The URL can be used to link to this page

Home My WebLink About13627-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ..... N.~.w...B.W.e.i.i..~.n.q[. ............................ Vanston Rd. Location of Property .. ,1.2.6. 5. ........................................ C.u. ~.c.h.o.q.u?. ..... House No. Street Hamlet County Tax Map No, 1000 Section . ...1.1.1. ..... Block ... 0 4 .Lot 02 6.3 Subdivision ..... .N.a.s..sC.u: .?~: .............. Filed Map No.. 8.9.6 .... Lot No...3. 2. .6 ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... S..ep.t.: . . .1.9 ...... , 19.8..4 pursuant to which Building Permit No ..... 1.3. .6.2.7.g. .......... dated ....... .D.e.qe.m..b.e.r.. 1..3 ........ 19.8. 4., 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 ......... ..... r.-r.: .~.?. ?..~y.~.~,e., 97...~.a.m.~..~¥..p~..~.~.~).n..~. - .... . .................... The certificate is issued to ROMERIL, ALBERT J. , Jr .' ..................... ?o¥.'o; /xi~d~x~ii~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ..... .1.4.7 .S.O.-.2. 3. .4 .......................... UNDERWRITERS CERTIFICATE NO .... I~,6 9 8 017 Rev. 1/81 Building Inspector l~Olg,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 13627' Z Permission is hereby granted to: ....... ~--~_~.. ~....~.~..?/...~...~ ..... . .~..~.....~..~..?..g~ ....................... ....~.~z~?.~..~..Z....r~ , ,o .....~~./~~.......~./.. ~..~_~.c..~.....~.~.¢../......~.... ........................... ....... .~.~.~ .......... ~..Z~.~...--...~..~...~.~.~~.~.~.,..~.,. ........................... at premises located ot,iii..i.L~.....~........~/~'.~..(~.iii, il iii iii...ii'f~'/~'" ......~'~"- .......................... ~~ ~-~-~.---- ......~ ~.~.~.,"'i~..' .......... ~ ~... .......................... ~.~ ....... ~. ~ ............................................. County Tax Mop No. 1000 Section ........ ~./.../. ......... Block ..... .~.....~'... ....... Lot No. ~....~..'.....~'.. ..... pursuant to application dated .......... .~...~ ........... ../...~.. ........... 10... and approved by the Building Inspector. Fee $....~....~...~ ..... Rev. &/30/80 FO~M NO. ~ TOWN OF SOUTHOLD , Building Department Town Clerks Office 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 Inspector with the following; for new buildings or new use: 1. Final sun/ey 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 installations, 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 property 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 in- formation required to 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 New Building ...........X..... Addition ................ Old or Pre-existing Building ................ Vacant kond .............. Location Of Property ~..2..~.,,~....V..8..~...8.~.~.~..~..~`~.~a.~.C.~..~.~'c:~.~.~.~.g..U:.~ ................................................. Owner Or Owners Of Property ........ .A...1..b...e.?'..~..~:....~.°..~..,e.~..J...1..t...g.~.: ......................................................... Subdivision ....,~,.a,.,S,?,.,~_~....~.~?.,,t., ............................... Lot No..,3.?,.,6..... Block No ............. House No..,~..2,,,6.?... 13627 Z Date Of Permit12/13/84.Applicant_................ Heidtmann & So,, Inc. Permit No. Health Dept. Approval ..................................... Labo Dept. Approval ................................................ Underwriters Approval ~.....~.9...~..~..~..¢1 ........................ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~l Certificate .......................................... Fee Submitted $ .......... ..5..,..0...0. ................ ~- \\ ~ ~ '" ~ ~ '~ Construction on above described building and permit mee,~ll yl~lical~le ~ and reguiations. ~ ~'~ Applicant~. ~.'~]....,~ ..... S~n to before me this ounty (stamp or seal) THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000C)71 BUREAU OF ELECTRICITY i ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oa,e June 26, 1985 .4..li,~.tionNo. o..fne3 oo37/85 N698017 THIS CERTIFIES THAT only the electrical equipmen£ as described below and introduced by the applicant named on ~he above application rtumber in the premises of Albert Romeril~ Er. , Vanston Road E/S, Cheidtmann Jbb., CutchogUe~ N.Y. i. tbeyollowing loeat~.~e ~oB.~ t FIXTURE OUTLETS RECEPTACLES SW~TCHES 25 33 32 ~ 1st Fl. [] 2nd Fl. Section Block and found to be in compliance with the r&quire,nents of this Board. Lot FLUORESCENT FIXTURES RANGES COOKING DECKS , OVENS DISH WASHER EXHAUST FANS DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: t~G.F.O.I. 1-Smoke Detector. Track Lighting 16' 0" ? Lites. E R V I C NO, OF CC~ COND PER,~Y OF CC COHD, 1 NO, OF HI-L~ A, W. G. OF HI-LEG NO, OF NEUTRALS OF NEUTRAL Box 215 ' ' GENERAL MA AGE Per ',. dentials. ' TOWN OF $OUTHOIA) OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 BLDG. OEPT, TOWN OF SOUTHOLD CERTIFICATION Date Building Permit No. ~%(0~q Owner ~Ome.r', { (please print) Plumber ~,~!1;~ ~/~m~3',~_n e- {please print) TEL. 765-1802 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /_~_~day of /~6tt~'C/~ 19 ~. Notary Public, (plumber' s sign~e) ' ~ ~'~'~ ~' ~-~" Notary ~/ Pub ' County JOHN P BRISOTTI NOTARY pUBLIC, State of New York No 4732613 Quahfied in Suffolk County Commission Expires M~rch 30, 19 ~ Phone (516) 734-7484 Night (516) 765-1128 GLENN F, HEIDTMANN & SON, lNG. BUILDI~R COX LANE, CUTCHOGUE, NEW YORK 11935 MAIL ADDRESS P.O. BOX 932 CUTCHOGUE, N.Y. 11935 Zugust 24, 1984 Town of Southo!d Main /load 8outhold, New York 11971 >lbert J. ]iomeril~ Jr. New Residence Nassau Point Vanston load Cutchogue, New York k~nergy Code flesistence All roof area to receive 6" insulation ? 19 factor ~]l exterior walls to receive 4" insulation ~ !1 factor All basement All exterior Manufactured All exterior manufactured All exterior manufactured area to receive 4" insulation R 11 factor window openings to be Perma-shield windows by Anderson Corpo door openings to be hollow metal insulated by Benchmark Corpo sliding door openings to be Perma-shield by Anderson Corp. Glenn F. Heidtmann & Son~ Inc. 765-1802 BUILDING DEPT. INSPECTION [~/FOUNDATION SST [ ] RouGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION I' ] FRAMING [ ] FINAL INSPECTOR FIELD ~NSP~CTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL,: 765-1802 Disapproved a/c ..-.-.~..~----~--~. · .~. ..............~ ........ // (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued 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 building for necessary inspections. Heidtmann & Son, Inc. (Signature of applicant, or name, if a corporation) P.O. Box 932, Cutchogue, N.Y. 11935 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, enojneer, general contractor, electrician, plumber or builder. Builder Albert J. Roraerll, J . Name of owner of premises ......................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer, (Name and title of corporate officer) Builder's License No ..... 1.Q ................... Plumber's License No ......................... Electrician's License No.. ~....~. ~.... ~ .1 .e.q L..r .i.c.. Other ~rade's License No ...................... 1. Location of land on which proposed work will be done .................................................. l~.~.~. Vanston Road Cutchogue ' House Number Street Hamlet County Tax Map No. 1000 Section 111 Block 4 Lot .... Subdivision Nas sau Point ' Filed Map No. 806 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. · - . ......S,i.n.g.l.e...F.a.m.i.l..y. ,O.w..e.l.l.i.n.g ...... ,' ............................. b. Intended use and occupancy~/. ~1 ./~--.... ~-7-...~...~j~.,'l:?~t/.'~;~-~ ~ ......... .......... ~'~'"~ ....... ~¥~?;I~,~ .~ / ............... 3. Nature of work (check which applicable): New Building x× Addition Alteration Repair .............. Removal .............. Demolition .............. Other.~Work ............... . .~. ,~.~ (2)O (.~) (Description) 4. Est~ted Cost ..... /. ? ....................... Fee ...................................... ~' (to be paid on filing this application) 5. If dwelling, number of dwellingl units .............. 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 ty~e of use .............. ; ...... 7. D~ensions of e~isting structures, if any: Front... ~.~ ........ Rear ..... ~.~ ..... Depth.. ~.~}~. ...... Height ,.. ~ ........ Number of Stories~ ......... ~ .................................. D~ensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... ~... HeiSt ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .. 3fi.'. Rear .... 3~ . Depth Height 2.9. ' Number of Stories . 9. Size of lot: Front ........ 10. Date of Purchase ............................. Name ~fFo~er Owne~ ............................. 11. Zone or use district in which p~emises are situated . . ~es~oent~a~ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... no ......................... 13. Will lot be regraded ....... B9 ................... Will excess fill be removed from premises: Yes No 14. Nme of Owner ofpremisesAl.~B.~¢. ~....89~q'V~}Ad~ess .~....~9~.~ ~. ~q :. Phone No ................ Nme of ~chitect W. aambach . Address Phone No. Nme of Contractor Heid¢~ann & ~qn. ' .Address Phone No. PLOT DIAG~M Locate cle~ly ~d dist~ctly ~1 bufld~gs, whether existing or proposed, and. indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block number or description accord~g to deed, ~d show street nines and indicate whether interior or corner lot. ~o~ STATE OF N 90 t i S S ' ... ~nn g d ly ppli ............................................. bein u sworn, ~eposes and says that he is the a cant ~'(Name of individual sig~ing contract) above named. He is the Agen~ i (Contractor, agent, corporate officer, etc0 of said owner or owners, ~d is du~y authorized to perfom or have perfomed the said work and to m~e ~d file pphcatmn; that all statements con~amed ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this .... ....... ~ ..da o} APPROVED ........._.,...,oo... o......o.,.. OFH~LTH '~ICES'T, ~ ~' ~ PURPOS' AND ARE NOT TOBE USED TOESTAB~I'H .LIC.~ ~ ~~~ ~PERTY LINES OR FOR<THE ERECTION ~ FENCE, ~~,-~ ~'~-~.~ ~ YOUNG. NOTE : ~ = MONUMENT ~ = STAKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUB,VISION MAP FILED IN THE O~ICE OF THE ~RK OF . AND [ANO SURVEYOR N.Y.S. UCENS/NO. 12845 SUFFOLK ~UN~ ON MAY 7, 1926 AS FILE N0.806 HOWARD W. YOUNG, LAND SURVEYOE H~ L~ ~ ~L(WI,~IC T&HKISTIa CE~OLS(~) ~ ~RE~ N.~S: LICENSE N0.45895 ' ~E ~ FIE~ ~TI~S ~ OR DATA OIT~O F~ OTHERS SURVEY FOR ~UrFOLK COU,,~Y E,C~',".~}T~,~:t'~T OF I~,~AL'rH S~RvI¢~-', VIOLET H. ROMERIL ~ ALBERT J. ROMERIL, JR. LOT NO. 336, "MAPOFSEC~ D- NAS~U POINT CLUB PROPERTIES, FOR APPROVAL OF CONSTRUCTION ONLY AT NASSAU POINT DATE: NOV. I. 1984 ~WN ~ SOUTHOLD SCALE: I = 40' DATE ,. HS REF. NO.~ ,,- SUFFOLK COUNTY, NEW ~RK NO. 84 -981 SURVEY .* VI~ATION ~SECTION 7209 ~ THE HEALTH DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT .~ ~ ~ OS~NDER 'A~E~E YOUNG YOUNG NOTE : ~ = MONUMENT ~ = STAKE ALDEN W, YOUNG, PROFESSIONAL ENGINEER SUB.VISION MAP FILED IN THE O~ICE OF THE ~RK OF AND LAND SURVEYOR N,Y.S. UCENSE NO. 1~845 SUFFOLK ~UN~ ON MAY 7, 1926 AS FILE N0.806 HOWARD W. YOUNG~ LANO SURVEYOR ~ L~L(W),~IC T~NK{~CE~OL$(~) ~N~RE~ H.Y.S, LICENSE N0.45~93 SC, D£P[. OF .~FEB 27 lg8 .. n. ~. ~~g¢ VIOLET H. R~ERIL a ALBERT d. ROMERIL, JR. , , LOT NO] 336, "MAPoFSEC~ D-NAS~UPO~NT CLUB PROPERTIES, INC." A AUG. I~ 1985 ~e s~a~ 81~posal a~8 ~ate~ ~upply AT NASSAU POINT O TE: NOV. ~, ~984 ~aotlltte~ ~0~ ~ts Zoe~tloa ~a~e ~eea ~WN ~ SOUTHO~D SCALE: I 40' tn~eeted by %ht~ departmea~ ~d found SUFFOLK COUNT~, NEW ~RK NO. 84 -981 to be satt~fa~to~,~, ~ SU~VEY,,Q ~ VI~ATION ~ SECTION '7209 ~ THE Chief of ~en~ral Engineeri~ .EW YO"K STATE [~C*T~O" LAW mE~q~RW,O~ THE SU~EY ~S HEALTH DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT A,o ~H;S BELL; ~ T e T~LE C~Y, YOUNGa YOUNG -- RIVER~AD~ NEW YORK NOTE : ~ = MONUMENT ~ : STAKE , ALDEN W.yOUHG~PROFESSIONAL ENGINEER SUB.VISION MAP FILED IN THE O~ICE OF THE ~RK OF ~AND ~AND SURVEYOR N.Y.S. UCENSE NO. 12845 SUFFOLK ~UNTY ON MAY 7, 1926 AS FILE N0.806 HOWARD W. YOUNG~ LAND SURVEYOR