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Home My WebLink About13852-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z15492 December 10 19 .8.6 No .................. Date .................................. THIS CERTIFIES that the building Addit ion . Location of Property . 930. 'Holden Avenue' . ' ............. Street Hamle~ H~Jo~ ......... Cutchogue County Tax Map No. 1000 Section . 110 .Block 05. ...... Lot 0.1.8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Oct. 4 19.8.4 pursuant hi h Building Permit No 13852Z ..................... , · tOW C . .Ap.r. il 10 19 .8.5 was issued and conforms to all of the requirements dated .......................... , , of the applicable provisions of the law. The occupancy for which' this' cert,ficate' ,s' ~ssued' ig ......... existinq .d.w.e.1.1. ~..n~l ·..A~.d.i.~. i. 9.n..t.o. ............. . .................................. . ......... The certificate is issued to RICHARD A. NORRIS (owner, ~'~.~ of the aforesaid building. Suffolk County Department of Health Approval ...... N.[b. ................................ UNDERWRITERS CERTIFICATE NO ............. hJ. 7 9.5.5.4 ~ ............................. PLUMBERS CERT IF ICATE 8 / 27 / 86 B.P. #13852Z replaces #9471Z Building Inspector Rev. 1/81 FO~ NO. ft TOWN OF SOUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...~..'Z~..,.~c~,~.~...,~....4..~.~.~,~..Z ...~.c.~ ........ ~.....~.J~,~.,~...~ .....~,.~,z.z~, ........ ~.:.~ ............ ~.~.~ ......... .~.~....~......c.T. ........ ,~,p.~..../..~z~ .............. ~.......-C....~..q~.....'~./. ......... / ......... ......... ..~...~...~...~_~..~.~z~_/o...~-~rz~.....~..-- .~.~...-/..I....~ ............................... et premises located at ..,...°L.~...~.........~.(m~.~i~...~.V....c~..;.1.......~Z~..~....~..(~..~./..0.~,(,-- ~ County Tax Map No. 1000 Section ....I..LO.. .......... B~ock ....~...~ ........ Lot No...~J..8. ........ Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Buildlng Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ IiiiII 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 featu res. 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- lions, 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: 1. Accurate survey of pZ'operty showing all property lines, streets, buildings and unusual natural or topographic 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 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 $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 /,~./../,/..~.''/'7./'~' 5. updated C.O. $15.00 Date .................. NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~ '.:~2 .~.~../.'d~ /~[~.. C~7~/~.2%;(~m/e.t House No. Street Owner or Owners of Property .... ,$ ................................. County Tax Map No. 1000 Section ./~.Q~ ........ Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No/,t Date of Permit Applicant Health Dept, Approval ........................ Labor Dept. Approval ........................ Underwriters A~prova'~ ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . ~ .................. Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /3 ~-- Owner (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber'S sig~7 Sworn to before me this ~ ..day of .~o%~ ~- · Notary Public, ~-~L/~ County Notary Public ORbl P. ~,o'r A~ ?~suc, m ~o. 47320 FIELD I~]S?E~TiON FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD omc oF ~.1~.. Box 728 ,, TOWN HALL ~ SOIJTHOLD, N.Y. 11971 NOV. TEL. 765~1802 1,1984 Rev. Richard AoNorris 528 South Main Street Geneva,N.Y. 14456 Re: Building Permit 9471Z dated 9/28/77-Expired Dear Rev. Norris: This will acknowledge receipt of your application for a new building permit to replace expired permit. Since the time of issuance of this expired permit there have been some .changes in the fee schedule and additional code requirements that will have to be met, which you are now sub- ject to. Fees now for additions include the total area of build- ing construction. This also includes a cellar. The plans you submitted originally did not include a foundation plan, struct- ural details were not included; i.e.,size,span and spacing of rafters, ceiling joists and fl6or joists. We also have Energy Code requirements which include insulation of floors, walls and ceilings, windows and exterior doors~and fireplaces require out- side air supply. You will now be required to furnish plans in'more detail. Please include size and types of windows being used. If you have any questions contact me at this office. EH/dsm Building Inspector SPECIFICATIONS ~t~ls and.~pecificattons are to cooperate~ so that any constructions intended ii'the plc~s and not mentioned in the specifications, or vice-versa, shall be carried out as if all was shown in the plans and ~.~itten in the specifications~ 1~ EKCAVATI~-C~ll~r to be excavated to sizeand depth required, Top soil piled ceperately. 2. FoUnDATION: Footings: 8" x 18" concrete Walls: a, 8" x 8" x 16" cement block. bo tYkcourse high // c, Trowel applied waterproofing 4. CEL~fu~ FLOOI{~ 4" one course concrete ® CELLAR SASH; Steel 12 x 15 glass size .ALL CONSTRUCTION T.~BER TO BE DOUGLAS FIR~ FREE FROH : OBJECTIONABLE IMP?JlFECTIONS. SILLS: 2 x 6, Woodlife treated & Celotex expansion joist Termite proof.. PLATES & SItOESs 2 x ~ 19o STUDS: g m ~ - 16" cn center HoOF 6[II':ATII.ING: · 21. 22. 26. 2?, 30° 32. 34o~ 37° wALL SHEATHING: EXTERIOR TRIM: SOFFIT t SHEATHING pAP]lilt EXTERIOR DOOR FRAMESt PAGE 2 White pine, oak sills a. Front~ 1 3/4 White Pine ~ ~ -b~ I{E~R OR SIDE: ItARD~¢~hRE:~ Standard Make, Stanley or equal. Locksets, Weiser, Kwikset 'or euqal. Handle set for front entrance° Key-in-knob for ' ro~lr door~ PAGE ~~___ , colorer. O~o~%~i~ut on exterior wood m~ngl~ ~ubx~ or equ~l ' ~ - ' . coats. PAGE 4 ~of~nspectm~fo~u~o be given Oy~~on. ~!U~ixt~o~o~o. ~ / E~'~%VATION SOIL: To be rough graded aro=d b=l~ng at completione ~'~":- . ~' -- ? ci~ioations ~d a~ the ~lme ~ ,~ ~6 · Building must comp].y ~th p~S ~d spe , of completion be finished in a neat and wor~like m~er. Based'on able ~pecifications (fo'ur pages~d attached pl~s~ 1%~11 Pa~ents Jched~ed aS' follows: ' : 1, CONTRACTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION INSPECTORShiP/ Memorandum from.... BUILDING INSPECTORS OFFICE xowN oF sou~I~OD Town HALL, SOUTHOLI~, N. Y. 11971 765-1802 ~_~'~,~. ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIC TY ~- ss Jo.N ST.~ET, .~w vo.K..~w Vo.K ,oo~ ,ate a~aa~ ~, ~.~ ,.~,~..o~o...~,~ ~/a~ N70554 THIS GE~IFIE~ THAT only the electrical equipment as &scribed below and introduc~ by the applicant named on the abo~e application number in t~ premlses of in the following location; ~ Basement ~ 1st Fl. ~ 2nd ~1. Section Block Lot was examit~d on ~ ~ ~ ~ ~ and found to be in corr~pliance with the requirements of this Board. FIXTURE FIXTURES RANGES CKS OVENS OUTLETS SW~TCHES FLUORESCENT DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCK UNIT HEATERS DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: P~ol;ors 1-1/2 I~ 24~.'1, ~-~°t~o1~ Detector S E R V I C E NO, O E COND' OF ~C. COND. NO OF HI.LEG' A W. G NO. OF NEUTRAL OF HI-LEG OF NEUTRAL Rictmrd A Norris 528 8. M~ln 8tz~et This certificate must not be altered in any manner; return to of the GENEI~AL MANAGER Per-- 'd if incorrect. Inspector~ may be identified by their credentials. T~H OF SOUTHOLD ~/~ BUILDING DEPARTMENT ~UTHOLD, N. Y. .................... Examined ~proved ................... ~L~.~.~, 19....~Permit ~' /~' ' ..... ............................................. ......t::::t . APPLICATION FOR BUILDING PER~IT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted n trp icate 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, relationsh p to adjo n ng premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicat on c. The work covered by this application may not be commenced before issuance of Building Permit shad(i ,U,pon_appr. o. val of this appli.ca.t!on; the Building IDspec~or will issue a Building Perm t to the app cant. Such permit De Kept on me premises available tar 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, Sulfa k 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 buildings for necessary inspections. " .......... ............................. (Signature of applicant, or name, if a corporation) (Addres~of applicant)-- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ./~.~.~.~ ..~,/:'...~. ~...: ..~1 ~...~...~ .~../t/.i.~./.: .l~.......~....~..~.~./:.~.~. ......................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~~ .................. Plumber's License No ............... ~ ................. /Drp~) -- (/rS - ~-- / ~ E ectrlczans L~cense No. ~ ......................................... her Trode s L,cense No..~..G........~..~....~~-~ at ' ' ~ Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ......... ~.~.~...~.: ..........................................~.~.~.~1.~..~.~.~ Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ....... ~.~..~......~.....Z~......~ ....................................................................... 3. ~ Nat0re of Work (check whJchiapplicable): New Building,. ................. Addition ...... ~ ..... Alteration ................ Repair .................. Removal' Demolition .................... Other Work ..................................................... (Description) oo. ....... ................................................................. 4. Estimated Cost ................. l"i ...................................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelli'ng units .......... ./'.. ............... Number of dweIling units on each floor ............................ If garage, number of cars,: · ....................................................................................... 6. If business, commercial or jmixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structqres, if any: Front .......~...~ .............. Rear ....... ~..~. .................. Depth ~.~...~.~.. .......... Height ...~.~,....'.~.! ...... Number of Stones' .........../......,~ ........................................................................ · ............. Dimensions of same structure with alterations or additions: Front ........ ~./..../..~. ................ Rear .....'~....?....~' ........... Depth ........ ~...9~'.../..~..~.~. .... ~eight .Z~...~..~.e~.~.".~.~./~'~mber of Stories ....... ./.....'-~ .............. Depth......~...~...~. ........... 8. Dimensions of entire new cohstruction: Front ...... . .~.~.-~ ................ Rear.....~/..~'....~ ......... Height ./..~....'.~ ......... Number of Stories ....... /....J~.,.~. ............................................................................................. .'~ ....... 10. Date of Purchase ~.P.~.~....~,'~.~.~.~.~..~.. ...................... Name of Forme~~.....~..4~,,~.~....~'.,~'...~. .............. 11. Zone or use district in which[pr~mises are situated ~.~,.~.~,,~.~..~.¥.~...17.~.~/~.~/,....~..?.....~..~..~...~.~r..~. .~.~ .................... 12.' Does proposed construction v~iolate any zoning law, ordinance or regulation: ....... ~....~.. ........................................ Will lot be regraded . ........ /~.~.~ ........... Will excess fill be removed from premises: ( ) Yes ('1~ No PLOT DIAGRAM Locate c early and distinctly dll buildings whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and b(ock number or description according to deed, and show street names and indicate whether interior or corner lot. COUN-d"~OF ~~..~'~' ....... ~~ ........... being duly sworn, deposes and sc;ys that he the ~/ ~(~l, ame of .ndividual signing contract) above named. I ~ kl~ .~ th ...................................................................... (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 thor the work will be performed in:the manner set fo~h in the application filed therewith. Sworn~o b~fore me this ~ ~ 19..~..~ No} Public, Coun~ ,~.~.;. //.~ ........ . ........... ...................... -U~AN I. DENNIS ~ ,~,~ m Suffolk Coun~ d: 'f"8¢ ,~ .! 02¢ L%/J.D CONTF, NT BF~FOR~ . CER~.~F~C.~T~ OF O~CUPANC ~OLI~ER USED IN WATER S UPPL Y S YS TEM CANNOT~ EXCEED 2/10 qf 1% LEAD. Il copper tubing is used' for water distributing sys,em; piping shall be of types K or.L~onl~Y NOTED N~TI~Y ~UI~OIN6 DEPARTMENT AT IFY B01ED! ~E~ AT . ED INSPECTIONS, 765-1802 9 A~ Td 4' ¢'~' P~ ~H~ 1. E~FORE BACKFILLING FO~NDA- FOLLOWIN~ i'NSPE~TI'ON~: 'T[ON OE START FRAMING 1. FOUNDATION- ~b' A~DI~E~ , ' 2. FRAnkiNG Ih~Fc,,T~L, 4 2~ ~OUGFJ'- F~R'IN~' ~ CEg~IN~ 4. FINAL WNEN JOB COMPLETED 4. FINAL - CON'2TEU~T[dRt ~ '% OR qONSmUCT~ON CODES, NOT RE~ONSBEE ~OE' , '( ,( ',