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Home My WebLink About6843-zFOEM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z~832 ...... Date ........... ~ .... 26 ...... , 19~. THIS CERTIFIES that the building located at 62.~..Road ................ Street Map No. We st~ .Ck. l~stBlock No ........... Lot No...1.6 ....... ~[~th~d.. l~,Y, ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ AII~...29.., 19.73. pursuant to which Building Permit No..68br.~Z. dated ......... Sept...6 ..... , 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 ... P.~.iva.te. on~ .rally. dwellin~ .................................... The certificate is issued to .Cha~.les. Reh~kle ..... .~en~ ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Na..~...2~ .... $ .~.... b.~...R:..¥i...l~a.... UNDERWRITERS CERTIFICATE No..IL ~K,~,~.~ 14~ . 20 .'~ ~-'-~ . HOUSE NUMBER ...]1~0 ...... Street ... 4~lenn .P~ ............................. Building Inspector FORH NO. 2 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) 6843 Z Date ...................... S~p.I; ......... ~ ............ , 1973... Permission is hereby granted to: ?a~,l..~a~e~ ~...][e~e-s--'~'ne.--. ~G ....... G"~as..~ehwlz~el ........... 1 .~.2 ..J~.. ~/~taxO$.. E Ja;h~. ................ ............... ..s.~ ~.~.~...~.a. ~.s.. .................................. ~ .~.~i~L.. ~e:4....~...fP~t~...d~.e 11_~ ~ g .................................................................................. al-premises Ioaated at ...~..0..~...~].~. ......... ~.~q.~....~.~fi.~]~..~S.~.~,.~.~S....: ................................................ pursuant to application dated ........................../k!]_.g....~.~ ............... 19.~3.., and approved by the Building Inspector. Fee ~$...6..2..,..0. ~0.. .......... FOR]ti NO. tS TOWN OF SOUTHOLD Building DepaJtment Town Clerks Office SouthoJd, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 sofety 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 Dete ............ X New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ..S./..S.....G..]:..e.~....~..*.~.....1..5...O.9..'.....~./..0....~.~..~.....~.ff3~.-~..e..~.a....~.o..~,~g~.~..~.,~^ ........ Owner Or Owners Of Property ........ .C.h..~..~.]....e.~...~.......~...e..b?...i...]~....e..1. ............................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No..6...8..4.~.~ ........ Date Of Permit~/..6./.~ .......Applicant ~.~..z'..Z.~.m..e..~..~..~gj~.q~.,.~,g.., .................. Health Dept. Approval ...8./...2.?./.~ .......................... Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .........~. ................................ Fee Submitted $ ....?..,. 0..0. ....................... Construction on above described building and~.. ~ee~licable codes and regulations. Applicant ......./ ~1~'~ ~ .rue ....... ~ ...... s, ....... ~ .................................. : .......... ~,.....:. ......... PARLI_~A~N1 T/~OI~ES~ INC., 147 W. Mon~auk highway, Sworn to before me this Ray Zoll Hampton Bays, N.Y, 11946 ..... ~Z~ day of ...~~.....~.~, (stamp or seal) Nota~ Pub~-- ............. ~- ~ounw No. 52-20558]0-5~ffo[k ~oun~ Commi~ion ~pims March 30, J9 7~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 197~ ~p~/..ot,o. ~o o. ~f,~,~ 703021 N -ak ~°~ March 20, 149447 only the electrical equ~pmen~ us described below and ~ntroduced by the applicant ~arned on the able application number ~ the premtses of Charles H. ~hwinkel, 1450 Glenn Road, Southold, L.I. ... o,,,,,,,,,~d o,, March 18, 197q and/ou~tdtob~'tnromphance~tt~tt~er~,q~ ........ ts of thts Board, FIXTURE FIXTURES ~ RANGES ~OOKING DECKS] OVENS ]DISH WASHERS~ EXHAUST FANS s~wc~ mSCONN~C~ ~.o o , S ~ ~ V ~ C ~ ~ *SpeciaZ ~ecep~acles: l-3Oamps.~ l-5Oamps. Wate~ heaSe~: l-. 75~ l-. 5kw 3323 Fifth St., GENERAL MANAGER Oceanside, L.I. 11572 SUFFOLK COUNTY DEPARTMENT OF HEALTH Heal th Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applica~Lt~-~_~f,~P?ne~'~t_~m~ 5. Subdiv.~ Addres _ ~ J~6. Section 4. Lot size: Width tO0 fee~ 'Length &~7 feet lO. Sewage Disposal System: A. 900-gallon septic tank: Precas~.~Equi val ent Block !~:. Leaching pools: ul~r of pools ~ ~ Precas~ Block Special 'If prate well, fill in the foll~ng blanks: A T~ ' ~' . an capac~t~ T~ gallons B. Pump G.P.M. ~ C. Total well depth D. Depth to ground water E. Amount of water in well (For Health Dept. Use) The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid~or one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date ~ l~ Signed ....... ~ .... ~ ............ : ....... ~__ .. ::-. :: .............................................................. :=-.~__:_ 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~s System and Water Supply can be installed on this plot. APPROVAL S-15 Rev. 4/1/73 ;p~o~al SIGNED .// EXCAVATION INSPECTION REQUIRED ill PoA D HIS SLI~'.VEY i$ A VIOLATION OF 09 OF THE NEW YORK STATE LAW. PAP,.LI ME T HO , I C. 147 West Montauk Highway, Hampton Bays, N. Y. 11946 -- 728-0443 P. O. Box 717, Montauk Highway, Water Mill, N. Y. 11976 - 726-4545 P. O. Box P, Main Road, Jamesport, N. Y. 11947 -- 722-4440 · /~ SPEC-IFCATIONR .....................................................,cf)_ ........................c .............../)'"- :'/z ............. h~~ , '~ / .............................. ........................................................................................ Building Size .~..~......x~.~.:~. Extensions ............ x ............ Garage ............ x ............ Porch ............ x ............ Stories ............. ! .......... No. finished Family Room ............ x ............ rooms upstairs ............... Basement size ...,..,....~.. ...... EXCAVATING AND GRADING The contractor shall do all necessary land clearing, excavating and ROUGH GRADING for con- s'truction of houses only to extent of 10'. Property disturbed by building operation is to be R,OUGH GRADED ONLY. Any additiorml fill or grading required shall be paid for by the purchaser. MASONRY Foundations House Garage Porch Blocks ...... 10 ...... courses of ......8 ...... "......16 ...... "block ........ 4 ...... courses of ......8 ...... "......16 ...... "block ................ courses of .............. " ................ "block Completed House foundation walls to be ...... l~z ...... (blocks) (feet) above grade. Foundation footings to be of poured concrete ...... 8 ...... "x ...... 16 ...... ". Ou'ter side of foundation walls to be waterproofed with Trowel Grade Tar. Concrete Floors Basement floor: Garage floor: Patio: Front stoop: Rear stoop: Porch: ...... $ ...... "of concrete ...... 4 ...... "of concrete .............. "of concrete ...... 4 ...... "of concrete ...... 4 ...... "of concrete ...... $ ...... "of concrete Chimney Construc%ed of Chimney Block wi~h 81/2" x 81/~" Terra Corm flue lining. Chimney footi~)~q, be 18" x 18" and 8" thick. · .~ ~.z F.2 · , Fire place ................. Size 6. Cesspool Typical Board of I-IeaJth two cesspool Section. (Blocks.) In the event of unusual soft conditions, etc., requiring, v~aything ~ifferen% shah be construed as extras and paid for by the purchaser. Allowance ........~.....~..!....:. ....................... CARPENTRY Framing (All framing lumber to be Construction Grade.) Studs Partition shoes Partition plats Floor Beams ls~ floor 2nd floor Ceiling Beams Roof Rafters Girder Lally Columns ...... 2 ...... "x ......8 ...... " ...... 2 ...... "x ......6 ...... " ...... 6 ...... "x ......8 ...... " ...... 31/2 ...... "diam. ...... 16 ...... "O.C. ...... 16 ...... "o.c. ................ "o.e. ...... 16 ...... "o.c. ...... 16 ...... "o.c. Sheathing ................ Wall l/~' Plyscore .......................................................................................................................... Sheathing to be covered with ...... 15 lb ....... paper before exterior finish is placed (2) Subflooring ................ 1/2" Plyscore ............................................................................................................................................. Roofers ................ 1/z" Plyscore ............................................................................................................................................. Exterior rX Hous4~ Sides ........................................................................ Rear ........................................................................ Garage [ 'l tr Doors Interior doors to be Laun M. AH H/C, 1-3/8" thick. Exterior doors front 1-3/4" Fir rear 1-3/~' Fir Z Sash 2-1/4" Pine Interior Woodwork Door and window trim to be 2-1/4" Clamshell Finished Floors First Floor Second Floor Living Room .......... # i Common Oak .......... Bedrooms ........................................................................ Dining Room ............ # 1 Common Oak ............ Hall .................................................................................. Bedrooms .......... # 1 Common Oak .......... Bath .......................................... Subfloor .................... Halls, ete ........... # I Common Oak ..................................................................................................... /lath ................................ Subfloor ....1/~,, Plyscore ............................ Kitchen ............................ Subfloor 1/~,, Plyscore ........................ Kitchen Cabinets Material, Birch; Color Selection by Owner. Material of counter-top, Formica Interior Finish First floor--Sheetxock Family Room .................................... Flashing Chimney intersection with roof flashed with Alum. Valleys flashed with Alum. (3) Roofing Type 240 lb. Sealomatics Insulation Walls 2", ceiling 3"; material -- Fiberglass Garage Door: Overhead, 4 section, 4 lite PAINTING AND FINISHING Exterior--Finish All exterior windows, doors, and trim shall receive 2 ~oats Interior--Finish All interior woodwork shall be given La~ex Paint. Ceilings to be Sand Finishe~. .... Oak floors to be 2 coats finished GUTTERS AND LEADERS .............. )./.~:..?....~......: ......................................... PLUMBING In compliance with Local Ordinances Fixtures (Describe) Bathroom-- Tub -- 5' Tub Shower, Yes -- see below Lavatory: 20 x 18 Laundale enamel or equal Water Closet: Amer. Std. of 9ood quality la+ex paiat., Lavatory-- Stall Shower Lavatory Waf~v Closet All trim to be Price Pfister or Equal Kitchen Sink: 21 x 24 Laund~c~ or E~,al Water Heater .......... ~.~:L.~ .~..(~...~.. ~ .t:.~ ~ .~. ................ Capacity .................... gals. Fired by .......................................................... Water Pump Shallow well or city water hook-up only ............................................................................................... H/~EATING Type of heating-- Hot Wa~er ................. Elec*ric ..... ~-~:~.~er ............................ Furnace ............................................................................................................................................................... Type of firing-- Oil ................ If Oil, capacity of tank ............................ gals. Heating System shall be sized to maintain a room temperature of 70 degrees F. at an outside temperature of zero degrees F. ELECTRIC WORK Per New York State Board of Fire Underwriters. ........... ............... ................................................................................... ........................... .......... ........................ .............. Addi%ional items separate page (4) ADDITIONAL ITEMS Signed .............................................................................. gn ...............?...~..*...... ~ ....... I..... ~'A~:...;[ .~ Owner Pali~en~ Homes, In~. Da~e TOWN OF SOUT,OLD BUILDING DEPARTMENT TOWN CURK'S OFFICE ~H~D, N. Y. ~r~o ........................................ ~ ~.4..:... ~1~ ~o. .~ ................. ~r~ a/c ....................................................................... (Building Ir~or) APPLICATION FOR BUILDING PERMIT "~ ote ......... .......... ......... , INSTRUCTIONS ~ a. This application must be eomplctely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wit~ 3 sets of plans accurate plot plan to scale. Fee according to schedule. ~. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining prem ses or pub c streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is part of this application. c. Thl 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 ot~ the premises ~'vailable for inspection throughout the work. e. No building shall be occupied or used in whole or in pert for any purpose whatever until a Certificate of Occupancy shall have b~n 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, o~ for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws. ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises mid in buildings for necessary inspections. (Signature of applicant, or name, if~ corporation) State whethe[; applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber 6r builder. Name of owner of premises ....~...~..../~. .............. ~ ...................................................... ~f dul~"d~thorized officer. and title of corporate officer) Builder's License No ........................................................ Plumber's License No .............~.....~...~.....~....~.. ...................... Electrician's License NO ........~..~..~.....--.....~.. ........................ Other Trade's License No ..................................................... ~,~ ~ ~/ 1. Location of land on which proposed work will be done. Map No.......~....~...~....~.. ........................ Lot No.,..._.~.:~.,..~.. .......... Street and Number ......~..~...~ ................................... ~ii~ ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ J~.;~...._. ........ ; .......................... /~, ..................................................... b. Intended use and occupancy ............... ~ ............. ;~:...., .................... ~ 3. Nature of work (check which apolicable): New Building ....................... Addition ..................... Alteration ........... Repair ......................... Removal ......................... Demolition ......... t .............. Other Work .................................. ,. (Description) 4. Estimated Cost~..~.....~..~, '~' .......... O..J~.. .................. 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 ........... t/. ............................................................................................................................... 6. If business, commercial or miXed occuoancy, .specify natu_re and extent or,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 ........................................ · B. Dimensions of entire new construction· Front ....... ,,~....O...~ ........ Rear ......... .~....c~.. ............ Depth ...a~..~..i..~..~..~~. ............ Height ................................................. Number of Stories ........ ]. ............................................................................... 9. Size of (or: Front .......... ./....,...~.. ................. Rear ............ .~..~..,..~...O. ............ ,.. Depth .....~..~..~ ............................... a eofFr r n ~tJre,~l~ ~n.O.~-- '" ~- ~-~.~ 10. Date of Purchase ..................................... N m omc Ow er ....... r..-:.~. .......................................................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~ .......................................... 13. Will Iotbe mgraded ....... '~r"--'~ .......... ~_W_~iWill e~xcess, fil~ b.e removed f, rom prer~ises: [ ] Y.es [X~ No_ · I ' ' $-~ 14. Name of Owner of promises ......?:S¢0,Y~c~J~,..~..~......~..?~.~.~~...~..~. ......... ~... (Address) , - (Phone No.) Name of Architect ................................................................ t~ A , A .~ t (Address) ^ / ,~ . (Phon® No.) of ContraCtor y~.....~~.:...../....~...t~..,~J~.~ ............. 7...2...[:~..~.~.~..... Name (Address) /~(./~g ~ (Phone No.) 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 wheth- er interior or corner lot. STATE OF NEW Y~,. ~ ) CO U N TV O~ ~/~"c'~ '~:"//~/~ c'~. ................ ) ................. ~~..~ ............................... being duly sworn, deposes and says that he is he app ican a ova ne . ~ t I t b med y'Name of individual sign~h'~contracO ~ ~ ~ He is the ...................... ~.._...~..~........~....................._ ................................................................................................ O' /J (Contractor, agent, corporate ofJTcer, etc.} of said owner or owners, and is duly authorizeb' 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 therew;th. /~ h ........................................................................................ t ~'~ (Signature of a~j~an~nt) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK NEW~ YORK tOO38. "-,e Marc,', 20p i~?l, .,pp,,c.t,,..No.o./,,.?0i'm21 N 149447 THI~ CE~IFIE~ THAT o~ t~ el~ ~ulpme~ ~ ~¢~ ~and in~ ~y t~ a~l~t ~ on the ab~ ~pl~a~ numar in t~ p~mises o] unarLes ~. ~nwxnke~, lqSO Glenn. ~oad, Southold, L.I. in the following location; [] l~.asement [] was examined on March 1U, 1971 lstFl. [] 2nd FI. outside s~tio, m~8~O zot 16 and found tO be in compliance with the requirements of this Board. RANGES ~PECIAL REC'PT ICOOKING DECKS OVENS DISH WASHERS 'i;IMECLOCKS BELLJUNITHEATERSUNITHEATERS MULTI-OUTLeT V I C J EXHAUST FANS DIMMERS I NO. OF NEUTRALSA.W.G. NO. OF HI-LEG OF HI-LEG Of NEUTRAL FIXTURE LECEPTACLESI SWIT HE I F XTURES OUT-TS I c [ 3~ ~i 33 3~ DRYERS I ~RNACE MOTORS J mTURE A~IANCE ~ns ~T. K.W. OIL H.P. GAS H,P. ~T.~ ~NO' &W.G.~ ~ SERVICE DISCONNECT NO. OF S R A,~T METER · AMP. ~fPE EQUIP 1~'2W I,B'SW 3~'$W 3,~'4W NO. OF CC, COND. A.W.G. 1 ?00 CB 1 ' X PER.~ OF CC, COND. i 3/o OTHER APPARATUS: ~ 'Special receptacles: 1-30a~ps.~ 1-50a~ps. ,~ater heater: 1-{l.5kw Plec.room heaters: 1-5.0k~.% 1-2.Skw, 1-2.0kw, I-. 75kw, 1-. 5kw 4-1.5kw, ]-l.25kw, 2-i. Okw Gunderson & Co., 3323 Fifth St., % OQ~.-Oceanside, L.I. 11572 C-~IJ. MANA~R COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. g 0 0 J APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT ED INSPECTIONS: ~; ' 4-' Joe', ,! I