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HomeMy WebLinkAbout12137-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ...... Z l ~ 7AA ..... Date ........ J,u$.e. ,~ ................. 19 ~.3. THIS CERTIFIES that the building .......... he,~/. ~I.w,e, $ ~ ~i.r~g ....................... Location of Property ...1.40D .................. ~,~r~. I~9~ ........... .E,as t .Marion . House No, Street ' ' ' ~t~r~l'ot County Tax Map No. 1000 Section ,..0.22 ...... Block ...... Q.6 ....... Lot ..... O. Subdivision.. S.(~u Q d c~'.~ s 1;. ,~ o d ~ .......... Filed Map NO. 5.3.1,5... ,Lot No .... ~ ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ,J.anua~.y.. ~ 7 ..... 19 ~3. pursuant to which Building Permit No.. fi. 2..1.3.7.Z. ............ dated ...... i*.ebruan¥. 2 .......... 1953., 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 ......... ..... · rmw. oxm-, £am5,1¥..c~ae 13_.ing ............................................... VICTOR DIRE The certificate is issued to ..................... [o~n'o'r,~) ...................... of the aforesaid building. Suffolk County Department of Health Approval 13-50- 05 UNDERWRITERS CERTIFICATE NO. Iq 605005 Rev. 1/81 BUILDD ~ Town SOUTHOi~D; H. Y. (THIS PERMIT ,MUST ,B~ KEPT ~)N ' COMPLETION OF THE WORK 12137 Z Pertnission is hereby granted to ~.~, at p~emise~ located at c~u~tY Tax Map No. pu~Hant to application dat~ Re~.i6/30/~ B0 ~3pproved. by the Inspector THE NEW YORK BOARD OF F!'R UNDERWRITERS 1000521 ~UREAU OF ELECTRICITy ~ 85 JOHN STREET, NEW YORK, NE~ ~ORK Ju~e 1983 THIS CERTIFIES THAT only the electrical equipment as ~scr~bed be~w and introduced by t~ applicaht ~a~ed on ~he above application number in the premises of Victor Diro, ~/~ of StOa t~, 1359' N/O ~in ~ ~ ~ion~ N.Y. wos ~a.~ined m~ ,J~6 ~ ~ ~ and found ~o be i~t corr~pllar~ce with tbe requlre~ne~ts of this Bo(trd. FIXTURE OUTLETS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 61 DRYERS SYSTEMS E R I 1 6 t~lar Avenue ~ ~t~ox'd~ N.Y. 11763 Lic#2677 This certificate n~ust not be qltered in any manner; return to the office of the Board f GENERAL ~MANA~ER Per~ ~e dentified by their ~redentlo~s. ~0"¥ Fq~U|~?'~. ~ DEPARTMI: MANNER. 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, 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, qcc~pancy 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 ~r land use $ ! $5.00 3. Copy of certificate of occupancy $1.00 Date.. .c~ ~ .. New Building ...~ ,~,. .... o.. Old or Pre-exlstmg~Buddlng(X) , _. i-" ~' ~ Vacant Land ............. Location of Pro~ertv ~/~,,, ~'/~[~-"~ ~/b ~/~,~'t~I )~/~:~ ,- - '"'r' - ...................... "¢..~ ..... House No. Street ~ ~ Ham/et Owner or Ownersof Property ...~.,C~.t.0[~..~.~;..~.... ~-~, ...... 0~.it~.~,.~ ................ · County Tax Map No. 1000 Section . . .~.;~ ........ Block .. ,~. .......... Lot ................ Permit No ........... Date of Permit ......... Applicant ~ '~ ?./~?.~..~,. '~ Health Dept· Approval ...~.~) ~0 0~''' .Labor Dept. Approval ...,. Underwriters Approval... ~.q~... G.0..~... ......... Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificat~ Fee Submitted $ ............................. Construction on above described building and pe/r~t, rneeSs~p~ca~l~de~ and regulations. A-~ cant ~].,.'V~, .... ,' ....... ..... .r.... ....................... Rev. 10-10-78 76S-J.802 BUILDING INS ' ~ PECTION FOUNDATION IST ROUO PLBO FOUNDATION 2ND [ '] 'INSULAI~ION ' .[,~ FRAMING REMARKS: FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING TNSULATION PER N. Y. STATE ENERGY QODE COMMENT~ ~ t FINAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 76§-1803 Examined ...... ,19 ¥ Approved .~...~.....2Q~.. ..... ,19~.~~. Permit No. ?..2(?...~..~. Application No.. ~ ~ (.ff. ~.~. ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. I .-.. ) .......... 19 8.3 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, he, ti, sing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspeqtip, .~'-- ~) ~ . ......... ........... ~ - , (Signature of applicant, or name, it~a~corporation) ~ . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer ~ electrician, plumber or builder. Name of owner of premises .~]l ~ I-i-'0.~...~J..~.q .~.~ ...... '51.~1~..~. ......................................... (as on the tax roll or latest deed) If appliclallM~ a cq~oratign, signature of duly authorized officer. ......... ...... '... ........'(~q'a~e ~ title ~f corporate officer~ Builder's License No .......................... Plumber's License No.~ .~c.~..M~.~. ~.~. .... / Other Trade's License No ...................... Location ofland on which proposed workwill be done..%...~..~.5..~ ~..~.. ]~ .~.~. ..... i..~.. ........ House Number Street Hamlet County Tax Map No. 1000 Section ...~..~.. ........... Block..~. .............. Lot..../..~. ............ Subdivision .~.'~.~../~..C!~..~..~. ~..00. (~B ............ Filed Map N~. ~..~ !..~. .... Lot..q. (Name) State existing use and occupancy of premises and intended u~e and occupancy of proposed construction: a. Existing use and occupancy . . . .~: .~.~lr~c~-~... b. Intended use and occupancy . ..~. ~.~..~..~....~. ~. M~.~,~..~...~.[ C~. ............................ 3. Nature of work (check which applicable): New Building ....... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ~ Fee ~' - (to be paid on filing this application) 5. If dwelling, number of dwellir Onits../. ............ Number of dwelling units on each floor ................ If garage, number of cars ...~ .i ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~,ifany: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i" Height ........ ~ .............. Number of Stories ........... t ....... 8. Dimensions ?/e~ntire new constrhction: Front. ~iq ........... Rear... ~.~ ........ Depth ,~.' ...... ii.. ii Height .'~/~.../~. . .,,., Number of Stories----'"c,~l '""""'-"" --- 't~rrt"''"' "~'~ ...... .... 9. Size of lot: Fro~t' i )~.' ./~. i ............... 'Rear ' ' l.~.t/-." ' ' ' ' ' ' ' ' ' ' ' ' ' ' 'Depth' '/.'Ih'-. ' ' ' ' ' ' ' . ' ' 10. Date of Purchase w.. ~ .~.~l. :..j .................. Name of Former Owner ............................. 11. Zone or use district in which promises are situated ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation .......................... 13. Will lot be regraded .~,~ .... i ...... Will excess fill be removed from premises: Yes (~ 14. Name of Owner of premises S~ i~0.' .~.0.~.'~/i iiii . Address...~ ............. Phone No ................. Name of Architect . ,~ ........ .~ . ............ Address . Phone No ......... 2 ..... Name of Contractor .~0t?,..'~.. ~.'~..~..~4dC. 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(~RK,. . · ~ ~ ........... . ..'.~.t .t .~... [-/gTY..lbt./~..z~..~,~o.... ............. being duly sworn, deposes and says that he is the applic~t (Name of individual sig~ing contract) above named. is the ............... ....... .... .~ .~...- ................................................. ~~'- ~ agent, corporate officer, etc.) . of said owner or owners, ~d i~ duly author~e~ to perform or have perfomed the said work and to m~e ~d file this application; that fll statements cont¢ined ~ this gpplication are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set fo~h ~ the application filed therewith. Sworn to before me this ~. $otar~Public, . ............ ~..~ounty [~rm E~tres March 30~ ,i t' -L 0 DESIGN # 1339 ©HOME PLANNERS, INC., DETROIT LIVING RM. 13° x 254 44'-0" TERRACE DINING 12o x J26 UP ENTRY HALL EATING KIT 180 x 126 DN, DN, FAMILY RM. 184 x 126 PORbH 22'-0" MUD RM, GARAGE 214 x 214 FIRST FLOOR 1292 SQ, F~ WALK-IN STUDY- B, R. BED CL I0°x I0o II4xl36 DRESS, RM, BATH MASTER BED RM, BED RM, BED RM, 156 x 17° 134 x io° 14x 136 SECOND FLOOR 1232 SQ, F~ I nn in 16310 GRAND RIVER AVENUE DETROIT, MICHIGAN 48227 PRELIMINARY CHECKED APPROVED tOt~'` ~ 0 J iZI. L O" 4 '0 I, lOLl I 44~- O" ~o-~8 DATE NOTE 19. 5 ~lanners, inc. DESIGN NO, 1559 BHEET NO. I 5 ' ' '?'~ ~"" -,' ~ ~"~' ~ '-f~/7 .d ~?,~,~ I ' ~,~ ~- .~-,~1 ..... -I- ,,~-,~l' ~1 L,~~ ' ~ [ ~- ~ ~ ' ,~-~ I .~-0 - ~-~0 ~n~ ~_ ~ $-, , ~-~ · , ~ . ..... _ .... ~, . ,,.. ., ~ ~~: , ~ .... ,~ ~~~ ~- ~_~ ~ ~__~ ,, ,, , ~ ~ :: :~ _ .,.,- . , ...... :--:~::::=~ :~ ~ , , , ..... T¢. " J- ~- 'l' I' ,,~_,~ i~ ~,~:~ ' ~ ,,~-,, .,,~ ..~ -: 4 o ,' 2 -~-F-~,~ ~,~ ~ '- ~ P: ~ ~ :5- '. .. ........ .~ .......... ~---': -~' ,, -- ,, , ~' ~: ~, .-. ,, .~' ~ ~~ -- ~ .,.., ~t *-," ~',' " ~ " ' ~'~'" ' : ' " .... [ I I ,! I ' H ' ~/ ~r,, ~ ~ , ~ o NJ T i T S E L JE £ N T. I-J& LI.. ~T Al [~ D F. 'T k I I. PRELIMINARY CHECKED APPROVED NOTE: MUD ~.~, -r Pi c L W ~ L L ~< ;. C, _q anners, inc. ome 1339 SHEET NO, OF 16310 GRAND RIVER AVENUE DETROIT 27, MICHIGAN 3 5 ~ ~ ~ ~o ' I ~ ' ~-' ~ b : ~ .-"~--. ' ~..- ~ 4-0 , n-n ) ~ , / -~x ~ ~ ,, ,, ~ ~ ~ .../~ ~ t . ~- o ~ ~' q " ", /~$' /" -~/ ~ 3 ,, ~- o ~ ~- o F U O O ~ 5 H ~'q. P L FOR DATE REVISlONG BY DATE .o=, ~ome planners inc SHEET NO. OF LINE ITEM QUANTITY & MATERIAL, UNIT TOTAL LINE , ITEM I QUANT!TY & .MATERIAL UNIT TOTAL , I~INE~ ITEM QUANTITY & MATERIAL UNIT TOTAL LINE ITEM QUANTITY & MATERIAL UNIT TOTAL NO, COLUMN NO, 1 UNIT MEAS, (TYPE and/or SIZE) ' COST COST NO. COLUMN NO* 2 UNLIT MEAS. (TYPE and/or SIZE) COST COST * NO, COLUMN NO. 3 UNIT MEAS, (TYPE and/o~ SIZE) COST COST NO, COLUMN NO. ~ UNIT MEAS. (TYPE and/or SIZE) COST COST 1 D~IGN NO. gP 13~9 ~ t ~GN NO. gP 1339 ~ Dg~IGN NO. ~ 13~ ~ ~IGN ~. ~ s 3 Pa~ 2%~ ~ ~, _. '~ " C~k ..... -~ 8 I~%e~o~3&~ 8 ~T~OR ~N~H 8 . ~.L~F%. 1" x 12" 5hsl~n~ 15 i0 Po.. - 12 ~B~ . - ~s ~ ~% 2'.~"x 6~;~"x ~" S~ ~iF~ a T~k ~ ~ ~bB~ Holdtite ~1 N~s I~ 2~B~e ~"x ~"x ~" ~e --~ P6~;-- 8 x 8~~ a fl - 16 ~-]?~ T~ 2~ Lin. F%. Ml~ ~1 C$~e~e~ is ~ I B~e ~x ~"x ~V~t ~ ~ti, L~;e Top ~ ~-~'~- ~ ~8 x 16.' ~-- . -~ ,~ ..... z2 - _ 12 Pas. "- ~.x~x 12i.~ ~g ~s% (Pe~) 22 -- 1 Pa. _ .... ~2"~ ~x'l. M~le'Bhowl~Be~t ...... zz - ~ U~t ~2.-x~'72. ~ -~-- 23 1~ ~.Y~. 50/5~ M~-~ --~3 ........... ~ Poi. 2"x ~'~-i2'-0" Pl~h ~ & H~ 23 3 pea. pa~er Holde~ 23 1 U~% 8" e~au~ F~, ~ot · ~of V~t -- ~' 1~.'~ 2"x ~x 10'-~e~ 24 --- -2 Pos. S~ & Gr~ Bars ........ 24 ~hen ~d - ~ ZO 3~kl ~- 25 18 pea. ~'~x 8~-0" Ceding Joist 25 8 pea. Towel Ba~ 2~_ _ ~a~ ~ B~e ~ ~x 2~' ~sh~he~ 30 --~p~, 8~ x 1~ ~ue ~.~-Zs 3o 16 Lin.Ft. 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H 46 1 Si~___ ~" X ~" ~d W~ " ~Wide ~H~ gh - ~- 2~ pos. ~ ~ T~~ 46 __ 1 F~nt - (B~nd) __. ~ 2 pas. ~x ~.~ ~'-0" ~ ~ ~1 <s ~or Fr~es 49 p~elin~ a M~tels 4S 1 5~ S~et~n ~ -- 1 Pa. ~-~,.~ ~ F w-' . ' - ~ 1 F~nt ~-~-~ ~'-8" ~eted 1-~ B~ck Mold Casing ---~-' ~0 SR.R~___ ~ ~ Wid~ ~;C~t,~ pahe~ng -- ~ 1 Set ~ Slo~ H~ Sl 1 ~. ~X il--4-~ 8'.~ " " " " 5~ 1 ~-9 2'-8~-~-'6''8" ~ '-~ ~- '" " 51 52 L~.~. 3,~ ~ C~ M~d 51 2 Se~ Mo~ise ~ Bolts 5a ? pea. ~ ~x 3~~- L~tel ~, ,s 52 1 ~e~c. '~ihO" x 6'.8" Gli~ng ~or, F~e, Track ~d s2 ~ ~in.~. 3,~Cu{ ~ W~ Ch~r ~ Il s~_ ___ 1 Set ~a ~ 53 · poi. -~~.~ ~ ~ . 53 ~ -~ Te~e 6'.0"x~%8" ~i~g ~O~; F~e, T~ nd 54 .... 1~ Lin.~. ~, ~" x 1.1~& P~el M~d 54 3 In~o~ P~y L~k Setl ss 1 Pa. ~x ~x 3/8,'x 8'-8" " . - -- ss ' fla~a~ - B~ok Mold C~g ss 1~ Lin.Ft. % ~Mo~g~i~u~ 55 10 Inte~_~ ~a~_ ~ " s7 1~ S~ko -- ~e~ 57 J~b C~ing, 5/~ x 8" H~ ~sing 57 Ceding Be~s ........... 57 13 P~ ~ x ~ Bm%ts ~ 1~00 P~. 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" Li~ 69 1~ ~.Y~. 60/~ " ss ;2 Pa.. 3/~x ~x 8'.0" C~ Mold 69 3 In~or 2'-0~ 6e~"x 1-3, 8" Bifold ~P~ t~ s9 -'~t Glue 70 75 S~ C~t 70 Co~ee T~ ~o 5 In~or 3';O"x 6'.8"x 1-3, 8" . - ~ " " 70 1 ~ S~d 7~ ~ pOS. ~ Vit~ C~ks 71 210 L~.~, 1" x 6" F~a Boa~ ?1 2 Inte~or ~'.O"x 6"-8~-3/8" - ~ . . 7{ ~U~ ~ _ _ ' 5 pos, ~ . ~m Bem~ 72 ~0 L~.~. 1" x 6" Safer " 72 1 Inte~o~ 3'-O"x 6'.8"x 1-3/8" ~P~el Coloni~ 72 ~ L~. 8d ~ 73 ~ pole ~ " W~i 73 210 L~,~. )/~ x 1~ Bid M~d 73 ~OF F~8 73 1~0 Lbs. _ ~6d C~n 75 F~NG L~ (L~ ~le B~ O~ ~ii~ S~Iim ~0) ~5 72 L~.~. 1" X 12" Po~h Be~ ~a~ng 75 · S~s 2'.~x 6'.8"x ~3j ~ ,, - ., TS._ -- : - 2~ L~. - ~ ~ -- 26 ~.~. 2" x 8" " " ~ ?Z L~.~. 3/~-- " C~g C~ ~ I Set Z'.~"~ 6~x ~31 ~ " '" __ --~ ~ L~a~ __ 6d " SO 1~ ~a. Z.x l~x 1~'-0" J~s% 8o 100 L~.~. ~ ~ke Sh~ ~ '-- Z Se~ ~,.O~x 6'.8"x ~3 ~ . . ., so ~ Lbs. 6~ -" " s2 7 pe~. Z"x l~x 10'-~ " ~- 2 U~ 72" T~a~ Ga~e Lo~ve~ a~ --" 6 Si~s 2'.O~X 6'.8" Casing s2 2~ea. 10" ~qt s5 ~ Poe. ~x 12"x 1/8" Me~ J~% ~e ~a~a s5 ~ ~~ ~" x 10- B~ Si~ng ss ~ si~s 2,.8. x 6,.8- . ~5 87 ~0 ~Se 2"X ~X 8v-O'' Stn~ 87 8~I ~n.~. 1-1~ X 1-~8" ~p ~p. Mold s7 % S~des_ ~'-0" x 6'-8" " 87 _ __ 88 ~ ~a.~. ~ x ~ ~a~ 88 ~lw~rk ~d SS ~i~ 5'-~' x 6'.8" " 89 2 p~, 2"x 12. x 17~.0' ~n~e~ ~ ~E 3/8" ~"x 1 ~'.0" 8S - Shut~ I U~t ~"x ~"x ~" ~ ~la ~ete ~ ~ Shoe a9 1 ~e 6'.0" x 6,.8,, . 89 __ ,o,, '/- ome ers, inc. ---