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Home My WebLink About14887-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15290 Date February 19, 1987 THIS CERTIFIES that the building 0 n e f ami 1 y dw e 11 i n g w i t h a t t a c h e d u p p e r d e c k. 475 Private Road ~18, Hyatt Road, Southold, N.Y. Location of Property ............................................................... House glo, Street Hamlet County Tax Map No. 1000 Section 050 . .Block 01 .Lot 020 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 12, 1986 , . ., . pursuant to which Building Permit No. 14887z dated ..... .M.a.y.. ! 4..........' 1986 ....... , 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 ......... ONE FAMILY DWELLING WITH ATTACHED UPPER DECK. The certificate is issued to WILLARD LE STER ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ..... 86 - S 0- 44 UNDERWRITERS CERTIFICATE NO N 793825 November 24, 1986 PLUMBERS CERTIFICATION DATED: Rev. 1/81 I~ORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P£R~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 14887 Z Permission is hereby granted to: ........... . at prem,~es ,ocoted at ...~.~..r..,.~.~.2.t.~.......~.....~......~..: ...... h.~..&.. ...................... County Tox Mop No. 1000 Section ...... .,~...~-..~.. ...... Block ....... ..¢?..~ ......... Lot No....,~,..'~...,~. ......... pursuant to application dated ...... ...'~..~..1....~.. ..................... , 19..~.~, and approved by the Building Inspector. Budchng Inspector Rev. 6/30/80 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me g~ day of Notary Public, this County Notary Public FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the fol{owing; for new buildings or new use: 1. Final survey of property with accurate location of ail 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses; I. Accurate survey of peoperty 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: 1. Certificate of occupancy $5.00 ! / 2. Certificate of occupancy on pre-existing dwelling ~r land use $/?f$5.00 3. Copy of certificate of occupancy $1.00 ! Date ..... New Building ......... ~.~ld or Pre-existing Building(~). ~ .... ~/Vacant Land 'i ............ cat p ty .~,~ ..... ~.~ ............... ~;~ ............ ~ .......... - .......... Hou~ No. I ~ Street Namlet o , , ....... ;'. ......................... County Tax Map No. I000 Section ...... ¢~.~.... Block ~ Lot. ~.~, Subdivision ................................. Filed Map No..,~' ........ Lot No .............. Permit No. jf~..~., 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 per~t~all a _ n,d reg~tion,,~ A-~licant .~'.~ . .~;. ~.~. '..'~. ~ _ . . .~/~ ~,~ ~ .,~. ¥ .,~. ..... ,. ........~'X ................ ~'- -~-~-~ ....... Rev, 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000771 BUREAU OF ELECTRICITy ~ 85 JOHN STREET, NEW YORK, NEW YORK tOO38 B.t~ ~',~=u~ 1:~, 198v .,,,,,,i~.,,o.~o.o./,,e 4~1~19/8e N 793825 THIS CERTIFIES THAT only the electrical equipment as d~scribed below and introduced by the applicant named on the above application number in the premises of William O. Lester, n/s Soundview AVenue, 800' w/o Lighthouse Rd., Sou~hold, N.Y. in the followlng location; [] Basement ~Zl.st Fl. [] 2nd Fl, Section Block Lot 'm~s examined o~l Fe~3~C%1/1[~ 9 ~ 198 7 RXTUEE 55 OUTleTS ~ECEFTACLES SWITCHES 49 34 DRYERS and found to be in compliance u, ith the require,nents o,f this Board FIXTURES RANGES OVENS EXHAUST FANS FLUORESCENT VAPO~ FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT aT E APPARATUS. . ~tore§ 1- 3/4hp] T~ack Lighting 4'-0' 0 lites 2-3. TonAC Unite 2 G.F.CoT, 2 Bmoke Detector S E R V I C NO~ OF CC~ COND A W, G NO. OF HI-LEG A W G~ PER ~' OF CC, COND OF H~-LEG 3. 2/o AWG. OF NEUTRAL 210 Ruland Elect.co. P.O.Box 143 ~ttituck, N.Y. 11952 Lio~242E GENERAL MANAGER 11 , /' PgK This certificate must not be altered in any manner; return to the office of the Board if inco~'rect. Inspectors may be identified by COPY FOR BUILDING DEPARTMENT THIS COPY OF CERT F CATE MUST' OT BE ~LTERED N ANY MANNER FIELD INSFECTION FOUNDATION ( ~ s t) COMMENTS 3. INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ..Z?,~'~ /.~A, ~~. ~ INSPECTOR .,,, ~~ BUILDING DEPT. INSPECTION /~DUNDATION AST [ ] ROUGH PLBG. [/./:T FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE iNSPEL~rOR ]65-1802 BUILDING DEPT. INSPECTION [ F~OUNDATION IST [ ] RouGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FINAL I' ] FRAMING REMARKS: DATE INSPEC~I'OR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION DATE ' ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined....~.. .......... 19 Approved .... %/.~.!q.., 19 .~. Permit No..t~ .~..~?..~.. Disapproved a/c ..................................... ................................ · .... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... 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 ~nsl~eqtions. ../~.~ ~. ./.~x,z.~4. . . .z(~. ,: ....... (Signature of al~phcant, or name,~if a corporation) ....... L;.~...**,~ ~ .... ,~.z~2:~../. ....... (mailing address ~.f applicant) State whether appl~nt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. /.de~7/~.4~_c~.. ................ ~.. ,, ................................................ Nameof ownerofp~emises ..~.'.~.~Z..~......~.... (as on the tax roll or latest deed) If applicant ifl, a'~o.,.q~ion,.,~,,~tu~uth/oriz.ed o~. .... . ./K.~..%-.....z<7.....A~... ~_~/~, (Name and title of corporate officer) Builder's License No ........................... Plumber's License No..--.~.. t.~..1~..O~-- .... Electrician s License No.. . Other Trade's License No ...................... ~' ~ ~ 1. Location of land on which proposed work will be done....~.~.~°....~..~..../.' .... .,~.../5.~'~ .~..~, ............. House Number Street Hamlet County Tax Map No. 1000 Section ...... .~.~.~.~.. ......Block ..... .(4..//'. ........ Lot..~...)~. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~.,~/...C./.-\ .m4t..-~.. Z../~\.h4.?~ ........................................ b. Intended use and occupancy (fl/'~ ~ .~.../"~/...-~...~ 3. Nature of work (check which applicable): New Building .... Addition. i ........ Alteration ........ ~. Repair .............. Removal .............. Demolition .......... ,... Other Work ............... / (Description) 4. Estimated Cost ....... ~ ................... ee ...................................... (to be!paid on filing this application) 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 existing structures, if any: Front ............... Rear ...... i ....... 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 .. ~.o. Rear ... &,,~, ....... Depth .. ,9.. ~.. ........ Height .... ~ .~ ' .. Number of Stories ..... ~-~ ............... · .... 9. Size of lot: Front j/ t t ...... ¢O ............. Rear ...... ~.¢P. .............. ~.~ ........... 10. Date of Purchase ............................. Name of Fomer 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 be remove,d from premises: Yes 14. Nme of Owner of premises .~'~/~. ~ ~tf~. Address ~q. ~(~ .... Phone N6.. ~ 7~. ~{a Nme of Architect ..... ,/., .....~ .... ~.: ~..~ ..... Address .... ~. ~~ Phone No ......... Nme of Contractor.~ ~. ~ .~, Address ............... ~ .... Phone No ..... ~ ........ 15. Is th~s property located wSthSn 1,00 ~ee~ of a c~dal wetland? ~ ~Yes ..... No .~.. ~ If yes, Southold To~ Trustees Permit may be required. PLOT DIAG~M : Locate clearly ~d distinctly ~1 bufld~gs, whether existing or proposed, ~d~ in]dicate ~1 set-back d~ensions from property ~nes. Give street and block number or description accord~g to deed, ~d show street nines and indicate whether intedor or corner lot. STATE OF NEV~'~ORK, /~ . ,, COUNTY OFFS.. ~'~ , .......... ..... t ' '' signing o t) above named. being duly sworn, deposes and says that he is the applicant He is the .... ~,~'~r~ ....... agent, corporate officer, etc.) of said owner or owners, and is duly authonz'~-d-ffo 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 hi~, 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 . /.c?~..¢./f.. day of .~../.e~.~. , 19~ .................... ..... No t3ry eub. lic, . ........... /71 .......~'~./.~' County //_~ .. /-.. ..... ........................... _ ~ ANN N~/ILt (Signature of applicant) $ . ~ NO, [~. tete of New York SUFFOLK CO. HEALTH DEPT. A~OVAL '~ CONFORM ~ THE STANDAR~ OF THE ~ ,~. . . ::~,,~,,:::~:,: :, : ~, .-~ ~9~'.. -.: ..;.:: ~-,.',:.' ". , . ' - ? , ........... ·',"% .¢.~',.,'""~., ,~ SUFFOLK CO, HEALTH DEPT. AI~PROvAL /~ ' ¢ ................. . ..... .< ' ' ';'~ % ~' 1 ">/ ,',' ..... '" ' "'~ '">;";~-,."-' ' ' ' . . .... __. _E~. ,.. .... ' -'<o~./ h k"','~-~ ' "-~ ' ' '. '"= ': ~ ~ " '~.~'~ ' % ./ - · k,,,? ~ .. , . ._,.:... . ~-= ~ ,-%~' ~ : . _. f '?~ ' . . .... ,,._ <. , .... .. , ..._, , . . .-_,- ~N~ / ~. ' ' . ' ~' ' .... ;' .' '~ , ' --q~., - ' '%;q ~ . . .: ... . ,. : ', I APPROVED AS NOTED PLUMBER CERTIFICATION D~Te ~//GYG B.P Il' / ~;~ ~'? ONLEADCONTENTBEFOR£ , ~ .'7-' .....,. ~ Ag~l,Pq BY'. V,'g'~. CERTIFICAT~ OF OCCUPANCY I~,~ ~ ~/~ ~ & ~ ~ ~J t t ~P ~ NOTI~ BUILDING DEPAflTM~T AT FOLLOWING INSPECTIONS: V ~ ~/_~ ~ ,/ 1 FOUNDATION ~O REQUIRED JJ~ I~ II~l aWrJlL -~ ~ 9~- ~ NSULATION * ..... JJ~ I J ~J ~J J~J~J ;J ~ ~ ~ STATE CONSTRUCTION & ENERGY ....... SuFFOLN CO. THE WATr-n ~L.Y AND SE'~AGEDI$1=~)SAL .CO~T.U~ DATE: uJO:~ g SUFFOLK CO. ~ H.$ NO. ST A T ~rl~EN.'r ~ THE WATER SUPPLY AND SEWAGE DISPOSAL SYST£MS FOR THIS RESIDENCE WILL SERVICES - FOR APPROVAL CONSTRUCTION ONLY DATE: ' H. s. REt. r,~...,~-'~'44,&-: :--- APPROVED ~UFFOLK CO. T~)~· MAP OF ~AL ,~p:o ,Z'-¢ _.Vmvr ,.5 WiTC,'4 Top ~dn~ ]0" .4~e To B6 P,~'" /H,~: U,v~zess /~ L o" I" _. _ !°:Z ........ r~ N~W YORK STATE ENER?oY CONSTRUCTION CODE CALCS GP-.OSS W~LL AREA TOTAt. GLARS AREA TOTAL DOOR AREA .. NET WALLAEF-..A 230~ S,E $39 S.F. 38 S.F. (U ,o.4o) ROOF AREA Uw = I'I'Z"/Cos) ', $39 (.;~) * ~& (.40) I o ¢,,5 (.o4.) Up.- IOC~G -' 0,04,~ 0.08 I 0~ ~ S.F, (.U = 0.'?.~/ 0;28' - - ALLOW ~3 C~OOO ~D. OK ALLOW ~ 6,000 D.D, .~ . _ MAX ~LA$S AREA AS Yo TOTAL WALL AREA ' 2-~-~ ' 73,4~o,~ ~14~/o ALLOW~ TO THE BEST OF MYKt4OWLEDGE THESE DWGS COldPLy WITH ~THE NEW ~'ORK -~TATE ENER~'"Y' COMSEI~VATIOI4 CON!~TRLICTION ~Y..PEA. I C.~IO. 3'~O53 /2//~ I=Z u E E/ £v',,:tT'/o/-J ~__ IP h 2~ ~o" FZoo~ Jo,sls /4o HhtTe,e,~o,.,,-,/~G