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HomeMy WebLinkAbout7143-zNO, & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z7.09~ ..... Date ............. .3, .l~..e...2.3 ..... ,197.6.. THIS CERTIFIES that the building located at .~./.S. ?..i'Ll..a.n..P.a.~..h..(.P.¥?...I~.)Street Map No..XX ........ Block No. ~ ....... Lot No, XX,X..E~at;. I~I:iOK..~,~., ...... conforms substantially to the Application for Building P~rmit heretofore filed in this office dated ........... .~'i l~lft~.. 27, 19.71~'. pursuant to which Building Permit No. dated ......... l~tal'.. 27 ....., 19?.lk., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occUpancy for which this certificate is The certificate is issued to .~. &..~. P. an;LJ~l.. 14e.flo~oga~ ...... O~rner. s .......... (OWner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~eP~. ~.!~...].9.~Y...b.y..R.~..V$~k.l.a .... UNDERWRITERS CERTIFICATE No. N.. ~39].0.~... A'4g. 2..~ 975. ................... HOUSE NUMBER ..... 90.0. ..... Street ... ~l~-~a~.~, P~,¢h ....... E,o, ,I~arJ,c~n ..... Building Inspector [ FORM NO. 2 ~ TOWN OF SOUTHOLD ' BUILDING DEPARTMEtq~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 7143 Z Permissicn is hereby gr~d to: ...................... ot p m s s ~ete~ o~ ...~.....~.~,;...; ..................... ' .......... K.~.....~.~.:;../ ................ ~..~ pursuont to opplicotion doted ............................. , 19.. . ~nd ~pproved b the Building Inspector. Fee ....................... ....... ~ .............. 6~'~;~"~';';;;,;~ .......... ~ ...... FO~M NO. ~ TOWN OF SOUTHOLD , Building Department i Town Clerks Office Southold, N. Y. 1197~ APPLICATION FOR CERTIFICATE (~F 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, 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 ~nderwriters. 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 plain requirements where applicable. B. For existing buildings (prior to April 1957), Non-conform ng;: uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing aH 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 build'.ings or premises, or other pertinent in- formation required to prepare o 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 New Building ..... ~'... Addition ................Old or Pre-existing Building ................ Vacant Land .............. Subdivision ................................................................ Lot No ........ . ..... Block No ............. House No..~...O....~. Permit No. ~j I ~/Z~ ~ Date Of Permit ................. Applicant .................................................................. Health Dept. Approval ...... ;./.. ................................. t.aDor Dept. :Approval .............................................. Underwriters Approval .t...t.: ...................................... r,ur,n,r,g Board Approval ........................................ Request For Temporary Certificate ........................................ Fincd Certificate .......................................... Dc) Fee Submitted $ ............ ..~... .................... FOF,~ NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's O/lice Southold, N. Y. ~EI~POI~AI~ Certificate Of Occupancy No. ~..67Q5 ...... Date ...... ~ .......l~ep.~...~.it'. ..... , THIS CERTIFIES that the building located at ... W'/$. Tl~n. P.a~ ....... Street Map No.. XX ........ Block No. mm ........ Lot No .... :~... East. P~Xon..N,X, ... conforms substantially to the Application for Building Peimit heretofore filed in this office dated .............. ~a~'...2? 19.7~ pursuant to which Building Permit No.. dated .......... .~. ?....~7 ....., 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 issued is . Pl~.iva.~.~. OM..fairly. d~x/~ll~g ......... i ............................. The certificate is issued to . .~I~,..~..~ir.S .I)al~l. [/~'~Og~l~ .... 0~l~l~.s ............. (oWner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval $ep.t. :.i!1 ~... 19.7.~.. b~..~..Villa ... UNDERWRITERS CERTIFICATE No. ~239.~0~ ..... AI~..7 .... ~7.5 ............... HOUSE NUMBER .............. Street .. 2~umm. Ps'th ....... East. l~ion ..... ~Bmlding Inspector FOI~M NO. 6 TOWN OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and s~bmitted in DUPLICATE to the Building Inspector with the following; for new buildings or new ~se: 1. Final survey of property with accurate location of al~ buildings, property lines, stre&ts, 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 e~ectrical i~staHation from E~oard of Fire L~nderwriters 4. Commercial buildings, Industrial buildings, Multiple I~esidences and similar buildings and installations, a certificate of Code compliance from tlie 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), Nomconforming uses, or buildings and "pre-existing" lend 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 Date .......... New Building . .~.~;h~.'... Addition ................ Old or Pre~existing Bu, ilding ................ Vacant Land .............. Location Of Property .~.../.~?) .:~.~..~.~.~...-~.~.~.~ ; Owner Or Owners Of Property ........ .~..: ........... ..~.~.~'i.z/~--~ Subdivision ................................................................ Lot No ........ ~,... Block No ............. House No....?.~.£/...~ Permit No..~./.r./...~.....~.'.... Date Of Perm t ~.~..X(~.'.Z.,~.~..~..App cant ,~.'?.~./~/.:.~.~:~¥.(~.C~:~-..:.~.~-~ z z -- ... .................. Health Dept. Approval ...... ./.~.:...~.~ ....................... OD epr. ,: pprova~ .................... ~ ......................... Underwriters Approval .......................... ..'~.~.~..O..~'.Plonning Bo~rd Approval ........................................ Request For Zempar~r.~:3(_ertlficate ........................................ Fine! Certificate .....~. ~Z~-.~,~: ........................... Fee Submitted $ ......... ~, .~.~.7 .................... Construction on above described building ar~rmit meets all a~ppllcable c,~oL~es a~d~ regulations. Sworn to before me this ////,J~ .... *4~=***.f... aay .... '~...~ ........ ~.~ ........ ,~ ............ ~sramp or seal) -,,~ ,.~./,~ Notary Public ... County NEW YO ..K BOAR O, F R: sND.RNr ., $ , BUREAU OF ELECTR!CITY ~ d~ 85 JOHN STREET, NEW YORK, N~.W YORK 10038 THiS CER~A$' 1975 759155 only the electrical equipment ~ described below and introdr~ced by the applicator name~ on the above application number in the premises of Dan McContogue, w/s 900 ~ay Lake ~k.Rd. Trumans Path, East Marion, tcas exam ned on ' a~td fo~lt~d to be irt co~.plla~u:e tvith rhe requirements of this Board. August 4, '1975 ICOOKINGOECKS~VENS ,grSSWASa~asr EXHAUST FANS SERVICE DISCONN~ N~. OF [ S ~ ~ ~ . , A W ~ / r I A W O 'a~Motor/s: 1-1 1/2bp Dan McCon!ogue 20 Snap Dragon Lane iD Lev~_ttowp-, ~ D ~ T ..... C U~.~4 : ..... m-nner· re+urn +o the offce of the Boo d f incorrect. Mspectors may be ;denf~fied by their credenfioTs. ]]~1 SUFFOLK COUNTY DEP~RTMEN~-OF HEALTH Health Department iReference Number APPLICATION FOR APPROVALITO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Appl ~ cant/, m ,,~,~ ..... Address_~-> o ,-;:,/~.~'/v >,~.."~2~ /-~_~ ~/>'~ ~t~/~:~6. Secti on 2. P?pe~ty%ocat~on /~~~:~..~-~:m' (/w/~. Lot Number ~S, (24L~/~'~<~ /-.~u~./~/ __~~___ ~. Private We'll Village_ ~-- ~,~ Township ~ff~,~,z~ 9. Public Wate~ Wa_e~ Company Name Distance to 3, Public~ i-.~ 4. Lot s~ze: W~dth~z, f et LengthS-fo ~feet 10. Sewage Disposal System: (For Health Dept. Use) A. 900-gallon septic tank: Precast ~'~quivalent. Block B. Leaching pools: Nu~er of pools Preca%t~/ Block Special If p~,9ate well, fill in the follg~in9 blanks: A. Ta~k capacity, ~.6~3 gallons B. Pump G.P.M. ?~'~- ~ C. ~'tal well depth,,, ~m ~ D. Depth to 9round water ~ ~nount of water in well ~/~' lhe undersigned C~Ri'iFiES: "Construction of authorize~ installations will be ~n accordan~,a with the Suffolk County Department of Health's current standards thereto. This application a c.rre.t local Bw, lding Department Permit is ,~ effe Date //Z~ ,tTe' Signed _~-'~ ~ ~~~~ FOR NEALTH DEPARTMENT USE ONLY. Based on the informati~on presented herewith, it is the opinion of the Health Department that an adequate and s~atisfactory Sewage Disposal System and Water Supply can be installed on this plot. S-15 Rev. 4/1/73 Oi~ ~ed a- ~ ~ ~ ~ ' ~ APPLI~TI~FOR ..,~. r~,. ~ ~. ~ ................... ~.Z~ .... ~. ~i" .~lic~l~-m~ ~ c~pl~ly fill~ i. ~ ~wrl~r ~ i. i~ ~ ~mi~. trip icote ~ ~.~or, ~ 3, ~~, ~.=~ p~ W~ ~ ~". F. ~o~i~ ~ =~0~:': ...... r :--.~ r ' ' -P - .~... U~o~'~f Dis ~pl~[o~: ~ Boildl~ I~or wil~lai~ P. rmit to the ~pllcom. ' ~i' .No ~uildi~ ~1~ ~ ~c?i~.or ~ in whOle or ,n pon~ooy pu~e ~er until a ~nific~ of , ~LI~TI~ .~S HERE~Y.~DE to the 8uil~~nce of a 8uiUi~ Permit ~ ~u~at~s, mr the co~tr~[~ ut ou,amgs~, or for ~d or ~itim, ~ hemM ~ri~. · app,icant ~ ~ c~ly with all a~~ulldlng c~, h~si~ c~, a~ ~u~, admit au~Hz~ i~ m pmmi~d in ~lldl~ ~ n~ i~fl~. - (Name and title of corporate officer) Builder'S License No ..................................................... Plumber's License No ........ ~ ................. Electrician's License No. ~ Other Tmde's License No ............................................... St~t..,..;,,~ ~".;~.~ .s ~r, Fe~, agent, a~hitect, engine.r, general c~tractor, .l~tricion, plu~.r or buil~r. ..... ~.~~ .................................................................................................................................................................... Name of ~r of pmmi.s ..~~....~..~.~.....~.~.~.~ ............................................ If ~pplic.nt is. co~o~te, sign~tur, of duly ~.~oriz~ offic.r. 1. L~tion of I~ on which p~ ~ork will b~ don~. ~op ~o.:~..~.~..~ Lot ~o ......................... st,.t and N,m~ .................................................. ~ ....................... ~.,,.....:~J .............. M~li~ 2. State exi~ing use and ~cu~n~ of pmmis~ and in~ended use and ~cu~ncy of pr~ co~t~cti~: ~isiting u~ a~ ~cupan~ ............. ~.~.~,..~ ...................................................................... I,~,~ ,, o~ ~c,~,w ....... ~z.~.~.~....~....~.~ ................................. 3. Nature of work (check which applicable): New BuJlding~ .~.~...~.. ...... Addition .. ................. Alteration .....:. ........ .~.~ Repair .................. Removal .................. Demolition ................... Other Work ...................................................... . (Description) 4. Estimated Cost ..... ~...~...~.. ............... : ...... L ............. Fee ..~..~~'~'~---~ ................................................................... (to be paid on filing this application) §. If dwelling, number of dwelling units ....~.. .................... Number ~f'dwe~ling 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. D~mensions of entire new construction: Front .~...~...~.~.~...~..~.(,/.*{'.~.... Rear ~.~...: .~..~...~....'~/~.~l~L~f~ ........................ Height.7..~.../...:. ....... Number of Stories ...... ~. .......................................................................................................... 9. Siz~Aof ~.'~l~..~...t~.~l{~.~.....~l~......~l~ ...... Rear ......... ~...~. ........................... Depth ...~...~.~. ................. 10. Date of Purchase ...~..~,~.~..~..~....'~...~..~.. .......... Name of Former Owner ...-~...~...~.,T'.-'~y:.~......'~..~'~.~/.~.~, 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~..~......,. ...................................... 13. Will lot be regraded ....~.~.. ............... Will excess fill be removed from premises: ( ) Yes (,t(-) No f ne f r ' ~ ,~¢~j~ ~ ~' 14. Name o Ow r o p em.ses~..~..~'...~,'~.~'.~.~'..~'~. ...... Address ....... ~Z~/,~.v~;~.F.~. Phone J~'~ ......../..~../...-~./J~. Name 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 comer lot. STATE OF NEW'~'O~/,,, COUNTY 0~~.... f~'~ ................................................................................................. being duly sworn, d~oses and says t~t h~ is the applicanl (Name of i~ividual signing c~tmc~ above name. He is the ............................................................................... , ................................................................................................. (Contractor, agent, c0~orate officer, etc.) 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 ~at the ~rk will ~ performed in ~e manner set forth in the application filed therewith. Swam to ~f~me this ....... o, ..... ........... N~o Public. n JUD~ T. BOKEN Nota~ pub{}c, State of New york ~o 52-D3449~3 SuffoJk Coun~ ~o LI~I VOU, T fA~-CONLOGU E_ VOGT (VACANT) o ~.~ o~ 4 ~ moL ~*~ ~,,C)DE-F, IC I4 VANi TU'y'L. 7.C. GC/.%,_~, 4©'= ;" VAN TUYL. ?.C. /3 RONDESICS LEISURE HOMES CORP. ASHEVILLE, N. C, Th~s drawing and all r~ghts thereto is the property of Rondes~cs Leisure Homes Carp Its reproduction and use rn whale or in part, except for the purpose far whJch loaned, Is expressly prohibited Return of th~s drawing and any reproduchons shah be made upon request CopyrJght 1971 /0 /O DATE J SCALE REVISED J RONDESICS LEISUREHOMES CORP. ASHEVILLE, N C. This drawing and oil r~ghts thereto ~s th~ property of Rondes~cs Leisure Homes Carp Its reproduction and use ~n whole or in part, except for the purpose for which loaned, is expressly p'roh~blted Return of th~s drawing and anyrepraduchonsshali be made upon request Copyright 1971 REVISED DATE SCALE 22 ,'--/ Y-~' /' .', GUSSET PIIDPOINT SLAB LAYOUT ~RHIT£ ' 3/¢ i_~LD -- 8I~)/NG AS .~:~EC, /N,5 ULA T/ON WALL FIN I$ H ~,E'S H WALL FINISH F/AA ~'L '/'ER N I TE -- INSULATION cox. VA,POP. ~Ai~RI ER ; 41"ILL. POLYETN¥££'YE FILLED .~OLID SLA~ DETAIL3 SCALE ; ///= /;-0;/ ;I STONE OPTIONAL ALL ~LDC-..~. ALL FOOTINGS SHALL BEAR ON FIRM ORIGINAL EARTH RONDESICS LEISURE HOMES ASHEVILLE, N. C. CORP. purpose for which loaned, ,s expressly p-rohib~ted, Return of this drawing and any reproductlor~sshall be made upon request. Copyright 1971 /0 3LA~ FOUIVDATION DETAIL DATE I SCALE I REVISED _2- 20 -'7',~ AS 3NOWA/ 8-7-7-% ~ R/OD --Al ~B TYP!EAL WALL FRAMIik/ RONDESICS LEISURE HOMES ASHEVILLE, N, C. CORP. This drawing and ~11 rights thereto is the property of Rondesics Leisure Homes Corp. Its reproduction ond use in whole or in po~t, except for the purpose for which Iooned, is expressly pTohiblted. Returr~ of,this drowin, g and eny reproductior~s shall he made upon request Copyright 1971. PANEL DETAIL. D~TE I SC^LE I '~REVISED :,"X 8" Id- PEAK RONDESICSLEISURE HOMES ASHEVILLE, N, C. CORP. This drawing and all rights thereto is the property of Randesics Leisure Homes Carp I.ts reproduction and use in whole er tn pa~t, except for the purpose fgr which loaned, is expressly p~rohjbited. Return of this drawing and tiny ~eproductions shall be made upon request. Copyright 1971. DATE ' SCALE [ REVISED ' i0oI RONDESICS LEISURE HOMES ASHEVILLE, N. C. CORP. This drawing and all rights thereto is the property of Rondesics Leisure Homes Carp, Its reproduction and use in whole or in part, except for the purpose for which loaned, is expressly p¥ohibited Return of this drawing and any reproductior~s shall be made upon request. Copyright 1971. DATE SCALE 0 ' REVISED I 5/4" -- /'- /0- £-73 ,~IQO -E,,q--,~ DOUBLE 2"x4" TOP PLATE- -- ~" F-I$£P--F4,L.^$5 ;NS~I.-ATION Filmily. HEp ?LO0~ -- RONDESICS LEISURE HOMI S CORP. ASHEVILLE, N. C. This drawing and all rights thereto is the property of Rondes~cs Leisure Homes Corp Its reproduction and use in whole or in part, except far the purpose for wbch loaned, ~s expressly prohibited. Return of th~s drawing and any reproducfionsshall be made upon request. Copyright 1971. ~-I0 C~'05'S SECT/ON 0I¢ SLAB. DATE SCALE REVISED J RONDESICS LEISURE HOMES ASHEVILLE, N. C. CORP. Thrs drawing and all rights thereto is the property of Rondeslcs Leisure Homes Carp, Its reproduction, and use m whole or In port, except for the purpose for wMch loaned, ~s expressly p~'oMb~ted. Return of this drawing and any reproducdonsshall be made upon request Copyright 197] DATE SCALE REVISED 5- ~ - '7./ 'h " = ;I"-0 f III IIII DEC/( G~tLL_E DETAIL -~CALE: I' = I*-O" PLAN x C~" Z~EC/< /~AIL ~'I" X ~" G'ALV. LAG BOLT8 ~IITH GAL¥. DEC, A'( pOST DETAIL  ~ Z."x,~" Z)EC/< ,='I~A,~I/VG Z)EC/< F~AA~ I ~/~ ~CALE : ~'/--//-0// CO/~NE/~ D,~TAII- RONDESICS LEISURE HOMES CORP. ASHEVILLE, N. C. This drawing and all rights thereto is the property of Rondesics Leisure Homes Carp. Its reproduction and u~e in whole or in part, except for the purpose for which loaned, is expressly p?ohlbite~. Return of this 6to'~n9 and any reproductions shall be made upon request. Copyright 1971. DATE -2f- 7~ lO DEC/( DE. TAI" 5 SCALE REVISED J ~ D£C~ ~OAIL ~IETAL FLASHING L '~/4~ " .SKIR?~OAk Z2 ~ o RONDESICS LEISURE HOMES ASHEVILLE, N. C. CORP. This drawing and all rights thereto is the property of Rondemcs Leisure Homes Carp Its reproduction and use in whole or in part, except for the purpose for which loaned, is expressly prohibited. Return of this drawing and any reproductions shall be made upon request. Copyright 1971. DATE REVISED J SCALE A.5 6HOW/V 12 - -4z - ?~ C O~c~/VE,~ Z:~,q TT E AI 's/e" ,eEDWO00 P& ?WOOZ2 WALL PAA, EL FRAA/tUVG- ,e£OV, lOozD D,e/P CAP /VA/L Z~LOCK.5 MLO0~ MA/V££ :'~/e," ~ED woom Pa Y WOOD WALL PAN,~L WALL PANEL. CO.~N£.~' 4DAPTO,~ "~/e, " ,oz_ y CO,'.°/V£1~ BLOCK TTEIV ~/s" ~KI~T BOA.~ ,2 "x /0" F~'AWllNG- -- -7 RONDESICS LEISURE HOMES ASHEVILLE, N. C. CORP. This drawing and all rights thereto is the property of Rondesics Leisure Homes Corp Its reproduction and use in whole or in part, except for the purpose for wMch loaned, is expressl,y plrohibited Return of this drawing and any reproducttons shatl be made upon request. Copyright 1971. DATE SCALE II- 1~,- 71 G % 1 '-0" REVISED