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HomeMy WebLinkAbout7313-zI~'O~M NO. · TOWN OF SOUTHOLD BUH.nlHC. DEPAR"I~,rE~T Town Clerk's Office Southold, lq. Y. Certificete Of Occupency THIS CERTIFIES that the building located at..~..~. ! .~..A. ?..T. ! ?..~.. TD!.~... Street Map /~ ~. ~ .... Block No. - .Lot No .................................. cordorms substantially to the Application for Building Permit heretofore filed in Sis office dated ...... d.?.a ~ ..~. ..... , ~07~/. pursuant to which B..~.g P~.~t Ho~~./. ?...~' dated ........~.t?. ~..Z.:~ ./.0...., 197.~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is 1ssueu Is ................................ t ........................................ · £ne eertifieam ~s issued to ................ ~ ....................................... (owner, lessee or tenant) of the a/oresald building. Suffolk County Departraent of Health Approval /v Building Inspector lrOB~ NO. ~ 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? 7313 Z Permission is hereby granted to: t/~e.r.o.~.~ ..6,...~,~z~ ~..g..~.~ ~.~.x~ ......................... ............. ~o~1;1~o~ ,~ ............................................... to ~L,l.d,.~x~..~u~ckLt;~,oz~..~..az~g..~e~-~.~g ................................................................. at premises located at ....~.~.....~&~J~D,r...~.~,g~J.~...IJ~.~. ..................................................................... .......................................... .1~36~;.... J~rJ. jaz~l;lzze.. Zir. .............. &au.t~. ...................................... pursuant to application dated ............................ ~[~l~e--..6 .......... , 19~J~..., and approved by the Building Inspector. Fee $.15,.~ ......... :.. Building Inspector ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building~ Inspector, with 3 seTM of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on prem ses, re ationsh p to adjoining premises or public streets 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 kit shall be kept on the premises available for inspection throughout the work. e. No building shall be Occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. Building Department for the issuance of a Building Permit pursuant to the/~ APPLICATION IS HEREBY MADE 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cede, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~(~'~ure of app scant, or name, if a corporation) (Address'~";~ii~;ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,o e o, o.ne of .............. If applicant is a 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 ............................................... 1. Location of land on which proposed work will be dane. Map No.: ....~.../..~...?.. ................... Lot No .....~...~. Street and Number /.~..~...~....,/~.~..~...~..e ........... ~f~,.~.~ ............... :iiiiiii:: Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: b.°' IntendedExisiting USeuse andand occupancyocCupancy ~ ....... .................................... .-........ · · ......:'""i:":'"i:'ii:'ii:':i::......... .. .. . 3. Nature of work (check which applicable): New Building.. ................. Addition ....~.... Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... '~ . o O ~ ~.._.?_~ (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 ...J...~...../. ......... 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 .../.../'~.....J. ....... Number of Stories ..... ~.......-. ............................................................................................. 9. Size of lot: Front ../..~...<~.. .......................................... Rear ....... ./....~....~..../. ..................... Depth .~...C?.,~......./'.. ............ 10. Date of Purchase .,~..~.~...x.~.../.~...?...,~.. ...................... Name of Former Owner .c~.4~.J~...:....: ......  Zone or use district in which premises are situated ..................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation: ...,~/]..~.~. ................. ~ ........................ 13. Will lot be regraded/~'.~ ..~:...~'....~... Will excess fill b~removed from gre_j33ises: (/yes ( ) No 14. Nome o~Owner of premise Nome of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ 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 whether interior or corner lot. STATE OF N~ Y,~.~"K.~/~ COUNTY O i~sJ'-~r~.i,;~Z. ......... .................... ~ ..... ~.~...~ ........ being duly sworn, deposes and says t~t he is the applicant (Na~& of i~Mdual signing c~trac~ above named. , i, the ................ ..... ;omor,te offi, ,, et ;) Of said owner or owners, and is, duly authorized to perform or have performed the said work and 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 application filed there~th. Sworn to before me this ................. t...0 .., .................... ......... , JUDITH T. BOKEN Notary Public, Sta~e of New York No. 52-0344963 SufFolk County Commission Expirei March 30, FORM NO. $ TOWlq OF SOUTHOLD Building Department Town Clerks Office Southold, Iq. Y. 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: ]. 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 Dote d Building ~Z Vacant Land ................ New Building ................ Addition ....~... ........ Old or Pre-existing .............................. Location Of Property l~.~.... "~"--~'(/lU~'v'O~.J~-.../~...~..: ......................................... Owner Or Owners Of Property .~f~')C~.~...cC~,4J(.~.CR,.~___~2G~/(~..©~. .............................. Subdivision ................................................................ Lot No....~.... Block No ............. House No../.~).~, Permit No....~..~.~..~...~ Date Of Permit .~././~./..~...~/..Applicant .................................................................. Health Dept. Approval ........ .~....:..l..~... ..................... Labor Dept. Approval ..~....:.../'~..~.. .......... Underwriters Approval .............................................. Planning Board Approval ........... .~. ........................ Request For Tempo,,~Ce~tificate ........................................ Final Certificate ........ ~. Fee Submitted ~ ............................. Construction on above described building and p,~fmit meets all applicable codes and regulations. App,,cant ................................................ Sworn to before me this ........... ....~. day of ..~ .........(.~.~...(~....'~.. (stamp or seal) Notary Public ...... ~.. · ~.~/~/~o u n t y F!of Roof Deck ]u Be Loco ed ...~ Ledger '~Stoke Or String L,ne Chalk Cutting Al Bottom Of Git der. Level FIGURE ~ I Notch 2"x6" Ovur 2"x12~'And Bolt SECTION (Bee Plop ) Bench- 8-2"x4" ~ B"O C ~ Deck - 2"x 4% 4" 0 C Lay Ftaf BlocMn Melal Stra G"x4" Woad Post Pre-Drlded B j ~Heo~y Btuldmg ~__~_ Metal Post Pin PIER DETAIL FIGURE ~= 2 SECTION "g" SECTION "C" 3 ~ 2 Cleals !ia led To Each /~de Of Carriage Nad 2"x4" Treads To Cleats From Below 2' ~ 4" Ledger- ~; --,~ _/~" Ledger LEDGER DETAIL Joists Bench Deck of ,F, Iot 2"x4" Spaced 4~ 0 C 6"X4" Wooi Posts Belot/ PLAN + Scale I/4":ILO" ~ 4' o', _ 4'-o'~ 4'_o" 4'_o" % ELEVATION Post ~Blockmg-- _ i z3 Pcs 2"x4" Barfed Wit -. 8 x~ Me a Stro¢ Each Stde ~.'e" % Grade ~// I I I~To Extend 6" Below Local I I Frost Lme ~ 8" Dia Concrete Piers-~ SECTION THRU SECTION -"A"(s.. POST Tree:ds 8- 2"x4"x 5'*0" 8 2"0 C Nailer SEAT DETAIL BETTEP~ HO.~IES FOR ALL AMER[ PLAN NO. 3406- 2 Better Homes & Gardens l~,s plan has L,~o, prepared to meet top pr~- ~t)[~[ Ill (esston. I standardf mnJ prachces, However, I T§TAL JOCCil v&fjahan~ racy rr, qulre mlao~ c~ang~s, I