HomeMy WebLinkAbout8242-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
N Z14039 November 27
o .................. Date ................................ ,19 85
THIS CERTIFIES that the building ...... O.n..e..f.a.m..i.~.y.. d..~.e.~.l.i..n.g... ...... . ...........
Location of Property ...... .4.0.0...J .a.c.k. U p .n..L.a..n .d.i.n. g ................ Mattituck
House No. Strut ............. /'l~/n/e~
County Tax Map No. 1000 Section ...1.1.3. ...... Block ...4 ............ Lot...6 ..............
Subdivision ............................... Filed Map No.5.2b.q .... Lot No. 4
conforms substantially to the Application for Building Permit heretofore fried in this office dated
... O..c .C.... 1..4 .......... , 197 .5. pursuant to which Building Permit No ...... .8.2.4. 2. .Z ..........
dated . .0.c.~...1.4 .............. 197.5. , was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is. ........
...~r~.v.~9..q~9 ~a~i~y dwelli, ng
The certificate is issued to ......SY,E.N SN.G. LU]ND ................
(owner, ~.~ ~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval 5 - S 0 - 1 4 8
UNDERWRITERS CERTIFICATE NO. . · N 430582
Building Inspector
Rev. 1/81
FORI~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, Nr. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 8242 Z
Permission is hereby granted to:
~.!..Z.!:.! ......... Z.:~L.C.~...L..t,'L ~L...r2 ...................
at promises located at .... ~ ~ ~ ~ ~ C.[~.~.f (. I b. b ~ l ~ ~ ..............
. L~.~ ...... '.J .............. d.8.c.~. ~ ; ~' ~., ~..~.~.~.~ .......... .~AL..~...~.~.~. ...........
pursuant to application dated ~C T ~l, ]~...., and approved by the
Building Inspector.
Fee $...?...~..,...~ ....
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec-
tor 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 featu res.
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 installa-
tions, 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 p~3perty showing all property lines, streets, buildings and unusua~ natura~ or
topographic featu res.
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 informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.0 0
3. Copy of certificate of occupancy $1.00
Date .. .~..C~. ..............
New Building .... .V~/.. ..... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ......... ,~,~. .~,.~.~.~ .[~ff..%.. · ~ ....
House No. Street ~ ' ' Ham/et
Owner or Owners of Property ...~.~,~.~...~t.~..~.~..~...~.~.~,~ .....
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision..~. I~..~'.~.~.~.
....... !h~ ...... Filed Map No..~..~.~.~....Lot No, .... ~ .......
Permit No~/~ .Y~... Date of Permit .(~?.,~/~. ?.5~.Applicant '~'V. ,~..'~/.., .~"'~.../~J...~..L..~...~.. ~......
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
THE NEW YORK BOARD OF FIRE UNDERWRITERS,
BUREAU OF ELEC'r~ICITY
[--eT~ 85 JOHN ~rRErr. NEW YORK. NEW YORK 10038
,.,. Apz'11 19, 1979 A~,~.,o. Wo.o.~ 906728 N 439592
THIS CERTIFIES THAT
S~en Englund,Sou~h Side of Jaeksons ~ndin~ Rd.,~i~uok,L.I.
fiXTURE FIXTURES IIAN~S
10 3? 21 10
DRYERS FURNACE MOTORS FUTUIll AI~UANC! ~
SIRVICI DISCONNECT S E R V
OTteR AI~ARATUS:
~otox*s ~ 1-P
1-~.~.C.I.
~ ..moke Dete~tor
· I/0
C E
1/0
Ridge Wa~ Elect,
P.O. Box 329 ~adellne
Ridge,N.j.
must not be altemcl
, manner;, return to the office
o~
Lie.8?3 : P,z
cmdentiah.
ENGLUND AIRCRAFT SERVICE EQUIPMENT COMPANY
West Lane, P.O. Box 1000, Aquebogue, New York 11931
Serving Kennedy, Newark and LaGuardia Airports - since 1962
516 - 7224544
Re:i2~uilding Permit NO 8242Z.0ct.14.1975
July 2RZ1985
To The ~uilding Inspectors Office
Town of Suothold
Gentlemen:
This is regarding the steel in the basement: The architect has used
6"I-beams.the long~st span 10'10~" Acording to U,S,Ste~l this I-beam will
support 8.450 lbs per for evenly distributed over the ll feet,
We used an 8~ wf I-beam,no span being g~ter than 15ft 6".
According to U.S.Steel this beam will carry 12100 lbs per ft over
this length. The 8" wf be~m is ~17 ~.~.
~h~ ~z~ss beams are l0~ standard25.4 lbs~he longest span 16 ft
U.o. Steel saysthis beam wil~ support 20.OO01bs per ft over 16 ft
oz 320.000lbs total over the 16 ft
I hope this will be satisfactory
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 ~'K~/~° ~/~,~-r;~/_-~//Y'~) Phone ~;~Z,
Address ~m~~/~ ~U~aOu~. Sect~off
2. Property Location ~0~ ~0 ~ ~~ /. Lot Number
8. Private Well
illage ~/ ~7)~ Townshi~OO~O~ 9. Public Wate~
3. Public Water Compan~ ~amE~ ,,'Distance to main
4. Lot size: Width [~feet Length~feet
10.
11.
Sewage Disposal System:
A. ~)gallon septic tank:
Precast ~ Equivalent Block
B. Leaching pools:
Number of pools
Precast ~Block__~pecial__
If private well, fill in the fol-
lowing blanks:
A. Tank capacity z~,, gallons
B. ~gmP G.R~. ~--
c.- otal depth.
D. Depth ~ ground water /~t
E. Amoun~'~of water in well ~/
(For Health Services Dept. Use)
The undersign~CERTIFIES: "Construction of authorized installations will be in accordance
with the Suffolk County Department of Health Services~ current standards thereto." This
application w~]~ 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.
Date (23~ '~ ~ ((~ 7~-- Signed ~
FOR THE DEPARTMENT OF HEALTH SERVICES~ USE ONLY. Based on the information presented here-
with, it is the opinion of the Department of H~lth Services that an adequate and satis-
factory Sewage Disposal System and Water Supply can be installed on this plot.
APPROVAL DATE X'd~s-'/?I SIGNED
S-15
Rev. 4/1/73
0Cz H
Examined .........................................
FO~M NO. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ................... .~....C-_~......!..~.., 19.~..~.=. Permit No......~.-.&...~..-~,~ .......
App.cot on Ne ..... .........
Disapproved a/c ..... [~~..-...~_ · .........................
.......... .....................................
(Building Inspector) , ~ ] ~ ~ ~,/~,,
APPLICATION FOR BUILDING PERMIT
19~ ......
Date ................ ; ............................
INSTRUCTIONS
a. This application must be completely filled in by typewriter ac in ink and submitted in tripllcate 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 o~
areas, and giving a detailed description of layout of property 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 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
Regu at OhS, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable aws, ordinances, bu Iding code, housing code, and regulations, and to
admit authorized inspectors on premises and in, buildings for necessary/49spections.
....
(Address of appllcont! .~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............. .........................................................................................................................................................
Nome of owner of premises ................. .g...~....~.....~........~.~..~...~...~..z~.. ............................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No .....................................................
Plumber's License No .
Trade's License No ...............................................
Other n h,ch ro osed work w,II be done Map No ..~-7.~ .g..O.. , Lot No
Location of land o w' p p ' . . , ': .................. ~.~ ....... 5, Z.~'_')~l'='~_'"'"'~ .........
Street and Number ..~..~...~..:~...0..'./~...-..~.....,~...../~...~..,/~.~.~7~ ......... ../~...O..T.. ............. .~-.{......~.~..~ .....
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ...~.. O/¥'~ d'~/~p?- .~..
b. Intended use and occupancy / /~'/~...~... fi'" '~"
3. Nature of work (check which applicable): New Building. ~" Addition Alteration · ~ ' "
Repair .................. Removal .................. Demolition .................... Other Work ...................................................
~,~...~- (Description) '
~4. Estimated Cost ......... /~.~ .............................. Fee ...........~.~.. .......................................................................
(to be paid on filing this application)
/
5. ff 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 o~ 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. Dimensions of entire new construction: Front ....... ~ .................... Rear .,~ ...... Depth ~.~...~.~..
~1 ......
Height ..,.~ .......... :._ Number of Stories ..... ~. .............................................................................................................
11. Zone or use district in which premises are situated ....~..~..~.&~.~.~.~ ...............................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...~ ...........................................
13. Will lot be regraded . ......... ~ ......... Will excess fill be removed from premises: ( ) Yes ( ~No
]4. Name of ~wner of prem~s ...~.~.~..~.....~.~.~Address ..~.~.C~ono ~ZZ~.~
o¥ ....... .......................
PkOT DIAGRA~
kocote doorly and distinctly oll buildin0s~ whether existin~ or proposed, ~nd indicote oll sot-~ck dimensions fr~m
prope~y lines. Give street ~nd block number or description *ccordin0 to deod, ~nd show street n~mes ~nd [nd/cate
~hether interior or corner lot.
STATE OF NEW~..Y..OJ~K,,, I c S
COUNTY OF ~.[.~.. .............
-
............................ .~.'.,?..~...KI.. ......................... being duly sworn, deposes and soys that he is the applicant
(Name of individual signing contract)
above named,
He is the ........................ 0 .b~.. l'J ~ ..........................................................................................
................... ('~troctor] 'a~'~, 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; Qnd
that the work will be performed in the manner set forth in the application filer}herewith.
Sworn to before me this ~ ~-- ~ ~- / / /,~
.................. [.~. day of ................................ %.C.2...~,,,_~, --19'( ...... ~ ,,, ~,,. , ~ ,, ,
Notary Public ...........................................,, ...... , ,-~ ~"~,- I ~,,.. ........... ,,, ,~,,,, ,~,,,,, ,/., ,_~.~ .........
[LIZABETH ANN NEVILLE
NOTARY PUBLIC, State of New York
No 52-8]25850, Suffolk County
Term E~pires March 30, Jg.~ ~
rear of lot ,,.
dia'mneete corner :
(mo'feet Jf cornerlot)
north
arrow
distance to corner
(¥feet if corne~ lot)
t lines
frontage of lot
street name
Englund
516- 722-8968
Aircraft Service Eqmpment
WEST LANE, P. O. BOX 1000
AQUEBOGUE, NEW YORK 11931
A~ril ~8,1977.
Building Inspector
Town of Southold.
Building Permit ~ 82~2Z
Please find roof section attached.We have doubled up all the 2x6
rafters under the "knee" in the rocf,am~ adde~ 2x4 supports to the
front 18' long rafters.
Weights of 16" section of solar ~eat collector worked o~t~should
now be within the 1~00 l~a allowe~ fiber stress for wood.
Above ia now co~leted. ~'~~O~_/
To g~t within the 20.000 lbs fiberstr~e for steell~¢~ will add a
10"~ 21~ I-beam under the present 8"~1~ 17 I-beam, ? foot head room
for garage ~oor ~10E~ Also a~ a lolly oolumn un~er %~ center of
cellar,where the 10"W~21~ I-beam picks up the 2 ea 8"~1~r I-beams.
When we have done this I hope you will find ever~thing 0X
516-722-8968
Englund Aircraft Service Equipment Co.
WEST LANE, P. O. BOX 1000
AQUEBOGUE, NEW YORK 11931
Solar Heat 0ollector on South Roof
at 400 Jackson'. ~anding, MattitUko
Dimensicn~: 10' high at 55° off
horizontal, x 50' long.(Similar
collector may be added on ~outh wall
of foundation about 9' x 53').
Weight of 16" x l0t of Roof Collector
including fool framing:
1 ca l t after 2x6-10 ~t 19~
3/8 P12wood 8heat~g 15
Felt Roofing 7
Corrug. Alucinum Roofing 5
43 lft ~2 copper tubing 14
lx2-10 ft wood clamp for tubing
Corrugated Fiberglaa covering
~m~ ~ot~l w$~ght ea r~ter '
["he end rafter~ will alee carry 10'
3/$" copper tubing headera
Tota~
This weight wild be carried
by the cantilevered 2x6 , coming from
the porch and beseem roof.and also by
the 2 each 2x6 Joist.
Snow and Wind loads ~ame as an.v other
roof structUre: assume 30~ / sq.ft for tM
flat l'OOf, an~l~20~/sq.ft, for the rest.~=~..~
/
MILL ROAD
NO TE ~
· --MONUMENT
suBDiViSION MAP F/tED IN THE OFFICE
OF THECLERK OFSUFFOtK COUNTY~ON
MAf~8/gGgAS PILEN0 5?80,
R~V,Si~.S Y~UNO :& yOUNG
UU£FI~,/~?6 400 OSTRANDE~ AVENUE, ~RIVERH_AD, NEW YORK
/~. /~~''07Z ALDEN W, YOUNG - HOWARD W. YOUNG
SUF'FOLK ¢0J ~.'
i 'i ' - 'J ~h~fi~~'' ......
MILL ROAD
· -'MONUMENT
OF TH~ ~/ ERR OF SUFFO£ K ~0 UIV T ~ ON
400 OSTRANDEh AVENUE, RIVER) A / ~/
*LDEN W. YOUNG ~ ~W~OU~~
SURVEY FOR:
SVEN E ENGLUND 8 ~AGDA t ENGLUNO
LO F NO ~, " JACKSON~ LANDING"
?N~ TITLE GUANANTBE ~
A · /~?,~ TTI TUCK
row~ o¢ SOU THOLD
SUFFOLK CO., N.Y.
~c,*,,~.~ /"= ,dO'
?o
~}L~" 9Cio. ~lL~" IIL~ 1. BEFORE BACKFILL
~RTMENT AT
FOP, REQUIR.
.lNG FOUNDA.
IltlO~
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APPROVED
RUDOLPH A. MATERN 'A. I. A,
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