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HomeMy WebLinkAbout17989-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218483 Date OCTOBER 19, 1989 THIS CERTIFIES that the building ADDITIONS Location of Property 655 TOWN HARBOR LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 04 Lot 08 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1989 pursuant to which Building Permit No. 179892 dated APRIL 6, 1989 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 BEDROOM & BATH ADDITION TO EXISTING DWELLING AND AMENDED FOR SECOND STORY & EXTERIOR STAIRS. The certificate is issued to JOHN A. & CECILLA T. BRESTER (owne'r, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N095879 OCT. 4, 1989 PLUMBERS CERTIFICATION DATED N/A REPLACES B.P. #121112 JAN. 17, 1983 uild'ng Inspector Rev. 1/81 rows xo. s TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 017989 Z Date ....~~~~r 19.85 ,~~~~~~2 iri~ Permission is hereby granted to: T~~ C u/if/E' ~ Gio~dT. ~i d ~~~....~..n.........~..9~~-?-~.. . to .~~1.~.....~...~~~.. ct premises located at ...~J~'~..~il.~/`~ /~~22~!~......2.~i.!:G Caunty Tax Map No. 1000 Section Block Lot No......(1....... pursuant to application dat ~ ~ ~2 19........, and approved by the s~/s/~~ Building In~spe/ct~oir._- Fee 5..~.~...-....'~ .JCS:.. ~ ildin for Rev. 6/30/80 . 1 / ~ ` TO{7N OF SOUTUOLD ~ ~ V ~ J ~'~A~ BUILDING DEPART:[ENT L-_ } V TOWN UALL '~E~~~ SOUTDOLD, NEN YDRK 11971 765 - 1802 APPLICATION FOR CERTZFICATE OF OCCIIPANCY ~~s~~~y DATE..___ . NEq COaSTRUCTION ...__..OLD OR PRE-E%ISTING IIUILDING......VACANT LALID......._ Location of Propcrty...........'F~`5`.... ~~:'-C.??';!L~..._..°:`~M~;......... UOUSE NO. STREET UAriLET < r-- Ovncr or Ovncrs of Property. .(///~77t./_f.~.'~• ~ ~`t :t:'':L r" County Taa Hap No. 1000 Section ...~~3 IIlock _ Lot'...... Subdivision Filed Map ........Lot..._...... Pcrni[ No. ..._......Date of Permit ..__...___Applicaat Uealth DepC. Approval Undcrvriters Approval._......_..... Planning IIaard Approval Request for Temporary Certificate Final Certificate Fce Submitted: dQ......... ,Qu. 3 k Yid ''~'9~~ a s,~y~~ r~v• 10(I4/88 Y FORM NO_ 6 TOWN OF SOUTHOLD BIIILDINC DEPARTMENT TOWN 17ALT 765 - 7802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector 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 DepC. of eater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Pire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2110 of IX lead_ S. Commercial buildings, industrial buildings, multiple residences and similar. ' buildings and installations, a certificate of code compliance from Che Architect or Engineer responsible for the building. 6_ Submit Planning Board Approval of completed site plan requirements. 8_ For existing buildings (Prior to April 9, 1957, non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent infoiwation required Co prepare a certificate_ C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application_ If a Certificate of Occupancy is denied, the Building Inspector shall state Che reasons therefor is writing to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25_00, Swimming Pool, $25_00_ Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy ov pre-existing dwelling - $100.00_ 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10_00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $%5.00 Residential $so.nn Commercial `t Syr'. - r xrzf~~ :3 1 . A, .s ~ -«....,,,.w... J 1~ , ~?f~'S I c E` ;tiw~ ~ ~ss.sn2 ~A n~. 3, !9 83 i~~ RONNIE'S ~ME IMPROVEMENT'S, CARPENTRY OLD & NEW CONSTRUCTION CUSTOM HOMES R.J MORIZZO SOUTHO LD, N V f j ` ,"A(J..~"~~ I 1WI )V" ~ 1 ~ ~ f j~ , ~ C~ r. C~bt ~w~ 5~ ~ ~ n rc ~ r ly ! .r~ 1r~- 1 x I t I o rl W 3 O. w ~ ! a a J a, o X 6' o" - ' 7665772 ''~tr'~'~ ~RONNIES ~~ME IMPROVEMEN CARPENTRY OLD & NEW CONSTRUCTION CUSTOM HOMES R J MORIZZO SOUTHO LD, N. Y. V~-~ S' / wvop Z'o//r'o ~oo~'~ ;u y - - ~ ~ ~ ~ ~ i i ~,1t'` ~,I~ i ECG i 9W 1-~~ ~ j ~ ? I azxs 16 o.c. 6„X~6„ ~ ~ ;1, I' ' , ~ . 1. _ . 3-___ __.f_ . ~ 1 ~ C T~- 1 r _ _ _ ~~.a z / . _ ~ta~,pustt! Page No. of Pages RONNIE'S HOME IMPROVEMENTS SOUTHOLD,NEW YORK Phone 755-5772 PROPOSAL SUBMITTED TO PHONE DATE Mr. Brester 6 - 12 14 82 STREET JOB NAME ToTm Harbo L e _ - CITY. STATE AND ZIP CODE 108 LOCATION 1 ARCHITECT DATE Or PLANS 106 PHONE We hereby submit speoficahons and estimates tor: 1. Puild 14'x12' extension (one room and one bathroom} 2. All necessary masonary work (footings, cement blocks, two vents) 3. Exts 2x4 walls, 1~2" plywood, felt paper, cedar shingles, one door 1~2 glass 1~2 wood, one xindox double hung, (in bathroom}, install one window supglied by customer 4e Roofs 2x8 rafters, plywood, felt paper split sheet (white) 5. Insides insulate walls 4". ceiling 6", floor 6", 1~2" sheetrock, double 1~2" plywood floor, trim out windows and doors tape and spackle walls and. ceiling. 6., Pathrooms 2x4 walls, 2~2" sheetrock (M.R.), double Lf2" plywood floor, tape and spackle, no door in bathroom 7. Remove all garbage ~P ~ID}tUBP hereby to furnish material and labor -complete in accordance with atwve specifications, for the sum of: dollars (E 4995.00 Payment to he made as follows: 1 doxn 1 start 1 on coin letion Ail material ,s guaranteed to G as ipacfied. A11 work to ba completetl ,n a workmanlike manner according to standard practices. Any alterahon or denation Irom above specdca. AUthOfii [ions mwlwng extra coats wul Oa eaecu[ed only upon wntten orders. antl wul become an $IgndtU extra charge owr and afaw the estimate. All agreamenh contingent upon stnkea, a¢idents or delays GaYOmf our control. Owner to carry ire, tornado and other necessary insurance. NOfe: This prOpOSdi mdy b2 O#ur worlun an fully mwred by Workmerrs CompensaUOn Insurance. Wrthdfawn by us d not accepted wdhtn 30 days. .CAL tp~p ~ ~r~~ij1,~[~ -The above prices, specllicaGOns and conditions are satisfactory and are hereby accepted. You are authoriged Signature to do the work as specified. Payment will be made as outlined above. x ^ f J~ Date of Acceptance: DBCembeT 2982 Signature ~ .-.LI-S~• psi a • }~3 uo~ as^O 3,00 S~ o0 E5'L~Z ~ 9E'o d t I~4j _ 5 6 0~ ~ t ~ 4 s N i ~ ~ i ~ n ya.. 9 J" ~ ( i o L N ~ I > ~ f ~ ,9 ..I iax i 5~ ' r- ~ ~i ~Xt, r ~ ~ ~ J ~ ~ + ~QX 1 ~ ~i lil~ r ini L N~ n h Z~ ~ y ZI Z~ 0 _Q t ~ i y ~ j ~ i a ,n o z i Z ~ ' p t op co f oo~al fi 00" @ oo•oot oo~oor f0~. ysod 4 ~ N d~ zi O 9 d N M D w ~ ~ ~ sz ran. TEL. 7G5-! 802 ~~~FOLK~G ~p`~ COGS. TOWN OF SOUTIIOLD ~ y' L~ea~ =c O!~ FlCL3 OP BUILDING INSPECTOR o ;~j.~'~~.~~,.j~ ~ P.O. BO\ 728 v' ~ TOtiVN HALL •'Oy1J`~' SOUTHOLD, K.Y. 11971 Ol ~ ~ June 9, 1989 John & Cecilia Brester 655 Town Harbor Lane Southold, NY 11971 To Flhom This May Concern, we are unable to complete your Certificate of Occupancy because of the following reasons. 6 ~~O ~ 1 ~plication f-or Certificate of Occupancy / i : not on Lile. /~II Plo Underu;riters Certificate on file. a~~ ,c~~.~e~k--i-s-(atrt-dated/~or.~5~ f, . ) $25.00 / / No llcalt-lt Wept. l~pproval on file. Nu final in~.pection has been made. Pl~asc contact our office on this matter. Thank you for your cooperation. L3ui]di-nri Permit if 1 7 9 8 9 Z Addition to dwelling F3u.tlding Dcl~t. ( No Plumber So1Qer Certificate on file. - ( all permits involving plumbing being issued after npril 1,1989 ) LMR i _ FIELD I[JSPEC4TION' BATE ~ 2- COMMENTS 1 - FOUNDATION (1st) I_~ c. POUNllATION (2nd) 2, _ ROUGH F RAMh' & PLUMBING , x c. C< TNSuLATION PER PJ. Y. STATE ENERGY z~ conE FINAL C 4 ADDITTOPJAL COMMENTS: o f 1____~~!~SS._.--1 3~ !T ~ r 7 r ~ /r a~ r a: - L7 Cq - ~'tl F-3 r1cLD iI:S:'~CTiU:J ~~UAiE ~•~Z ~ OOMMLNT.. -v - m _a H H FOUIJDATION (1st) c FOUIJDATION (pnd) m 2. z / 0 ROUGH FRAME PLUMBING j-- v, c] H 3. ~ m m IIISULATION PER N. Y. • • STATE ENERGY CODE x a 4 . y FINAL o E z ADDITIOPIAL COMMENTS: x c~ ' x -o H 77 9 ~i H O s m R • r H Z b m -c H ~ ~ t~ 1~ ~ ~ 7 ' i i~ t ~ ' 1 sb J o ~ ~ ~ t S- ~ Q ~ P.!°~ iNSU~ATiFt`t S~{JtnLG- To IYIAT~ TV L7S ~ } x yr S €:c t=X1STc TAI G 6TC2UCYV 2 X 1`O 3 O tS"[' S j LOt1VRE tV OT.E r LOOtZ 2X to 1~tEA~c2S ovt2 r1 ~ s vraT r ~~N oK w~ r-1 oo~s ~ oootzs ,'~yf~~ 1~-- ~c~.`PCRATC ~1EICFIT of Cl~t.iMG O.Cic B~'" 1r ~ st~tee TO MATCH EXtSTtKG T- G ~t T 2NP p~caRct~+.iNG- ~ ~ . NY ~ t.OtJV~E ~ (~r~lQ ~ _ _ ~ I ~~t;~I+ r~isY ~ 3~h 3/7 l~"~ ~ 3a i G ' . 1 ~SrrLN~7't~ ~t/ lf~ ~ ~d I ~ ~ X l S T I t~~ Cr F LD o C~Z ~'~,t1 1~ /e A ~ ° C~ C~~C~-(_~i= ;tk,~ ~ ~;a ~ BLDG. DEPT, L'~?fl TOWN OF SOl1THOtD ! ' ~ t=KIST~rLCr C=00TIF(Cr PrV1~~~\ rOVNDN.Ttonl ` 2:•y //I~~~l i~~7 ~ ~Y ~ ~ J Ex~S7~1-(G rxIST~ rtG- pooci wiry pow OCCUPANCY 0R AP YED as NOTED • _ USE IS UN~A~IFUL-~.,T .aATE: ~ ~ ~.P ~ y~9~~ ~ ~~'ITHOUT CERTIFICATE NOTIFY ui iNG SPA NT AT 785-1802 8 AM TO 4 PM FOR THE CF ®CCUPANCY a~ AT'IONP~~TOdVN'OSREQUIRED FOR POLMIED t~IYCRETE 2. ROUGH - FRAMING ~ PLUMBING 8. INSULATION ~ 4. FINAL - CONSTRUCTION MUST ~ ~ ^ o BE COMPLETE FOR C.O. X ALL CONSTRUCTION litiAl.L. MEET N ~ ~ THE REQtMRE1NElrll8 OF THE N.Y. ~ STATE CONSTRLIC?i0lt i ENERGV E ;4. G~ w CnOES. NOT RESMONSIBL;E FOR .4 vX ~ ~ I ~ ~ Dc""SIGN OR CONSTRLICTWN ERRORS II o Apsr tUblgB, I _ ~ Sy~ a'a'te~ djs~~ use Z N ~ ~typegKloBshnalf a ~ W/ND~ a '1iDlMNDlIp~ ~ - +1 `M/A ~ "ODOR Q 3 x 5 w ~ rtoows ' 'y r ..ice p ~-r'S ~ ~ 2MD Fl..0o2 FLOorz. PLAN ~rl}CLtJ,r,~ w o,M~HS~o~s 1 ~~-Przox. S ~1-~- ~ ~ 3 ~ - SI~Y 1 H p~c-~.] 1~ v V i- Rlq iNSVLATtrtf ~ `r':~`° Statt~t.G- To MATC: TU17S "I 2 K 6 s~ L•< c.XtSTt rl G STC2UCYVZ< 2 X 1 3 J e~ tsTS t~ LOUVRE {TOTE r-lOO(Z Z X l0 I~{~AO CaS OVEtz H 61 YEN'{ PL~>~ O~ ti. Wi•~ht Oott~S f.- DOORS ~ yf~~ ~c~EPtRATI~ ~~,,y" ~~fl _,'idEIGtIT of ct~uNG dot ~ Sc-k~c TO MATCN F-Xt51'tKG, f S tr T c, 27`tPFLOORGCFJ.tH .c ~ ii ..~~r~ t 11 f`.~ ' I 1 ` ~ 'i ~ ~ 3~h 3/1 i ~ ~ ~ / N 1 ~k6~ST~DS • ~ ~ . ~ Yb Ha ~ , ~ _ ~ ~Q 1 ~ ~ ~ 1 ~ 1 iii ~Qo.,~, ~xtsTl rte- F~©orz f",cl n _Gfj i~ ;~i TOWN OF SOUT~FiOLD ~ { ~ ---1- ~ 6 S 3~3 c~, ~1 FXtsi`~ht~r r'oo-rtNG-Pi-CiLOe~Grourt~iaTto n{ { . Q. n ~ ~ O '-1 vi ~ C 7 ~ ~m <o u ~ O a , 3 i 7: m . ~ ~ ; O ~ ~ . c T ` ~ ~iT ' ~ ' ~ r. ~ -r Z X N o 5~ : I ; U ~ i ~ f . - ~ ~ ~ r~ ~ ~ I O a i un ~ ~ f i s tai i ~ TO'.12'F,4c~ W 4~~, i ~-1 3 z y""~AA S 1 ~ ~ ~ ~ x D % v~ N? Si x ~ ~ ~ a r-~ Q ~ U ~ W C O S ~~j w ~ ~J~ b ~ ~ ~ L v ~ W ~ ~ p n 1 CD. ~ L n ~ ~ R° N !D S ~ n3 ~ n ~ t~ ~ s a~_-~~~;n~ ~ r"~ T 6~ ~d 0 ~ f ! \ ~~~Y _ _ti ~ ~ .4 W. ~ / ~ ~4 ~ 765-18U2 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. FOUNDATION 2ND ( ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ DATE ~ -INSPECTOR . r 765-1802 BtDILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: c \ ~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: _T,~~g~~~ . DATE INSPECTOR R ....r.,__...,. . --.,.,.~~.....t:. THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1000121 BUREAU OF ELECTRICITY 8t JOHN STREET. NEW YORK, NEW YORK 10038 - . OC'POBER 04,1989 gppficatiKm No. on file 61620089/89 N 095879 TNit CERTIRIEt THAT owly the ekAetrlcel pulpmsnt r dtecrihed 6elote owd tntradtteed by the epp/icent nomad on the ehow eppHcatlatt nushsr to thspretniase Of JOHN BRESTER, TOflHnHA_RBOR LAN^E, 30UTHOLD, N.Y. in the,fdlotctrtX Ioce4ian~ER96K 61 , 1~8~ !rt Fl. ~ End F1. .Section Bloek Lot Te1J eremined on 366PP ttDS![ 61 , 19 9. and found to be in compliance with the r'yuiremenM of thu Busrd. IIXTtJY X BAN083 COOIBIIO D/CKS O BtlK _ UST FANi tXtTlllf ACI85 NCANeEECENT PlUOt[{ClNT OTHER AMT. K. W. AMT. K. W. AMT, K.W. NAT. K. W. AMT. N. P. 3 1 1 a eeYtls Rllnua k1oT©Ils tuTUr Anwlntta npas maw,lteerr Tw[txoclia Ix+TltuTrl; uwn~ T~lr owuues AMT. K. W. ql N. P. GAb X. P. AMT. NO. A W. O. AMT. AMI. AML AAVt. 1WIf. AMT. N. P. ~ l~T AAR. V{Aip = fBBVICt BIBCOFItIBCT E E R V 1 C AMT. AMP. T1TE ~t1. ~ / 7W 1 / Tv J ~ 7W 7 / AW NO. ~ s Of CC C6' NO. a NHK. a L'LLO No. a NEYIKAIS aj • Wj~' 'Al OTt1iR AlMRATVS: - J f-~ ADDITION-1 ELEC. ROOK HEATERS:1-2 K.A. PAUL R. BURNS LIC./282 E BEt 275 TOWN HARBOR LANE 30UTHOLD, NY, 11971 oBwB11uG ~ANAOM i 11 :~~'/C/i~' Psr 'flat certiliHtt not bE oMered in monter; glarn to 1M office of 1hs Board if incorrect. a ~ r credeMialt. tAPY POR-l11MLHIIIP DEPAICTM~IiT. TiMf COPY OF C~RTIP14Tf~MuST MIST ~ A4TlRl9 MLANY r ~ ~ ~ _ . , r _ 7~-snz J oh tJ, R - '~i.~~ ~AnI. 3, ~9 83 ;rP~ RONNIE'S `~SbME IMPROVEMENTS. CARoENTRY OLD & NEW CONSTRUCTION CUSTOM HOMES 1~ R.J. MORI2 ZO SOUT Hp LD, N. Y. ? ~ , C~~ r 1I yr !S ,~v ~ .['Y ^hl ~C;rt~IGN'~ (~a(7 f:I l~<,: /r'i ri~i~-~~ ~ I .i JO i x O 1f ~ 4 i ^ 1 V I I i L,X• ; ~ W O. i ? x ~ , { ~ $ ur '.c!isiaig is used (f ccFP ~ ,•~i;r cistri'outing fcr << sha!I be ! i~iri;r.5 i a 1 ~~S eyn, , wy 4 4 tYn°s ~ or L only 1 i a o x b o a yy DATE. I r ~ ~ " P. u ~d ! l t ~ . ~ ~i 4th "r, ~Y a~y~ N~TI'` ^".R ,.',.N~-TAT 1 r v~ ~ `J ~ 7/5 I° ~1 FOR THE F`>.. ~~dil"°~ 1. F^ f:~tiUIR.ED .rr, v,.. s: ~~%.-..,6~Y{~ka,4F+Su~m: v `e ~'.;..mw^. _ C. n. A.LI SHALL N~EET l"P'E R' ^ ' - `",`p~TS C~ THE N. Y. STAT= CCNSTRUCTiON & ENERGY CODES. N'OT RESPONSBLE FOR ` DESIGN OR CONSTRUCTION ERRORS. 5 n'.+bVe1M~.kvrisw.«..~" 'v;3bd5.o'nr.«i'^;.w.:.4- ,s;':i's.q +ai::::....s it..v.....-:.c»e^.xt3av.4-:'.^ `Mn?.•uw,. s.,. y'%'Y+N"v~y~...c»nr.ANY:: - ' • _ - ~ss3nz ` ~tir,~ RONNIE'S \ `~iOME IMPROVEMEN•I'S, CARPENTRY OLD & NEW CONSTRUCTION CUSTOM HOMES R.J MORIZZO $DUTHO LD, N.Y. '4~~ ~,~/ycafv~D ~o//r'a ~oo{'ftvr~ 1 _ ~ I ~ ; ~ j " . Y, fl f ' -lo s ~ ~ ~ ~ r~. / 3 I ~ i/' -X?6 rms. ti~~`, f ~ ,~g 16 o.C. ~ i ~ I 6"X/6" i f. ~ i r _ _r" ~ _ - .r -r _ _ _ _ - - ~ i_ SNS.r.,r^ygy~MMQ~kTIfWM:hYatip?M'wbtRS,g4 fP!CCJn. yriM ra h: Fbf :Y>..r..:wh...Lwk.': oFp v., ..ic:q~: ..x.. Z.'v r_ ..¢.9 r i 1 ! / ~bM1'~4~MV~IM4'•n:.~:, ..w n::n!~r-' a, u,.'..yih-~5 i.-:~.+Y':.,8=d'1+MR" a?: ',i: .r ;f'. s,:..`.; Y••MFTAjA.a~vM1"'""'~. M'd'-r?Pi: J^«"'_?YYN+... +JM~LH!Y.iHX:~. . ~ ~ ~ • ~ ~ ~ ~ ~#~,A~~~tts Page No. ai ~ Pages - RONNIE'S HOME IMPROVEMENTS SOUTHOID,NEW YOftK Phone 765.5772 PROPoSAL SUBMITTED TD PHONE GATE Hr. 9nster 6 - 12 14 S2 STREET JOe NAME Totrn F?orb Lane ClTT, STATE AND ZIP CODE l08 LOCATION 1 ARCHITECT DATE Of PLANS 108 PHONE Wt hereby submit specdicatwns and estimates for: 1. Euild 14'x12' extension (one room and one bathroom) 2e All necessary masonary work (footings, cement blocks, two vents} 3. Exts 2x4 walls, 1~2" plywood, felt paper, cedar shingles, one door 1~2 glass 1~2 wood, one wirdox double hung, (1n bathroom}, install one window supplied by customer 4e Roofs 2x8 rafters, ~j$" plywood, felt paper split sheet {white) 5. Insides insulate walls 4", ceiling 6", floor 6", 1~2" sheetrock, double if2" plywood floor, trim out windows and door, tape and spackle walls and ceiling. 6., Bathrooms 2x4 walls, 1~2" sheetrock (N:.R.), double 1~2" plywood floor, tape and spackle, no door in bathroom 7. Remove all garbage E ~P ~fB}1ASP hereby to furnish material and labor -complete in accordance with above specifications, for the sum of: dollars 4995.00 Payment to be made as follows: 1 doxn 1 start 1 on com etion All materul n auannteetl to M as lpecfiad. All work to be completed in a workmanlike ~ manner according to standard preetmes Any alteration or tleviabon from above apecdiu. Authonre ~ bane mvdwna ertn cosh w111 be is KUted Only upon wntten ordea, and wdI become an $igndtUr eetw charae over and abme tAa estimate. AlS agreements condo;ent upon stokes, acodents or dalaye beyond our control. Owner to carry fire, tprnatlo and amer necessary mwran<e. Note: This propose( may be O#ur x_o.ken~a}rte~fuly coveredd Dy Wadm<n's Coymp'.nsapon Inswance. withdrawn by u5 if not aGtepted witNn 3~ tlays. L1Lrp~.+aa~p IIf ~rlt}ti1g~(-The above prices, specifications and conddions are satisfactory and are hereby accepted. You are authored Signature tp do the work as specified. Payment well be made as outlined above. ~`k\ 1, Datt of Acceptance DBCOmbBT 19~ Signature p` - rp1Y Ile CW!NgNI 1NU VfG ENGL..M[i aU:.wL]! .:RwCE iNC GWSON. W.11 O1.a0 .L/:.r.:u~''Iat44k^rM~fR!.'aYV~'CVVAM1w'GN.n .....'i. n....iM * SF . ~/a' ~ i :rw 1 :tin... .e,N' ` :.}r?... ~r,;. Y'1!. _ . r J / l ii i ,vxy p,fr,,.,'~- .vr W'.: i.:-,n- ? =^4(=.' Y +t .M::'. 4'Si~•4':: ~:~::*F,+v,.:^R'e.eE... d...,LHY.M$- . ~ - '}s3 0~. / 3.00.~`"c .°)~C S F~•1„SZ 8£'oot ~H S£"oo t ,T S 6 ' afS ( ! Lj ~ I I ~ !II I ~ ~ I ~ ~ ~ ~ ~ ~ to L I ; ! nl 'J a i ~ ~ ~ 1dX / ~ ~ ~ i I m vj ~j m; ~ i ~ nC;...t NI ml r. ' , ' Wj tii 'o, o I r ~ m, ~i L o ~I 03 ~ N) zi hf ~I o I z+ z! L ~ i ~ ~ e 3 'Z ~ f Z o ~ ea oa ~ o~,,; _ F oo• oo•oo ~ ~ oo-oo~ ~ Io Zr ?sari..q'~ 10'V~Z M J1 1F ,1~'N - - }sod q ~ ivd-y X08 ~ d H Lvnno~ I ' Q t.~ .'a! ` _ I ~ Z f .aY:;r..k^\1~MM:..'~F'1~Y~4 N~!k:nlli. .i. "-iY ~ ..G'. '....Y i J"I. _ • / t 1aYq~~;}1t1~Y)YY(MWMJwK+i.:/:..~.ae.N J,ltin:' NiuuN'M1'SS°,' ~ 1 ?Z::c _ S;wr... , - N_i.:-,. .?GYal'W.tii` ~S'.f:~:.w.,+.,, -..a...~~.•..~gr4.:W.z.MYc ~a. - . r' - ~ BOARD OF HE.~LTH 3 SETS OF PLANS FORMNO.t SURVEY TOWN OFSOUTHOLD CHECK BUILDINGDEPARTMENT SEPTIC FORPf ' TOWN HALL . SOUTHOLD, N.Y. 11~J71 NOTIFY • TEL.:765~1802 CALL Examined • • • 19 MAIL TO Approved 19 Permit No............ ~ ~ ~ U ~.1~~'S' Disapproved a/c ~~~R 4 i"' - I 64CG. DEPT. TOWPJUFSOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Gp ' Date 7: 15Q. INSTRUCTIONS / a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 [o adjoining Premises or public scree or areas, and Diving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Ugcn approval of tktis application, the Building Inspector will issued a Building Permit to the applicant. Such perm shall be kept on the premises available for inspection throu;lrout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan~ 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 ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances . Re;ulations, for the construction of buildings, additions ar alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ? admit authorized inspectors on premises and in building for necessary ins ectio . (Signature of applicant, or name, if a corporatton) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ......4A r~J 7 r-~4T~ . Name of owner of premises .....54?'I?'d...~~s7,E,e (as on the [ax roll or latest deed) ICappli nt is a c oration, signat~ur/e o~duly uuthorpized officer. (i~ etutQ title of corporate officer) Builder's License No. ~ `l.b'. ~ • Plumber's License No . Electrician's License No . . Ot}rer Trade's License No . . 1. Location of land on which proposed work will be done. ' . ....1-~.~r.J~......:SouT!-f .!~!k` : .............:...............~v..~ryoLA................... House Number Street, Hamlet Q County Tax itlap No. 100D Section ~ _Block , , , , , , , , , Lot . Subdivision Filed lvlap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . • b. Intended use and occupancy • • • .~~p STa~ ~ - • ; C~•'p=Q7T7~M . 3. Nature of work (check which applicable): New Building Addition ~UterStion . Repair Removal Demolition Other 1Vork . (Dcscriptio: 4. Estimated Cost ~°..T.Ot~C1.,C?U Fee . t (to be paid on filing this application) S. If dwelling, number of dwelling units , . , , . Number oC dwelling units on each floor . Ifgaragc,numbcrofcars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front . Rear Depth . Hei~ltt Number of S[orics Dimensions of same structure with alterations or additions: Front Rear Depth Height Number oC Stones . Dimensions of entire new construction: Front r! Rear ......I, 2:...... Depth . Height ...............Number of Stories 9. Size of lot: Front . Rear g~................. Depth .2.~............. . 10. Date of Purchase .............................Name oC Former Owner . 11. Zone or use district in whicft premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation : . l3. 4Vi11 lot be regraded ............................Will excess fill be removed from premises: ,Yes 14. Name of Owner of premises . .Address ...................Phone No............. . Name of Architect ...........................Address ...................Phone No............. . Name of Contractor ~?tY.++i?".. , . , . ,Address ut~t1~ f`n~Ga1w phone No...~~4r.'.~5.°.O 15.Is this property located within 300 feet o"Y 4a tadal wetlaud? *YES..,.NO.~. *If pes, Southold Town Trustees Permit may be required. PLOT DIAGRAh1 Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fre property lines. Give street and block number or description according to deed, and show street names and indicate wheti interior or corner lot. _ - ~ ~U 1=X1 S~}'. '~~QtT t~~ ~Hous>: / ~ - - ~ 1 ~ 'i I - f 5 3 s u jj r . ~ i ~ t.. x c} GCh '~°JT NJGH6z.. ~ 1~~-~ ~ ~ ~n PI ~1~ FTC L'l1'r° lcal., I~ ~ I 111.:, 1=•~ pl.l. ~v~o TO Kls~ GGa ! I wS eViTµ A av,~o~lzs f~arhOR.A1(. Ch - STATE OF NEW ~'ORf:, S.S Y-- ~ ~ COUNTY OF • being duly sworn, deposes and says that }te is the applies (Name of individual signing contract) above named. !ieisthe (Contractor, agent, corporate officer, cto.) tf said owner or owners, and is duly authorized to perform or have perfotmed the said work and to make and file t1 ppiication; that all statements contained in this application are true to the best of his knowledge and belief; and that t vork will be performed in the manner set forth in the application Glcd therewith. ~wom to before mu this .................:5.-'u/.-,.~d_ay of 191. ' glary Public, TY~-~! ..~..'~~:.tf.f~.. County HELEM K DE VOE ~Nu~470T870 ~ulktCo~~ (Signature applicat Tenn Expires t>Seceh 30,18,1./ F~ Q.-- BOARD OF HEALTH Q a I"'"""`~`Q 3 SETS OF PLANS • • • - • - - FORM NO. 1 SURVEY ; TOWN OF SOUTHOLD CHECK - • - 2i~88 BUILDING DEPARTMENT SEPTIC FORM '_':':f TOWN HALL NOTIFY Bt_17G. DEPT. F,OUTHOLD, N.Y. 11971 • TOWN OF SOUTHOID TEL.: 765-1802 CALL - - - • • • • • • • • - ' MAIL T0: 655 pI6c~-.~ P-a Examined 19 XJO, rr y7/ Approved 19 Permit No........... . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT ~ Date 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit. 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 stye or areas, and .giving a detailed description of layout of property must be drawn on the diagram which is part of this ap 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 pen 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 Occupai 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 ~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) c S(ta~tre ~w~.h~et~her applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or build L; W ! 1~'V' ......................//.~~.....C...........s...(.)................................................... Name of owner of premisesl.kr~t.~-4r ~,J4?-I~:+P-~.~-- . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ...d.~u ,'t-?~? . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work wilt be done . . . . . House Number Street (P 3 Hamlet J ~ County Tax D4ap No. 1000 Section Block - . Lot ~1........... . Subdivision Filed Map No. - Lot . (Name) 2. State existing use and occupancy off _pre~m,,ise~es and intended use and occupancy of proposed construction: a. Existing use and occupancy .~~'~TJ!/~.r'~e~''.• . . b. Intended use and occupancy . t~.C'f~'. ~t~!.~.f%~$.1.1:'~ 3. Nature of work (check which applicable): New Building Addition 1!...... Alteration . Repair Removal , Demolition Other Work . ~7 , (Description) 4. Estimated Cost ~~.'1'!-'..~. Fee ` (to be paid on filing this application) S. If dwelling, number of dwelling units ~ Number of dwelling units on each floor .~,..3 . If garage, number of cars . ~"W . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front ~ .........Rear J.Zj! Depth ~f.......... . Height ...............NumberofStories.~............,..f...................:.:y............ Dimensions of same structure with alterations or additions: Front Rear . Depth . Height Number of Stories , . S. Dimensions of entire new construction: Front Rear Depth . lfeiglrt ................Number of Stories . ~ ~ 4. Size of lot: Front :$:r.~..., Rear ..L s? Depth . 7~"... ~ . 10. Date of Purchase ....................Name of Former Owner ........t.~.?E.'r.-.~~::ra , . 1 1. Zone or use district in which premises are situated . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . ~.~:t."G'y.~f2_-.~ . 13. Will lot be regraded ..'.1:L.E~ Will excess fill be removed from premises: Yes Nc 14. Name of Owner of premises ~ .....Address ...................Phone No.............. . Name of Architect ...........................Address ...................Phone No.............. . Name of Contractor ..........................Address ....:..............Phone No.............. . 15. Is this property located within 300 feet of a tigidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLO~ DIAGKAMed. Locate cieazly 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. ~ ~ v r; ~ d? a c t~ P ~ r F I'~- f'}- ! ~ t'?- f S t ' / f~ ~ it ft?.'l. 1 STATE OF NEW YORK, S.S COUNTY OF . e3=~ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named He ist]te .......@.~. (Contractor, agent, corporate officer, etc.) of said owner 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this " ~.~........day~of 19~~.~ Notary Public, ..~~I~lf 1 ..7~ . ~L.~i'~-........ Count Md~R1',P~t~iB178~7~dK1bu~ 1'~ Ni (Signature of applicant; ...Term.Eaoires arch 30,19.