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Home My WebLink About6755-z I~OBM NO. ~ TOWN OF SOUTHOLD IUiLDING DEPARTMENT TOWN CLEItK'$ ~ ~T~LD, N~ Y. IUILDING IXERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6755 Z Permission is hereby granted to: at premises located at ............................................................................................................................ pursuant to application dated ........................................................ , 19 ......... and approved by the ~5 JuLy 7.~ Building Inspector. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM _. , Address ',2~ /-~'~d,~K /~/Ja<z,_-' -~/~ ~ Section. 2. Property location ~I[~ /~ I~-~i~ /~. Lot No. ' ~ 8. Private' well Village /~ ~.~ Township ~fm~ mA~. 9. Public water 3. Public Water Company name Distance to main 4. Lot size: Width~feet Length ~G% feet (Enter on center plot 10. Sewage Dispos~ystem. A. /~0~gallon sep[ic tank: ~ecast ~E~ivalent Block B. ~aching pools. Number~Preca~Block Special below) Street If private well fill in blanks below: Tank capacity ~als. Pump G.P.M. ~ Total well depth Depth to G.W. -,~_,-- Amount of water in well Test Hole Data Feet 4 6 8 10 12 14 16 18 The undersigned :ERTIFIES: "Construction of authorized be in accordance with the Suffolk County Departmen~ of Health~ current ~d- ards thereto~." ::~: ~ /'.~./ ///', Date \i,~'q ~/f ~ Signed Owner or installations will HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it FOR is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot. ~/"~ ~-/~V Signed k/'' Date S-15 Revised 4/]/72 IPOBM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIC:E ,~UTHOLD, N. ¥. Examined ............ ............. ~?ppro~ed ~/~ ....... ~~....:~,. ......................................................... ........... .. (Building Inspector) Application No. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter art. in ink and submitted in triplicate to the Building Inspector, with 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, relat onship to adjoining premises or public streets o~ areas, and giving a detailed description of layout ofproperty must be drawn 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 work. e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bud ng 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, and to admit authorized inspectors on premises and in buildings for necessary inspections. ........ (si~'~;~'~,';~';~' :~'~'~ ~i~ ~ ';;,:,';~;;;;;ii;;;i ........ o~ /~,vo~-- "' -' '- ---"-'- ~.. ~.~- 5~.~,'~. ~'~- (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................ :. ...... .~...~.....~..~.L.....~.~2~..~..~ ...................................... Name of owner of premises ...... . .~.~.~..~/~.~..../.~.. ....... ~"~'..."~./..'~....~..~'~....~....~..L ....... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's Lic~se No ..................................................... Plumber's License No ....... .~....k~...~...~..%. .......................... Electrician's License No .... ~.',,',~....?=. .......................... Other Trade's License No ............................................... Location of land on which proposed work ,will]oe don~ Map No.: ........................................ Lot No .................... ~ .. Street and Number .... ~.~.'./.../~... 1~..~./:.. ~ ~...~.~.../.~]1/' ~..0~4.~.~l.~'~..', Municipality State existing use and occupancy of premises and in.~ended 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 ...... .~T........'. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... O ~ / :~0 ~ (Description) 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 ..... --.~.....O. Height .................... Number of Stories ......................... ./.....~... ................................................................................ 9. Size of lot: Front ........... /..~..~... ............................... Rear ............ ~..,~... .................... Depth .....~....~.~. .............. 10. Date of Purchase ......... ~..~....~../.. .............................. Name~ .~,--., ~/al Former Owner ........... ~..~....../~....~:.. ......................... 11. Zone or use district in which premises are situated .......... ~.,.....~...~/./ff:../~'/..~.....~/-... .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............... ..~.....~.. .............. =,, .............. regrade~ ...... .Y....~.~. .......... ~ill ex, c~ss fill be removed from p, remises; (_) Yeses--. ( V~No Will lot be .. /"~/2. - o ? d/~/v/E's -' - :341 Nome of Owner of premise~.~-~(._~,....~..~k~klre.~?......~...~...~.~..~...~.~:, ~or~ No......~.,,.,.,~....~.~ Nome of Architect ........ ~~ ............. ^ddress ................................ Phon* No Name of Controctor ......... ~...~ ............................. Address ................................ Phone No ....................... PLOI DI^GR~M locate clearly and distinctly all buildings, whether exktlng or proposed, and indicate all set-bock dimensions from praperb/ lines. Give street end block number or description occording t© deed, and show street names and indicate whether interior or corner ~ot. STATE OF NEW YORK, [ ¢ e COUNTY OF ..,~.~.~..~ ............ ~'~ ............... .~.~.~.~..~.~,.....~..:....~..i..%..~.~.....~=...~..~.'~' ............................ being duly sworn, d~oses and says t~t he is the applicon, (Name of individual signing contracf) above name. He is the ............ .Q~ ................................................................................................................................................... (Contractor, agent, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or h~e performed the said work ~d to ~ke 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 fo~h in the applicat~ find therewith. ~ ~ ~ Swom to before me this // // ~ /J ~ / // ....... ...... ...... ........................ Noto~ Public, ..... County ~.........~..~...~~.M ................. (Signatu~pli~nt) TERRI ~E ~y PUBLTC. 5~:e el ~ew York No. 52-~L6329~ Qualitiea in su ~, ~? TUyL UNAUTHORIZED ALTE~ATIOI'I OR ADDITIOI~ I · TO THIS ~U[WLY [$ A ¥[~)L~,TION OF DESIGN ¢~2412 O O h HOME BED RM. 154 x II6 CL. STOR, MASTER BED RM, 154 x 13° PLANNERS,, INC., CL. BATH SECOND FLOOR 664 SO, FI DETROIT 60'- O" 28%0" PARKING ~ DRIVEWAY GARAGE - BOAT 194 x 234 BED RM, 124 x I 16 KIT 94xll8 BED RM, 124 x I 16 BATH PORCH t2°x194 DINING LIVING 274 x 154 LAKE LAKE ~2o so. ~T, ome pi nn , inc. 16310 GRAND RIVER AVENUE DETROIT ,~ MICHIGAN 48227 IS:d" .t- /4:0" IB:S" 7:1" 7:0" PRELIMINARY CHECKED APPROVED I I Dme anne n c · i SHEET 2412 OF 4 LL 't i: I r , I ~AL CONY I DATE REVISIONS BY DATE omc Iners, inc. DETROIT ;~7. MICHIGAN 2412 4 ...................... x I . . ' ¢~/~,~ 4o~r~ ~/~,flo.¢. I i . ' " ' ~ ~ ~~Z~~ '. ~o ~ ~o~ ,~, ~. , , .... ~' j I I :: i~,' ......... ~ .... e I . , l : ~ '~ /:--'r. ~.,',- _, ~ .... ~-~ ~ ~//~ ~ ~,_~- ~ ~:~. .... : .o?., _ ...... .. ...... .,.H-- r 100 PRELIMINARY, CHECKED APPROVED ITEM QUANTITY & COLUMN NO. I UNIT MEAL HO. HP 16 pcs. 12 Pcs, 78 Pcs. 12 Pos. 228 PCs. 10 Cu.yds, MATERIAL (TYPE and/orSIZE) x 8 x 16" Masonry Grade Blocks x 8 x 16" " Cor~er " UNiT COST TOTAL COST LINE NO* 4 iTEM COLUMN NO.2 DESIGN NO, HP 2412 FP~MING LUMBER (Cent Interior Partition 8 9 lo C eilina Framin~ 16" " Regular " 16 4 x 8 x 16" " Solid " lS x 8 x 16" " " "Lif Blocks ~o Mason Sand 21 50 Backs Mortar 20 Sacks Cement 23 Foundation Coating 24 25 8" Diameter Steel Furnace Thimble " " Water Beater Thimble z7 20 Gals, i Pc. Basememt Steel Sash 6 Pcs. 1 U~it 16" x 8" Alm~inumFommdetion Vents Roof Framing F~OFING & SHEET M~TJ QiUANTITY & IUNIT MEAS. ~ 1L90 pcs. 28 Pcs. 8 Pcs. ~50 Lin.Ft. 20 Lin.Ft. lk08 Lin.Ft. 32 Pcs. 2? Pcs. } Pcs. 16 Pos. 13 Pcs. 90 Lin.Ft. 84 Lin.Ft. Lin,Ft. Pcs. ~0 Lin,Ft. ~0" Dome 32 60 Lin.Ft. Lintel 33 Exterior Walls [earth T.Irons 36 37 38 39 EXTERIOR ~ ~ATI 4Z 43 Windo~ 44 46 Cut Stc~e Veneer 47 0 Lin.Ft. " 12 Ou.y~a, Macon Sand Sills Plate 8 49 Included[ Gravel # i60 106 Pcs. 25 Lin.Ft~. 8 Lin.Ft. _~Lin.Ft. ~LOOLbs. i sin,Z.e 2 _Units Roar 55 ( 57 e Membrane Va~or Barrier 59 9O 2. x 6" Joist Trim, ers 62 2" x 8" Sill plates 63 24 Lin.Ft. 2" x 8" Joist Tri~ere 64 Lid.F%. 2. x 8" Floor Beam Materiel 65 180 Lin.Ft. 2" x 10" Jetst Tri~ers, Headers & 66 Pos. 2"x lO"x 14'.0" Joists 6 pcs. ~2'.4" " " 1 Po. 4"x 8"x 18'.~' " " 2ifx 8" Ledger pos. 2"x lO"x 8'-0" Joist 12 2"x lO"x 10'-0" " 6 Pcs. 2"x IO"E18'-O" " ll Pcs. 2"x lO"x 20'-0" " 12 PCs. 2"x lO"x 12'.0" " Pcs, 2"x lO"x 1'-~ " 18 pcs. 2"x 8"x 16'.0" " ~00 Ltn~t. Lin.Ft. 1 Pc. SubfloorinK 2. x 6" S~ Deck Plaa~i~K 14,.0" Structural NOTE: 2"x $"x 8'-0" Studs 67 180 pcs. pcs. 2"x 4"x 10'-0" " I$~DED FOR ~ PREEIMINARY ~ PRODUCTION -- [] ERECTION 2" x ~" ~!etes 0'-0" He~iers 2" x 6" Heade~ Wood Bi 82 33 84 35 MATERIAL (TYPE and/or SIZE) 2"X i~'x 8'.0" Studs 2"x 4"x I0'-0" " UNIT COST 2"x lO"x 15'-0" Header TOTAL LINE COST NO, 2 3 2" x ~* Plates 2" x 6" Headers 2"M8"x 24'.O"~Ce_iling Joists 2"x 8"x 22*.0" " " 2"X 6"x 12'.0" " " 2"x 6"x 22'.0" Ra~ers 2"x 6"x 16'-0" " 2"x 6"x 12'-0" " 2"x 6"x 18'-0" " 2"x 6"x 20'-0" " 4"x lO"x 6'-0" Wood Beams 2if x 8if ~dge Member ~' x 4if Heel Plate ~ Rafter Trimmers ~ Trussed Rafter Tension 1" x 5" Roof Boards with Wood Shingles 1 2" FI od Roof Shoo,bin ~thO~ ..... A s~alt Shin~ 1~ BuildinE Felt with 0 tional As halt As alt Rid e Shin es tional " Valle~ Roll Roofin~ ', Sefl-Sealin Shin es tional Wood Shin~ Dex-O.Tex Weatheruoar De~k Coverin Met D Ed.e W th tional As ~lt: ~ Metal Sro Flashin s C~Counter " Wall to Roof " Wtn~ow& Door Head " 20" x ~" Casement ~% (~ . Brick Mai* 20" x 36" " " " " l'-O#x 2'.0" ~i~n~Wind~ . " ~" x ~ ~ ~ate Gi~s - Loose Cas 12'-O"x 6'-8" Se~a Panels ~ 6'.8"x One 2'.8"X 6'-8" Rabbeted 1-~/P' . Brick ~ F · ~ 8'.0"x 6'-8" 2Ga~ ~ 2~" Ov~ond Frame-Brick Fie d Ft -.. 8. - 8. B cee 84 L n.Ft ~ x 6" Jamb & Hea~ Cas n 16"x 1- 8" Dri Ca x P Jeet Frame Co,ce T~m ~ T2 23 24 25 26 27 32 33 34 35 36 37 46 47 52 ITEM COLUMN NO. 3 i~f~OR ~ANI~M (Con' Stairs ~ld Cas~. Door T~d~a W ~w T QUANTITY & UNIT MEAS. 2 PCs. 1 PC. 1 PC. 11 Pcs. ?Lin.Ft. 32 Lin.Ft. MATERIAL (TYPE and/or SIZE) ~/4"x lO~x 13'.~0" Booned Stringers 5/ "x 10"x, 3"0" " " 5/4"x 8"x,-lS'.0" Center Carriage 5/ "x . !"x 8,x 5/~ X ~"~e~ Nosin~ 1 1-' Flush UNIT COST TOTAL COST LINE NO. 2 3 4 5 6 8 9 1 Interior 2'.4"x 6'.8"x 1-' " lO,Interior " .... I - - 1 Interior 2 Interior Door ts 1 Set ~ 1 Set 23 10 24 I Set 25 1 Bet ~ 36 1 Side 2 Sides 20 2 Bides 1 Side 2 Bides ~ Lin.Ft; ~ Lin Ft. 62 Lin ~t, Cabinets 1 Unit Baths 57 ss Eitchen & Launclr ~6.L~ 1" x 8" Faseia& Rake Beard 62 I 762 Sa.~t. 3/8" Extezior ~rade FI~ood Sof~t 6~ L~.F~ Ii 3/~ x 3/~" ~er ~d Mold r Si~ 66 I 162~ ~.~. 3/~ Patta~ S4~.. G~ved 8" 0.C. ] I.Tg~uR ~NISH r r i ~e~or ~o~s ] 1 ~ ~ 2'.8"x 6'-8"x 1-3/~ ~onh - Glaz~ 22"ix -- 2 G~x '.O"x 1- ~ ~d ~ T~ k & Ha ~ 72 ~ L~. ~ Jo~t C~d I Base 1 Base 8" Ve ~& Honrt~s Unzlazed Cersa~q~e Floor Glaeed " " Walls ~r Helders B & a S2 83 84 85 86 B7 88 89 9O 92 93 94 95 96 Ttlework 86 87 89 Finish FloorinL 92 93 94 95 96 1 Base 1 Base i Sase 2 Base 2 Base 1 Unit 27 ~ x $'-8" CuinE 2s 2'.~" x~-8" ~ 2'.6" x 6'.8" 2'.8"X 6'-8" 3O ~ X 6'-8" 32 6~.0" x 6'.8" 33 8'-0" X 6'-8" 34 35 I. x 12" Shelving 1" x~o~k Strip__ 1" x 2" Shelf Cleat 4'x 8'x ~8helvl~ 37 38 39 42 43 47 48 ~x 22" Sto~ Cabi~ an~O~ ,ook Sh~s ~21" Lava~ Cabine%~ 28" x 21, Plastic Laminate Canter ~& ~ 60" Alumi~am & Glass Tu~ Eael~osu~ card 60"x ~"X 2~' Sink and ~ ~36"x 2~" Dro In Man & " ~"x 2~" . 49 9O 12"x~x 2~" 3~"x l~"x 12" 1.shelf ~"x ~O,,x 12. ~-ehelf ~O#x 30"X 12" ~-shelf 18"x 30"x 12, ~-shelf 2~'x ~O.x 12, 3-shelf i 30"x 2~"x 12', 2.aha1 · FINISH HAF~ARE 2 Rear Door Lock Sets 1 set Bar--Chain 1 Set 1 Set 2 pairs 52~ 57 ~Intsrior 59 ~ Floorinx ~ Tile ~a~ood Floo~in~ 8d Floorin~ Hails 62 63 H 97 98 99 100 160 B 2 Pos, 12"x 30"x 12" ~-shelf " U-sha~ed 79"x24" + 86"x2~"+l12"x~6" F. Laminate Counter &S~lash J0" Ran Hood E~aust Faa & IA~et Mail Blot Hardware Automatic ~irs Door Closer ~'x~utts P~LoekBets 10 Inte~ior~. ~Pai~e "~" Butts Handrail Brackets Rifold Slidin DOOF~ ~uide Track " " " " and Bottom "~Butts 2 Sets 18 Lin.Ft. P~irs ~pnirs Pos. Sets Door Pulls Me--Ad eta · set P es ~dow Sash 69 7O 72 73 74 75 76 77 78 79 82 83 84 85 86 87 88 89 92 93 94 95 96 1800 ITEM COLUMN NO. L~ QUANTITY & UNIT MEAS. MATERIAL (TYPE and/or SIZE) UNIT TOTAL COST COST 6d # r Beaa_St~ng Nails omo p ners, inc. lS310 GRAND RIVER AVENUE DETROIT 27, MICHIGAN 2412