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HomeMy WebLinkAbout11147-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy ........ Date ........... ~.~. THIS CERTIFIES that the build/rig .~-d~'~:~9~ ..................................... Location of Property ...~q-5. ~a¥~¢~ S~. ~ ................. ~J&~.~i~l&ak ........... House No. Street Ham/et County Tax Map No. lO00 Section .... '1.00 .....Block ..... O'J ........ Lot .... Q~ .......... Subdivision. ~3,~air.e..ES¢~.~e$ ........... Filed Map No.. ~.G~2..Lot No .... .~3. ....... conforms substantially to the Application for Building Permit heretofore flied in this office dated .... ~'e.~.~O:P~..39 ..... 198~. pursuant to which Building Permit No...~.~ ~ .~.7.Z ............ dated ....... ~ay..55. ............. 1985.., 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 ......... ....... Addi.t.ion..t.o.a..one. family..d~relling ................................. The certificate is issued to RZCHAR]) ~T. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~-~o-GO UNDERWRITERS CERTIFICATE NO. N 5~258d Rev. 1/81 Building Inspector FOEI~ ~0. ~ Town 'OFf S~UTU~[~ BuILDIN~ D'~PA R'l~/~m~: TOWN HALL SOUTHOLD,~ a~ Y. BUILDING' PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMIS~S COMPLETION OF THE WORK AUTHORIZED) ' UNTIL EULL N9 11147 Z Date ........... ,..../..e.. .............. , ~9..~./ Permission is hereby grarffed to: .. ~..,~ ~.~,.~ .~¢,O2.'.. ~ ..... ~. ~.....,, .. to .... ,._.~.~.~,,,.....~.~.,,.z,.w.<a---....,,,..,.,~.,.- ................. at premises located at .... ~..~ ................................................................................ , .: ~ ..... } .. ~m~:~....~~ ....... ~..~ ....... :,~,....~....Z~,~;.~.~ ...................... ~ ...~Z .......... c t ~o..~Z .......... CbunW Tax Map No. 1~00 Section ,..Z ,.'.~ .......... BloCk ,~ ~ ; o - ~. ....... .~.~ ..~ ..... 19 ~nd opprov~ by the pursuont to ~pplic~tion Building Inspector. Fee $.../...~. ............... Rev 6/30/80 InsDector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-exist!ng" land uses: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topograph m 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 ~r land use $ !~'/ $5.00 3. Copy of certificate of occupancy $1.00 ! New Building [~ I 1- 0/~ Old or Pre-existing Building(X) ..... ~ tVacant Land Location of Property .............. .-~ .......... · ............ · ........ ~ ..... Owner or Owners of Property . .~. ,~.~ j~...: .~._._:_.. . .E-./?./~..~..~. ....................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ........................... . ...... Filed Map No ........... Lot No .............. Permit No. [(.{./~ iT ..~. Date of Permit . .~.~.~/~.~ .Applicant ...~. ( ~ ./~.,~/~..~.~...../~.: ./..~. ?~.~.A?.,~.//~ .~'~. Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval . '.~ .................. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted $ ............................. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy ~- ~*[~1A$~i l~, ~ 85 JOHN STREET, NEW YORK, ~[ 100~8 THIS CERTIFIES THAT only the el~trical equipment as described below and introduced by t~ applicant ~med on the ab~e appllcatio~t number irt the premises of ~. ~d ~d, Way. rest ~., ~r of/ S~a~e Way , ~t~i~, N.Y. in tbe/ollowtttg Ioca[iott; ~BasF~t ~ 1st Fl. ~ 2nd FI Section Block Lot was examtned on i~ ~ ~ ~ ~ and found to be in compliance with the ~equlrements of this Board. FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT SYSTEMS NO OF FEET E OTHER APPARATUS 1-G.F.I I C NO OF HI LEG AWG OF NEUTRAL Walter FiP~er 4O5 S~rch L~. Cu~:'~ogu~, N.Y. 11935 ~c, 18~-g ~ Th~s cerhficate mu~ not be altered m any manner; return to the office of the Board if incqrrect, inspectors may be ~ ! ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF C;~ICAT~ ~S~ ~OT BE 4~T~RE9 IN ANY MANNER. - FIELD iNSF~C'I LL~N oummzl~lo ~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C DE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765'1803 Examined ..... Approved ..... , / Disapproved a/c ............ ............. ~Z~7 Z .'V..~~ APPLIOATION FOR BUI LDIN~ PERM IT Application No..~./, ./.~..~. ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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 buildings for necessary inspections. . .~..~:~...~.,~.:..~..~.~.~.v~:?.(. ......... ('Signature of applicant, or hame, if a corporation) · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C Name of owner o f premises..~./.(7. '/J{~ .ff. ~ .~.' · ./.~..~- ~..~...~: ~. ...................................... (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 ....... .~ .~. ........... Plumber's Lmense No ......... :..~F.. .......... Electrician's License No... Other Trade's License No...~./.~.~...(//?.~.. y...'..~/J~' 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section .. /.~.~ ............ Block .(~.[. .............. Lot..~{/.[ ............. (Name) 2. State exishng use and occupancy of premises and intended use and occupancy of proposed construction: 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 dwelling units . .~. P[.~. ...... Number of dwelling units on each floor ................ Il' garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature.and extent of each type otf use ..................... 7. Dnnensions of existing structureS, if any: Front..~. ~.,.~. ...... Rear .. ~. 7. .5( ..... Depth . ~.~, .~.f ...... Height ............... Number of Stories .. f .......................................... i .......... Dimensions of sense structure with alterations or additions Front ,cr~-~ ~., ~. Rear . ~.,~. ....... De th .~Zr.t?. ~ 3 ~ p ................... '.. freight ...................... Number of Stories../. .................. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Nmnber of Stories ........................................................ 9. Size of lot: Front . .o200.f...2 ........... Rear . .~.Q0. ~. .............. Depth .. FAO. ( ............... · .."-'--.'~./~°./Zb ................ Name of Former Owner ~,.,~.1~..-C..A/...O0/[/. 5.TJX.: . .C.0.' ... 10. Date of Purchase 11. Zone or use district in which' ~remises are situated..t~...~.~.L~)d~Ad~, fl..L- .................................... 12. Does proposed construction violhte any zoning law, ordinance or regulation: ...................... ~ ....... 13. Will lot be regraded . A/.Q..,, .i ................... Will excess fill be removed from vremises: 14. Name of Owner of premises J(/.O~ .Z/fl..~..~./[/: ~ .~,(I}~. JPAddress~.~.(' ~.0X.. d3 ?t~. ~/t[/..F~ne No. ~?.~. v."?)~..O.~ .Z-..."F~'. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ......... ~ ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. I STATE OF NEW YORK, .o ~ cou, X .... · · ~.A/.,~q .~'{ . . .......... being duly sworn, deposes and says that he is the applicant (Name of indi . ct) above named. He is lhe ........... .C.*.~.../~.?~..~.O..~..~..- ........................................................... (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 Notary Pub!i . . ] MfiCISLAUS WINIA,~ Na~/Public St~,le ol New ¥~1~ ................ ' No. 52-970872S Suffolk C.o~ty Comm. Exrfires March 30. ~aeilitiOg for t~!s location have been and f~und Chief of ~ener~l ~7 L0~ .~vE¢REST ^T MA TTI TUCK ow. o~ SOUTHOID SUFFOLK CO.I N' Y' ' DCALE: /,,__ 4~), DATE '~L~..0" OVHNG 25'-0" 2"X6"STUDS 2'-0" OC / SIDING TO ADDITION FAMILY I~AfC H EXIS T/NG ,3,2'X 8" F L G RDE R ROOM TRIPPLE CSM T ~ 2 ~( lO BDO I3M ~7 x 2"X 8"FbJS T5 ¼ -7~" Oc' ~' 17:0' ua ALCC 0 BY 46 ~ LAV VENT T¢ ROOF '%. d 57L5" ,, w/ 2')46' STUDS TO LiNE-UP W/EXIST N( 2'X4' WALL,~ SIDIN5 2X ~" El' ¢FJCIb~ PI lS TPUE~ED, SEE DEFAIL 2t0'' O.C 6-10. .%.,. 68HC REVERSE SWING OF EXISTING FRENCH DOORS ?'-0'X fl'8" EXIS'iFNG DININC- ROOM EXrSTING LIVING RO0I} EXI%ThlG 68' BY-PASbl NG ....... 'H E RNIOPANE DECK UP EXIST[NO KrTCNEN PORCH OCCUPANCY OR USE IS UNLAWFUL ITHOUT CERTIFICATE OF OCCUPANCY NOTIFY BULLU,"~ FOLLOWING iNSPECTIONS: ~. FouNDATION - TWO REQUIRED pouRFD CONCRETE FOR - ,.,.,~ o mLUMBING 2. ROUGH - FRAMI~a ~ ' 3. INsu~TION 4. FINAt- - CONSTRUCTION ALL CONSTRUCTION ~HALL E REOUIR[MENT~ OF THE N,Y, TH . N & ENERGY DESIG~ O~ CONSTRUCTION E FLOOR PLAN )RAWlND NO 1 PROPOS£D ADZ)IF/ON T-Q Tt.t_~ NOM~" OF SCALE RICI¢RR,P & Ct]ROLYIV M£N/~R,O DRAWN e¥ GSD~E~S MATTITIJC/( , IVE ~t/ YOh~t~ 4'30'81 25~0" 2.28 Xl 2- I~SMTCS~qT ~2 X. 8 JOI 16'0C ~-- 12,' X 8' CONC.FfNG _~_ I~,~,SENIFN T 2",(~'"N~ILER TO RC? LOOKOUT "W' TRUSS ALTERNATE PLAN: C~JT WEE]S FLL,:,H IH LINC WITH RAF~ER./J,2r'TS FASTEN WITH 3/4' PLY GUSSETS ~ REQ 24" OC NON-TRLI' ~ED 2'XE'RAFTER/JOIST OVER NORTH WALL L L,rV[3ER. 2"X 6" ST U D S 2'/~I' ir Z"/8" JSTS FULL 37 CRPL5 ]0 10 FOUN DAT ION/SASE'vENT T RUSS DETAIL DRAWING N"3 CFi' ~VIE/VAnO / OM ;CAL~: I/Z,'= 4 ;'3 ?] ~, 235~SHINCLFS fO N&TCH -- - - : : ~% EXIStiNG EOCFINC- CEDAR SHIN CCE5 N~AT C H EXISTING TO J i---- ~4ST ~LEVATION T -BfLCO"SL ~ I I 18'- 9' FOOTtNG ALL EX ROOFS z,'/ 2' PITCH -1'-5" X 2'©" VENT ROC'F PITCH .~-1/" FdF,EE Iq[S. T~ MEET ,i I ~ I I I ~ I 22'-4" WEST ELEVATION --- -MIN 8" BAT INSULATION ii BILCO" IADDI,TION 57L5'' ND AT EXISTING NORTH WALL 9 GROUND AT NO RTH ELEVATION NEW NORTH WALL F' DRAWIN,~ N 0 ? PAOPO,5~-z2 t~ ~D/7-/Off ,' /VI E'/V A ,R D F/ O M E SCALE l/z;: ~ O' DRAWN BY O SUNtMERS 4 3081 TRIPPL CSMT NEWV. STUDS TO LINI VV/EXIE 2'X~' % SIDIN WALL~ '1 57L5" 25' 0" 2"×6'STUDS 2'0" OC A DDITION. FAMILY ~< 2"X 8'FL. JS TS 17:0' ~SIDING TO NIATCH EXISTING I ~/3~2'X 8"F L G1RDC R ~ [ROOM 2'~X 10'RD6 [:3hf J~ 2"X S"( Fll [JF JOST~ RF1S TPUS~ED. SEE DEIAIL 2t0'' or 2'T' 211" 6-10". U ~(~ HC 12'- 0" 3:4" _, 3L8'' OPENING 0" X 6 5' BY-PASSING DECK EXIqTI~IG ri -REVERSE SWING OF EXISTING FRENCH DOORS 3'-0' X 6 8" EXISTING DINING ROOt,.I EXISTING LIVING ROOi PORCH _L EXIST[FiG KITCHEN OCCIi?IitlC¥ OR lie IS UNLAWFUL CERTIFICATE 11: OCCUPA, NC¥ IFEE: BY: ~OTIFY BUILDING DEPAP. T~N~I' A~ 7654802 9 AM TO 4 PM FOP. TI4E FOLLOWING INgPECTIONS: ilo FOUNDATION - '1~/O REQUIRED I FOR POURED CONCRbI~c 9. ROUGH - FRAMING & pLUM~ING ~, INSULATION ~. FINAL ~ CONSTRUCTION ~ BE COMPLETE FOR C.O. r~LL CONSTRUCTION SHAll ~ THE REQUIREMENTS OF THE N.Y. ~/-^TE CONETRUCTION & ENE~y CODES. NOT RESPONSASL~ F~ ,I~SIGN OR CONSTRUCFION ERRORS. FLOOR PLAN DRAWING NO __ PROPOSED ADD/F/oN TO THE HO, VIZ OF ~IClFRRD E C/?flOLYN M£N~RD M~TTITUdK , IVEKI sc~. y~"; ,%" DRAWN BY O SU~WNERS 4'30'81 ,3" "BLOCK WALL ON ~6~8'_ ____~.lL- )____~/-- 8 1~' X 8' CONE FTNO 2.2~8'xf 2- , WINDOW% ~,~-- m ~2X8 IG'OC DFLIbl - 2,1 17 FOJ'IHO 'fO ' ' I~ ~ s~ hi LNJ ?"X &" N~J LER 70 LOOKOUT ALYERNAT E PLAN C'JT WEBS FLIjSH rH LINC WITH R,:,F"ER:/J:[ TS FASTEN WITH 3/4" PLY GUSSETS TRUSS 9 REq 2£' Or NON-TRLI rD ZXS'RAFIER/JOIST OVER NORfH WALL LL~,IBER 2'X6" STU DS 1'%8" JSTS 15 FULL 37 CRPL5 N OAT 10 N/BASEf',EN7 F Od T RUSS DEfAIL DRAWINC Nh3 0F3 PROPO$£D A OD/T/ON 7-0 /VIENARD ~/OM ~ SCALE: CEDAR SHIN Ct ES · 2 3 5~¢ SHIN CCES TO :-- - ~-_:_ ~ - __ EXiS~NG [eOCFING TO~ MATCH EXfSTING T E'/~S T ~LEVATION I AFD,TION ~1--1 r 18' (}" ALL EX ROOFS 4'/12" PllCH I J'6 X 2'-0 VENT WEST ROLF PITCH J-I/~.RIpFE RI5, f~ MEET BILCO ". ELEVATION Iv'iN 8"BAT INSULATION AT EXISTING NORTH WALL GROUND AT NEW NORTH WALL NO RTH ELEVATtON E LF\'Z,T'OHS DRAWIN(~ N 0 ~ PAOPO,SEZ~ ,8 PPlT/Off : / /VARD HO/W SCALE /, ~ ~ 0' DRAWN BY G SUMMERS 4 3081