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Home My WebLink About20385-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22164 Date FEBRUARY ~5~ 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 6000 HORTONLANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block__ 3 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed i~ this office dated JANUARY 9, 1992 pursuant to which Building Permit No. 20385-Z dated JANU~RY 14, 1992 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 GAl{AGE AR D~PPLIED FOR. The certificate is issued to DANIEL & LISA JEROME (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-100-FEB. 2, 1993 UNDERWRITERS CERTIFICATE NO. H-033272 - FEB. 8, 1993 PLUMBERS CERTIFICATION DATED FEB. 25, 1993 --DANIEL JEROME Rev. 1/81 · r- //Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20385 Z ...~.../...~...,..~ ~....~...~.~. ............... ...~ '. ~ ~ .... .~pr.m~.~ ~at.. 0~ ..... ~.~.~.~......~ ~...~ ..................................................... .................................................... ~~ ~ ......................................................................... Co,,~ fox M,p No. ~000 s,~t~o, ...... ~ ...... m~ ....... ~ ......... ~ot No ...... .~ ........ pu~uant to ~pflc~ion dat~ ....... ~ .................................... , 19~ and approv~ by the Building Inspector. Fee 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 inspect6r 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and L'pre-exist~ng" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly 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 1. 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 - $i0.00 4...Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 2-~ ~ Iew Construction ........... Old Or Pre-existing Building ................. ti of Property .~.~Q.O. ~..~D..~.~.-~.~..~j. .~.~..~..~. ~~ House No. Street Ha~et nwer or Owners of Property ..... '.~}~.~.~ ~p~_~ . ounty Tax Map No 1000, Segtion..~. ....... Block...~ ........ Lot..2~. ................ ubdivision .................................... Filed Map ............ Lot ...................... No.~ ~ ~.~.~...Date Of Pe~it.. ~ t ~& ..... Applicant ......... - ~alth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approval ........................ ~quest for: Temporary Certificate .......... ~ Final Certicate ........... ..................... ' THE NEW YORK BOARD OF FIRE UNDERWRITERS [~O~l'l L~di BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed below a~ intmduc~ by t~ applicant ~med on the a~ve application number in the premises of Lot FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS FIXTURE SWITCHES FLUORESCENT OTHER SYSTEMS E E R V I C NO, OF CC, COND. PER ~' A W O NO. OF HI-[EG OF CC. COND. OF NEUTRAL ~ 0 ~)*{~fl O L )) ~ ~ ¥ ,~ [ [ 9 ? [ GENERAl. MANAGER Per l )~ /;~ This certificate must not be altered in any manner; return to the office of the Board }f incorrect. Inspectors may be identified by their credentia{s. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 1179 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T ~.F I CAT i O N Date TEL. 76~1802 Building Permit No. Owner' "~C%~ V~_.~ (pleaSe print) Plum~ber (please print)-- I certify that the solder used in the Water supply system Contains less than 2/10 of l%'lead. S. worn to before me this' 19~_~. UOtary Public,~ County C~>~ ~ ~---(. (plumbe~' s Signature) .No'fy Public INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 February 9, 1993 Mr. Daniel Jerome 45125 Main Road Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~/ XX An application for Certificate of Occupancy is ~/ XX v/ xx not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 20385-Z ** Please contact our office on this matter. cooperation. ** BEFORE CO IS ISSUED, Thank you for SOUTHOLD TOWN BUILDING DEPT. FOU:;DATION (1st) FOUffDA TIO~'~ ( 2nd ) 2. ROUGH FRAME & .PLUMBING 3. IffSULATION PER N. STATE E~;ERGY CODE Fi;;AL ADDITIO~A'L COMME~;TS: 765-1802 BUILDING DEPT. INSPECTION [v~FOUNDATION 1ST [ ] ]'FOUNDATION ] FRAMING REMARKS: ROUGH PLBG. ZND [ ] INSULATION [ ] FINAL DATE 7G5-1802 BUILDING DEPT. INSPECTION [ FO~.DATION] 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ R~~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~MING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~NAL REMARKS, INSPEG~rOR ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 ~§OARD OF' HEALTH 3 SETS OF PLANS .......... ~$URVEY ~CIIECK .................... SEPTIC FORM .............. Examined ................ ,19 Approved.. ./.'. ........ 19 .. Pe=it Disapproved a/c ..................................... }i-('~!~, ,,'-~' I1' ~ [' (B~din~nspector) ' . g~ ~'~ APPLICATIO~ FO~ BHILD ~G PEBMIT INSTRUCTIONS ¢^[[ . .7.~.~.': ./. ~ ....... HAlL TO: a. This application must be completely filled 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 ~iving 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 c~)mmenced 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, OrdS~ances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. IThe applicant agrees to comply xyith all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .... (Signature of applicant,(-o¥ name, if a corporation) .. ~s..~...~..~y~...~..3...~.~...~. :.~.!&.. ....... (Mailing address of applicant) State whe'ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... .-~...c~..r)) .~.~....~....(:,.,.~..o~....~...o~....o~...~ ................................. (as on the t.ax roll or latest deed) If applicant is a corporation, signature of duly authorized 9fficer. (Name and title of corporate officer) Builder's License No ................ Plumber's License No ............ ..~. ........ Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ........ ,~..~ ....... Block ....... ~'~ Lot ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. , .Q.(~_c.o.r-xl=, ~ ...... ~., b. Intended use and occupancy . ~ ~ " ' ' ~ ......... .......... 3. Nature of work (check which applicable): New Building ~// .......... Addition .......... Alteration .......... Repair .............. Removal. ............. Demolition .............. Other Work ............... (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling u.'nits .... I Number of dwelling units on each floor · If garage, number of cars ...... . q_~ ............................................................... 6. If business, commercial or mixedioccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures; if any: Front .............. . Rear ......... ... .. Depth ............. .. Height Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... !. Height ................... Number of Stories ...................... 8. Dimensions of entire new constru:ctign: Front ..... .,~'b ~':" ~' ~qar^,~O ~'~'..'... Depth ............... 9. Size of lot Front ~:~' Rear ' ' ' ' ~.'X :.' ..................... D ..... x'-.,. , ............................... tJeprn ................ 10. ate of Purch.ase.... .... .'l.[~.l,q.Z- ............... Name of Former Owner .. ~[~q~.~.lC~.~. 1 I. Zone or use d~strlct in which premises are situated .... [-.~. ~ ~X.'~ZI.c~[ .............. [~ ] ~ ........... 12. D.o. es proposed construction violate any zoning law, ordinance or regulation: .... ~.~. O.. ............... ; ........ 13. Will lot be regraded .......... :. · .~'~? ............. Will excess fill be removed from premises: Yes 14. Name of Owner of premises .... -~e-~:,c,c-A~.. ........ Address ................... Phone No ....... ; ........ Name of Architect ........... i~......~Address ................... Phone No Name of Contractor ........ i. _. dr~~,; ........... Address ................... Phone No ................ Is this property within 300 feet of a tidal wetland? *Yes ........ No...~-~..... · If yes, Southold Town Trustees Permit may be required. .. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property Hnes. Give street and block number or descriptioh according to deed, and show street names and indicate ,whether interior or corner lot. STATE OF NEWe-YOiR.;J~z>~ [ ~/ S.S COUNTY OF.. ~5(..Y~.,..~. ..... ...... %...G ........ (Name of individual signing contract) 1bore named. being duly sworn, deposes and says that he is the applicant te is the (~ .q~.]~ · i (Contractor, agent, corporate officer, etc.) ff said owner or owners, and is duly a, uthorized to perform or have performed the said work and to make and file this :pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be perforn~ed in the manner s~t forth in the application filed therewith· ;worn to before me this ........... . ? ..........'~ ueoem~r g, 'I~-.1~,~~- ' /1 (Signature of applicant) ~s ~too ~osos ¢~oo o o FLOOR TRUSS 0 0 0 0 0 BRACING WOOD TRUSSES: COMMENTARY AND RECOMMENDATIONS INTRODUCTION Distributed by: W000 TRUSS COUNCIL OF AMERICA XlCINBdd¥ c[ IJ Iii IIi III I'll , i LI; I~; ii; ill / _ _~___~---~__~__ /I,'Il Ill /11 /I '_~1 i ~ll ',11 i il ~.~.~_l~.~...;~! o[ QUAN TYPE SPAN P1-H1 10 M100 240400 1600 OVERHANGS JOB o o M08646(A) PENNEY BBB II II II II II 0 ODC N_O~ m~o, ,.i.i o2uJ QUAN TYPE SPAN P1-H1 MARK 6 N~OO 240400 ~6oo F2 OVERHANGS JOB o o M08646(A) PENNEY LBR II II o O mO 0 OVERHANGS JOB M08646(A) PENNEY LBR II II o 0 QUAN TYPE SPAN 2 Mi00 220000 P1-H1 OVERHANGS I JOB ~6oo o oI M08646 (A) II II O II II PENNEY LBR MARK F2B M~RK IQUAN TYPE SPAN P1-H1 3 M1OO 170808 1600 OVERHANGS JOB o o M08646(A) PENNEY ABE o ~ II [I AN TYPE SPAN P1-H1 OVERHANGS 18 M1OO 240000 16OO O O II II II II II [I II II II II JOB M08646A I_ Y BBB oooo§~§ §§ §ooo§§§ooo§§ooo§§oOOOooo ooo ooo oooo oooo~oooo~oooo~ooo~~.~ ~ MARK 9l CANE CONCF& FOI.JN DA, ~8 0 LAHF o EXPIRES TWO YEARS FROM DATE OF APPROVAL ~J I ALi. 7\'] "o' >Om i ~0 ~ 0 ~ ~ ~l~m~ oq ~ ~ . ~ r,, ~ F~ES I DEI'qC [: WELL~ - .~ ~/t if] LAME ~48,vl Phone 477-0400 GREENPOR ,-I '7 .,,r_ ! k. c~ Phone 477-0400~ " ' " : '944 [~CAN NC t ~ f ~ r, I,~'': 'S' ~' '. , . ~" ": -- '~'-; '*°~"' Phone 477-0400 Main Road GREENPORT. 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