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Home My WebLink About15958-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy NoZ16005 Date Ju.l.~ 30, 1987 THIS CERTIFIES that the building . A c e e s.s q r y ........................ Locat~on of Property 2580 Deep Hole Drive Mattituck House No ............... County Tax Map No. I000 Section 12.3 ..... Block 04 . .Lot I I Subdivismn ............. Filed Map No ....... Lot No ......... conforms substantmlly to the Apphcahon for Bmld~ng Permit heretofore filed in this office dated .A p.r i r. 2 :.. 1. 98 .7 .. pursuant to wtuch Braiding Permit No..1.5.9. 5. .8.z ............ dated ,.. May 7, 1.98. 7. . . . was issued, and conforms to all of the reqmrements of the applicable provisions of the law The occupancy for which this certificate is issued is ..... A.cces. spy.y..buxl, c]lng' as app..1.~e.d. ~or.. .......................... The certificate ~s ~ssued to JAMES M. BARR ... (da,ner, i.i~xl~avoydkx~txk ......... of the aforesaid braiding. Suffolk County Department of Health Approval .... N/.A. ........................ UNDERWRITERS CERTIFICATE NO ..... .~/.6 ......................... PLUMBERS CERTIFICATION DATED: N/A Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15958 Z Permission ~s hereby granted to: . ~ ..... County Tax Map No 1000 Section .... ,L.c;~..~ ...... Block ...... ..O....LJ ....... Lot No Il pursuant '0 application doted .....(~~.....~.~ ................ , 19.~..~., and approved by the Budding Inspector. Fee ....... : ............ Bull-ding 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 BLDG DEPT. TOWN OF SOUTHOLD A. This apphcat[on must be filled ~n typewriter OR ~nk, and submitted m~ to the Budding Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate Ioeatlon of all buildings, property hnes, 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, Industrml buildings, Muluple Residences and mmilar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5 Submit PlannJng Board approval of completed site plan reqmrements where applicable B. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex,sting" land uses 1. Accurate survey of p~operty showing all property lines, streets, buddings and unusual natural or topograph m 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 buddings or premises, or other pertinent mforma- t~on required to prepare a certtf[cate. C. Fees' Additions $25.00 ~ $]0,~ 1 Certfficate of occupancy New Dwellzng $25.00, Dry, Buszness $50.00 2. Certificate of occupancy on pre-exmt~ng dwelling $ 50.00 3. Copy of certlflcate of occupancy $ 5 00, over .5 years $]0.00 4.Vacant Land C.O. $ 20 O0 --J I"L-? [.~. 5.Updated C.O- $ 50.00 Date ..'.---.'. ............. NewConstructIon ..... Old or Pre-existing Buddmg ......... Vacant Land ............. Location of Property " House No Street Ham/et Owner or Owners of Property ..................................................... County Tax Map No. 1OOO Sect,on ....~?'-Lj ...... Block ....~..~. ........ Lot 33 ............. Subd~wmon ................... Fded Map No .......... Lot No ............ Perm,t No.\~.!~..~. Date of Permit 5. l.-I. /?-~Apphcant..~.O~...~..~..~.. b.'.~..~L.~..~. ........ Health Dept. Approval ...................... Labor Dept. Approval ........................ Underwriters Approval ................... Planmng Board Approval .................. Request for Temporary Certffmate ............... Final Certificate ...................... FeeSubm.tted$ ~0-- ~/:~, <~/) Construction on above described budding ~d permit meets all apphcabie codes and regulations. Apphcant ,~('\ ~ .~ Rev 10-10 78 OUNDATIO.~; ( 1 s t) !1 OU!~DATION (2nd) OUGH FRAME & FLUMBING ;;SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIO~AL COMbIENTS: 5 P-108S 10' x 8' RAISING FRONT & REAR PANELS 17 W~th helper, raise rear panel and rest factory installed locater blocks on edge of floor system, Nail rear panel into assembly surface at bottom, with 6d nails every 8" from outside Now, brace rear panel in an upright position with two purlins - Part "N". NOTE: NAIL PARTIALLY FOR EASY REMOVAL LATER 18. Repeat Step 17 with the front panel, Nail through Hanger Hanger Hanger ~ ~art "M" Grip Teeth ..,.=~__.~_~ ~rrllt ,n,~..~ End Slot / ' Bottom Nail Here Inset ~3 Inset ~4 Step 17 Inset #5 12 13 11 Step 19 19 Helper now holds one purlin - Part "N" - while you slip a hanger- Part "M" on first one end with hanger, going into slot in end of purlin, nailing it in place, and then a hanger - Part "M" - at other end, nailing that in place. (Drive one nail through hole on side of hanger into purlin) See Inset #3. Now, repeat this step with a second purlin. Then, attach one purtin at position 9 to front and rear wall, fitting hangers' Into notches provided, see Inset #4. (As each hanger is put into position, drive grip teeth into panel) When purlin is in place, nail through front and rear walls into purlin as shown in inset #5 Now, repeat this step at position 10. 10 Diagram 4 Schematic Drawing showing numerical positions of purhn placement. TOY, Dmapproved a/c ........................ ...................... (Btnldlng Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS oF FORM NO I SURVEY .... ?. ~--"- TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARIMENT SEPTIC FORM ............. TOWN HALL ~OUTHOLD, N.Y. 11971 T.L.: 7. -1802 cALL ;o':' MAIL Date ............... , 19 INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submttted to the Building Inspector, w~ sets of plans, accurate plot plan to scale Fee according to schedule. , b Plot plan showing locanon of lot and of buildings on premmes, relationship to adjoining premises or pnblic str or areas, and g~vmg a detmled descrlphon of layout of property must be drawn on the diagram which zs part of thru a~, cation. c The work covered by t~s apphcation may not be commenced before issu~ce of Building Perma d Upon approval of tins appllcaUon, the Bmldmg Inspector will ~ssued a Bmldmg Pe~t to the applicant. Such pe shall be kept on the premises available for mspectmn throu~out the work. e. No braiding s~all be occupied or used ~n whole or zn p~t for any purpose whatever until a Cemficate of Occup; shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Building Dep~ment for the issuance of a B~lding Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance Regulahons, for the constmchon of buildings, add,huns or alterahons, or for removal or demolmon, as here n desert, The apphcant agrees to comply w~th all apphcable laws, ordinances, bmldmg code, housing code, and regulatmns, an, admtt authorized inspecto~ on premmes and m building for necess~ ~nspecttons. {~ (S~gnature of apphcant, or name, ff a corporatmn) ~5 ' 'c' .* ~ ,~ -; F, ,-, (Mmhng address of apphcant) State whether, ~phc~nt ~ owner, lessc~, agent, architect, engineer, genera~ contractoL elecmcmn, p]um~er ut buff, .... ..-.. :.q..% ;. . .- ............................................ Name of owner of premmes i .................................. , . ~ ~ , ~ ,,%,~. ~, (as on the tax roll or latest deed) If apphcant ~s a co~omtmn, minfit~re of duly authorized officer. (Name and tale of co.orate officer) ALL CONTRACTOR'S ~U~T BE SUFFDLK COUNTY Builder's Lmense No. N*F. ¢ tliqqbte ..... Plumber's L,cense No..No( .~F~.I; sgbl% ... . I. Location of land on which proposed work will be done.. 9eel Dr;ye House Ntnnber Street llamlet County Tax Map No 1000 Sectmn I~ Block ~ . . . Lot. [ [ Subdtvimon ......................... Filed Map No ........... Lot (Name) State ex,sting use and occupancy of premises and intended use and occupancy of proposed construction a. Emsnng use and occupancy .. ~vhq . .O,V~. x.~ . .'yo'.~... }.'Qq .................... b. lmenaeu use aha occupancy ........................ ~1 .... 3. Nature of work (check which apphcable) New Bmldlng v.... Addmon ... . Alteration Repair ........ Removal ...... Demolition .......... Other Work ........ l escrlpt,on) 4. Estimated Cost .~ /a..5'0: ....................... Fee ~ ~~e' ~ (to be prod on fihng tins apphcat~on) 5. Ifdwelling, numberofdwelhngumts~l& ~ . .~Number ofdwelhngun~tsoneachfloor ~o~ B~.[~q~[. Ifgarage, numherofcars ~. ~ ~. ....................... _.__ __ ~ ~: ~ ~ ~ 6. If bus,ness, commerctal or m~xed occupancy, s~ecffy nature and eXtent of each type o~ use ~ 1. ~ ~[, ~ ~)~. 7. D~menmonsofex~st~ngstmctures, ffany Front.~O.~t~ . .Rear ~.{~*~ . Depth ~ ~..~ Hmght ........ Number of Stones 0~ D~ens~ons of same structure w~th alteratmns or addmons Front ........... Rear .... Depth ............ }tmght .............. Number of Storms ................ O~ ~ ~ Dmmns~ons of entire new constmctmn Front ~ ..... Rear . ~ O ....... Depth .~ ......... Hmght . ~ ~ ........ Number of Stones . ~ ....................................... 9. S~ze of lot. Front ~ .~ ....... Rear ~ ~O. ~ ..... Depth ~.r~?~...~ a ~9~.~ 10. DateofPurchaseL?~.~q~d°~ ~$~.. ~. N~meofFo~erOwner ............... 11. Zone or use d~stnct m which premises are s~tuated. ~.~ [ .... 12. Does proposed constructmn vmlate any zomng law, ordinance or regulation N q ....... ~ 13. Wall lot be regraded ~ 9 ............ Wall excess fill be removed from premises: Yes ~ 14. Name of Owner ofprem~ses~e$ .~: .~.qr~ . AddresstS~O ~t~ ~o~t... Phone No..~q~Z ~ . N~e of Arclutect .................... Address .......... Phone No ........... N~e of Contractor ....................... Address .................. Phone No .............. 15. Is chis property located ~thin 300 feec of a t~dal wetland~ ~Yes ..... No ..... ~Zf yes, Southold To~ Trustees Permit maybe required. PLO~ DIAGRAM Locate clearly and d~st~nctly ~1 buildings, whether ex~shng or proposed, an& xndmate all set-back d~ens~ons fro~ property hnes G~ve street and block number or descnphon according to deed, and show street names and ~ndtcate whethc Interior or corner lot. APPROVEO ~ ~OTED [NOTIFY BOILDIN~: DE'PARTM~,~T AT 7E51~2 ~ ~ TO ~ ~ ~R THE FOLt OWIN~ FO~NDA'r/O~ ~O ~QUIRED FOR ~U~I~ ,"O~Jt?b~: ~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STATE OF NEW YORK, S S COUNTY OF ...... ......... .~.~-oLv~. e p '.' Iv( i ~) ~,X~.~ ........... being duly sworn, deposes and says that he is the apphcan (Name of md,vidual signing contract) above named. He ,s the ....................................................................... (Contractor, agent, corporate officer, etc ) of said owner or owners, and ,s duly authorized to perform or have performed the sa,d work and to make and file th~ apphcatIon, that all statements conta,ned m th~s apphcat,on are true to tile best oflus knowledge and behef, and that th work wall be performed in tile manner set forth in the apphcabon filed therew,th Sworn to before me tins o~[ .day of..Ap.t.)l 19g1 Notary Pubhc, .......... County. ~, ~tl~£1~nl~ .......... : · · · ·. . mm~O~ ~ e~.~ ~ (Signature of applicant mm------'-,~l~re~ March ~, 7 D ,%- :12 ,~ --~ ~ rO O0