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HomeMy WebLinkAbout8420-zIN)RaM NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at W/8 ............/kldrieh ..Lane .... ...... Street Map No..IX. ........ Block No.. ~ ..... Lot No, ~ .... L.a?~. ?.~.. ~,.~.o ............ cordorms substantially to the Application for Building Permit heretofore filed in this office dated ......... Mar . 11 , 19. ?,6. pursuant to which Building Permit No. ........ 8br20Z dated ......... .M~. ?....1.1..., 19..76, was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is ...Pr.i .Va.t?. o.n?..~ami.~,.y. ?.?.1.i~..t~.g .................................. The certificate is issued to Thos. & ,Toan May Owners (owner, lessee or tenant) of the aforesaid building. Nov 19 1976 by R. Villa Suffolk County Department of Health Approval ........................ HOUSE NUMBER . .339..~... Street .~.~.r.i?.h....I~.?. .......................... I~0RI~ NO. 2 TOWN OF~-SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CC~PLETION OF THE WORK AUTHORIZED) N9 8420 Z Permission is hereby granted to: FOYer NO. 6 TOWN OF $OUTHOLD , Building Deportment Town Clerks Office Southold, N. 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 ]957), Non-conforming uses, or buildings and "pre-existing" land uses: ]. 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 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 ........ .~.c.....~...... ' ./. ~. .... New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..................................................................................................................................... Owner Or Owners Of Property ........... ..~.~;.:~...~.~ ................................................ Subdivision .......... ~ ............................................... Lot No ..... £.~..... Block No ..... ~ .... House No ............. Permit No.~,....~./..~....~...~ate Of Permit ../~../~..,/././..Z.~.Applic~nt ....... ~....~...,~. ........................ Health Dept. Approval ...................................~.~...F~ Labor Dept. Approval ........ /~.../.L ............................ /~.. ~./~ .~.~ //.~./..~../. Planning Approval ......... .............. .......... ................. Request For Temporary ~Certificate ........................................ Fined Certificate ....... ~ ........................... ........... Construction on above described buildi~and ~t~eets all applicable codes and regulations. Applicant.. ?....~/~,/,,.~.. 2,'~:, .~... r...~,~.~..,~.~~',',',',',',',',',~ '~ ........... ..... ........ Notary Public .... ~ .... County i~"~'~~~"~ 1~', ~, ? ,T, HE NEW,YORK BOARD OF FIRE U, NDERWRITERS OJ. ' 4344 only tl~ e]e~trtcal,eqF[pmen~t; ~ ~sen~d ~l~ a~ int~ by t~ app[mant ~ o~ t~ a~e a~pt~at~o~ numar i~ t~ prembe~ ~,~ ~, =~ ~.~i..d o. RX~URE '_~ Ep_._~'r]'~ ...... '.; 1', :' ; , ~ FIXTURES ' J , RANGES 'IC~KING'DECKSf OVENS ]DISH WASHERS EXHAUST FANS 7,' . '52 ,~ ,'2q :, 27~,, ._ , ,, '- , ,1,' 7.0 1~ ~.6 ~,1 1.5 2 ~ _ DRYERS ~ FURNACE MOTORS ' '~ mTURE APpuANcE FEEDeRs SP~CIALREC'pT TIMECL~Ks I BElL ~UNITHEA~ERS ~MULTI-OUTLET DIMMERS ' } ~1~,~31'~ I,~1 I I "~ ,'"' /' _~, ~,"1 ,~,~:~1~' ' ',_ SERVICE O~SC~NECT 1-15amp' Mieho',~Wave~'Oven ;!l I H ',,*'hi , 'I ', ,, I,~ h, 1~ 'l F., Pe ~ Lontalvau 8 W. A~goune Rd. H~pton Bays, N.Y. 119~6 Th~s certificate must not be Oltered in any manner; return to the office of the Boord if incorrect Inspectors may be identified by th credent SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant Thomas H. $. Ma Phone 725-2144 Address~ ]/iv~rh~a N Y ] 2. Property Loca Laurel ~tion AldriCh ~, Village Laurel Township Southold 3. Public Water Company Name 4. Lot size: Width3L21~ feet Length3.0! Sewage Disposal System: A. ~J~-gallon septic tank: Precast ¢//Equivalent Block 10. 11. B. Leaching pools: Number of pools Precast/~O'~Block Special__ If private well, fill in the fol- lowing blanks: A. Tank capacity ~gallons B. Pump G.P.M. f C. Total well depth D. E. Depth to ground water Amobnt of water in well feet 5. Subdiv. 6. Section 7. Lot Number 8. Private We~ 9. Public Water Distance to main (For Health Services Dept. Use) The undersigned CERTIFIES: "Construction of authorized installations will be in accordancr with the Suffolk County Department of Health Services' current standards thereto." This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based on the information presented here- with, it is the opinion of the Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. APPROVAL ^TE S-15 Rev. 4/1/73 Examined ................ .(! ........ .//.., ...... , APPLICATIO~ FOR BUILDING PERMIT INSTRUCTIONS a. This ~lication must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector~ wit~ 3 sete of p,lans,, ac~c:umte plot~ plan to ~cale. Fee aCco~di..r~..to sche~.. ?,le. , b. Plat'plan showing Ic;cati0n of [0t bnd aT'buildings on premis~s~ relationship Ye adjoining premises or public st.reets o~ areas, and giving a detailed description of layout ofpraperty must be drawn on the diagram which is part of this ppphcation. 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 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, ~ a corporation) · ox 695~ Riverhead Ney York ll~O1 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owaer Name of owner of premises ............ T~O]~,J..Iq,..~L,..JL~Z.. ~..,l[o&~.~&eu ....................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of c6rporate officer) Builder's License No ..................................................... Plumber's License No......~........~.....~...:.0, ...... Electrician's License No...~.~.....'~. - Other Trade's License No ............................................... 1. Location of land on which prapq~d work will ~..~n.. Map ~10.: ............... .<..~:::~: .......Lot No..~...~. ................. 1 h. n~ Laure 1 Street and Number ....................................... ~.~'......~, I;Ll~,~t ..L& .............................................. ....................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ................................................................................................................................ ..~..ivate ~11 .~.~ ......... Intended use and occupancy ................................................................................................................ q 3. Nature of work (check which applicable): New Building.....~r,: ........ Addition .................. Alteration ................ Repair .................. Removal .................. Demolitior. ....................Other Work .................................................... · ~ 7/ ~ (Description) ' 4. Estimated Cost ........ .~..3...5. x.O...0..O..e..O...0. ........................... 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 ............ ~.~...o.. .......................................................................................................... . ................ 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 ...~1'/.~, ......... Height ....1~/.~ ............ Number of Stories ..... ~./.JL .................................................................................................... Dimensions of same structure with alterations or additions: Front ...... J[/.~ ...................... Rear ..... ~/~ ............... Depth .......... ~..~. ..............Height ..,~/.J[ ..................Number of Stories ...... ..,~/~ .................. 8. Dimensions of entire new construction: Front ...... ~.t.8 .....................Rear .......52..I.a ............ Depth ~i.~3..I. .... Height .................... Number of Stories ...................................................................................................................... 9...Size of lot: Front ...... I~8...2'JL..~;..~,~..,.Q.~. ............. Rear ..... [39,?3 * Depth .3.01x[3 ' 10~' ~Date of Purcha~,e .."{).9.t~g.~'l~...5.~...~,~.~.~ ................ Name of Former Owner ....~.J:~.~.~..~.a'..!:..a'...1.1~.~,.o. .................. ? 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ][/4L....J~JD. ................................. 13. Will lot be regraded . ........ ,~.e~. ........... Will excess fill be removed from premises: ( ) Yes (~r) No 14. Name of Owner of premises ..~..h..O..~....&,~.,...R.~..~..~.....M..it..~. ............. Addre~.~.6...~..5..'..~...~..v...e.~.~..~`.e...&.(~Ph~neN~.~.~.-..~..~.~ 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 properb/ lines· Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. NEI~I'TK0 STATE OF NEVV YORK, COUNTY OF ...,~['~T,~' ........... f"'"' ....................... ~l~,~...~t.~.~...~,~' ................. , .................... being duly sworn, deposes and says that he is the applicanl (Name of individual signing confracf) above named. He is the .......................................... 0.~3~' ........................................................................................................................... (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 ir~this, application are true to the best of his knowledge and belief; and tha~ the work. will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....... da;, of .................. , Notary Public, ............ ., .....~....F..~6 ....... .~. .............. County ........... ~,-.: ..: .................................... ~....-C~.... ...................... NOTARY PUBLIC, STAT[ OF NEW YORK No. 52-0118400 Qualified in Suffolk County Commission Expires Maroh 30, 19 nOV/ or The sewage d~spo~&l end water supply f~cilitf, es foE, this locaLion ~ave been Inspected by thl~ den~rtm~.n% s~ f~.~ %cbc satis~a~tory.~~O. ~ formerly Area: 41,770 scl. ft. Services william Ned°$tYtk° or formerly A~neS noW ~e ~OCA~O. OF weu. s A;D ~D/OB FROM DATA O~T~N;D FBOM OTB NOVK: · MONUMENT catalan° .EV,S,ONS YOUNG & YOUNG /&f.d~.16,1~g76 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK AP~. ~1,/9~'~ ALDEN W. YOUNG HOWAED W. YOUNG ~/9/ /~ PROFESBIONAL ENGINEER AND LAND IURVEYOR ~./~,/9~ SURVEY FOR: Tow. o~ SOUTHOLD ~ [1~i SUFFOLK CO., N.Y. ~ v~ ~ NedOSZYtk° vvilliOm / formerly or now .~ -33 AreO = 41,770 s~. ft. YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W* YOUNG HOW~IIID W. YOUNG LAND ,URIVII[YOR. N.Y.II. LIC. NO. 1~84B N.y./t. LJCo NO. 4B,93 SU~ FOR: o~ H~w ~o su.o~ co., .. ~. '~~~ DESIGN LOADS: Floor: 40 p.s.f, live load F~oi: 30 p.s.f, llve load 10 dead 10 dead Soil Pressu~ 2500 NOTE Verify design loads with local codes & site conditions- ChecE with local DulldlnQ dept. officials for wznd, seismic, snow or other special loading II. CONCP~TE; A'. Un less otherwise noted, all slabs on grade shall be 3000 p.s.1. (28 da'/ compressive strength) concrete on 4" s~d or gravel fill with 6x6-]0/10 WWM re±nforelnq. Interior slabs shall be placed on a 6 mil polyethylene vapor barrier. B. Provide 1/2" expansion ]olnt materlal between all concrete slabs and abutting concrete masonry walls occurrzng in exterior or unheated interior are as. III. FOUNDATIONS: A. Verlfy depth of frost footzngs with local codes. B. Unless otherwise noted, foundation walls shall be constructed with: 1. Grade "N", Type I, hollow load-bearing concrete masonry 2, Type "M" mortar. 3. Horizontal reinforcing: "Dur-O'Wal" continuous every other block cp~rse. 4. Vertical ~lnforcing: Reinforce walls of excavated ~ufeas with #6 vertical rebus at 6'-0" o.c. & at each corner & both sides of openings. 5. Place 1/2" dia. X 12" sill plate ~chor bolts at each vertical rebar (where occur- ring) or at 6~-0'' o.c. & at each corner & both sides of openings. 6. Wate~roof walls of excavated ~eas with 3/4" concrete parglng & 2 coats asphaltic base watel-proofing compo%~nd. 7. 6" dia. drainage tile at perimeter of excavated areas. Cover top of joints w/15 lb. felt & minim%u~ of 18" coarse rock or gravel. Slope tile 3/16" per ft, min. to point of discharge. C. Provide termite protection as required by HUD mln. property standards. IV. STRUCTUF~AL STEEL: A. Ail structural steel shall conform wi~ ASTM Specification A-36. B. Unless otherwise noted, provide a 2-by plate bolted to the top flange of all steel bea~s with 3/8" dia. bolts staggered at 2'-0" o.c. Pdgldly fasten all connecting rafters and joists. 5. 2 rows of l"X3" cross bridging per joist Fi~r ConStruction: 1/2" plywo?d ~heathing'with exterior glue under 1/2" plywood underlay~nt with buildi,n? paper b~twe~n. _ __ Exterlor wall sheathlnq: 1/2" insulation board w~th 1/2" x 48" *~ide C-D ext. ply OHN D.B ' A.I.A. ARCHITECT ] 2923 S,W. 30 STREET liiSMOINES, IOWA .© ,q fit~, 4,. Z JOHN D, BLOODGOOO A, I ,A. ARCH ITECT 2923 S.W, 30 STREET DES MOINES, IOWA '~ ~"J k . 0 LLI co ARCHITECT s; 'OWA .[ iii IAI ca C J JOHN D. BLOODGOOD1 to~mow, j ~TERIALS LIST PLAN NO. 7501 OWNER: LOCATION: CONTRACTOR: Thts mater'~als list is provided only as a guide to facilitate the pricing of your new home, You must amend this list as required by local bu~hding conditions, final selection of f~nish materials any other items your build~ng contractor deems necessary for the comniete construction of the project, FOOTINGS & FOUNDATIONS; A. READY-MIX CONCRFTE: 16 I/3 cu. ods., foot- Ings; 20 cu.vds, basement Floor slab; 5 cu.vds. garage ft0or slab~ I/2 cu~yd, apron sidewalkq & driveways. B. STEEL REINFORCING: 650' #5 rebar; 21OO sA.ft. 6×6 lO/lO WWH; 460' #4 rebar; 1300' x 36" anqles, 2 - 3 ]/2 x 3 I/B x i/4 x 48" angles Columns O, BRICK S RISC /~ASgNR¥ HATEBIALS: 380 - 4" concrete block; 400 - 8'~ concrete block; )180 12" concrete bl~¢k; 50 bay Masonry cement; 60 bags Portland ce'~ent; 2200 so,ft, face brick labor & qaterlal E. RGGREGATES: 20 cu yds. fill Salad; 25 T, F, DAMPPROOFING & SL~B 'JqPOR qARRIERS' 260' G. STEEL WINDOWS & ~REAWAYS: sash H. ANCHOR BOLTS: 68 - I/2'~xl2" II. C. JOISTS: ~ain Floor: 67 - 2xIO-12'; 69 - D. RAFTERS: 36 - 2x6-12'; 84 - 2~6--]6' E, WALL STUDS: 1800 lin.fL, 2x4 plates~ 50 - 2x4-12' gable studs; 750 - 2x4 studs std, 28'-O" 6/12 W/taii~; 7 - std. 20'-4" 6/12 I<. ROOFING: 128 4x8 1/2~' COX 32/16 ply- wood sheathlng; 20 roils #30 felts; 30 so. #1 Cedar shingles; 230' me,al roof edge; IOO'- 8" galv. 50~ metal drip ca~ flashing. and Itl, OPENINGs: ' A, WINDOWS: 2 - 3-24x65 csmt. fixed; 1 - 40"x80~' fix- i - 30x72 fixed Irapazoid; I - 3-16x36 csmt, $-R-S B. SI_IBING GLASS DOORS: 2 - 9-Ox6-80XO Tq ~M/GbAZING: 48' casing I - 3-OxE-Bxl ~/4" solid core front; ] - 2-Bx6-Bxi 3/4 H.C, (l~ouse to garage) flu'-h, T~IM: 1 - 3-Ox6-Bx ~ 3/4 ext, door Frame; 36' casing; ~ - 2-3x6-Bx~ 3/4 6-8x) 3/~" H.C.; 5 - 2-Ex6-Bxl 3/8" N.C.; [ - 2-Bx6-Bx ] 3/8'~ H.C,; TRhh 8 - 2-6x6-Bx~ 1/2" int, ja~g~s W/st~ 6-Bxl ~/8% 2 d~,R,H, flusN; 3 - 5-Ox6-~xl ~/8' ~-dr. flush~, TRUI: 2 - 3-O~6=8x4 I/2" iht, jambs no 300' cash~g; 2 - 4-OxE-3xfi ~/2u int. jambs r,o 3 - 5-0x6-Bx4 i/2:' iht ]amb~ nc stops FINISH CARPENTRY: g RASE & SHOE: 700' each B. SHELNES & POLES: 60' closet ogle W/14 pr, pole ~rackets; 50 Ih.Pt. lxl2 closet shelves; 5 - lx4-]2~ AA plywood; 36 metal shelf std. clips D. K~tchen Cabinets: all W/adj, shelves. Kitche:q: F, LAPI :\FFD PLASTIC COUNTER TOPS: 18' kitcilen; 8' Lam, Plastic; I qt, lam, plastic adhesive G. STAIRS: 5 - 2xlO-]4'; ]4' handrai}; 3 handrail brackets red rosin 9aper E. LAMP NOLOtRS: 6 ~ullchain; 1 - landscape lamp F, CIRCUIT BREAKER PANEL BOARD: 200 amp service G. ENTRANCE & ,~ETBRING: main line to house W/meter setting VII R, ST~CKS & VENTS W/CAP OR FLUES: Flue 28'-Ou floor to roof exit W/rain cao; I - j~b made metal chimney top C. FLASHING; 30' 18" gaiv. 750 gq,Ft, brick (well area to cover) include heart'h DECKS/P~RCHES: A. FOOTINGS: IlYd, ready-mix IO - 6, DECKINg: 1 - 4xtra6' po~t; 18 - 2x4-12' 22 I 2x4-16~; 6 Bx4-10' D. MISC.HARDWARE:. 25# led qalv. box n¢ils 60' 14' galv, flamhing XII: MISCELLANEOUS: J40' 5" gutter/~ ) 60~ downspouts' ) installed (labor 5 solash blocks · ) / bdle, shim shingles 1 white g}ue I pkg, fine sandpaper 6 - 2x4-8' & material) 0ptiona!; I ~5-qxE-Bxl 3/8" H,C, 4 dr, flush bifold door unit W/hardware ] - 5IOxE-Bx4 ~/2~1 iht, jamb no stops 40' casing !NSUL. ATION B VAPOR BARRIERS: VAPOR gABBIER: 3, rolls 8-3xJOO' FtPOR COVERING (O~ner'¢ Selection): A, Ceramic Tile:~ quarry t~ JOHN D. BLOODGOOD A.I .A. ARCHITECT 2923 S.W. 30 STREET DES MOINES, IOWA