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HomeMy WebLinkAbout7874-zNO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZTI ~6 ...... Date ............ AUg ..... .~. ....,19..76 (Cove Circle) THIS CERTIFIES that the building located at . . K,.0 .~t. -.If/. 6.th. S~;. ..... Street Map No...~.X ...... Block No.. xx ..... Lot No, .x~...Gree~por. t..N.,X, ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... t4ay. · 2. ·., 19..~.~ pursuant to which Building Permit No. ?8?.b~Z.. dated ..... May.. .2 ...... , 19. ~..~, 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 ...P. rlv.~$e..o, no. %.a~.~.y..dw..e.l.l.i.n.g .................................... The certificate is issued to .. Mrs°. Fern. Simpson .... Owner ................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Dep~rtment of Health Approval Aug .2 . 19.76.. ~y P~,..Villa... UNDERWRITERS CERTIFICATE No.. pencllng .................................. HOUSE NUMBER 280 ...... Street .... Cove. CSrcle ..... G~.eenpz~t ......... B,;ilding Inspecto~ ~0~ 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) N9 787 1 Z Date ..................... F.~q.~'. ......... 2. ................ 19..~.. Permission is hereby granted to: ..Ad~la~.d...L~sse,~.....A/~..F.,r..a..~~,:Lurp son .............. ~.~ ..... ~ e~T~. ,-~. .............. to .... .b.~!lCl..ns~...one...f~J~l.~ 7...d~.el!ing ............................................................................... at premises located at ..~,.O.,:~q...Cc.a~ze...CJ. re~e.)...o,Cf...6.tZm.~q~. ................................................. ..................................................................... G~,~enp~.~..... ~'~ ~ ~:, ....................................................... pursuant to application dated .......................... .~.~r ....... ~. ............ , 19.~¥..., and approved by the Build,fig Inspector. Fee $.~...Sa ........... The sewage disposal ~ wate~ aupply fact!fries for this loc~tlon have been ~ns~ectod by this depar%ment ~d fo~d to be sat~s~'actar~~ ~. Chie~ of G~n~ral Engin~rlng . .. · _:._: ~ -: ....... .~.:.:~- ~ ..._ _.._ .,.- ......... S~i~ ND SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY Addre~ ~o~ ~, ~c~/~. 7, "~ 6. Sectio~"~ 2.~P~o~ty Loc~ti~~ w/ 3/x,,~ ~Z¢,y ~/~A ~ 7. Lot Number ~?h/~a~._ 7~ 8. Private ~qlla~e~~ __ Tow~sh~T~/~ 9. Public Water~ Distance to main 3. Public Water C~y Nam~¢~~ ~ ~ 4. Lot size: Wid~~ feet ~ Leng~~ feet 10. Sewage Disposal System: 11. (For Health Services Dept. Use) A. 900-gallon septic tank: Precast Equivalent Block B. Lea ch i ng2oo~s~,: Number ~p~- Precas t B1 ock Spec i al If private well, fill in the fol- lowing blanks: Tank capacity /~ ~ gallons A. B. Pump G.P.M. C. Total well 'depth D. Depth to ground water E. Amount of water in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordance 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. Date Si gnd~~/)~~ ~' FOR THE DEPARTMENT OF HEALTH SERVICESt 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 DATE rJ//~7 SIGNED ~ S-15 Rev. 4/1/73 lUU.~lq~ DI~ART~NT 'row~ a. ll~ OFFI~i ~OUTHOW~ K. Y. Examined ....... ~ .......... 19....~... ........................................ , Mo ............................ (Buildin~ Inspector)/ .STRUCT Om :i a. This a.p~l~.ication must be completely filled in by ty~_w~iter o~. in ink and submitted in triplicate to the Building Inspector, with 3 ~ of plans, accurate plot plan to ~r. ale. lj.e~ according to schedule. b. Plot plbn showing location of lot and of buildin~c~ ~*~emi.ses, relationship ~.. ad~ini .rig. pre. mises o~ ..1~. lic st.rea.~, m areas, and giving a detailed description of layout ofpmperty must be drawn on the d,agram whmh ~s part o th,s apphcat,on. c. The work covered by th'.~ application may not I~commenc..ed~; ?fore iss~a.n, ce;of Bu!lding Permit.. d. Upon approval of this ppplicotion, the Build!ng Inspector wdHssue ~ Bddd~ng l~erm~tto the apphcant. 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 Y,ork, and 0tier applicable Laws, Ordt~. noes Regulations, for the coj~struction of buildings, additions or alterations, or fo~' re'jnovcil or demolition, as herein de~ribed. The applicant agrees to comply with all applicable laws, 6rdinances,.bullding code, housing code, and regulatJom, and to admit authorized inspectors on premises and in buildings,, for necessary,~~ impel_ ions. (Signature of applicbnt,or name-~ ifa coq~oration) o pppico / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....~2~........~//.4~r.x-~r~c......~.~.~. .......................... : ............................. If applicant is a corporate, signature of duly author,zed officer~ ~ (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No .............................. ~ .............. '--T-lO - Other Trade's License No ............................................... 1. Location of land'on which proposed work will be done. Map No.: ........ .?..~..?...'.....~:.. ........... Jot No. ,../...~... ........... Street and Number ~.'..k~4,4 .... .5....~/A~A~.....~..~. ....... I~......~../.~,~.~/.....i~.ZL...:.....~~... Munldpallty 2. State existing use.and occupancy of p~'emises and ntended use and occupancy of proposed comtruction: a. Exisiting use and occupancy ................................................................................................................................. b. Intended use and occupancy ...... ~.~...t~... ....... ~..,~.'jlr~ .................................................................................. i.. Nature~!0f work ('~heck which applicable): New Building. ......... Addition .................. Alteration ................ Repair ~. ................. Removal .................. Demolition .................... Other Work ..................................................... (Description) ~ (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 ........ ~. ......... i .......................... ' ..................................................... ~ ................................ ' ........ 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 . Height ....... ~.. ....... Number of Stories ........ /. ........................................ : ..................................................... .~ ........... 9. Size of lot: Front ........... ./..~.~.. ..................................... Rear ........ /.~..?.. ......................... Depth ...... ~..7....:~.. ............ 10~ Date of Purchase ........................................................ Name of Former Owner ........................................................ 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 ..... .~..q.~ ............... Will excess fill be removed from premises: ( ) Yes (7%) No Name of Architect .............................................................. Address ................................ rphone~ No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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. COUNTY OF ,~' ..~......~'....... ~ /~{~L~ ,,/-.~e~~'-~ · L . deposes and soys t~t he is the opplicam ................... ~...~...~., .............. , ............................ oemg duly sworn, (l~amef/~f individual signing c0ntroct~ ' above named. He is the ................................... ~ ..... ~ ...................................................... (Contractor, agent, corp~5~ officer, etc.) I'"-~ ~ I' 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 thaz the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~'"")~,.~ ,, ~.~ ................. o% y of ......... ....... , '., GENERAL PROPOSED RES I DENCE OF C 0 N D I T I 0 N $ SPEC I FI GAT IONS FOUNDATI ON: FOUNDATION WALLS CELLAR SASH PROTEOTION TERMITE STEPS: CH I MNEYS = FLUE LINING FURNACE FLUE SIZE FIREPLACE FLUE SIZE ,, F I REPLACES: FAc tN G ?_/S ~' .,:/3~' LINING ~/,~/~ ,/'~,~/e /~.. , ,, CIRCULATOR HEARTH MANTLE CLEAN-O ASH DUMP DAMPER EXTERIOR WALLS: WOOD FRAMING CORNER BRACES BUILDING FINISHED SIDING 2~" Royal Shingle-s~ced lO' to weather STUCCO MASONRY .... GABLE WALL CONSTRUCTION ...~AtV~-. ,4.~, ,~xT. U,,~J/J' FLOOR FRAMING SUB FLOOR: FIRST FLOOR /~Z ,~/I./JCo/~ 2Nb FLOOR SI LLS ,-2X6°' ;~'7 ~-- ATTIC - 1 - FINISH FLOORS: (WOOD) MATERI AL AND Sl ZE , , / ' / - _ F,u,s. ~~ : 2C~'T: ~/~r · .. , FIN)SH FLOORS; {OTHER THAN ~OODD OYHER UNDE RL AYMEN T BASE CEILING FRAMING: FI EST FLOOR ,~X~ ROOF FRAMING: MATERIAL,~ SIZE AND ROOF SHEATHING: MATERIAL AND SIZE ROOF I N G: MATERI AL AND SPEC I AL SPACING O~'/~- SECOND FLOOR HI PS VALLEYS GUTTERS: MATERIAL~ SIZE AND SHAPE NTERIOR WALL MATERIALS AND FINISHES DINING ROOM [3./~ ~ ~ LIVING ROOM '~ ~ BATHROOM AOCESSORI ES CEILINGS: NATERI ALS AND FINISH NTERtOR DOORS: TH,OK~'ESS /~" FINISH SPEC I ALS INTERIOR TRIM: WINDOW TRIM DOOR TRIH BASE CEILING FINISH W I N DOWS: M^ K E ~ ~ ~.¥¥~- HATER, AL ~_ ...... INTERIOR FINISH SO~NS ~NO STORN SASH ~,~'~ EXTERIOR DOORS: FRAMES {~0~ ' CABINETS AND OTHER SPECIALTIES: KITCHEN MATERI AL HARDWA~ FINISH COUNTER TOPS ~ACK SPLASH EDGING SPECIAL ITEMS OTHER STAIRS: CELLAR MAIN ATTIC NSULATION: WALLS FLOOR PORCHES: CEILING J," " ,.%ti 7'h , c ~ CEILING ROOF FLOOR POSTS SCREENS OR OTHER ENCLOSURES GARAGES: No. OF CARS DOOR SIZES AND TYPE EXTERIOR FINISH, EXTERIOR CORNtCE AND N ILLWORK PLUMBING: / KITCHEN SINK ~ LAVATORY ~ WATER CLOSET TuB " Ch~a - Oabet SHOWER OVER TUB STALL SHOWER AIerican S~andard --Oaa~ Item WASHER CONNECTION WATER SUPPLY /7~i~0 HOT WATER HEATER ~el~ TUB OR SHOWER ENCLOSURE HEATING: O~~S~'Slan~ Fin - copper bmaebomrd Heat MA~E American Standard B.T.U.OuTPUT VENTILATING EQUIPMENT: ATTIC FAN KITCHEN EXHAUST Mit.el er ~,~:.! ullowAnce :$65.00 (hood BATHROOM LOUVERS: MATERIAL (X)eo~ TYPE S~ z~/£X /u ELECTRIC WIRING: TYpE Of SERVICE /~ ~ ~ -- TYPE Of WIRING "~A,"~le~ I SPECIAL OUTLETS DOOR CHIMES OR BELL NO. OF OUTLETS ALLOWED FOR INSPECTION AND HOOKUP No. OF CIRCUITS LIGHTING FIXTURES: ALLOWANCE //,~ ~ ~*~" ~0AVA~0N, BOil--Top .o!l ~o De plied ~epara~ety an~ rough · ill at commiSSion ~f building. Fill n~t required for grading ~o be re~ve by Owner and £tnimh lawn grading to be done by Owner. PPAINTING--Outmide trim-tw~ c©atm, Sutmide mhinole~-nothing,Inmide trim ~mll~:~"~coatm, Cmbinetm- ~w~ coatm of Minewa~ GENERAL: SURVEY ~ BUILDING PERHIT~ ~ORTGAGE APPLICATION FEES~ BANK AND CLOSING FEES~ ETC. s TO BE OBTAINED AT OWNER ~S EXPENSE. OWNER AND BUILDER WILL AGREE ON HOUSE LOCATION AND DECISION WILL BE FINAL ONCE EXCAVATION HAS STARTED. ANY CHANGE OF LOCATION AFTER THIS BE IN ADDITION TO AGREED UPON CONTRACT PRICE. BUILDING HUBT COMPLY WITH PLANS AND SPECIFICATIONS AND AT COHPLETION BE FINISHED IN A NEAT AND WORKMANLIKE HANNER. BASED ON THE ABOVE SPECI FI CATIONS~ THIS BUILDING CAN BE CONSTRUCTED FOR THE SUM OF PAYHENTS SCHEDULED AS FOLLOWS: ® OR AS PRESCRIBED BY BANK MORTGAGOR. APPROVED AS NO;'ED NO[IFY BUILDING DEPARTMENT AT 76S-2660 9AM TO 4PM FOR RE(~UIR- ED INSPECTIONS: 1 BEFORE BACKFILLING FOUNDA- TION OR START FRAMING ~. BEFOR~ COVERING PIPELINE b IdNAL WHEN JOB COMPLETED NOJ RESPONSIBLE FOR DESIGN OR CON- oTRUCTInN ERRORS