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HomeMy WebLinkAbout17376-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19259 Date AUGUST 1, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1245 Old Farm Road Orient, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 4 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 17, 1988 pursuant to which Building Permit No. 17376-Z dated AUGUST 30, 1988 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to GERALD & MARGHERZTA DENNEHY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATZON DATED N/A y Bui ding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY 19260 Date AUGUST 1, 1990 THIS CERTIFIES that the building ACCESSORY Location of Property 1245 OLD FARM ROAD ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 4 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 17, 1985 pursuant to which Building Permit No. 17376-2 dated AUGUST 30, 1988 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 ACCESSORY SWIMMING POOL WITH FENCE ENCLOSURE The certificate is issued to GERALD & MARGHARITA DENNEHY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTN APPROVAL NfA CERTIFICATE NO. N-044648 - NOVEMBER 9, 1988 PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1J 81 sosat xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU57 BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017370 Z Date ....~.1...~~.~.~ ..................................... 19.~~ Permission is hereby granted t ~,,.~ . ~:.,P.~ ........... ..u~......~.....~~.~ ............. .~ ~, ................. . ..................~.4.y... .. County Tax Map No. 1000 Section .......y....i....~t... Block ..............~. LGot No............~......... pursuant to application doted .............C!...~y~..........................., 19..1~.~I, and approved by the Building Inspector. ,/~ ~ ~ ' ~ Ste. "~ Q%r-lipy 4ten~G~~?~Y/p~ Fee $..,(.,S"D. 00. - ~yC~ ~' ~ ~~"'K'l~+I~/L~- C. '/`~//%r "/ B~ding ector Rev. 6/30/80 ,S .. ~~~~{ o ~/ 3~' .\. 3. Form No. 6 TOWN OF 50UTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF 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 17. lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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 "pre-existing" land uses: 1. 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 huilding $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 Updated Certificate of Uccupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~(/cf=r/s;" /~ y'y~, ... ':.•w Construction........ Old Or Pre-existing ••••• v ..•••, ~••..•.••.••.•--~•~~ .~ Building. :..:cation of Property.... loz~S 0~ 6~'.~./?~aa~ ...... ..........~i~fC-it/ House No. .. ........ ....~....._..... Street Hamlet )nwcr or Owners of Property.. ~Cl~'%fiLi~ `~ ~~~~ffC~/2l`Ti~ ~L n/it/~/•~ fl ............................................................... :aunty Tax Ma'p No 1000, Section....~,~~,......Block..... ~........Lot...:~:..,,, .......... Subdivision.... ~I~YU1~w ~/}~ .............Filed Map............Lot........ ?ermlt No........ ...~ .Date Of Permit... ~( .~. j~~ „Applicant.-~`~.`~4-~ ~~'`~R'~#c~.E't ~j~ v health Dept. A royal...... ,••••,••••••••~~~~~y~~/ PP .. .................Underwriters Approval....................., ... ?lanning Board Approval ........................ ~~ lequest for: Temporary Certificate........... Final Certicate...`: Fee Submitted: $...,'~~,~:~ .................. ....... C~zc , X101 b ~ ~ ..........,,,,,.e~...... ...... ......... . APPLICANT Form No. 6 lyo TOWN OF SOUTHOT.D ~ BUILDING DEPARTMENT ~~ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF .1. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building ar 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 17. lead. ' 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineez responsible for the building. 6. Submit Planning Board Approval of completed site plan requiremen*_s. 3. 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, 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 huilding $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over S years - $10.00 :. L'p,iated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~(/~v-~~ //. ~~~r'. ......../..~........ .............. :.•w Construction........... Old Or Pre-exi/s'ting Building.. v ............. ...:cation of Property....~a~s.8~.1G~'~.~~~ ..................~~.~~.it/~......... House No. .Street Hanlci ~ERr9~-~~ ~ /YA'i2Gff~2C~~ ~En/~/~/f SY )nwcr or Owners of Property ........................................ ......................... '_ounty Tax Map N~Qoj 1000, Section....~.~0.......Block.....~........Lot....~~ ................. Subdlvision....>J~~!Uj~GcJ ~/~f~i*/........G../..Filed Map............Lot .............':........ ?crtait No..~~~~/.~~.Date Of Permit...P[-.~.~1~~..Applicant.~~.~.R~'~~~A~~~~/ ~ ...~E Cr Y (fealth Dept. Approval...... ..........Underwriters Approval ................. .. ,.' . ?lanning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate...~.... , Fee Submitted: $...:~ ~:~ .................. .. ~~' `1 61 (a ~~ ~ APPLICANT ~ . ea ~ igasy o~~FF~Lk~o ~, , a~ G~ ~ `4«3 ,~knn~ y ~ `~ o~ol ~ ~ap!- July 30, 1990 Gerald 6 Margharita Dennehy Box 2003 Orient, N.Y. 11957 To Whom This;. May Concern, TEL. 7G5-1802 We are unable to complete your Certificate o~L- Occupancy because of the following reasons. /// An application foz Certificate of Occupancy ' is not on file. (ENCLOSED) % / o Underwriters Certificate on file. /,// T}ic check is (aak~$ts~~/not on file.) 550.00 2 CO' S required /_/ No Health Dept. P~.pproval on file. /_/ No final inspection has been made. Please contact our office on this matter. Thank. you for your cooperation. Duildi.ng Permit () Duilding Dept. • Deck Additon ~ 1 7 3 7 6 2 Accessory Poo# ***/_/ No Plumber Solder Certificate on file. ( all permits involving plumbing being .i:,sued after flpril 1,1984 ) i '' o"..ri 'T'OWN OF SOUTIIOLD OPF~iCE O~ BU[LDiNG INSPECTOR P.O. BOX 728 T01VN HALL SOUTfiOLp, N.Y. 11971 - ._ - ,.. _, d.,~,uGA§3.,.~ ,x.bn~ro~r ,_'..Ta°e5r '. .<:es trx~Y.xi+ c1cLD iCSP~'C:~U;d ~ ~U&TE ~~ ;;OMMENT` 1 -o ~ m ~ ~ . ((~~ ' Y _ ___ . _.____ ~ N r-~ ~ y FOUNDATION (1st) $C c FOUNDATIOW (2nd) __ - ~r~ ~ 2. _ ~ ( z o\ P,OUGH FRAME & • U PLUMBING ti ~I H ` 3. ~ b ~ IIJSULATIOPI PER N. Y. y STATE ENERGY `" CODE x ~ 4. 77 ~d' ~ .~ I H FI;4AL ~~ .; o ADDITIOPIAL COMMENTS: P.-~LT ,Dar11 ,7.~ ~,~3a~ 9d ~ ~ .~.~ ~ ~~ 1 -~ ' x R. ^ a \ H a H O o z x m ~` \ H `~\ d m ~ v ._,~„r , THE NEW YORK BOARD OF FIB UNdER1i1~'~~#5 r"`;~ 1 1025045 st-REAU of e~ECT~cm NOVEMAR:R 09,1.~8~HiV STREET. IOW YORK. ty~~30 N 04464£1 Date Appliratton No. on file - THIS CERTIFIEi THAT - only the e/ertrird egWpm«at r descrihed Gebw and inteodurad by tM appfteant waaud ow the shoos appYratton ewmher is thepnwtsar of 1fR,At,11 0&NNFRY, 1245 OT.ll FARM ROAR, OR[FNT, N.Y. ~ ~_ Ui1T in the folbudnp Ioce~gtF, ~!^~168 ^ !se Fl. ^ Ynd F7. Section 6/oek lot e- anu examined on ondfound to he in eompltance atth thr ewluiremenM of this Boeed. _~ InIitIR! O{iTtE?E AC1EE fYMTC1IK NCANgtClm tlUGtltCWT AMT. k. W. AMT. RECEf k. W. Q AMT. K.W. AMT. R. W. ANE AMT. N. I. DRYERS RItlMG! hgTORf 111RIRE AMYt1MNW RIMERE uMC~t 1!IRIAf~{OfJCf E~ taNTIIW11wt M 7M AMT. N. W, pl M e. GAS M. A. AMT. NO. A, W.0. AMT. AMI: AMT.. AAVS TRAIM. AMT. K t. ~. a lIEU1ERS AMT. WAITt ~ i m _. f/RVI@ E~ E70NNECT tt0•at _ -__ ___. _. -._ - _. __ __ _ ~~~ S E R ---- V 1 C E .. AMr. AMr. Tne E i a aw l f aw o.r tw f R Aw MCI. atefiCOND' cc c~i~o. No. or N4uG a w , No. a Mevn~us a o7nER arrrMUlnr& G.F.C.i:-1. "(sN7MNING pppOLj TAits erti}`fr_a~e c.OVers cospl~.ance a t~e a e a. insppeckion anly. Because of unusual environaenta i,t is advi.aabl.e to have frequent teatland or repairs made by a qual.i.fied person. BRf.T6 STAR k:1lECTR.T.C 13 Ii1LLl4TT AVP: SAYVXLi,S; NY. 1x.782 ~\ ~~ _ ?.fS:RNSF NO. i398 1P Tbit ro TM eHia d h~~ ~~ Cross 5ec_ Lion Ueck Construction ,. Fi a~~l Yie~r~" a '' 2'X 4" OR 2"X 6" CEbAR DECKING / ~ NX ~ 4/" 4"X 4' CCA POST 7'00" ON CTR. TYp. ~ [J'B ~. ' ~~/~/ ~' DECK JOIST 24" ON CTR ----~-., t'X 0' GIRDERS 7'00' ON C1R. CONCRETE P1llAR 4' DEIOW GRADE L.~'"7 ~~ii~ '7" ~~, ~ ~' 2"X 8" CCA GIRDER - 7'.00' ON CENTER TYP. w 4'X 4' CCA PO5j ' 7'.00_ON CENTER TYp, CONCRETE PIER 4'.00' BEIOW GRADE . TYP. r r' o ~ ~. f ~ ^ ~ py r r i i ;Y~ f { ilf~ t f fu l! fi~.a ~y5'~v ( '_ _~' etpi f ~ t ~ Ki f ~ 1 Yak N ~ ~ Y~~~~Il'1 4~ ~D S i f F ~~ % d { ~ fs'.~ Sa ~, °, !, z ~ K ~ S' ~ S S ;~ ~. . ~ " ~ ~ f . ' ! S e ' ~+..,....... ~ ran fS6k ~ ~~~~ .~. ..~.~r lr4'y i .. (`~~~~ i a~Y.`. ~.~ ~ m.~i.lifl rm..f i' ~ ~ ~Yl'~:i. ~n,+~ j,: ~ ' w~u,t,: a ~ ~ ~ f f ~"` V ~ ~ '. ,, ~~ V ~ ~~,_ ~, ~~ f ,,~ a: . ~ '~ _ ~n ~ f ~. f '~ ~ ~{~ ~ ~ '~ f ~ . ..f M~~111~'r'~~Y" ' .4 ~ ~~ ~• . •...1 ON Cf1MPL~TIbN ~"~ .'~ '# ,~ ~'' ' FQR~ ~'1NAT~R' ~ . a ~ ":".~ r ~ ~ '~ f} it r ~ ' ? ~ ;_ " - , " `~ . ` ~ L ~5opvy fv d v ~, ~~ } a, ~r ~ ~ 1 ~~~~~~. ~ }r a, a} e ~ ~ ` 1,~1. ~~"' y ,! x1f. f ~t S i', 'i~ ~r. rt f n; J ~ '~} e ti~ 1 ~ 1 c~ N y R { I pry 5h~y ',ry5, f ~. ~ ', a~ I, A~/[~J{~y y et (~yq ~ _ r .~ ,F , ma'y` ~~/, ~f~/` ~ ~' ~~ t;.r 7~/~p ~ s S%v '~L ..,~ ~S,if t, ~~1 .a . ~ ~ ~i < ~" i~ .. , d pp , s., a ~~ ~ 55 ~ (f/ § ~~ !7 i ~' ~'~~~ y` ~ : EI~L~I,OSE POOL TO CODE t G~'~' t~,It"j ~, ~~q f' ~: ~ a upON COMPLETION ~ ~ f~ `~ ` f ' 6`(...~_c '~` ' gE`FORE "WATER' r ~, F~t~`+ff~C"t~t~<`: ~tr'~~ ~~ ~ ~ ' ~'a' .,.,..,~ ,, ~~ ,. `,,t`t=,~ ! t~ i}' ., `~ f R 'f'' ~~'~ .f . .. 1 '~. A .~~ 1;~ f . f ~_ e~., ~ ~ ~~1' }y f~,C .'I, y~ 1 1~"Wi wfLai~afi~u..,., ~I~.Si C,. ., ..i. ... L'. W .e...•,..L n.._.... _. J .u ..o .., • ., .... ~. ...~ ,. .. ~. ,.. 4.. ,. l-~ ~~ ~ rss-iso2 BUILDING DEPT. 1NSPECTtON [)FOUNDATION 1ST (]FOUNDATION 2ND [ ]FRAMING ( ] ROUGH PLBG. [ ]~ULAnTION [ FINAL 4/ REMARKS: ~. DATE ~ ~ U INSPECTOR ui •.v i ~~~ I 4' it , S~ ~~ I ,``r $ V • ~ ~ ,~ ... -- -- ti~ w~- h7 } ~" ''/ `'y w ~ ti .„~r 4~ ~V~~rQi~ ~ J 1 ~ ~ S ' ~~ -~ ~~ J ~(' r qqi, n[ ~~ V o ,N ' ~ °i, ~,'\ 1 . r ..,~1 ~ ~~ ~ ~~ ., ,,\~ ~. ,,, ~, ,, z "`~ ~~. `. \~ Tw •y~(1, N 4~• [K S 't' - A . t~) N~,et41? ~ . =. -_:- - ~~Ra: x ~~N CCDIwP(~ ®N~~_: ~~ ~ -.-. . - / + + 1 . 4 I 0 ~r o. /S ~ 1 t ~ 1 ~ ~~.- I ~ r~- 1 , 1 i.l . i x:14'. ~J ^ ~: , I b+ ~,~~,~ y ~ r ~' Ek ;Yfi Y • ! / } (~j~~, ~ ~ Fib` ~• • • ; ~ 4^ ti ;y. t pl ,1~ ~'~ 4I 1 v ~ Y _ ~ z ~ ~ ~ 1 ~ y ~o ' ~e dl +a~' ~ [l. U~ ~ ~~ O ~ a®~~LQSE~ ~Ptg ON ~tdy~DEF RE yy~,°(~R i"7 1~ j ~~~ ~~ ~~ . d J ~ ,' J ~ v /~/.mil ~o ,~~. ,~3~~~ ~ ~ ~~~~ ,~ -~`_"~ ~~~ Gereld Dennehy ~ - - - _- Old Farm Hoad P.O. Bo x2003 Orient, NY 11957 C''~Gi"Z` ~ ~~ d f'~~ ~'O".,l•Lyw3 v/ ~d"C~+/~e~-l-~W~i,~y~- B? um.~ LG'~!~L ~.~.v..z~d~~ ~e j~ i / c17'/ ~~ ~ ~ ~ ~~ ~ ~~-e ~e~ ~~~.~.~~ j /^~O.ir • ~~a scree ~ ~a°~~ C~'QC~ ~f~~~c~., ~:-<-..4'c~s.>~ ~ev~z~`'_c ~e .fl-a-~'e~' r'r~ 4: r, i ~,~../~ l" ~a 0 f-n V I~ ~. x N y_~ v~ [. ~~ h ~ S- 0` t .O O V x h ~ hl ',~ t ~ ,_ 0 N 1 0 ~M s .. ~ ;(- -- d N .~ O ~~ hl `~ k °~ d 5-- ~0 `` G c ~~ ~ S O ~ ~j Q1 ~ V QJ . ` ~k~ ' ~ ~i, G h w d to f" h~: Y f!1 ~r H ~ ~ ~ W 2 0G LL Q~ a2 ~ W W C~ d ~ x W Z ~ J ~ W u~a ~u. erwra ~ Q +-- a~-uzpr- r~iOZ'ga ~ ~ ~~ix; a';?~aC a~fA ~ ai ~'~O ~, ~~ z0 z °' a -.a'c~Q~F=~ mcv ~ p02g x- '~ ro°oc~~~yz j w~~ Jooo_W ~ wc~o LL Z~~~~~ Ca u. Z n u .- lV ai @ m `!y` ~ V e~ ~` x '~, \, ~ L .~ h ~ ~ ,~ - ;~ ~s~ 2 x `-~ 5 ~ ~' 3 ~ o ~~ ~ c~j ,,~07 3 ~. W `~~ \, ~~ ''~ ~1 ~i U `; y a ~ , 'l: ~~ -- -- o a a d ;}~ ~ 2 e , v ~ s a y ~ ;Y 3 ~ 7Q °Z'~ `~ l~ ~~. ~ 4 ' ` `. Q.. ~~~ ~ v 3 M g " ~ ~ ,o E~ x co ~ 4 O I .__ _ _ JO ~ ~j 8 .~' ±; ~~ \~ r~ sNJ/" '3- ~; k i 0 ''~~~ ~ h S ~`b ~ ~b ~ )! ~I ~~ K~ 0 ~~ 1\~ V ~ / <.~ .~ ~ ~ ~[ o b ~ ~~ .~ 0 3- ~. __.....__.._._...._.d.y..._...._.__.._.._..__.._..~_ . r ~ ~~--.._.u. _.~... -- _ -. _ . _. _ \ _ '~ Vl ~ ~ ~ 2 ~ ~~~- ~.~: „{ ,~ : ~: Introduction Few home Improvements can match a wood deck for usefulness, beauty, and enhanced value to a home. For adults, decks offer outdoor living space for entertaining, sun bathing and dining. For children, they provide an excellent outdoorplay area. But the best news about a deck is that it is an ideal home improvement construction project for the average handyman or woman. The design Is 2'• O~gGO . 9gC~q~ straightforward. No advanced carpentry skills or sophisticated tools are needed. If you can hammer a nail, saw on a straight line, and read a level, then building a deck should present no major problems. What's more, the use of Wolmanized pressure-treated wood and rust-proof zinc-coated fasteners helps assure that your project will be virtually mainte- nance-free and will provide enjoyment 2x4 2 x 12 SUN DECK IAATERIAL LIST: 1. Face plate: 1 place requlred 2 x 10 x 12' 2. Fascia: 1 piece required 2 x 8 x 12' 3. Stringers: 5 pieces required 2 x 8 x 12' 4. Diagonal braces: 4 pieces required 2 x 8 x 3'3" 5. Beams: 2 places requlred 2 x 8 x 14' 6. Posf (length optional): 3 pieces required 4 x 4' ~k r ;ly: for decades to come. You won't even have to paint or stain the wood, unless' you want to. Left unfinished, it weathers. too rusticgray. ' ~ ~ ~ ~~3;'~: - There's enough Information in this"" manual to help you design and build any'"; of several different types of wood decks. ' However, if you don't find exactly what's`;:„ you want here, check your library for"p'~3 magazine articles or reference bboksr'~?" , ..; a' °. 2x6 RAILING CAP~~~ y,~,y '1 0~.~;; ~y;10". a n i, Z~c~~; »` ;:; '.~ it WOLMANIZED® " '` 30-NEAR I\\\ DECK COLUMN -~,~ OR 4x4 POST . -' 7. Ledger strip: '~ lpiecerequtred2x2x,12'~ 8. Decking: ~ - - - 39 places requlred 2 x 4 x 12' ` 9.Rallingbosts: ~ ~~ 10plecesrequlred4xdz4'"'~`- ~'~ 10. Rolling cap:, ~ ~ ~ " . '-3 pieces requlred2x8x 12'='.'.. 11.Rafling(centerg~~ ~ "- 3piecesrequlred2x4x12'~~ " 12. Hot-dipped galvanized nails and hardy asrequiretl ~~ (material for steps optlonaq . .. ~ ~ I'r~t , ' 2 x 10 \ `~ FACEPLATE .. , ':.I~ . ~.. i q 4 ',:.. ~ rI~ ~~ R~ ~~ ~Q \I Y ! U ~\ ~ ~ ;~ ~~ • ~ ; m ,. t~~/ ., ,J ~~ry :V~ w r ui ~ ~r ;~„ o I ~ ~lU~ •q ~ ~ 0 u1NV~~ ~ I J. C) iu of ~azwl' _"~ i Y l . )~ ~~ d wl•N ~r} f- ~ Ck ,os v o f a z~ a ";, c ~ 7 ~ F. { ~ .~ '~ro~ - .~I ~ a ~ ,I ~ >, ~ I•' v .~ n ~ I ~ I ~ (Y ~ . ~`~ 5 F ' r -J ~ ~~'~ ~ ~' : ~~ ~: ' rl.' i . N w n .-n 'n W ~~ Z (/~CL -_- ~. wr. ~ .~ ,~ .~ ~ ~ ~ ~ ~a C' r l~ [y w ~U ~D f() O it ' j • ~.:Y' ~~) ~ ~+•/ 4 <i ~~ ~ ~ r ~ ~ ~ ~ CL `" <t-'<Q ~~ ~ '~ M ~ r 7 ii. CC7 cn ~+ rz W O `~S p '1' f ° ~-t ~n zA .~ I~ ti d d w n z :.a. J O. O ~.. rr. ~,, ~> -.~ ~I N Q F° z 0 J J yd J t1~ n v z 0 v ,, "~ . . ~~` CORM NO. 1 f1N0' Q ~.7t1t7 Examined .~f./`3~ ........, 19 ~8 ~~' ~!/ Approved .. ~/~»........., 194 .~ Permit No. ~ ~~,~. !~ .T Disapproved a/c ..................................... IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION 8EF •• TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL vOUTHOLD, N.Y. 11971 TEL.: 765-1802 1 3a~ ,., ;• ~.. Received...........,19... ~n ~..~ I ~0o-2/~_ IsO,ao r /e) SO.ad L4~a9.~~ ~'Vla.c.e la- ~K/ ~'. ~ ~ ~ ~~ APPLICATION FOR BUILDING PERMIT ttY?7 Date ..~ ...~.'~......, 19~~ ORE WATER INSTRUCTIONS . _ =t}tgc a. This application must be completely filled in by typewriter or in ink and submitted to the B~~ g Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordipg_to schedule. ~•, •-o..: ~ ;t trt_~? b. Plot plan showing location of lot and of buildings on premises,:relatxonship to adjoining prr•s{~s 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. ~ •;t:,;.. c. The work covered by this application may not be commenced befoi•~ issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to th~@It~cant. Such permit shall be kept on the premises available for inspection throughout the work: ~ _. e e. No building shall be,occupied or used in whole or in part for'any purpose whatever untIlaBC£1#cate of Occupancy shall have been granted by the Building Inspector. . CBB 3aat. , APPLICATION IS HEREBY MADE to the Building Department for the issuance of ,a, Builfl~~t~ ert~. art pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,.New York, and "oriller applt`C~b~e ~~ws, Ordinances or Regulations, for the construction of buildings, additions or alteratigns, or for removal or ertlo],~,i„~Ild„,gs herein described. The applicant agrees to cy~yw}7f1~~~1,.applicable laws, ordinances, building code, hous~ng code, and regulations, and to admit authorized inspectoa"~C~tpJ'P~'i1S~~a~t£~in building for necessary i spect„totl~st P?~,(~~,/~) ~~; cgs, r~~'"'~Nf ~..~s M~;»~ ars~s~ ~ (Signature of applicant, ame, if a corporation) .~~~.~~. x. 203.. Ot~ieh.~.,. N:. ~..tt9s'7.. (Mailing address of applicant) State whether applicant i owner ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................J..~..............1.i...................................................... Name of owner of premises ..~r ~'Ai,..l-~'...y'.. t't~ ~{ef l~ {}lQ.t. ,~,~}.....~I~t".1.~.~1~( ..................... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) Builder's License No. .....~~..~"'. ~ ............. "IMMEDIATELY" ENCLOSE POOL TO CODE Plumber's License No. ' ........................ UPON COMPLETION 3~q 8 • ~....... BEFORE "WATER" Electrician's License No. ..... ! C1 Other Trade's License No . .................... . 1. Location of land on which proposed work will be done. ~~!~... ~~'.~ .~~m..~~ ' ...~.'... F .............. . House Number Street Hamlet County Tax Map No. 1000 Section .... Qh.W........ Block ..... "{.......`~.... Lot ....~ ............ . .~..... Lot ...... ...... . Subdivision . ~~~v.t.~ ... ~.~.~'~• • • • • • • • • • • • Filed Map No. .~QA ~ ~ • (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ ~~ ~WQ~~t ............1.5............!~~ .............................. •...... b. Intended use and occupancy ~2D~©~~. • • . S~. ~ ~'.._~-g~.1._... ~ . 4G?K 3Z, . { ~C~'? .. . Sutivhwtt`v1G ~OOI ~ 'kc•~-~• !~. CL)~J~ 3. Natur of work (check which applicable) ew Bui] ... ~, Addition .......... Alteration ......... . Repai .............. Removal .............. Demolition ...........'...Other Work .............. . • t • . • • . • • .. , . • • . • (Description) . . 4. Estim ted Cost .. ~ . ~ ~ ~~ b • . • • • • • • • • ............. Fee • ' ' (to be paid on filing this application) 5. If dwling, number of dwelling units ............... Number of dwelling units on each floor ............... . If gars e, number of cars ............................................' ............................ 6. If bus ess, commercial or mixed occupancy, specify nature and extent of each ty~e of use .... , ...... ~ ........ . 7. Dime sions of existing structures, if any: Front .... ~~....... Rear ...~.~.',....... Depth . 33 , , , , , , , . , . Heigh • • ............. Number of Stories ................. . ? Dime sions of same structure with alterations or additions: Front ........... ', .... Rear ................. . Dept ......................Height .......~5 ............Numberof~iStories .............~ .. IL .... 8. Dime sions pf entire new c N stc~n:Fro~s~{444.' ... l4. ,w QE' , . 3~~ ..'' • ' ' ' ' :Depth :..a4.... Imo... . Heigh ...~. r ~ C,aN!., , ~•-4 -..3'1?^':.$'`'?!: 9. Sizeo lot: Front .. ................... Rear...................... Depth ...,.................. 10. Date f Purchase .. +~! ...Ir1,$(r ............... Name of Former Owner '.114 n4°...................... . pl 1. Zone ruse district in which premises are situated .............. ~I, , , , , , , , , , , , , , , , • , , , , , , , , , , , 12. Does roposed construction violate any zoning law, ordinance or regulatiori:.:.~V, i.0 ........... . ........... . .. . ... .. 13. Will lot be regraded ...... ... ... . .......Will excess fill be rerr!oved front-premises: es No 14. Name f Owner of pr^elmises .~¢ r~EC1.V1C~ly ..... 1JiS' o' ~ .r :............Address ~i~.~2 ~F , ,~c~.. Phone No. $~S.- . zFa • .. . Name f Architect ~~ ~ . , , ,Phone No ............... . f Contractor ~+'t4k f.11. , ,~oo.i S, , , , , , ,Address ......h't?Yl'~i9~ik., , Name ......... W ~ Phone No..~~".~!~y~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property li es. Give street and block number or description according to deed, and show street names and indicate whether interior or orner lot. 1 I "IMMEDIATEt.Y" ~i a~ioN~ APPROVE NE NdTED ~EFOR! "WATER" DATE: B.P. M,.......... NOTIFY BUILDINGS DEPA 786-1802 9 AM TO 4 PM FOR TlIH r FOLLOWING INSPECTIONS: ®CCUP,~NCY ®R ~ FOR POUREb CONCRETEREQINRlD 2. ROUGH - FRAMING d PLUMSINO USE IS Ul~IAWFUL 4. F NALATIO CONSTRUCTION MUST 3 WIT~/OUT CERTIFICATE THEEREQU REMEtNTS OFATHE N.Y. OF ®!,/CUP" 'NCY CODES.C NOT R NES ONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF ~' EW t~~$~.".*..,~ -} ~~, '-'E .,,M,,,,~, COUNTY O '- .". ,f'~~~ .~ :~ `~~~ ~ (Name ins di dual sign ont act ~ ~ ' ' ' • being duly sworn, deposes and says that he is the applicant above name i He is the..~.........~ed>Aane!~ ...............................:........................... (Contractor, agent, corporate officer, etc.) i of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicationthat all statements contained in this application are true to the best of his iknowledge and belief; and that the work will b performed in the manner set forth in the application filed therewith. Swom to be~ ore me this YANN INQORDO ......... F I ~ ~ cta-1-' Nom? Puglk, Stem of NNr Yo~4,3 .,. , day of ...... (o ............... 19 ~ No. 489b690 E y C1Uapfi~eB Sept 25,19 i ............. Count Term F. ~ M SuMok Cou Notary Publ c, .....:;~• -.z~.~ ~.4-«---. +.~ ~ ,~ ,. SAttYRNM .. ............... ........... ~Vofey Pu65o, Smma~r (Sign re of applicant) ~' ~ ~ ~~~ ` ~ ~ No. 469569p ~ TeOi~+e4E'Yed M SuNodc Coomy plree Soro ea .. I ' . ., 1"' ---- - -- -- ~.._- t ~. W6t_f._ o ~'i I y4~, a~. ~. '~ r ,/ ~ 4 "ta~IG ~-. •J ~,Ei-, ~) r ~: C YAC Ahi "C) f-i4f~M \~: ~ [~l_85~25 a? E. p r-------~___~_~ __ _ _ . _ 5 ``~ ~ W~~ a. X11` +~; ~ z ~ ~~ t l ~ . '. 1 ~ i _ 1_... r~_ ~.-.1_ _ -, _ Lp~~ n -----4it'-... _. ~ lY2 STORV GSL:.FtO Ki i. ~ j. _~_~.. __ U 71v3Q > , ~ - -~' T I I\ ~ ~ Oy] + n -~ ~ ~ ~4 - > -M x _, i ,zb _ ,- > y ~. Ir 133 t~: r ~~ ~~ ''~ ~ l;J ~„ ~~/ t, 3~~-_ _ r u:~~, __ J ~, _` `;~ ;r ry +~. A __ ~a ~~; :. i2i~Al ~.r3- bo' .:~~ '~ ~-~ m .. c-. -rr.. .....:- i .vr.o- 9. .. _ n ~~4:, Al 1`H NS. Nd ,~ ~., i~`~ l~ T!1£,1AfAT£R Sifl~if.-Y Ai~l~Mf~Ui~ DtSiQSAR: BYSTE'MS Fq~ Ti11$ R~$IDETfCE NM;~.6 C0IVPOI~tM fits T'IiE S'TA1~A1fi}S 4F THE Sti~FCtLK CiJ. D1CPT. QF HEALTId~ SERYIfES. FBl 1C'AHT atfP'PQt,K CY3~3JNTY DEPT. f~f' 6#AI.Tfi $ER V3C.ES - FE>R APP'ROVA~ OF ~F3NSTRUCTk)161 C3tiJ..V L~fA'~f +V1CD: SLfPP-flkK CW. TAX MAP D6SIE'iTNTWIV: D{~~;9}~T/.~ ~~T. akc~crc pct. 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