The URL can be used to link to this page

Home My WebLink About14053-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall SouthoId, N.Y. Certificate Of Occupancy No.Z13974 Date November 6 85 THIS CERTIFIES that the buJlding Move accessory building and place in rear. Location of Property .5. Q 9 Q.O..~ .a ~p.. ~ 9 .a.d .......[ ......... .~.o.u..~ .g.o.P.d. .................. House tva. Street Hamlet County Tax Map No. 1000 Section ..... .0.7.0....Block ........... .2...Lot 1 0 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. d.~ ri 9, .1.~ .......... 19 .8.5. pursuant to which Building Permit No. 14053 Z dated ... J ¢la.e.. 1 ~ ................. 19.8 ~., was issued, and conforms to aH of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ........ M o.v.e., e x~-.s.'~.$ ia& .~90.e.~ 9¥3r. .1~ ¢ ;[.1.di ~. O g..(v, pin..~U ~lg.e..~ 97.P.,. gB.d. , p .~.a.c.e.. in reap yard. The certificate is issued to ....... .K.~.~. T U. ?.[J..R.G.E.L.L.. 5. ~.I..F.E ............................ (o wrier, ~,.~ZOK ~b~,f~]~ X X of the aforesaid building. N/A . Suffolk County Department of Health Approval . .~ ....................................... UNDERWRITERS CERTIFICATE NO ........ N/A Building Inspector Rev. 1/81 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) N~ 14053 Z Permission is hereby gronted to: ...~..~.....~ ......... )..~~ ............. ....~..o..z,.....~.~L~ ................................................. ~ ~..~..... ~ ...:..~ ~ ~..'7..I to...~.~,,....~.~~...~,~...~..~.~...,,....~:.....~ .... :"~' . . ~ ~ n . ,~ ~ ..~.~.~.....~....~...~...~~....a~....~.....~ ....................................... at premises located at ...,,~.~..~...c,)...~.........r~..L~.....~ ......... ~ ....................................... County Tax Map No. 1000 Section ....... ..~...~...~. ..... Block .....~;~ .......... Lot No..../...~.. ............. pursuant to application dated ........ '~.~..~....~....~.. ................... 19.9..~.''''e''~ Building Inspector. Fee $, )....~....~../. :...,..~.... and approved by the Building 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 A. This application must be filled in typewriter OR ink, and submitted -. ~ 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-(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, 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date..~P¥~..~$2~5 ...... New Building ... X~.XX ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 50900 Main Road Sq.u.t.h.o.l.~ ..... House No. Street Hamlet Owner or Owners of Property .. Ke.i. th,. P~rcei.~..&. Wife County Tax Map No. 1000 Section ...070 ......... Block .. ~ ............ Lot ..... SQ ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate .. ;z,~y_,~ ............. Fee Submitted $...5 ...0.0/. ~..0.0 .................. Construction on above described building and permit ~,eets all~app, Lic~ble codes and regulations. Applicant ........... .~. F.~.~...~...~.°Y..~. .¥ ......................' ' Rev, 10-10-7a Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD Tow~ HALL, SOUTHOLr), N. Y. 11971 765-1802 November 4, 1985 Dear Mr. Purcell: I've tried to reach you by phone for several days and couldn't. Walter did the final inspection on B.P.#14053Z Please fill out the enclosed application for C.O. and return it along with your check for $5.00 so we can issue the C.O. Thank you. Yours truly, Secretary COM~ENTS ~FIESD INS~ECTION FOUNDATION ( 1 st) FOUNDATION (2nd) .~ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS C~ncrete G~ade S]nbs 1l Slab-on-Gronnd Construction: Floating Slab Foundation flashing__ asbestos cement board---~ rO~'i'n. 't~ rigid . insula. Ikon, R2 yood frame, construction ,meter hoohng duct, if used [--concrete slab t --dee[ reinforcement ~ ~ graded gravel fill or ~'~ ~ / crushed stone Constructions illustrated are for wood frame lmiblings with beights of 12.foot maxlmtnn from tloor to cave ned 20-foot maximum from floor to gable peak. entitled, "Concrete," part 3~ page 16, and "Rehfforced Concrete,' part 3, page 39. For anchorage of wood sill to foundatiou, see illustration entitled, "Anchors and Nailing for Exterior Stud Walls," part 3, pa&e 71. I/l" round T-- R 2 insulation spaced 2 inches apart bors, 26" ql-~-\af 24" centers to form concrete keys o.c., through Jl \for bearing concrete I~ __~l~b rein forcemen, t I~/~" #4 -- o,?re barrser olh~ n~es and &menslons nol shown, some as in drawing above any wood beerlng partition or mesonry nonbeering partition --_____ .... ....\ ;;..'.y'..;' compacted, I ~ uelformly graded J~ T- crushed stone m;n'l or grovel fill.-./ '-"-"--'-~-- reinforced ~concroto slab -moisture ~rr,er ,~ -- '.J -"l '~',..:~ [-4 min. see no~e A ~ 4" m;n., Protection Agflinsl Frost .Ac. tlon~The adioiuiug ground is to slope away from the foundation in all directions, and the underlying soil should preferably be sand or gravel to reduce to a rninlmmn heaving due to frost action. Silty sand or olay sail should be avoided. For perimeter wall fouudetion, bottom of footing is to be below frost line. If necessary, footing drains or other means that would reduce belght of water table below the slab may be installed. For foot. tag drains see illustration entitled, "Foundation Dampproofing and Waterproofing," part 3, page 11. Note A~ two ~ bars for wood hearing partition if one story; two ~ bars for wood bearing partition if two stories and for masonry nonbearing partitions; masonry bearing partitions are to be sup- ported on separate foundations. For additional requirements, see text entitled, "Concrete Slabs on Soil," part 3, page 10. CODE MANUAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined ..~... · .~. :'.[ ~.., 19~.~. 1 Approved ...'~.. %J,,~x~.. J..~.., 19~.~. Permit No../.~..~.~..~..~:r.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter 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 applicm~t. 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~s. ' (Signature of applicant, or name, if a corporation) Southold , N.Y. 11971 · · P..O~ · Bo.~ · 3.2~., ............................ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. OwBe~ ............................................................................ Name of owner of premises Keith P. Purcell (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 ......................... Electrician s License No ....................... OtherTrade'sLicenseNo..~.'~,/~..../~7....q.p~'.?Q//~'/ CO,oY;7,~ D.O/~ /0rl~b'~'-/~5'' 1. Location of land on which proposed work will be done .................................................. 50900 Main Rd. Southold House Number Street Hamlet County Tax Map No. I000 Section ..... O?0 .......... Block .... ~ ............ Lot .... ]-O ............ 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 .... Stor. age ......................................................... b. Intended use and occupancy Storage 3. N~ture of work (check which ~pplicable): New Building ..... ' .....'Addition .......... Alteration .......... R~t~ ~..~. ~1, ....... Removal .............. Demolition .... Ff. ........ Other Work..l~oy~ .bui2.dir on to site ,, ~. ~c.?~-- ,,--1~ ~ (Description) i ~ (to be paid on filing this application) 5. If d~velling, number of dwelling units ............... Number o f dwelling units on each floor ................ If garage, number of cars .. One .................................................................. 6. If business, commercial or mix'ed occupancy, specify nature and extent of each type of uso ..................... 7. Dimensions of existing structures, if any: Front ...3.0.' .......... Rear ...3.0. ~. ....... Depth . .2..0.~ .......... One Height . .1..4.' .......... Number of Stories ........................................................ Dimensions of same structure w~th alterations or additions: Front · 301 ........... Rear ~. 30 Depth .... 20 ' ! He~, 14' ' ' one ............ .............. , · · · ,~,~ ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front.. 30.~. Rear 3.0.'. Depth . .20:. Height ........ 14.' .... Number of Stories ....... Oho .............................................. 9. Size0flot: Front'. .... ~9o3,8 ........... Rear..~9,.0.3. ...... De th 3.38:.66. 10. Date of Purchase ....O.~t;O~., ~977 . Na~e ofForme'r'(~v~'. P' '" ................ · .............. s. ' . 1 1 one' or use t in ' h p~ ' ' d ~ .w.o f.a..m.i.l.y. .R.e.~'~de.n.~a. ' · Z distric wh~c rem~ses are situate .. . ~.1 12. No Does proposed construction violate any zoning law, ordinance or regulation: ............................ 13. Will lot be regraded .N·q...: j... .......... ..~ ...... Will exc~s..filLb~ removed.from premises: 14. Nam~ofO'-'ner~f~r~-'~ ~extn Puree±± ... ~u~uu ~la~n ~. 765-Yle~3 ~ w u p ciill~es .................... Auuress ................... Phone No. .0 ... 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 from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or. corner lot. STATE OF NEW YORK,. ' being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) abow'~ named. He is the ..................... i ........................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this applicationl; 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 ......... County,/,. ~ , H£[[N g. DE V0£ iqOT/~Y PUI]LIC, State of New York ...................... No. 4707878, Suffolk ¢0unt¥ (Signature of applicant)