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Home My WebLink About11163-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy Z10679 September, 11 1981 No .................. Date .................................... THIS CERTIFIES that the building ................................................ Location of Property .. 3 .~5. Ct. ~a.~,~. ~ o.~d, ............... L,a~tve.1,. I~e.~. ¥oz'.k ......... House No. Street Ham/et County Tax Map No. 1000 Section . ...1.2.5. ..... Block ....0.3 .......... Lot ,...0 .(3.0 ........... Subdivision ' .Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ...... t! ~.y.. 1. 5. ........,19.8.1. pursuant to which. Building Permit No. 11 .1 b,3.. g ............. dated , ~ ~ ~, .'~ 0, .................... 19 .8.1., 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 ......... .................... .~?.r:..t~.~.~. ~. ¢.~::~., ! ?.o.~.~..~.o..~..~?.~.~. ? ........................ The certificate is issued to . .R. 9~9..~o.~lf~.r~o. VOK~, ....................................... (owner~s~e~ ~r~rJ~Rt~ X of the aforesaid building. Suf£ol~ County Department of ~ealt~ Approval ........................................... UNDERWRITERS CERTIFICATE NO .... P?.n..d.J..n.g. ...................................... Rev. 1/81 FO~I~ NO. ~ BUILDING Bi~PARTMEINT TOWN HALL, SOUTHOLB, N. Y. 11163 BUILDING ,PERMIT ~ (THIS PERMT MUST BE KEPT ON THE PREMISI~$ UNTIL FULL COMPLETION OF THE WORK AuTHORizED) · ~ ........ ~ ......~,.~ Z Date ..... ,.....~ ............... Permission is hereby granted to: x ~.~~...Z..~~~, ...~.~..-~...<~.....2J..~., ............. ...~-..~:~.~.~...-...~./..:~.; ................ ! _ . ~o ..... ~.~,.~.~~ ........... ~.z~ ......... ~~ ....... ~.~.~.x ...... ......... 2~e2~....~LS. .......... ~....&~.~.~ ........... ~ ........................................ 9ursuant to opplicotlon doted .............. ~...~.....~ .... Bui:lding Inspector. Fee ....................... .... , 19.~/., and approved by the Buildi~ / Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s apphcat~on must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new build~ngs or new use: t. 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 buddings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certdicate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of comple(ed s~te plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses' I. Accurate survey of peoperty 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. 1. Certificate of occupancy' $5 O0 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1,00 $5.00 Date .-~.~'~ .... /,.. ~, .c;~...( ..... New Building ..... .~. ...... Old or Pre-ex~sting Building ............ VacCnt Land ............. Location of Property . .~.~ .O~. ?, ......... ~. ~./.~/ ..... ~ Z;~ ............... ] ~' ..... /~ ..... 7. Owner or Owners o f P~:}~rt~ ~..o.~"/~-.- .... /~ Street , Ham/et ...... /k, . ~.Z~./.~.~.~ ~,, ~_________~r ./. .......................... County Tax Map No. 1000 Section ....~. ~--,j~.. .... Block .... .~.-.~ ....... Lot ..... ~. L¢)~. .... Subdivision ............................. Filed Map No ........... Lot No .............. Permit No. /.,//~,.~ .... Date of Permit //'~/~7.~O..Applicant .... .~ .....~. ~t~,.~5~l 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 app4~able codes and regulations. Applicant ................... Rev. 10-10-78 FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CDDE FINAL ADDITIONAL COMMENTS ~RTOH Bt . ~ SOU~E ~T.~ - No, 2 oR BETTER SOUTHERN YELLOH PINE 6'X~', SL~E POSTS USED 1~ BUffINGS ~E PRESSURE TREATED WiTH PENTAC~OROPflE~ IN ~ OIL TO A NET RETE~[Z~ OF ~(C~ Iff E0~RETE - Post ~OLES ~,E DU~ q FEET DEEP~ ~ POUflDS ~ CO~RETE RIX POURED INTO THE HOLE, ~ ~"X~" ROD IS P~CED T~OUGH THE pOST ~" FR~ THE ~O~,. ~ ~DITIO~L q~ POUND OF CONCRETE ~IX IS POURED AR~ ~E BASE OF THE POST, ~ - ~p~SHBO~DS ARE ~O, 2 AND SE~ER S~HERN YELLOW PtME 2mX~m ~ CE~ER ~TCHED~ PRESSURE TREATED WITH PEHTACHLOROP~NOL T0 ,~ P~D RETENTI~, R~F TRUSSE~ - FACTORY ASSE~LED HITH 18 ~ 20 GA~E STEEL TRUSS P~TES AS REQUIRED, TRUSSES ARE DESIGNED BY A REGISTERED PROFESS]~AL E~INEER FOR R~F LO~S AS REQUIRED ~Y LOlL CONDITIONS AND ~UILDING CODES, ~C~ - ~EE ~RACES AT EAC~ IRUSS-COLU~ CONNECTIX, 0,0~5'X1~' H]~ TENSILE STEEL DIAG~AL~ X-BRACING iN ALL CORHEES, ~TERAL TRUSS TIES AS NEEDED, ~ - ~,01~m HIN,~ [~ OUNCE ZiNC COATED STEEL ~J~ AN ~DIT~ONAL BAKED-ON SILICONE FINISH, COLOR IS i MIL THICK ON INTERIOR, TRI~ - 01E-FOXED TEi~ OF 0,0[~a MIN, STEEL ~]TH SILICONE FINISH ON CORNERS, GABLES ~U~R~ - 5a BOX TYPE GU~ERS~ COLORS TO ~TCH TRIna ON ~OTH SIDES OF THE ~F~ - ~L~IN~ FRAHES ~ITH SECTI~AL PANELS OF TRRNSL~ENT F[BERG~SS, S~tlTES - ~8'x7'1' PANELS OF 80Z, TRAHSL~ENT F[~ER~SS FOR~D INTO S~ PATTERN ~H~. ~ II~flI~FltTIIAT10fl. ~ ELECTRICAL ~RK - ~ OTHERS, NOT PART OF 1HESE P~NS, HORTO8 Blllln[~SS - ~aJL~ANTIFS ~]R[ON BUILDINSS, [/IC,~_ ~ARRANT~ A BUI~ING ~HICH IS ERECTED AS FOLL~S: ON ~ICH F~ING OR CHALKING HAS ~CURRED UNDER CONDITIONS OF NOR~L ~EATHERIHG IN EXCESS OF S ~ITS AS DETERHINED BY ~T~ ~59-/Iq (1965), ~TE: ~~E~ S~CIFI~TI~ A~,~tFS ~PLY ~LESS I~ICATkD DIFFERENTLY REVISED BY: " [3ATE. 800 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Examined/'~A~..~..Q ...... 19o~. (Building Insuector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Applicat,on N¢~../../'~F~ a. This application must be completely filled'in by typewriter or in ink and submitted in triplicate to the Bultdi 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, relatmnship to adjoining premises or public st~e( or areas, and gaving a detailed description of layout of property must be drown on the diagram which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of Building Pexmit. d. Upon approval of tt'.is application, the Building Inspector will issue a Building Permit to the applicant. Such pern 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 Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildh~g Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describr The appl?ant agrees to cumply with all applicable laws, ordinances, building code, ho~ng code, and regulations, and admit au&orized inspectors on premises and in buildings for necessary, inspections. ........... (Sigffature of applicant, or name, if a corporation') (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, .... .... .................................................... Name of owner of premises ..... ~'. ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly autlmrized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... / 1. Location of land on which proposed work will be done .... 4~.. q ..~.~ .~.. House Number Street Ilamlet County Tax Map No. 1000 Section . J~.~. ......... Block .. ~c~ .............. Lot ..... .~. ......... ' Ivlap No Lot Subdivision ..................................... Filed ............................. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~ .'.~.m. ,r..('~ ..................................................... b Intended use and occupancy .~.o ....... ~ .~.~. ~ ~. ~. . . . · . , Po ....................................... 7. Size of lot: .Front ..... ~.I~.. t~.' ........... Rear ..... (-~.~..~. ........... Depth ).' Date of Purchase .cZ -:/2, ~..-. ~../ Name of Fenner Owner 1. Zone or use district in which pre:raises are situated ...................................... Nature of work (check which applicable): New Building .... .~..... Addition .......... Alteration ........... Repair .............. Removal .............. Demolition .............. Other Work ............... , ~, (Description) Estimated Cost .~. 4 ~.d Op 0 Fee (to be paid on ~ing this application) If dwelling, number of dwelling Units ............... Number of dwelling units on each floor ................ If garage, number of cars ...... . ................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... Dimensious of existing structure~, if any: Front ............... Rear .............. Depth Height ............... Number of Stories ......................................... Dimensions of same structure wi{h alterations or additions: Front ................. Rear ... Depth ...................... Height ...................... Nm erof Stories ....... Dimensions of. entire new construction: Front .... ~ O ....... Rear ...~'. t~ ........ Depth Height . ~/~.-n {~ ......... Number of Stories ......................................... Does proposed construction vioI~te any zoning law, ordinance or regulation: ................................ Will lot be regraded ...... ,,.. :...,..~ ......... : .... Will excess fill be,,~,emove, d from premises: Yes Na~ne of Owner of premises~. ~ot~t... Address ~t'O.. ~ ~Phone No. ~q~. ~.~. Nmne of ~chitect .......... ~.~ .............. Address ................... Phone No ................ Nmne of Contractor ~o~.'.~.og. oJ~ ~. Address ~q~.. ~&O& .~/~Phone PLOT DIAGRAM rATE OF NEW ~O~RK, ,~ ........ ' ~ (N~me of individual sigh'lng contract) ~ove named· e is the .............................................................. ' (c ) i ontraetor, agent, corporate officer, etc. f said owner or ownem, ~d is duly authorized to perform or have performed the s~id work and to m~e and file ~is 9plication; that ail statements contained ~ this application are true to thb best of his ~owledge and belief; ~d that the ,ork will be performed in the m~n6r set forth in the application filed therewith. worn to before me this ! T~rm Fx~ires Marc~ 30 19~- (Signature of applicant) . ~0. S2-8125850, Suffolk Gou~ Locate clearly and distinctly all'buildings, whether existing or proposed, and, indicat~e arll set-back dimensions from :operty lines. Give street aa, d block: mmber or description according t~o.deed, a.n.d sho.w4t-ree} names and indicate whether ~terior or corner lot. · ,I CHECKED By: REVISED BY: DATE: DATE: DATE: J~ J~'~t,~N BUILDINGS, J J I SCALE: SHEET NO. of TYPIC./~L k/ CHECKED BY: GP REVISED BY: DATE:~-~,-~ BUILDINGS, DATE: __<< .~ '..-,i, c~ Li 0',,¥. % ~ 1 FA ?-, M 5 JOB NO 3- ~ : SCALE: SHEET NO. of TRUSSES SPACED ROOF LIVE LOAD DF~kD lOAD 4' :O.C. 16 PSF 4 PSF 20 PSF Truss has been designed by eom- purer using the Purdue Plane Structures Analyzer IAW the Trus~ Plate Institute's speclfication~ · Output data will be provided . upon request. -~1950f MSR lumber used in lower _ chord and 1450f or better lumbez used in top chord and web mem- Bers. Allowable stresses are increased for short term loading. 20 Ga. galvanized' gusset plates are used except !where noted. NAILS 10/4 NOTE: PLACE 1/2" OF UPW,ARD CAtiB?_R IN THE TO/:' CHORD AT --HE LOCATION OF THE TOP CHOP. D SPLICE. JOINT -~1 JOINT ~2 NAILS 18,/8 8'9-1/8' CAMBER AT F 5'11-1/2" WEB ~3 0 CENTERLINE ALTERNATE JOINT ~3 NAILS 24/12 ~8 PI. NAILS 10/4_ NA ILS~ 1~/6 5x10 PI. 11 xl~ JOINT 14'10,. ~. ~ #.'~.::./-'"'~.j/~ 'RAFTER LENGT~ 30 9-1/2" '~'N 22, ,. ,., + ~ /~" ~ ~ / ~ 22~ TRUSS LENGTH 59 9 ~ WEB ~4 * NAILS 10/4 JOINT NAILS 10/4 6x9 p L R__EQU;RED: 2-T.C.' ~'1 (~216011), 2-T.C. -~2 (6216012), 2-L.C. (6216020), I-%'~t[B .~1 (6216041), 2-WEB ~2 (6216042}, 2-WEB 4,3 (6216043), 2-WEB ~4 (G216044), 2-WEB ~.5 (6216045), 2-W E~ ~.,~.~= ~6216046), 2-WEB .~7 [~z]60 Zl'~----4--, 2-11x16- NAILS 10/4 JOINT ~6 '~o* 021o000{ 2-16xll PI. (5905611) 33,2 T-NAh. S ---- -- 2009 60' S.C. TRUSS 12/79 _ I SGUARF ~TS - No, 2 oR BE~ER SOUTHERH YELLON P]#~ 6':~'~ 5C4~A.RE pCI$~ ~S~ Ill ~T~41 . BUiLJIING$ .~qE PRESSURE TRE~.TEO N]TH PEHTAC~'LORO~E~d~. IN ~ OIL TO k NE'r ~(ETE~I~II OF ,S prlulIg$ OF ~E~rrkCHLOROPHENeL PER CUBIC FOOT OF '~d~OD, CHECKED BY: :=? DATE: REVISED BY: DATE: SCALE: SHEET NO, of TYPIC~L ,I DRAWN BY: ~'~ ~ DATE: CHECKED BY: Gp DATE: REVISED BY: DATE: [ L E ~./ATIO LI BUILDINGS, INC, ]- - TYPICA~- %IbE~VLLL I SCALE: SHEET NO. of I -- I TRUSSES SPA~ :.:~ 4' ROOF LIVE LOAD 16 PSF DEAD LOAD 4 PSF 2O PSF Truss has been designed by bom- purer using the Purdue Plane Structures Analyzer 1AW the Trus Output data will be providea ~'~950f~SR lurer used in lower loading. 20 Ga, galvanized] !~llere noEed.. RAFTER LENGTH 30'9-1/2" TRuss LENGTH 59'9'''{-1/8'' JOINT ~8 -- JOINT ~76 .I