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HomeMy WebLinkAbout21927-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~TIFICATE OF O~C~PANCY No Z-22895 Date MARCH 10, 1994 THIS CERTIFIES that the building Location of Property 7085 HORTON LANE House No. County Tax Map No. 1000 Section 54 Subdivision ADDITIONS Street Block Filed Map No. SO~'r~OLD~ NY. Hamlet Lot 1.4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 23, 1994 .pursuant to which Building Permit No. 21927-Z dated MAR~H 3, 1994 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 1ST & 2ND FLOOR DECK ADDITIONS & GP~ENHOUSE ADDITION IN · £~u~ REAR OF EXISTING DWELLING "AS BUILT" The certificate is issued to JOSEPH & CA'r~u~RINE HAWKINS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLID BUILDING DEPAJ~TMENT TOWN HALl, SOUTHOLD, N~Y~ N~ 21927 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission I$ hereby granted to: ........ Z~.K:......,~.~....~ .................. ..................... ...... ~...~ ......... ,,:z.. ........ ..:..,.~.-...,:......./...~.~ ........ ~..:.~(......~~....~.~ ....... ,-Z...:... ~,./.....:.. ...... ~.:.. ...... ~d.,:Q~.....~.~ ....... : .................................................. ' ................... ...zT.~:.~. .................... ........................................ ~, pre,,,$e$,oo~,,~ et ......................... ..':..~...-.~.:... ........ ..X~...,:...,:?~...: ...... ~ ................ CounlyTaxMapNo. 1000 Section....~..~Z'., ........... BIock.,,.,;...~.../~... ........... Lot No. ..../..'.. ..~... .............. ~,$~o~,oo~,,cot, ond~e~ ...... ~......~: .............. , .......... 1~...~.., ondo~p~o~e~byt~e Building Inspector, Fee ~..,...7..~...'~... ..... /~/ Building Inspeotor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 1. 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 build£ngs 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 Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A p~operly 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. Fees i. 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 ..... ~ .... ~ .............................. New Construction ..... ~ ..... Old~Pr~-exi~ing Building..~....~...~.~..,.~ Location ,of Property....~0.~. ~ ........~~- ~~v~ .% ................................. ~ ............... House No.f.,%~^.~\~~._ Street Hamlet Onwer or Owners of Property...~'~..~~~~ ................ County Tax Map No 10 , ctm n ............ Block ............. Lot ....... ~ ..... Subdivision .............. .5~ ................... Filed Map...~ ....... Lot ...... .~ ............. Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ................... Underwriters Approval . . Planning Board Approval ........................ Request for: Temporary Certificate..... ...... F~i~al Certicate .... . ....... · . t/-)J 7 .......... ' .............. 765-1802 BUILDING DEPT. INSPECTION FRAMING [~P~FINAL ~ATE: ~/~.~/~ INSPgCT~~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENEROY CODE FINAL ADDITIONAL COMMENTS: FIELD INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL COMME SECTION THRU date: scale: NONE rev: , dwn: 3-1 MANUAL VENT (AUTO. OPTIONAL) TOP OF RIDGE 12 FLASHING BY OTHERS PURLIN 3¼ 2'-0" R. PIPI . 9'-1 9.~]6" 8'-5 9//16"' 12 GIRT TO GLASS BRACE LINE 1,  WALL 8" MIN. J __ . 20" ~ 12" -- BENCH : 2'-10" 10'-3" BEN( 3K OR C.M.U, BENCH 3'-0" FTG. -- CONT. CONC. FTG. 12" x 20" SQ. SECTION THRU SUN VALLEY G LASS-TO-GROU N D, CU RVED-EAVE WEATHER ALUHINUt BARCAP DS-B GLASS',--- ALL 'k~OUND L' Jk../,..?L_? t I %., title: SECTION THRU date: .... scale: NONE rev. · , dwn . · 3-1,_18 I MANUAL VENT (AUTO. OPTIONAL) TOPoF RIDGE - ' Z2 GIRT PURLIN , 2'-0" R. PIPE TO GLASS BRACE LINE FLASHING BY OTHERS - 9'-1 ~EATP ALUH] DS-B ' GLASS MIN. 20" WALL 2'-10" 12" BENCH BENCF 3'-0" 3'-0" 3'-0" 10'-3" -- CONT. CONC. FTG. 12" x 20" SQ. SECTION THRU SUN VALLEY G LASS-TO-G RO U N D, CU RVED-EAVE SK OR C.M.U. BENCH FTG. MAIN ~.;'y )" [ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1B02 Examined ....w,~/.~... '., 197.~. Disapproved a/c ..................................... .. (guildin= Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PL,INS SURVEY CIIECK INSTRUCTIONS a. Tiffs application must be completely fl/led 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 ~ter. ations, or for removal or demolition, as herein described. The applicant agrees to comply with ag applicable laws, or0inan~s, bu/lding cod.~.h~ousing code, and regulations, and to admit authorized inspectors on premises and in building for n\',cess{~X~Bspectiolx~. ~ ~'~'x.\ ~ ~ . State whether applicant is owner,.lessee, agent, architect, engineer, general contractor, electricianl plumber or builder. .... ..................... .......... :: ...................................... .................... ' (as on the tax roll or latest deed)~[0V£1} ~$ ~01r[i If applicant isa corporation, signature Of duly authorized officer. DAT~: .L.-/'/3/*~ ~.. # .............................................. er: (Name and title of corporate officer) NO~P/ 8tlILOING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE Builder s L~cense No .......................... FOLLOWING INSPECTIONS: 1, FOtIND~3]ON 'DIDO REQUIRED Plumber s L~cense No ......................... ~OR POURED CONCRETE Electric an's License No ........................ 3. ti~¢Sut 4 F~AL CO?¢f~TRUCT~ON MUST Other Trade's License No ...................... ¢;(~ COMPLETE FOR At.I. CONSTRUC'iqON SHALL MEET [. Location ofland'on which proposed work will be dohe. THE REQUIREMENTS OF THE N.Y. . · .-. · · ~ ................ O .........~ ...... ~~bl t%~'ra~cYroN 8~' · House Number 5 Street Hamlet Subdivision ....... ~ .............................. Filed Map No. ~- Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constrpction: a. Existing use and occupancy ..................................................................... b. Intended use and occu, ,ney...%~. %=~~ ~...~ %~ ...... 3. Nature of work (check which app!icable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal ............ Demolition q- ! ....... ) ' , . ...... Other Work ~.,~ .... , ...... es tion 4. Estimated Cost ....... F'~' ' ' 'i ........................ Fee ...................................... ,, . (to be paid on filing this application) 5. If dwelling, number of dwelling u~its ............... Number of dwelling units on each floor .... If garage, number of cars · · .i ............ 6. If business, commercial r m~xed ,occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of ex)sting structuresi if any: Front ......... - ...... Rear ..... . ......... Depth ............... Height ............... Num ~er o f Stories ........................................................ Dimensions of same structure wit) alterations or additions: Front .............. Rear .................. Depth . ·: .................. I · Height .......... x ........... Number 9f Stories ............ 8. Dimensions ol[entire, new construction. Front .'xi~-~ ; . '. ~' ~' ....... .~', ~./ Rear .... \ ~.,'. ....... Depth .. 1.0...~,., Height ...Ox. (~0 '.'.. Numb ...... · · er of Stones ................ ' · 9 Size of lot: Front ' Rear Depth 10' Date of Purchase ........... ~ ...................................................... ' Name of Former Owner 11. Zone or use district in which ~ ' premxses are situated ......................... . .......................... 12.Does proposed construction rio te any zoning law, ordinance or regulation:. ........................... 13. Will lot be regraded .... ........................ Will excess fill be removed from premises: Yes N,o fp 14. Name of Owner o remises ... ~. ................ Address ................... Phone No.... ............. Name of Architect ............................ Address Phone No Name of Contractor ......... i ................. Address ......... : ........ ph°n/ 15. Is this property within ~00 feet of a tidal wetland? '~Yes ........ No.~' ....... ~If yes, Southold ~own Trustees Permit may be required· · .. i PLOT DIAGRAM Locate clearly and distinctly all l buildings, whether existing or prolbosed, and. indicate all' set-back dimensions from property lines. ' ' · . · G~ve street and block number or descnptmn according to deed, and show street names and indicate whether . interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. i ...........................(Name of mdlvidual signing; ..................... contract) being duly sworn, deposes and says that he is the applicant above named. He is the : (Contractor agent .......... ', ............................ , , corporate officer, etc. of said owner or owners, and is d~uly authorized to perform or have performed the said work and to make and file this application; that all sta.tements cogtained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mantlet set forth in the application filed therewith. Sworn to beforeme this day'of 19 Notary Public, (Signature of applicant)