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Home My WebLink About13423-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No. Z15917 Date July 6, 1987 THIS CERTIFIES that the building . S.o. lar. heat..ad(~i.t.iQD ........................ Location of Property .. 17 5.0. .............. .L~.~r. e..~.w.o, qd.. p.r. .............. .~.a.u.r..e.k ..... House No. Street Hamlet County Tax Map No. ] 000 Section .., [ ~.7 ...... Block .... .5 .......... Lot .... .3 ............ Subdivision. T.aur¢.lwood..Est~t,~$ ........ Filed Map No..2.[.2. .... Lot No ..... ~6. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .Sep. tembe~c.6.,..198.4. . pursuant to which Building Permit No. . ~. $ .4.2.3. g. ............. dated . S..ep?.~.m..b.e.r.. 6. ,..1.9. 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 . .fig..qq .n.struct The certificate is issued to ................ ~9.h.n...a. Ro.r. 9.e.h.y...s.cp.q .o.z.z.o. ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...... N/A ................................ UNDERWRITERS CERTIFICATE NO ..... M810241 PLUMBERS CERTIFICATION DATED: N/A / Bf~Irding Inspector Rev. 1/81 FORM NO. 0 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? 13423 Z Date .....~...~ .............. , Permission is hereby granted to: .l.~. ,.:a. ...... ,:~.~ ................................ ..1~.~ .............. ..~...~.....~.:.~:.....././...~.~.~. ............ , ,o ..~....~......,..%~....~.....~.~......~...~.....~.~ ............ ..................... at premises located at .....l.~~.....~.~....~..~.....~ ................... County Tax Map No. 1000 Section ..../.....~.....~. ....... Block ........ ~ ....... Lot No ...... .~ ............. pursuant to application dated ...~....~...,..~. ............. , 19.~....~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 tor with the following; for new buildings or new use: I. Final survey of property with accurate ~ocation of all buildings, property lines, streets, and unusual natura~ or topographic featu res. 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 buildlngs, Industrial buildings, Multiple Residences and similar buildings and instal~a- 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 Apri~ 1957), Non-~on~orminguses, or buildings and "pre-existing" land uses: 1. Accurate survey of prOperty sh~owing 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. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling. S25.00, Accessory iS10.00 Business $50°00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of cert{ficate of occupanc¥ $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property../. :Z.~.~, .¢) .... · '/~.'~'..~..~.~- ./..~...~..~. ~d..-.~..,f .' ...... Z~/.Z¢./, :'~'.../'. ....... House No.r~,, Street ~ Namlet Owner or Owners of Property '-~./.g.~..'q ~..~../.%/X4~ .... .~..~ ~ ./.~.. Q~.~i £.').C.~..~?-~-~C~ ....... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision .................... .~...Filed Map No ........... Lot No .............. Permit No.~~, :% .~..9~...PT-Date of Permit .......... Applicant ...... ~ .-~-~ ................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... / Request for Temporary Certificate., .................... Final Certificate . Fee Submitted $ ...... .~. ..................... Construction on above described building and peru:~it meets allappticable/.~' ~-~c~c°d~es and regu Re~, 10-10-28 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK ,1OO:~8 THI~ ~ERTI~IE~ THAT o~y the ~lectrical equipment ~ ~scrib~ ~e~w a~ in~roduc~ by t~ a~pllcan~ ~ on the a~ application n~mber in the prem~es of in thefoUowlng locatlon; ~ Besement ~ Ist FI. ~ 2nd Fl, Section Block Lot ~s examined on ~ ~,~ ~ ~9~ ~ and found to be in compliance ~' th the require ~e~ s Qf this Bourd. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS l DRYERS FURNACE MOTORS FUTURE A~PUAHCE FEEO~RS Tl~Ji CkOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF F~ET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: AWG. OF CC. COND, OF NEUTRAL 1750 Lau~[wood Laure3,, NY This certificate must not be altered in any manner; return to the office of the Board if incorrect. ~nspecto~'s may be, identified ~l~y their credentia)s. COPY· FOR LBUILDING DEPARTMENT., THIS COPY OF CERTIFICATE NQT,~? E~,, ~LTERED, ,IN ANY MANNER. FIELD INSPECTION FOUNDATION (ls%) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE COMMENTS FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . . .~x..w~...m~...., Permit No. Disapproved a/c ..................................... Application No .................. I (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. (S~gnatureX~f apphcant, or name, if a corporatmn) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... .~). :.c9. :: .e...r2 ......................................................................... ....~.?..h,...~....~....D,o.~.'.:?.l",.-~_ --.,. /">~. ,9~ ~_o -~, 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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... t. Location of land on which proposed work will be done .................................................. . ../. ~. ~..~. .......... ~'~, ,. ~ / ,,~,.~ ~.~ ~¢.' L~. ~ ~ ...~'~.~..~../..~ ~/....~./. ~. v..~ House Number Street Hamlet County Tax Map No. 1000 Section .... ./. .~. /..7. ....... Block ..... .~.. ......... Lot .... ~..~. ........ Subdivision ~/tQ~.~/?. r'/.&~, c~.c~ <~...~'~'~' '~t ~c'. ¢'.' ..... Filed Map No .... .~../. :'~. ..... Lot .... /...(z? ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~.~Y..~'/..~. Iff. ~'7.¢..'~,. ............................................ b. Intended use and occupancy ..... .~.~/~. eT. .... Z~..-c%~.' .~.... ~ ........... ~ ......... 3. Nature of work (check which aPplicable): New Building .......... Addition ......... Alteration .......... Repair .............. RemOval .............. Demolition Other Work .... ~ -.~ (Description) 4. Estimated Cost ~. ~ Fee ~. ................ ~ (to be paid on filing this application) 5. If dwellmg, number of dwellmglumts ............... 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 type qf use ..................... 7. Dimensions ofexisting structur~s, ifany: Front .... .~.~.... ..... Rear ....?..o~. Depth .. ~,..7. ~ ~. ..... Iteight ............... Number of Stories ./. ............................................... Dimensions of same structure with alterations or additions: Front ..... ~.~ ........ Rear .... ~ .,,7,. .......... ~ 7 ' ~ ' Height Number of Stories /. Depth ............................................................ 8. Dimensions of entire new construction: Front /..6e ....... Rear .../.9.. . Depth ./.... O ! ' Height .../.... ~, ..... Number of Stories ~ ............. iiiiii ....... i ...... ' ....... 9. Sizeoflot: Front ....... /..¢.0..( ........ ' ........ Rear../. ~. ,3...c~..2-. ....... Depth ...................... 10. Date of Purchase .... /'. ~. 2.. ~. ................. Name of Former Owner ....... /.t/o ~,. e, ............... 11. Zone or use district in which pr~mises are situated .......................... ~ ........................ 12. Does proposed construction violate any zoning law, ordinance or regulation: . i...~.~.q 13. Will lot be regraded ....... ~.¥¢./~ ............ ~.. Willy,excess fill be removed from premises: Yes ~ 14. Name of Owner of premises .x/C~.~ct./~. ~. g:~b.,~,/4rx~.~..O¢. 5¥d~Fess ~?.~?.4,? .~:,.¢/..%~.:,.,¢..D. c Phone No..*g.¢. ~.~ ~.6'..q. ~.~?~. Name of Architect ......... ; ................. Address ................... Phone No ................ Name of Contractor ' Address Phone No PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. ............................. I .................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, e~c.) of said owner or owners, and is du!y 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 Notary Public, . .............. ~. ~.~,~/~Y~,... County NOTARY PUBLIC, State 0f Nev~ York 'V (~gnature of applic~t) N0, 47018/8 Su~fol~ l(,~m Exl~,~0s Marcll 30, 'A 'N "00 3RDOH,2L Vd dO 311~Y~ SONMVS NOINR A ~ dO ANVdlqO~ __ 33NV~IRSNI37.LI.L N~I~t31~V I~tld [770Hi/?OS_~o N,~O.Li 7_~6'/7V 7 iv! OO~l '~l 'HVP 6261 '01 '230 ..... -lB J_ ..... _ S$:a~(](]V /NVDIqddV moU Technical Specifications Man~facture~. Brady & Sun, Incorporated 97 ~bster Street ~k~rcester, Massachusetts 01603 Toll-free 1~(X)-722-1900 In Mass. (617) 755-9580 P~xluct Name.' LivingRoom Deschpltom South facing insutated passive solar living space offenng slanted Options Wfadows Awning Windows: 5/16" double insulated glass, easy crank operation and bronze co{or aluminum frame insect screens. 33%" x 81," insulated galvanized steel face door with an R-value of 14, adjustable frame and Iockset. Thermostatically controlled 300 CFM-550 CFM fan unit with silent built-in shut[er system that shuts tight whenever fan stops to transfer heat to/from sunspace to/from the home. One piece adjustable insulating shutter for each glass panet guided i~ grooves m main archeS to provide protection from heat Ioe~ at night. The shutters travel up in their tracks to the ceiling out of the way during the daytime. This shutter is for the main south glazing. The~e is a pop-in type insulating shut[er for the awning windows. 97 Webster Street, Worcester, Mass. 01603 Toll-free 1-800-722-1900 -- I n Massachusetts (617) 755-9580 NOTIFY B' t!f.~Tlh.rG I~EPAR'¥MENT AT 765-1802 9 /.M TO 4 PM FOR THE FO[ !.OWING INSPECTIONS: 1. FOUN~)ATION- TVfO FOR ~>Qt~RED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSUI AT,ON 4. FINFI - CnN'S~'RUCTION M~"T BE C'~MPl rr-rE FOR C. O ALL CONETR'.JCTION SHALL THE REOUiR~;MFZNTS OF THE H v STA~E CONSTRUCTION & EN CODES. NOT RESPONSIBLE . DESIGN OR CONSTRUCTION ERRORS