HomeMy WebLinkAbout10613-z
FORM NO.4
TOWN OF SOUTHOI,.D
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. . ;:.1.Q~9;;. . . . .. . . . Date. . . , .D.~<;"{:1.b.qr.. 7. . . . . . . .. . . . . . . ., 19 .81
THIS CERTIFIES that the buildmg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . .
LocationofProperty .. .90P,..... .r.r.:ivil,t,a. R.d.... U!Y.att.. .R.eI. >. 1I.1.G..... .SD.I.\tbol.d..
House No. Street Hamlet
County Tax Map No. 1000 Section .. .Q59. . . . . .Block ...Q 1 . . . . . . . . . .Lot . .0.32. . . . . . . . . . . .
Subdivision. . . . .X . , . , . . . . . . . . . . . . . . . . . . . . .Filed Map No. .x...... .Lot No. .....x.......
conforms substantially to the Application for Building Permit heretofore filed in this offiee dated
.M/!I:' f:P. .:)0...........,198.0. pursuant to which Building Permit No. . .106.1.3 .2...........
dated. . .. . !\.P.r::p.. .1.. . . . .. . . . . . . , .19.13.0, was issued, and conforms to all afthe requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . .
.1.'\ .99r.n!"!f. .d,qq:j.j:..i.QI!. t.o. .<1. PY'.:i,y?t.e. .9P.e. .t:fi.\1I.i.J,y,. >IJ'.'~J,HAg...................
The certifIcate is issued to ...,... .:r.a.!D<;(3. .P.r.<;;,1.t.o.11. &. .w.H'r. . . . . . . . . . . . . . . . . . . . . . . . . . . .
(owner, ie__ !ImarIt:I
of the aforesaid building.
Suffolk County Department of Health Approval ..... );11 R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11543"54
UNDERWRITERS CERTIFICATE NO. . .. .. . .'. "'. .. .. .... . . .. ..... .., .. . ... .,. ... ... ... .
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Building Inspectar
Rev. 1/81
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FORM NO. 2
TOWN OF SOUTH OLD
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)
N9 10613 Z Date ../f?.((,(4"....../.......,....,......... ..,,19m.
Permission is hereby granted to:
...........?t!..~...I.::1..:.....;,;.e.~-t!i=.,...... " ,. ,,,
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.....6.1li:cM.._.C/..,F.r.:.(./.. ., .....~At.I&;..,..
......l07.c:~/Q2.lI.~.r.N.,.7.:.. ".... ..
C i.d -- -- .
to... U.M5'T-. f:J.(;;t........L.b/.:t:.M.en:....:4.p~U71.()..u...:::./:a..:..E5<..I~t'.&.7. ..
.......([)I.Y.iT......FAAJ.l..4..~.....~f./f/.N. J;;....:-:...~;;4.....:!!~..7I~,J. .
at premises located df7!...7:0O'........l.it(/....../El;...... ...l?..~-:!d....I?O...,......., ......,..,......,
.... ............ ......... ... ....... ...,............... ,..... ..... ......... ...... ....,........ ... ... ...... .";;::;.oq.T././.Ott:..R."".N:. 'j.,:.
,........................................................................' ......... ...................................................................... .....
pursuant to application dated ..4hi'C.ct:l..;:I.d..............,' l~a., and approved by the
Building Inspector.
Fee $l.;f'..~.~.... r
.
A4u.
................... ..........................................................
Building Inspector
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fORM NO.6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southald, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate ta the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey af property with accurate locatian 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 farm or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa.
tlons, a certificate of Code campliance from the Architect ar, Engineer responsible far the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prlar to April 1957), Non-confarming uses, ar buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topograph ic featu res.
2. Sworn statement of owner or previous owner as to use, accupancy and conditian of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required ta prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. COpy of certificate of occupancy $1.00 Date .1:/. f.. ~ .1(...........
New Building ...... . . . . . . . OI~pre'Cing C;lding ..... .~.) . .. Vacant Land ~. . . . : . . . .
Location of Property ... 7.C!.<?.. ..(r:.. .If!.-.. .1/(.*':11..&,. -!l.1t'......... . .q7fht~ ~
House No. ~ ~ Street Hamlet
Owner or Owners of Property ... /~ytF3;?:-. . . ~% ~ . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . .
County Tax Map No. 1000 Section. . . Q;!T<r. . . .. Block.. .C?(. .,.. .,. Lot.. .Q$.~...,.
:::~::i::~ :~;~:~~~~e'~f' ~~r'~i~'I)/~::i~:~i:: 0~ tid ~ ..t:~...".,.,.,.,. '... '.
Health Dept. Approval. .. .., . kll!!:-:,.. .. .. . .Labor Dept, Approval .. ../k /4,. . " . . ., .. ...
Underwriters Approval :". . . . . . . . . . . . . . . . . . . . . . .Planning Board Appraval . .~/&: , . . . . . . . . . . .
Request for Temporary Certificate. . . . . . . . . . . . . . . . . . . , .Final Certificate .~. . . . . . .. . . . . , . , , .
Fee Submitted $ . ~~ . . . . . . . . . . . . . . . . . . . .
Construction on above described building and
Applicant>:'. . .
Rev. 10-10-78
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AI"~I::j) AS NOTED
DATE: *.! "Y.>_B P. =If /06 (i--2.
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FEE: /.';;-;!! . BY: ~ , ",
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NOTIFY 8')11 nlNG IJEPAR IvENT AT
165-1 rr? 9 AM TO 4 PM FOR THE ,
,
, FOUOWINC 1N"?f:CTIONS'
1. FI)U""~!\ ,ION - TW0 REQUIRED
: rO~ p.~u::n) CONCRETE
: 2. ROUGH - FR,\MINC & PL.uM8ING
,
: 3 IN'Ul.A liON
, 4. FiN"L - CONSTRlIC:TlON MUST
,
: BE C"HPI nT FOR C. 0,
i ALL CONSTRUCTION SHALL MEET ,
THE RE'QUIREMFNTS OF THE N Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBL.E FOR I
DESIGN OR CONSTRUCTION ERRORS.
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1000343 THE NEW YORK BOARD OF FIR~ UNDERWRITERS
I
118 BUREAU OF ELECTRICITY
I' Noverobar lil, 85 JOHN STREET. NEW YORK, NEW YORK 10038
1981 ' . .
Date Application No. on file 147733 - 81 N 5/i':l"1";,~
THIS CERTIFIES THAT ,- I ""} :," '''"';
only the electrical equipment as described below and introduced by the applicant ha~ed on the abQve appl.cation number in the premises oj
I -Iam~s P'CG81::ml, Hortons PO:i.nt EKtenaioo (Hyatt RP.), Soundviaw Ave.., Sout:hold, N. y,
In the following location; o Basement o htFl, t'J 2nd Fl. Section Block Lot ~I
was exalnined on NciV~t~BX' 16, 1981 and found to be in complian.ce wlth the rf?quirements of this Board. II
FIXTURES RANGES COOKING DECKS ' OVENS DISH WASHERS EXHAUST FANS 51
FIXTURE $2
OUTLETS RECEPTACLES SWITCHES INCANDESCENT flUORESCENT MJ2~~~Y AMT KW AMr KW AMT KW AMT KW AMT H P ~
I u 13 b 6 wg
IiI
~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT liME C;:LOCKS UNIT HEATERS MULTI-OUTlET DIMMERS !lI
BELL ; SYSTEMS
AMT KW all HP GAS H P AMT NO AWG AMT AMP AMT AMPS TRANS, AMT H P NO. OF fEET AMT WATTS
I SERVICE DISCONNECT NO OF S E R V I C E
METER 3}f3w NO OF cc tOND AWl,) AWG AWG
AMT AMP TYPE EQUIP 1.J{2W l/lf3W 3/1f4W PERiJ OF CC COND _ NO OF HI-lEO OF HI lEG NO OF NEUTRALS OF NEUTRAL '.
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~ OTHER APPARA JUS g
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1..Su01l:" Detector i@
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Goodall! Elec. Cont. . . 1 1<<1/~/,\ -
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100 EoM; l.5a, Nu:in Rd, ~~rriAL'viGER
i i1att.it1.1ck, N.Y. 119:'2 lie. 783-1t IE
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'" This certificate must not be altered in any manner; return to the office of tlie Board if )ncoxrect Inspectors may be identlfje~' their ;r;;dentrals.
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,f.?rV FO~. ~UILI)ING DlPA"tMa~T, rlns .~OPYi9f&Cf-I.I~m\'ljJ,y ~<!!:II'~~ .AJtTfRE~ IN ANY MANNi:R.
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RT4'T'D T1~C'p-::'-'''''}'T f')v::o , (;0<,;-.' .:.'3 , "
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INSULATION PER N.Y.
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STATE ENERGY
CODE
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ADDITIONAL COMMENTS: \ 'i IA
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TEL. 765-1802
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, N. Y. 11971
November 27, 1979
Mr. William M. Beebe
New Suffolk Lane
Cutchogue, New York
Re: James Preston - dormer
Dear Bill:
In the absence of George Fisher, who is vacationing, I visited the
premises owned by the above with the Housing Board of Appeals.
Before making a decision the Board would like a more complete set
of plans for review which should include the following information:
1. Floor plan layout of rooms
2. Side of building dormer is to be located
3. State reasons why headroom required cannot be met (7'6")
The Board suggests that you consider the possibility of the exten-
sion of rafters on remaining side of roof, By doing so, this would
raise the existing ridge so that a suitable pitch to the dormer
roof can be made with a 7'6" height on dormer exterior wall. This
would appear feasible and a Variance would, therefore, not be
required.
I have prepared a cross-sectional drawing detailing this recommendation.
Y;Z truly,
bt,
EDWARD F. HINDERMANN
Building & Housing Inspector
encl.
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
E"mJOO*'i-.. I..., 19Jr Application No. /06. (~.(. . . . .
Approved.. v<t.!.. (,..., I~. Permit No.IO({i:.::;?
Disapproved a/ c , , . , . , . , . . . . . . . -;-. . . . . . . . . . . ...... .
,~
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . ,., ........~
APPLICATION FOR BUILDING PERMIT Date !J1~.?~, 19ft!
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 mspection throughout the work.
e. No building shall be occupied or used m 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 Ordmance 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 apphcable laws, ordinances. building code, housing code, and regulations, and to
admit authorized inspectors on premIses and in buildings for necessary inspections'jf; H.4
"..,&!...................~..,.....,...
(Signature of applicant. or name, if a corporation)
.... .~.................,....... ...
(Mailin address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
N,,"'O~.. a:~..' Pidi:in 0<1"'" d"d)........................
If applicant is a corporation, sIgna e of duly authorized officer.
..... ,........................................
(Name and title of corporate officer)
Builder's License No. ... ..,. ~ 1. . . . . . ... .
Plumber's License No. ........ .,...~....
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ElectncIan s LIcense No, . f.. . . . . . . ~./.
Other Trade's License No. ......,.,....,......,
I. Location of land on which proposed work will be done,~. . . . . ~/' . . . . . , . . . . . . . .
,.,.,.,... .ft}. Q..,"',...~,........... ..,...................,.,...........
House Number Street ~
County Tax Map No. 1000 Section Sf/~, . , . ., Block rfJr:''.tf.t. .. ..., Lot.. . J ~. . . . . . . . .
~ c!>t L
Subdivision. . . . . . . . . . , , . , . , . . . , . . . . . . . . . . . . . , . . . Filed Map No. ..,.....,..... Lot...,...........
(Name)
2. State existing use and occupancy of premises and intended u~ of proposed c nstf\'c . on:
a. Existing use and occupancy ....' .~~. .............~......~..
b. Intended use and occupancy ,.......... .~r:x/.. . , . . . . . . . ~. . . . . . . . . . . . . . . . . . .
:
i , ." ! d ,~ik -' ,: .
.<+
3. Nature of work (cheek which applieable): New Building. . . . . . . . . . Addition.. . 'I: . . .. Alteration ..........
Repair .............. Rem~val . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . .
/' j, ,~" -k ,t:::;:- ~ (Deseription)
I' I < /, \ I'd}- I..,.J -
4. Estimated Cost. . . . . . . . . . . . '.' . . .~. .... . . !. : . '. . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i (ta be paid on f1Iing this application)
5. If dwelling, number of dwelling ~nits . . . . . . .I. . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . .
If garage, number of cars .....i...................................................................
6. If business, commercial or mixed occupaney, specify nature and extent of eaeh type af use . . . . . . . . . . . . . . ./. . . . .
7 D. . f. t. t t ' .f . F t '.. ) I R ,.-; \ ' D th " ,
. ImenSlOnso eXls mgs ruc ur()s, I any. ron .... \.'........ -I ear........ ...... ep ... ,io:"':.......
Height . //1"'. .'. . . . . . . . . Nunjber of Stories. . . . . . . . . . . . .1 :3-,. . . . . . . . . . . . . . . . . . . . . .. , . . . . . . . . . . . . .
Dimensions of same structure with alterations or additio}ls: Front ...........,..... Rear. . . . . .v. . . . . . . . . . . .
D th ~-' , H'ht /,~ N b fSt' j...t:
ep ... . . . . . . . . . . . . . . . . . .. elg . . . . . . . .' . . . . . . . . . . . . .. urn er 0 ones. . . . . . . .'. . . . . . . . . . . . . .
.-
8. Dimensions of entire new const~ction: Front. . , . . . . . '7\ . :.: : ~R~ . . . . . . . . . . Depth .. . . . . . . . . . . . . .
Height ............... Nuniber of Stories. . . . . . . .bJ:{I./f'.v.r:'. . . . . . . . . . . . . . . . . . . . . "1'/ . . . . .'. . . . . . . . . .
9. Size of lot: Front ......./.,)jP.......... Rear........./rV......... Depth ....V.rv:'l('~.i/.-<t-......
,
10. Date of Purchase ............................. Name of Former Owner .............................
II. Zone.)r use district in' which pr~mises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . 'A'/ .0 . .. .. . .. .. .. .. .. ..
12. Does proposed construction ~ojate any zoning law, ordinance or regulation: .......f.Y... ................ .....
13. Will lot be regraded ....... .1-'(.~. . . 'i7}~i:';~,' . Will excess ~~,b~~~.~?d from premises: ,Yes ~
14. Name of Owner of premIses .,p:l"(I. .'.... .'.. . .. .. ., Address.. .',.... .'." . .. . . ., . .. Phone No. .. I.'.. /11.5..
Name of Architect. . . . .,. . . ,.IM. . yfJ. . . ,.: . . . . . Address. .,'}. 'J.:':+ . . . . . .. . . . Phone No. . . . . . . . . . .. . . . .
Name ?fContractor .. .//: :':(f.1.1;:H/.~ . .. . . Address . iA,M"....~\..,JI"... .. Phone No. . .~<:'.;<' .Cii!. /..
PLOT DIAGRAM
,
Locate clearly and distinctly aU buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blockinumber or description according to deed, and shaw street names and indicate whether
interior or corner lot. '
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STATE OF NEW YORK, I S.S
COUNTY OF . . . . . . . . . . . . . . . .. '
. . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . .. being duly sworn, deposes and says that he is the applicant
(Name of individual sigl{jng contract)
above named. '
, ,
He is the. .. . .. . . . . . .. . .'. '.. ... ;, .. . .. . . . . .... . . . ..:'... . . .. . . . . . . .'.... '" .. ... . \:). \:)~. .. . . .. . ... . . .
: (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perfarm or have performed the said work and to make and file this
application; that all statements cori~ained in this applieatian are true to the best of his knowledge and belief; and that the
work wi11 be performed in the mann~r set forth in the application filed therewith.
Sworn to before me this
. . . . . . . . . . . . . . . . . . . . . . . .day of. . . . . . . . . . . . .. . . . . . . ., 19.. . . I
N P bl' ' ' . C t ," )/;/'l /7/ I
otary u IC, ..................................' ouny '~.... ~
LlNDI\ F. KOWALSKI \ '
NOTARY PUBLIC, State of New YorR , . . . . . . . . . ~ ., .... ... . . . . . . . . . . . . . . .
No, 52-1524771 ' ( . r)
,Qual.Ncd 'n Suffolk County Signature of app lcant
,Comrr:::si :~<; I\hrh JO, 199:~ :
,