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HomeMy WebLinkAbout5371-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy NoJ[~0~ ....... Date .......... .~!111'~.....~[ ..... , 19.~1~. THIS CERTIFIES that the building located at .. ~.. ~. ~ ......... Street Map No..~ ......... Block No .... ~ ..... Lot No... ~ .... .~t~...[~.g .... conforms substantially to the Application for Build~g Permit heretofore filed in this office dated .......... ~$. ~..., 19.~. pursuant to which Bulldog Permit No.. ~. dated .......... ~...~..., 19.~., was issued, ~d conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .. ~t~..~..~ .~ll~l ..................................... The certificate is issued to ...~...0~~ ...... ~$~ .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. ~..~. I$~.. ~ .~,. ~ .... UNDERWRITERS C~RTIFICATE No... ~. ...................................... HOUSH NUMBER..~ ...... Street ......0~. ~ ................................ I~OF,.M NO. ~ TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERAAIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5371 Z Permission is hereby granted to: ........... ~l~d~v~..lleme~.Ce....A~..l~33.$a (i:l~mm,'r~te ......... I~....W&~llt~m.. &1~. ......................... .............. li~ ....... IluT~ ........................... to .... ~1,/~. ,~ev..~e..,~m~3,y..~e~t~e ................................... : ............................................ at premises located at ............. II~.G2~IIII~..&V~ ............................................................................... ...................................................... #e~t~e~ ......... !1~ ................................................................. pursuance to application dated ......................... ~ .......... ~ .......... , 19..~l~[., and approved by the Building Inspector. ,'Cee $...'tO.~)fl ......... ' ' ~ ~ui~ling In~pectO/ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..~.~.~..~. ..... Date ............ D. ee .~3 ....... , THIS CERTIFIES that the building located at . .h~. l~ra~A Ave ........... Street Map No... ~ ....... Block No...~ ...... Lot No.. ~ .... l~t:i.'cuc, k.. N.,Y .* ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ J~me. 2,2 ..... , 19.7~. pursuant to which Building Permit No..~?.17.. dated ....... ~vm~e.. ~.2 ...... , 197~.., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is .. p~.~v.a..t.z..or~e..£a.~.~. ~t~.~[~.~g ...................................... The certificate is issued to .P.h~'~&s. ~a~a~ ...... 0~nex, ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval De~.. 22....~97~...by. I~. · V.$.tla .... l~ouse ....... _ ..... Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT Date Bldg. OF HEALTR Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for (Give deed location) ' a structure located have been inspected by this department and found to be satisfactory. S-9 SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH Date TO WHOM IT RAY CONCERN: Th~wage di~sal faci,lities for.?~tructure located ~-/7 (Give deed location) ' ~ have been inspected by this department and found to be satisfactory. SUFFOLK COUNT'/ DEPARTMENT OF HEALTH H.D.Reference No~~ EASTERN DISTRICT, RIVERP~AD,N.Y. APPLICATION FOR APPRO~.AL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS DateJYaJ£ Approval t~ construct said systems is requested,pertinent data herewith: 1-Applicant - P Phone~_6-Sub div Address, 7-Section 2-Detaile~--~'--~'t~on ~ - '~' ~' - A 8-Lot No. ' Town ~ ' 9-Private well? 3.Pubiic '~a%~er SUppl~ name Distance to nearest main 4-Lot Size:. Width~[~._ft. Length~4~ ft. (also enter on c~enter plot plan below:) 5=Dwelling. Singl~ Family ~ Two Family? ~ /Cellar? ~.Slab? ; ~ Crawl Space? 10-Proposed System: Septic tank F ~Precast ~ /Cesspools / /Shallow pools ~ /Other ~_/ ll-S~tic tank inside dimensions: Volume Gats.Lengt.hT_~ft. Width . .ft. Liquid depth_~ft. 12-~eCast sections: / FNumber~_/Squ~re Ft. Cesspools. Block sizeL~_incs.D~' ins. H' ~ins. Tot~I'~ blocks below inlet: PLOT PLAN Ca. city. als. Data ~ee.t 0 8 j~ ~0 The U~dersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private ~e Di~l System~. Date Signed ~~/ ' O~ or/ Builder FOR HEALT~ ~EPART~NT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an, adequate and satisfactory Sewage Disposal System can be installed on this Plot. Signed~ Date s-l~ TOWN OF SOUTHOLD .~ BUILDING DEPARTMENT ._ . r~ ~---" I" TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ~ ~pproved ........................................ , ~9 ........ Pemit No .................. ~.~. .............. ~.¢C'""~'"~';'"~'~'~'", INSTRUCTIONS '~,¢ ~ ~ .~g a. This application must be completely filled in by typewriter or in ink and subm tted in duplic-~te to the Building Inspector. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining progresses or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram whi~hGs part of this application. c. The work covered by this application may not be commenced before issuance of Bj~ing Permit. d. Upon approval of this application, the Building Inspector will issue a Building P~mit to the applicant Such perm t shall be kept on the premises available for inspection throughout the progress of th~ork. ' ' e. No building shall be occupied or used in whole or in part for any purpose~atever until a Certificate of Occupancy shall have been granted by the Building Inspector. ~ APPLICATION IS HEREBY MADE to the Building Department~f~the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Co~ffy~nd other applicable Laws, Ord nonces or Regulations, for the construction of buildings, additions or ~val ro demolition, as here n described. The applicant agrees to comply with all applicable laws~ code, housing code, and regulations. ~"' ~ - ~ ~ ~ '~ ..~.,C..t/~.__~.~-s... ~. , ', ...... ................... ,' ...................... : ........ ~ ~'~9 /~ ~/,j'~_,~,~C~ ,,~'Jj~¢,~/ ~/ 'g pp' ,or name, ,, a corporation) -- o c¢~. o.~-- " ........................... '('~;~;i;';;';';F&~;ii;;;;;;~i ............................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................. ~;.~.~£~ ......... ~.~ ..~....~.~.~- .................................................................................... Name of owner of premises ...... ./.~...~..,t~f~..~.../ ...................................... I' applicant is a corporate, signature of duly authorized officer.,~. -7-~9--/; (Name and title of corporate officer) 1. Location of land on wh ch proposed work will be done. Map No.: ..~. ~9..~.../...~'..~..C.J~ Lot No ' Street and Number ..~..(J~.../~...~.. /~ ~ ............. . ......................... ~:>/' ~ ,~. ~ ~ .~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................. b. Intended use and occupancy .~.....~(...'.~...., .,~.....~....~...(.~.~......~....~...~...,~....: .................................................................... 3. Nature of work (check which applicable): New Building ...... .~.......... Addition .................. Alteration .................. Repq, ir .................. Removal .................. Demolitio~ .................. Other Work (Describe) ........................................ 4. Estimated Cost .......~,X..~...~ ....................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling un~,.S ....~....~.....~.. ........... Number of dwelling units on each floor If garage, number of cars .........."'7~.~./.L~...¢~.. ..................................................................................................................... 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 ................................ .... entire construct,on: Front 8. D,merls,ons. ?f new :":'r'~' ......................... Rear ................. Depth ..... ............... He ght .../.~.. .......... Number of Star es ..... ./...~./....-~...//' ............................................... 9. Size of lot: Front ../..~.~.~..?...2.. ...... Rear ../..~..~..'....~..~. .............. Depth .~.....~....~....'....~...,~. ....... 10. Date of Purchase ..~...~....~.. ......... ;/.~.~.~...' ..................... Name of Former Owner ........................................................ 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 premises/~/~.z~.~.'s....~../.~.~..~..~..!...~..~..;...Ac~ldr~s~s ..O...~...J~/~.R..~....~..~.~......ff../.~#.~.~ne No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Contractor ~...~...~.../~..~..~...~.-.~-.. ............................................ '...~...~"~ ..~..Ac~~'/:~k,k~a,.~ ~/',~'~',~ ........... No/~....,~... ~_/-~'~9 .................... Name of ress ~r~"~7~"~)'~'~ Phone 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ~bRJ~ ........... ................. ...'::T/.~ ............................. being duly swam, deposes and soys that he is the applicant (Name of individual signing apl~lcation) above named. He is the ............................... 0,~ ................................................................ (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 ppplicati, ar~ filed therewith. . Swam to before me this _ ,, ., ............................ ew Y0tI( v Term Expi~,ei Mat~ 30, ~/_~ 5 Z MAP oF PMYLLi$ ~iAMMA~INO MAT'T't T~Ig ¢ K o ir L ~ EDROOM - _DROOM-2 5EDROOM -3 - -I )¥ STORAGE IV lNG ~ROOM ''~ ,¢~ ' / BRL,~AST L J GARAGE / CLOSET T~TAL MIA ..lq. Ft. T~t~;~.~:-,dr t (sUowHousE TARA' -b jFRONT I' ELEVATION ]_~ J R ' LEFT ~IDE ELEV F R. EAR ELEV DP. YV MODEL - TARA RH 'IEN CABINET ELEVATIONS COUNTER TOP P~RT NO'S ·KITCHEN C~BIN CABINET CALCULATION 4.0 TOTAL OF II--1 CRAWL _5?ACE A+ SP 'E FBOmAI',o, .-T~---THIS-PLAN F00 ~400D FLOOR CON- STRUCTION ON CURTAIN ~ALL OR ' FOUNDAT I ON 0N FOOT I HG, iF 0RADE UOD[R FLOOR IS L~ER 'rBA~ OUTSIDE' FINISH GRADE~ POOCH & LANDING SLABS TO BE ~ I/2" BEL0~ HOUSE FIHISHEB FLOOR. TOP OF GARAGE FOUNDATIOH ~ALL T0 BE LEVEL ~ITH TOP OF ~OUSE FOU~ATION ~ALL. GAUGE FLOOR 12 7/8" BELO~ HOU~ FLOOR AT REAR ~ 13 7/8" BELO~ HOUSE FLOOR AT FR0~. CABINET ELEVATIONS (OPTIONAL'~ GARAGE F..IREP LA CE FOUND. 'FOR LO~ER LEVEL WINDOW DETAIL SEE WNx558-A UNLESS OTHERWISE NOTED. ' ld~OF.I,_ ~-A~.. FOU NDA-f I0 N DES, 588 CRAWL PLAN RH SPACE ~LK I N FOYER DIN G ~J. K, TCHEN ri 1 © 1, SECTION A-A SHEET NO. MODEL TARA SPACE -RH HEATING&AIR PLAN VVITH CRAWL, CONDITIONING ' ~r .~/OUT I-~-v~= i_. I:.A, GYP 2~,~. PLAT t~l .~ND \Va LJ_ -, x4. STUD5 -INT. LOAD BI:AIUN¢, Itl rU~, ~. PAHEL \¥ALL I~E'RYEEN LE~£L$ .. '- -L ~ W L.- 12 L [- ~ [- L Wn. LL CRt, J'I'I L[:V EE.o TARA WOOD ~:LO02 D.~? /~'/?'~' MODEL .EV,S~D NATIONAL HOME5 CORP. ~PPER LEV1EL ~L~OR~7 ~OYE~ ~L~OR I~T~L I s&cT 0 N D-:D - )% 5 T ~9''~ ~t9" CARRIAGE D J ~,, SLCTION PLaN s'/4": tL 0" '~ 4 WI~LL C FIELD ., OPTJQ~,e-L, ,- / ~L~ PRBJ. EEl -- -- - LO\',/~J I:OONO~TtOI~ BE' -t~4- E/,T. wl/ALL. UPPER VER STAIRS M-zf.o Q MODEL' IA ..'D4~, ~ STAIR DETAIL5 · %ILIN G$, -~4 ac) I -O,&'f ' ,wINDow HEAD W/SIDING 12 FUL[~ HOUSE SECTION ~/d..,~o. -~,,- ~. HS 706 '.', DATE OF REVISION.~ ., S'ECTIOKI A-A- oGAI~LI:: ELEVATION' AT GAVE--- oSGCTION h_.-Co -cjE. CTION-g-B. IFOR OPTIONAL FLUSH GABLE3 ONLY I: ~' PLYWOOD ON WALL GABLE SECTION SHOP APPLIED VERT BA'f-%. SIDING. PLYWOOD ON WALL GABLE SECTION FIELD APPLIED HORIZ. SIDIN~ ~L HOMES ' TYPICAL HIP RE)OF PLANI ZECTION~ PITCH HiP ROOF SECTION AT END OF HOUDE JUOU5 DETAIL DETAIL -)L~J L \V/,~ - (~ d DETAIL C PLkTE II VENEE~ &" lC OUND~,I'ION o VENEE[~' I~.' ¸'1 FO, LJNP~I'ION ,o HAPE~WOOD 5/~. PU'f k~/OOD - ..~C D 'r. ~. FLOOR, :,3L/ IL .-, : co~r ~oo,,t,' ,~: ,~TY Pll~L F-OIJNDATI ON \VALL ° FOUNDATION & WALL 2x g ,JOI,.~T SECTION 0 f F O~J NIDAT ION PANEL BLD'R WALL~SEC¥10N .-.i ,/ 521 -