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Home My WebLink About12363-zT(PA'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12363 Z Permission is hereby granted to: . ~ __ ...~:..~.~.....~V~.~., ........................ .~... ................................ at prem,ses located at .~.. ........... ·: .....~.~-~'.. .~.~.'-~ ' .................................. ~ .......................... :...: ........................................ ~.~ .~.~.~./~......~..~..~ ~.~..~../~....~~...~.~.~ ................. .~.z.~.. ...... ./.~.....i.'./.'. .......... i{~ County Tax Map No. 1000 Section ....C2..~....~... ..... Block ..(~..7Z. ......... Lot No. ....... approved by the Building Inspector. BuTIding Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..~.1.~9y.2. Date December 18 1984 THIS CERTIFIES that the building ...... p.n.e...t.a.m.~. 3:. y..d?, e..~.Z.~.n. ~ ................... Location of Property ... 23.5 .Dp.ZI~bia..I~v. ~_.v.e. .................... ~.o.¼t~[~9.]_.c[ ....... House No. Street Ham/et County Tax Mag No. I000 Section . .5..6 ........ Block ....0~ .......... Lot ...... 1.5. ......... Subdivision .S.q u..1; .~.q J:. cl...S.h, q v..e .s ............. Filed Map No.38.5. 3. ..... Lot No. , .1.9. ......... conforms substantially to the Application for Building Permit heretofore Fried in this office dated ...... H..ay..9 ......... ,19.8.3. pursuant to which Building Permit No.. 322.fi3¢ ............. dated ............. g..u.n.e...3 ........ 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 ......... ...... ~)n~..~am.~.].7. Cl.w.e $ $ i~g ................................................... The certificate is issued to . kJO~/A. RD & KAT~ILEE,N MALONE~ JR. .............. ( d yo ...................... of the aforesaid building. Suffolk County Department of Health Approval .... ~. .~.-.~9:-5.2. .... L2./. ~. 7/.8.4. ............... ~)N6~7287 UNDERWRITERS CERTIFICATE NO ................................................. Rev. 1/81 Building Inspector FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall ,~;~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitte~l~'.[c=tc to the Building Inspec- tor with the following; for new buildings or new use: 1. Finat 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 peoperW 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. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --?pe-E×±st~.ng C.O. $1 5 · 00 3. Copy of certificate of occupancy $1.00 Vacant, Date ~ow guildin~ ............. 010 or ~r~-~i~in~ Buildin~ ............ Vacant [and ............. Location of Property .~ ....................... Hou~ No. __ ~ Street Ham/et co~,,~,.~ ~,, ~o. ~00o s,,,~o, ~.~.: ~:(~.. ,~o,~ :.~.g.~g.. ~o,...~.. ::': .... .......... ......... Health p. Approval ........................ Labor Dept. Approval ............ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit p~eets all ap_ph'cable codes and regulations. Rev. 10-10-78 /:¢,~/rV c-~'~2/3~~- THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BE JOHN STREET, NEW YORK, NEW YoRK 10038 THIS CERTIFIE~ THAT ~d F. ~loae~ ,Jr.~ ~b l~lP~n Drive, ~ld, ~.Y. was examined on 0~0 ~ ~ ~ and found to be in cotnpliance with the requirements of this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE SWITCHES DRYERS FURNACE MOTORS TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT 25-~'d. Avenue This certificate must not be altered in any manner; return to the office of the Board if COPY FOR BUILDIN~ DEPARTMENT, THIS COPY OF CERTIFICATE MUST GENERAL may be !dentlfied by their ilN ANYMANNER. F~E ~PECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~] FRAMING [ ] FINAL REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ...... lA. Permit (Bmldmg Inspector) APPLICATION FOR BUILDING PERMIT Application No.. Date . .Mag....9 ........... 19 .8.5. 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 st?eets 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. '' (Signature ofapplic[tnt, or name, if a corporation} 35 Thud Avenue Massapequa PaAk N.Y. 117~2 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner/ guilder Howard F. Malone Jr. & WF. Name of owner of premises .......................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX (Name and title of corporate officer) ' Builder's License No. OwneA/t3ui[der Plumber's License No ......................... Electnc~an s L~cense No ....................... Other Trade's License No ...................... Southold Shor~ , Dolphdn DAive Lot 19 1. Location of land on which proposed work will be done .................................. ' ................ House Number Street Hamlet County Tax Map No. 1000 Section .. 5.6. z7. z ! 5. ......... Block .)~g~-XX)DD~X)LY, X... Lot...XXXXXXXXXXX ..... ~. Subdivision..S.q .~.~.o.Z.d..S..~q~.eA .................... Filed Map No..5855 ......... Lot ...? ........... , (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ w.o. qd.e.d..Z..o.~., .............................................. Residential Home b. Intended use and occupancy ............................... ............................ 3. Nature of work (check which appliCable): New Building .......... Addition .......... Alteration .......... Repair ' Removal I Demolition Other Work , ~?,,, (Description) 4 Estimated Cost ' Fee .~.--~.~. ......................... (to be paid on filing this application) , $. If dwelhng, number of dwelling units...............1 Number of dwelling units on each floor .... If garage, number of cars ' 2 ·" 6. If business, commercial or mixed o~cupancy, specify nature and extent of each type of uso Y¢(~(~¢¢(~. · .Y,~. ,YC(C(.X~.X- · 7. Dimensio,,gs~9[.e,.xJ~.tJn~ structures, if any: Front .X,X,XX2G~. ~. Rear ~ Depth Y,~,X)~C&~.. Height .'x.aO..'x.'x.x.Y~..)(.X.X.~, · · Numbe~ of Stories....X~...XX.~. ~ ............................... Dimensions of same structure with alterations or additions: Front ,..X..~. ~..X~..X. Rear X)0Q(X~~. Depth. XXXXXXX×XXY, X××Y,X×××. · Height . XXy0(x)(X,v, XXXX,~O(7,X .... Number of Stories..X.~(..X2(..X2(2QQ(tv')(J( ........ 8. Dimensions of entire new construct on: Front. ~ $. F£ ......... Rear . ~8. irt, ......... Depth ............ 9. Size of lot: Front .. ! 70. Fg ..... ! Rear... 170. F~ ..... Depth ~£o~: dZc4q~ .... 10. Date of Purchase ......... 19 791 ................ Name of Former Owner .. C.. Cd, o,t,;Cd_ .................. 11. Zone or use district in which premises, are situated ................ E~gd¢~;tgaZ .......................... 12. Does proposed construction vtolatq any zoning law, ordinance or regulation: ....... [/o ....................... 13. will lot be regraded . .... :"' g ..... gA'''' Will ex s fnl be r oved from premises: XX XX No 14. Name of Owner of premises ~qw..~.,a.. ' 3JaZ e · dress$. /g.Zgq/.cS.~¢¢ PhoneNoSI?~r795-5~M . Ya,~S a.pe ua Pk. N: .~. Phone .)q(~(gO(ggggX... Name of Architect ... )L~XXY, XXXY-,XXXY, X)O(XX, V, XY, X.. Address ....... q ...... *. · No. · Name of Contractor . .XX){Y,~)L~,~ ~XIOL~Y,,XIO(×~I(.. Address XX,EXXYJ(XXX,~(X~. l~hone No. Y, gggJOOO'O6VX .... PLOT DIAGRAM . Locate clearly and distinctly all b~aildings, whether existing or proposed, and. indicate all sot-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. LQT NO'5. - STATE OF NEW_YO. jR~, . . COUNTY OF ................. :' .. t~/'(;..c'4 Y~'40...~.~ J .~..~.< ~ .C~...~../a. .......... being duly sworn, deposes and Says that he is the applicant (Name of individual signing contract) above named. He is the ........ r. Yco .~. ................ (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. Sworn to before me this ., lO ,day of. '. · ., 19 ~ota~ rumm-~ ~.:.~,~ :~ · · ~.~.. ,,...", · County rqo~, Pu~l!c, stat? af N~,w 'PoCk ................ OualtaeO in Suffolk CoUnty (Signature of applicant) Commission Expires gard~ ~0~ 1985 SUFFOLK {SO. HEALTH DEPT. APPROVAL STATemENT OF INTENT SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT, OF HEALTH SERVICES. SUFFOLK COUNTY DEPT. OF HEALTH CONSTRUCTION ONLY H. S. REF. NO.: : ~ ~: ~.~ f~ P. NEW 104 05 53, SUFFOLK CO. HEALTH DEPT. APPROVAL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISF~AL sYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE iUFFOLK CO. DEPT. OF HEALTH SERVICES. {si _ APPLICANT SUFFOLK cOUNTY DEPT. OF HEALTH SERVICES ~ FOR APPROVAL OF CONSTRUCTION ONLY SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL, lO00 B6 OWNERS ADDRESS: DEED: L.N/A P. TEST HOLE 3 SEAL LICENSED LAND SURVEYOR GR EENFORT NEW YORK MAIN WALL SECTION I FRONT ELEVATION Idx/3~1 ~SaF[ SECTION THRU DORMER 7 7 19_ ~ x4-d LOO~.~tJ T'5 SECTION THRU GARAGE DOOR AS NOTED DATE: FEE: ; ~e'BY: BUILDING DEPARTMENT AT 765-1802 9 AM'TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. O. ALL cONS'TRUCTFON SHALL MEET THE REQUIREMENTS OF THE N. ¥. CONSTRUCTION & ENERGY NOT RESPONSIBLE I R!I GHT SIDE P-156, 1032-A .SOMERSET- A SHEET- TOTAL G. ?lOT ?L~N 1 I -- T[ V ,e II I T/OII ~EFT P-156 , IO~-A WIRING SYMBOLS , /I~ F I .e 3 T F' Z O ~:9 ~' £Z£V~T/O~ ~ I I I------1 I I 1--. ~--. ~-----~ L- :1 i ] .l~l'i&p ' 1 TOTAL - 5 14 Opening Proteetives Opening Protectives: Wood Doors Doors illnstrated on this page, when used with frames and hardware shown in illustration part 4, page 15, are acceptable for use in one- thick wood doors are acceptable for use ~s %- hour opening proteetlv~ in 1-hour fire aepara- mia SOLID WOOD CORE FLUSH DOORS 1%" mln. · g-lnch rain, width battens and brace 2-inch nominal T & G or spfined stock not over 6 inches wide stock not over 6 ~nches wide,~th one I~yer ve~ical ~nd the ~ther h~t~nt~l, · nd ~ne layer of asbestos p~per baleen BATTENED DOORS wood pond sheet iron. copper not less than 28 U. S. gage, fastened on each side to stiles, rails and edges with wood panel I ' h b s~ mdlbo~rdar ~ tach u wi bo.rd sheet iran, copper not les~ 28 U. S. ~a~e, fastened to side on which protection is desired. ia stiles, rails and edges nails or screws PROTECTED PANEL DOORS CODE MANUAL // -) Opening Proteetlves i Frames and Hardware for Wood Doors flre-retardant treated wood stop, PRESSED OR ROLLED STEEL FRAMES spring hTnge Frames---Frames sba]l be of lire- treated wood wi~ fire-retardant tratcd, of metal-covered wood, or of presse~ or rolled steel. ~an 4 inches by 4 inch., or equ[vMent, wi~ not less than one butt for each 2-foot 6-in& height rustically dose and latch the door. Reetan~lar latch eases shah not lar latch e~es ahMl not ~xceed 1 ~eh in diameter; firow of lat& dill be not lms than % in&. ~ere door stile containing at the latch wi~ minimum ~-gage min. 41/2 -- a fhan 5 ~f high: minimum 3 buffs nor less fhan 4" by 4" HARDWARE CODE MANUAL 5£COMD DIMIk/6 KITCH HAJ EL ~ V.,q 7'/ OAZ.5 DIME PO'- ~" L I V / ,4./ ~: ~ O O l,4 pR .l'.,i¢'x 4~-d' y-1~57- FL O0/g SOMERSET-A ] · L SHEET-- TOTAL-- for woter distrlbuti~e~a, system; piping shall DOO ~ o~ t~es~ AGTr IN DOW' ROUGH SIC H E D U L, E ~DESCRI PT ON' P00 C~ .TION SCHEDULE LIG-H VEN gAL]. live loads: .... ' ................. to P.S.F. , . ~.liglng Area Floor '. ............ 40 P.S.I-. Area Fl~or.. ........... 30 P.5.F. '~'.':S~il~ bearing capacity Is assum~ to b~ ~2500 P.S.F. ,3.,A~II concrete used is ~ develop a minimum {compr~slve strength n 28 days as FoUo~: Fpotlngs and WaUs - ~ P~5.1. B,6sem~t Slab - 2500 P.S.I. ' ~ ~arage Eloor and Stoops - ~0 ~]S.I. ' iUs?g a minimum 5 bag mix p~r ~ubic yard. 4j ~11 2"x6" and larger Framing lumber Spans bre based on the ,use oF No, 2 Douglas Fir-' . ~Larch (North) or equal h'avlng,a modulus oF ~ ela~tlc(ty of 1,700,000,~nd a'no~aJ'duraflon ' [design valde o~ (F=]~0)' With~ --a molstur~ confeM ~ot ~ exceed ~9 percenT. ' ] : " 5. D~uble floor joists und&r ~1~ par;llel ~a~iti0ns,. 6.'~u~e ~2x~2~headen over a , &xter~or Ioa~' ,, ~earmg openings' ~- Unless o~e~ise h~t~d. 7. ~e~rmln~ the exact cabinet ~ ~e on the' ~b ~ff6r ~he wall F~nlsh ha~'been applled~ - , ' . 8 E~r or wa d mens~ons are to out,de ~f ~Beath ng Inter ~r d mens ons~ not n~ ude '9.-~II doo~ and ;nte~ior op~n:ings,,are' 6~8"' h;gh '+ ,"~ Un ess o~e~se netea, t : ,nFo~ ~ a d'mens'ons 'n~'caf~d '~ lip every attempt has been' mad~, ~h the, e~arqfion 0f thin'lan ~.a,void,mi~t~k~, ~.mqker ca6nb~ 156 1032-A A _/- DO NOT ~C~LE DWG. 7 6 5