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
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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)