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Home My WebLink About5580-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No...~1~.. ....... Date ............ &l~l~,J,.. THIS CERTIFIES that the building located at . !~-~1¥ 1~ '&' ~el~. I~ ..... Street Map No.l~OO~e .¢1~0 Block No...~ ...... Lot No....~....~.la~OlXOS~lO.. 1~.~, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... 0~;' ' 25 .... , 19.~. pursuant to which Building Permit No.~l~. · · dated ............ O~t~...21.., 19~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. l~l~.~t~ .Ollle..fSllhtl.~ .5¥,1.11~t~ ...................................... The certificate is issued to Mal.lr ~W.I~' ' ~'®x'~'~'~ .... ~ ' ' 0~1~ ....... , ..... ,', ......... towner, lessee or ;enan;y of the aforesaid building. Suffolk County Department of Health Approval &l}l'~,~,- · .¶%...%97~ · UNDERWRITERS CERTIFICATE No... ~5~1~ ...................................... HOUSE NUMBER. '2~3~ ...... Street. t~OO]~O DIt" & 'be~'' ~&Wtl' l~O ................... Building lnsl~ctor TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PEI~,IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) at premises located at ~-E ]3 E DT~iF t~//~t LA pumu~t to ,pplic,tion deted ...................................... ~..~.....~..(.., ]9~./.., ,nd epprov~ by the Building Ins~tor. Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~dg. ~e~mi~ ~o. TO WHOM IT MAY CONCERN: at / ~_~/~..~The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. CO~IE$ OF T~ SURVEY MAP ~T THE~ND ~OOR'S I~P SEAL OR ~IbSSED SEAL SHALL NOT ~ CO~ID~ 7o ~ A VAtm 't~u~ COPY GUn. lEE5 INDICATED HEREON ~ALL ~. ONtY TO THE ~rSO~ FO~ W~ THE iS {{~ARED, AND ON fils ~HALF TO ~E OFo~l Ig ~ /A6~UIA~HT GUflRflKTY R~D /~SRT~G~ ~_,o' ~-'" lit:JST CUTCWO[,UE ,,J_':".". _' 5 t;,q L ii. 40'= 1" VQH TUYL ~ SON LOT IqLIIA~c..RS SJJI)%VH R}.FER TI) ' ~RP OF 11 ~ 5u~v~Y~ FOR ~: /Ab~g/A~NT TO II.4[; II. IiER.COUNTY TITLE , SUFFOLK COUNTY DEPART~,NT OF ~AL?H H.D. Rolo EASTERN DISTRICT, RIVERHEAD,N.Y. APPLICATION FOR APP[tOVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEM£ Approval to Construct said systems. is re'qu'est~d,per~i~nt-data ~ere~th: Dat~ i-Applicant ~, ~ Y~f//J ~ ~_~/2/}.~/ Phone 6-Sub div /~_ 2-De~iled p~PertY to~tion~ ~;7~ ~.~ ~.~/~.~-Lo% No. Hamlet ~ ~C~,f~J~ To~ ~d~~) 9-Privat~ welE~' 3-~blic ~ter supply ~me Distance to nearest main 4-~t Size. Width/~ ft. Len~th~ ft. (~i~ 'enter cn center plot plan 5-~elling: Single Family f~ Two Family? f /Cellar? ~lab? ~ Crawl 10-Pro~s~ system: Septic %a~k f fPrecast~/ /Cesspools ~/Shallow pool~ ii-Septic ~ inside dimensions: Vol~e Gals. Length~ ft. Width ft. ~L 12-Pr,~cast sections: F~Number~q~re~. Cesspools: Block size~inuc:. Total blocks below inlet: ~1~~~ ~OT PLAN Street Tank Indi ;ate No 'th ~OW:) /Other / / ~id depth .... ft. The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health. Departments'. current Standa~rds,. and amendm~nts thereto, covering Private Sewaz~ D~soosal Sy. stems". Date /~/~7' / Signed ~$$r, ~s~C'~~~~R~f ', N.Y. 11909- FOR ~33kLT~" ,DEPARTMENT U§¢ 8N'~:" "'~J'~'"o'n the informant"on 'pres~te~ herewith', '{ is ~he opinion of the Health Department, that an adequate and satisfactory Sewage Disp tl System can be installed on this Plot. Oate KIV~IDF, HOMES, INC., CUSTOM BUILDE~ West Main Street, RtverhE MARYANN FERRERI GRADING: MASONRY: CARPENTRY: 8 P..E C i .F. I C A T I ON S Rough grade to spot house~tthin 30' area. Contractor %rill pile trees in one spot on owner's property. In the event fill is to be brought to Jobstte or r~,oved from jobsite, owner will bear expense. Size of House: as per plan Footings: 16" x 8" poured concrete as per plan except under brick veneer - 20" x 8" Foundation: 8" x 84" poured concrete as per plan except under brick veneer- 10" x 84" 8 3 %" lally columns placed as per plan- steel lally columns 4 louvered cellar sash as per plan Fireplace: As per plan with fire brick, 12" raised hearth and heatilator -- all material to be used brick Concrete patio: As per plan, front & rear no brick edging 3" concrete basement floor Garage as per plan Footings: 16" x 8" poured concrete as per plan Foundation: 8" x 32" poured concrete as per plan 4" concrete garage floor Waterproofing: Trowled asphaltum below grade Termite shield under sill Brick veneer as per plan- used Girders: 6" x 8" built up and located as per plan Floor Joists: 2" x 10" - 16" o. c. with solid wood bridging Ceilings Joists and Rafters: 2 x 6 - 16" on center Studding: 2 x 4 - 16" on center with single shoe on bottom and doubIe plate on top of each wail and partition Sub-Floor and Roof Sheathing: %" plyscore Sidewall Sheathing: %" plyscore Soffits: ,~" exterior plyscore Roof Shingles: 24~ "Asphalt S. O. M. Siding: Barn Shakes shingles Insulation: Walls-medium thick: ceilings-full thick Windows as per plan- windows 6/6 Floors- bedroom 1 & 2 and hallway ~1 Oak Main bath, half- bath- ceramic floors Kitchen Nook& washroom- vinyl asbestos Fa~{ly room, den, dining area, main hallway- random plank flooring with walnut plugs 4" - 8" range Interior Walls: 3/8" sheetrock, Joints taped and spackled 3 coats, metal corner beads, ceilings to be the same Trim: Doors, windows and base- clamshell Doors: Interior 1 3/8" flush mahogany: front- as per plan Rear- as per plan-- bedroom 1 & 2 to have sliding closet doors louvered, Hallway closet- louvered door, aluminum saddles on all exterior doors ' Shutters: 3 pairs Drop ceiling for kitchen cabinets Louvers: 2 wood at gable ends as per plan Interior cellarway as per plan CABINETS: PLUMBING: HEATING: CESSPOOLS: DECORATING: MISC~J~.ANEOUS: -2- Kitchen: wood cabinets with mica counter top Main bathroom to receive 42" full base vanity Both bathrooms to receive double sliding door medi(~ ne cabinet General Electric 30" free standing range; color by owner Kitchen: vinyl asbestos- color by owner Main bathroom to receive ceramic tile 5' high in tub area and 4' high on balance of walls Cer~{¢ tile on floors in both bathrooms Half bathroom- to have 4' high ceramic tiles on walls Kitchen only: overhead light fixture Contractor shall provide all necessary labor and materials and perform all electrical work. Ail work to comply with local ordinances. Ail lights, switches amd outlets to be placed according to code. Wiring for electric range. Service Panel I00 AM3 220-240 v~lt. Romexmiring. Electric light fixtures to the value of $100.00 including installation of same. Any cost in of this to be paid for by owner. One kitchen exhaust hood over range ducted out through cabinets. Main bath to have exhaust fan in ceiling. Double pan kitchen sick 32" x 21" color by owner. All fixtures American Standard, cast iron except toilet viterous china. Master bath to receive full base vanity t~pe washbasin and toilet combination. Half bath to receive 20" x 18" washbasins toilet combination. Tow outside sill cocks.. Water supply- electric pump with 42 gallon storage tank and shallow well. Allowance for well and pt~p $250.00. Any amount over and above this to be paid by owner. A hot water system consisting of a Dunkirk 4 section boiler, oil fired with cast iron baseboard radiation and a 550 oil tank Domestic tankless coil. 2 Zone heat. 2 Board of Health approved cesspools. Allowance for cesspools $350.00. Any amount over and above this to be paid for by owner. Walls, ceilings, woodwork to receive 2 coats of paint. Ail exterior woodwork to receive two coats of paint. Floors to be sanded and finished with g~ymseal. White al,~m{num baked enamel gutters and leaders) concrete splash blocks. White aluminum baked enamel storms and screens windows and doors. Washing machine hook up in basement. House to be delivered with New York Board of Fire U~derwriter's certificate and certificate of occupancy. Asphalt driveway to the garage doors from street. Ail o~er appliances by owner. Matthew Wandoloski~ Vice Preside Maryann Ferreri TOWN OF SOUTHOLD ~ _ ~ '~'-q.,--~ ~ "~,~ '~,~ ._. BUILDING DEPARTMENT TOWN CLERK'S OFFICE ,,/,~(~/ ~TH~D, N. Y. ,,1~;~/' ~llCOTion ~o ................................. Examined Approved ......... ? .............. ~ ....... , 19...e..... Pemit No.......~......~....8 0 L ¥/~,/7 ~-~ .~ :/~ ~ .... . ............... ~ppr~ a/c ................................................................... ~ ....................... ~ ~/ . ~.~ ~ ~~ ................ ................................................................................................. &PPLIC&TIOH FOR BUlLDIHG PE~IT INSTRUCTIONS a. This application must be completely filled in by typewriter or n nk and submitted in duplicate to the Buildingr~_' Inspector. b. Plot plan sho~. i.ng lo.ca, tion of Iot'a,n.d of buildings on prem .ses,.relationship to adjo n ng premises or public streets or~ areas, ana giv nga aera ea aescription at ~ayout otproperty must be arawn 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 Perm t to the applicant. Such permit shall be kept on the premises avai ab · 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 Bu Iding Permit pursuant to the .Build!n.g. Zon,e O.r.dinance. of .t. he T,o.wn ,of. South?l?., Suffolk Cou.n. ty, New York, and other applicable Laws, Ordinances or KegulatlonS, mr me construction Ot DUllOlngs, aaaltlOnS or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinance,~]~ilding code, housing code, and regulations. ~ [ (Signature of aCplicc~nt, or name, if '~"cg~'i~;) .... .............. ,,//~.). ~.. _ / (Address of a,l~cant) /,~, ......... State whether a hcant ,s owner lessee a ent arch,tect e~'~ /" //~ / ' pp' ' , .", a~ent, architect, engine~er, get a contractor, electrician, plumber or builder. Name~f owner of premises ...~ .............. ~........ ....................................... I. Location of land on which oroposed work will be done. Mao No.: ....~..~.~... Street and Number t2. State existing use and occupancy of pre/~ses and intended us~_ occupancy of proposed construction: a. Exisiting use and occupancy ....... /~....~.~ ......... , ................ b. Intended use and occupancy .... ..~..ii~ ~ .. ' ............ , Locate clearly and distir~ property lines. Give street whether interior or comer lot2 3. Nature of work (check which applicable): New Building ....~..... ....... Addition .................. Alteration .................. Repair ........... .~.,,?~Removal .................. Demolitionl i .................. Other Work (Describe) ........................................ 4. Estimated Cost/~....~....~ ............ ....... ....... Fee .......................................................................................... (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 ............................ Nu~nber of Stories ................ ~. ............... 8. Dimensions of entire new construction: Front ..... .~..~ ...... './..~.. ........ Rear ...~..."~/......-~.. ......... Depth .....~../.. ........... Height ../.,~.... ........ Number of Stories ....... /. .......................................................................................................... 9. Size of lot: Front .......~...~ ....... Rear ..... ..~......~..~Z... ............... Depth ..,....~'....Z....,.?.. ...... 10. Date of Purchase .; ...................................................... Name of FOrmer Owner ........................................................ 1 !. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction ~e any zoning I~ordinanc,e or ~_ ~?n~~.~, ................................... Name of Architect~.~.-~'-'/...~ ........ Address ~~IZ..~.~,..'.... Phone Name of Contractor~.~....Address ....... ~'.~.~.'~....~......~.. ...... Phone ......... PLOT DIAGRAM :fly all buildings, whether existing or proposed, and indicate all set-back dimensions from ~d block number or description according to deed, and show street names and indicate V COUNTY OF .......... (Name of ~dividual signing application) above named. He is the ..... ~,,...~.~~ ............................................................................................. (Contractor, ag~t, co,rate officer, etc.) of said ~ner or owners, and is duly a~horized to peHorm or have performed the s0id work and to ~ke ond file this application; that all statements contained in this application are true to the best of Ms knowledge and belief; and thru the work will be performed in t~ ~nner ~t fo~h in the ap~icati~ filed therewi~. Swo~,t~fore me this ~ ~ ...... o, ..... ...... , , Noto ~ ELIZABETH ANN NE~LLE // ~ - NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk Count. Te~m Expires Ma~ch ~, ,L ,../o/./