The URL can be used to link to this page

Home My WebLink About15719-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No .... Z.!.6.4.3.1 ........ Date November 24, 1987 THIS CERTIFIES that the building .... ,%. d..d .i.t.i.o..n ................................... 255 Lakeside Drive South Southold Location of Property ............................................................... Flou~e No, Street Hamlet County Tax Map No. 1000 Section ... 9. .0 ....... Block ..... .3 ......... Lot I I Subdivision...C.e..d .a.r..B..e .a.e.h...P .a.r.k. ......... Filed Map No..9.0. ..... Lot No. 6. .2 ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....F.e.b.:..2.5 .... .] .9.8.7.... pursuant to which Building Permit No.. !5. .7.1.9.~. ............. dated . .F.. 9 .b.... 2. .8 .,.. ~. 9..8 .7 ........... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... The certificate is issued to CAROL AND ALBERT PROFY ..................... io'6~,'/f, gd$~x'Ib/~,~'x' .................... of the aforesaid building. Suffolk County Department of Health Approval ........ .N./.A. .............................. UNDERWRITERS CERTIFICATE NO. N 8 29 12 ! 8 / 2 5 / 87 PLUMBERS CERTIFICATION DATED: N/A Rev, 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15719 Z Permission is hereby granted to: ~~.~....~.'~. .....~......~ ................. .... .~:.~.***...,!...L%~..~. ...... ...... County Tax Map No. 1000 Section .... .~..~....D.. ...... Block ...... .~...~e, ...... Lot No ......... !..I ............ pursuant to application dated ...~..~....~-.....~..~ .......... , 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 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~,.--~.- 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 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 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: 1. Accurate survey of p~operty 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. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. &.. Owner or Owners of Property .. ~ ~.~/ .............. CounW Tax Map No. 1000 Section . .~?~ F~.Z~.~lBIock ............... Lot ................ Subdivision .~. ~ ~.~ J~..~ ~ ~ ..... Filed Map No..~ ...... Lot No.. ~ ~ ........ Permit No. /~Z.~. Date of Permit .......... Applicant .. Z~.~... ~O~ ........ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .... o??. ~./.~:./. .... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit~m_eets all applj~ ~ cable c,o"dJ~s and regulations. Applicant ....... .~..~'.c ....... ~ ..................... THE NEW YORK BOARD C~ FIRE UNDERWRITERS 1165013 BUREAU OF ELECTRICrrY ~- kh 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~,......t =,5, 1,e? ,.p,,,.,,_,¥o.o.,,. 4,0[~3~v N8291.. -1 THIS CEI~TIF'IEB THAT D~. & ~s. A. P=o~y, 255 ~keside Drive, Sou~hold, N.Y. ~ex. min~ A~I~ ~ ~98~ andf~ndto~in~m~iancewlththe~ui~menf~ofth~. RXTUal FIXTUIIS RANGIS OVENS FANS 4 7 10 4 DRYIIS B~IACl MOI~O~S ~ZVel ~ ~ ~ CLOCKS UMT HiATNS 0g4MIIIS SIRVlCI EIiI~NMB~ S ! Il V I C ·rneat H. l~ppas Cedar Pt:. Dr. 1~. 8outhold, ]I.Y. 11971 lic.#486g This cedI4katt rmat net be altered ' manner; return to the office of the Board if Per be ' their credenficds. 765-1802 BUILDING DEPT. INSPECTION 11 FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION ~/~FRAMING []FINAL DATE ,~///////~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ZND [ ] INSULATION [ ] FOUNDATION [ ] FRAMING ['~FINAL REMARKS: (~///~ ~_ ~ ~//~ ~.~~ OUUDATIO:] ( 1st 1 OUt~DATIO:I (2nd) OUGH FRAME & PLUMBING NSULATION PER N. STATE E[IERGY CODE ADDITIO~I~L COMMENTS: TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. i 1971 To Whom This May Concern, TEL. 765-1802 We are unable to complete your Certificate of Occupancy because .of the following reasons. /_~ An application for Certificate of Occupancy is not on file. JNo Underwriters Certificate on file. _ The check is(outdated/~.)~.OO /Z/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # _L ~ 2 _L ,q z Building Dept. ***/Z/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or use is unlawful without a Certificate of Occupancy. Clear up this matter as soon as possible so that legal action does not have to be taken. Thank you for your prompt attention. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined~..c~. ,~.~.., 19~. 7. Approve~*'~'~..~-.'~..., 19~.'J. Permit No./. .~'.7(cl. .z~.... Disapproved a/c ................................... },~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS SURVEY .......... C~E C~ ~-./3.~'.A ..... SEPTIC FORM NOTIFY CALL MAIL 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 street: 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 Occupanc5 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 th. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o. 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 tc admit authorized inspectors on premises and in building for necessary ............... inspections. ~....ff~..-~?..~(7 ~/ .~'Y. · .~ ~'~ ~ .... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) owner, lessee, ~ architect, engineer, general contractor, electrician, plumber or builder State whetlier applicant is owner of premises ...~..~.O.q..('?....?.//.o/~. g.5... ~.~.o.F.~ ........................................ Name of (as on thet'tax roll or latest deed) If applicant~is a corporation, signature of duly authorized officer. ..... .............. (Name and title of corporate officer) ALL CONTRACTOR'S MU~T ]SE ~UFFOLK COUNTY LICENSED Builder's License No....~'~.7../.~ .............. Plumber's License No ......................... Electrician's License No ....................... Otlier Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................. ............ q.~'.~ ~. ........ ,':~ ¢...4q 4~,V~. ~...4?? .................................... House Number Street Hamlet County Tax Map No. 1000 Section C~O Block ~-~ Lot... // Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occtlpancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................... b. Iht ended u se and oceup ancy ..... qt..~.4. ?! ~?.... '.fi".~.. ~..~.S. kd-f f-,c..~. ............................ 3. Nature of work (check which applicable): New Building ' Addition · · bf. ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ...... ~. ?~.O.~..c,~ ....................... Fee ...................................... (Lq be paid on filing this application) 5. If dwelling, number of dwelling units ..... ~ ....... Number of dwelling units on each floor... ~ ........... If garage, nmnber of cars . ·. ~ .................................................................. 6. If business, commercial or mixed occupancy, specify 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 ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill bere~moved from premises: Yes No 14. Name of Owner of premises .` .,~?,,..~?.v: .7"~. ~ .~[4¢. ~4~. Address .~.~-.~:../-~.~,~.~: .~.~..c.~). Phone No... ~:~.~..~.~ 15. Is th±s property lecai-ed w±th±n 300 feet of a t±dal ~etland? ~Yes .~(.. No ..... ~If yes, Southold Town Trustees Permit ma,,' be requ±red. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. ~TATE OF NEW YORK, S.S 20UNTY OF ................. .. t ........~)d..~. i .& {c.. k...~..~ .Cp £.% ~.c.~. .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) tbove named. (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this · ppi±cation; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ,worn to before me this ~; day of... ~.~-~.& .......... ~., 19 ~.~ co ........ ............ #0T[I~Y PUBLIC, St~'~l~L~.,~ ... ~ (Signature of applicant) NO. 47078'1B, Sufl0 bee,W y ! lerm Ex~ites U&~ch 30, IL.--~ r ~r OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY blL.GI I#TERIOR RNISH & W~OD TRIM )NOT REQUIRED) INSUEATE '": GLASS \ ' I WALL \ 4" SILL IRERMAL BREAK t FLASHING''''~ WIDTH GIVEN FROM THIS PBINT · DETAIL'A. -- WALL BAR LOW PROFILE INSULA[ED CLASS MUNrlN CAP ON SE[TINd BLOCKS & GASKETRY BAR CAP EXTERIOR~I~-J CONDENSATION . GUTTER MUNTIN ~._ ~ GLAZING RAR~ DETAIL. ~)' -- "LOW PROFILE" CROSS MUNTIN THERMAL BREAK GUTTER INSUkAIE~ 4' SJLL ~c~,~ [ INTERIOR GUTTER / %" FLASHING OVER qn: ' n r [ ' [,i ' [ HANG IALLOWABLE VARIATION ~ LENGTH GIVEN TO AND FROI~ THiS PO NT COUNTER FL.AIIIN6 GAUL%lNG THERMN. BIEAK- pOW-R-VENT~TOP POW-R-VENT"-- HEADER NEOPRENE~ GASKET ~ ~R CAP~ I~SU~TED~ G~SS G~ING-- ,/ BAR ' ~ ' ~I~EP ~L~ :~ GBOLT SHADE SHU~ER TRACK WtOT~N FROM THIS ~1~ . -- BAR CAP ~ G~ZING BAR INSULATEO GLASS ON TRIM SETTING BLOCK NEOPRENE WEEP REMOVALI [XTRUDEO FLASHING SUPP FOUR SEASONS ,~,' FLASHING OVER __...1'~,, HANG IALLOWABLE VARIATION. 7;"1 -4" S~LL ,~ WIDTH GIVEN TO THIS POINT LENGTH GIVEN TO AND FROM THiS POINT DETAIL'E, -- SILL