HomeMy WebLinkAbout17116-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 217165 Date AUGUST 5, 1988
THIS CERTIFIES that the building ROOF
Location of Property 1180 HORTON`S LANE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 63 Block 1 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J[fNE 8, 1988 pursuant to which
Building Permit No. 171162 dated NNE 16, 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 NEW ROOF ON AN EXISTING ONE FAMILY DWELLING.
The certificate is issued to MRS. NORMA GREGORY
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
Building In ector
Rev. 1/81
POBM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N o 017116 Z Date ................~rn..~..1...~v................., 19 1'
Permission is hereby granted~to:~
to ..C:~1~n...tS~.S;~.......A1.Nn?.....!?.`.!?....G~.,.M....~Rr~~`~""""' '..IJ~R..~
at premises located at ....t.{..~.A........T~I::~.'.4..~~~~....^~G!-'.1R`.'~:!!~:'
County Tax Map No. 1000 Section .....Q.(o..3....... Block .......4.1....,.... Lot No......a..~
pursuant to application doted ......~.~l.Sit~A...~ 19.1.8..., and approved by the
Building,-I,\n sp ecto r.
Fee
. ~ .~tl?r.
. . .
Bu ding Inspector
~"b~n ~Wiir, W ii1n av~ 7' 1 ~ 8 f~ ,
3so?y-
~~2~,b fi 3'i87 s1 w.o~. ~,.~AI),~.r~~ vn 7 f i f 4Q'
Rev. 6/30/80
I
FORM NO. 6 AUG - $ ~Q$$
TOWN OF SOUTHOLD
Building Department
Town Hall Bt.DG. DEPT.
Southold, N.Y. 11971 TOWN OF SOUTHOLD
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec-
torwith the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property Tines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage, disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling, $25.00, Accessory~$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00
4. Vacant Land C.O. $ 20.00 f~
5.Updated C.0. $ 50.00 Date Y:.~?s'..........
NewConstruction,,,,,,OldorPre-existing Building Vacant Land
Location of Property .I(gd /~/GnaaNS cgdp , , , , , , sor?l~oGO
NouseNo. ,,yy~~ w~ Street Hamlet
Owner or Owners of Property 1."`!ZS:..../.kn!'^'A , . , ,
,~y,/'e~o~,y
County Tax Map No. 1000 Section ......~?J..... Block Lot .
Subdivision .......................Filed Map No.
8 .....Lot No . .
Permit No. ~;7/~Gr 2. Date of Permit ~v~~.. l6 .Applicant ...~d~/. !h~: , ~~uja'~ •
Health Dept. Approval ..............Labor De t. A i
P PProval
Underwriters Approval :...............Planning Board Approval
Request for Temporary Certificate .....................Final Certificate .
Fee Submitted $
Construction on above described building and per meets all applicable codes and regulations.
ApPlicant.....f........ ~
Rev. tOdOJB
3 s"~/5'
co U l~l6s-
' TEL. 7G5-) 802
S~FFa~o
~o oG Town or sou~oz,n
y^`c OFFiCE OF BiJ1LDING INSPECTOR
i, P.O. IIOX 728
y~ TOWN HALL
~oy~o~ ~ ~~Ot' SOUTFIOLD; a~ l /~9~/
' I
~~~~9X~^~
~~u.-wi,~,_~, 6~+ V ~ I I S
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons. r
- /
An application for Certificate of Occupancy
is not on file.
% / No Underwriters Certificate on file.
/III/ The check is(outdated/not oie.)~,25.ov
% / ENO Realth Dept. Approval on file.
No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit it 1 ~ ~ ( k, 2
Building Dept.
***/u/ No Plumber Solder Certificate on file.
( all permits involving plumbing being .
issued aftor April 1,1984 )
i
s r~ sie=~AMS~'.., n 1, , : ,?x ~ 3 i _ a-. k:'„ 4 .r
9
a W. 98.13
3 G` ~ A
Q ,
9 „ c~ o
~ 1 ~
4 e (~0~~~
1 ~
i~ , ~ N
-3`~.-~-----' p ' ~
7
• . .
.....4
Y.
I w ~ ~ 30_ ku-
1
_j ~
a L' C? N~ ~ i~ n o ~ I~ F
,A
Z n1 ~ ~ ~ ~ 1 r.~iJ
~ ¢ 111 ~ n,, }
~ 1
I " . ~
~ _ rT ,,,,,p
, 1- 3 I S 12°UEi'C)S]"F, 97.7-x
1 ~ 13 ~ w rd
o 'C ~'N n I Wi+ko..ki ~s+.
ti c * iI I
fi ~ ~ D ~ A
A 3
1~a ~c~n°.~ _ `
1 ~ ~ ~ is
C le ti
~
i ~t,
' ~ ,
~ ~ . x
d
s ~ ~ i
U
f .
.
~s~L~, I;:S:`LG:'_i1;J ~~Unir. ~ GGMMENT.°.
__1; ~
ra
1.
HVJ
_ H l7"
FOUtJDATION (1st)
FOUNDATIOIJ (2nd) _
J l
2. o
ROUGH FRAME & ' o
PLUMBING
y
ra
3. ~ rr!llF~~"'
ca
H
IIJSULATIOPf PER N. Y.
STATE ENERGY
CODE
x
a
T
r
~ i ~
4. H
c
r _
FIIJAL
p q
ADDITIOP7AL COMMENTS: x `
' ~ T
' x
w
H
~ ~
y ~
H
O pG
z
s
1
T
IT1
r~
H
d
[*1
ro
H
1`111 ~
ass-isoz
GUILDING DEPT.
INSPECTION
[ j FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [~NAL
REMARKS: ~ C ~ D=
.~W
DATE ~S~~INSiPECTOR V(.~1~tc. (,UUZ~~
_ 705-1802
BUILDING DEPT.
~~NSPECTION
[ ]FOUNDATION iST ( ] ROUGH PLBG.
[ ] OUNDATION 2ND [ ] fNSULATION
[ FRAMING [ ]FINAL
REMARKS: ~~~r~-
i
p~
f
~
DATE ~ " " INSPECTOR
,1
2
v
(V r+
R v ,3+y pu + q
,
+
~
~X \ ~ S y
az'------1 ~r .
~ i
~ ~ ~ I
~t-~,...
U i-- P r t iJ r
t
-v ~S ~w
J L~ C < U ' S ~ "U 1 (<1 X~
0 4. i •h f k
t '
H I
~ ~ ~ I ~ ' r k 1
Z' ~J ~ `r ~ t ~ ~.~tJ
;.C, ~ Q- ~ ~ly,
u
~ f
. 11
~ V~~1 =
-.::;5,+:;.,p,...:..mac--.-::s,:..~.~-w~..<-.-`_. 1 - -
~~~.y._Tr..t J
~ c ~ ~ I i
t * n ~ .S < j
i z 3 r{ fo a.
i ~ 4. 1 4 .L
1 E G ~ ~ ~ is v
r-~~c" j c e ~ H~ 0 4,
~ .2~~ rk
~ ~ r ~d~ ~
i^ p -o i
f ~ ~
U
.~....,,.._...M __.----~-----i
i
i
ROBERT A. BURN -`"°'a"'~````a
HOME IMPROVEMENTS ~~`u"'~ /~qs~
"HAVE THE JOB DONE BY A BORN BUILDER"
• REMODELING ADDITIONS
• ALTERATIONS .ROOFING
• RE-ROOFING • SIDING
• REPAIRS • DECKS
CONSUMER AFFAIRS LIC. N9025Hi FREE ESTIMATES & INSPECTION
734.5916 PROPOSAL AND CONTRACT
e~y~a) TQ:...tics:..~:~:e~.axy....::...:.~.-::7..65=:5.4.~:8
~_~Q...IiV.1~.:rrAS)...A.Y.e Date.S.../ 1:0%...£3.~.... 19........
,~.o.u t h o.:l.d....Gl Al X
. .ub a e c.:t.: k to o ~ i t~;..
Propo,ed The undersigned contractor proposes to furnish all materials and perform all labor necessary to complete the fol-
Work lowing:
...,......~..,.Him.ova.]....of.._exi.sta.xtg...safe.i.t...s~.Y.exktang...a~.au~ad...p.eri.m.et~r...s7.~....baclS.---.......
................n.4 r.4.h...k?leas.s:....note...tha---a~aa...:t.a....be...e~ v.e~.ad...a.a...th.e...k~.t.c.b.e.n...~,xld..............
bat,h--arid... baC.kt... ro.0.m...(..C.a.:~.s_.r~.om.)....4/~.CQ7?I.k~....-.T..7~a..a...-..,~.Ak/.e._-~O.e,.~!1`.-.----•--'
.......z...lns.tal...~...new..:pa,tched.._ra.o~...anp-~'.ux....6/..~.~... ov..ax....t.l~.~....~?<.e~,...tipl~ra~c......:
Z 5..'.....l.o
ng... ~?y....~.2..'.....w~.de............................-.....---........................................................---.....---------------...........
........3.,.~r?. c.~....~,xl.a l?~d..e.s.;...11Rp.x:9.7i;.. m...U ve.~ktanl; (.s.a.>;~z t a--..t.1)a..s... w~.~.~....be....a czv ex:ed
w ii. h...u.~..ny.1...ar>,d.._a,km...v ta...~a.s.a~.a.....................................................................------.....................:........
............................................................k?o~i:i..t~;...mats.>;.i.als..svi.l.l....ba...2.!!.bY....6 °...xaft.e.~s....1.6.'.'.~.?.,.G..
...........k??dg~---wa.]~.l...ba...~.'.'.tty--..E}.!!...kldes~>za,t.e....venta.J..eta.vn...G.a.bl.~...ela~.s....wa.~.~....x:s.c.i.e.v e
• ............vj,ny.?....sa.~zxtL;...wh.t...doubt.e....4.!!...>yith....bayke,>:.,...~FtN.t~...lsly_att..:..L3.S.lb..ASf6nl:F..~+~~fks.
..........................................................1:~.kl...R.a.xmi.:~~..:v>!iJ..1---1~e...re:a.i..e.v. esk...by..._G.otatxa.c.t.a~.......----.........
........4...J3z.ck._t o....be._ac.a.anted,.t.Y>.e.a...dxaWings...and...p.exrna.t s....w.i.1.k...h~...re.ai.ev. mod...........
~sTAll ser4~l/~ss t~f/ers 7- /.R,q.Q,ris,
Price All of the ~bora ~~^*k to be completed in a substantial and workmanlike manner according to v^ndard practices
for the sum of .......................Dollars
Paymene, Payments to be made
iiA "'E.'.........
.......2nd...p.aY.ment...o.~
P Y.... -ue..s.av..exi...days....before....waxk....t~a~ins..
~ .due....w.hen.. p.l,}? WOQd...1,r1S.ta.l.led...aSas the work progresses
to the value of k'..QY't.y per cent 1....4.0....... i~) of all work completed. The entire amount of
contract to be paid within ........................'J......days after completion.
Change,, Any change from the above specifications involving extra cos[ of material or labor will only be executed upon
Extra written orders for them. Thcrc will be extra charges for changes.
Charge, All Agl'Celnl•IItS about changes must be made in writing.
5.A11 workmanship guaranteed for ~~~X-~
one (1) year upon cotnpletion date.
Price includes; 5 year uarantee O ontractor
workmanshi on roofin shin les ~y....................................................................................
n 5 year guaranties on workmanship for installation of siding and
Fascia. y++~,~ 20 years on roofing/Life time on siding & ~sacc
TO THE CONTRACTOR: laSC1d.. WRrG2q~~J `f
Aceeptante You urc hereby authorized to furnish all materials and labor required to complete thr work mrntioned in the above
proposal, for which I (We) agree to pay the amount mentioned in tltc proposal according to itsf
terms.
ACCEPTED 8Y BUYER(.) on......._...._ 19........ ~ ~ Bu er
ltr;cE sv6~tc-C -}a clw^~c)e la•~te~ lOcd.a~s {
"o^~ Abd JC OA'fe_ . Buyer
~ tjd'^"-*er gr6w.yt"yh'Yw +o m,.
~ ;
~ ~ 9h
~~1~~,awr ~
.~..r
r t z,7 s i9 t' ~f, ,ri i
~~`<`e... ~k ~ s ~ i yr x , ~ r , qs
' i $ xx`.. ~ p €4E ~ Y r r
§ ! ~ r~
2g~ s ~ p
~ ~ $~i{{~.gt~~Y~`?,iG`y's Y~'~ ~S(4 fF tsXf., ~
d ~ ~ 1 ; ~ Y~ 7
i~ ~nr a , t+r a a a ~ m s
y r~~
i r 1 ~ '
r.
, y .
t3. f .
$ Y ,
Cornice Construelion gg `
i.:;
of the sary, but it provides a straight and level used as aiding, the frieze can be nailed d'
or it nailing base for the finish fascia. If a rough rectly to the siding. ~ t ' '
;r
to slot- fascia is used it should be secured to each Moldings are thin strips of trim at are I~ sv < <
n elim- rafter tail with two 1 ails. used to cover the intersectio two sur- + '
:utting A 2 x 4 ledger is naile irectly over the faces. They are also used enhance and ~ ~ ~
be ex- wall frame, serving as a nai ' g base for the complement a parti ar architectural e ` '
tore, a lookouts. On a hip roof the 2 x 4 ledger style. There are t basic types of mold- ~ '
decay runs the perimeter of the build g, but on a ings that are u in cornice construction:
dwood gable roof the ledger extends past the cove, crown ed, and quarter-round. (See 'r~~ i
building at a distance equal to he roof Figure b J Cove molding has a concave ~u,,,~:~
>e un- overhang. profi and is probably the most widely ~ -
s help Lookouts are usually constructe of d of the three. Crowns/beds are used to i' `
re are 2 x 4s and are used to support the so t. cover large angles and are considered to be ~
s, .but Lookouts are placed perpendicular to more decorative than cove or quarter- ~j~~~~ a~}
anized wall frame, and extend to the ro or round. The basic difference between crown r, ~
athing finish fascia. To provide adequ support d bed molding is that crown molding is « s4
t over for the soffit, the lookoutg are usually al ys sprung, while bed molding may be ,~j~ of e,
free of placed on 16- to 48-inch r ters. sprn or plain. The backside of a sprung 3 ~ •
or the Deadwood serves n structural purpose piece o olding is beveled to allow fora ~ t~ ~c`y
,r
's usu- other than serving a nailing base for the close fit, aster-round is less decorative r„~ ~ , ,
x 2 is frieze and mol ' g. Deadwood is usually than most ding, but is often used to ?,r`~`£ x
a with constructed P 2 x 4s and is only needed cover the inte tion of the frieze and p~~
ninum for brick veneer buildings. If plywood is soffit. i a ;a u
5
~ N
Btimes FIGURE 5-2. Close cornice with a horizontal sotOt
d
rafter ~ ~ i~z" cPX ~ ~ ~ i`~~~~
neces- ~ ~ a~ ~ s Ib ~e It v rt 5'. ,
1~ O.C vi% g~ r
235Ib NoFsI.,N~il¢s
f/ l~1 1
Ja~/ ~.c ~i
I"
- 5
~xt sl'IN ~ , 4
5
4 i Pp.
fq
9Nle/gLE aTR7P r ~,~r~+,
FA4CIA - ' h i
RouG~+ FASe/.f I S
SOFF/T ~ ~s r~
4~ +
r e - f i a ~
a 1 ~~XISI PN~ IN (~'RO2- i t z
~IvM Tfl5~tq \ t a"~~
,
1I 1} ~ art,
If t.N~l SV~` ` wx ~
VVV } ~
Gxls7~~~ ,~~11 ~
i i
i ~
- `,~a~;~~~y~
e.
s
red'." r 3 . r i°aff~`b ~ ~ '
.r;v r s~*6'i ~~~t k'pd
e ,,gg
'P i'~' 9 i n 8 r~}z~'
1 ~'rx
s
PJ ~§~S } f ~ ~ 3 ~ d
Y
~ ~ ~ _ ~ t 4 ~ f
' h X ay~? 4~ d
~ ~
EC?::.
ii,~
5t
,.i
tl
Framing 81 $ + ` '
ng
,t
n~
joist. Two additional rafters are then the length of the overhang, d a ladder is
laced and secured on th other side of the constructed to su ~ ~ ~ '
p pport a overhang.(See j~,~. =:f
ridge, opposite the previou ly placed raft- Figure 4-36J The dder should extend ,
ers. Additional rafters cant n be placed, from one comm rafter to a barge rafter %;,',,rf
and the plumb cut nailed to th ridge and placed on the ds of the lookouts. A barge ,+j, r.
the lower portion nailed to the plate rafter is art of the roof frame that is `
and joist. suppo d by lookouts, ridge, and rough , ~
_ When a hip or valley rafter is place it fas ' . To support the ladder, the gable end ~ £
should also be nailed to the ridge and th framed in with gable end studs. ~
cap plate. Before the jack rafters are ' '
,,,y placed, a string should be placed down ~ e gra hg the Roof ~
center of the hip or valley rafter. The ring ~ }
serves as a guide to help straighte he hip To prop brace a roof, 2 x 4 purlins ~ ~ t ~
or valley rafter. The jacks are t en placed, should be net perpendicular to the raft- d , ~
with the beveled plumb cut ailed to the ers, in most cases inches below the ridge , ; „
hip or valley rafter and the lower end line. Perlin studs ar ut and placed on j: f { "
;he nailed to the ceilin .
are g joi and cap plate. every other rafter. Thep 'n stud should , ~ ~
als If the roof has a ga e, the ridge is some- be nailed to a rafter and to the ap plate. In ~
tal times allowed toe end past the building order to support the purlin and decrease ~`~i ~
F:
be- '
hs- FIGURE 4-36. Rool /raming br a gable end tp
9 ~ tE ~
o F
;th rL'1C ~ y 1
rm- pi sop ~ ~ to
i•
calf ~ iyX~ ~
gym- f r ;
ton "
~
the H4F7EN I; ~ = c.. .
7
ay ~ e
+
,~~r,,~ s
~ ~ i ~ r
\ ~ ~
~ ~ s~
~q~l ~ o~~Ln ~
aft- V u I2
the ~ ~ ~ ~
the A~~ ~ ~ °
ach ~ / ' ~ k
['he ~ "~~t`Ki S" eft All ~ ~ , i = ,~i
late `VV/" -~",~-<<1J ~ ~'fi+~ 'I ~ r
c
ling ~V~tre~ w~ / E ~
J i-
~ ~
J~b ~21~ I ~~3 ro '
~erfi~cal D~,i s~o(ti`~ vinyl - u~k i ,p
;~:^.a, ~yy~,,y,r .
~ Y's~j
4!
{
A2'" ~
a i
~ 3i`~ g4 ~ ~ .
{~{9 Y9 ~"~~tf ~ ~k
1~ ~ iV P
1
Y y V
kt s~~ f9l ~ ~ ~ ij t ~ {1 - tY
I @ E 't P ~ 4
t h} f k f }
. ~,v,ena ',oter~x+,t ..rv+.... 4 A x
~ r
I ~ ~ gp{az~it t ; '
F4 I S,
I~~~ t .
tt~
t I t
~f H7^aming 77 ~ ~ ' 7
~ c ~
t ~~i 7
sr4~
i r, a~
GOMMON ~ 1, * 1 r
RiIFTER r..' x...,~; ,
~u ,
i•} >
R/DyE Ilse ~ ~F''g,
1 ~ '7 1
1 ~ , j9 .
VALLEY HIP i ~ ll
L
JAGK RAFYER ~'r s
1 ~
a ~ ~=ii
R/o E t `
y I~~~~ x ~z
,
i c;;~;,;,,,;r,.~',..
ss
FIGURE 4-27. Common, iaok, valley end hlp ratters ~ h
113 a 1X
from a valley to a ridge, and the cripple est part of two intersecting roofs and ex- i; s ti~~ `
jack extends from valley rafter to hip tends from an inside corner to a ridge. ~ky} ~ t.;-~
rafter. The purlin, purlin studs, and wind ~
A common rafter is placed at a right an- beams are used to brace the roof frame, as ~ ~~~k
gle to the exterior wall frame and extends shown in Figure 4-28. A purlin is a hori- ~ ~ ~le '
from the ca late to the rid a as shown in zontal 2 x 4 laced ~ ~
p p g, p perpendicular to the t
~ " ~3i 1
Figure 4-27. The hip is placed at a 45-de- rafters, and extends from aload-bearing ~ 1~~ , ~
gree angle to the exterior wall frame and wall to a rafter. The wind beam ties two 4 ~a x y;~Y'T
extends from a corner of the wall frame to rafters together and is placed parallel to k.. , '
the end of the ridge. The valley is the low- the ceiling frame. ~ '
s fl~
x-
FIGURE 4-28. Roof-braoing detail ~ ~ ~ ~ ~ ~
. / 2>f~ ~W~ et , 4
~ i~ ~l ~ I~ a~ a t y
,
/ p p, k`
1`U i h
WIIJD BfiAM i2 i~` ~ mp t ,
- tL I s, , t=`
~I t4
f y r`
xc
_ _
~ ~ a : z~
E s t; x k
~ ~ ~ IY a' t
iP CxtY(r^? k
~`X, sTI rrn
~r
t e
Tl~gy n t1 ;
`'~?A Fl I ~4~
~ Qt. J~
jk"/
~ 'If
®~'~~~OLfe°C~-
~Q ~ ~ i5
n' ~u..~, Town Hall, 53095 Main Road
; . P.O. Box 1179
~r, °~°e`e'~~y~ Southold, New York 1197]
JUDITH T. TERRY y~ TELEPxoNE
'COWN CLERK (516) 7b5-1801
REGISTRAR OI' VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 30, 1988 ~ L~~ (J l~J
,1UN 3 01988
~~~r~. rJE~~r.
Robert A. Born TO1NN Uk 9ouTw~tp
Home Improvements
Indian Neck Lane
Peconic, New York 11958
Dear Mr. 13orn:
As you are aware from your telephone conversation yesterday with Mrs.
Neville of my office, your check no. 276 in the amount of $50.00 has been
returned unpaid from the bank. In a telephone conversation at 4:00 P.M.
yesterday you stated that you would be in before 5:00 P.M. which you
failed to do.
Three attempts to reach you by telephone have been made today.
Messages were left on your aDswering machine at 1:00 P.M. and 3:00 P.M.
to no avail. This letter is being mailed after 5:00 P.M. on this date which
gave you an ample opportunity to come into this office.
PLEASE TAKE NOTICE that your building permit no. 17116 Z issued
for a new roof on property of Mrs. Norma Gregory, 1180 Horton's Lane,
Southold, N. Y. is hereby revoked.
Very truly yours,
Judith T. TerrLn~
Southold Town Clerk
D f~ BOARD OF HEALTH
z= 3 SETS OF PLANS
~ FORMN0.1 SURVEY G: K.•........
I ~ ~ $ ~ TOWN OF SOUTHOLD CHECK 7~ .
~tt BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
~ SOUTHOLD,N.Y.11tJ71 NOTIFY c~
TEL.: 765-1802 CALL ...7'3 J..: S .y~(. ~~:'°Q°''i
MAIL T0:
Examined <<R 19$~. ~ .
approved . 19~~. Permit No..~ ~7.~/. ~0. ,(~6y ~
Disapproved a/c
r
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date 15 .
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
~f~ , (Signature of applicant, or name, if a corporation)
~~xj d• +
< r~~a.: ~ Z.ndiap..Neck..Lane. ~:econic.11g58..........
• 'r°`~x' p;,, " ~a•'~.,*., (Mailing address of applicant) •
State whether applicant is owner, les e°e';~°age~iit;r;parc6tect, engineer, general contractor, electrician, plumber or builder.
.....$u~~:d~r
Name of owner of premises Mrs.Norlna ,(~~~g,oxy • , , , . , . , . • .
(as on the tax roll or latest deeerp ~ x ~
If applicant is a corporation, signature of duly authorized officer. ~ ~p B•p n~I
FEE: BY: y a..~ .
NOTIFY BUILDING DEPARTMENT AT
(Name and title of corporate officer) 785.1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
Builder's License No. ~ 3.88. HI i. FOUNDAT~N TWO REQUIRED
FOR POURED CONCRETE
Plumber's License No. ~ 2. ROUGH • FRAMING & PLUMBING
3. INSULATION
Electrician's License No. 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FORGO.
Other Trade's License No . ALL CONSTRUCTION SHALL MEET `
~~~Q THE REQUIREMENTS OF THE N.Y,
1. Location of land on which proposed work will be done. .llortons. tiane STATE ~~a ~CTION & ENERGY
CbI)E~ NOT RETSPON$IBLf=' •fOR• • • "
DESIGN OR CONSTRUCTION ERRORS
House Number Street Hamlet
County Tax Map No. 1000 Section ....06.3........... Block J Lot ~ .
Subdivision Filed Map No. Lot...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy k~.eSd... . .
b. Intended use and occupancy •~~P-•u'•~•••••••••••••••
'
3. Nature of work (check which applicable): New BuIlding , Addition Alteration .
epair Removal , Demolition , Other Work .(zabls..roof.. .
(Description)
4. Estimated Cost .................~i5 s 51J0.00........... Fee , .
(tgo be paid on tiling this application)
5. If dwelling, number of dwelling units Number of dwellin ,units on each floor , , , , , , , , , , , , , ,
If garage, number of cars .
6. If business, commercial or mixed occupancy, specify nature and extent of eacHltype of use ,
Rear
Height y• Depth
imensions of 25 tin stru Number of Stories t ....2~~ , , ; , ; , • , • • • •
Dimensions of same structure with alterations or additions: Front , same..;,:I...... , . , ,Beat{•):.. same. i': , , , , , , ,
Depth ........same , .Height .same N~rnbe~ of.Stories . • ~ ~
8. Dimensions of entire new construction: Front , Rear . ~"v~., . 1.; t'.' Dept}i~
Height Number of Sttsries . , • ~ . I' .
9. Size of lot: Front ~3. Rear ...97,' , a,;,•~s •bep$h'..l Y30`'`'• .
10. Date of Purchase . ~ :i.; s' r .
• • Name of Former Owhe'r
11. Zone or use district in which pretriises are situated l~,asd • d s`~f ''y4 • •
12. Does proposed construction viafate any zoning law, ordinance or regulattol~ ~ :I~' Iv" ~ ,~;iz • • •
13. Wlll lot be regraded , , , ~ ~~33 ~ _fi'k~ 4'L~1 Lt,„fl =.s .z .
• n.a • • • • • • , . ,Will excess fill be7re>ztt~/tj, rona„premtses: _ ka~{es;t.` No
14. Name of Owner of premisasN.clxma..(zx'e~ftxy, , , Address HUxtgriS., j+n~i~q;d;j;'ll"~~l~e •No~7.(~5-5A•~f3 ,
Name of Architect r.. , ..Address . , . ,R ,tpLope Noc .r: i}g, 6t'ilc• ,
Name of Contractor .h4b~rt, }sprn Indian t"`"for`
.Address . ~a~(a~+~',tS;z,tv.`?E;hone"No: ~:Z~~.~-;'S`.~.~11~.
"ir
.Is this prop~fty located within 100 feet of a ticL~y` e°E`1"a'n$•? *YES..:.NO....
*If yes, Southold Town Trustees Permit may be req~d,,.:.„,...,,,..._.....,.r
. PLOT DIAGRAM qq~~ RR ~{g"' ~ ~.m,...,...,,.=.M.
Locate cleazly and distinctly all buildings, whether existing or proposed, andl, in~c~fb~al~'seE~ta~ck~ d"unenslons from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
q~ G~O~ i ~see.ct'n•A<~e0 ~~aNS
uSE ~ R~"Ii'E~
~a ~
gvaA` p•S`f~3~-'
~,.rN U'P~`~ ~roPosen work. r - - "
1`~0a~ ~C~ C
' f~voF (ZA'F•5ER'S LA~oSt'
a
. ~ ov EryN _ , .
N - ~ - .a_ -~h' ..~..n_._. _
_~L
fl .
~ .r_-._r.~...__._..-...
3Y ~
_ M
T
P i., ~ _
N
N
L~ ~ unntN HuusR
JJ 1"fo~ I~owrl.n,+g iii
VJ
_ .
-
. q3_~_.
,STATE OF NEW YORK, S.S
COUNTY OF ~
' • ' • • • ' ' ' ' ' • • • • • • • • • • • bein dui sworn de poses and says that he is the applicant
(Name of individual signing contract) - g y ~ p'
above named.
He is the ~sr; ti!~E2
(Contractor, agent, corporate officer, etc. • ~ • • • • • •
of said owner or owners, and is duly authorized to perform or have performed the Said work and to make and file tltis
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
..........6..~~i/J.' .......dayof.. .19:U1G-
Notary Public, ,~,C-,(//•~: • • , , , , County '
~MK~I '
NdfARY PUBLIC, State of New Yak
Na4707878,SutfolkCountY~ (Signature of applicant)
~~ln fxgltes Match 30,19.._,r~~