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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building . .a.g.r'.5..o.~.~.~.u.~.e...~.c.c.e.~..s9.~.~' ..................... Location of Property . . J.~.0. ........... .~.~.e.~.~..5.rx~..~.~..n.e ............... .~.~.c.~.o. ~.u? ..... House No. Street Hamlet County Tax Map No. 1000 Section .... ,9.6. ..... Block ....... ~. ....... Lot ..... .2. .......... Subdivision .......... .x. ................... Filed Map No .... .x,...Lot No ..... x. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..S.e.p.-b.e.m.'~..o.:K .~Q .... , 19~.2.. pursuant to which Building Permit No .... .q.~..~.c).~.~. .......... dated .... ~.~p.~.e.m.~..e.~..q. 5 .......... 19~.2.. , 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 ......... ...~¢~ .a~:o~.age. ~.~S&cl;[~.g, ................................................... The certificate is issued to ................... .~-1~. ~....~i~.E~ .DE.~ ................. (owner, L, .....I ...... t) of the aforesaid building. Suffolk County Department of Health Approval ............. ~-.2~ ......................... UNDERWRITERS CERTIFICATE NO ................... IxI~$~© ...................... Building Inspector Rev, 1/81 TOWN O~ BUILDING DEPARTMEN TOWN HALL SOUTH'OLD, BUILDING pERMiT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL F~ULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...... ~ .zl..~.~.~....£.,.....~~.~ .-~/c..; ...... ~, .......... ...... ...~~..:.~....~- ,o ....... ~.~z~.~.~:.~...~.,.~.z~ ~~~....~ ,. ............... ~ ................................................ ~ ....... : ........ :..,..,. ............. :.} ........................ ~ ........ Coun~ T~ ~p ~o. lO00 Section ..... ~...~. BI~ ~,.~.. kot ~o.::~'.~ ...... Building ~$pector. Fee $./i..~,.~,'~.. .......... Rev. 6/30/80 FORM NO. 6 TOWN OF 80UTHOLD Building Depar~cmen~ Town Hall * ,-,~-,~,, FOP, CERTIFICATE OF OCOUPANOY Instructions A. This application must be fitled in typewriter OR ink, and subr~itted in duplicate to the Building Inso~ ton with the follo,>/in~c; for Raw buildings or new use: · 1. Final sun/e,/ of property with accurate location of all buildings, prooerty lines, streets, and unu~_ 2. Final approval of Heaith Dept. of water suooiy and sewfrace disoosa --IS 9 form or equal). ,3. Approval of electrical installation from Bo~d of Fire U~qde~rwrit'o,s ' 4. Commercial buildings, Industriai buildings, Multiple Residences and similar building~ and instal tions, a certificate of Code compliance from the Architect or Engineer responsible for the buildir 5, Submit Planning Board approval of completed site plan requirements where applicable. B. Far existing buildings (prior to April 1957), Non-conforming uses, or buildlnes and pre-exlstln% land uses: ~ " ' ' 1. Accurate ~n/ey of peoperty showing ail prooerty llnas, streets, buildings and unusual natural c topographic features. ' 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Data of any housing code or safety inspection of buildincs,or premises, or other pertinent inform tier required to prepare a ce,~ificata. '/ ' Fees: 1. Certificate of occupancy S5.00 2. C~rtificate of occuoancy on pre-existing dwelling or land use S5.00 3. Coo,/of certificate of occupancy S1.CO / Date .. New Buildi~a ..~. r~ld,~rO .... · +' ~ m '~ '; ~,*.~ -- . .o ..... ~: :'Z~' '~L:~S':,n~ ~u,,c.n~.~, ......... :/Vacant Land ...: ......... Ho ,vo. Owner or Owners Of Property %/~U ~C'/~,/~ County Tax Map No..lO00 Section (¢~* B!ofk ............... Lot.. Subc~,/~sio,q .......... ~ ..................... Filed Map No. ~ .Lot No. / o , /:)" C ' ............. ........... q. Health Dept. rovat .... . ........ Labor DepL Approval ........ Unden,vriters Approval .... ..................... Planning Board Approval .......... Request for Temporary Cert[ficot¢ · ..... , ................ Final Certificate ,.. Fee Submit[ed S ............................. Construction on abo~e described hu~l(bnq and permit me,ts all aDO[ c3[~ Codes and r=c, Jlations :3 ' .......... lOOO??:[ THE NEW YORK BOARD OF FIRE UNDERWRITERS gl~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the elec~ic~ equi~e~ o~ ~scr~bed bel~ a~E i~tro~ced in the following location; [] Basement [] 1st FI. was exa,nined on ~(YAlb~ 11 F [] 2nd FI. Section Block and~found to be in con~pliance with the requirements of this Board. Lot FIXTURE FIXTURES RANGES · OVENS EXHAUST FANS OUTLETS DRYERS SYSTEMS E OTHER APPARATUS: S E R NO OFERCC~COND. A W, g. OF CC COND. 410 C NO. OF HI-LEGoFA HI-LEGW' G. NO OF NEUTRALS A W G I 410 Ruland Elec. Cb. P.O. Box 143 Nattituck, N.Y. 11952 This certificate must not be altered in any manner; return to the office of the Board if i~nco~rect Inspector, s may be COpY COPY OF ANY MANNER. mR N ~UIJ.DINGS GENERAL SPECIFICAT~ON~ SQU~ POSTS - No. 2 or better southern yellow pine 6"x6" square posts hsed in Morton Buildings &re press*,~e treated with pentacb~orophenol in P9 oil to a net retention of .5 pounds of p~ntacb~oro~heno! per cubic foot of wood. ~NCH~RED iN CONCRitTE Post holes are dug h feet deep, ~5 pounds of eonerete ~ix is poured into the hole. A ~" x 9" rod is placed through the post 3" from the bottom. An additional h5 ~ound$ of concrete mix is poured around the base of the post. SP[~O~DS - Splashboards are No. 2 and better southern yellow piae 2"x8" S2S and center matched, pressure treated with pentac.hlorophenol to .~ pound retention. One row is furnished for buildings on a level grade. ROOF TRUgSE8 - Factory assembled with 18 or 20 gauge steel truss plate~ as require~ Trusses are designed by a registered professional engineer for roof loads as required by local condltioaz and building codes. ~2~C~NO ~uee braces at each truss-colu~u connection. 0.0~5"x1~" high tensile steel diagonal, X-bracing in all corners. Lateral truss ties as needed. ~D~.~ .~:~ ~ 0.019" 1¼ ounce EO0~~,D - min., zinc coated steel with an additional baked-on ~flieone finish. Color is 1 m/l thick on exterior. T~.~I~! - D~e-formed trim of 0.019" min. steel with silicone finish on corners, gables, ridges, and doors. GUTTEPS - 5" box type gutters, colors to match trim, on both sides of the building~ ___ - ~.~mes with sectional panels of translucent fiberglass. SF%LiTES - 3~"x7'!" panels of 8 oz. vranslucent fiberglass formed into same pattern as roofing ~nd siding panels. !~q~ATING: PIXRC6ING~ VE~!~iT!ON~ AND ELECTRICAL WORK - By others, not part of these plans. F~ELD~,~NSPECTION COMMENTS FOUNDATION.~ (___1~.~!' FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TCWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... -~..~.~..~. ..... , 19~/''. . - Approved....~.,.,~. ....... 1 ... e~itNo ........... Disapproved a/c ......... ........... , .......... APPLICATION FOR BUILDING PERMIT Application No. /f.//..~'. Z~. · ...... Date .................. l& INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted.i~-&?--:.:M'e to the Building Inspector, with 3 sets o( 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation· 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 wilt 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 1S 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 regul~:~ons, and to admit authorized inspectors on premises and in buildings for necessar, y.~. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~..q .'17. ~ .O..~.. ?-~...... ~..~..~..~..~..~ .~..~..~. .................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~..W'..~..~.k. ! ~ .~....k.~..~..~.~..~,~.k2.T.Q .~.0.~..U.~_, ....... House Number Street Hamlet County Tax Map No. 1000 Section ~ (~ Block . .~. Lot... ~.. Subdivision ............. .~. ..................... Filed Map No ..... .~. ........ Lot ....~. .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exfistlng use and occupancy ....... .~...~.~. [..C.,?..~ .T..~.~..~../.~ ~.1,_0.[~)~( ~.~. ...... ~ ............... 3. Nar,~re oi', .. ~zi~eck which applicable): New Building ..... Addition .......... Altcrativa Repair .......... Removal .............. Demolition .............. Other Work ............... "H cs (Description) 4. Estimated .o'z ............. :/ ....................... Fee .................................... (to be paid on filing this application) $. If dwelling, number of dwelling units ..... ~ ....... Number of dwelling units on each fioor .... ~ .......... If garage number of cars ' '* 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....-T ................ 7 Dimensions of existing structures if any: Front · Rear Depth Height . .............. Number of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................ ~ Depth ...................... Height ...................... Number of Stories .................... 8. Dimensions of entire new corlstrgction: Front .. ~ .~.~..~. Rear . .q~,' ........ Depth ' ............. ......... Height/:~.'.~ ?~.~.~~.~.~. %??..~l~t'ber of Stories .................................................... 9. Size of lot: Front ... [.q.~., .,~..t,~ .~.l~. .......Rear ................... Depth .................... 10. Date of Purchase .~.v.~. ~...6.~. (.F~.A. ........... Name of ~ormer (~vner .~.~'.~'.~.iU.. ~o~,.~..c~..$.~./. .... 11. Zone or use district in which premises are situated ................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.~ ....................... Will lo~ be re reded . ~..~?. , . . W '1 ex ~ ' ' ' 13. ' g .... :.. ~ ............. i~ tess nil be removed from premises: Yes 14. Nam e of Owner of premises .~.'~.~.q'.~../.~..~.'~ ....... Address ~.~..P. 0 ?....~..~: ...... Phone No.7.. ~.¥.".~...~."..~ .... Name of Architect ........................... Address ................... Phone No .... ,. ........... Name of Contractor .r~. pti..T~..,q. ;.~. yt.t..~.t.~.~.5..(~t.~.. Address ~.O.~../.~.~. .......... Phone No~.~./. .q~..q.*.~.~lp~. PLOT DIAGRAM Locate clearly and distinctly all:buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block: mmber or description ac¢ordin~ to deed, and show street names and indicate whether interior or corner lot. STATE OF N,EW~,~RK; ! / ~r S S ' COUNTY OF .~~... ' ..... ~ .1~ .W I.~..O~_ .~. ~,.-j.x,.~. .~. U .t%. I~..~D .~-..~. ...... being duly sworn, deposes and says that he is the applicant . (Na/ne of individual signing contract) above ng~ned. 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 that the work will be performed in the manner set forth in the application filed therewith. ......... .//...~. · . .~......day ..... , 1~.~./" , .,-, //,/7 '. Nota_~ PubJic, ..... , ......... ~,~-~ ,~,,~., ~,Jv'~r' County / O' I [ m.ua ................ ' ~o~tw ~u~u¢, ~t~ o~ ~t~ Ve~ . (Signature of applicant) I~0, 52-8125850, $1dfolk TRUSSES SPA~UD 7' 6" O.C. LIVE ROOF LOAD 27 ~PSF DEAD LOAD 4 PSF CEILING LOAD 3 Truss has been designed by computer using the Purdue Plane Structures Analyzer IAN the T~ass Plate Insti- tute'$ specifications. Output data will be pro- vided upon request. 19SOf MSR lumber used in lower chord and 1450f or better lumber used in top chord and web members. Allowable stresses are in- creased for short term loading. 20 Ga. galvanized gusset plates ~ze used ex- cep~ where noted. 2." X 4" BEVELED FILLER STRIP 2"X6" BEV. FASCIA SR ~ VENTED SOFFIT I/2"× L:C'. M BOLT(S) ROWS B"X6" NAILERS 6" BATT INSULATION £"X4' PUR[ INS ,~'" ' HI-RIB STLEL 6" BATT INSUL?ION HI- RIS INER VAPOR BARRIER NAILER 2'X6" BLOCK W/ 30d NAILSI HI-RIB S1EEL VAPOR BARRIER GRADE TO HEEL SIDEWALL SECTI( 2-"X4" STRIPPING 6"X (~POST I' WIDE TF 600 TREATED ,: ~ CONC. FLOOR ROW(S) 2"X8" SPLASHBOARE NOTE : ENDWALL & CORNER POS TO BAVE 14" ¢ HOLE WITH TWO BAGS ! CKRETE 44M RASE ANCHOR ~/~ BAG(S) SACKRETE IN'~I LE & 1'/7,.BAG(S) WHEN SETTINg, DST DRAWN IBy: -:'~. ~_ DATE: /V¢,I SYr~ OV/F--R~tEAD DOOL~_ ~-~EADER [~ETAt L_ !1 i DRAWN BY: CHECKED BY: REVISED BY: BUILDINGS, 'I MORTON BUILDINGS GE~IEBAL SPECIFICATIONS S~UB-~ ?O~$TS - No. 2 or better southern yellow pine 6"x6" square posts used in Moth. on Buildings · re pre~s ,ute treated with pentachlorophenol in P9 oil to a net retention of .5 pounds of pentachloropheno! per cubic foot of wood. $_~CM~ED IN CONCPi~-E - Post holes are dug h feet deep, 45 pounds of cor~crete mix is poured into the hole. A ¥' x 9" rod is placed t~urough the post 3" from the bottom. An addltienP-1 45 WARRANTY ON ~RTON BUILDINGS ~]2TON BU!tDINGS, INC., warrants buildings which it erects as follows: For a period of 40 years to absorb repair ur replacement costs, including material and labor, if any preservative treated timber cutumns fail due to decay or insect attack. For a period of ~0 years to repaint or rep]ace free of charge any roof or side panels on which the paint has separated from the pane] due to cracking, peeling or checking. For a period of S years to repaint or replace free of charge any roof or side panels on which under conditi3ns of normal weathering: Chalking has occurred in excess of B units on side panels and 6 units on roof panels {ASTM D65g). Fading has occurred in excesa of 6 NBS units. Corrosion due to acid rain has resulted in red rust. For a period of 5 years to repair free of charge any roof leaks due to defects in material er workmanship, except those occurring where the building is connected to an adjoining structure. Far a period of five years to repair, or in its discretion, to replace free of charge the building framework, roof and side panels and sliding doors, if direct)y damaged by snow cr wind loads. I~rton Buildings does not agree to repair damage by flying or failing £bjects, damage to interior wal]s, ceiling, partitions, overhead doors, equipment or contents, cr preparation of the slte. hOTE: MORTON BUILDINGS GENERAL SPECIFiCATiONS AND WARRANTIES apply un]ess indicated differently on specific job drawings or supplemental information. REVISED ~y; P~s'l' PLA~ BUILDINGS, 2"×4" BEVE FILLER STRIp E"X6~1 BEV. FASCIA BR VENTED SOFFIT/' TIqN INER ROWS B"XB" NAILER8 -- BLOCK W/ 3Od NAILS 6u BATT INSULATION GRADE TO HEEL HI-RIB STEEL VAPOR BARRrER SIDEWALL SECTIC ,r ,i-"soNc. FLOO. { ~-,~,-.-~..) t ¢ HOLE WiTH TWO BAGS J .IK~ETE tA~q~ P~A~"T' F-R ;,I TRUSSES SPACED 7' 6" O,C,, LIVE ROOF IX1AD 27 PSF DEAD LOAD 4 PSF CEILING LOAD 3 PSF TOTAL LOAD 34 PSF h9 Truss has been designed by lAW the Tr~$s platm Ins~i- Output data will be pro- 1950f MSR lumber used in ,I 'r L9 O SCALE-lO2', I" EP PIONU~ENT 0 · II2.,ON PIPE SUFE CO. TA.* C~iENEC~EI2.,,. ¢ ¢'EIEMANN I"dAP OF PF~OPEF2...TY SUIP..VEYE D FO~., ,- Ai2_THUi~ C. SCHNEiDEDZ AT CO,