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Home My WebLink About11263-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy Z10744 Date October 27, 1981 THIS CERTIFIES that the building ................................................ 80 Jernick Lane ' cation of Pro eft 1785 Oaklawn Avenue, . Southold, New York uo p y ............................................................... House/~o. S~reet Hamlet 070 03 016 County Tax Map No. ]000 Section ............ Block ............... Lot ................. Harvest Homes Estates .Filed Map No. ----53~7 . . .Lot No. 22 Subdivision conforms substantially to the Application for Building Permit heretofore Fried in this office dated June 5 .8.1 11263 g ..................... , 19. pursuant to which Building Permit No ...................... dated ..... ' ! .0 ............... 19.8..1, 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 ......... Private One-Family Dwelling Amelia G. Vaskelis The certificate is issued to ..................... ?o~,n'e'r.~'~n$g ..................... of the aforesaid building. Suffolk County Department of Health Approval 10/23/81, 11-g0-55, Robert; A. Villa UNDERWRITERS CERTIFICATE NO. N 5 3 9 9 2 9 Building Inspector Rev. 1/81 FOI~ NO. ~ TOWN OF SOUTHOLp BUILDING DE~ARTJ~EJ;.I'r TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ~ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL F~JLL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ............ ~.. ~ ..: ..~. ..... County Tax Map No. 1000 Section ....... ~.,.Z(~. ....Black pursuant to epplication dated ...................... i ..... Building Inspector. Rev..6/30/80 ~.,.~.. ........ :Lot No....~).d.~/ .......... .... , 19 '.~. ~-~.., and approved by the {~'Building ~!nspector 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 tvpewriter 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 ms. 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: i 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 October 26, 1981 New Building ....X. ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property c/o Jernick Lane & Oaklawn .A. venue Southold House No, Street Ham/et Amelia G. Vaskelis ~ Anna B. Vaskowi~z Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 070 Block `3 Lot 16 Subdivision ................................. Filed Map No.5.3.~.7, ...... Lot No .............. Permit No... 112,6,3.. Date of Permit . .7 ./1Q/8~A, pplicant .................................. Health Dept. Approval ...1. O../.2.3./.8..1 ............ Labor Dept. Approval ........................ U nderwriters Approval .. 2~ 5`3992.9 ............. Planning Board Approval.I i i .~. ~ i iii!.~i~ll Request for Tempo rary Certificate ..................... Final Certificate .. Fee Submitted $ 5.O0 Construction on above described building and permit ~t,s all applical~ codes and regulations. Applicant ........ R..o.b.~t' ~.,..~.t;.'~..I.~[¢~, .Np..H.Q.M~..S. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY --~-- .f~.~'~:..' ..... ~t~. 8S JOHN STREET, NEW YORK, ~.%OR~ ~038 THIS CERTIFIES THAT only the electrical equipment as described below and i~troduced by t~ ~licant named on the able application nu tuber in the premises of ~nd fo.nd to be in eompllancc wttfl the requirements of th~s Board. FIXTURE FIXTURES RANGBS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R V I C E NO OF CC COND A W O NO O~ HILEG A W O A W ~ PER ~Y OF CC COND OF HILEG OF NEUTRAL 1to £~.21~8 E GENEI~AL MANAGER 11 Th~s cerhflcate must not be altered ~n any manner, return to the office of the Board if mco. rrect Inspectors may be idenhfmd by their credenhals COPY ~OR~ ..... BLHLDIHG DEPARTMENT.~ · THIS COPY OF CERTI~ICAT~E~. ~U~T NOT BE ALTERED[ IN ANY ~ANNEtl. FIELD INS?,ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO 3 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLERK'SOFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ for pe~it to construct ...... ~t~{ .~.k { .t.~( ~7'. ............ , ........................ at Location of Property h3&b ~o'. ....................... ~3io3i ....................... h3kiof County Tax Map No. 1000 Sechon ..... ~ ~ ..... Block ...... 3 ...... Lot & ~ Filed Map No ................ is returned herewith and disapproved on the following grounds t b ~ ~ U f' Iz ~ ~ ~- tM ~ .... ...... Building Inspector .v mo Z7 -- H~c~' Z ! C.- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 , Examined. °~///° .............. , 19 .. Approved .... , Permit No. Application NO Disapproved a/c .................................. ~ · ........ .... -- f~ ~ , ~ (Building Inspector) ~ ~ . APPLICATION FOR BUILDING PER~IT Date June 5, 19 81 INSTRUCTIONS a. This application must be completely filled ~n 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 Braiding 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 ~n buildings for necessary inspections. INLAND HOMES, INC. (Signature of applicant, or name, if a corporation) Box 117, Mattituck, N.Y. 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises .Ame.l-ia. G~.· .Vask. elis ................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz, President (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. 517-P Electrician's License No....2.1.4.8.7.13; ............. Other Trade's L~cense No ...................... 1. Location of land on which proposed work will be done. S/E. cornea. .of. J. ernick. La.nd .&Oakland. Ave .... Southold, N.Y. House Number Street Hamlet County Tax Map No. 1000 Section ... 1370 ........... Block .. 3. .......... ~... Lot ....... 2.2. .......... Subdiwsion ...... Itar.v~st. Homes. Esta.t.es ...... Filed Map No. 5~B.7. ......... Lot..2.2. ........... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... Vacan.t ......................................................... b. Intended use and occupancy ....1. ?.a..m.~.l.y...cl.w?.l. 3: .~.n.9. ............................................ 3. Nature .of work (check which applicable): New Building ....X ...... Addition .......... Alteration .......... Repair .............. RemoVal .............. Demolition .............. Other Work ............... ' .......... (Description) 4. Estimated Cost $5t3 i OO~ o. O0..~ F I (to be paid on filing/his t~pplication) 5. If dwelling, number of dwelling finits 1 Number of dwelling units on each floor... If garage number of cars ' 6. If business, commercial or mix'~d occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure,s, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wi!h alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ...92 .......... Rear .. 92 ........... Depth . .3.2. ........... Height ....... ],Q ...... Number of Stories ........................................ ........ i ' ' .17.0.' Depth 1.25 9. Sizeoflot: Front ...1.7.O. ..... : ........... Rear ....................... ............. .......... , .. Name of Former Owner 10. Date of Purchase .. ............................................. 11. Zone ot use district in which premises are situated ..................................................... 12. Does proposed construction viol~te any zoning law, ordinance or regulatlon: ...No ........................... 13. Will lot be regradj~s ........ . ................... Will excess fiil be removed from premises: Yes Nox 14. Name of Owner of premises .. A~.i.a..v.a.s.k.e. 1..i.SAddress ................... Phone No ................ Name of Architect ............................ Address ................... Phone No ................ Name of Contractor ...Tnl&m ·Homes ......... AddressBqX.. ~.1.7... iylg.~l~.t.u.q~hone No .... 2.9.0.-.9.6.9..6... 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 number or desctiption according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF..S. IJ .F.Fp.I~K. ....... ~.S ·. ltOb~;r.~;. I~,. ~i. ].~.z. ........ i .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· .,Con~rac~or , He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~. 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 i ........ 5. q~h. ............. day ofl ...... .J.u.n.e. ........... 19...81 Notary Publlc, ........... ,%Lll~ ~'OJat¢ ............ County No. 52,8125850, Suffolk Coulll;y~ Term Expires Marih 30, 19,,,,~,,c~ .... Tho sewage disposal and wate~uppl¥ raotlttte~ rot this looatlon ~lav~ been inspected by thi.~ department~nd found ~3,6~ 05' ¢. /-....::.... LOCATION · HO C? I.d- I hereby certif~ that I have prepared the plans and specifications for the abo~e referenced project and, together ~lth the follo~ng infomation. they ar%. to the best of~ knowledge ~d belief~ in compliance ~th the New York State~RGy CON~ATION CONST~C~ION C0~ printed Janua~l~ 1979 by the acceptable practice method (EbO0) ~? 5. / Date Oil. Electric &ir Steam Cooling 0nly ~tg, & Cooling Split S¥STEM~ gas ~// DISTR~BUTIONt ~Water V/ Heating 0nly The contractor shall fernish aud install construction materials such that the following 'qJ# values are not exceed, all 1. Roofs 'P0 2. Floor over Unheated Basement 3. Exterior Valle ,,0~ 4. Glazing .~ g. Peri~eter Slab ~/~. sheet No. 1 of ~ 1. The contractor shall furnish to the o~sr written maintenance instructions for all equipment which requires preventative maintenance for efficient operation. 2o The contractor shall 'furnish and install adequate ventilation in accordance with N.¥. State Building Construction Code and N.Yo State Building ~onstruc%ion Code ~fanual~ latest editions. Exterior joints around ~indow and door frames~ openings between ~alls and roof/ceilings and between wall panels~ openings at penetrations of utility services through ~lls, floors~ & roofs; and all other such openings shall be caulked~ gasketed~ weather- stripped or otherwise sealed. ~he contractor shall famish and install ~anufac%ured doors and windows which have infiltration loss rates ( at 25mpkw~nd velocity ) equal to or less than those listed belows. ~IN~! 0.5 cfm per lin. ft. of operable sash crack S~NgINg D00RS* 1.0 cfm per sq. ft. of door area SLIDINg GL~S D00P~ 0.5 cf~ per sq. ft. of door area FIREI~ICE DA~PEg~ 20 cfm 4. Furnish and install tight fitting, non combustible fireplace doers. Furnish and install ~fl~ damp,red duct in fireplace sides or in hearth ducted fro~ the outdo,rs. §. Insulate supply ductwork in unheated Basement or crawl space with insulation with vapor barrier with H- 5.0 or greater. 5. Insulate piping in all unheated spaces and slabs with 3/4" thick suitable insulation for all pipes 1" and less in d~ameter. sheet N~, 2 of ~ USE IS UNLAWFUL V iTHOUT CERTIFICATE OF OCCUPANCY L DA'rE: / ~Z.~.~.~B. P. l:,~, ,. FEI:- /~/ ~ BY: '~ , . NO~ ~U~-~NG ~D~ART~ENT ^'r 76.~1802 9 AM TO 4 PM FOR THE ~OLLOTING INSPECTIONS: 1. FOUNDATION - T~VO REQUIRED FOR POUR~D CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULAT!ON 4. FINAL - CONSTRUCTION MUST BE C~B~pLFTE FOR C. O, AL/ CONSTRUCTION SHALL MEET THE REOUH~EMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY COOES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. O'~X/NERSHIP OF DOCUMENTS THESE D~AWJNGS AND SPEdlE:CAT[.gNS A~E INSTBUMENT$ OF SERVICE FOR PROJE CT,:L"._~/~ AND SHALL REMAIN L FOR WHICH THEY AEE MADE IS EXECUTED OR NOT. THEY ARE NOT TO BE USED IN ANY OTHER PROJECT EXCEPT BY WRITTEN AUTHORIZATION OF THE ARCHITECT~ I! · - L-:- _.:-L --I L