HomeMy WebLinkAbout1814-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
Certificate Of Occupancy
No..Z. 1. 4..5.1.5. ......... Date ..... J..t3.n.e' .1.6. .................... 19.8..6
THIS CERTIFIES that the building ...Qr$~. ,f.a, rM_~ky..qtW~,l.],$~g .......................
Location of Property ....... ~..0.4.5..R..u.c.h..L..a.n.e. ................ .S. qu..t.h.o.l.d. .............
House No. Street Hamlet
County Tax Map No. 1000 Sechon . ...5.2 ....... Block .... .0.3 ......... Lot .... .1.0 ...........
Subdivision ............................... Filed Map :No ......... Lot :No ..............
conforms substantially to the Applicahon for Building Permit heretofore filed in this office dated
....~.~l.y..2. .......... ,19.6.2. pursuant to which Building Permit No....1.8.1.4. g. ............
dated ... J.u,]j/. 2.0. ................ 19 .6.2[, was issued, and conforms to all of the requirements
of the apphcable provisaons of the law. The occupancy for which this certificate is issued is .........
....One. f~mil~/..clwe~.li~q..~qql. ~.c. ce~.Qry. ~h~ql. in .r. ~.r..y.ar.d.: ..............
The certificate is issued to ..... OJ~est~ .g...Chris.toDhD.c}e$ .........................
of the aforesatd building.
Suffolk County Department of Health Approval ..... N/]~ .................................
UNDERWRITERS CERTIFICATE NO ............. Nf~ .................................
C.O. ~Z1979 10/10/64
Building Inspector
Rev. 1/81
FORD'/ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No..~...'t'~c)' ........... Date ........................... O~o~er ..... tO.-, 19(~J+...
THIS CERTIFIES that the building located at .~v/~..~,h,...Ce%Sr.,......Rd. ....................... Street
Map No .~ .............. Block No .......~ ........ Lot No .......:EX'""~%t~'ho'td'j'"~'~f'~ ..................
conforms substantially to the Apphcation for Building Permit heretofore filed in th~s office dated
..................................... ~TTt.:[~' ......... ~ ...... , 19,6~.. pursuant to which Building Permit No...I~:l~...~
dated ................................... x~t~l'~-"..L;~)', 19..6~, was ~ssued, and conforms to (~ a~the requirements
of the applicable provisions of~ll~:~v. The occupancy for which this cerhficate is issued is ........
.... ~t'iva~be'' 'o~e' 'Tamt~[y" ~ ~J:r~1~ ...........................................................................................
The certificate is ~ssued to ..... '~s~tol~"V~rtl'~r~e '~T'""; ............ ;'~z'te~: ........ ..~ ..............................
Lowner, lessee or terlo~t)
of the aforesaid building.
NO H.g. Approval
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, Iq. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETIOlq OF THE WORK AUTHORIZED)
N? 1814' Z
Permission is hereby granted to:
to ..... ttai'~-l:d - -ne~..,nne..£aut1:l~ · · d'~e-.'l-Tt~aS- ................................................................
T
at premmes located at
, --I've't;· !~aeii- 8,'~- ~or't;h 'l'toad' '(CZ~:7'a') ......................................
..... {Arahaao~clue" Oo'~ony' ttd') ....... 8~,u'L,hotd i,"' ~; ¥ ;, ..................................................
pursuanf to application dated ................................. ~}~.....~ ......... 19.6~" and approved by the
Building, Inspector
Fee $'"'~'O~OO ........
.... '~' '~ Bultdlng Inspector 7
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor 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 feature[
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, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings {prior to April 1957), Nonconforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty 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:
1, Certificate of occupancy $5.00 /
2, Certificate of occupancy on pre-existing dwelling/ land use --Pre-Exzst±ng C. O, $15 · O0
3. Cop¥ of certificate of occupancy $1.00 Vacant land C.O. $ 5.00
Date ..........
New Building ............. Old or Pre-ex[sting Building ...~. ....... Vac~ .....
location of ProperW ............ ,/°~...d~. .........................
House No. Hamlet
Owner or Owners of Property ..... ~~..4~.~~..: ....................
County Tax Map No. 1000 Section ~ ~ Block ~ ... Lot
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ~ . J~~-~...~..' .~.~~--~ '/2 ....
Health Dept. Approval ......... . ............... Labor Dept. Approval ........................
Underwriters Approval ........................ Plannin~pproval ......................
Request for Tempora~ Certificate ,Fina3 ~rti ~c~ate ,~,, .~,,x~/~.~f .
...... ....
Fee Submitted $../.;,. ,p~w~.~, ..x~ ........... /,..
Construction on above described budding an[;[-per~mit meets all applicaJ~4e codes and regulations,
Applicant ~~ ....................~
Rev. 10-10-78
-N
FOR~ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
q . 0. SOUTHOLD, N. Y.
Examined....... ........ . ..........
(i~Uilding Inspector)
APPLICATION FOR BUILDING PERMIT
Date ............................ ~.~......'~.. ............... 19l~..2,~'... ......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving o detailed description of layout of property must be drown on the diagram which is port of this application.
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 issue o Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in port for any purpose whatever until o Certificate of Occupancy
shall hove been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Deportment 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, ordinange,4 and regulations.
State whether applicant is owner, Jessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..... ..~.~.g..O...~........~.~......~....L/..JJ~'~--....3.....~.~..~...:~" ......................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: ...~...~. Lot No: ....................
Street and Number ...~.~~.~..~..~....~ ............................................................
~Aunicipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
o. Existing use and occupancy ..~/.~.~..~....~....~.~./. .............................................
b. Intended use and occupancy .~(~....~.~ ~
//
10.
11.
12.
13.
,..."'
Nature of work check which applicable): New Building ..................Addition .................. Alteration ..................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................
Estimated Cost ..(~...4~......~ ........................................... ~ Fee ..........................................................................................
(to be paid on filing this application)
tf dwelling, number of dwelling units ..~ ................. Number af dwelling units on each floor ............................
If garage, number of cars ....~.~....i .................................................................................. '. ...................................
If business, commercial or mixed occupancy, specify nature <:nd extent of each type of use
Dimensions of existing structures, if any: Front .......................... Rear .......................... , De~fh ..............................
Height .../..~....~ ................. Number of Stories ............................................................................................. : ...............
Dimensions of same structure with alterations or additions: Front ................................ Rear ................................
Depth ............................ Height ................................ Number of Stories ........................................
Dimensions of entire new construction: Front ....... .~....Z<...~ .............. Rear ....G~'......~zC....~J .......... Depth .~.~..I. ..................
Height .../.~...f. .................. Number of Stories...~ ...................
Size of lot: Front ....~'....~..,..':' ................. Rear ......'~...~....:__' ........... Depth ._../....~..~...: ....... /. ...............
Dote of Purchase ....:'././...~../..~.....?~.. .............................. Nome.,,1, z~ - ~ ~ '~°? Former Owne~~...../.~ ..............
Zone or use district in which premises are situated ........... '~.."~...~ ...........................................
/
Does proposed construction violate any zoning law, ordinance or regulation? .. ~/~'...~. ..............................................
Name of Owner of premises .~.'...~..~...~.....~...~...,/~........~......Address .~..,..}..7.~ ............................ Phone No.~'.R...~..?..~.~..~
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor .'~.:"~...~....~......~..~...'~.........~-. .............. Address ............................................ Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block numbers or description .according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, )
COUNTY OF~..~...~...~.2.~.~. ........ ) S.S.
...... .f/.~...~.......~...~..~.........U~...~. ................................... being duly sworn, deposes and says that he is the applicant
.... (Nome of individual· signing application)
above named. He is the ............. .~...../~...~.~. ..........................................................................................................................
~ (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
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.
Swam to before me this
'~ ¢l v l- 9('?,,'''
.~Z. -- d f ........ 1 . ~. ~ ...... .... ~ .................................
.......................
Notary Public ...... ~,~.... (Sign~e of
L.R GARUNGHOU$'ECO. INC
LICI:'N~D IBI~431r~IOI~ML I'NGINIrER
~,I.~T£ OF NEW JERSEY
r
t!
12" FLU E LINER
CONC.
12.
LOUVER
5ADDLE
'VERTICAL SIDING
SIDING
lO*DROP SIDING (~)
FLOOR LINE
iL1~11¢~ 16~"X B~'$q R ggN F-D ' VEN ~' S ~[~
12-
2"X~ JOISTS [ B"O.C'.
2#X lO'JOISTS '16"O.C
RIGHT EIFVATION
BR[C K
SADDLE
LOUVER
O~----'/~ ~ VER'T ICAL SIDING
I//4'= I~-0'
12,3,
6
2 t"X6#JO LST5 16"O.C.
FL, LINE
8" BEVEL SIDING
10' DROP SIDING
CONC,
LEFT ELEVATION IA"--
BEVEL
SIDING I
16"0.C..
RICK .
W(JOD SHINGLES
.,./
B~' BEVEL SIDING
LINE
tO"DROP .~IDING
I).5.
WOO D
SHI NGLES
REAR ELEVATION V4"': V-O'
_ ~ WOOD SHIN~:-LES ~ .'
SIDING
,
D'DROP
ELEVATION
I/4'= I/'0//
error, Th~
'~' T 0 P E K ^
1P'LANii NO;,b r
L.F. GARLINGHOUSE ,CO. INC
LICENSEO PROF'E~.ql0NAL ENGINEER
STATE ,0~/., NEW JERSEY
42J--0~
~ I&~Xt$~ SCREENED VENTS
_2,~XIO- JOIST ..%
16" OC. (OVER)
Ex. CAVATE 2/-0J, BELOW JOISTS
.2~ tOl"JOI ST S
10' O.C.(OVER)
I _ 12 -i o
"' I
6"--12.5 ~'[ BEAM
2 4~- 6'~ LONG
TAMP
t
251-0#
2'% IO'"JOIST S
-- I C:¢'OC. rOVER}-
7~'-- 15.3:'-I BEAM
EXCAVATE 2¢-0' $CRI~ N 'ED
VENTS
E~LOW JOISTS
2/~× ] O#JOISTS
18"0. C. (OVER}
42'- O'
FOUN DAT ION
PLAN I/4'= V-O
;CE.SS
OPENING
NOTE:
ALL 15~"FOUNDATION WALLS
HAVE 16'XS;~RBN. CONC,
F. OO'TINGS,: ALL 8#FOUNDATION
WALLS HAVE 12¢O~6#FOOTING3
FLUE HAS 32"X 2~'X I~
RE[NF. CONC, FOOTING,
COD JQUANJ SiZE ITHK I I TYPE I s,zE I REMARKS
A ' I 3'~'0"046¢-8'' I;5/4" 3"-3'"'XS~-gb'2*' C--10~7 I 5/8#~X51/4' WOOD EXTERIOR DOOR:.'
B, I 2¢-8/¢X'6'-8~: I 314/¢ 2~-If'"XS/'9 I/2¢¢ C--I250 I 5/8
C 6 2¢-~YcXS¢-~Y/ I 3/8* 2¢-8~X6~J~ C-3040 I S/16FX$3/8~ /, IN]ERIOR I! I
e 3 2)2¢-0#~8L8# J 3/6' 4¢_2~X6/-gV4¢/ /' I 7/~~¢ X 5 3~" - ' SLIDIng DOOR
F I 3¢_0~, ~ 6/_8. 3~_ i ~ X ~_ 87/8// PEAS~ERED ARCHI
H I 2'-0'* XO'-8~ I 3~* 2'-23~X6'-9~ C-3040 ] 5/116'X 5 5~~ WOCD INTeriOR" ~ooR
DOQR
SCHEDULE
9'-" 6"- 6" ~ 8¢- I I~ I 7''- 3,v= I~Ii
- L ~ ~ , ;~ --' KITCI-IEN~
% '~ BE6 ROOM / / ILIVING ROOM I ~
~o -9 , '
N N / . .: , / DINING
,- , / ~ ~ - /~
, / ~ - /~u
, ~
5"-4" 7;-6" 4;-0*. ~'~6'~ I S"-O$' 5'- 6'
NOTE~
I?'- 0.. ' 2 S "- 0"" ~LL EXTERIOR
', .v INTERIOR
42'-0¢!
WALLS ARE 6*'
UNLES'S O'rHERWISE SPECIFIED.
FLOOR PLAN
I/4"=
SASH SIZE ROUGH OP'NG REMARI'(S ~ I
32..X 54'; 69~'!X58~'' DOUE~-E HUNG DOUBL, E UNIT
32';X 54# 35#X58/~ "' "¢ SINGLE UNIT
3 ~.# X 38~' 35'" X 4 2'"' //' // // *"
1'-2' MUL~,
WINDOW , SCHEDULE
.PL/
TOpi!
SHEET
12
, o TUB
,'
It
I
-
ROOF *LA. I1
FRONT
PLOT PLAN I/fY"= li-O'`.'
-'. 2t8
I
15,'
K TCHEN CABINETS
WOOD SHINGLES
SHEATHING
G.I. GLITTER ~,~
8'" BEVEL
SHEATI-
-:?'X 6" JOISTS
(4'/PLATES /
FH & PLASTER
WINDOW LINE
-I'x4" SASE
16'0. C,
FIN. FL.-II SUB. FL~J
2~×~0¢, J'o ST S ~ry'Oq 1
S# G'O~Z.,WA L L
/8" REI N'~ 'RODS
SECTION A-A I/2"=
E ATHING~'- ~
SH
HEAD
SIDING
DRIP
SIDII~
SILL
STUD
JAMIB STUD,
JAMB
SILL
DOUBLE HUNG WINDOW
'SECTIONS" 3"= I''~
LA'TH & PL,~STER
' ROCK LATH
rRIM
FLOOR
,SUB FLOOR
$1
SILL '
EXTERIORDO'O~':FR~AME
SECTIONS3"~: I'~'~0"
LATH & PLASTER
ROCKLATH
I/2".= I"- O'
,/
The
._TOP
SHEE;