HomeMy WebLinkAbout6429-zFOEM NO. 4
TOWN OF SOUTHOLD
BUII,nING DEPARTME, NT
Town Clerk's Office
Southold, BI. Y.
Certificate Of Occupancy
No;~56.7.9 ....... Date .............. Ilec ..... 5 .... , 19~3..
THIS CERTIFIES that the building located at .N/~. N. 9~'.t.h,' .R.o.a.4..(.C..1~?)... Street
( Southola
Map No.X~ .......... Block No. ;~X ....... Lot No... X~ ..... Gl'ee~por.~ .I~ ,It.,.. (R,F.,D o )
confoms substantially to the Application for Building Permit heretofore filed in this office
dated ..........blat ..... 21., 19.7.3. pursuant to which Building Permit No,
dated ...........~a.r....2.2...., 19.7.3, 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.r. Sy.a.t}~..0!!.~..$.~.~y..d. Ve~.]~x~g ......................................
The certificate is issued to ...R~...~..~. .K.o.l!~.9.k.o.s..~. ..... ..0~..~.!, ...............
of the aforesaid buildlag.
Suffolk County Depai'tment of Health Approval
(owner, lessee or tenant)
...~..~....2.3...1973...by..~.,. y.~l.~. ~..
UNDERWRITERS CERTIFICATE No. Iii 2619.8 ...... Now.,. 9,..1973..' .............
HOUSE NUMBER . '. 1i.67.65( .....Street ... C.o. tmty..Road, .27...(Nor.t~t~. t~o~d) .....
Building InspeCtor
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 6 29 Z
Permission is hereby gronted to:
W~.tt~em..Oo~trae~{ng..i~e.....A~...C....~.~l Kontokomta
...... Gr~p~.t ....................................................
to .]~1,~.. nf~..~uo.., foALl.7...dJfe ~l.~,ng ....................................................................................
at premises located ct .. g~.S..~o~.t,h..~...(.CR~.)...-...W/...,l~l,b~F.t, aozl..Z4t ...........................
................................................... G~eempe~t ....... MvYv .......................................................................
pursuant to application dated ...................... ~ .......... 2.1 ............ , 19..~.~.., and approved by the
Building Inspector. NO~$ I~bJeot to aoeess appro~l from Cowry Hil~ay Dept
Fee $.~..~:..!...0.. .........
Building Inspector /
THE NEW YORK BOARD OF FIRE UNDERWRITERS
t~) BUREAU OF ELECTRICITY., ·
r~ STREET. YORK. YORK .
JOHN
NEW
NEW
10038
" 126198
Date ,~ovember 9, 1975 AppU.atio. No. on/ile 668279 N
THIS CERTIFIES THAT
only the electrical ~quipment as described below and introduced by tbe appl~ant named on the abo~e application number in th~ p_r~mises of
Emanuel Eor, tokosta, North P.d., opp. ^lbertson La,, C, reenport, L.I.
in the following location; [] ~asement ~ 1st Fi. [] 2nd Fl. ~UtS id 0 Section Block Lot
w°~ examined on ~! 0 V ~ I'¢l~ ~ ~' ~ · ~ .0 7 ~ and found to be in compliance ~vith the requirements of this Board.
/
DRYERS FURNACE MOTORS ~TUnE A~A~E ~ERS
~T. K.W. OIL H. P, OAS H.P. ~. ~O, A. W, O,
SERVICE DI$~ONIq~T NO. OF
1 200 ~B METEI~
RANGES
1 10.
~FECIAL REC'PT
1 30
E
COOKING DECKS OVENS DISH WASHERS
TIMECLOCKS [ BELL [UNITHEATER$ MULTI-OUT[ET
V I
A. W, G, NO.Q~ HI-LEG A.W.G. NO, OF NEUTRALS
OF CC. COND. OF HI-LEG
3/o
· Furnace/s: Oil, 1-]/Shp 1-1/2bp
EXHAUST FANS
DIMMERS
OF NEUTRAL
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF $OUT~OLD
Building Department
Town Clerks Office
Southold, N. ¥. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
^. 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 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 $5.00
3. Copy of certificate of occupancy $1.00/~...~..../.'/ ~,.~ /.?..Z.~..
Date ...............................
New Building ...... ..~....... Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property ...~'...~....~..~.....~......~.....~.~Y' ,~,9~ ~ 7 ..~.../X/~,~ ~ ~/~,~'~-~--~///-~,y'~',~
Owner Or Owners Of Property ....... ;~...~....~..?...~..~....~.,~...~'~.....~..?,.~.~ ..........................................
Subdivision ................................................................ Lot No ............. Block No ............. House No .............
Permit No. ~-~/--/~'~' Date Of Permit L~'~ ~ ..~.../.Z.~//~,4; ~'/~;~,ecT~
....................................... pplioant ................................................. ~'. .............
/ 7 ,
Health Dept. Approval ............................... /2.~...~...Labor Dept. Approval .............. .,~........~.... .....................
Underwriters Approval .~..../....~....~.....!....~....~.~....~./....~?.Pannng Board Approval ..... .../~...r...../~... ......................
Request For Teroporory Certificate ........................................ Final Certificate .......... ~ ..........................
Fee Submitted $ ,~ ................................
Construction on above described building andes al~on~.
Applicant ......... ~.~ ......... ~,..;.:..:...~.~/..(~'._._.~__~__ --
Sworn to before me this ~ // ~ ~-~- ~-/
................ day of ............................................ (stamp or seal) ~_~c~' o<~! 0~ S~
Notary Public .................................... County ~
TOWN OF SOUTHOLD
OFFIOE OF BUILDING INSPEOTOR
TOWN OLERK'S OFFICE
SOUTHOLD, N, ¥.
Mr.R. Kammerrer
Commissioner of Public Works
Suffolk County cz. ::~ r'~
Yaphank Ave., Yaphonk, N. Y.
Dear Sir:
In ~ccord~nce with S~ction 239K o~ th~ Gon~ra~ ~unicipol Law o~ th~
consolidated Lows of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that ...l~$i.1..i..~.m..~.....C..o..n...t..r...ac ting Inc. ~
has applied to the Town of Southold for o permit to construct a building
on .~A..~..~DA~.,.~...;..ARA..~..~.~..~..,,'4~,,~s°n La, Greenport
asshownontheattachedplotplan, submi~edintriplicate, dot~ ..... ~..~ 197~
szt~me~..&..plo~..~la~..andtitl~...N~p...e~..pmo~mr£~.~o~..E^~,Kontokosta
We shall withhold further action on this application for ten days or as
otherwise provided in the aforementioned Section 239K.
3/26/73: Approved to the Town of Southold
pursuant to See. 239K of the General
Municipal ~aw; a permit under See. 136
of the Highway Law will be required.
SUFFOLK COUNTY DEPT. PUBLIC WORKS
R. M. KA~RER, COMMISSIONER
William S. Matsunaye, Jr. ~ ~
Chief Engineer
Very truly yours,
Building Inspector (
Town of Southold, N. Y.
SUFFOLK COUNTY DEPARTHENT OF HEALTH H.Do
APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEH
Address~
2. Property
4.
10.
Phone~)~O$~. Subdiv. 6. Section
7. Lot No.
8. Private well
Public water~
Villag~,h~Townshi~ 9.
Public Water Company name Distance to main
Lot size: Width~_&~_feet Length_~feet (Enter on center plot below)
Sewage Dispo~y§~em: ,77~-=~ --
A. /~00)gallon septic tank. ~recastW Equivalent__Block
B. ~ching pools. Number~ Precast~ Block Special
Street
If private well fill
in blanks below:
Tan~ c~ty Gals.
Amount ~ wa~ in
Test
~ee t
2
4
10
12
14
16
18
The undersigned CERTIFIES: "Construction of authoz installations will
be in accordance with the Suffolk County Department of Health's current stand-
ards thereto."
Date ~(~ l~ ~ ,~ Signed
· ~ner or B'~ilder
FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it
is the opinion of the Health Department, that an adequate and
Disposal System can be installed on this plot.
Date ~/ ~/~ Signe~
satisfactory Sewage
S-15
Revised 4/1/72
INSTRUCT'IO~S, '
a. This application must be completely filled in by typewriter or n ink and subm t-ted in triplicate to the Building Inspector, wit~
3 l~tSl)~f plans, accurate plot .plan to scale. Fee ?co~..rding to schedule.
· .. ot plan showing location of lot and of buddings on promises, relationship to adjoining premises or public streetS or areas, en~
gwmg a detailed description of layout of Lproperty must be drawn on diagram which is pert 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.shell be kept
the premises available for inspection throughout the work. ,,
e. No building shell be occupied or used in whole or in pert for any purpose whatever until a Ce,rtificate of Occupant/shell have been
granted by the Building Inspector.
bO~ .A. PPLICATION IS HEREBY MADE to the BuiJdi~ig Department for the .issuance .of · Bu, i!d, ing Permit purmant to the Building Zone
i~;r~:L?a~lfd~tiheo~T,o,..wn.~f...+S~u~..t.h, ol_d,. ~.o_lk__C~.._u, nty,?aw.,Y..ork, anc. I. other .appli..cab e_.Law~. O.r.dinan~asoY Regulations, for the eonetruction~
ordin,;~T-~, ~...',:"~'"- ::~"-"~'-"-""~"tvL ,u, r..m~v.a, .or aem~.n~lon., a.s nerem, ae.s.c.r, mea. ina ePl~lcant agrees to comply with all applicable
........ ,~,,u,.g ~ue. ,uuslng coae, aha regumtlons, aha to aamn authorized inspec~rs on premises and in buildings for neous~ry in~aections.
(Signature of applicant, or name, if a corporation)
(Address of applicant)
.State whether applicant Is owner, lessee, agent,.emhitect, engin~r, gRneral Fontractor, electrician, plumber or builder.
_......
Name of owner of premises .... ~ ........ ~-~:~.-.~ .................................................................................
If applicant,~, ./~ _ ~-'~..is a corporate, signature of du~y authorized officer.
........ ........ .....
arne arkYtitle of corporate offica~) ....
Builder's License No ....................................
Plumber's License No .........................................................
Electrician's License No .....................................................
Other Trade's License No ...................................................
1. Location of land on which pToposed wo~rk will be done_Map No .............................................. Lot No .......................
Street and Number..j~ ..~...~/.~. ...................... ~'~.,./tef/. ........
. ::' ¥-<---.. , ....................... ::
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ................... ,, ....... ,~ .... .,L .........................................................
Intended Use and occupancy .... ~, .. ~.~.Z//~....
b. ~ .................................... ~
3. Nature of work (check which applicable): New Building ........................ Addition ..................... Alteration ...............
Repair Removal ......................... Demolition ........................ Other Work ....................................
......................... { Description)
...... ..........................................................................
4. Estimated Cost ..... .'.~...~...~:,~..a.~. ..................... 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, commemial 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 .........................................
D=nth .............................. Height .................................. Number of,,~tories'~ ......................... : ..............
8.Dimensions of entire new construction: Front .....'7..~,.~.../..~...~.. Rear ....'-~..../.. ~. ....... Depth ....,~../. .......................
Height .......... [ ...................................... Number of Stories ........ ]. ........................
I e !
9. Size of lot: Front ...I.L.~. ............................ R ar ....... lJ.~. ............................. Depth ..... .~...~...~../...~....~....O....~..~ ............
10. Date of Purchase ..................................... Name of Former Owner ............................................................................_
11. Zone or use district in which p. remises are situated ....................................... i ....... ~/ ..................................................
12. Does i~posed construction vtolate any zoning law, ordinance or regulation ...... :.y..D. ...............................................
13. Will lot be reGreded -J;~,l~ .......................... WillexcessfillJoerem°vedfr(~m nremises:Atty~' [ ] Yes ~ No
14, Name of Owner of ~--'""i~;~'~i (Phone No.)
Name of Architect ............ _...; .................... : ...... ~. ....... t~. .............. i':'~;~';;i ................................... i~'"E~l'~:i ......... : .....
Name of Contractor .~.~JU~ ~ ~ ' I~'~ N~.}
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 wheth-
er interior or corner lot.
STATE OF NEWE Y~R.K,/~ )
COUNTY OF ...~*~,'~.~'~: ........ )
.....~. ~.~....~.:...~.~ : . ~.g d.,~ s.or. ~, ~,~ ,~, ,~ ~ ~,'~ ~,p~n,,~o. ,~.
................ ' (Name of in~v~ si~ing con~act/ ~ . --
He ~ ~, ...................................................... ~.~.~-~ ...................................................................................................
[On~tor, ~(, co~mte o~r, etc.}
of said owner or owners, and is duly authorized ~o ~orm or have ~rformed the ~id work and to ~ke an~ file this appli~fion; ~at all
statements contained in this application are tr~e to ~ ~s~ of his knowled~ a~ ~lief: ~d ~hat the work will ~ ~do~m~
~t for~ in the appli~fion filed t~rewith. Nmo~ Pbblic, ~am o~ N~ Y~
......... ~.~ .................... ,,v o~ ..~.~.~......~a~.~,a~ ~y~ /
...............................
~'~--~'~'""'~' - .... ~ ............ . . t }~ m~ o~ ~?~0
~. 34. /<ON'?OI<O,STA
Tt'¢'/e Nc?, 1~77~71
L 0 NG ~
- GRADE (VARIABLE)
PROPOSED
BEAC*Hi
'o? "7
I'-
P_"PIPE SLEEVE 8'-0"O,C.
~" PIPE WEEP HOLE~
- GONC, BULl<HEAD
.j'FINISk[: ~E
-- 'SEPTIC TANK
F. CONG~ETE
SCALE
K: BONC.,-SLAB PE
......... :v,',~/~
U_EFFLUENT ~ LII'[E
,¢,,~t C I PIPE.:-
SYSTEM
,.COVEA
4L6''
WATER kEVEL
APFROVED AS NOTED
ED iNSPE~iON5:
Dlt'e
X 4" WD,
["1 ~ S T E R BE D~OOFI
~ U]N ',, DE G K
BEDROOM
',~
A
L L
LAV.
FIRST FLOOR PLAN.
uP
36'- O"
IB"O" '
9'- 0" = =
L[VtN6 AREA
ARE A
K~TCi~4EN t,
VEST,
,%
I'"-
J
I'.~ E T. FLASHING
{Z
~LE FTSIDEiELEVATDN
t°._
REAR ELEVA,~ION
{ {I
SECTION - B- 13
SECTION -A-A
SECTION - C-C
4
12
SECTION,-~ D - D
K~ONTOKOSTA ASSOCIATES
Engineers & Design Consultants
26 Court Street, Brooklyn 1, N.Y.
"Date
Date
8eaSe
Job No,
Dwg. No,
' 1
PLANKS
3",X I~'" WOOD FLO'
JOISTS - 16" O,C.
2"X
_FLOOR FRAMING PLAN
/
/
/
/
/
60°
CONCBA SEMENT' SHELFFLoOR 4'-O"/A ROV E
CON'C. CONC. FTG:'
4" CoNe, SLAB
FOUHDATIOI',I
21'-0"
(M.O,),
I~- O"X 2'-0" CON;
PLAN
L. LALLY
. FO.LUMN
I"× 10"
/
/
('5 H"I ILAR TO)
E
~ 5- 2"~x,!2"
D
7' 'O"
:~,K 5T~/JL~A LLY
COyUMUs;
......, [% O" X 2'-O" CENT. CONC
II'-
MASONRY
' 2"xlO"WD. FLOOR
JOISTS - IS" O,C.
-- ?2"XI~'" WD, FLOOR
UOISTS - 16" O,C,
.\
..-,\ \
\
/
1
/
/
/ /
t
OSTA ASSOCIATES
'NTOE '
Engineers &'Deoign Consultants r~
26,Cour, t s~reet; Brooklyn 1. ~.y
: Date
Da~®
Scale
Job Z~o.
Dwg. No.
I-;?X 2"
Z"X I0"
Revisions
KONToKoSTA ASSOCIATES
Engineers & Design Consultants
26 Court street, Brooklyn 1, N.y.
Date
. ~LG.
~IeAS£1A BD. --
CONT{NUOUS
VENT W!SCREE
ZLO-
211X4'' NAILERS --
CEDAR TEXT,
ISW'ROOFiNG
FELT 2 PLY
5/6~ SHEATH
POLYETHYLENE FILM
THRU-OUT
LVER FOIL 13ATTS
3ULATION
'CEDAR TEXT. I-Il
SIDINGS --
~f LCOMM. OAK~FLOOR
'5/6'! PLYSCORD :DECK
x6 WD, PL:
FLOOR JOIST
:ITE SHIELD
Z~#G RE
DAMPPROOFIN$
). EX. PAN sIoN '
{JOINT ALL AROUND l[
'~" CONC. SLAB
FILl, ,
. ;?'/ELL SOMFN;TED
DET, SECTION-A
NE FILM
X 12" BUILT UP RAFTER
"":-'4" ¢ STL.
· COLUMN
-DET. SECT-B
DET. PLAN
I/2"~ l'q BOLTS
W/WASHERS
2I' RAFT ER
BUILT'UP
GA. IO GUSSET
SHAPE AS SHOWN)
PET. ~LEV.
DET CONNECTION
~1 COMM, OAK FLOOR
PLYSCORD DECK
: 2":~ ~-" FRAMES
LALLY
3/8"THK,
FX 8" LC.
DET SECT-D
~" RIGID BD
NSULATION
NAILING 5TRIPS
4'-0I'O,c,ALL AROUND
GLIDING DOORS
PE~,PIA SHIELD
.L ~"X4" PLANKS
AT ALL FLR ',.IOISISJD.VERHAN6
3- 2"X 12" GUILT-UP
RAFTER
PLAN
12
..... ~4
2-"X I0" ~
~=IBA,IO GUSSET P,_
SHAPE AS SHOWN-
12
~ - 2"x 12" RAFTER
BUILT- UP ---
~/2"0 IvI^CH, ~30LTS
W/ WASHERS
2-GA. I0 GUSSET IE.
SHAPE AS SHOWN
DET; CONN. 'X'
II
3-2HXl2" GUILT-UP
WD COLUMN (,TYp)
_ 2- V~" ¢ ~LTS
I/'q"Ix 3"x 2'-6" ANCHOR
: STL. STRAPS
DET SEC[-E
PET CONN,- COLUMN g, RAFTER
Job . ~ :
3- '~nXI~-" BUILT-UP
WD.(
pERP1A SHIELD
GLIDING DOOR
COLU~IN
/q./O,
CONC, HEARTH
DETAIL OF WEST WALL- LIVING RM
5- 2"x IP_" BUILT-UP
WD. COLUMN-
TRIM
Rmvlelo~I,
KONTOKOHTA
ASSOCIATES
Engineer'S & Design Consultants
26 Court Street, Brooklyn 1, N.Y.
Title
No.
0
~ASTER BEDROOM
BEDROOM
.1
_HOUSE II<AP WI STL
_ETt~ME AND COVER
BEDROOM
f6'- O"
INEI'~
/
· - sUM OEC. K
LIVING A'REA
' '; & Desi'~ii ConsUltants
S%reet, Bro.okX~n 1, N.Y.
DBte '
Soale
~/4": ~'- 0!~
Job No.
DwK. No.
PROPOSED
74~- I
SEPTIC TANK
114.2:5'.__ ------ -----
~,~ i~'"~WATER MAIN
o
4.5
t
!,4
..s S
.Afl. I,(ON.TOK O,STA
~$WAMO~ViAOd£