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HomeMy WebLinkAbout12098-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..~..1.3.2.6.5. ......... Date March 15 19 .8.5. THIS CERTIFIES that the building .... .A. qc..e.s.s.o.r, y ................................. Location of Property . .2.0.0. .............. .O.a.k..w.o.o.d...ny.. .................. S.o..~.t.h.o. ~ .d .... House No. Street Hamlet County Tax Map No. 1000 Section ...0.7. 0. ...... Block 12 .Lot 019 Subdivision X .Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .~.a.n... ..... ~.0. ....., 19..8.3pursuant to which Building Permit No. 1209 8Z dated ....... .~.a.~... ..... .1.0 ......... 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 ......... .... .A.c.c.e.s..sp.~X . .2.-.q~.~., .G.a.r.~. g.e. ................................................. The certificate is issued to FICKEISSEN~ DENYSE C. (owner, le~oe-o~ t~wam-) of the aforesaid building. Suffolk County Department of Health Approval ........... IxJ,{., ............................ UNDERWRITERS CERTIFICATE NO ................... I,J ./.A ............................ Rev. 1/81 Building Inspector BUILDING OEPARTMI qT TOWN HALL SOUTHOLD,' N. Y. BUILDING PERMIT!' Rev. 6/30/80 ............ ~ .................................; ........ , ...... ,-..:..:..',;..)~....,...; ....... i .................. ,..,~ ................ County Tcix Map No. 1000 Sect on ................... '...~. Bli~cl4 ~.~..g .............. }l~ot NO ......................... pursuant to application dated ......................................... ,~....~....., 19.....?., and ~pproved by the (THIS PERMIT MUST BE KEPT ON; THE PRE~IS[:S UNTIL I~ULL COMPLETION OF THE WORK AUTHORIZED N9 :12098 Z Doto ...... ,....~, ............... :. ............ , ............ , ~.. Permisslor~ is hereby granted.to: ........................................... ........~ ' .................. ..................................... ~0 ~.* ......... ~ ............................................................. ~ ......~ ..........~"'~" ...... ' ........~'"'"'" ............................... ............................................................ : ................. :.........:.:...,.~.,..~?.~ ........... .~..... ........ ~ .......................... o00 ~ O0 ....... . .... ..... Ol p~l]~ I~1~ ~I .............................................. ~.,.,~..,, ............ ~ ........................................ 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, Multipte Residences and similar buildings and installa- tions, a certificate of Coda 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 p~operty showing ail 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3, Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .... .~./.~. ~.~...~-. ............ New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............ ]2(/, 2.OO ....................... , ............................... House No. Street Ham/et Owner or Owners of Property ....... ~ .................................................... County Tax MapNo. 1000 Section ~7~ Block ./~ ......... Lot.. /~... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. I~LO75~' Date of Permit ./.~(~..~?.~..Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....~.. ................ Fee Submitted $ .... . .~( .~?. ................... Construction on above described building and permit meets all applicabl,.~c~odes and regulations. ~ .,~._ ~ ~ ~_L~¢ Applicant .... - .......... Rev. 10-10-78 13. ~WilfTot be regraded .... ~ .o ..... ~ .......... ~. Will exce~k fill be remoyed from premises: .. Yes - ~ ~ 14. -Name of Owner of premises~_.~.., ~.,: ~ .CA~./.5.Y.~44 .~,~ddress . .,4.D~. CA .2r'?/O.~.-~..~. Phone No. ~7~, .37--//a ,X ~-~.. ~: Name of Architect ,Z32r /.c?~,42. xW.,~x/t), ff,~., Address~_.~W2'&~F,2.~p, ('~4'44~/~... Phone No (//c/,~, ~ "'" ~ '~', e: ''~2.% .. ~ . . v ......... . .... j.-. Name of Contractor .~';..' ,~,,..~.~Q.~.~..z~:/?..,//q ;... Address ,~OMT. P..g~ t~x~../J4~/.,Phone No.. TF~ £.~.--./.(~ .~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from )roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nteri°r °r c°rtr l°t',O,~ /~"~.~ . -- ~h~l !T~A~ TE OF NEW YORK, (Name of individual signing contract) hove named. -~,~tra_~m/, agent, corporate officer, etc.) · f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained/n this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. ,worn to before me this County ~ (Signature of applicant) lotar,3,Public, ......... ~ ELIZABETH/ANN NEVILLE ~OTAfiY pUBLIC, State of New York I~o. 52-8125850, Suffolk County Term Expires Nlarch 30, 19~'~''~ ,1 f~ 2. i,iCUEH . i iL",~AiNG & PLUMBIN 3. BE CCL'.iq.E 'F [,')it C.O. ALL CONSi;qU(,/;ON f~--;/d.:,. /viEr' THE IkEQLUi~EMEN fS SLATE CONS'T RUCTION -CODtES. NOT ~u~' ..... ='r.- E. F. Fickeissen Jr. Crittens Lane Southold, NY 11971 4 I ~00R ~-~T~-IL$ -TI4P--.E~: TYPES ~hOWN NOTES 1. Local codes and/or applicable megulations should be reviewed and complied with in construction. 2. The depth of the foundation footings is determined by the frost line; refer to local standards. The footing bearing areas shown should be adequate for most soils. The 8" foundation wall thickness is a nominal dimension; 7-5/8" con- crete blocks can be utilized. The 2 x 6 sill should be fastened to the founda- tion with ~" diameter steel anchor bolts imbedded in the foundation spaced nominally 5' apart, or as dictated by local code. The inside slab and the out- side apron can be omitted if desired, alternatively utilizing crushed stone, nominally ~" size. 3. Dimensional details zhown on Sheet 3 are for structural lumber thicknesses and widths measuring ~" less t~n the nominal figures shown, i.e., a 2 x 4 member is considered to be 1~" x 3~", etc. If actual lumber varies from the foregoin~g, adjustments are required. 4. Lateral stiffness of the front wall is achieved from the diagonal 2 x 4 members at the upper corners of the door openings, and from ~" thick exterior grade plywood installed vertically, a section 2' wide by ?'-11~" high over each side structure of the front wall, and a section 4' wide by 7'-11~" high over the center structure, as shown on Sheet 2,. Additional plywood is installed to maintain a flush surface across the wall. The elliptical shape at the top of each door opening is achieved by affixing the ends of a cord or string, 8'-6" Song, to points "A" and "B" (as shown on She~et 4), and drawing the point of a pencil along the apex of the extended legs formed by the string when drawn taut (as at point "C"). The major axis of the ellipse is 17" below the bottom of the front girder, as shown on Sheet 4. Three types of garage doors are .~hown: hinged, sliding (by-passing), and roll-up (overhead). The sliding type i.~ difficult to make weathertight. 5. '}'he drawings reflect I x 10 ship-lap boards as exterior wall covering, over th~ plywoo~i sheathing on the front wall (see 4 above), and over blocking on the side and rear walls, which latter walls are stiffened by diagonal I x 4 bracing let into the studs, plates, and sills. The blocking and bracing may be eliminated if plywood sheathing is used on all walls, either as combined sheathing and finished surface, such as results wi~h Texture One Eleven or ~qual, or with battens to simulate board and batten siding, or as a nailing b~re (use ~" thickness) for shingles, weatherboards, etc. De.tail "A" on ::h~t 2 is a method of acco~nodating 8' lengths of plywood utilized as com- b?'~nsd 9hcathing and finished sur]'ace; if used, liners ,~st be placed behind ~,~, fas,'!'. ~4oW t. he lap line. d. :ioofi, n~ ~u be oith~ wood, plastic or asphalt shingles. 7~ Dieappearing stairs are proposed for access to the second floor (manufacturers provide th~ rough opening dimensions). The opening requires headers between th<~ joist>b with at least one joist doubled up, depending on the location of thle unit. ~. T/u. cupola roof can be covered wi~h sheet copper, al~inum, or ]~[berglass. Th~- to~n~ted sphere at the roof top can be wood, or hollow copper (use a ~tet ba/,t float), with the bottom sector s~on Off, or bent in, respectively. ~l., w~at.',',.~ane, compass symbols, and rod can be copper, al~num, galvanized ~. 2 :~a~.~)~d ~a.'ne-board 9'-~" x 7" x 1", hung above the doors, a~s a nice finish- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ( /(0 19~b Examined ................ , ... Approved ......... './. J.~..., l~.~f. Permit No. (.~..~..?...~ Disapproved a/c ...... ~ ~; ........................ ~ ((~ ,Z~7 ~ ~ (Building Inspector) APPkI~TIO~ ~OR BDILDI~G PERMIT 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 inspections. ,, · ....... (Signatffre of applicant, or name, if a corporation) .(~ .o..o..o. ~¢.<~?.o.~.0..b. c¢,..~n~.¢rb.~L.d,..x/,. ? (Mailing address of applicant) State whether applicant is 0w~ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . -~7.,.. E... E f.e..~Z~.'efl..-%.& .O. ~9. ,. d ./¢.?. bP.-n ge ae ..... .. UiC.~ C¢/$,k (% t .~j... (as on the tax roll or lato~ deed) If applicant is a corporation, signature of duly authorized officer. /. (N~e and~'"title of co. orate officer) Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done.. L .Q .~....]..~... (".).c4-~.o~...O .0 .~. .... :q.Ok .~... ........ ... ~ .~2.0. .............. ~.~. :9..o.o~....-0/.< ........ ~% .~x.~,. o.& .~5 ./v(..*¢... ......... House Number Street Hamlet County Tax Map No. 1000 Section .... ~../.~..~. ....... Block .... ~]. ~ ........ Lot .... /...~7 ........... Subdivision &.CL.'ff,,.C.g~.O.~)..['~ .................... Filed Map No. f.~a. ½. (' J~ .~.'.. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .L~.. · ~ ~-' .6'(% ~. ~<.-~ ' ~.~ · .C.~.4 .... . .cz~<'c~. ,~..._ :¢_..~..~..<,~,e ............... 3. ute of work (check which apphcable): New Building .......... Addition .......... Alteration ...... '..~.. Repair .............. Removal .............. Demolition ........... Other Work ............... qp..o. ,: .G,.o.o. o ......... ./..q ............ :'..:i ...... 4. Estimated Cost....Qi. , Fee ...... (to be paid on f'fling this application) 5. If dwelling number of dwelling units ........... Number of dwelling units on each floor ... 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 ............... Number 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 ......... ~ .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of p~mi~es ~,. ~..~J £'..~.q/,%Xq'J73.. Address~?..O~ ~c~, .~o. q&~/_o~'e No..~. ~- .Lb ~ ~. Name of Architect ~.~_?.q~...~.~.~.r..~.D.~..~.o. F3.. Address ..Phone No .... Ct il/ i ,.. iii Name of Contractor .~ ~ ~;~ .~i Y.~ ............... Address ................... Phone No ................ 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y-O~K.~ ,,~ _ _ ~ ....................... being duly sworn, deposes and says e is the applicant - (Nafne of individual signing contract) above named. e 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 m~e and file this application;that all statements contgined ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~ner set forth in the application filed therewith. Sworn to before me this No¢~ublic, ....... ~ .... ounty ~~ ~~~~. ff ~L~B~H ~n ~mtt~ .. _ / (Signature of applic~t) ~ ~O~PU~tlC~tate of New