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Home My WebLink About6779-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at C®dal~ .Ave. (Dr.). ........... Street Map No..~.. ......... Block No.. ~ ..... Lot No..:K~ ... 8..~;h.o~l... ~y, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... &~l~ .... .bf.., 19. ?.~. pursuant to which Building Permit No. dated ........... .A.u.g .. 6 ..... , 19 ?2., 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~v. ~a.t.e...o.n.e .$..a~..i.l.y.d.~ ll~l~ng. ...................................... The certificate is issued to .F.l'.a..r~. 1~ .J'. ohnso~-.... ~.w. ne~ ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...]4.a.~,. 22... ]. 9~.~....bi .~ ~..V.~,i~[& ... UNDERWRITERS CERTIFICATE No~,. ]..~.7.6.!'/....x':a..r..1. l.. J.9.7% .................. HOUSE NUMBER . .].30~;. ....... Street ..... gedar. AF~ .......................... Building Inspector/ FOB,~ NO, ~ TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6779 Z Permission is hereby granted to: · "l~r~mnt"ftmae~"~ae'"*'~¢"l~ & Oa~a ,~eblmel~ ........ ~....-t~,..lle~taak..~ .......................... to ~,;l~ ..ae~ ..o~e...f. ma~,-l.~,. · el~et.l.~ ..................................................................................... at premises located at .......]~/.R..~..~X~ ....... ~/...~:~;~'4~e~..D.~ .......................................... ................................................ ~o~t,~l~ ....... N.~o ........................... .................................................. pursuant to opplication doted .............................. A~I~ ......... ~4- ...... , 19....~3, and approved by the Building Inspector. Fee $..~.0~ .......... ............... .............. Bui Idin~ I n~ctor~ FOP, M NO. 6 TOWN OF SOUTHOLD Building Department Town C:le~s Office Southold, N, ¥. 11971 APPMGATION FOR CERTIFICATE OF OCGUPANCY 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 19§7), 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. Cer'cificate of occupancy $§.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date March 25, 1974 New Building X Old or Pre-existing Building Vacant Land ~ . N~/S Cedar Ave., 100' N/0 Main Bayview, Southold, N.Y. Location Of r-roperry ..................................................................................................................................... Owner Or Owners Of Property Franklin Johnson Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No.6...?.~..-..Z. ....... Date Of Perm t .8./..6./.~..3......Applicant P.a.?...]:.i...a..m..e...n..t....H..°...m..e.~.l....I...n.,c..: ................. 7/25/7~ ~ea~th Dapt. Apprava~ ............................................ Labor Dapt. Approvo~ ................................................ Underwriters Approval ...?../...7../.?...4. ............................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ......... .X.. .............................. 5.00 Fee Submitted $ .................................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ~s~..~.. e~..~o..~s. ~... ~,;~ .~.~ ..................................................... Sworn to before me this 147 W. ~or~taut~ Highway Hampton Bays, N.Y. 11946 · ...~.[.~. doy of ...~....~J~....~f......../..~.Z~[.. ....... (stamp or seam) Notary Public '"x'"~,..- County Notary Public, State of New York No. 52'2055810-Suffolk County ~ornrni~sion Expires March 30, 197,~-- THE rate ~arch ll, THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8E JOHN STREET, NEW YORK, NEw YORK 10038 ].974 ~pplicat~onNo. onfile 706951 N 1,4761'7 o~ly the electrical equipment ua described {mime and introduced by the applicant named on the abo~e application number in the premises of Johnson, n/side Cedar AVe., 100' e/o Waterview Drive, Southold, L.I. Job #7545 inthefollowinglocation; [] Baaement [] IstFL [] 2nd FI. outside s~tion ~to~ ~ tvasexamlnedon M.~.rc?l 7, 19~l and found to be in compliance with the requlrements of this Board. FIXTURE RECEPTA S WIT HE ] FIXTURES I 16 42 18 If RANGES iPECIAL REC'I COOKING DECKS OVENS DISH WASHERS ,,A,.iI~ME. CLO~K$..rRl~N~ . UNIT HEAT.E,$ M~LyI~.~UM1SLET EXHAUST FANS DIMMERS AMT. WATTS SERVICE DISCONNECT NO. OI S V AMT. A~RP. '~fpE ~Ul, 1~'2W I W 3..~3W 3~4W NO.O COND. A.W.G. OF CC. COND. 1 20o c~ 4/0 OTHER APPARATUS: *Future appliance feeder/s: I-2l~!0~ 1-2#12, 1-3i~6 Water heater: 1-4.5kw Motor/s: !- 3/4bp qlec.room heaters: 1-2.5].~w, I C E NO OF HI-LEG 1-2.0kw, 5-1.5kw, 1-1.25t~', A. W.G. NO. OF NEUTRALS OF HI-LEG 1 3-1.0kw, k2-. 75kw, Carrabus Electric, Route 112, Box 2112, Coram, L.I. 11727 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. SUPPOLK COUNTY DEPARTHENT OF HEALTH APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant ,"---~lm & ~-~_'m · .... Phone 5. Subdiv. Address~ 6. Section 2. Propert~,~ml~ca~ 7. Lot No. 8. Private well Village._~ Tovnship_~~_~9. Public water 3. Distance tO main 4' Lot size.A-u~Width__t~_feet --~ngth_~j~,~feet (Enter on cen~er plo~ below) 10. Sewage Disposal S~em: A. 900 gallon septic tank: Precast Equivalent Block Special__ If private well fill 2 0 in blanks below: Tank capacityJ~Gals. Pump G.P.M._~ Total wet1 depth Depth to G.W. Amount of water in well Test Hole Data Peet 0 The undersigned CERTIYIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current stand- ards thereto." Date.jill. ,~ ~ I I , ~, Signed Owner pr Builder FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented, herewith, it is the opinion of the Health Department, that an adequate and satis~factory Sewage Disposal System can be installed on this plot. ,. ',. Signed Da t e /- /c S-15 Revised EXCAVATION INSPECT[OIl INSTRUCTIONS a. This application must be completely filled in by typewriter o~. 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, relationship to adjoining premises or public streets or 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 wh61e 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, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name; if a corporation) (Address c~f app/icant)/ / State w,heth, e~ o~pllca_nt is owner, lessee, agent, architect, engineer general contractor, electr c an, plumber or builder'. If applicat~a corp~rg~, signa,tUre_of duly 9utl~orized officer. · ..... ........................... ~ '(Nom~/afid title of corporate officer) Builder's Lic~se No ..................................................... P umber's Ucense No ............ ................. Electrician's license No ......... ..~...~.....f....~.~. ................ Other Trade's License No ............................................... 1. I-ocotion of land on which prapo~:t lttork will bl~ done. M*p No.: ................ '~/,,~.~'a..,~: ................ Lot No ............ Number .......... :... ............. '. .' ......... Street and ..~..~. ~.~.. ~.~... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... ~ ........ ~ ...................................................................... b. intended use and occupancy ._C~.~.....~. ~..~ ............................. 3. Nature of work (check which applicable): New Building Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ...................................................... (Description) 4. Estimated Cost ...~.~l .................................................. 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 occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if a_ny: 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 e, ntire new construction: Front ......... ~..~....! ................. Rear ......... ~...~....'. ........ Depth ...... .~...~.../. .......... Height ......~/.~.. ......... Number of Stories ........ ./. ........................................................................................................... 9. Size of lot: Front .; ..........L~..~.~ .................................. Rear .......... J.~....~,..'. ..................... Depth ....... ./..~'..O...[ .............. lO. Date of Purchase ........................................................ Name of Former Owner ........................................................ I 1. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded..~.Q/~!.~..~.~. -~-~Wdl' excess fill be removed fr.o..m.~ ,~--~ ~-v'~ p~re_~§es: ( ) Yes (~K') No 14. Name of Owner of premises .~,~////////'~/~r~m.....d....~/-~A{~ .....Address ..~i~.~...~.:~Y:.... Phone No..~.~.~.~.~..~..~-.~.. Name of Architect ........... ~ . j~ t: .................................................. Address ~.7~..~.~;j~Phone No Name of ContractorJ)~..~......~.~ ...... Address ~.~...~..~.J(,%...~..~Phone No. ?~.['...-..o..~..~/~... PLOT DIAGRAM / "R~ ~z.- "~- ~/~¥¢~ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 YORK. _ J ¢ ¢ COUNTY OF ..... .?~.'~..~ .~ ~,..~....... )' '~ '~ ........................ ..~....~....~...~:..~...~-.....~..~..:...~..~.~.c...% ............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing-.contraclO 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 ore true to the best of his knowledge and belief; and ~. thor the work will be performed in the manner set forth in the application filed therevtjth. Swam to before me this TERRI LEE ELRK NOTARY P~BLIC, State of New No. 52 6~8295 Co~lmisBJoo Expires March 30, 19 PARLIAMENT HOMES, INC.,, 147 West Montauk Highway, Hampton Bays, N. Y. 11946 -- 728-0443 P. O. Box 717, Montauk Highway, Water M~ll. N. Y. 11976 -- 728.4545 P. O. Box P, M,~'~ Road. Jamesport, N. Y. 11947 -- 722-4440 SPECIFCATIONS , Building Size . .~..-'.......x...~..~... Extensions ............ x ............ Garage ............ x ............ Porch ............ x ............ Family Room ............x. ........... /. ./.. Stories. .......... ........... No. finished rooms upstairs ................ Basement size ........ x...~.~. ........ EXCAVATING AND GRADING The contractor shall do all necessary land clearing, excavating and ROUGH GRADING for con- struction of houses only to e~tent of 10'. Property disturbed by building operation is to be ROUGH GRADED ONLY. Any additional fill or grading required shall be paid for by the purchaser. MASONRY Foundations House Garage Porch ................ courses of .............. ' ................ "block Completed House foundation walls to be ...... 1~ ......(blocks) (feet) above /~de. Foundation footings to be of poured concrete ...... 8......" x ...... 16......". Ou~r side of foundation wails to be waterproofed with Trowel Grade Tar. Concrete Floors Basement floor: Garage floor: Patio: Front stoop: Rear stoop: Porch: ...... 3......" of concrete ...... 4......" of concrete .............. "of concrete ...... 4......" of concrete ...... 4......' of concrete ...... 3......" of concrete Chimney Constru~ of Chimney 'Block with 8~2" x 81/~" Terra Cotta flue Hning. Chimney footing to be 18" x 18" and 8" thick. Fire place? .......~.....~.... Size 6'. Cesspool Typical Board of Health two cesspool Section. (Blocks.) In the event of unusual soil conditions, etc., requiring/mything differen%, shall be construed as extxas and paid for by the purchaser. Allowance f. 1-.."~.~..: .............................. ~ CARPENTRY Framing (All framing hunber to be Construction Grade.) Studs ...... 2......" x ...... 4......" ...... 2......" X ...... 4......" ...... 4.....: X ...... 4......" Partition shoes Partition plat~ Floor Beams 1St floor 2nd floor Ceiling Beams Roof Rafters Girder Lally Columns Sheathing ...... 16......" o.¢. ...... 16......" O.C. ...... 16......" 0.¢. ...... 16......" o.e. ................ Wail $/8" Plyseore ........................................................................................................................... Sheathing to be covered with ...... 15 lb ....... pa~er before exterior finish is placed (2) Subflooring ................ V2" Plyscore .................................. ........................................................................................................... Roofers ................ Y2" Plyscore ............................................................................................................................................. Exterior ~ ~.u~... Front ............ ~ ............. Sides ........................................................................ Garage. A tt tt Doo~ Interior doors to be Laun MAH H/C, 1-~/8" thick. Exterior doors front 1-3/4" Fir rear 1-~/8" Fir 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 .......... # 1 Common Oak .......... Bedrooms ........................................................................ Dining Room ............ # 1 Common Oak ............ Hall .................................................................................. Bedrooms .......... # I Common Oak .......... Bath .......................................... Subfloor .................... Halls, etc ........... # I Common Oak ..................................................................................................... Bath ................................ Subfloor ....~/~" Plyscoro ............................ Kitchen ............................ Subfloor ~" Plyscore ........................ Kitchen Cabinets Material, Birch; Color Selection by Owner. Material of counter-top, Formica Interior Finish First floor---Sheetrock 8/8" Family Room ~ Flashing Chinmey in~ersectiun with roof flashed with Alum. Valleys flashed with Alum. Roofing Type 240 lb. Sealomatics Insulation Walls ~', ceiling ~'; material -- Fiberglass Garage Door: Overhead, 4 section, 4 lite PAINTING AND FINISHING Exterior--Finish All exterior windows, doors, and trim shall receive 2 coats of 0God quality latex paint. Interior--Finish All interior woodwork shall be given Ls~x Paint. Ceilings to be Sand Finished Oak floors to be 2 coats finished GUTTERS AND LEADERS PLUMBING In compliance with Local Ordinances Fixtures (D~scribe) Bathroom-- Tub -- 5' Tub Shower, Yes -- see below Lsvatory: 20 x 18 Laundale en~msi or equal Water Closet: Amer. Std. All ~n to be Price Pflster or Equal Kitchen Sink: 21 x 24 LaundAl~ or Equal Lavatory-- Stall Shower Lavatory Water Closet Water Heater ......... ~.-- .......................................................... Capacity Fired by ................................................. [~t~c~ ~ Shallow well or city water hook-up only .~.~... ....~ .....-. ~. HEATING Type of heating-- Hot Water ................. Electric ....~Other ............................ Furnace ............................................................................................................................................................... Type of firing-- 0il ................ If Oil, capacity of tank ............................ gals. Heating System shall be sized to maintain a room temperature of 70 degrees F. at an ou/2ide temperature of zero degrees F. ELECTRIC WORK Per New York State Board of Fire Underwriters. ................ ....... .................. .i ....... !.i........[. ................... ....... ............ ........................ ~'~.::~~,, "',~ .~ ..................... (4) ADDITIONAL ITEMS 5/." - ~ ~,~/~ - , - u'.~ ~ ..................... Z.~.......~..: .t..~.:.~....~.... ............................................... Signed ....................... ' ....................................................... 8igned~......'...~. ~..~."~~ Owner PqJiament~om~, Inc. (.J /' ~ .................................................................................. ~ ............................... ~..~../....?....7..~ ............ PRAHKI. YN OOl2/,~ ~tOHN~OH The seea~e dispOSal ~ ~tgr ~I~IF fac~litte-~ for this loeatf~ ~ee beee inspected b~ this d~l~rt~.~ fo~ Se~wices ~R/~A/K/.Y/v' ~ OO~../,S JOHN&OM APPRgVED AS NOIED gATE: ~ ~, i~).~ F~E: .¢'¢'?~- ~Y NOTIFY BUILDING DEPAkTMENT Ai 765-2680 9AM TO 4PM FOR ItEQUIR- J"DUUM lbl ld c.Sl OlA.6 ,~AM - L/ I : i L F 0