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HomeMy WebLinkAbout2626-zFOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .~..~..t~9 ............ Date ................................ A~rz~:1~.....30.., 196.~... THIS CERTIFIES that the building located at ...E/S..Ce~.~0e~,(l~..~,~&& ..................... Street /~ ~.e..~...O..~.....~..~...~.~l~lock No .... ~ ......... Lot No...~J~, ....... SQ.I~}~I. O3,0,,...~...~', .................. conforms substanhally to the Apphcahon for Budding Permit heretofore filed in this office dated ........................................ ~. ...... ~Ti~uSA~.~, 19.(~.~.. pursuant to which Building Permit No ...-°~.6~, dated ............................... ~T~ ..... ~ ...... , 19..1~., was issued, and conforms to all of the requirements of the applicable provisions of the law ~he occupancy for which thru cerhficate ~s ~ssued ~s ........ ......... ~.t~t~e..e~e...£ma.i;1.3?...~,~el.li~ ........................................................................................ The certificote ms issued to ..~G~.-~z~e~e..~z~ ........................................................................... (owner, lessee or teno~t) of the aforesaid building N. ~e~yapproval Apr. 26, 1965 by R. Villa ~/c~¢~ --~- FO~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, FI. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2626 Z Date ~ Permission is hereby granted to: z~=~..~..~.,..e......~E....~.t..q.~z..~.~...~ ........ ...... ~.e. ~....~..o.~..,...~. ............................................ .............. ~.~.o.~s ..... ~.....z.... ........................... to ...... ~...~...o..:...,...Z~z...q.,.~..z.~..t.~. ................................................................................ at premises located at ]LO~; ~6! l~e¢l~L~ ]~.{3h P~ .......................................... ..c.~.~..~..~.~.,. ......... ..s.~?.].~ ................................................ pursuant to application dated ............................. .~.~.e. ......~ ........... 19...0.~.., and approved by the Budding Inspector Building Inspector SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date _ Aoril ~26, 1965 ~ldg. Permit No. TO WHOM ~ MAY OONCERN: The sewage disposal facilities for a structure located at (Give deed lOcation) have been inspected by this Department and found to be satisfactory. District Engineer FOg,~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Examined ...~......~........., 19...~...~..''- SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No .................... Application No...e~-:.....~....)-.....~.. .......... APPLICATION FOR BuILDIRG PERMIT 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 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 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 and regulations. ...~..e.~.~..~:...c.~ ....... ~.,.~ .o~...F.,.....~ ~.~ ........... (Signature of applicant, or nome, if a corporation) .................. : .......... ................ (Addre~'s- of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... 6.i~ ....... ~.~.:~'.,.~, .~ ........................................................................................ prem ses .~.' / Z~/Vz~ Name of owner of ...................... .~.~. ................................................................................................................... If opplicont is o corpol:ate, ,signoture of duly authorized officer. ................ ......... ........................ (Name a~d title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: ................... -.* .C~.....j~ ............... L.~... ...~..~o /~. ~. Street and Number , MU, nicipalib/ 2. State existing use and occupancy of premises and intended u~e and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use ond occupancy ............ ./ .~..~., .........~.~./..~.~.~,~--' . ,J 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ,,~-~ 6'~t"d ~ I:ee (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... ~. ............... Number of dwelling units on each floor ............................ If garage, number of cars ........................................................................................................................................... 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 ............................ Height ............................ Number of Stories ............................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ........ ..~,.,~.. ............. Rear ........... ~...~.. .......... Depth ........... ~ ............ Height ............ ~.~..../ ....... Number of Stories ........ R'~ .............. 9. Size of lot: Front ...... ~...~....../. .......... Rear ..... /....~..../ .............. Depth ............. '.~....~...../. ...... 10. Date of Purchase ...... ~.~.......e-~...../,.-~...~....~......Name of Former Owner ./i;.~..~...: ....... ~. .................................. 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation.;> .............. ~.~. ................................ 13. Name of Owner of oremises .~./.~.~..~. ~.~..~..'.~. J'f'~ddress ~.~...,~'/~/~.,,~'~¢~...~..~.....'~hone No ..................... · H~s~, ~'~ ~' re sh~.'~.. ~.~.. Phone No ....... (.....~., ~ Name of Archztect ............................. .~....~..~.~Add s ............................. PLOT DIAGRAM Locate clearly and distinctly 011 buildings, whether existing or proposed, and indicate oil set-bock dimensions from property lines· Give street and block numbers ar description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ~ COUNTY OF ..... ...... S.S. /1~O~__,~/ ~'l,~"~Ol~ be ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) above ~med. He is the ...~.~J.~.~.....~...~.~-~..~...~....~'~ ................................ (Contractor, agent, co~orate officer, etc.) of said owner or owne~, 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 wil~ be performed Jn the manner set fo~h in the application filed therewith. Sworn t~ me this ............ ........ ~ ~t., unt ~ (S ature of app ~cant) MODEL r! ,I 'AVE~, LExINGTONI, MASS~ ,, I . "' '~i. / ! : i :~ -' -~ 9~ , : i o~ ,. . . 1 , . , ..~. . , .'..' .~ ~. ~ , ¢. ~. .... .. ~. .'. -~.. (. ~..... ~" ~:: .. I*I~iJ~SEN JOHNS ~ -- MODEL ~m~ ~C~"~ ~ ~1 TYPE SUBJECT ~C)U~D&TION PLA~ HAND L~FT TECHBUILT INC., 1692 MASS. A.VE., LEXINGTON, MASS. COPYRI T.~S~ PLANS MAY ~OT ~E USED IN ANY WAY WITHOUT DATE ~,~- /ASP~dALT $111NGLE'-5 I ~INT'ED vvoop TI~IM I ~'I~1 GR.AD E LDwD. F~ F"LOO~, MODEL D ~/OK~ ~/ TECHISUIL¥ INC., 127 giT. AUBURN. $1[., CAMIRtDGE, MASS. HARSEN JOHN'S ar,d F, ERMERY 2,95 MAIN STR'£ET -- [!OU~r'[ KIS0© ri TYPE DRAWIr', HAND ,~.'~ ~/'~ DATE DRAWN REVISION NC), HARSEN JOHNS .,~ FERMERY TECHBUILT INC,,.12~'MT. AU~RN ST., CAMBRIDGE, MA"SS. COPY T.,S~ PLANS MAY 'NOT BE U~EO IN ANY WAy WITHOUT DRAWiN' DF'D DATE DRAWN AUBURN ST., CAMBRID~GE, MASS. FiN I I HARSEN JOIHNS .n~ FERI~ 295 MATF'I STR;EET -- MOUNT TYPE TECHBuiLT INC.,127 MT. AUBURN $~r., CAMDRIDGE, MASS. SCALE DATE DRAWN ~EVELLE[ HARSEN JOHNS ~.d FERMERY TECHBUILT INC., 127 MT. AUBURN ST., CAMBRIDGt:, MASS. COPYRIGHT W"q~TEN PER;~IsslON FI~C~M TH[ COPYR C'H~' OWNE~ NO. j I~ o L'-r ~'o .WIV~? ?LY WooJ) / ~.. . ~ARSENI JOHNS ~d FERMI ,TE~HBUILT IN(., 1~1 ~T. AUBURN ~T., ~OPYRIGHT z MODEL ~ D~WDM~ ,,~(~J TYPE .~ , DRAW~N ~? , SCALE COPYRIGHT w. T~'E~ ~R~ ;S¢ON FROM THE COPyRIGhT OWNmER, , ~,, ~ ..... ~,~, , "~'Z ',',, , ,'. ~X, '1 HAI~EIN'~]OHN8 .hi F TYPE TECHBUILT INC., 1692 MASS.,:AVE., LEXINGTON, 'MASS. cOpyRiG~HT t,~,s~ ~LA~S~^¥~OT~U~"~"~ ~^~ W"~O~ JOHNS are DRAWING TEGHBUILT INC., 1692 MA/S, AVE.~ LEXINGTON, MASS. COPYRIGHT CAT DETAILS' / FLO01~ ® %'~DEZW:ALL- MODEL TWO ~%'~- 0 F~Y 14 O ~-2-~lm SUBJECT INTER~OR ~1~ P~T~I~ TE~HBUILT IN~., 127 MT. AUBURN ST., /MODEL I,HARS~*' A~ AY ~IA~SEN :IOHN9 ~d FERMER¥ , TECHBUILT INC.~ 1692 MASS. AVE., LEXINGTON, MASS. IOC p ~ 0,500 6 :"r. u. '¢ 7,45OO g ,T. U.'s ~AT H . TECHBUILT,iN¢., 169~2 MASS~. AVE.¢ LEXiNGTOI~I, MASS. ZONE S¥ ' ' ' 'I ~ ' I I 'r''" '; ~ All circulators arid flo~,cont, rol valves t:o be, 1¼". " ~r : r L S INGLE sTEM ' ~'~ k'~ ' 'Heat~n~ system of'forced ho~ ~a~ de~,g~ w~h ~as~ ,iron,boiler, (~ttn a ~an~l,~ss 6eater for (convector) :hro~g~ouC. , , ' ' Baseb~r~ (~nve~ta~) h~s ~ino~, ~ps to be ~on:~Olled b/ balancing cocks wlth, Purpose ~ ~[~aG~ Spacer!cat'Ions: The spec flcatIons,are[~o"establish ~he require~lents, quality, qbantl~es and me'~hod ~ny dl:'screpan~¥ in deslgg or materials shal'l be ~alled to the attentlon of award:lng :aB:t~Orltles before 'work Is cor~nced, ' :::: The el'fErVency and pF0per o~e~atlon of the s~tem shall'be the res~onsi*-illty, of the Boiler: ~h~ boiler s~aiI be a Dunkirk' Semi'es cas: iron boiler With a certified re:lng of BTU~s ne: IDes. Cont~o3,S end burner as f~ntshed by Tecbbpilt. Flue anarlysis,shall 5h~ a c0nstan: of i~/o'plus of~C02 at ail Consldera:lo~In locatin~of boiler shall be made for servicing of [ankles~ h~at,er. F~ gallon Lankless ~ea[er shatl be installed a: boiler. Controls f~r boile~'~hall"bA standard conLrbls furnished by Te:hbuilt f~r boiler General Sp~cif~ca~ion5~: , ' A~I h~t~losses b~se~ on 7~'.~ et'-J~ ~. Contraccor she1) be responsible for in, reaReR l~gth w~th' ~at~r t~pera'turr o~ 20~ F, Provide ~ch ~1~p~wlth bblan~ingT~a~ve; Approx[~[e vRlve loce[ion ~leeved with 2~* ~,0. pipe[. Exposed l]n~s in boiler room may ~e black 5teal w[t~ C,I, fitting. A fl/ow control regulator shall be Installed on C,W. line to tfmkles~ hea~er, Piptng, , shall be prbvlded for reverse fl'ush ~9 coils, ~" mixing valve to ~e:-I~s~,alled; , ,, ' , ' [~ansion tank lobe 12(' x j6~ supplied by bui)der, ' i r #8 B&~i Dual',Feed & Relief Valve #432 Taco Air Scoop #¢~Rl~tlinq Baseboard Packaqe [~G/ Fo. copper tube base/~oard flnoed elements (CUt to length) enclosure assembly ina,: End caps Trim s:ripa Corner pieces Joiners Air valves Expansion joints '(~/~t" rd?JECT SINGLE ZONE SYSTEM ND ~CALE' ~, . , ECIIBUILT INC,, 127 ~T. AUBURN ST., CAMBRIDGE, MASS, gAT~