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Home My WebLink About11741-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..z. ~. ! .~.0p. ......... ~ate ........... q .~.z.v..~.7 .............. 19~..~. THIS CERTIFIES that the building ................................................ Location of Property ... 7.0.5. ................. L..e.e.t.o.n...D.r.~.v..e ........... .~.o.u.~h..o?..d. .... House No. Street Ham/et County Tax Map No. ] 000 Section ...0.57. ...... Block 01 .Lot 01 0 Subdivision X ...Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated .... 3..u.ng..2. .......... , 198.2..pursuant to which Building Permit No. 11741 i dated ...... ~ .u.n.e.. ! .q .............. 19.8.2., 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 ~rivate one-family dwelling. The certificate is issued to WILLIAM T. CONNORS& HIS WIFE (owner, deeaae~ vmmat) ' ' of the aforesaid building. Suffolk County Department of Health Approval fi..2r.~.0.~3. 7.,..7.../.~ .9/.8.3. ~..R.o.b..~....R.., Villa. P.E. * UNDERWRITERS CERTIFICATE NO ......... ~..6.0.5.0..0.8 ................................ · NOTE: It should be noted that the water analysis submitted to the Health Department indicates a limited water supply due to salt water intrusion. Building Inspector FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 117-11 Z Permission is hereby granted to: ..... ~.,..4../.,.~...7..-......~.z~..~ ...... ...~....~.~...~..~. ............... ......... ~Z.c~.....~ .~..c?,...~....~.....z,..~ ',x ,~ ,o ...... .C'.o..~.,.,~Z/.~..~.~.....~..,~r~..~. .... ,~.z'.,~.~z'.~ ............................ at premises located at ............ ~t. .......... ..~..~.L~...~Z~. ........... '.~...'. ........................................................ County Tax /V~ap No. 1000 Section ...~...~....~...... Block ......C~..../.. ......... Lot No.~.~ ................. pursuant '0 opplication dated ......... .~.~..~ ......... ~. ................. , 19...?...~.~ and approved by the Building Inspector. ? ..?,//. uilding Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SO~TFIOLD 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. B. 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 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 $5.00 5/$ 2. Certificate of occupancy on pre-existing dwelling c/r land use ~ / 5.00 3. Copy of certificate of occupancy $1.00 Date...~'/~.~/.~..~. ............ New Buildinl .~... ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~.q ~ ..................... House No. /~.r, Street/~ Hamlet OwnerorOwnersofProperty .... ~.(. . . /9'.~. . . . . . .~. . ..... ~. /?.~. 'd. .~.~. . . ~. . . .[~. ~. .'. .... : ...... County Tax Map No. 1000 Section . .~..'~...l ........ Block .0.~ ........... Lot .{)/.(P. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./~.'7.~./.. ~ Date of Permit ~0/./.~'/~.' .~.App licant ~)Z'..~.). ~'. ~.. ~. ~/~ ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval ~ ...................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate~ .................... Fee Submitted $ >~..~. Rev. 10-10-78 ~( ' ~ ~ ~ ~ THE NEW YORK BOARD OF F~RE UNDERWRITERS BUREAU OF ELECTRICIT~ 8S JOHN STREET, NEW YORK, NEW ~(ORK 10038 CERTIFIES THAT e~a~i~sd o~ ~.~ ~ ~ ~ and fouled ~o be i*~ eomplia*~ce with ~he requ~r~mer~ts o~ this ~oard. FIXTURE I lO FIXTURES OUTLETS INCAND8SCENT FLUORESCENT 10 DRYERS RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET S E R NO, COND OF CC, COND. ;~/0 Charles M. H'~3.1 Electric '760 Long Creek Lh'ive ~out~old, ~.Y, ll~Yl LiC~6oTE This certificate must not be qltered in any manner; return to the office of the Boar~l:if~inc6rrect. 3R BU LDII FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL Approved ~ .,~Z.~../..$z .... FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 · , 19.~~'' ., 1~..~.~Permit No.././/~...~../..~. Application No Z~./,~. Disapproved a/c ....... '.. ~ .. ~'~ ..... ~~ ........ '.. (Building Inspector) APPLICATION FOR BUILDING PERMIT ......... , I_ _ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildil Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiug to schedule. b. Plot plan ~ ' - snowm¢ location of lot and of buildings on premises, relationship to adjoining promises or public stre~ or areas, and giving a detailed description of layout of property must be drawn on the dla~am which is part of this ap) cation. c. The work covered by this application may uot be commenced before issuance of Building Pe~it. d. Upon apprcv~ of this application, the Building Inspector will issue a Building Permit to the'applicant. Such shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any purpose whatever unt~ a Certificate of Occupadc) shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable L~ws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descfibe~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, ~d regulations, ~d admit atttborized inspectors on premises and in buildings for necessa~ inspections. . (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 , .................... ,.,~ LL ............................. ,,, .,~ ~7 ................... ,,~ne o~ owner of p~,ui~cs..,~.~ :, ~..~......~.. ~....~....~.*.~. ~0~ ......................... (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 .......................... Electrician's License No.' ...................... Other Trade's License No ...................... 1. Location of land on which proposed work will be doue .... L..0~...~..~...~..Ik:).0~ ,..~...O~...~ .... .7~ b-- House Number Street Hamlet ' ~ l Co~ty ~ax Map No, t ~00 S~cfion .............. ~]oc~ ................. ~ot ................. SubdMs~on ..................................... ~ile~ M~ No ............... ~ot .............. (Name) 2. State existing use and occupancy of premises.. _ _ .~and intended use.. ,~an~ occupancy 0f proposed construction: ~. ~x~t~.~a,~o~,~n~ .... ~.~:~. ...... ~.'~' .......... b. Intended use and occupancy ..... k.. ¢~,~.. ~ ~ [~(~ ............ Nature of work (check whicl, applicable): New Building .... Addition ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ). !. Estimated Cost ................ Fee .......... ¢ ....... on gtt ppli ) illin ds a cation If dwelling, number of dwelling u~r~its .. .[ ........... Nmnber of dwelling units on each floor ................ If garage, number of cars ..... ~,* .... If business commercial or mixed occupancy specify ~ture and extent of each Wpe of use Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... .'oht , · Hel~ . .............. Number of Stories .......................................... ,~ ........... Ditnensions Of saq~e structure with alterations or aqklitions: Front ... ~.~ .......... Rear ....... ~ ......... Depth ....... ~.~.. ...... i ... Height ....... |~. .......... '... Number of Stories .... ~ ;[ ............... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height Number of Stories .......... Rear .... ...... ' Size of lot: Front ...... ~j~.~ ............ Depth ·.... ·, ....... Date df Purchase ...... ~{at{ ................ Name of Former Owner . .S,~,O*aO:O~... ,Ir~..~ ...... Zone or uoe d~stnct ~n wMch prm, ~.,eo are s~tuated .................................................... Does proposed construction.~violate any zoning law, ordinance or regnlation: ........ r'~ ..................... Will lot be regraded ..... ~.~..' ...... ~ ........... Will excess fill be removed from premises:-,. -.c~,,,~_Yes No Name of et, ncr of premises .~0lt~,~,~. }..e,A,.~.~.~J~Address . ¢~,.. O.*~g-. ~ .'~. ?--,... Phone No .... Name of Arclutect .. Q~,.~...~-~..'~ ..... '.. Andress$.'Tt.{~OCC.~.P.~.~l~bne No. '"I "l~'~t ..... Name of Contractor .......................... Address ................... Phone No ....... PLOT DIAGRAM - ' Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from firoperty lines. Give street and block number or description according to deed, and show street names and indicate whether ctterior or corner lot. 5 rATE COUNTY OF... ~.O.t(~.. [.i,.'... S.S ...... ....... T. ......... (Nau{e of indMduaI signiug contlact) oJ~ove named. ..... being duly sworn, deposes and says that he is the applicam is the ~ ,/~..'att..~"g~' -' (Contractor, agent, corporate officer, etc.) said owner or owners, m~d is duly authorized to perform or have performed the said work and to m~e and file ~plication; O~at all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manher set forth in the application filed therewith. gwom to before me this .................... day of ............. , 19 ~otaw Publi%. ~.~.~X,~ ~,~.., ...... County ~gtary~bhe, Stateof ~ew ~o~, , , ,~ , .' ' . ~ '. ...... .' ....................... : No. 80-1000950 . , . t ' .; ' '.' , : ,:'.; ;-..',. ~ ..~,. ;;~. :~.':? .~ .' : ' (Signature ofappllc~t RODERICK VAN TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO ...... STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL xCONFORM TO THE STANDARDS OF THE SUFFOLK CO. I~EP, T. OF ~.ALTH SERVICES. AI~LICANT SUFFOLK ,COUNTY DEPT. OF HEALTH SERVICES -- FOE APPROVAL OF CONSTRUCTION ONLY / A~OV~O' S~FOLK CO. TAX M~m DESIGNATION: DIST. ~CT, ~EK PCL. DEED: L. TEST HOLE STAMP SEAL MATERIAL Type House Exterior Finish Data - Living Area Storage Room Decks CONCRETE WORK Foundation Footing Foundation Walls COho. Piers & Indep. Ftgs. Conc. Pads w/Reinf. plan no. -166 Siding Total MISCELLANEOUS STEEL One-Story Vacation Home (with "solar" options) Angled and Vertical Wood 1077 sq. ft. 76 sq. ft. a85 sq. ft. 4.6 cu. yds. 15.2 cu. 3.8 cu. yds. 1.3 cu. yds. 24.9 cu. yds. Prefab. Fireplace Galv. Brackets for Girders Wire Mesh to Hold Insul. ~i~SONRY Chi~mney & Fireplace Hearth No. B136 by Preway 1 As Required At Underside of Fl. liQ~0C sq. ft. l'-6"x4~6"x2"th.; Slate 1 unit FRAMING LU~ER SIZE PIECES LIN.FT. B.F,M. Sills - (Fdn.) 2-2"x8" 140 280 Floor Beams 2"xS"x14' 38 ?10 Floor Beams 3"x8"x16' 20 640 Deck Beams 2"x6"x8' 27 216 Deck Beams 2"x6"xl0' 28 280 Box Header 2"x8" 140 187 Bridging As Required Ceiling Joists 2"x6"x4' 14 56 Ceiling Joists 2"x6"x8' 7 56 Ceiling Joists 2"x6"x16' l0 160 Rafters 2"x6"xl0' 9 90 Rafters 2"x8"xl~' 18 336 Rafters 2"x8"x16' 21 448 Rafters 2"xS"x20' 21 550 Sills - (Window) 2-2"x4" 61 82 Sills - (Partition) 2"x4" 290 194 Plates 2-2"x4" 290 388 Studs 2"x4"x8' 206 1,O98 Studs 2"x4" Variable 450 300 Posts 6"x6"xlO' 1 30 Headers 2-2"x8" 136 362 Girders 2-2"x8" 130 3a6 Girders 3-2"x8" 8 32 Girders ~-2"x8" l0 54 Girders 2-2"x12" 90 360 Total DRYWALL House Iht, Walls House Int. Clgs. Utility Int, Walls &Clg. SHEATHING, FLOORING, SIDING, ROOFING, INSULATION, ETC. Sub Flooring Finish Flooring Finish Flooring, Kitchen Underlay, Kitchen Side Wall Sheathing I Exterior Siding Gypsum Board ypsum Board 5/8" Plyscord 25/32 Oak Select Vinyl Tiles ~"~ Plywood ½" P12wood C.D. Angled & Vertical Wood Siding 7,225 3,750 sq. ft. 1,050 sq. ft. 360 sq. ft. 1,070 sq. ft. 935 sq. ft. 95 sq. ft. 95 sq. ft. 1,706 sq. ft. 1,706 sq. ft. SHEATHING. FLOORING. SIDING. ROOFING. INSULATION. ETC. Cont'd. Roof Sheathing Roofing Wall Insulation Wall Insulation Ceiling Insulation Roof Insulation Roof Insulation Floor Insulation Vapor Barrier in Crawl Space Flashing - Head & Sills Sill Vents TILE WORK Plan Ne. T-166 page -2- Floors Walls !"~ Plywood C.D. 1,265 sq. ft. 235 # Asphalt Shingles 1,265 sq. ft. 3 5/8" Fiberglass ~/Facing 1,200 sq. ft. l" T.&G. Rigid Th.rm. Insul, 1,300 sq. ft. 8~''2 Fiberglass, w/Facing 380 sq. ft, 6" Fiberglass, w/Facing 800 sq. ft. 1½" Rigid Therm. Insul. 800 sq. ft. 6" Fiberglass. w/Facing 1,070 sq. ft. 6 ~il. Polyethylene 1,150 sq. ft. Nervastral 130 sq. ft. 16"x8"/Louvered w/Screen 8 units Non-Slip Ceramic Tile 25 sq. ft. Glazed Ceramic Tile 50 sq. ft. Glazed Ceramic Tile 15 lin.ft, EXTERIOR TRIM Rake Trim-Window, door & corner Trim-Exterior Base Railing . Handrail Railing - Uprights Deck - Fascia Deck - Steps Deck - Boards Stringers INTERIOR TRIM l"xS" 108 lin.ft. l"x8" 108 lin.ft. l"x4" Board 450 lin,ft, l"xl0" Board 128 lin.ft. 2"x8" 45 lin.ft, 2"x4" 45 lin.ft. 2"x8" 45 lin.ft. 6'-0" Wide, 4-Risers ea. 3 units 1½"x6" Plank 485 sq.ft. 2"x12" $5 lin.ft. Base Moulding l"x3" Bullnose 480 lin.ft. Clothes Pole 1½" Diam. Chrome 27 lin.ft. Pole Sockets Chrome Flange 7 pts. Cleats l"x2" - #2 Pine 67 lin.ft. Shelving l"xl2" - #2 Pine 40 lln.ft. Shelving l"xl4" ~ #2 Pine l0 lin.ft. ~ISC. ITEMS Solar Energy Unit As Described, See Plans. For complete window and door schedules, see plans. All windows and doors are to be ordered complete to include sash, frames, trim, casings, mullions, stops, aprons, stools, saddles, door looks, hinges, etc... For complete details of kitchen cabinets, see plans. All cabinet doors are to be ordered complete with hinges and handles. Kitchen counters shall be complete with formica topping and backsplash. 3. The waste factor is determined by the type of material used and the method of installation. This list has been specifically prepared for this plan as an aid for obtaining a more accurate cost estimate based on a representative area with a specific type of building practice. Prior to construction, the said materials and quantities shall be checked by the contractor against the blueprints and verified for conformance to local building codes as to uses of materials which may cause shortages and overages. A, The eontr&etar shai~ ~emply with t~e tho speei£iaatione eE th~s~,a ~easea, B, Do net sea&e drawdng~ £o&~ew ~ime~si.ens as C~ It is the re,spons~it[ty o£ the a~ntrao%or owner to oomp[y w~th a~[ t~e app~[oa~e ~aw~ ru~es~ and regulations ~n ~he aom~t~aot~e~ t~is house, A~ Ai~ f~undati~ns a~d £o,etings shat~ ~e'~ast so&id approve~ bearimg soi~,~ minimum 3~.6'' ~e~sw gr~de~, ar i~ ~ompiia~oe wi~h the ~ea~ B. Cenore~e mix$ a,~ For ~ou~ations & '~ooti~s~ · ) Per eener~te s&a~: 25,00 psi~ min~ C. Unless s~a~ ,~e~wise. ~o~ret~ ~a~s ~ha~i ~ ~" thlok,~ ~R 4" g~ave~ bed en ss&~a app~ave~ s'eil, wiih 6"x&",. wire A~ Un,ess speeEfIe~ otherwise on tko beams a~ rafters sha~l be eonmirme'tL, en g~a&e No,~I, HE~.FIR~ f~ = lgO~ psi. o~ B ~ Bridging: Weed (or metai~, 8'~.~'' g~,, maXi.~m, nails per end. C,, Headers~ 2 .2"x8" unless speeifie~ D,, Cor~ers, 3 -2"x&" in 4" wa[~s~ 3 ~2"x6" iR 6" E, Ciearanoe: Wee& framing shall ~e ~t F,~. Open[Rgs~ Do~bte weo~ framing shati aro~n~ openings. G. Untess s~ew~ at~rwise$ a,~iiia~y ~afier sBa[~ ~e 2"x~" ~ 32" 9~C~ tie~ ~k are perpen&ieu~ar~ 4, F~NIS~ES A,, Un~ess so,eared o~erwise ~y ~er.~-~inish.es s~a!l ~e as Klie~ mud rs,om & ~a~Fy ~if amy)~: f~eor Re~fnt~' ~ea~ Oak strips for B.. Close~s~ %.s~etC~ ~-~e~ Line~ c~t,~ A,. Provide fi~.rg~a~s ins~la~ion wi~R where ne~ Sn ~raw~ngs~ F~ow instr~et~ns f~ pr~p~m insia~ai~w A., Wind,ows & ~teri~r i~rs shal$ ~ p~p~r~ at hea~s 6 ska~ ~e pr~per~y B,, Where ~eq~ire~ by Doea~ eode~ er w~re instracted by ~er, prsw~de gmtters and i I APF~G%~'~ AS NOT~ [':5 , ~heee drawings and speoifioa%iens ~ ~ave been prepared by or under the ~ ~irection of the undersigned ~d to the bes't of the undersigaed's ~mlowledge, information and belief. ~eet the requirements of the ~erk S%ate Energy ~ons%~uetton Cede. 8362 'l 8362 .Po ~.o,~o. gw I . b. ~ FrT ~ ID:E- ~ L.~ VAT' ~y~. 8362