Loading...
HomeMy WebLinkAbout13632-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zfi.~. 9.7.2. .......... Date ...... p.e.q e..m.b.e.p.. !.1 .............. 19 .8.5. THIS CERTIFIES that the hni/cllno0ne f ami ]-7 dwe ]- ~ing Location of Property .... E.a..s?..E.n..d..~.qa..d .............. Fdshevs Island House No. Street Hamlet County Tax Map No. 1000 Section . ? .......... Block ...3 ............ Lot 6 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..l~e ¢....3 ............ 19g..~. pursuant to which Building Permit No. 13632Z dated D e c. 17 198..4 , 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 ......... One family dwelling. The certificate is issued to ..... ANNE BORLAND ................ ?o¥.'o;, ................... of the aforesaid building. Suffolk County Department of Health Approval 14-S0-224 UNDERWRITERS CERTIFICATE NO. # PENDING PLUMBERS CERTIFICATION ~2/~0/85 Building Inspector Rev. 1/81 rO~M' NO,, B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13632 Z Do,e ....~.~.~.~..t."]. ................ , ],.A~ Permission is hereby granted to: ',-~ ..................................... ..... !~-.L..uJ..~....~.. ........................ .~.~.'~....~.~.~ ...... .~.~1...~. ......... at premises located at .......~..C¢~nt.~........~....~/....~.......~...d. ........ ~.~....~.........~.......~/..~.. County Tax Map No. 1000 Section ..... ..0...~. ............ Block ...... ..~..~ ....... Lot No ........ ..~. ............. ~,,rsuo,t to o,,,,,~ot,on ,~ot~ ..~'~....k~.........~ .................... , 1~.~.~..., o,d opp,o,,~ ~,y ,he Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted .-~ 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 tines, 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 p~operty showing all 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15,00 3. Copy of certificate of occupancy $1.00 4oVacant Land C.O. $5.00 Date NewBuilding....~... ..... Old or Pre-existing Building ..~.. ' ~"~'l~"~ ............ House No.I~,,~,f i~~$treet~. Ham/et Owner or Owners of Property .. , ~.~r,~.~.~'k~ .... er,~ .................... County Tax Map No. 1000 Section ....~. ......... Block ...7 .......... Lot.. ~'. .......... Subdivision ................................. Filed Map No ........... Lot No.., ........... Permit Nejd, .~. ~.,~,Z Date of Permit' ¢¢/, .~Applicant .~.../~..,~. Health Dept, Approva( L/~..~.,~7.,,--.4 .~.~' '....Labor Dept. Approval .v ...... .'7'..;.: ........... Underwriters Approval . .//~~ ......... Planning Board Approval .... ~ ............. Request for Temporary Certificate ..................... Final Certificate .... ~ ........ '.. Fee Submitted $....~.-~..~..~'. .................. Construction on above described buildi~~~2,/~;~d~ns. ' A p p I ic a n ~.,.,~.~'.~¢/'~~ ·/,".~,¢ .~,'~-'o,-"~. · ~ ............. Rev. 10-10.78 ~-'~ 4 7¢ ~/:Y TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner.~.O9 7~.~ (please Plu~er ~~ ~ (pl~se' I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this [/ day of ~3~c~ 19 ~. Notary Public, ~- County Notary Public FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Yo STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: .ooo . o THE NEW YORK BOARD OF FIRE .UNDERWRITERS D.'L BUREAU OF ELECTRICITY ~ 8.5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electr~aJ equipment ~ described belo~ and int~duced by the epplicant ~amed on the able appllcat~on number in the premises of ~n the followi,g Ioc,tio,; ~ Basement ~ ]~ Ft. ~ 2nd FI. Sectlo,~ B~ock Lot was examined on[ ~C' ~ ' ~ ~,0 ~ ].~)~ ~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS OTHER APPARATUS: S E R I C NO, OF CC. COND,lA. W O~ NO, OF HI-LEC A, W. G NO. OF NEUTRALS A W, G p~R~ OF CC, COND OF HI-LEG OF NEUTRAL 3/0 I t 0 Lic 1297 This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors GENEI~AL MANAGER be by their credenti6Js. ~ ~ ~. ~CoI%YEQRBUILDINGDEPARTMENT. TH BORLAND HOUSE 3 December 1984 Outline specifications Concrete 1. Foundation walls 8" poured concrete, reinforcing at the top of the wall. 2. Wire mesh reinforced concrete floor drained compacted base· 3. Entire basement sloped to two floor drainage to low area next to house. 4. Exterior foundation walls waterproofed parged above grade. as per code with slab, on well- drains to direct below grade and II. Masonry 1. Concrete block chimney with 2. Block and brick firepalce. two clay-lined flues. III. Carpentry 1. Kitchen cabinets allow $2,000.00 2. Bathroom vanity allow $250.00 3. Hurricane clips on all roof rafters. 4. Blocking behind all towel racks. BORLAND IV. Door and Windows No. Doors 1 Morgan M-lO8 with screen door 3 0 X 6 8 1 2 Morgan 9068 FAF "Swing-set" French Doors with screens 1 3 M-lO51 3 0 X 6 --8 Sliding Pocket Door 1 4 M-lO51 2 _8 X 6 8_ 2 5 M-IO 6 X -8 3 6 M-lO51 2 4 X 6 8_ 2 7 M-511 2 0 X 6 8_ 3 8 M-lO51 2 0 X 6 -8 1 Windows 1 Marvin 32 X 34 E-Z Tilt Double Hung ~12/12 8 2 Marvin 28 X 24 E-Z Tilt Double Hung 6/0 2 3 Marvin 2 ~ X 2 -8 "Casemaster" Casement 2832-1 8 4 Marvin 28 X 24 E-Z Tilt Double Hung 0/6 2 5 Custom Fixed 1 NOTE: Ail Marvin and Double Huag Windows will have Tru~ Divided Light~, single glazing, and storm/ screens on outside. Large arched Living Room window to be insulated true divided light. BORLAND -3- Finishes 1. Walls and ceilings ½" gypson board painted 2 coats flat latex. 2. Floors: oak, 2 coats polyurethane. 3. Interior trim painted 2 coats semi-gloss. 4. Exterior trim painted 2 coats enamel. 5. Shingles: 2 coats Cabot's stain. 6. ~Back prime all exterior trim. 7. "Wonder board" behind tub wall surround. VI. Equipment 1. Kitchen appliances allow $3,700.00 Include 33" Side by Side Doors Refrigerator @ $1,200 30" Range with Oven @ $500 Dish Washer @ $500 Washer @ $500 Dryer @ $500 Hood Vent @ $250 Dispdsal @ $250 Installation included in contract. VII. Heating 1. Oil-fired warm air heating. 2. 500 gallon oil tank. 3. Oil fired hot water heater: 70 gallon. BORLAND VIII. 1. Plumbing Provide water service to the house. 2. Cast iron soil ~tack from second floor bathroom. 3. Toilet American Standard White Elongated water-saver Cadet #2109.395 4. Lavatory American Standard Whited Circlyn #32OO.011~ 5. Tub American Standard Cast iron #2605.103 with Fiberglass surround by Swan # 6. Bathroom accessories allow $150.00 medicine cabinets, towel racks, toilet paper holders. 7. Kitchen sink "Elkay" LR-2522 IX. Electrical 1. Provide electrical service to the house. 2. Lights and outlets to code. 3. Light fixtures allow $750.00. For 4. Low temperature thermostat to 40° fixtures only. No B. Specialties Balcony railing allow $600.00 for delivery to New London ferry dock. fabrication and Do not mount electric meter on side of house. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19.~.~!... Permit No ..................................... Application No ................................. Disapproved o/c ............................................................................................ .............................. ; ~'~.:W ~; .............................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 3 December 19...8..~.. ..... a. This application must be completely filled in by typewriter off.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 areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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. ~u~ntil a Certificate of Occupancy shall have been granted by the Bui ding. nspector ~ APPLICATION IS HEREBY MADE to the Building Department for the issuance of a I~uilding 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hous ng code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~ r~.~' (Signature of applicant, or name, if a corporation) (Address ~f applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general ~;plumber or builder. ................................................................. ~.~h~.~.c~ ..................................................... ~ ................ ~ ..................................... Name of owner of premises .................... ~ft.~.~...~.o.r.~.~ll.d ........................................................... :';'i~ .............................. If applicant is a corporate, signature of duly authorized officer. ,,'", ' (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. OtherTades License No ............................................... Tax map ~no.~ Block 31 Locolion of land on which proposed work will be done. Map No.: 1000-7-3'~.6. . "'. Lot No. IIA Street and Number Southold Municipality Stale existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Vacant lot ~' · b. Intended use and occupancy Vacation house ' f, '" - 3. Nature of work (check which applicable): New Building,. ....... ~ ........ Addition .....· ............. Alteration ................ Repair .................. Removalj .................. Demolition .................... Other Work ..................................................... : '," ' (Description) . $102,1.0.0.00 4. Estimaled Cost .................. i ....................................... tee .......................................................................................... (to be paid on filing this application) ' one 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ....i .............................................................................................................................. 6. If business, commercioI or]mixed occupancy, specify nature and extent of'each'type of use ...,:,'.Y. .................. 7. Dimensions of existing structures, if any: Front ............................ Rear ............... ~ ................ Depth ................... Height ........................ Number of Stories ................................................................................................................. Dimensions, of same structur~ with alterations or additions: Front .................................... Rear ............................ Depth ................................ ~eight ............................ Number of Stories ................................ ~25~/ft' D .... "~ ~33 ft. 8. Dimensions of entire new copstruction: Front ......... ~.~...~,~,: .............. Rear ............. , .............. epm ..: ..................... Height 30 f t. Numbe~ of Stories tw~ , 9. Size of lot: Front 339.i92'ft. ~, 226.57 ft. m~,h ~67 94 ft. ' . ................ Ir ............................................................................ ~ , ~ ~'~' ~'~. maxwell, Jr. & 10. Daf~ of Purchase ....... ~O...N,o.x~m~.e.~.,.l~.8,31 ........... Name or former Owner ~'~'f~'~'~'~"~U'fW~T~ ................ il. Zone or use distrlct in whichjpremises are situated residenCial-a~ricultural 12. Does proposed construction violaie any zoning law, ordinance or regulation: ,.~.~.~o . 13.; Will lot be regraded ....~..~.~...' .............. Will excess fill be removed f~ ~re~s~s~.(, '~ Yes (~) No 14. Nome of Owner of prem ses ~.~..~.fl~.~fln~ , . Addre~ ~,,.~6.~.~,.~, ... Phone ~ ' ~ .... J mei v ~Ri ht'~'r ......... 58 Winter~t~ '~'~'" marne or zlrcnitect ....... ~.....~...~...,.~.....g ............................. Address ~o.m~n.,f~f~ ...... Phon~ No 4~lm~2&0 , 4, Name of Contractor ...~fla~pa ~fizg~c.~a ....... Address ~bg,~l~;,~~, Phone No, ~ r PLOT DIAGRAM , :, ':.':,j:::::~:: "' Locate clearly and distinctly ~'J buildings~ whether existing or proposed, and ~ ' property I nee. Give street and block number or description according to deed, a whether interior or corner lot. ' See enclosled.architectural p,lans , '0 set-back dimensions from street names and indicate *'5'B~FE'-GF-NEW ,'Of,l<, !JSS. ' ' ' ~' COUNTY OF ................................ Ii , ' , ' '"' .................................... ~ ................. , ....... w .............................. uetng duly sworn, deposes and says' that he is the applicam (Name of individual sig~ing contracf) ~,,'; '?~ ~ ; ~' obave homed, He is the ' ' ' ' [ (Contractor, ogent, corporote offi6or, etc.) o{ sam owner or owners, ~nd m duly ~uthorizod to pot{otto or h~vo performed the s~ d work ~nd to moko ond file thru opphcahon; ~h~t oH statements contmned m tNs opphcohon oro true to th* be~t o~ hm~know~odflo and beliof; th~ the work will be p~rformod in [ho marmot ~et fo~h in the *pplicotlon filed thor~with. ~ Sworn to be[ore me this ~ i ................... ) ..... dav~f .........~.¢..~.,a....n...., .......... __, 19..~..~ ~ ..... K J/, '/ Notary Pubhc, ....~....~.~....,~,.~... Coun~ ...~~~~: ..................................... i ( I (Signat¢~ of applicant) ~TARY PUBLI~ ~ ~omm~slon expires AugUst ~ ~ Nfl½ YOF~K STATE ENEK&¥ AUDIT F-XT IAIAL~L,F~K05S .~'1. p~AI_L OL, AZIN~ ~TO~N pOO~S, ~, ~L ~l~ HTe ~UI~ 6NA~N HAVE MIN, THAN 'TH~ 1~% P~ANITTEP IN A ~OO pg~ ~AY ZONE, BORLANP / /, 'TAKEN fiN. OM TONN A?pP-,OVED FliP00 MAP 90, 51TF- i';LAN DASEr) ON BY CHANPLE-PN, PALHEI~ ~ RIN(~ MOI~.Wi6H, CONN. P~kooK ~,1 LoF SUFFOLK COUNTY DEPARTMENT OF HEAL1H SERVIOBS ~OR APPROVAL OF CONSTRUCTION OF Single Family Reside.c~ Only APPROVED , ~~4" A £ SITE. PLAN 1=I6HF--Pk5 ISL-AMO Volney Righter h i t e c t s Street. Boston · Massachusetts · 02108 · telephone · 6177451.5740 z~sgFr,'M klEN,YOftK STATE EklEK6'l' AU I-T g~'%. ~ALL OPA~U~ &LA.'.%IN& TOTAL' I:;,OOF-,S ZO~-I sf 340 ~f .STO~ ~oO~s. ~ ~o~ c~ ~o ~o zoo c~. ~ .' bOP-.LAN~ · ~1- IIA TAKEN FROM ~rOINN APpR. OV~P F'H2CD I"I,'" !' .58 winter,; S.treet · Boston · Massachusetts · 02108 · 617/451. 5740 OEo, ,,. ,~.1 / ' '~' ~'~:~ r~O...~.l~-'"'~ ~ % C_ys/en~, . el~striA:' 7°ed 75~'1802 9 AM TO~~A~, ,~ 1. FOUNDAiTioN _ TWO - RED FOR P~[JRFD CONCRET~EQUI ~'~-~/~,'~Tm ~'.' o~ T,-~ N. y. SUPPLy SYSTEM CANNOT DE 77 ~'. ' ~':spONSI8LE FOR "';"'' '~ .... tli'1 ' '~ '-I - L J I , , ~':~i: "~ I , ,~ ~, ',:,~:~ ~' -- ( I. ' I I I i i J ~- Z" q~- James Volncy Righter I 58 Winter Street · Bosion · Massachusetts · 02108 · telephone · 617/451.5740 i i~T-~'- © ~ .... 1:-:-: : .%F~ ~ , ~%.~ ~ ' ' , ,, .:~,. ; :.,,)' . /~ -' . , & :' -.. . : ,,, /.¢ *', . . . ,. ~ v. . , ',., , I ',.,, ' .- ' '*;' "'' q,_ "'V°l ey R ~hte '" ""' .... A r C ~h, I t c c t s _ ~ .:: ~8 WtnteL Street · ~ton · MassachusettS,;* 02108; tclcpho~; 617/451.5740 N. I. (... ..... ZN'- 0" u JameS! Volney Righter A :r e?,. i t c c t s .... '-'' 58 Winter' ~treet · Bo*ton · Massachusetts · 0Z~08 '. teleph~n~. 617/'451.5740 '/4-" ~ 12o'' ' ~O:~U~L ~ ~ ' ..... -"~ (, James Volney Righter A r e :h i t e c t s 58 Winter Street · ~ton · Massachusetts · 02108 X James Volney Righter :,.,:.,. " 58 Winter Street. B~ton Massachusetts · 02108. teleph~. 617/451-5740 "' [ i ii i i i i i i iI ~ i' '.T.O I~ILC(.) tSot~L. AI,,tP James: Volney Righter A r c ,h i t c c t s 58 Winter Street. Boston · Massachusetts ~:I~I~VATION . 60UTM V4"' f-o" · 02108 · teleph6ne, · 617/451. 5740 ~ ~e6.'~4 James:~ Volney Righter A r e,h ,i t e e t 58 Winter Street. Boston · Massachusetts . ', ·: , 02108 ~ telephone · 617/451.5740 ~ p~c, 'M ~0 ARCHI 58 Winter S~reet · B~ton · Massachusetts · ~i08:~ tele~ · 617/451.5740 IL FIN, "~,St..TI ON i,;t 1), I/ James Volney Righter · ~, . :¢ ~8 Winter Strcet. ~tOn Massnchusctts · 02108 ;~telep~, 617/451.5740 ~.o, su~z~.~ ' ' ."." . . "." '..' ' ,,. .--~ "'""Vol ~ Right '~*'~.. A r c~ h~' I t c c t s ' ..... .02108., telcph~ .~ 617/451.5740 58 Wintel S~eet · ~ton · Massachusetts ' ~ ~ ~' ~' ' 'WINDOW/VENT OFNS. ~EYON~ ,, ~ ~ , . ,, N ' , .,,~.: ,, -,Il ,, ' 'o / ~ · ',:" ' ~. ' ~. Z'-O" WP~ x 1'-0" PEEP WALL ,, ~. :~ .... ... ~. . -, il. ,', =1111~1111,::. J Vol ey Righter ,.' ~" '""' ames n L A r c'.h,,i t e c t s ':' '~' ~: ' ' ' ~:. ' S8 Winter t. Boston · Massach~sett';; 0ZI0$ ~ ~ ~,'64 ASPHALT 5HII,,16.LES 5" F'LYNOOP '-2. x 'R. AFTF:R,$ f= I I~ ,5.P...~,L AS I~,AT T-..$ ,¢EILIN(.¢ JOISTS e Ifc" O.C. ~,× 10 O.U'TTEFL. James Volney Righter ' A r c h i t e c t s 58 Winter S,treet · Boston · Massachusetts ~'?z ~ Y4" STEEL. HEAP OF J Vol ey Righte ames n r & r c h i t c c t s ., [8 Winte, Street · Boston Massachusetts · 02108 ~ '?~il, · · J Vol Righ ames ney ter ~, r e h i t e c t s " J8 Winter S~rcct · Boston · Massachusetts' · 0 08',telCPfi6ne · 617/451 · 5740 NAFTE~.s ,IPE OF ATTIC ff, d~T E1~5 'TO · !,,, ' OF= .Y(215TS lb" ,1~OP~LANP James,: Volney A r e.h i t Righter 58 Wimcr $~rcct · I~ston · Massachusetts · OZi08. ~clcpi~~c , 617745D5740 Y4" '~ ames~Voln ~ ter . ,,: , , ,,,<,,, . 58 Winter S[reet · ~ton · MassachOsett~;: · 0Zi08 :;':i~lephone · 617/451- 5740 James Volney Righter A r e h i t e c t s 58 Winter Street · Boston · Massachusetts · 617/451' 5740 ),/Z))= Ib 0" (~)' ! (5) ~x Pt torq~ James ?Volney Righter A r- c"*h, i t c c t s ,02108. teleph6ne. 617/451'5740 58 Winter Street · Boston · Massachusetts DO~2F~.6AS~5 N, I. C. ~'. James Volney Righter A r e h i t e c t s 5~6ONI~ FL-OO~ ¢'LAt.4 58 Winter Street. Boston- Massachusetts · 02108 · telephone. 617/451.5740