HomeMy WebLinkAbout15668-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No .... Z-15.6].6. Date April 9, 1987
THIS CERTIFIES that the bmldmg GREENHOUSE ADDITION TO EXISTING ONE
Ff[~L~ ' I~ W~E'~ ~ ~ ~'G ..................
Locatlon of Property 8555 Main Road East Mar[on, N.Y.
House No Street Hamlet
County Tax Map No. 1000 Section . 0 3 I .Block 0 3 Lot 13
Subdlwslon ............
· .Fried Map No
· .Lot No ..........
conforms substantia!ly to the Application for Bmldmg Permit heretofore fried an this office dated
February 6, 1987 pursuant to wbach Bmlding Permit No 15668 z
dated ., .F e.b..r u a r y..6.' ..... 1987 was issued, and conforms to all of the requirements
of the applicable prov]mons of the law The occupancy for which tlus certificate is issued is ......
GREENHOUSE ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is ~ssued to . RAYMOND & JEAN ELLEN DEAN
..... row~'o~,'~;~agc~J~ ...........
of the aforesaid building.
Suffolk County Department of Health Approval .N/.A. ......................
UNDERWRITERS CERTIFICATE NO.. . N/A
PLUMBERS CERTIFICATION DATED:
N/A
Building Inspector
Rev 1/81
FO]2.M 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~ 15668' Z
Perrmsmon is hereby granted to:
.....
..... ./..~.%.~ ....... ~......~.......,~..~ ............
...... .................
~e I
ot prem', s ocoted ot ....................... t~.~....E,d.,. .... ~r...~.~...,....~..~ .............
County Tax Map~/No 1000 Section ...... ..0....,~,,,.t ....... Block ....... .,~....~.. ..... Lot No...J...~.. .....
pursuon, ,o applicotion doted .....~..~g~....~;~ .....
Budding Inspector.
Fee $...~.~..... :. ~ ....
..., 19..~...~., and approved by the
Building Inspector
Rev. 6/30/80
A
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
I APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
Thru application must be fii~ed in typewriter OR ink, and submitted ~ ~ to the Building Inspec-
tor with the following; for new buildings or new use'
1. Fina~ survey of property with accurate location of all buildings, property [ines, streets, and unusual
natural or topographic features.
2. Fma[ approval of Health Dept of water supply nod sewerage dlsposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrml buildings, Multiple Remdences and mmilar buildings and mstalla-
t~ons, a certificate of Code compliance from the Architect or Engineer responmble for the building
5. Submit Planmng Board approval of completed site plan requirements where applicable.
For existing buddihgs (prior to April 1957), Non-conforming uses, or buildings and "pre-exmting"
[and uses'
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topograph m features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings.
3. Date of any housing code or safety inspection of buddings or premises, or other pertinent informa-
tion required to prepare a cemflcate.
C. Fees'
1. Cert~fmate of occupancy $25 00 -- BUSINESS $50.00 ACCES$0R¥ $I0.00
2. Certificate of occUpancy on pre-exmtlng dwelhng $ 50.00
3. Copy of certlflca~e of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land, C.O. $ 20.00 ../f~...~..~.
5.Updated C,O. $ 50.00 Date ..............
New Cons t, ruc t, zon ...... Old or Pre-ex~stmg Building ............ Vacant Land .............
Location of Property .............. zq' ............ /~'..Y~..~..
House No. Street Ham/et
Owner or Owners of Property ..... 0.~9. ......... .~' ..... /~."~. .............................
County Tax Map No. 1000 Section .............. Block .............. Lot ...............
Subdivision .......................... Filed Map No ......... Lot No ............
Permit No .......... Date of Permit ........ Applicant ................................
Health Dept Approval l,abor Dept Approval . , .
Underwriters Approval ...................... Planmng Board Approval .....................
Request for Temporary Certlfmate ............... Final Certificate ......................
Fee Submitted S ......................
Construction on above described budding and permit meets all app~icaJ~e codes and regulations
TOWN OF S0erf OLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because,of the following reasons.
/Z~/An application for Certificate of Occupancy
is not on file. ~&-~eD~
/Z~ NO Underwriters Certificate on file.
/5~' The check is(~J~d/not on file.) ~OO
/5/ No Health Dept. Approval on file.
/5/ 'No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Dept.
***/Z/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
OUNDATION ( ls t)
OUNDATtON (2nd)
OUGH
FRAME &
?LUMBING
NSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIOn)AL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved~ ~ ~ , ~96] Permit No
Disapproved a/c '1
(Building Inspector)
APPLICATION FOR BUILDING PERIVIIT
Received ........... ,19.
INSTRUCTIONS
a. Tins apphcatmn must be Icompletely filled m by typewriter or mmk and submitted to the Building Inspector, vatl
sets of plans, accurate plot plan tp scale Fee according to schedule
b. Plot plan showing locatmn of lot and of buildings on premises, relahonship to adjmnmg premises or public stre
or areas, and g~vmg a detailed d~scnptmn of layout of property must be drawn on the diagram which ~s part of this ap,
carton.
c The work covered by tin~ application may not be commenced before issuance of Building Permit.
d Upon approval of this application, the Building Inspector will ~ssued a Bmldmg Permit to the applicant Such pen
shall be kept on the premxses available for mspectmn throughout the work.
e No building shall be occupied or used in whole or m part for any purpose whatever untd a Certificate of Occupa,
shall have been granted by the Bmldmg Inspector
APPLICATION IS HEREBY MADE to the Budding Department for the ,ssuance of a Bmldmg Permit pursuant to
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the constructmn of buildings, add,boris or alterat, ons, or for removal or demohtton, as hereto deserib
The apphcant agrees to complyI w~th all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in braiding for necessary mspec~oTns
(Signature of applicant, or name, if a corporation)
...... ............
(ma~.ling aaaressz o~ appx~_cant)
State whether applicant is owner, lessee, agent, architect, enDneer, general contractor, electrician, plumber or build
Name of owner of premises ~ ~'~'(as on the t~latest deed) .....
If apphcant is a co, r, poration, signature ofituly authorized officer
(Name and htle of corporate officer)
Builder's License No
Plumber's License No
Electnclan's L:cense No ....
Other Trade's L~cense No
Location of land on which proposed work will be done
House Number Street
County Tax Map No 1000 Section ~../ . . Block .
3
Hamlet
· . Lot ./r'~ .
Subdivision Flied Map No Lot (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction
a. Existing use and occupancy ...............
use and occupancy . . .tT~'ce~t~'- . ...................
b
Intended
N t ich ..
3. a ure of work (check whl applicable) New Budding .... Addition
Repair ......... IRemoval ........... Demolltlon ......
..... Alteration
Other Work
~ ~ 9ti~ / (Descnptlon~
4. Estunated Cost .................... Fee -- ' ....
(to be paid on filing thru applicatmn)
5. If dwelling, number of dwelling 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 type of use .............
7 Dimensions of exmtmg structures, if any Front ..... Rear ........... Depth ......
Height ............ J Number of Stones
Dimensions of same structure with alteratmns or additions' Front .............. Rear ..
Depth I Heaght ......... Number of Stones ..............
8. Dlmenmons of entire new construction Front ........... Rear ......... Depth ..........
Height ........ Number of Stones .........................
9 Size of lot Front .[ .... Rear ............ Depth .................
10 Date of Purchase . . I ........... Name of Former Owner ....................
1 I. Zone or use dastnct m whach premises are mtuated .................
12 Does proposed constructIoh violate any zoning law, ordinance or regulation .......................
13 Will lot be regraded .... ~ ................. Wall excess ~l be removed from premises' Yes
14. Name of Owner of premises, . ....... Address ............ Phone No .
Name of Architect · - I- - i ' .... Address ........... Phone No . .
Name of Contractor ................... Address ........... Phone No .........
I5. Is thls property located withinl00 feet of a tidal wetland? * Yes ..... No .....
· If yes, Southold Town Trustees Permit may be required.
I PLOT DIAGRAM
Locate clearly and dlstmctl~ all bmldmgs, whether exlstmg or proposed, and. mdmate all set-back danensmns ftc
property hnes. Give street and block number or description accordmg to deed, and show street names and indicate whetl
interior or comer lot
STATE OF NEW YORK, S S
COUNTY OF -.
.................. being duly sworn, deposes and says that he is the apphca
(Name of lndiwduaI sxgnmg contract)
above named.
He is the (Contractor, agent, corporate officer, etc )
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl
appkcation, that all statements contained m th~s apphcatlon are true to the best of his kaowtedge and belief, and that t
work will be performed m the manner set forth m the apphcation filed therewath
Sworn to before me this
.. ~ ...day of .~7'¢v~. ...... 19 g*~7
No 4707878, Suffolk Count¥~ 9 .... ~ ......
'[gm txl~teS [~atch 30, l~-.a-~ (Signature of appllcal
k7
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
APF'ROVED AS NOTED'
NOTI~ BUILDING DEPARTMENT
7~5-1802 9 A~ TO ,~ PM FOR THE
FOLLOWI~ ~ IN~PECTIOB,~'.
FOUNDATION 1~
FOR POURED COHC~t~
ROUG~ FRAMII~, ,~ PLUMBING
IIITERIOR FINISH &
WOOD TRIM
INOT REQUIREDI
INSULAT '
GLASS \ :~"
I WALL\
THERMAL
I BREAK COUNTER
CAULI[IN6
THERMAL BLEAK
POW-P,-VE#T~.TOP
'4" S,LL I4 4'
,, ~ L~SHING ~..
THERMAL - -
BREAK ~IUTTER. ~LC~E~ '~'\
~'"' NEOPRENE-- , .- r-.- =':~
WIDTH GIVEN FROM THIS PDINT , iNSULATED~
-l, : INSULATED GLASS
GLASS,
, BAR 55~1/4"1 BOLT
'1,~ W~P H~c~ -~ ~' ~' SHIM
~ SHADE. ~' M SHUTTER
iii T,A,., e --
~. WIDTH GIVEN FROM THIS POINT ·
RIOR GUTT
~,," FLASHING OVER qO'" ' OC / DETAIL 'C? -- POW-R-VENTTM
HANG IALLOWABLE '~p'AF'i~JC-- /
VARIATION ~ '~"JLENG i-H ~;/;';; AND EROM THiS POiN!
_D~IAIL :.~__ --~,_O_R~
BAR CAP ~ GLAZING BAR
LOW PROFILE iNSULA[ED GLASS INSULATED GLASS ON ~ SILL TRIM
MUNTIN CAP ON SETTING BLOCKS SETTING BLOCKS I BACK PLATE
\ & GASKETRY NEOPRENE GASKE ~ LIFTS STRAIGHT
""'UP FOR REMOVALJ
WEEP HOLES~
GLAZING CORD L_.....LAG BOLT
~ WOO0 TRIM
THERMAL SREAK
CAULKING
E X T E R I 0 uR .........~......~?'~ ~,~ EXTRUDED FLASHING
CONDENSATION-''''~'- ', ~ ~ SUPPLIED BY
GUTTE! ....... //~ ~_~ FOUR SEASONS
MUNTIN~ '~ ~-~'~--~ Y,' FLASHING OVER 4" SILL
HANG [ALLOWABLE --*"' ~i"WIDTH GIVEN TO THIS POINT
GLAZING BAR~ VARIATION . V~"] LENGTH GIVEN TD AND FROM THIS POINT
DETAIL.E. -- SILL
DETAIL. ~)..
"LOW PROFILE" CROSS MUNTIN