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Home My WebLink About14442-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16683 Date March I , 1988 THIS CERTIFIES that the building ONE FAMILY DWELL ING 1200 ALORICH LANE nAUREL, Location of Property lil[~sb hid ....................... 's't/e~ ....................... County Tax Map No. 1000 Section 125 .Block I .Lot 2. 10 Snhdlvi~it~nM/o Laurel Estates East.Sec .# I .Filed Map No. 7870 .Lot No. I conforms substantially to the Application for Building Permit heretofore filed in this office dated December 2, 1985 pursuant to which Building Permit No. 14442 Z dated ,.. p?.c.e.m.~.e.r..2.,..1.9.8.5 ......... 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 WOOD DECK AS APPLIED ~OR ROSCOE & DONNA PALMER The certificate is issued to ..................... [o~n'e'r, 'l~iXt~va~t) ...................... of the aforesaid building. Suffolk County Department of Health Approval ........ 8. 5. 7.8.0.2 ! .7 .2..-~..O.c.t.....2.77.. ! .9.8.7. .... UNDERWRITERS CERTIFICATE NO. 1'1839684 - Oct. 26, 1987 Nov. 12, 1987 - Michael Algozzino PLUMBERS CERTIFICATION DATED: ~O~r NO. ~ TO~N O~ $O~?HOLD BtJILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERk41T MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14442 Z Permission is hereby granted to: ~ ..... ~.~..~..~~ ....~.... ..... ~.~.o..~z...o.."~...,~-..: ............... .... ,d~~.r.~.,.~....,.z~/ ,o..~.~~.~..~..~<~.....~~~'-__ ................ Z'~ ..... ...................................................................................................................... ~~.~.~.~ ...~~..~ ........................................................................................................................ pursuant to application dated ........................................................ , 19 ........ , and approved by the Building Inspector. ~.e ,...~...Z...~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCC Instructions A. This application must be filled in typewriter OR ink, and submitted m laamm~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 features. 2.Final approval of Health Dept. of water supply and sewerage disposal-IS-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 property 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 POOLS $25.00 1. Certificete of occupancy New Dwelling $25.00, Accessory ,$I0.00 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.Vacamt Land C.O. $ 20.00 8. opda ~ed C.O. S 5o. 00 Date. ff7~.~.C~./.../?~.~ ...... NewC on s t. ruc ~ J on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .../.~.~.. ..... "/¢'~'/~' '*~'/¢.'~...-/,¢~.'~/.~?.,/... ~/~/-¢-,4~..f..~,. ................. House No, Street Ham/et Owner or Owners of Property . ,~$.~,.¢1~,..~. ~)e~u'~9 County Tax Map No. 1000 Section . .//.~..~'. ......... Block ...............42/ Lot....~..' .......... Subdivision .Z.~.¢ ..... ¢.3'.~4.¢7.E£..[.~¢;.~.. .Filed Map No. ?.ff.2..O .... Lot No. .. ~..(.. Permit No./~¢~). Z.. Date of Permit ~.~'.~2/~.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 permit meets all applicable codes and regulations, Roy. 10'10-78 AppUcant . . ........................... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. (please print) Plumber ( p 1 e a .~m~H~ating. 903 Riverhead Roao WFe'rw~,NIPTON BEACH, NY ~[978 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (pl~be~/~ signature ) Sworn to before me this 9 7 - - NO ry ~ic FIELD INSP~CTIO~ (lst)~ FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING COMMENTS INSULATION PER N. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: :~%THE NEW YORK: BOARD OF FIRE UNDERWRITERS '~' ' "- ...... ' ~i:' 85 JOHN STREET, NEW YORK, NEW YORK 10038 October '26, 1987 '~ ' ft; ~' 60896/87 THIS*CERTIFIES THAT ~-,~: -= ' t~ el~trlc.l ~ulpment ~ ~scri~ below a~d int~uced ~ ' ~ ' & Roscoe P~mer, 1200 Aldri~ L~e, Laurel, N.Y. - ~- . RANGES OVENS DISH WASHERS ! EXHAUST FANS TIME CLOCKS ~INIT HEATERS MULTI-OUTIFT DIMMERS SYSTEMS NO, OF FEET ~' SERVIC~ Dt~ONNECT 3-¢,F.C.T.. '" 22 Smoke Detectors , Track Lighting 22' 9 Lites Gardenia Avenue Bays, N.Y. 11946 at be attered in any manner; return to the office of the Board if incorred~ Inspectors may be Lic. 1840E G MANAGER credentials. BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION /~ FRAMING [ ] FINAL REMARKS: ]65-1802 BUILDING DEPT. INSPECTION [] FOUNDATION IST [] ROUGH PLBG. [] ,,ou.,,~.,o. ~.o [] ,,,u,.,,;,o. 765-18~2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION 2ND ~'~NsuLATION 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION ~ST [ ] ROUGH PLBG. FOUNDATION 2ND [//~'INSULATION DATE '~ INSPECTOR (516) 643-2424 WAREHOUSE NO N.P.C. DISTRIBUTORS DIV. NATIONAL PRO~/AN E CORPORATION APPLIANCI~GAS GRIL~_~'¢IREPLACES'& ACCESSORIES ~BTH STR~ET~ND MERRITT A~ENUE ' / . , . -~.Q. BOX 67 , . , jW~AND~NCH,N Y. 117~8 BILL TO .... SHIP TO .o. 34017 ,NVO,CEOATE ORDER DATE ~~ DEUVERY DATE__/ / ......... -- ...... I UNIT TOTAL QUA. N, QUAN, BACK ITEM NO. MODEL NO. & DESCRIPTION PRICE PRICE 3RDERED SHIPPED ORDER / I ,~P?~ .... , ,,/ ' '~-" /.'0:7-. . OREO~T APPROVAL: ' TOTAL TERMS, NET, F.O.B. WYANDANCH, N,Y, ~ ~ ~SALES TAX Po :::7 ,.,/i(/ ~." · hl~c%st~o ~tv , ~ of the Fair Labor Standards Act of 1938 as a~ended. CUSTOMER FILE COPY III1~ SUPER-FLUE 2100° 2100° PROTECTION AT THE COST OF 1706:: GALVANIZED. galxanized jacket 5;upcr-Fluc 2100° all- h)xxcr cost Fhis makes Super- Il}Il thc lowest price chimney markcl with thc Inighcst tom- rating. 'lksted mad listed to I04HT, 1 :LCS610M 1983 and TCS629M 1981, our g~v~ized Super- Hue product linc al,g}) has the same fcatt~es v'hich [llitke ()tlr slainless s¥stelll the easiest [o install, including: 5' lengths, telescop- ing tee branch, zero-clearance sup- ports, one piece tee support and m;my more Combined with Black-Tite stove pipe, Super-Flue 2100° provides you the most economical, yet safest system available. Shipped with permanently locked seams Heavy-gauge G-90 gal- vanized outer wall (.018). l'wist-lock tbr easy as~mbly. Stainless steel title lincr- 018'lype 430 2B Lightweight 6 lbs. per foot. LBS,CTN, 6 B 7 5 -' !0 ~ 12 !3 !? 22 ~ 29 30 40 CUBICFEET 1.3 i 24 1.6 2 8 I 8 32 26 ' 4 6 3.4 i 6.1 4 3 ~ 7 6 PARTNO. 2P612G .... 8126 i 2P618G 2 2P6246 ,2Paa4G 2 ..~c~:~c. I ~'° i 3~.7~ I '~.7~ I ~..~0 3~0 ~.~5 i ~.2~: ~.~s I 6~.~0 i ~02.~ I ~2.7,. i ~2a.~o DIAMETER LBS./CTN. CUBIC FEET PARTNO. ELBOW 90"TEE SECTION CHIMNEY KITS CEILING ROOF TEE SUPPORT KIT SUPPORT KIT SUPPORT KIT CSK6G, CSKSG RSK6G. RSKSG TSK6G, TSK8G Storm collar Stainless ste~ S~lkltess steet Stainless ste~ cap d~imney cap d~imney cap ' CUSTOM ENCLOS. ~: ,~:, STORM COU.AR FLASHINGS FLASHINGS FLASHINOS FLASHINGS FLASHING 1/121'06/12 7/121'O12/12 12/12TO 21/12 9/12 FLATCONE APPROX. 3' x 6" DL~MI~I~.H 6" 8" 6" 8" 6" 8" 6" 8" 6" 8" 6" 8" LBS.~. N/A N/A 6 7 10 12 12 17 6 7 16 20 ~FEET* N/A N/A 5.2 5.2 17.2 17.2 22.6 22.6 7.3 7.3 4.9 4.9 ~0. SC6810G RF6'IG RF81G RF62G RF82G RF63G RF83G RF64G RF84G RF6,5G RF85G I~r.F~H 11.00 I 11.00 36:O0 44.00 48.00 57.50 74.50 105.00 31.00 ~.00 41.50 48.50 *Actual cubes may vary with stacking. SUPPORT CBU~UPPORT ROOFSUPPORT TEE SUPPORT CHIMNEY SUPPORT CHIMNEY SUPPORT CHIMNEY CAP SYSTEM STRAP DIAMETER 6" 8" 6' 8" 6" 8" 6" 8" 6" ! 8" 6" 8" LBS.tCTN. 10 i, , 12.5 12 16 4 6 2 2 1 ~ 1 5 6 COBICFEET ~, ;, ,,, , 4.0 1.8 2.8 .3 .3 .2 .2 1.5 2.3 ii, ,-, ,~!!~' RSSG 2PS~i,, 2PSS8 AA6 AA8 SFRC6S SFRC8S 59~A~;~ 132.0040.00 58.0o 8.00 16:o0 12.00 12.00 6o.o0 76.o0 RADIATION SHIELOS ADJUSTABLE DECORATIVE FIRE STOP Al'rlc INSULATED ROOF JOIST OUTSIDETEE WALl. SHIELD TEE COVER WITH THIMBLE SHIELD SHIELD WALL BRACKET DIAMETER 6" 8" 6' 8" 6" 6" 8" LBS./CTN. 5 7 2 3 3 ' 5 4 4 2 2 1 1 CUBIC FEET 5 7 1.3 1.9 2.5 3.4 1,7 1.7 1.8 2.3 ,1 .1 ~PARTNO. AWS6 AWS8 DWC6 DWC8 FST6 j FST8 __AS6 AS8 RJS6 RJS8 WB6G WBSG PRICE/EACH 24.0O 36.00! 17.50 20.0O' 31.25 i 35.00 45.00 55.00 28.00 28.00 1250 t5.00 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS, ~~__~~ ~ '/ / '~' ,-, // '-' ~.~..- DATE /////~/°r"'"~ I NSP£CTO~_I~',~~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ........................ "i .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT, TOWN OF. $OtFrHOLD ._.~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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 ~ Certificate of Occupancy shall have been granted by tim 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 inspe~ct_ions. ...... .................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) //~O / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... Name of owner of premises . ~c*~<~.( . . .~.... O.~..... '.~.°.~?. ?. · · · · .~..' .... ' .~.'/~..4./-~t. -~ ..................... (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... ~ ~ ~ f~ Electrician's License No.. 5~ ~ ~ Location of land on which proposed work will be done. ~..~./~9~./..~.~.. ~/r~tJcr / House Number Street Hamlet County Tax Map No. 1000 Section ...6~X ......... Block .. ~/ ............. Lot... ~?/q ........... Subdivision ~..~ ~.~[ .... Filed Map No. ~.Z~ ....... Lot.(/.)..O~ .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~.~..~ ~ .................................................. b. Intended use and occupancy ... ~.~ .... ~ ~... ~ · .......................... 3. Nature of work (check which applicable): New Building .......... 'Addition ' Alteration ; ...... Repair Removal Demolition ' Other Work 4. Estimated Cost .......... ..,. .............. Fee ................ ,o (to ble paid on filing this application) 5. If dwelling, number of dwelling units ..... [ Number of dwelling ugits 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 ..... , ........ Depth ............... Height ............... Number of Stories .......................... i ............................. Dimensions of same structure with alterations or additions: Fr~mt , ......... i ...... Rear .................. Depth ...................... Height ........... ~ .......... Number of Stones ...................... Dimensions of entke new construction: Front . · .~ ........ Rear ... ~-.O.~-.: ..... Depth . ..g~..~ ...... mi~,t .-2~.: ....... Number or Sto~.~ .... 2 ........ 10. Date of Purchase · · , ................ Name of Former OwnerJ ............ ' ............. 12. Does proposed construction viqlate any zoning law, ordinance or regulation:' 13. Will lot be regraded ........ ';~./~'. ~. ............ Will excess fill be removed from premises: Yes N~ Name of Contractor Address ' Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. lindicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. .... '... ~-~.,~,'2w. ~7-. .... ~ ...... -: ........... being duly sworn, d~poses and says that he is the applicant . f gning contract) eisg ...... ..... ....... (Contractor, agent, corporate officer, cfc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed th~ said work and to m~e ~d file ~is application; that ~1 statements centred ~ this application are true to the best of]his ~owledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to befo~ me this ............ /~ ........ day of ..... ~.~ .... , 19. ~.~ ......... o n,y ~ '- OUNTY D[PgRT~EN~ Of H[ALTH S[RVtC[S ~, FOR APPR?.~L OF CONSTRUCTION OF ~' Single ~anlily Residence Only APPROVED~~__ ~tl~ ~ ~--~ ~u~ COT NO.I "I.AUREL ESTATES 'EAST, SECT. I" ,~ ~tuO~ ~ AT ~UREL DATE: FEB. 22,~985 ~V~O ~,~. ~WN ~ SOUTHOLD SCALE= 1"=50' t t ~0 I SUFFO~ COUNTY, NEW ~RK NO. as - ~ ~UTH~ZEO AL~ER&TION OR &~DITION ~ ~IS GUA~N~ED TO SURVEY · A VI~ATION ~ SECTION 7~O9 ~ THE NE~ YORK STATE E~CATI~ LAW ~O~ & DONN~PAL~R HE~ DEPARTMENT-DATA F~ APPRO~ ~ C~STRUCT ~ ~R~ ~ WHOM THE SU~EY IS PREPARED NEAREST w~blN MI, ! M SOURCE M WATEN~ ~I~T[ ~P~IC ~ MENTA~ A~NCY AND LENOING INSTITUTION NOTE~ i= MO~MENT SUBDIVlSI~ MAP FILED IN THE 0~1~ OF THE CLERK OF ALDEN W. YOUNG~PROF/~IONAL ENGINEER ~FFOLK C~NTY ~ APR. 4, 1985 AS FILE N0.7870 AND ~ND SURVEYOR N.Y.S. UCENS/NO. 12845 HOWARD W*YOUNG~ LAND SURVEYOR ~ ~KL(W),~IC TAK(I~IC[~I(~) WN ~g~ N.Y.S. LICENSE N0.4589~ SUFP0£K COUNTY DEPARTMENT OF'HEALTH SINGLE FAMt!:Y DWELLING' DATE0gT 2 7 Ig~7H.S..EF. NO. ~~- The sewage disposal and water supply facilities for this location have been inspected by this Department alit/or other ag~s a~d fouled to be -setisfac~o[y, Chief of~Bu~eau of Wastewater Management HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT , ~u,~, co. ~x~-~ ~, m~:r-l'do0 ~CT~O, ~Z~ ~C~ ~ CO~ ~ NOTE: i= MONUMENT G=STAKE SUBDIVISION MAP FILED IN THE OFF~C,,E OF THE CLERK OF SUFFOLK COUNTY ON APR.4,1985 AS FILE SURVEY FOR ROSCOE PALMER I~ DONNA PALMER ~.,OT NO.t "LAUREL ESTATES EAST, SECT. AT LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY~ NEW YORK OCT. t3, 1987 JULY ZZ~1986 NOV. 26, 1985 DATE= FEB. 22, 1985 SCALE: I" =§O' NO. 85 - ~78 GUARANTEED TO: ROSCOE _MER YOUNG s YOUNG RIVERHEAD~ NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LANO SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARO W. YOUNG~ LAND SURVEYOR N.Y.S. LICENSE N0.4§893 '~ , 0 I,OOR ~ m ~"~ ' k' ~ ' , '. ' ,' ' , ' "~OWE R FLOOR: ' ' ''~z'~-:',? ,, I ~: '""" -~ "" '"' '~, ,' , "': "' : '"'~" '~ ' , ~,~,,- , ,, ,, ,, ' . ,:,,~ q.-T., , ,, ~ >1 , , "'' , ,.,,, ~¢, , , _, , ,,,,, LE,FT SIDE [I ).Il ./ LOFT ~o3~ O. (N~' '$CA~LE) '" d RIGHT SIDE_. ;I !r II I FRONT TA HOE M.O_ D_E_L ,r~,,,~":,;''' '1 RIG HT ,J ,I I I LEFT SIDE I I T _.i REAR TAHOE, If copper tubing i~. use& for w~ter distributing system; piping'shall be. of types ?~or L only' PLUM B, ING (NO SCALE) / ' LOFT LIV NG RM. /6" TCHEN SEC TI ON ION,'