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HomeMy WebLinkAbout15062-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19027 Date MAY 8~ 1990 THIS CERTIFIES that the building Location of Property 765 ORC~L~RD STREET House No. County Tax Map No. 1000 Section 25 Subdivision Filed Map No. ONE FAMILY DWELLING ORIENT, N.Y. Street Hamlet Block 02 Lot 016 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 1986 pursuant to which Building Permit No. 15062-Z dated JULY 8, 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 DECK The certificate is issued to EDWARD & CHRISTINE HEALY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 11-80-135-MAY 7~ UNDERWRITERS CERTIFICATE NO. N-107193-DECEMBER 13~ 1989 PLUMBERS CERTIFICATION DATED NOVEMBER 15~ 1989-MIKE JACOBI 1990 ~uilding Inspector Rev. 1/81 ~'ORM NO. IB TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N©, BUILDING P EI~41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) J-50~2 Z Dote ....ZU./~, .~,, ........ ~. ..................... Permission i$ hereby granted to: ....... .~.~..~./~_ ~.~.......~L~..~.~....~.. ............ ........ ~ ....... E~..~.~.o,~,,...,Z~,.v.~..: ...... ....... ..M ~,4;..~.~..,..~:.~ .......... !.!..~Z~...¢.... ,o ....... ..C...o..~.~.z;~...o....~.....~.~..~.....~_~.~.....~...,,%..<~z.~.(~.(.~..c~ ................ '-~- -',~ -..~. ~_~.a..L?.~.~,~.~ ~ ~ .~ ~.~..'/..~....~ ...... .~... ......... ~..~r..<~..c.~ ................................ ~,,,em~ses ~oted o,....J..C...~-Z. ....... ~.¢.~.~.~.~ ........ ...~-~.-Z-... ............................... County Tax Map No. 1000 Section .... ..~.,...~...~... .... Block .....~......~... ....... Lot No.....(~...~..~ .......... pursuant to application dated .... .~.0./~..~. ........... ~ ................. ii.,, ' 0~;~.., and approved by the Building Inspector. ~ee ,....l.~...%.........-7.. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from~architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~Z~:~ ~/. ~ 7~ .... New Construction ....... ~.. Old ~r Prf-existing~uilding .................. Location of Property.. Z .~..~.~.~ .~C ... ~'~.'f .................... ~J.C~ ................ House No. Street Hamlet Onwer or Owners of Property ........ ? .............. County Xap 000, S ctio,..2g.& ..... ........ .... ............ Subdivision ................................. . . . Filed Map ............ Lot ..................... . Permit No..~.~.~.. .... Date Of Permit...~./~.~..J~.Applicant ............................. Health Dept Approval Underwriters Approval ........ Planning Board Approval.......... ............ . . Request for: Temporary Certificate ........... Final Certicate ........... 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. /~"d~ Owner ~' ('~ [~ I-'~'-~.-(~L (please print) Plumber /~,~___ ~-~~t (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbe~' s signature) Sworn to before me this ~ ~ day of ~0~-- , Notary Public,~~__County Notary Public NO H~EN K DE VOE TARY PUff. lC, ~t~te of New York No. 4707878, Suffo~ CormS/..... Term Expires i~&rch ~0,19--.~ THE NEW YORK BOARD OF FIRE UNDERWRITERS I. ~liII) //A BUIMEAU OF ELECTRICITY r--- 85 JOHN STIIIIErT. NEW YORK, NEW YORK 10038 THIS CB~I" ~T ~ ~ f~ ~t~; ~ ~ ~ tnt Ft. ~e~mi~on DEC~*~Bt{~ I)5, 1. 989 ~foundtobein~mplian~withthe~ulrementsolth~. I l 1 ~1 kC. ROOH NEA[I~RS:2 ~,5 K,~.,2 1.25 Ill-f;. ROOfl HkAI[~;I-,75 K.~. ~4HOKt~ I)~IECIO~:-I ~A1N ORIENI". NY, 1195/ P~ ~n~of~ TO~N OF SOUTLIOLD OFtqCE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 119'71 November 6, 1989 TEL. 765-180,2 Edward Healy 29 Elinore Ave. Merrick, N.Y. 11566 To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons.. An application for Certificate of Occupancy is ~ot on file. (ENCLOSED) ~__X~. .._.~_~_--~rTc~r~.~i~c~-~-' C~ f i ~ ~ ' ' -- ~ . /.-_X/ The check i:; (~l~%l~%~I~,l~/not on file. ) $25.00 ~/ No }Iealth Dept. Approval on file. /~/ No final insi~ection has been made. Please contact: ()ur office on this matter. Thank you for your cooperation. lhiil(ling Permit tt 1 5 0 6 2 Z Building Dept. **i~t~ Pl)~er SoldeE Certificate oil file., issued after April 1,1984 ) 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION ].ST [ ] ROUGH PLBG. FOUNDATION 2ND [~INSULATION FRAMING REMARKS: FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ .] FOUNDATION 2ND [ il INSULATION [ ] FRAMING r F~~INAL ,,..,,,,KS, [EUD,IN~FECTION uuM~ FOUNDJTION (~$~) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: FIEL'D'IN~PECT2QN COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: FIELD ~%~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. DATION 2ND [ ] INSULATION lNG [ ] FINAL REMARKS: DATE ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 9OUTHOLD, N.Y. 11971 ' TEL.: 765-1802 Examined . .~.~..~..'~...~...., 19 ~.. ~~.i ' om'.om, ! Received ........... ,19... Disapproved a/c .......... ' ......L ............. ., ...... x,, (2/3/ / · (Building Inspector) APPLICATION FOR BUILDING PERMIT ....... ........... i g. INSTRUCTIONS a. TMs 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 sched"ule. 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, mad 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 inspecti~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of :of premises. .... , . . ................ /(as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~ ............ Plumber's License No..: 2.< q :-~ ../}Kt~,454a~ Electrician's License No.. 79....~qvJ~q..4'...~.. ~ .~.~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ...7.(~; ...... .~.~.~A~.,. .J. . . .~ ~-.~. ..? .................. O,.,.'e~. ............................ House Number Street Hamlet County Tax Map No. 1000 Section . .~.~,~5.0.O. ...... Block . .~.~.O.O. ........ Lot..~./. ~. ............ Subdivision ........................ ............. Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ../,//9~.r.?t~././?. ...... CO.i'o.fi/~'~:e.l.,..Olq~..~)/?....&.~//,//~..~....~ b. Intended use and occupancy . ~.¢... ~..dtn ;¢... ~.~ ¥././/~.~.. ,~2~.~..~.~,/~ ~..~.~f~.].. 3 · f k(h ckwhi ).NwB ............................. Rerpal .............. Remo~Wal .............. Demolition ............ Other Work · ~,~.~. (~(~O ~/(~i~ ~ (Description) 4. Estimated Cost ...... , ............................. Fee ....... ..................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .. gg.~? .~. ........ Number of dwelling unit~ on each floor ................ If garage number of cars .' 6. If business, comlnercial or mixed occupancy, specify nature and extent of each typ9 of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ~ ...... Depth ............... Hight N be of Storie e ............. um r s ......... Dimensions of same structure with alterations or additions: Front ............. .... Rear .................. Depth ...................... Height ...................... Number of Stories .............. 'm ' ' ' ...~.'.O.':.. l~e~r (~,,~' O" r~,~,h _5/9' /9" 8. D1 enslons of entire new construction: Front .............. -. ........ ,- ........... ,., ...... · ,/6'..Q. Number of Stones .. O/1 f- ........... ; ........... Height . ~.~Ot'O~: ~ ~' ' 9. Sizeoflot: Front .... ~ff.'. .............. Rear ....... ~': ............ Depth ,,~$'g.'.. ~.~.. i~?i~',-~.'.. 10. Date of Purchase .~.~.~. ~.. f.~'. 7.~. .............. Name of Former Owner .~f.~/f~ . ~..~e,~-. ......... 11. Zone or use district iii which premises are situated .......................... ~ ................... ! ....i.., 12. Does proposed construction violate any zoning law, ordinance or regulation: ....AfC .................. ! ..... 13. Will lot be regraded Will removedI .... .................. ,.. ~. excess fill be from premises' ' Yes 14. Name of Owner of premises ~ol~.~,-J.. ~. C~.~,~.,d e.//.~.~ddress ,,~.?. Z-~/~^o~ ~. ~¢.. ~/~re,¢~hone No..9. ~' &:./. 7. $,~:..'---~. Name of Architect ........................... Address ................ :... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fi'om property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. S~,'ATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .............................................................. i ........................... (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 'this application;that all statements contained in this application are true to the best of his 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 Notary Public, .......... : · ·. A/.~.~..~<... County · ,-. ....... .... L_ L .. .5.88 "/-~"=~O"W. - 96.04 =,"tt should be noted that since th~ _ iproperty is Ioceted in an agricultura'~m~='~5"°°O~",z'+. ---~area, the possibii';~y exists that the :water supply may contain trcce Iom~unts of pestic[des o~d/or nitrates, Special ~nolysi~ II, required. !"it should be noted that since th~ ~property is ocotea n on agncu~ural ~area, the possiN['ity exists flint the ::water supply may co,lain trace [amounts of pesticides and/or nitrates. ~Special analysis~ ~required. 5. ~8°~'~o~'~' - g6.D4 0 PIER LiNE aI ~ ~'.o" ) 12'x 16' DECK ~UlbPlNG' PEcK oUfui',ll~ ~ Id/,),,,~,,i F'o~H~-~ ~. ~? LOCATION PLAN .IIx ~,1 LE. pG'~ 'AP, PR~)VED AS NOTED ~ ~.~_...~IFY BUILDING DEPART~EN~,,4~T ~ 765-]802 9 AM TO 4 PM/F,O~ THE ~- ~mOLLOWING INSPECTIOF~S: , ~' ~.~;~DUNDATION - TWO REQUIRED ~ J FOR POURED CONCRETE //2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COAApLETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N, Y. ETATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTPJ.JCT[ON F~ROP~. ArOc~o~ ~,1~ io,i ~I~T Bot~D L~" '~" L ¢4." L ~4-" [ ~.4" ,~ 'z4." .i, ~" t4." DECK FRAMING PLAN GC A L,,..~: tSUILOII~' LINE' BM I/4-" = I'" 0" ~UlLPI~q '~¢~: ~":~E~,' B-2008 TOTAL FRONT ELEVATION II RIGHT SIDE ELEVATION DECK and FRAMING ISOMETRIC rPrr'l ~:M'~,I~.~ I'1/~Y' ~ ~N ~I~I~N SECTION "2B" HI'TH DETAIL "2 C" C T I 0 N "2 A" ~,,=1~.~,~ BEAM TO POST -' ~."X, IO"GKIflT boAILD ~ t- I/~.,' OIR.X G" L.~IOC~ 15OLT~ D/NUT ~- I~RgNEE~- ~ EA~ oF bEAN '1~' CONNECTION PAP STRINGER MARKING D ETA I.L S SHEET B'2 08 TOTAL' I~]] ~ ~,,]~ '.. LJ ,J =~/L~ ~'~L. NOTIFY BUILDING DEPAR -MENT A* ~ g ~, [j :,,,,, ,,I,, ~ ~ ' :'~ ' ~ -'~]J[{? ~ ~ ~ FOLLOWING765-1802 9 AM TO 4 PNiN~ECTiON~ FORTH .,. _ ~* U~'~i~i 2. ROUGH- F~MING & I -UMBIN~ ~;;~ ~ 4. FINAL CON'STRUCTll q MUS1 : I [4-ALL CONSTRUCTION SH/ .L ME~ ~e REQUIREME~S OF ~~ ~l~ ~TrlFY A~. ~LL C0N~Tq~:~nH ~JALL M~ ~u~ ~, ~E REQUIREM~NrTS OF TH] N, Y, ~ATE ~ONSTRUCT[ON & ENERGY I[ copper lu~ing is use~ i ~ [$, NOT RESPONSIBLE FOR syslem~ piping shall be z -- -- ~ ~ NOT~ BUILDi~ ..... . ~ .... FO LO' VING i~EC~ ONS: oNLEAD. CONTENT~ _L u .................................................. ~ 'lgE~ ~ ~N / '-' ~UST O~I~C~E OF oGGUPANGY g ?~g ~ ~ ~' F '~ CON'ST CTIOI ~~ ' ' ' ' ME~ ' E~ USED IN WATE~ y~ R~QUi~ENTS Ut., E N.Y. ~0~De STATE ~RUCTION &. NERfiY g~L t ~1 I i DIXIE- SLAB OR ~4 PRE-CUT HOMES ~, ~ ~ ,. ~_ ~ ~., ~ ~ ~,/ - : , , ~.~ ~;_:~ .¢ .~ ~.', ~ ........... . ...... ., .... ~.~ . .... i ~ I I .~,-- ~ ?':_,.i~'~ .i, ~ I~tdx ~Ii I I~t~* ~41 V~ ~l.~ll I -~- ,~,, , , , ~ )~ ~ ~ ii ~ ~ I Dixie - C,AWL SPACE FOU*DATIO* 2 OF & ~ 84 PRE -CUT HOMES ~ ~ i' 1 ! I ~- '--~ ~ ~ ~,~1 , = --~ ] r .... ] ~ I I ./ v vv v %* -~m~ -~ cc ~ ~,, _ ............................. ~al.~lI i~1_~Il ~ 4~1-~II ~ ~ ~ DIXIE- S~B OR CRAWL SPAC~ FOUNDAnON ~ I J 30F5 ~ I ~ ~4 P~E - CUT HO~E~ p~ ' GH~TH~ ~ ~ DIXIE - C~A WL SPACE FOUNDATION DIXIE SLAB OR CRAWL SPACE FOUNDATION 84 PRE ~CUT HOMES