HomeMy WebLinkAbout12374-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...z.~.4 Q 4..3 ......... Date ....... D.c..cg.m.~.e..r...2. ............. 19.85..
THIS CERTIFIES that the building ..... N.c..w..D.w.e..1.i.i.n.q .............................
Location of Property 3210 Wunneweta Rd. Cutchogue
House No. Street Ham/et
County Tax Map No. 1000 Section ...~. ~. ~ ...... Block ...1.1. .......... Lot ...q 2. .9 ...........
Subdivision..S.e.q ;.D..~.a.s..s.a.n..P..~.,.C.~.n..~. ?.~o. ~OFiled Map No. 806 .Lot No. 397
conforms substantially to the Application for Building Permit heretofore filed in this office dated
May 5 19 .8.3. pursuant to which Building Permit No. 12374Z
dated .... .ff.u.n.q..8 ................. 19 .8.3., 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 .........
--- New Private One Family Dwelling ---
The certificate is issued to GANKO, WALTER & SUSAN
(owner,/~s~-c,~- te~
of the aforesaid building.
Suffolk County Department of Health Approval ....... .1.3.-.8.97.3.0. .........................
UNDERWRITERS CERTIFICATE NO ............... .N,7.1. 7.1.5,5, ..........................
Building Inspector
Rev. 1/81
TO~VN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 12374 Z
Permission is hereby granted to:
....... .,,5,~.~.....,~..Z~ .........................................
....... .~.?~,~.~.~,z~..~..,~ ...... ./z.,e.,~z
,o ........ ~,~. o..z.,~. ~.cz.:......~..~.....~.A,,~z ~ .~.....,z,,.,3~.~/~ ~ "<7 ..................................
at premises located o, ...~.~..~. ........ ~...~.u4~-.~'~..~....~...::....~..~./ .......... ~ ................
............................................................................ ~ ............................ ~~,z~...cz.,~,,,.g2...~.,..
....z~,,~...<~.~....,~../..~...~.~...~.....~-'_'_~: ............ ~.~.e..7.. .......................................
County Tax Map No. 1000 Section ....... ./,/./. ......... Block ....... /.~.. ......... Lot No...(~.~:~.~.. .........
pursuant to application dated ..... ,,~Z/.,~;~../....~ ..................... , 19 .~..~, and approved by the
Building Inspector.
Fee $..Z .~.../...~.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
bLDG. DEPT.
TOWN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted m I~m~a 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.
Bo
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topograph ic 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 o 0 0
3. Copy of certificate of occupancy $1.00
/N~ Date .... [ ........
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
House No. Street
qwner or Owners of Property . ~-..)0.,~ .~. ,'~..~. ?r. $~'~ ... ~ ~ ~ ~ ....................
County Tax Map No. 1000 Section .... /~ J Block I i Lot. ~.~
Subdivision ~: ...... ,.. ( ......... ~ Filed Map No. . .Lot No .... t. ~ ......
Permit No.i ~...~.~. ~ Date of Permit .~{ .~ ~.Applicant ..................................
A,,rova .EQ. ........ ,a or A,,ro a ........................
Unde~riters
Approval
...~:~--c22¢ :~ .......... Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .... ~.' .......................
Con,struction on above described building and per.mit meets all applicable codes and regulations.
ge_. :Lq ~8,~ Applicant ..... .N~.._~...~
co '[ ........ ................................
!
't FORM NO. 6
.~ TOWN OF SOUTHOLD
~,, Build{rig Department
· ~'~ Town Hall
~outhold, 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 anv 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/ land use
3. Copy of certificate of occupancy $1.00
--Pre~Existing C.O. $15.00
Vacant land C.0. $ 5.00
Date ..... .~. / .~. / · .~. ,,~. ........
New Building ..... ~'~ ..... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ,..~-/O ~ ~/~-~J~F'Y-7 ~- ~
House No. Street Hem/et
Owner or Owners of Property ................, ,~, ,/~,/~, ,~,Z~, .~',, , ,~,, ,~. ..............................
County Tax Map No. 1000 Section ... l//./. ....... Block ...... ~./ ....... Lot .... ?..~. ........
Subdivision ................................. Filed Map No ........... Lot No ..............
ateo, Permit . ·
I~O - ~ ' ~ Labor Dept Approval
Health Dept. Approval ................................................
Underwriters Approval ........... Planning Board Approval ......................
Request for Temporary Certificate. ~.~, ................. Final Certificate ......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ~.~. ~ .............................
FIELD INSPECTION
FOUNDATION (1st)
COMMENTS
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ 85 ,JOHN STREET, NEW YORK, NEW YORK 'lOOaS~
~ate l~V~er 'l~, 198,5 AppUe.tion~Vo.o.fite 2P,1030/83
~[,~4 N 717155
THIS CERTIFIES THAT
Wal~r C~ko, ~210 ~n,~eta ~.d, ~t~e:, N.Y.
w~ examined on ~V({fl~ ~ ~ 1 ~ and found to be in compliance with the r&quiremengs of this Board.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO, OF FEET
DIMMERS
SERVICE DISCONNECT S E R V I C
ITHER APPARATUS:
NO OF CC CO~O ~/0^WG.
PER ~ OF CC. COND
OF HbLEG
NO. OF NEUTRAtS
OF NEUTRAL
.4IO
2-~oke Detectors
F~lectric Roo~ Heatez~: l.G. Ok~v, 2-1.2~ 3-1.0kw, 2-.5]~v.
T~ack Lighting 32' 4 Lite~.
Walter Gmnko
Box 574
Aquebogn~e, N.Y, 11931
this certificate must not be altered in any manneo return to the office of the Board if incorrect, nspecto
GRNEI~AL MANAGER
may b~ M~ntifi~d by their cred~ntkds.
FORM NO. 3
TOWN OFSOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'SOFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
.~.¢~.¥...~ .........................
PLEASE TAKE NOTICE that your application dated... ~...~ .......... 19~.
for pe~it to const~ct .... ~... ~//~ .............................. at
Location of Property .
H~S~ ~o: St~et / ......
County Tax Map No. 1000 Section .... ~.~. ..... Block .... ((... Lot .... ~. .....
Subaivisio~. ~ .... ~n~a ~ap ~o ................. ~t ~o ..... Y.~ .........
is returned herewith and disapproved on the follow~g grounds..~~ ~ .........
.. ~//~cA/~..: ~ ~ ~ ..... /~ ~ ..............................
Build~g Inspector
RV 1/80
765-~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH
[ ] FOUNDATION
2ND [ ] !NSULATION~
[ ]FRAMING INAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION ~.ST [ ] ROUGH PLBG.
FOUNDATION 2ND [~ INSULATION
FRAMING [ ] FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION "ST [ ] ROUGH PLiiG,
FOUNDATION ZND[ ] INSULATION
[ ] FRAMING [-/,] FINAL
REMARKS: . .' *. - ~. .' ~. ! . :,-,~..
FORM NO. '1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined..~..4Y~...d~ ..... ,19f.~
Approved J.~b'. ~-.-..~. ....... l CJ~ Permit No.
Disapproved a/c. ~~..._ ..~. .......... .~. · ./~. /
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Application No../,~5~, ~,, ,~, ......
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted 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
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 will issued 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
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 regulations, and to
admit authorized inspectors on premises and in building for necessary inspej;tipns.
....... ~~.~ ..... ;;.;; ........
(Signature of appl[gfint, or name, if a c p ation)
... · · -*-,. · ·
(Mailing~ddress df applicant)--
State whether applicant is owner, lessee, agent, architect, engdneer, general contractor, electrician, plumber or builder·
...... .... /: ................................
N~ne o~ owner of premises ..... ~.~f.. · · ."~?. ....... ~ ..............................
· (as on the058x roll or latest deed) ' '
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No.~~.~..
Electrician's License No .......................
Other Trade's License No ......................
I, Location of land on which proposed work will be done .................................................
House Number Street Hamlet
County Tax Map No. 1000 Section . /././, ............. Block ..... )../ ........... Lot...~.....~..?..
Subdivision .... .~. 5.5.J'...f~.. ..................... Filed Map No, $..ef~'~ .~'P~...~... Lot .... 3.? .....
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........ ~./~qS-.. ,."~;...~./. :....~...~.. ;/~. ...................................
b. Intended use and occupancy . t~A/'L~ ~ fAf M
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration
Repair .............. Removal .............. Demolition .............. Other Work ...............
~-[ Ti 0 00 ~ ~ /5~//~ (Description)
4. Estimated Cost ............. ~ ........................ Fee ......................................
i (to be paid on filing this application)
5. If dweliing, number of dwelling !~nits ............... Number o f 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 .....................
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 ...............
Height ............... Nmnber of Stories ........................................................
9. Size of lot: Front ..........., ........... Rear ...................... Depth ......................
10 Date of Purchase ' Name of Former Owner
11. Zone or use district in which premises are situated .....................................................
12. Does proposed construction viol~ate any zoning law, ordinance or regulation: .......... ' ................
13. Will lot be regraded .......... ...... .~. · · t ........ Will excess~ill b~ removed from premises: Yes (~)
14. Name of Owner of premises .~.~ . .~...P-~.. .... Address .. ~ ..... Phone No. ?.~.7~. ?.~..Z.~ ....
Name of Architect .................. Address ................. Phone No
Name of Contractor...~. :. :'.~'~::: ....... Address..~'. .... Phone No
PLOT DIAGRAM
Locate clearly and distinctly alll buildkngs, whether existing or proposed, and, indicate all 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.
STATE OF NE~)P,~ --
......... ~-~'~-~-~'~'.'. '.~..~...~ .... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is duly authorized to perform or have performed the said work and to m~e and file ~is
application; that all statements contfiined M this application are true to the best of his ~owledge and belief; and that the
work will be perfo~ed in the m~ne~ set forth in the application filed therewith.
Sworn to '
before me this
~ / ~LI~BETB ~Sn ~ttt~ fO' ' ~ '--(Signature of applicant)
' ( N~ARY PUBLIC, ~ate of New Yer~
No, 52-8125850, Suffolk ~untu
Term Expires March
V
V
' 0 d'Cot 394
T'?H
SURVEY FOR
WALTER
LOT 397, "SECl
ATi NASSAU
TOWN OF S(
SUFFOLK
SUSAN GANKO
5SAU POINT CLUB PROPER'I
ALTERATION OR ~OOlrlON IQ THIS I GUARANTEED
OF SECTION 7Z09 ~ THE ·
WALTER
I
GANI
NEW ~ORK
bot ~94
N
· ' "..'?_ 'i;,: ., .: ,~ :,
Chiof of General Engineerin~
Servi~oS
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
re=MONUMENT FOUND O=ETAKE PLACED
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF EUFFOLK COUNTY
ON MAYT, 19E6 AS FILE NO. 806
CA/~t~/HG TO/V
Cot 396,
TITLE NO. T-128:~-00176
r£$11~OL£
SURVEY FOR
WALTER GANKO & SUSAN GANKO
LOT 397, "SECTION D-NASSAU POINT CLUB PROPERTIES, INC."
AT NASSAU POINT DATE:
TO,tN OF SOUTHOLD SCALE:
SI~FFOLK COUNTY, NEW YORK NO.
~ UNAUTHOJ~IZED ALTERATION OM AODITION TO THIS GUARANTEED TO:
FEB. 7, 1984
FEB. 25,1983
I"= 50'
83-46
WALTER GANKO & SUSAN GANKO
THE TITLE GUARANTEE COMPANY
YOUNG a YOUNG
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.%S. UCENSE N0.12845
HOWARD W. YOUNG, LAND SURVEYOR
N.~s:LICENSE N0.4§893
AVENUE
*'AD, NEW YORK
bof
Lof
TITLE NO. T-1285-OOI?G
SUFFOLK COUNTY DEPA1VI'MENT OF
FOR ApI>tt OV,', L (?1,' CONS'JX{ l'J( ONLY
APPROVED
HEALTH DEPARTMENT-DATA FOR L TO CONSTRU,
#SUFFCO. TAXlI&PINITIO00 SECTION ill MOCK It LOT02_~_~
SURVEY FOR
WALTER
· 397, "SEC'
NASSAU
OF S(
=FOLK
N GANKO
D-NASSAU POINT CLUB PROPERTIES, INC."
JNTY, NEW ~ORK
INKED SEAL OR EMBOSSED SEAL SHALL
SIDEREDTO IEAVALID TRUE COPY
DATE: FEB. 25, Ig85
SCALE: I"= 50'
NO. 8:5-46
GUARANTEED TO:
WALTER GANKO
THE TITLE
<0
YOUNG s YOUNG
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
ANO LAND SURVEYOR N.~S. UCENSE N0.12845
HOWARD WYOUNG, LAND SURVEYOR
N.~$.LICENSE N0.45893
AVENUE
RIVERHEAD, NEW YORK
Opening Proteetives: Wood Doors
Doors g]uskrated on Lk~ page, when used wlrh
frame~ and hardware ahown in illustration en-
titled, "Frames and Hardware for Wood Doors,"
pa~t 4, page 15, are acceptable for use in one-
and two-family dwellings. Solid-core, 18A-inch
thick wood doors are acceptable for t~e as ~-
hour opening proteetives in 1-hour fire separa-
tions wkich are not required to be of ztoneom-
bnstible construction.
SOLID WOOD CORE FLUSH DOORS
L// ~g-lnch mJm width baHan, and brace
min. ,~/~k~ .'~ 24neb nominal T & G or spllned
· sTo~':k nat aver 6 inches wide
ll/2'' m;n, ·
layer vedlc~l and The other hor;zoninl.
I%"
pon
V// /// /
~ shee~ iron, copper not Jess than
28 U, S, gage, fastened on each side
To attics, raJJs and edges with
nails or screwJ
wood paneJ
I/rln~h a~be~os mill~rd or
gypsum w~llbo~rd
sheet iron, copper not less Than
28 U. S. gage, fastened To side
on wh;ch protection is desired,
to stiles, roils and edges with
PROTECTED PANEL DOORS
CODE MANUAL
Opening Proteetives
Frames and Hardware for Wood Doors
flre-refardanf ~re-retardant treated wood stop, glued
treated wood~ ~nd nMled to frame on not more
than 6-inch centers
f · ~ I~/B'inch min~mum
lS
PRESSED OR
ROLLED STEEL
FRAMES
spring hinge
or door closer
inches in thickness,
cover latch ~+ile wlfh
minimum 28-gage metal
Frame~Frmes shall be of fire-
re~ardant ~reated wood, of un-
tTeated wood wi~h fir~-retardant
tTeated stops of dimer~ions ~llus-
£rated, of fao:al-covered wood, or
of pressed or rolled steel.
Hardware Butts shall bt not less
than 4 laches by 4 inches, or
equivalent, wikh not less than one
butt for each 2-£ooL 6-lath height
of latch
raln, 8" --
tala. 41/~' __
doors more than $ f~
high: minimum 3 butts
not less than 4" by 4"
HARDWARE
CODE MANUAL
AS NOT£D
; ~ APP~RCI, VED , ' ~
~ , / ~.~/1~./.l~
;, ' , PAT
,
, 765-18o~'9 A~'T0 4 EM F0~
1; FOUNDAT ON * TWO 'REQUIRED:
'~ ,', FOR POURED, CONC~E' /
,.- 2. ROUGH- FRAMING & PLUMB NG
4, FINAL - ~ON~T~UCTIO~
, ALL CONSTRUCTION SHALL
:' ' THE R~QUtREMENTS Of THE
-' STATE CONSTRUCTION &
NOT
~ I~ o? L,
?