The URL can be used to link to this page

Home My WebLink About13369-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 13238z Date Feb. 28 ........... , 19.8.5. THIS CERTIFIES that the building .... .I,(e.~. p.w.e.l.l.~.ng.' ............................... Location of Property . .2.9.8.5 ................. Highland .Rd. . ....... C.u.t.¢.h.o.g.u.e....[ . House No. ' ...... 'S'tre~i ...... Hamlet County Tax Map No. I000 Section 102 .Block 08 .Lot 01/4 . Subdivision...~g.h.l~rt.d. $~I:, ................ Filed Map No..6.5.37 .... Lot No...1.7 .......... conforms substantially to the Application for Building Permit heretofore Fried in this office dated Aug. 13 19 8.4. pursuant to which Building Permit No.. 13369g dated ....... .~.ug, ..... .2.7 .......... 19.8.4., was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... New Private One Family Dwelling The certificate is issued to ....... MACHNOWSKI~ RICHARD & IRENE .............. ...................... of the aforesaid building. Suffolk County Department of Health Approval 14-S0-137 UNDERWRITERS CERTIFICATE NO N674691 Rev. 1/81 Building Inspector TOWN OF SOUTNOLD 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? 13369 Z Permission is hereby granted to: ..~.~.~ ................................................. ...~..~..~.....~.:~..~ ............................ ~o ~ ' 0' ' ' ...~ ............................................................ ~ ...... 1.,.,~ .f..i~. .............................. /-~ ................................. ot premises Iocoted at .~..~..~:...~~..~..~...~..:. .......... ...... ...... ........................................... County Tax Map No. 1000 Sect~og.<....).' ................. o ~L~ Block ...................... ~ Lot No. ....J...~.. ............. pursuant to application dated ....~......~.~......[.i~ ................. ,19..~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 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 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- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / [ 2. Certificate of occupancy on pre-existing dwelling fr land use ,I;/5'/$5.00 3. Copy of certificate of occupancy $1.00 · Date .............. New Building ... ~ ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ....... .,/.~L./.~../.~.~.,¥./~. /2 0 ,- C ~,-j-'~/c/o~, ~-z_5 //k~..Y'. ? ' . ............................................ House No. Street Hamlet Owner or Owners of Property ~ .~ .c:..~..~, ~.~..5,..\.'~..E;:. ~.~....~t. [~.~,.L.-Ir.~...o~,/,5. ~-~. ~ .................. County Tax Map No. 1000 Section ,, ,~ .o, i%¥. ....... Block ... ~. .......... Lot. ~ .~' ............ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.l~.~.(~¢.~-~. Date of Permit ~.~. ~.'~.~.~-Applicant L t.~ o .~¢~.~ ~.~ ...... Health Dept. Approval ..................... Labor Dept, royal ..................... ~qq ~.1 d Apo Unde~riters Approval . ~'~..[~ .......... Planning Boar roval ...................... Request for Temporary Certificate ..................... Final Certificate ,. ~ ............... Fee Submitted $ ~; ~ o Construction on above described building an,d permit meets all applicable cod~es and regulations. ~L,c~ ~L.~"q ' I Applicant ., ~..~_~...~ ................. R~v. 10-10-78 TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Owner ~[C ~Q ~ ~ %4~ ~_%~ (please print) Plumber~u~ ~~c~ ~.~'-~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ' - ~lu~ber'% sig~ture) Sworn to before me this ~///day of ~/~. Notary Public Notary Public, ~o~ County LINDA K. DAWSON Notary Public, State of New York No. 4694688 Qualified in Suffolk County Term Expires March 30, 19 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Rtc~rd ~b~ctmow~l, C/O H~iliaiid I~d, ~ Brt~e ~ie S/W Bri~e ~e, ~ltch~e, in the following Iocatio,,; ~ Basement ~ 1st FI. ~ 2nd FI. Section102 Block ~ Lot 17 ~0~ ~.,.,i~odo,, J~x~y 7, 1985 FIXTURE FIXTURES OUTLETS FLUORE$CEN¥ vAPoR 32 56 32 DRYERS FURNACE FUTURE APPLIANCE FEEDERS RANGES OVENS EXHAUST FAN~ TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: i~G.F. I, l--Sn~k~. S E R V I C E NO. OF CC, COND A W,O, NO OF HI.LEO A W,O. NO OFNEUTRALS A.W+O* PER ,~ OF CC COND, OF HI-LEO OF NEUTRAL I 4/0 -~ 4/0 'Furee "C" El(,~trtc inc. Rt. #1 Box 4~{ Sound Aw,~nue Rlve~h~,~,d, N.Y. 11901 Lie. 3327 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by , THI LAWRENCE hi. TUTHILL pROFI[~II~IO NAt. S'NBINEER Residence Richard Machnowski Plan No. 449 Design temperature Design degree days In~ide ?O°F outside i0°F Area Loss Insulation "U'__~' Floor R-19 .05 1,293 3,880 Walls R-19 .05 1~571 4,720 Oeiling and Roof R-19 .05 1,293 3,880 Doors (per code) .40 4G 960 Windows Dbl glass- thermal .69 277 11,480 Infiltration (Volume) .018 18,000 1~00 ~ireplace (20 cfm) 1_~2__~ 45,640 Glass 15% of wall area Exterior duct and non -mSmbustibls doors to 'be provided for fireplace Heating and service water lines to dnsulatedaas per code Weatherstripping all windows and doors Furnace to be 75%m~nimum efficient Caalking and Hot water heater as per code ~6S-1802 BUILDING DEPT. · INSPECTION' [ ] FOUNDATION 1ST [ ] ROUGH pLBG. [4FOUNDATION AND [ ] INSULATION FRAMING [ ] FINAL REMARKS DATE~ /~)/~//~ INSPECTOR ~/~ 76S.X802 BUILDING DEPT. INSPECTION UNDATION .~,ST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION, [ ] FRAMING FINAL REMARKS: DATE, 7GS-1802 BUILDING DEPT. INSPECTION, FOUNDATION 1ST [~/RoUG. ,pLBG. [ ] FOUNDATION ZND [ ] INSULATION [/~ FRAMING [ ] FINAL REMARKS: DATE INSPECTOR F1E~ I~SFECTiON FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME FLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL COMMENTS ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, 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 Wpewriter 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 X~his 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. ~, (Signature of applicant, or name, if a corporation) · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contraclor, electrician, plumber or builder. ........................ . .C,c...~..~....~...~..c-....~..o..~..-E..a-?..~..-c.o..~..~ .................................. Name of owner of premises . .~..~.ce..O,..,~...~. ~... ~-...~. ~,~,l~..~.... I~1,..~r.m t~. Vie ~ .% b,-.I, .................... (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...~/..~.'....~.~.~..~..~.¢.~.~..t~..~/). Plumber's License No... ~..~..~. 7...~. ........ '... Electrician's License No....~. ~ ?...~. .......... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~..o.~..,..~..~. ~..~ .~.~...L.~..~.. ~ \~..~..l..~..~?....~.o..~. ?. o. ...... House Number Street Hamlet County Tax Map No. 1000 Section .... ?..~..'~. ........ Block ...~. ~. ............ Lot./.~. '. ............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ .~ ~ ........................................... 3. Nature of work (check which a~plicable) New Building .......... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... 4. Estimated Cost ....... .~..19~ ..................... Fee ................................... ] (to be paid on filing this application) 5. If dwelling, number of dwellin~llnits ..... ~.. ........ Number of dwelling units on each floor.. ~...'7~....~.~.'... If garage, number of cars ...,~4, ............................................................ 6. If business, commercial or mixed occupancy, spec/fy nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i' ' Height ........... t ........... Number of Stories ............. y ........ 8. Dimensions of entir.e new construction Front ... t~ ~' . Rear .~.. ~..~ .. De,~th ~ ~} . Height .... ,,4 ......... Number of Stories . ~r~,~ .............. ~.. 9. Size of lot Front /..~'~. ! . Rear...,,~.t,/..O..r. ....... Depth '~'~47 . . i ....... 10. Date of Purchase .... /. ~.~.~..~. ............... Name of Former Owner ............................. 1 1. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~.~ .......................... 13. Will lot be regraded ....~{.~..) ................... Will excess fill be removed ~from ~emB~: Yes 14. Name of Owner of prem. isesl~.a.~4neO,-P/~.~.Id~jes~t~'Address ,.q'-I~.CL~.*44..~.~.~ .~..°.~l~on~ee~o..7.~..~..-.7.3.*~i1:~.. Name of Architect ..,~-~.~-.~. .-ff'.~..~.~(~.C~.~...Address~.6~.~.~.~..,~.~.- PhoneNo .... Name of Contractor . L ~ ~ o..] .c...o..e~. e..~ q-.,-~-..*.~r-t'. Address ~I>.~. ~.q/.4.n~..,&~,l. Phone No.Ta,~a~.'. ~.~?... Locate clearly and distinctly all property lines. Give street and block interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, an& indicate all set-back dimensions from dumber or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ........... ..... ...... k J~.~'~.. 1~. ~-. ~.*.~.~..- .~ ~. J.~' ' O...J ..~. ..........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 owqer 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 NOI~R¥ Pllffi.t~, l~tte of N~W iork ............ N0. 4707878. Sulf0lk t~ountv ~ ' applicant) lerm Exp*res i¥1~rch 30, 19~5 ~ ,~. 5 / ~/'~'- _',. A°' ~su~Y FOR ~OR APPROVAL O[ CONSTRUCTIO~q ONLY AT ~g~CHO6gg DATE: ' ~WN ~ ~O~HOLB SCALE: HEAL~ DEPARTMeNT-DATA F~ APPR~ TO C~STRUCT *~o~ HIg BEHALF ~ THE TITLE C~P~, GOV~g- ~FCO, T~MAP~T~SECTION 102 ~CK ~ LOT /4 H~E~ANDTO ~ AS~IGHEESO~THELENDING OF H~TH S~ICES, PURPOSE ~NO ARE ~OT~TO BE USED TO ESTABLISH ~ ~ ~.~ ~ .} YOUNG YOUNG NQ~E~ ' ' -~ ~l AL~EN W,~qNG, PROFE~IONAL ENGINEER ~L~Tm~IWI,~ICTANKII~aCE~OLS(~)~N~E~ .. ~ : IJ N.~,LICENSE N0.4589~ ~E ~ FI[~ ~TI~S ~ On 0ATA OITNK0 ~ 0~HE~S ~,, ~ , 8RANDIS & SONS INC, 1046 ~ ~ ~ ~' SURLY FOR ,~ ~B 2~ ~' ~. ~, ~" *~ ~ ~/c~ ~c~ows~/ ~ /~,, ~c~o~s~/ ~o~' ~,~"~,~ -~ " LOT NO. IZ, "HIGHLAND ESTATES APRIL 2~ 198~ '~ ~ ~ ~ ~ ~ ~ CUTCHOGUE ~ APRIL I~, 19~ .~pcc~od, ~ ~" SUFFOLK COUNTY, NEW ~RK ~o. ~E ~R~ FOR WHO THE $U~EY IS PREPAREO HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUC T ~.m ~ His BEHALF m THg TITLE C~P~, GOV~N- N HEARESTW~ IAIN--~:~ NSOURC~_~WATER'~I~TE~,~IC-- MENTAC A~NCY AND LENDING INSTITUTION LISTED OTHER THAN THOSE SHOWN HE~EON. OWNERS t ,~ ' ~. r~... w. YOUNG,~LAND SURVEYOR ~ ~NDER AVE~E YOUNG YOUNG ~DEN W.~UHG~ PROFESSiONaL SUBDIVISION MAP ~IL~D IN YHE O~C~ OY TH~ G~K OF ~ND ~D SURVEYOR NY.S. UCENSE NO, ~45 SUFPOLK C~N?Y ON APRIL ~6, 19Y? AS ~ NO. 6~3~ ~OW~RD SRANDIS & SONS INC, 1046