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HomeMy WebLinkAbout5813-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnle Occupnncy No. Z.1+~.89 ...... Date ........... J. anual~y.. 2~..., 19.7.3. THIS CERTIFIES that the building located at . '[loose · Trail ............. Street Map No. t4eose .¢~veBlock No ........... Lot No..36 ..... Cutohogue .. lt...Y., ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... April" .~i+, 1972 · pursuant to which Building Permit No. dated .......... April .... ~1+., 19 72., 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 P. riva.te .on~ .£a~£1y. d~e] ] lng ........................................ The certificate is issued to . George. -Ahle*s · t~u-~.tc~er~ .Ir~c ......... O~ner .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Dec · 26...1972. · .by..R ,. Vt. lla ..... UNDERWRITERS CERTIFICATE No .... N' ~86' · 'I'~o~ · '28'~' '~9~ ................. HOUSE NUMBER.. '3'70 ...... Street... 'MOOSff -~ralt. ................................ Building Inspector FORM N~. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P'REMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5813 Z Permission is hereby granted to: ......... ~a..aa~.,~j~ .......................................... to .~u.!.3.~...ne~...o=e.. J~e~ ~3.y...d~z.e ~.~i~[~ .................................................................................... at premises located at ...... Tu~Oe6...~6 ......... [~oo~e"Go~'e ...................................................................... ................................................. Me,,aa ..~'~.a.t,t ............. £~t, eite~ ................................................ pursuant to application dated .......................&~,~.~.~......'[~, .......... , 19..~.., and approved by the Building Inspector. Fee $~. a ~. ............ Fo, ....' INCLUDES APPROVAL j TO [:~EMOVE E~,Ct.::-' FiLL ~, ..... LC'T ,. ,.......y ~_ON~TKu~TJGN_~ ~ C:_~:.[.::-L cONS~RUCT[GN - -'"::' ...... 'THE N~W./YORK BbAR0 0F~iFiRE UNDERWRITERS ;:a~c: ; :' ] ~ · BUREAU OF'ELJECl'RIClTY ~: ; $~NOvembe~ 28,~1912~,~..~': ' .~.0.~,~ ~58897~ N ~748~ ~ Geo ~lers Bld~s.Inc.,.s/s Moose Trail, 500' e/o Deerfoot Pa~, M~se Cave, Cutch~gue~ ,rasexamlnedon November 21, 1972 andfo~,ndtobeincon,pliancetrithth,'req*,ire,,enlsofthisBoard. RANGES ICOOKING DECKS ~ OVENS DISH WASHERS EXHAUST FANS ___DISCONNECT. j NO, OF ~___ S E R - V I C 1/o Mattltuck, L.I. This certificate must not be uttered in uny manner; retur~ to the office of tl~e Board if incorrect, lr~pectors ma s. FORM NO. 6 TOWN OF SOUTHOLD Building Depo~tment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector 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 features. 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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date New Building ..........Z .....Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ........ ~...~.f~..~.~.'..~'~.~FI~.~., ................ ..~...~...~..'['~........~c~. ,./~.~,'.J~. ..................... Owner Or Owners Of Property .............. ~rZ:¢;.~.~.....l~Jfl=J.-~/?-~ ....... ..'--'~.~.~..-...~'"~.¢'~ .......... Subdivision ...... ~.Q.~...~.~ ....... ~V'.f~ ....................... Lot No.....~.. Block No ............. House No ............. Permit No..,~..~..).~ .....Date Of Permit ...~..I..!..~..l.~...Z~pplicant -~-~X~---~¢~-....~'~''~'~'''~L~'s~-~'''~''- Health Dept. Approval ..... !...~..I.:.~..~..).~...~.. ............... Labor Dept. Approval ......... /~.t.~; .............................. Underwriters Approval ........ .t.!.l...~:....~...¥~.';~. .............. Planning Board Approval ...... ~i./~. .......................... Request For Temporary Certificate ........................................ Final Certificate ............ ~ ........................ Fee Submitted $ ..... ,~.,.J::~. ................. Construction on above described building and permit meets oil a~icable codes and regulations. Applicant .~.~ ......... ~ ............................................... Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference No ~-~ b~ ¢1, ,,, EASTERN DISTRICT, RIVERHEAD,N.Y. APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEM~. Date Approval tn construct said systems is requested~pertinent data herewith: 1-Applicant ~-~, ~/~(~, /~0/Y~ ~"¢ Phone~3~5'~4~6-Sub div /~/o~¢ Address ? ~r, ~-~ A~ C~'i.~,~ u¢ ?-Section ' 2-Detailed property location ,~..~,~. ~ i~.,l~,.'~.~.[LH~a~t No. Hamlet ~'-4~L ~o~.~ ~-'.~ Town ?~;k~,W 9-Private well? ~.Public water suppI~-n-ame Distance to nearest main ~-Lot Size: Width ~ ft. Length ,~ ft. (als6 'enter on center plot plan below:) ~-Dwelling: Single Family ~ Two Family? ~ /Cellar? ~ ~.Slab? / ~Crawl Space? 10-Proposed system: Septic tank ~_JPrecast F /Cesspools / /Shallow pools / /Other / / 11.Septic tank inside dimensions: Volume ~F~Gals.Length ft. Width ft. Liquid depth ft. 12-Precast sections: ~/~/Number/z/Square Ft. Cesspools: Block sizeL ~ incs.D ~. ins. H Fins. Total blocks below inlet: ~1 ~PLOT PLAN o I Tar Capacity~ Gals. Vt-'~CI-IAIT V']~CC,)T I IPU ?P'M' O o Street 0 o o o ,Grade G~W.L. Indi e Nc bth The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems". Date ~%/? Z Signed -'{1 '~ Owner ,'J or Builder Data Feet o /o~ ,~. 2 6 56~'~ 8 10 12 ~6 18 FOR HEALTH DEPARTMENT 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. Date (10/65 Revis.) s-15 " TOW. o, .UT.OZD C _ BUILDING DEPARTMENT ;~ TOWN CLERK'S ~UTH~D, N. .... ~proved ........ ~:::.:~..' ....................... , 19 ........ Pemit No..~.(..~ ..................................................................................................................'~ (Building Ins~tor) (~ APPLICATION FOR BUILDING PERMIT · ~ /q Date ........ ..,/l~...-:~... ......................... , 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 ofproperty must be drown 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, housing code, and regulations. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 1. location o{ land on which proposed work wi~be.~one. Map No.: ..~...~...~....._...~ ...... Lot No....~...~. ............... Street and Number ............. ~....~ ......... i ................................... ~ ............................. Municipdi~ty 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ................................................................................................................................ Intended use and occupancy ................... 3. Nature of work (check which applicable): New Building..................v/' Ax~dition .................. Alteration Repair .................. Removal .................. Demolition .................. 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 ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... .~..~'_~..?.~../~ ............... Rear ...~'...~.~.~. ........... Depth ...,~...~.. 7../..o...'.: ..... Height ...... /.~ ......... Number of Stories / 9. Size of lot: Front ....... ../...o~...~ ........... Rear ...Z.e~.. ......................... Depth ........ .~..2...~. ................ 10. Date of Purchase .......... ?.Z~.O...J.~...~.. ............................ 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 .~.~.~.~..~...~.~./..~..¢.(.~.~dress ..Z....~°...C.?..~....4..%......C.?.~ .~.?,~c'P~one No. ~.~..~.....~..~..~. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ~_~co/~/~(~ ~.~. /...o~.cC ~ -~- ,, '~ '' .................................................. ~aaress Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether Interior or comer lot. STATE OF NEW' YOI~ COUNTY ............... ~"' .~..;;....'~'.. ~oses and says that he is the applicant (Name~6f 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 ~ . ...... ~ ur/ NOTARY PUBLIC, State of New York rio. 52-8,25850, Suffolk ~.. Term Expires March 30, MOOSE -36- IO0.O S. 't 8' ~4-' 4-0" ',,~/. LOT. 4-$ TRAi L ,'4 P, EFF-RT0," MAP OF: kin TIlE SUFFOLK AS MAP Ng '3230 INC. CONe. MONUMEN~, · SURVEYED- MAY 4-,197Z VAN TUYL ~ SON ·/4,~? '/ 7' ___..,,~_~/.~ ~ . ~. MOOSE TRAi~ L~ I00.0 S. 78'24-'40" W. LOT. 4-3 Z76.97 LITTLE MAP OF P2OPERT¥ SURVEYED FOR · NOTE- LOT klUMBERS $1-10WN g,'EFEF. T0," MAP OF MOO3E COVE," FILED IN TIlE SUFFOLK COUNTY CLERK'S OFFICE AS MAP N-O 3230 SITUATE AT "EAST CUTCklOGUE TOWN OF 50U~'HOLD , N. ¥. SCALE· 50' = ,'" El = CONC. MONI. tMENT INC. ~"E~NPORT. ~EW ¥OP-K [~ LOCATION OF EXTENSION IN BEDROOM END. LOCATION OF EXTENSII]N~ · LIVING I~OOM & GARAGE END NOTE: AIJ~[nter~or dlme'n$ions are taken All interior per~,l:ions are 3'~/8" unless noted other'*'[se. TOTAL AR DUTS DE. ,,,~ TOTAL MODEL N/lAP, i , N ~ SCALE PLOOR PLAN -. ©F 2X4 INTERIOR'PARTITIONS R AT~ O~A,L HOMES C~P BEDROOM-I FOR 'ONE ANO TWO CAR GAI~GES SEE SUPPLEHEN'T SHEET5 BEDROOM DO NOT USE FOR CONSTRUCI!ON.SEE C~H_E_N- INI~G_~ FAMIUY ri P J GARAG.E Dv'~9. No. ~AR' 'RH-A ~ & PUUMBI. NG .~N 935BF "MO TW JR WINDOW SCHEDULE LGT VENT CODE VENT CODE LGT. VENT LGT. VENT 6.5 3.14 NY 18,6 7'9 UU 8.20 4,O WJ 15 72 2.50 7 5 3.6~, Y N 3~ O 15,6 I0.O 4,4 VV 31 92 5 26 9.0 4.39 ZV 24.0 UC 14,1 7.O VL 392 5,26 130 628 ZD 46.0' U8 17.~' 8.5 VW 47'.64 5.26 AU WL 22.10 ~090 EL "21.6 NX IG IO 790 UW 25 17 8.50 QW 2:5.17 8.50 XN 320 156 F T NOTES .MARTIN DESIGN 935 RH ELEVATIONS NATIONAL HOM E,S' CORP ' FLUE AS SPECIFIED DRAWING NO, NOTED DATE OF ISS[ DATE C,O~ NO FRONT ELEVATION I ,/oA' ~ BR. 3 KIT MODEL- MARTIN. RH NO.__~_N CIELN'G HIGH CAI~NET N AT,I 0 NAL. HOM~$ ,VA LENC'T ZABINETs W/OPT. 001 KITCHEN CABINET CALCULATIONS SQ FT REQ 'KITCHEN CABINET CALCULATIONS. ( .-~'l'l'~ ~)~ Copyright 1966 OP, T IONAL LONG END OVERHANG TYPICAl_ GABLE, 5EC'ClON IHOUSE SECTION & -DETJ~I LS 'm2 RiOOF PITCH ~8" EAVF' OV, E R HAN__O 8'-0' CEILING HEIGHT NATIONAL HOMES CORR 24-0 260 28-0 30t0'32'_0''BASIC WIDITH5 FULL HOUSE SECTION ~,,~., o- ~V/~ /AlU L_lF~.,~N)~ LAD LONG END O.H. 'TYPICAL EAVE SECTION ,~o=~o I' 'J ¢~'+ ':" DATE OF ISSUE' REVISIONS BRICK ,VENEER W l NDOW HEAD CUT C PLYWO00 ( · rbLL )OF Fll],E~,nARp FLU~I4 ~,RIC K VENEER ~" =QLI NDATIr m .~ATE Or:-:l .WS-504 IoF- 3 WAEL SECTION i BA,SEM E,NT TE.JU~I TE FEOOR DETAIL \'./, - ,'* WlN~OVV BRICK VENEER ~,,-r:C UND ATI ON , ,F'OUNDATION & :WALL 5EGTIQN:: ' -'-"' 504 20F~.~ SECTIONS: ¸_'IL. t~F,&p ' PW CUT TO MINIMUM ~,~10 STEJNGr-Es[~ LW 100-950-1,4-?.~01, EI-J - Z*:5 ~ :JL" 1 STAIR. PACKAGE K.D.J 097-598-036 CUT STIZII.4~ E I~ -'SECTION A-A I? HO. ME5 CORR ST- ;~ ~ ~ , I · 'BASEMENT StFA RS' ,~WI I--',..t ,INTERIOR WAEL B0'I'id~ 5IDE',~~, 'SECT, tON & DETAIL5 [ ' ",i;,?:'i ~-0 Y4-' .or~ 3~-I" "~lSECTION B-B A ~c~_~, )Y'z'= v.o'