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Home My WebLink About2826-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...[:J, Olc~e~..&..~QU.C~..C,~QS~...~¢I, ........... Street Map No, ~.'~... .............. Block No .......~ ........ Lot No~ ....... ..C.!.~..tc.?.~.O.~.~.e..L....~......%r.~ ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... ~'~......~q.~ ........... , 19.6.~'.. pursuant to which Building Permit No. dated ................................... ~.ttl~......3,Cl., 19..~., 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 ........ ...... ..?~.v.~.~....o.~...~.~..:~....c.! ~.,.~Lz.~ ~.~ .......................................................................................... The certificate is issued to ..... .~.9~%t.~....~..~,E.~..e.~....~.'..~.~?,..r.. ........................ .O.,,w....~.?,..~.~ ........................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval November 11, 196% by R. Villa Building InspectoI FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2826 Z Date ................................ ~...1~...,.~.O.. ........... , 19...~.,.96,. 5 Permission is hereby granted to: S...~...q..w...~....~.t....~....~.l..d..9..r...s........~..........J..o....~.. & ~nes Slater Box B ...................... .s....~...r. ! .ey..L ~...Z..:. .......................... to ..... ~ ~.qt,.. ~1.~. D~.~... ~'~!11~,~1,~'....~1,.I~. ll ~ .................................................................................. ct premises located at ....... .~...o..~...~..e..ll....~..e.....~....~...o...~..~..~..e..~...~...g..~..o..~.~ ...................................................... ............................. ~.e...e.~...~.~ ......... g.~.~.e.~O.~.~.e.,......~.,..'.z..,. .......................................................... pursuant to application dated ............................. ..~..1~...~.. ....... ~.. .......... 19....6..~., and approved by the Building Inspector Fee $...~,.Q~..~). ......... $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF ~EALTH Bldg. Permit No.. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at (Give deed location) have been inspected by thin-Department and found to be satisfactory. Df£strtot ~,.'~ Di~t r~ic~ Engineer SAFEWAY CUSTOM BUILDERS CORP. SPECIFICATIONS Owner .......................................... J.o has.. }?,,. a,~d...A G~.e s...B..., .S.I a.t.e ~". ................................................... on property situate at ......N./E./.c~pn.e:e...~..~.~..~.`1...d``e.D....~y..e~.~...&.~.~.~..u..~!~.e.~`...C.~'~q9.~.~...~9.%~ .................. ........................................................... C.~;t ~.h oCue. ~,Ne.~L...Y.o r.k .................................................................. Reverse Ss,~eway ~lan-garage on the ].eft. Breezeway ..........x .......... Building size ...2~;.!. x ....3..8~.t Extensions .......... x .......... Garage ...],.LL!. x .2.~.i.. Porch ..........x .......... Utility Room .......... x .......... Stories ........... oize. .......... No. finished rooms upstairs ........................ Basement size ............x ............ EXCAVATION AND GRADING Excavate .......... fl, below grade leaving bottom of excavation exactly level. (All footings shall rest on solid, undisturbed earth). Ground water is approximately ............ fl, below grade. Property disturbed by this building operation is ~o be rough graded. MASONRY Foundations Blocks Poured Concrete House--..,,]:..O.... courses of ....8..'.'.~,.em...e..n.A... block .... ..2......,, above grade ,,..~ ...... , below grade. Garage--....4 ..... courses of ..,.8.!'..c. eta~D,t.., block ..... 2,..,.." above grade ..-2 ...... "below grade, Porch--. ........... courses of ............ '. ........... block ............ "above grade ............ , below grade. Completed House foundations walls to be ,.,2 ....... (blocks) (feet) above grade. Foundation footings to be of poured concrete .... ~......" x ,...1.6,..'. Outer side of foundation walls to be waterproofed with .... ~qD, A~.t-,..tk.~' ........................................... Concrete Floors Basement floor: ...,3 ....... "of concrete Garage floor: ....~ ...... "of concrete Patio: ............ , of concrete Front porch: %res Cement capped with brick Rear porch: Yes Cement capped with brick Chimney Constructed of ,,,,]B~.i,q~ ......... and faced with ....:B~¢,¢...~. ........ , with ...8.....- x .....8...,,, and ........ "x ........ " Terra Cotta flue lining. Chimney footing to be .3.0...' x ._~¢." and .,1-2-..." thick. Will chimney footing be placed at general footing level? ....¥.,e..s.... Fire place? ....~,e..- With heatilator? ............ Note: All exposed surface to be faced with brick, Cesspool Two Constructed of ........ 1,7.Q..~i.o.C~S...~a.C~ ......................................................... i ............. . ........... ff. in Partition shoes Partition plates Floor Beams 1st floor 2 "x 8 , 2nd floor ........... ':' x, ............ " Ceiling Beams .... .2. ...... "x .... .6....../, Roof Rafters ..... ~,,,.,," x ..... .6......,, Girder ..... .6......,, x 8 ,, Lally columns .... .3..a... diam. Sheathing diameter and ............ ff.,deep. CARPENTRY Framing (All framing lumber to be No ...... .1. ..... grade). Studs ..... 2.......- x ..... .4......- 2 pairs of ...... kB.." c.c. shutters included front of house, O~ ..... ..... 16.."o.c. Tongue & grooved wood or 1/.2 ply. wood sheathing Sheathing to be covered with ..... .1...5....1.?...... paper before exterior finish is placed. Z Subflooring (If none, so state) Is subflooring to be laid diagonally? ...... ~.es.., Is upstairs subflooring completed? ................ Roofers ............................................. Exterior walls and finish House Front ....W~Q.ql...A~,~Ag..1,~..~ ............................. Sides ....~..°..°.,d....~,~,J:~9...1.,e.~ ............................. Rear .... ~,<?.Q.~., .~ ~cj-~.~..s. ............................. Garage ............ ............................ ! ...... Wood shingles ............ ~9~..~.9~ ................................... Doors Interior doors to be ....... ,,~,l..u:.s.~ ...... 13/8" thick. Closet doors to be .......... .~..~.q'rS*.~. ...... 13/~' thick. Exterior doors front Flush Thickness ....3,...3./.4.". rear ........................ ~ .i...=. ................................... Thickness .....]:....3../.8..,,. Sash 6 over 6 ...................................... ~,X~;CX~ ~ ¢.. ,o.~ ko....h.u..~g ....................................................................... 20 light ,plc~ure window Interior Woodwork Door and window trim to be ...................Clamshell .................................................................... ~ ....... (if narrowline so state) Other ........................................................................................................................................................ Finished Floors First Floor Second Floor Living Room ................. .~... ,1... p..a.k. ...................... Bedrooms ..................... ~.,.]~...o.~. ..................... Halls, otc ...................... ~,.,~.,., o, ,,a:, .k. ...................... KitchenAsphalt or vinyl. ~,^~. Yes ~/8 Bedrooms ........................................................... Hall .................................................................... Subfloor ............... Bath ...................................... sheathing panel. Kitchen Cabinets Birch or equal Material of counter-top ............... ~.9.r,..~.,i,.~ ........................................................................................... Interior Finish First floor--Sheetrock ........... ~.e..s, ........... Spackle ....... .3.....c.,.q.a,.t;,..s. ................................................... i ........ Second floor--Sheetrock ........................ Spackle ................................................................................... Flashing Chimney intersection with roof flashed with ...............a,_l,,u.m,,,&_q,u..m..,,a.~.d....,1..e..a,.~ .................................. valleys flashed with ............ ,a..1.~,~..:J,p.~]~ ................................................................................................. All doors and windows flashed with aluminum Roofing Asphalt ..,~..e,.s., Wood ........... Built-up .......... , Other ..........Note: Describe garage and porch roofing, if different from main structure: .............................................................................................................. If Asphalt-- 235 lbs. per square laid over ,.&5.,. lb. waterproof felt. If Wood-- ........................................................................................................................................................ laid ............ "to the weather. If Built-up- ......,..... plies, alternate moppings of ........................ with ...................................................................... .................................................................................................................................. surface. Weatherstripping .................................................... .~¢.$. .......................................................................................... doors, with 2 . aluminum saddle and Ye s windows. ~nsulat[on wa I Is...s..e...m..&..,. ,~_~..~ .q?-ce iii n g......f...u. ~.1. .......... roof ........................ : material ...... .R...o..c,..~.,..w...o..o..~ .................... Garage Door Overhead ........ Q~f~ ......... Hinged doors ........................ PAINTING AND FINISHING Exterior--Finish All exterior windows, doors, and trim shall receive ........ 2 .......... coats of good quality lead and oil paint. Stained surfaces consisting of ................................................................................................................ to receive .................... coats of .......................................................... stain, Interior--Finish All interior woodwork shall be given ........ 2~ .......... coats of ...cJ'.°..g.d.....ci.u.~..1..i.,t..Y..,R~..i..z3..t. ...................... /st Floor Walls Living Room ...... ?,, ,a, .i...q .t. .............. Dining Room ...... ?...a..i...q ~ .............. Bedrooms ..........~.a....&.D..~. .............. Kitchen Pa int Paint Halls, etc ..................................... Bath ,C. 9 ¥..~. ,m..~ .c.....t...&..1..e.....&. ,..P~,..1.nt 2nd Floor Walls Bedrooms .................................... Bath ............................................ Hall .............................................. Floors Ceiling ........ .g..y...m.....s.~ ,a...1. ......... pa ........ ~z.m..,..s.?.a..~ ......... pa iht ....... 9y.E,.~?..,a.~ ....................... P.a..!~& ....................... .... ~..s.~. ~.%.% ~.r....~.%.~y ~ ..... p.~..n.~: ...................... ....... ~j~..m., .s.e. ~.~ ...................... PA~.~ ........................ , ~.e. ~.a. r~ ~...~.& ~.e. .................. ~.A~p.t~ ........................ Floors Ceiling GUTTERS AND LEADERS ~o gutters. i ~ ................................................... leaders (4) PLUMBING Water supply piping ............ ~rqP. Rg.r. .......................................... (Copper, galvanized, ironl Fixtures (Describe) Bathroom-- Briggs-color - steel. Tub ........................... .'Z ~,~, ................................... Tub Shower ................ ~.e. ,~ ................................... Lavatory ................... ..~.,e..~ ................................... Water Closet ............. ~.e., .s, ................................... Vanity: ...Yes American Standard or, Lavatory-- Stall Shower .............................................. ~ ......... Lavatory .................................................... .: ......... Water Closet .............................................. i ......... Kitchen Sink ............................ ~.iAcgr ~-,¢, ............................................................................................... Water Heater Instant ..: ................................................................................................ Capacity ................ gal,,'-. Fired by .......................................................... Water Supply .................................. Az. Le, ................................... } .......... Capacity of tank ...... ~..2. ..... gals. A complete plumbing system with proper supplies, vents, and cleanouts using materials of proper Weight and finish, connections, etc,, shall be installed in strict accordance with best practice. HEATING Type of heating--Steam ............. Hot Water .,.,Y~,,, Forced Hot Air ............, Other .............................. ~.~.QA~d radiation - copper convectors Number of radiators or ducts ............. Upstairs is / is not heated (indicate which). Furnace ................ ]~.e.¢].~.~ ~,.~...~..a, g..t, ....~ ~.o..~....o. ~,., .e,~.u, .a,.~ ..................................................................... Type of firing--Coal Oil .....Y..e...s.., Gas ............. If Oil, capacity of tank gals, If Forced Hot Water, Circulator (describe) ............................................................................. ~ .......... Heating System shall be sized to maintain a room temperature of 70 degrees F: at an outside te;mpera- ture of zero degrees F. ELECTRIC WORK lO0 AMP Service Conduit--BX ............ , Non-metallic cable .,¥.es .... (Rigid conduit where required). Circuits and Outlets ......... , ...... 9..~. R.e.r....q.9,c]e ..................................................................................... Fixture Allowance ........................... .$..4..0.. ~. Q, ,0. ........................................................................................ INCLUDING Screens--Type .................................................................................................................. Number ,' ........... Storm sash--Type .............................................................................................................. Number ............ Kitchen range (make and model) ..... .G..~.~.'..e~..~e..q~..r.`~.~q~.u~1~`~.t...~.n.~...~...~`~.~n.9~e.r~.~.~.~.~de~- Ventilating fan (location and size) .......................... ~.'.'...~..i~.q.t3..e.,n....~.a..~ ................................................. Driveway (describe) .............................................................................................................................. . .......... Landscaping (describe) ................................................................................................................................. Extras ............................................................................................................................................................ Signed .................................................................... Owner Date ........................................................................ TOWN OF SOUTHOLD BUILDING DEPART,~ENT TO~VN' CLERK'S OFFICE SOUTHOLD, N. Y. Application No ............................. APPLICATION FOR BUILDING PER.MI? Dote Jul.~ 29 ......................., '9 65 . INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot p~an 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 propertymust be drawn on the diagram which is part 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 a 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 part for any purpose whatever until o 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 Lows, 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 and regulations. (Signature of applicant, or name, if a corporation) ............ .~ o~ .. ~..,.S b.ir. ~fl y. ,.N.,.Y.., ....................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................................ L~il.~r. ..................................................................................................... Name of owner of premises .......................... J.D~...&...~g~n~,s..~l&fi.e.r. ............................................................................. If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: ............................................Lot No: .................... Street and Number N.E/Comner. a£ :~I~]~e.~ A.v.e,..a.m~...$.~.U.~b.e.r.~....C..r..9.~..s no.s,d.,Cutchof~ue~.N.Y Municipality 2. 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 .......... n.8w...h~me .................................................................................................... property ISes. Give street and block numbers whether interior or corner lat. 3. Nature of work (check which applicable): New Building ..... Z, .......... Addition .................. Alteration ............... Repc~ir .................... Removal .................... Demolition .................... Other Work (Describe) ................................... 4. Estir~ated Cost ............$~1,3.,.QD.0. ............................... Fee ............ ................ dwelhng, number of dwelling units ........... g ............... Number of dwelling units on each floor ..~,...~::l,.O.(l:e ...... If garage, number of cars ..............Q~.fl ............................................ : ...................................................................... 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 ........................ Hmght ............................ Number of Stories ........................................................................................................... D~m~nmons of same structure w~th alterahons or addmons. Front ................................ Rear ............................ Depth .............................. Height .............................. N~mber of Stories ........................................ ........... g2 ............. Rear ....... kg2.! .............. Depth .....~.~;.! ............. 8. Dimensions of entire new construction: Front Height ........ ,1,,5,~ ............. Number of Stories ....... ~e .............. 9. Size of lot: Front ......... .Z...0..0...~..~.~)..0... Rear ........ .Z..0...0..~..~.~,.~.... Depth ...... :~3,0,,~,P,~d,.,:],2.~~ 10. Datq of Purchase ........................................................ Name of Former Owner .................................................... 11. ZonJ~ or use district in which premises are situated ............................................................................................. 12. Doe~ proposed construction violate any zoning law, ordinance or regulation? ........ B ooklyn Y 13. Name of Owner of premises J.o~,n .%;ka, t;~. ......... Address .~2,].]J...g3.a~,.ei-~ct.o~..}?.¢l... ~one No..~t~.?..~.~ Name of Architect ...................................................... Address ............................................ Phone No ................. Name of Contractor .,.qa~'.~,~.~t...ga.~..I~x:].~.Address .I%~x...U,,.,.~,~.z'~e,y..N...~ ,~hone No, PLOT DIAGRAM kocat~ clearly an~ distinctly oil buildings, whether existing or proposed, and indicate all set-bock dimensions fr, or description according to deed, and show street homes and indic, STATE O~ NEW YORK, '{ S.S. COUNTY 'OF ....£,mC. fio.Z.t¢'. .......... ................ i ............. ~.Z,m~..4~.~.~h ........................................... being duly swor~eposes and says that he is the a (Name 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 this o~Ni~ation'~,. , that all statements contained, in this application ar~ true. to. the best of his knowledge and be and that ~'he work w II be performed m ~he manner set forth n the apphcat on filed therewith. Swot ~ to Sefore me this of applicant) // ~ommiss~ t , ALL DtNIENSI~NSlNIu~r-SE ' · ';', ' VERIF1EDP, R'[ORTO,~ON~tRQ(;TION · /