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Home My WebLink About8421-zFOII,M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificate O[ Occupancy No..Z8.9.5.~ ...... Date .. M~oh ... l~ ............. , 19. THIS CERTIFIES that the building located at . .780. Wtl'~dJ~r~ex'. D~, ..... Street Map No. ./~.~.6.2.... Block No ....... Lot No ....... .6 .......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ~.~a~.c.h .~5 ., 19.77.. pursuant to which Building Permit No....8~..2.3.Z. dated l~a~.ch..35 ........... , 19Y.6.., 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 .....P2.~. A.T.$..ONE...F.AI~.I.L..Y..D .~.L..I.N~ ................................. The certificate is issued to .. Ara'con. Z.u¥$¢i~ ................................. of the aforesaid building. Suffolk County Department of Health Approval ...~-S0~~.3 ........................ UNDERWRITERS CERTIFICATE No ..... N~590~ ................................ HOUSE NUMBER . .7.80 ..... Street .... .~d~.~..r~. ~'..I~, ..................... ........................................ ~outh~ld,. NY ....................... ......... Building Inspector FOE]~ 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) Permission is hereby granted to: ........... ~.~ ....... .~..~.i..~.,~,...!:,.~ ~,: ~o.~[~..~..~....t.~....~~ ............................................................ : ..... ~ ................ ........ ~ .............................. %....¥, ...... % ....... ;;:~.:... ~., .2 :.~ ..................... ~ ..................... at premises located at -.;,....,;..:; ............. ,~;.~. .............. FO~M NO. ~ TOWN OF $OUTHOLD , Building Depmtment Town Glerk~ Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ~nk, and submitted in DUPLICATE to the Building Inspector w~th 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 dispasal--(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: I. 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 D te .... s. .......... New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land ....... ~. .... Location Of Property ..... 7..8..0.....W...i..n...d.~..e..r.....D..r..i...v..e./.....S..q.u..t...h..o..~-..d.,~...~..e..w....~.q~]~...~.~..7..~, ................. Owner Or Owners Of Property ....... .A...n..t.~.~..n.....Z..u...v..i...c..i...c.~...a..n...d....D...~"n...n..a.....z..u...v..i...c.i..c...~.~..h.~.s...~.w.`.~..f...e. ............ Harbor Lights lA- 6 Subdi¥ision ................................................................ u, No ............. 8~ock No ............. House No ............. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Hea~th Dept. Approva~ ............................................ Labor Dept. App~val ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate ............. .X. ........................... Fee Submitted $ ....... .5......0...0. ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ........ 0-'7:9,~ .......... ~ ............................................... Swo r~,]~t o_~,~ beforeofme~ this I~''/ ~ Notary Public ..~... County r!o ~2 :~,~,~' ,~ - ~ ,~I~ c~ ~[y ~C_~/c/O ~_~ ~f~{txam'nedgn septecbe~ 29,1~77'.J,. andfoundtobemcomptmnc,ewtththereqmrementsofthisB~;d. ' 6~TO~ J I r '~ ..... FIXTURES ..... RANGE~ ' ":6bKiNGDECKS' . OVENS ...... 61[H WASHERS EXHAUST' FANs DRYERS FURNACE ~OTOES ~TUEE APPUANCE FEEDERS SPEClALEEC'PT '¥1MECLOCKS 8ELI' UNITHEATEES MULTI-OUTlET DI~ERS INSTRUCTIONS ~ ~_ to scale. Fee according to ~chedule. ~' o. This application must be completely filled Inspectgr~ with 3 sets of plans,. 0ccurate pl~ plan b. Plot plan showing location of lot and of buildings~ on premises,~relationship to adjoining premises or public streets areas, and giving a detailed description of layout of~roperty must be drawn on the diagram which is par~ of this application.~rq 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 througt~ut work. e. No building shall be occupied or used in whole or in part whatever until a Certificots of ~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for t of a Buil, Ordinance of~ the Town of Southold, Suffolk County, New . for the construc~ioh of buildings, additions or alterations, or for The agrees to comply with all applicable laws, ordinances, inspectors on premises and in buildings for necessa~/ inspections. (Signature of c Permit pu~uant to ~ Ordinance.~ ~a as herei.n descri~. ~ and regulatmns, and to ~ /~ ~o-27 ~ St. LoT.C. N,Y. 111o~ (Address of applicant) State applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Name If app a corporate, signature of duly authorized officer. None (Nome and tit~e of corporate officer) License No ..................................................... License No License No. Other Trade's Li¢~ ~ .............................................. Location of land on which praposed work will be,,~_e. Map, No.: ....................... .~ ............... Lot No ....... ;:/, .............. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................. b. Intended use aad occupancy ............. ~,~/:,.0~Jlt...,..[~4~['...: .................... ~ ......... '. ................................ 3. · Nature of work (check which applicable): New Building ..~ ...... Addition .................. Alteration .............. Repair .................. Removal .................. Demolitior .................... Other Work ................................................... / ~ ~ (Description) _. ,ooo- oo --7 4. Estimated Cost ....... ; ............ ~ ...................................... Fee ..L.......~5....L./..~. .................................................................... / (to be paid on filing this application) O~ On~/ 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ..... . ...................... ~-o If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... :..~...:...2..~ ........ 7. Dimensions of existing structures, if any: Front ....... N~.~..'.~.~. .... Rear .......... 2../. ............... Depth ...:.../.. ........... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................NumbeF of Stories ................... ~ ............ 8. Dimensions of entire new construction: Front 78~-...O.I~ ............... -8 "~ ^"'C~ 2~.f ............ Rear. i/.....' .~'~....T; ........... Depth ........................ Height ../A~..l~..~, ..... Number of Stories .................................................................................................................... Size of lot: Front G~..,~.~,...X~,I~.,.8.i..z,~Xx3..~.,,.1.~...... Rear ...... ................ Depth ........... Date of Purchase ........................................................Name of Former Owner ........................................................ Zone or use district in which premises are situated ~.~r.;h : ~.e.~ · ............. Does proposed constru~ction__ ~vi°late any zoning aw, ordinance or regu arian: ....... ~....t.b......~...°. ................/~' ........... Will lot be regraded ~....~e~'Will excess fill be removed fram premises: ( ) Yes ( ~"No . . / ~ton Z_uvicic --.. 3o-2~¢~IC RA--t-5830 Nome of Owner or premises ..... ........... :.: ................................. ~oaress ................................ Phone No ....................... Name of Architect .............................................................. Address ................................Phone No ....................... Nome of Contractor ................ .~.~...D~...;[:: ............................ Address ................................Phone No ....................... 10. 11. 12. 13. Locat~learly and distinctly ail pw~OePtt~erY inlttliib~S~r Go;VceorSnt~erelLt?nd block DIAGRAM ~isting or proposed, and indicate all set-back dimensions from ~ion according to deed, and show street names and indicate ............................................................................... (Name of individual signing contracf) above name. 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 are 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 therewith. Sworn to befor~me this ........... ....... ....... , , , Coun ....... .............. , ...................... , ' ' (Si~ature of applicant) JUDITH T. BOKEN '340 00~TY H~LTH DEPARTMENT T~ aewa~s disposal and water Supply f~tltties for this loo~tion have been ln~ected by this department and fsund ~o.be sa~isfactor Chief Of Genera! Enginee~inL .\ LANE 5EP_V~CE S H 0 U S E , P L A N S, 48 West 48th Street, ~ATEH IAL LIST ~a so nry Material concrete wall footing concrete column & pier footing 4 ~ lally column concrete floor & bed cinder blocks - 4 x 8 x 18 8x 8x 18 i0 x 8 x 18 12 x 8 x 18 c~:ment plaster stucco basement sash chimney flues - 8 x 8 12 x 16 chimney fill {cinder block) clean out, ash dump, damper fireplace lining areaways (coor. metal) fl ag sro ne LUMBER & MILL GIST l0 2 x 6 x 12 12 2 x 6 x 14 l0 2 x 6 x 16 l0 2 x 6 x 18 3 ~ x 10 x 12 9 2 x 10 x 14 3 2 x 10 x 16 3 2 x 10 x 18 3 2 x 10 x 20 70 2 x l0 x 8 25 2 x l0 x 12 45 2 x 10 x 14 4 2 x l0 x 12 4 2 x l0 x 14 5t4 x 3 x &65 lin. ftc i x 6 2080 sq. ft. 20 2 x 4 x 12 20 2 x 4 x 14 15 2 x 4 x 16 250 2 x 4 x 8 20 2 x 4 x 12 l0 2 x 8 x 8 8 2 x l0 x 8 4 2 x 12 x 10 2 2 x 12 x 14 5 2 x 12 x 16 6 6 x 6x 8 2 6x 3 x8 New York, ~.¥. 10036 Plan '# 5032 , 2724 Lester Cohen, Architect 13~ cu. yds. 2 cu. yds. 8 pieces 204 Cu. yds. 280 lin. ft. 500 sq. ft. 1,550 sq. ft. g5 sq. ft. 2,200 sq. lb. 4 pieces 20 lin.' ft. 12 lin. ft. 400 cu. ft. 4 pieces 15 sq. ft. L pieces 480 sq. ft. 280 sq. ft. s ill girde~ floor joist box sill bridging sub floor - Plywood may be substituted · 1,760 sq. ftc exterior shoe & plates exterior studs exterior headers - Check drawings for flitch plate lintels lintel posts Page 2 L~M~ & MILL LIST (cont'd) 20 ~.x 4 x 12 17 2X 4 x 14 6 2 x 4 x 16 l0 2 P 4 x 18 250 2 x 4 x 8 i 6x 12 xl2 45 2 x 6 x 12 25 2 x 6 x 14 10 2 x 8 x 14 10 2 x 8 x 16 45 2 x 8 x 18 5/4 x 3 x 220 lin. ft.~ 2 2 x 8 x 14 1 2 x 8 x 16 3 2 X8 x 18 75 1 x 6 x 12 22 2 x 6 x l0 85 2 x 6 x 16 70 2 x 6 x lg 1 1 x 6 x 12 1 1 x 6 x 14 3 i X 6 x 16 3 i x 6 x 18 5/4 x 3 X 360 lin. ft. I x 6 x 145 lin. ftc 36 x 3/8 x 145 lin. ft. porch ceiling - exterior plywood roof sheathing i x 6 15# roof felt wall sheathing i x 6 15# wall felt shingle starter asphalt shingle flashing bed or cove soffit mold gutters wall siding flashing wood shingle (for shims 15~ floor felt kitchen floor - plyscore bath floor - ceramic tile, plyscore & inlaid linoleum hardwood floor insulation - ceiling wall interior wall finish interior ceiling finish garage wall garage ceiling baseboard 1/4 round base shoe interior shoe & plate interior studs interior headers - Cheek draw- ings for flitah plate lintels ceiling Joist bridging ridge collar beam rafters #1 pine soffit blocking #1 pine facia exterior plywood 485 sq. ft. 4,455 sq. ft. 7 r ells 3,530 sq. ft. 5 rolls i roll 37 squares 80 lin. ft~ 145 lin. ftc 145 lin. ft. 3 pieces 2,670 sq. ftc 70 lin. ft. i bundle 4 rolls 165 sq. ftc 115 sq. ft. 1,760 sq. ft. 1,760 sq. ft. 2,070 sq. ftc 4,850 sq. ft. 1,800 sq. ft. 700 sq. ftc 570 sq. ft. 550 lin. ftc 550 lin. ft. barge bo~rd so flit Plywood ~,675 Plywood 2,955 page CLOSET MATERIAL 1 x 12 shelving 1 x 2 shelf ledge - linen closet i x 6 book board i x 12 shelving 1-5/8 ~ closet pole i x 12 shoe racks STAIRS 2 5-~4 x l0 stringers i1 i x 8 risers l0 5/4 x 10 treads i wood hand rail 2 oak 3'-0" each, stair nosing 30 lin.ft, stair molding 124 lin. ft. 20 lin. ft. 70 lin. ft. 28 lin. 28 lin. ft. 25 lin. ft. WINDOW SCHEDULE w/STOOL AND APRON 2 2~0 X 3/2 standard wood double hung i 2/8 x 4/2 standard wood double hung 2 (2) 2~8 x &/2 standard wood double hung 2 (2) 3/0 x 5/2 standard wood double hung 3 Pella #2840 SC 2'-9~" x 3' 10-5/8" R 0 2 Andersen #W2N6 3' 10-3/4" x 6' ~" ' ' 3 Andersen Glide window ~5806~' 5' 7¼" x 6' 2¼" R. EXTERIOR DOOR FRAME & JAMB SCHEDULE W/WEATHFRSTRIPPING 1 3/0 x 6/8 x 1-3/4 stock fir cross buck panel & glass door i 2~8 x 6~8 x 1-3~4 stock fir cross buck panel & glass dutch door I 2/6 x 6~8 x 1-3/4 stock fir cross buck panel & glass dubch door i 2/8 x 6/8 x 1-3/4 stock fir glass & wood panel door 1 6/0 x 6/8 x 1-3/4 stock aluminum sliding glass door with screen 2 9/0 x 6/6 stock wood overhead garage door Note: Check for size and tvpe of all trim. INTERIOR DOOR JAMB & TRiM SCHEDULE 3 2/0 x 6/8 x 1-3~8 stock fir 6-panel stain grsde door 6 2/6 x 6/8 x 1-3/8 Stock fir 6-panel stain grade door i 2/0 x 6/8 x 1-3/8 stock fir 6-panel stain grade pocket door i 2/6 x 6/8 x 1-3~8 stock fir 6-panel stain grade pocket door 5 4/0 x 6/8 x 1-3/8 stock fir 6-panel stain grade hi-fold door Note: Check for size & type of door saddle if desired. Door leading to Garage from hoGse to be metal clad on garage Note: All bathroom and lavatory doors to have marble sills. MISCELLANEOUS basement waterproofing 2200 sq. ft. down spouts 2 x 3 x l0 5 pieces splash blocks 5 pieces scuttle 1 piece side. page 4 kitchen cabinet - hanger base van itory medicine ca~inet 19 lin. ftc 20 lin. ft. 2 pieces 3 pieces This list has been especially prepared for this plan by a competent materials expert in a representative area ss an aid in securing a more accurate ~stimate of material costs, before building; all data should be checked against the blueprints for determining compliance with local regulations, waste allowance, etc~ t 1 ALI-' 'F'FDIqb'~', CODES. AIt"~C)VED A,.~ NOTED NOTIFY BUILDING DEPARTMENT ~,r 765-2660 9AM TO 4PM EOf, REQUIR- ED INSPECTIONB: 1. BEFORE BACKFILLING FOUNDA. I Io" 6, LI" G '-'o" l rI 0 Z~L O" NOT~ "' ' 2 -I cL, CL. c. L;_..~ c.L, ii I "0 I · I