttorized inspectors on premises and in buildings for necessary inspections. ......... : .......... · ~ . ,~.~.. (Signature of applicant, or name, if a corporation) .... ......... (Mailing address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N meofownerofpremises ¢ (as on the tax roll or latest deed) If ap~lic.ant is a corporation, s~gnature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ (.~.: .~. ............. Plumber's License No...lg¢ .~. :~.~-~. Electricmn's License No....~..'.. · .~..'~.~ .... Other Trade's License No .................... 1. Location of land on which proposed work will be done...~.--./..O....~..~.7'. ~....~.~...~...~.. .................. · ..... ....................... .............. HouSe Number Street Hamlet County Tax Map No. 1000 Section . .~9.. t..~ ....... Block ...~. ~ ......... Lot .C?o~. O .C,?..~.~. ..... ,~:..t?,c,o,,e_ .'-'-'C>.. ,. , Subdivision ....... .~.~../~. ?/..~..~... ~A?.~,. ~..Z,~.t~.. Filed Map No.~ ....... Lot .~ .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Emsting use and occupancy .... ~/'~ ' ................................. ' b. Intended use and occupancy ..................................... 3. Nature of work (check which applicable): New Building .......... Addition ........ Alteration ·~. ........ Repair .............. Remoyal .............. Demolition .............. Other Work ............. .~..~) { ~ (Description) 4. Estimated Cost ........................ Fee ..................................... (to be paid on filing this application) 5. If dwelling, number of dwelling Units ............... Number of dwelling unit~ on each floor ................. If garage number of cars ' 6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use ..................... 7. Danensmns 9f~ex~st~ng structures, ~f any: Front.. ~..7~.h0 ...... Rear .. ?-,-..~ ........ Depth ... ~ .......... Height ... I.~. ......... Number of Stories . .[. ~.. ............... . .................... ,~ ........... Dimensions of same structure with alterations or additions: Front .... ~.~...~. ....... Rear ...~.. ~ ......... Depth , ...... ~.~.~ ......... i. · Height ........ / .......... Number of Stones .... 8. Height;Dimensi°ns .... q_f ~.~.e~ti~e ....... new constructiOn:mum,~e!~of Stories Front ........... ....... ~..../..//../~2~.Rear... ...................... (~.~. ....... Depth r~""~D'l ............ ......... 9. Size of lot: Front .......... /,~'~.. ....... Rear ...~ ~ ............. Depth ... ,X .oc~.~ ............. 10. Date of Purchase ........... , .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ......................... )~j ......................... 12. Does proposed construction vai~l~te any zoning law, ordinance or regulation: ........ ~. .................. ~... 13. Will lot be regraded ...... ,.~/.'~ ......,o .~ ~ ....... Will excess fill bp, r~moved fro. gjl~premises: Yes ~ No Name ~f Architect . .}. i~' ......... /~. ;/~..# Address ........ ~ ~.. r-~. ~PJ~one No ................. PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW I~R~/ ~ ,,~ IS S COUNTY OF~ .... i ' . .......... ?..~ . .c~.-... 4~.F:;r~ .(..i~/SA ................ 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;l that all statements contgined in this application are true to the best of his knowledge and belief; and that the work will b6 performed in the mannejr set forth in the application filed therewith. Sworn to before me this "z'~'~'Jf2") .... ~.}.... ~_.z/~./~/2~... County EL~AB~H ANN NOTARY PUBLIC, State of New York No. 52.8125850, Suffolk Co~ (Signature of applicant) Design degree days Floor R-19 Lindows (Anderson Perma Shield ) Doors per code infilta ration (volume) Inside 70Ow Outside 10°F 6,000 Insulation "U" SF B~J/HR .05 1,440 4,320 .07 1,221 5,140 .05 1,716 5,150 · 58 1! 342 11,900 .40 63 1,510 .018 17,920 1~400 47,%20 Gl~ss 21% of wall area Heating And Service water %~athevstrioping all windows and doors Caulking ~ oer code Furnace to be 75% minimum ef~idiency Hot water as oer code 1Lnes to be insulated as Der cods OCCUPANCY FEE: NOTIFY BUILDtNG DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR TNE FOLLOWING INSPECTIONS: ]. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE' 9. ROUGEI - FRAMING & PLUMBING 3. INSULA¥1ON 4. FINAL - CONSTRUCTION MUST BE COMpLEFE FOR C. O ALL CONSTRUCTION SHALL MEET THE REQUIREM~ixTS OF THE N Y. STATE CONSTRUCTION & ENERGY CODES. NOT, RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. . ..... :T:.'-::-I DATE: DRAWING NUMBER SCALE: APPROVED BY DRAWING NUMBER DRAWING NUMBER