HomeMy WebLinkAbout16348-zFORM NO. 4
TOWN OF 5OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. z-I6997 Date June 14, 1988
THIS CERTIFIES that the building CONSTRUCT ADDIT IONS
Location of Property 1265 Vanston Road Cutchogue, New York
- - h3dsb ~'oi ....................... 's't/ebi .......................
County Tax Map No. 1000 Section . . ! ! .I ....... Block . .q4. ........... Lot 26.3
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..... A..u.g.u.s.t..!.2.,..J.9.87 pnrsuant to which Building eermit No. 16348 z
dated . . . .A. qg .u p.t. ~2..0,..I.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 .........
Attached Z car garage, attached wood deck, and addition to existing 9ne
..... f.a.m.i.l.y..d.w,e.l.l.i.n.g as applied for
The certificate is issued to ALBERT J. & VIOLET H. ROMERIL
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval .......... .N/.A. ............................
UNDERWRITERS CERTIFICATE NO. N008727 - April 5, 1988
PLUMBERS CERTIFICATION DATED: May 19, 1988 - Mattituck Plumbing &
Heating Corp.
Rev. 1/81
FORM' 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)
1634.8 z
Dote ........................... , . ·
Permission is hereby grantejat~to: .. .,~ , ·"-' ~.
...~...~..~-r...~..~.~ ...... ~.,. .......
.... ~....~~...~L.,.ii.~iL.~.~...''
~.~.~...~. ~ ,~~...._....~ .............. .....~ .............
at premises located at .~....~.(e..~.....,X..~....~.: ............ ~d~./~ .........
-~/, 3
County Tax Map No. 1000 Sec~j~ ...... L/../. ........ Block ...... ...~...,.C/~.., ..... Lot No ............ .'. ...........
pursuont to opplicotion doted ~...~........~......./....:~.. ........ , 19.~.2., ond opproved by the
Building Inspector.
Fee $ .~...~......~...j
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
BLDG. DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec4
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of alt 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.
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, occt~pancy 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 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory IS lO.O0 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50-. 00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
o.oo
5.Updated C.O. $ 50.00 Date ..............
NewConstruction ...... Old or Pre-existing Building ............. Vacant Land .............
· ocat,on of Property ...... ..... ..........
House No. .. '¢' t ~ Street
Owner or Owners of Property .~.~. ~ .......................... . .~..'. ~ ./~...~.../.~.. .... .H~m./~ j
CountyTax Map No. 1000 Secti?,~ .... /~/ ....... Block... ~.~. ....... Lot..c~..~. :.~. ........
Subdivision .... .~..~.~?¢~. ~/../~..¢~. .......... Filed Map No ........... Lot No ..............
Permit No... ,,2~...~. ~'. Date of Permit.~..-"~2/~ ~..Applicant ./~..~-~/;-. Y~;..~/. ¥.c~.~?.-~... ~ ~ .~/.. 4._
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval/l).'0. O. ~.'~L.'~ ............. Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and,l~b~i:tcneets all apx~le codes and regulations.
,er. lO-lo.~a Applicant .~~.~ ...........................
TOV/N OF SOUT~OLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. ! 1971
TEL. 765-1802
CERTIFICATION
Owner [~1~ ~_
(p]fcase print)
(please print)
I certify that the solder used in the water supply
contains less than 2/10 of 1% lead.
sy s t em
Sworn to before me this
ofD%,% ,'
19.~__. Notary Public
Notary Public, Co%lnty ~A~Y?,UBLIC, StaLe,of ~* Y~
THE NEW YORK BOARDOF FIRE, UNDERWRITERS
I--- : 85:JOHN STREET. NEW, YORK, NEW YORK 10038 -': : ::'
o~y the electrical equipment ~ ~scribed ~low 6~d int~duc~ by ~ appllcartt ~med on the abve appli~t~o~ number in ~he prem~ea of
ALBERT ROMERIL,. 1265 VANSTON ROAD E/~, CUTCHOGUE, N.y. ~ .
examined on ~ARCH 28,1988 ' ': . ~ a,~d founE ~ b~ ~a ~6,} pi a~ce u' th the ~eq ~emen ~ ;f ti i~ ao~vd
48 40 ~ '
:HME CLOCKS ,
OTHER APPARATUS:
JACUZZI-1 '
3 TON A/C UNIT-1
MOTORS:l-1 H.P.,1-F H.P.
G.F.C.I:-2
SMOKE DETECTOR :-2
G & $ CONTRACTOR
BOX
215
This certificate must not be altered in any manner; return to the ~fflce of the Board if incorrect. Inspectors may be identified b~ ~heJr credentials:
UNDATION
(1st)
(2nd)
UGH FRAME &
FLUMBING
PER N. Y.
STATE ENEEGY
CODE
FINAL
· ADDITIONAL COMMENTS:
Z
WARD ASSOCIATES, P.C. L..dscaps Architects, Architects, Engineers
January 27, 1988
Mr. Jack Romeril
1265 Vanston Road
Cutchogue, New York 11935
Re: Insulation Clarification
Residence Addition, Cutchogue
Dear Jack:
We hove reviewed our plans ~egordlng insu|ation in the sloped roof areas between
the vertical walls and flat ceiling areas. Drawing A-5 and various Sections show
R-30 for both flat ceiling at collar ties as well as the sloped section. The
is incorrectly labeled on the sloped sections on Drawing A-5. For clarlflcation~
please note enlarged sections on Drawing A-6 where R-19 is indicated to be
installed in this sloped section. Your proposal to install R-22 is acceptable, since
R-19 would be the minimum required.
Thank you for your attention.
Lawrence Feeley, R.A.
Vice President
LMF:ek
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION 2ND [],.SULATIO
FRAMING []FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION,
FOUNDATION 1ST [ ] RouGH PLBG,
FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
INSPECTOR~
INSPECTION ~.~
-'~ [ ] FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
FINAL
765..1802
BUILDING DEPT.
INSPECTION
[ T []
ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
INsP~G~
7~s.~8o2
BUILDING DEPT.
INSPECTION
[ ] FOUNDAT!C)J~IST ~ ] ROUGH PLBG.
[ ] FRAMING [ ] FINAL
REMARKS. ~
DATE
INSPECTOR
76S-1802
BUILD~iNG DEPT.
INSPECTION
FOUNDATION '(ST [ ] ROUGH PLBG,
[ ] FOUNDATION 2ND [ ~INSULATION
[ ] FRAMING [ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [j~PLBG.
FOUNDATION 2ND [ ] INSULATION
]~'FF~MING [ ] FINAL
REMARKS:
.... ~
DATE
7G5-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [~/FINAL
~REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 1ND [ ] INSULATION
[ ] FRAMING
REMARKS: ~.,~~
-~-7 -- ~- . ~ ~- ~. ,/
,,
..,~ ~~ ,.S~=TO.,,
TOWN OF $OUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Disapproved o/c ............................................................................................
Applleation No .................................
APPLICATION FOR BUILDING PERMIT
Dote ..... ....... ZZ.: ........ .,9.Z.Z...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 o~
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.
c. The work covered by this oppiicotion may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue 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 SouthoJd, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os 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 buildings for necessary inspections.x,-~
.... ...
'g H/e at pp 'cant, or name, if a corporation)
...... ...............................
~_~A/d re~s~:, applicant)
S~at~ whmher applicant is owne& lessee, a~ent, architect, engineer, general contractor, electrician, plumber ar buildar.
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License Na .....................................................
Electrician s License No ............................................. / ~O~.,A ~/~
Other Trade s L~cens No ............................................. ..~ . - -
1. Location of land on which proposed work will be d~ne. Map No.: ~'~L~'~J"~ Lot No .......... ;?.~...~. .....
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy .................. ~ ................................... /~.! .....................
b. Intended and occupancy ...................................................................... I..v.:v...'me~. ......................................
3. Nature of work (check whic applicable): New Building, Addition Alteration
Repair Remova'l Demolitior ..................... Other Work ....... ................................
4. Estimated Cast .................. ' ......................................... ee .........................................................................................
j (to be paid on filing this application,)
5, If dwelling, number of dwelling units ..... ~...~....~.. ............ Number of dwelling units on each floor .....,%~....A~.. ..............
,
If garage, number of cars ...: .........................................................................................................................................
.6. If business, commercial orj mixed occupancy, specify nature and extent of each type of use ...~...~:'. .......... ~, ......
7. Dimensions of existing structures, if any: Front ....'...~.-~....,.~. ........... Rear ...... ~..~......~. ............... Depth ....~..~...~..~'...~...
Stones ........................................................ ~. .......................................................
He.~J~t,~!.~j .~ ........ 'Number of ' ~>~
Dimensions o'f same structure with alterations or addmons:'' Front ................................... ~'..('
Depth ......Z~../z .~././. ............ [Height I'
....... ~?k.. ............... Number of Stories ................................
8. Dimensions of entire new construction: Front ..... ¢,~'/~l~f .................... Rear ............................ D'epth .......................
Height .................... Number of Stories .....................................................................................................................
9. Size of lot: Front ......... ,,~ _~ -- :---,,[~'~':"~""~' ............................... Rear .......... ~..~..~.¢~. .................... 1_ ~- z~_ ~,~,,,,/)A,Depth ...... .~.~...~....~.. ..........
10. Date of Purchase ........ fZ...~...t~..~.~...~..~4..~.~.~..h~n.. ...... Nag)e of Former Owner
11. Zone or use district in whic~ premises are situated ....... ~...~'..C~-~..~..C'~.~~"- .................................................................
12. Does proposed construction ~iolate any zoning law, ordinance or regulation: ../~/.£. ...............................................
13. Will lot be regraded . ........J¥~ ............... Will excess fill be removed from premises: ( ) Yes ( ~'No
14. Name of Owner of premises ..i~.~.~..q~f~'/~.. .............. Add r ess ./.~..~...~..q ..r~....~..
,' . o ~,c. ..... ~...~ .............. Phone No.~: ........ ~ ......
Name of Architect .....~..~/2.....~..~.~..~..~'-/~/....~..~.. .......... Address ~.¢~...¢.~. ..............Phone No.~.~.;:..4(..~..~.o....
Name 'of Contractor ......... .t~.¢.~..~ ............................... Address ................................ Phone No ......................
i PLOT DIAGRAM
Locate clearly and distinctly ~ll buildings, whether existing or proposed and indicate oil set-back dimensions frorr
property lines. Give street and block number or description according to deed, and show street names and indicat~
whether interior or corner lot.
O0 '~'£~
, oO't:,£g ...
i J 7
'M .00.9101£ ' N
'3,',00, 9 I01£ 'S
COUN, Ty OF ........
/-4/~:/~'gg_ .,~....L.~...,.~.....~...~..~.g~..~'~ /~,~ bein- duly sworn, deposes and says that he is the applican
(Name of individual signing contraef)
above named.,,q ,~ J
.. -. ,.
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 fll
this application; that all statemehts contained in this application are true to the best of his knowledge and belief; an
thru' the work will be performed ini the manner set forth in the application filed therewith. ~
Sworn to bp:~e me this ,/~ [ n. - ~ / J
........... · ....... ....
Notary Public, .~.~:~tJCounty ......... ~~~/¢...:.,. ...........................
t kv~lgnarure or applicanT/
SURVEY FOR MAY I1,1988
VIOLET h. ROIVIERIL ~ ALBERT J. ROMERIL, Jr. SEPT. 17,1987
LOT NO. 3;56 "MAP OF SEC'[ D-NASSAuPO!NT CLUB PROPERTIES, INC."
' AUG, I, ~gG 5
AT NASSAU POINT DATE: NOV. I, 1984
TOWN OF SOUTHOLD SCALE~ I = 40'
SUFFOLK COUNTYt NEW YORK NO. 84- 98~
N UHAuTHO~IZED ALTERATION~ OR ADDITION TO THIS
SURVEY IS A Vli~ATION O~ SECTION 72os OF THE
NEV~ YORK STATE EOUCATION LAW
#COPIES OF THIS SU~'~EY NOT BEARING THE LAND
SURVEYOR'S INKEO AL OR EMBOSSED SgAL SHALL
NOT BI[ CONSIDERED TO ~E& V&LIO TRUE COPY
NGUARANT[I~$ INDICATED HEREON WALL RUN DNLY TO
~E ~R~ ~R WHOM THE SU~EY 15 PREPARED
HE~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ~NO ~ HIS aE~LF ~ T~ TITLE C~P~Y, GOV~N-
NOTE : ~ = MONUM~T ~ = STAKE~; ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUB'VISION MAP FILED IN THE O~CE OF THE ~RK OF AND ~ND SURVEYOR N.Y.S. UCENSE NO.
SUFFOLK ~UN~ ON MAY 7 , 1926 AS FILE N0.806 HOWARD W. YOUNG~ LAND SURVEYOR
M~ L~ ~L(~),~IC TANK(~ICE~(~) ~N~E~ N.Y.S. LICENSE N0.45893
BRANDIS & SONS iNC.
1.4,- w,v h.4--
-il ~ ~ ~_~CT101'.,,4.
t
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