HomeMy WebLinkAbout12069-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No .... Z12L7. 95 ....... Date ......... ~Iulsr..20 ............... 1983·
THIS CERTIFIES that the building .... ona-.famil.y, dw. ellir~g .....................
Location of Property ... ·7.60 ........ ~lae. SLgand... ~r~3i ......... ES. SC. ~Iagion ......
House No. Hamlet
County Tax Map No. 1000 Section ... 02~Q ..... Block ... 02 .......... Lot . .084 ............
Subdivision... Pe~:~b ~_e. ~ea¢i~. ~.a~m~ ...... Filed Map No. ,, 626.6 .Lot No .... ],2 9 .......
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·...~qovember..1.5 .... ,1982. pursuant to which Building Permit No... l.;g069g ............
dated ....D.e.??.m.b.o.r...1.0 ............ 19.82, 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 .........
...... pr.i.vate..one~.f, arai .l.y..dwe.l&.ing.. .........................................
The certificate is issued to NICHOLAS & ESME LAGUDIS
(owner. ...... ~,, ,.,,o,,~'}
of the aforesaid building.
Suffolk County Department of Health Approval .... .1.2.-.S.O. 7.1.2.7. ..... 7. ./7/.8.3. ..... V. 5:..1.1.a. ....
UNDERWRITERS CERTIFICATE NO ............ .~.6.0.7. ~..2.9 ..............................
Building Inspector
Rev. 1/81
(THIS pERMIT MUST BE KEPT ON, THE pEEMIsJ~s UNTIL ~ULL
COMPLETION OF THE WORK AUTHORIZED)
N? 12069 Z Dote
permi,siori is hereby granted toL
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 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 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 '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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty 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 informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date../. t:: '..~'~;~.~..':...~. :.~. ....
New Building ....~./... .... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ............................ .-: ...................................
House No, Street Hamlet
Owner or Owners of Property ?..~.. ?.'. ~.???.....~.: ~ ~ ~.~.[~ ~ ~... ~;j~ ff~.~ ~ ~ ............
County lax Map ~o. 1000 Section . .¢~.~ ~?. ..... Block . ~.q~ ........ kot .... (,~?. ' .....
S,h~i,,i,lnn ~'¢ ~L[': ~/~C~ ~ ',X¢~X~ ~ ¢ .... Lot NO. ,...~ ........
........... ~ ............................... Filed Map No. f~ ~
Permit No. ~. ..... ~..; Date of Permit .......... Applicant ......... .........................
Health Dept. Approval . ~ ]: ~'~..~.-? ........... Labor Dept. Approval ........................
........................ ~ ~ ~
Request for Temporary Certificate ..................... Final Certificate .. ~ .................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
, ,, - ,
App cant. 4~',~.~,~.4 . ,~-z,. ~ .....
.... .... '
l~
Rev. 10-10-78
765-1802
BUILDING DEPT.
INSPECTION
[] FOUNDATION 1ST ~ ROUGH PLBG.
[ ] FOUNDATION ZND [ ] INSULATION'
~] FRAM,NG /~/
FINAL
REMARKS:
FIELL) INSPECTION,
FOUNDATION
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
(1st)
FINAL
(2nd)
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, f.l.Y. 11971
TEL.: 765-1~02
Examined .....
Di,sapproved a/c -~..'777 .~ .......... /l .........' ~' , ' -
APPLICATION FOR BUILDING PERMIT '
Al~plication No../~..q.~.fi~. ......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Bm,o.
Inspector, with 3 sets of plans, acctrrate 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 publie stre
or areas, and giving a detailed description of layout of property must be drawn on the diagram whid~ is part of this api
cation.
c. The work covered by this application may not bo commenced before issuance of Building Pe~it.
d. Upon apprc.'al of this applicatiov, the Building Inspector will issue a Building Permit to the applicant. Such pen'
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 Occupan
sh~l have been granted by the Building Inspector.
APPLICATION IS ItEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to t
Building Zone Ordinance of the Town bf Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describt
The applicant agrees to comply with alt applicable laws, ordinances, building code, housing code, and regulations, ~d
admit authorized inspectors on premises and in buildings for necessa~ inspections.
(Signature of applicant, or name, if a corporation)
(Mailing adcress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, ~l:otfician, plum~r or
" (as on thc tax roll or latest deed
If appli~ is a corporation, si~ature of duly authorized officer.
Bt lder s L cens6 No.. .................. -
Other Trade's License No ......................
1. Location of land on which proposed work will be done.. ~Q ....... 4 ...................................
House Number Street Hamlet
County Tax Map~ No. ~000 Section . f¢~ ~ .......... Block .. ~., .......... Lot 'kZ
(Name)
2. State existing use and occupancy of premises and intended use ami occupancy of proposed construction:
a. Existing use and occupancy .~. '~ ~ ~' . .....
'
Repair Ranjovai De, molkion Other Work
(to be paid on filing this application
· q~...~..L? N be old elli ni~so ach~oor
If dwelling, number of dwelliaa units ....... um r w n~ u n e ...........
If garage, number of cars '~.~ ....
If business, commercial or mixed occupancy, spec~y nature and extent of each type of use
Dimensions ofexistingstmctures, ifany: Front.. ~~.. Rear .~: ..... Depth ........
Height .~ ......... Ntqnber of Stories . . .~ ..........................................
Dimensions of same structure with alterations or additions: Front ................. Rear .............
. ' .
..... Number of Stones ........... , .........
Depth ................... '... e~t ........... t .... ~, ~ ~_~,
Dimensions of entire new cons~ructmn: Front . ~. - .... Rear . ~.~ :.~ ...... Depth .~...' ........
Height .... { 7 ~.. Number of Stories .~.M.~. ........................ ' ...............
Size orlot: Front .. ~.7.,...~., .......... Rear .... ~.'.,..,.,..,.... Depth . .~7~. .. ~.~..
.................... .....
Zone or use district in which p[emises are situated .. ~l ~1~. .............. ? · ...............
Does proposed construction violate any zoning law, ordinance or regulation: ................................
WiU lot be regraded .... ~..' .................. Will excess fill be removed from premises: Yea ~c
Name of Owner of premises .M~IJ.: ....... Address .... ~ ~ . . . Phone No~.
Name of Architect . ~;~¢T.~.~.. ........... ... Address ................... Phone No~¥. ?}7.x~J...
N~ of Contractor ~.~ ~. ~: ...... Address .... ~.~¢(9 .... Phone No~W ~)&*.~g// ....
PLOT DIAGRAM
l,ocate clearly and distinctly all buiklings, whether existing or proposed, and, indicate all set-back dimensions from
roperty lines. Give street and bloc nmnber or description according to deed, and show street names and indicate whethe:
~tefior or corner lot.
. . iff ~ ' '
.... .
'------- '"'
OUNTY OF..k~i,~ .~.tlC . ; ""~
..../ ...... ./~../. ...... f..~.,f~ g/ff...r~., being duly sworn, deposes and says that he is tile applic.~al
(Nan/e of indMduaI signing c(h~tract) .... ' .... '
>eve named.
e is the...~..~..T..~..~..T~ .~.. i.
: (Contractor, agent, corporate officer, etc.)
f said owner or owners, al~d is duly authorized to perform or have performed the said work and to make and file th
)plicatioh; t~lat all statements cohtained in tttis application are true to the best of his knowledge and belief; and that
· ork will 'be performed in the manlner set forth h~ the application filed therewith.
worn to before me this
................ daylof ......
' "~..,"i~¥~7%/ : ' ':'.'"'; ". "i',,". ' "//" "I
~0~~ 'B3 ,JUL Z P~ ~ I 1
. - /
SU~Y FOR ]W-So -/~
NICK LAGUDIE -
~~~ a. O. ~, ~~7 LOT NO.I~9, "PEBBLE BEACH FAPMS "
AT E~ST MARION D~T[: OC~ 2/, /982
faoill~e~ for th~u ~ ,,mt~o~ have
inspected by th:l~; ~'~p~,*tm~nt ~ fo~d SUFFO~ COUNTy, NEW YORK NO. 82-614
[)[W YO~K STATE EOUCATJON LAW
~e~oe~ NOT~E~CONSIDEREDTO ~AVALIO TRUE COPY
HEALTH DEPARTMENT-DA~A FOR APPROVAL TO C~STRUC T AND ~ His BE~LF ~ THE TITLE C~P~Y,
*~"~ss'7[o ~ ~wb' , ~' '~' =' ' ~ ~ OS~ANOER AVENUE
ALDEN W. YOUNG~PROFESSIONAL ENGINEER
SUDDIVISION:MAPFIfEDINTHE OFFICE OF T~E C4EBK OF AND ~ANO SURVEYOR N.Y.S. UCENS[ NO. tA845
SUFFOLK COUN~ ON ~UNE //, 19 ~5 ~S Fl~ N0.6~66 H~RD YOHNG,
~ ~ L~T~ W~W),~IC T~K(STIe C[5~5(CP) S~N H~E~ , N~ S:~ LICENSE' NO. 4589~
~E ~ FIELO W~TIONS ~D ORDATA OBT~NEO FffOU OTHERE
'%0%
~dPFOI K COUNTY
EXCAVATION INSPECTION REQUIRED
DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
* u, co. T,~(~, mst ,ooo sE c~,o,
SUDDIV/SION M~PF/LED IN THE OFF/GE OF THE CLENK OF
C~LK COUN~ ~ JUNE II)
SURVEY FOR
NICK LAGUDIS
LOT N0.129, "PEBBLE BEACH FARMS"
AT £AST MAR/ON
TOWN OF SOUTHOLD
S~FFO~ CO~TY ~ NEW ~K
YOUNG 8 YOUNG
ALDEN W.¥OUNG,~PROFESSION,A.L ENGINEER
AND LAND SURVEYOR N.Y.S, LICENSE NO. 1~'845
HOWARO W, YOUNG) LAND SURVEYOR
N.Y. S, LICENSE NO. 4589~)
u
DATE: OC~.. 21, 1982'
SCALE; / "= 50 '
NO. 82 -
4000STRANDER AVENUE
RIVERHEAD, NEW YORK
slabs
SLAB INSULATION
Degree Days Min,
By Zone R Value
5000 5.5
6000 5.5~
7000 5,5
8000 5,5
9000 5.5
The insulation must extend
at least 24" under the slab
or at least 24" below grade
down the foundation wall,
FOUNDATIO;~ ;~ALL
The insulation is installed
on the inside face of the
foundation wall and provides
a thermal break between
slab and foundation,
ternate location
OUTSIDE FOUNDATION WALL
The insulation is installed
on the outside face of the
foundation wall and provides
a continuous thermal
barrier at the slab edge
and foundation wall, All
exposed exterior insulation
above grade should be
covered with a protective
material,
)rotective
g
over
insulation
32
ENERGY
( NEW YORK
1.
CONSERVATION NOTES
STATE ENERGY CONSERVATION CODE)
COUNTY OF ~F~ PERCENTAGE OF GLAZED AREA IS
LESS THAN ~ % OF TOTAL WALL AREA. DEGREE DAY
EQUAL~ FOR COUNTY.
THE FOLLOWING VALUES OF THER~LAL TRANSMITTANCE SHALL
BE MINIMUM VALUES FOR USE IN THIS PROJECT:
ROOFS & FLOORS EXPOSED TO
AMBIENT CONDITIONS .................. Ur"
EXTERIOR WALLS Uw=
GLAZING ............................. Ug=
ENTRANCE DOORS ...................... Ud=
~i/SLAB EDGE INSULATIONcEi,iii~~HEATED SL/~B ....
(ABOVE
HEATED
(BELOW
FIREPLACE
TEE PROVISIONS OF SECTION
STATE ENERGY CONSERVATION
.O5
GRADE) ....................... Uw=
BASEMENT / CELLAR WALLS
GRADE) ....................... Ri = 5.5
CONSTRUCTION SHALL BE IN ACCORDANCE WITH
E - 402.4 OF THE N. Y.
CODE.
.69
.4o
~/ I~
8.0 - ~'~ I
.08
ALL DOORS AND WINDOWS TO BE DESIGNED AND CONSTRUCTHD
TO LIMIT AIR LEAKAGE IN ACCORDANCE WITH SECTION E -
402.4b OF THE N. Y. STATE ENERGY CONSERVATION CODE.
BUILDING MECHANICAL SYSTEMS S~L~LL BE IN ACCORDANCE
WITH PART 5 - "BUILDING DESIGN BY ACCEPTABLE PRACTICE"
OF THE N. Y. STATE ENERGY CONSERVATION CODE,
SECTION E- 503.0.
GENERAL
ENERGY
?-= '2 1.7~
NOTES '
1. ALL CONCRETE TO BE CONTROLLE~ STONE CONCRETE HAVING
A MINIMUM COMPRESSIVE STP~ENG~H OF 2500 POUNDS PER
SQUARE INCH AT 28 DAYS.
2. BOTTOM OF ALL FOOTINGS SHALL'BEAR ON UNDISTURBED SOIl
HAVING A MINIMUM BEARING CAP~CITY OF TWO (2) TONS PER
SQUARE FOOT. !
3. PROVIDE MEMBP~NE WATERPROOFING AT EXTERIOR FOUNDATION
WALLS.
4. NO NOTE OR DETAIL OR LACK THEREOF SHALL BE CONSTRUED
AS RELIEVING THE CONTRACTOR ~0N EXECUTION OF ALL
WORK IN ACCORDANCE WITH ALL ~ATE AND/OR LOCAL CODES.
5. FRAMING LUMBER SHALL BE STP~E~ RATED DOUGI~AS FIR OR
SOUTHERN PINE STRESS RATED 1~0 POUNDS PER SQUARE
INCH MINIMUM FOR BENDING (fb) FOR SINGLE MEMBER USE,
AND 90 POUNDS PER SQUARE INC~ MINIMUM FOR SHEAR (Fy),
AND HAVING A MODULUS OF ELAS~CITY OF 1,500~000
UNLESS NOTED OTHERWISE, VALUES ARE FOR SURFACED DRY
LUMBER ONLY USED AT 19% MOIS~URE CONTENT.
6. HEADERS AND TRIMMERS TO BE DOUBLED WHEP~ REQUIRED.
DOUBLE ALL FLOOR JOISTS UNDER PARTITIONS PARALLEL TO
FLOOR JOISTS AND OVER 6'-0" LONG.
7. ALL PLUMBING WORK TO BE IN STRICT ACCORDANCE WITH
LOCAL TOWN ORDINANCES.
8. ALL ELECTRICAL WORE TO BE U~DERWRITER APPROVED.
9. CURBS, CURD CUTS AND PAVING MUST CONFORM WITH ALL
REGULATIONS AND REQUIREMENTS OF THE DEPARTMENT OF
PUBLIC WORKS.
( CCU HCY OR
V 'iT j C[i fiaCAT£
OF
II
OWNERSHIP OF DOCUMENTS
THESE DRAWINGS AND SPECIFICATIONS ARE INSTRUMENTS OF
SERVICE AND SHALL REMAIN THE PROPERTY OF THE ARCHITECT
WHETHER THE PROJECT FOR WHICH THEY ARE MADE IS EXECUTED
OR NOT. THEY ARE NOT TO BE USED ON ANY OTHER PROJECT
EXCEPT BY WRITTEN AUTHORIZATION OF THE ARCHITECT.
NOTES
'-% b
&Il
FOUNDATION
PLAN
unexca vated
unexc
4II ~-1¢
lavated
II
4
II
II
unexcavated
T
II
I
17
for ~oter ~istri~uting
-~~ , . .
LAUND, ,d ' ,
II
REAR
RIGHT
FRONT
II
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