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7038-z
NO. 4 TOWN OF SOUTHOLD BUH.r~ING DEPARTMENT To~n Clerk's O~ice $outhold, N. Y. Certificate Of Occup ,ncy No. ~608~ ...... Date ............ Au&r~s~....2~.., 19. THIS CERTIFIES that the building located a~,0 o~/,. ~i/~. I~. Roe~ ..... Street Map No..~ ....... Block No..~ ....... Lot No~131~.. 0~.:~ent .... 1~o~o ............ conforms substantially to the Appllcation for Building Permit heretofore filed in this office dated ...........Oat" '~" '" 19 .~. pursuant to which Bui]dlng Permit No. dated ...........Dec. · .llJ .... , 19.7.~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which tkis certificate is issued is . P~$va~e .e~e..£a~ly. dwelliZ~. ~ri~l~ ~dd~tio~..( .App~V#A .bY. ~.~.. Appeals) The certificate is issued to . .Donald..~ephe~son ..... fl~mer ...................... (owner, lessee or tenant) of the aforesnld building. Suffolk County Department of Health Approval "~,R, ............................. UNDERWRITERS CERTIFICATE No. Pel~$~l .................................... HOUSE NUMBER ..... '82~ ..... Street...l~t..1~. ~ .$.. ~teplae~se~. ~ ......... ...... ....... Building ~'-~peetor I~O~M NO. ~ TOWN OF $OUTHOf~ BUILDING DEPARTMENT TOWN GLERK'~ OFFK~ SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7038 Z Permission is hereby granted to: ~cma~..~t, mp~.en~c~m ...................................... ............ .QrJ. m~t ..................................................... ~ ~x~.tin dwe.l_.l.~l ............................................................... ,o .b~t l~..~...~.~,.t;Ag~..~ ................. ~ .................. ............................. .(m~z~...b~..i~ ..t,u~m~ls..~. ......................................................................... at premises located at ..~J~A.....~/.9.....~..~&~. ...................................................................... ........................................... ~rieet .......... ~-.¥- .................................................................................. pursuant to application dated .........................04~t,....~. ............. , 19.~,~.., and approved by the Building Inspector. TOWN OF ~OUTHOLD ~ ~ ~.~.~.~/ ~ ,-4 BUILDING DEFARTMmT ~ ~~~ m TOWN RK'S , p.=.on No. .............. :~- .~,~- .~ ~f~, (~' ~/ Dot Oet ' INb-I'RUC'TION$ a. This application m.',st be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3, set~ Of plans, accurate plot plan to scale. Fee according to schedule. b. Plot'l~lon showing location of lot and of'buildings on prez~ises, relationship to adjoining premises or public streets orb areas, and giving a detailed description of layout ofproperty mu~t be drown on the diagram which is part of this application.~ c. The work ~;overed by this application may not be commenced before issuance of Building Permit. d. Upon Oppr6val 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 work. e. No buildi~shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupancy shall have been .~g~nted by the Building Inspector. APPLICATIO!~ IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone (~rdinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, fo~the construction of buildings, additions or alterations, or for removal or demolition, as herein ,described. T~.je applicant ~grees to comply with all applicable laws, ordinances, building code, housing code, and regulations,and~ admit authori~ inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporatlon) R.O.W. N/8 ~ia~n Road Orient (Address of applicant) State Whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (hener Name of owner of premises ...D..o....~.....~...~..~.h..~..~..~..o,~.. ......................................................................................................... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ...... ~ ........................... Lot No ........ ~ ........... Street and Number ..~.~.(D..~1~.z.....~'~..~.~..~l,&~jg...~:l&l~. ......... .~:~.~.e13,1; ....... ~[~'., ............................................. State existing use and occupancy of premises and intende~ use anti occupancy of proposed construction: a. Exisiting use and occupancy dvelliz~g b. Intended use and occupancy ........... ~'e~v~~d~d~i~a~]r1:;~'~a~i~ ................................... 3~ Nature of work (check which applicable): New Building .: ................ Addition ..... ~ ...... Alteration ...:~ ........ Repair .................. Removal .................. Demolition .................... Other Work ...................................................... (Description) 4. Estimated Cost. ~..~...'~...~-~.~....~.~. ................... Fee ...~..~..e.~ ............................................................................ (to be paid on filing this application) 5. If'd~elling, number of dwe!ling 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 t~pe of use .~..~/l~j..~[/...&j).~. 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 ...................................................................................................................... 9. Size of lot: Front ...... 23D .......................................... Rear ............ .~.~O. ...................... Depth ....36D...~. ............... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district Jn which premises are situated ...... .~JJ'" I:J't It' .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .~..~.Ji ............................................... 13. V~ill lot be regraded'. ....... ~..~. .............. Will excess fill be removed from premises: ( ) Yes ( ) No Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or pr, oposed, .ancO, indi.cat, e all .set .-I~ck dimens! .o.ns,.from property lines. Give street and block number or description accoraing to aeea, ana snow street names ana malcaze whether interior or comer lot. STATE OF NEW Y_OR~,~ _ I S S COUNTY OF ...... I~.~,~1~,,1,~. ........ ~ · ........................ ;~l.g~,~l,..~.~l~l.e.lllL~. ......................... ,i..being duly sworn, deposes and says that he is the applicam (Name of individual ~signing contract) above named. ~ He is the ................................................................................................. (Contractor, ageat, corporate of.ficeF, 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 /) ~ .... , , . .................Notary Publi .~:.~ County ""'~'"~~S'i~';ature~o'f applicant, ..................... JUDITH T. BOKEN ~J~f~ PgbJic, Slate of New York ~g, ~2.0344963 Suffolk Cou~n,~,"''~ ~11~miul~n Expires March 30, 19p OR I ,J A?PRQVED AS IT4OTED DATE:~ NOTtI'Y E, UILDING DEPARTMENT 765-2660 9AM TO 4PM ~:Ol~- AEQUIF.- ED iNSPECTIONS: 'q"-4" ID,._O, NALDL A, DENIS, rj I I 9. 10. 11. 12. 13. OUTLINE SPECIFICATIONS Excayation and Site Work: Excavate for foundations and footings. Provide clean sand ~ill as required. Footings shall rest on undisturbed soil with a min- lmum hearln~ capacity of 2,000 lb/per st. ft. Rough crade to wit%in six inches of finish grade. Finish grading~ topsoil, lawns, landscaping, walks and driveways are not in the contract. Sanitary System: C0nneot 4"-C.I. Line to existing house line in accordance with Suffolk Caunty Health Department Regulations. Concrete and Masonry: All con~rete shall be minimum 2,500 psi strength. Form all foot- logs. Fill top block of foundation wal2 solid with mortar. Re- in~orc~ block work every third course with Duro-wall. Rough Carpentry: kl]i framing me~abers shall be minimu~ 1,500 f. Doug]as Fir "Con- ~truction G~ade", no hemlock permitted~ Plywood sheathing shall. be DFPA "Plyscore Srade". Finish Carpentry: Windows-"Perr~a-Sheild" windows by Anderson, insulated glass and screens. Doors- Sliding Door Perma-Sheild by Anderson, tempered and insu- lated gl~ss. Interior doors shall be hollow core birch veneered select; all exterior doers shall have inter- locking weatherstripping and interlocking thresholds. ' ioterior trim~. S4S White Pine, clear kiln dried, "Colonial". 'Exterior siding- Asbestos shfngles to match existing house in oolor~ style, and exposure~ Exterior trim- White Pine. Hardware- Interior butts: I pal9 brass plated. Exterior butts: 1-1/2 pair solid brass. Locks: Lockwood or Yale "Litchfield" AZ10, US3, 5300 Series. Wall Paneling- Selection by Owner, installation by Contractor. Allow $12 per 4' X 8' sheet. 14. 16. Sheetrock= All'walls 1/2" tapered edge, use vinyl ceramic ~ile. coated backer board beh~ nd ~ass Bart insulation, foil faced, R-13 in sidewalls, R-19 ceilings and roof7 insulate around all baths, insulate floor over garage. Kitchen Cabi~ets~ Van%ty: Allow $1,500.00 (Fifteen Hundred Dollars) t/on in Contract. for purchas'e, Appliances: Supplied by Owner, installation by Contractor. V~nyl Flooring: , Viny.l-Asbestos "Excelon tile by Armstrong. Style selection by Owner. Ceramic Tile: Ceramic tile floor and base and wainscot 4'-0" high. Use 4-1/4 X 4-1/4" "Crystal Lace" wall tile, and 4-1/4 octagon "Crystal Lace" with 1-3/8" dots. C.T. by Wenczel Tile Co. provide C.T. paper holder for W.C., provide two 24 inch long C.T. towel bars. Allow $50 (Fifty Dollars) for each bath for medicine cabinets. Provide toothbrush and t~3~bler holder for each bath. All colors to be selected by the Owner. Painglng: Exterior trim~ two coats of Pittsburg semi-gloss white ]louse paint (or approved equal) Exterior decking-- one coat of Olympic Transparent Stain. Interior Sheetrock- two coats of Latex Flat. Bath Sheetrock- two coats Flat Enamel. Interior Doors, trim for doors, window and base- Minwax stain and two coats Shellac. Ail colors to be selected by the Owner. 17. 18. Roofing: Nc. 2~8 Min. Asphalt shingles to match and color. Built-up Hoofing- 3-ply hot asphalt by spar surface. existing structure in style Johns' Manville, with white P] umbin~: All piping above grade copper~ below gr?.de C.I., valve all fixtures. Fixtures: Tub - American Standard DesJ%ner Line, Fiberglass Tub a~d surround~ color- Heritage with ~mu&~%4~ bath/shower trim. Lavatory: American St~hdard Acualyn~ color.- Acuarian trim. W.C.- American Std. elongated cadet, color. Kitchen Sink- American Std.~ Sunset single bowl~ ST. ST., with a~uarian faucet with spray. Service Sink: American Std. Salem ~ tln service sink fittings. Domestic Hot Water- Oil fired hot water heat, ~ gallons, glass lined. Furnish an~ install 550 gallon fuel oil tank where shown on Drawings. Fuel lines are to run mln. 2" below slabs. Connect new oil tank back into existing ©il ~r.d furnace. Domestic Water Supply: Connect the new water supply sy.~tem to the existing domestic water supply, Electrical: General: All electrical work~ materials~ and method of installation are to be in strict conformance with local applicalbe codes~ and the N.B.F.U. Code. Fire Underwriters C~rtificate shall be delivered 200 AMP, and installed overhead in acco~rdance with the reculations of tbe Lone Island Lightinc Co. Distribution: Provide and install a cir~cuit breaker in the Lower Floor, The board is to be large ~n0uch to accor%modate all circuit~ plus at least four (4) spares. The Electrica.1 Conf. ractor is to verify locations and loads of any specia%l equipment which the Owner may have. Materials: All wiring is to be Romex, n]0n-metallic concealed in construction. Switch and receptacle pLa~tes are to be satin f~nish type tu~nbler. Fixtures: Make an allowance of One ~un~red Fifty Dollars ($150) fer electrical fixtures which are to be selected by the ~wner, furnished and installed by tb~s Contractor. Telephones: Notify Owner when house ~s ready for prewiring by the Telephone Company to determine t~.lepho.nce locations. Heatinc & Cooling Systems: Provide an oil furnace with air condJ- tionin~ oapability by Fedders~ Size s%~stem to maintain 70°%F with outside at -10°F witi~ ].5 MFB winds. Air cooling package "Flexher- tactic" by Fedders. Size system to maintain 70° interior te~p. with e~terior w~ather at 82° F.'. Size both systems to heat/cool all areas on Drawings except garaTe/storage/attic/basement. Ductwork shall be galvanized sheetmetal w~th proper exterior insulation. All work shall conform to the codes of the National Warm Air Heating Association and the Air Conditioning Association. Pre-cast Fireplace Unit: L~ A by Majestic witb approved metal flue piping.