HomeMy WebLinkAbout13134-zFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No ...... $.q 3.9.~.7 ..... Date ......... .0.c.~.o.~. 97..8.2 ........... ,19B.~..
THIS CERTIFIES that the building ....... pg.~.qh...~.d,.~5. ~.i. qn... .......................
Location of Property ...995. ................... S. 9.u~..d., .~.~.. ........... .G.~.e..e.~p.q~..~ .....
House 31o, Street Ham/et
County Tax Map No. 1000 Section ..... 3,~. ....Bloc]( ........... .&...Lot ..... ~ ..........
Subdivision ............ ~. ................. Filed Map No .... X, ....Lot No .... .X. ........
conforms substantially to the Application for Building Permit heretofore Cried in this office dated
..... ~aT..'1.~ ........ ,19 g.~. pursuant to which Building Permit No ..... .q.~.q 3.q-~. .........
dated ......... .Fi.~ .~..~ ............ 19 .~.~., 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 .........
l~orch addition to existing dwelling.
The certificate is issued to .... JOAN & JAF~ES DINIZIO, JR.
................. .....
of the aforesaid building.
Suffolk County Department of Health Approval ................ ~../.A .......................
UNDERWRITERS CERTIFICATE NO .................................................
Rev. 1/81
Building Inspector
FOB,M NO. O
TOWN OF Sou'rHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 1313~ Z
Building Inspector.
Fee $ ........................
Rev. 6/30/80
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 ia ~1~[1~ 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 featu res.
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. Commercia~ buildings, Industria~ 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 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.
C. Fees:
1. Certificate of occupancy $§.00
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
New Building ....... Old or Pre-existing Building ..."'~...~! .... Vacant Land ..... '; .......
Location of ......................... . · ....................
House No. Street Ham/et
Owner or Owners of Property .... .~.~.t~.....~.~..~....~..~.~..~.,.,5....~. t.t~/'.'~.O...~..~.. ..........
County Tax Map No. 1000 Section .... .~.3.~, ...... Block .. /'/ Lot .... .7.~.
Subdivision ................................. Filed Map No ........... Lot No ......... . .....
Permit No. /.~.~.~.~- Date of Permit ~./~.~ !'~.~Applicant ..................................
Health Dept. Approval ........................ Labor De~3t. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Cartificate .......................
Fee Submitted $...~.f ~.0...~.~..~...~..~-. '.~...~.. ....
Co~nstr,u,c~on,(~), '::~ ~ ~ '~°n above describedA building, n and/~permit meets~all.applicable. -~ //cedes and regulations.
pp,,ca t ...y ...... ...................
Rev. 10-10-78
THE NEW YORK BOARD OF FIRE UNDERWRITERS
'~l)~C'~ ~ BUREAU OF ELECTRICITY
~- B5 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
only the electrlcal equipment ~ ~scribed be~w and introduced by the ap~icant ~med on the a~ve application number in the premises of
in the following location [] Basement
FIXTUEE
[] Ist FT. [] 2nd FI. Section Block Lot
attd /ound to be in compliance with the require.tents qf this Board.
FIXTURES RANGES OVENS DISH WASHEF. S EXHAUST FANS
OUTLETS
DRYERS MOTORS
FLUORESCENT OTHER
FUTURE APPLIANCE FEEDERS
TIME CLOCKS NIT HEATERS DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
OTHER APPARATUS:
S E R
C
This certificate must not be altered in any manner; return to the office of the Board if incorrect.
GENERAL MANAGER
Per~ ) ~ ~
may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFI~T~ MUST NOT?E ALTERED IN ANY MANNER.
FIELD INSPECTION COMMENTS
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
^ppro ed, .z..7,
/~.~,t~,./ FORM NO. 1
TOWN,OF SOIJTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1802
Application No ..................
Disapproved a/c ........ ': .":':-,~.: .-:' .......... '.]~. · · · · .~ ·
.................... -.-:,m, .......
APPLICATION FOR BUll. DING PERMIT
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 preraises 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. Thc work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of ~is application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises av~lable 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
sh~l have been granted by the Building Inspector.
~PLICATION IS HEREBY MADE to the Building Depa~ment 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 ~e construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordnances, building code, housing code, and regulations, ~d to
admit authorized inspectors on premises and in buildings for necessa~ inspections.
(~ignature of at~ic~t, or n~me, if a cor[.oration)
(Mailing address of applicant) ~
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder·
Name of owner of premises ~¢:7-~~20-~ - t _., .... . .. .~ ................
(as on the ta~ roll or latest deed)(~
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No...~-A~...~-~. i~6. t~. ~ ... · '.";< .....
Plumber's LicenseNo .........................
Electrici&n's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be clone ..................................................
.---Da-.-.. ? ?. .................... Q re. ......................
· ltouse Number Street Hamlet
Coanty 'rax Map No. 1000 Section ..... .O. ~.3 ........ Block ..... .~. ........... Lot...9.*.~ .............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Ex/sting use and occupancy ...,~ I'~.3.1~ .... .~.O.~..(I. It''' ~r-~3..~.. ....................................
b. Intended use and occupancy ..
property lines. Give street and block
interior or cprner lot.
3. Nature of work (check which applicable): New Building .......... Addition ....... Alteration .......
RemoVal Demolition Other Work
Repair ........... ..............................................
' (Description)
4. Estimated Cost ......... ~.~.Q!.~'.O.~. .................... Fee ..................................
i (to be paid on filing this application)
5. If dwelling, number of dwelling 9nits ...... /. ........ 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 ..... ~.~ .4~.:... Rear .... .~.¢~.../&-... Depth .....
J.g. ~/- Number of Stories '.
Height
Dimensions of same structure with alterations or additions: Front ...... ,,fA .~.{ ..... Rear ..... ~.,g.~st.· ......
t igh
Depth ...... : ........ i. · He t ........ I.~ .~.~'... ........ Is!umber of Stories ...... /. ...............
8. Dimensions of entire new ~ ' Front . .. Rear .... Depth
org ~ Number of Stories /
Height .......... ' ............................................................
10. Date of Purchase ...... ~.~/../1.6,/.'2.~ ........... flamq of Fomer,Owner .... ¢.t ~/~;../Y...0.~.0.%~.~ .....
11. Zone or use district in which pre'raises are situated .... ~.~.:~t 0.f2¥P.%r~ ! ...................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .b(.O. ........................
13. Will lot' be regraded ...... ~t~/.0~ ................... Will excess fill be removed from premises: Yes . No
Name of Architect ~ Address Phone No
Name of Contractor ......... ! ................. Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly alli buildings, whether existing or proposed, and. indicate all sot-back dimensions from
aumber or description according to deed, and show street names and indicate whethez
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100
105'
INTERIOR LOT
HALL I WELL BARNES
4ft from fence
5Oft
cyclone fence inside line
porch _ cellar
.29ft ...... ) EXISTING
BOHND RO~D
D
0
R
S
105'
Sworu to before me this
......... '/..4. ............ day of...:: .~..~'~'-~. ·.
1/,¢,¢,,I
Notary Public, . .... ~ .......
~,{ ,/~ NO. ~'~'466~3' ~9~ . ~; Suffolk ~ Court 1~
..... County /~ ~'~ x,~
.... / ..................
/ ~' --(Signature of applicant
..... >_-~--> ..... > ...... > ...... > NORTH ..... >---> ..... >--->
S.,C. "FAX I~gP DESIli']NATION~ DISTIOOO.,,SECT O!~;5oBL. OCK 4,PCb '75
STATE OF NEW YOJIK,
'~.~ ? being duly sworn, deposes and says that he is the applican'
oaf md~wdual sigmBg contract)
abov n~d~ed,
He is the .. .......... .......... i ..................................................................
(Contractor, agent, corporate officer, etc.)
$f ssi& owner or ,o'¢,'ncr:; ~i~d is duly authorized to perform or have performed the said work and to make and file thi.
application; that all statements"con[ained in this application am true to the best of his knowledge and belief; and that th~
work will be performed in the manner set forth in the application filed therewith.
S
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PLOT SURVEY
aAMES DZNZZIO
HALL I HELL .
100 ~t ..............................................
Steel out building 10' 10'4
4ft from fence
cyclone fence inside line
0 ' . D
f ' . 0
t ~ . R
0
5
t
1
0 porch_ _ cellar
f !...29ft ...... ! EXISTING '
t ' 39 '
' SOUND RD. '
' . ' . . . 19ft ......
1/111111! '
/1111/11'. ............... .'
' I ..... I
' I S I
' I R I
' I A I
proposed
porch
100
SOUND ROAD
LOCATION OF PROPOSED ALTERATIONG
52ft-
PROPOSED
WINDOW
II/11111111111
//11/////I////
II/11111/11111
III/111111/111|
EXISTING
59 SOUND RD.
<--PROPOSED
DOOR
: 2
2
|
//// ////
14ft ...... | ..... J8ft-
PROPOSED PORCH
7ft by 14ft
...... > ................. > ..... NORTH ......
i//i//////i/i/~ .................................... I _ _
PORCH FOUNDATION PLAN
TOP VIEW
14ft-
--', ..., ....
2"by4"by14' joist support bolted to house
joist to rest on top.
POST 5' 6 "' POST 5' 6" POST
//I////O/////////O//GIRDER///O//////////O///////|
2"by6" STEPS ..... > | ............ l
l---4~t ...... I
...... > ...... NORTH ...... > ............... > ....... >
GIRDER WILL BE TWO (2) 2" BY 8" BY 14' CCA TREATED LUMBER
POST WILL BE 4" BY 4" CCA TREATED LUMBER PLACED 5' INTO THE
GROUND WITH A 4" CONCRETE FOOTING.
ELEVATION
..... 74 ........... >'-'
proposed : 54"
rough opening I I
I
|
/I
/I
proposed /I
door ...... >/I
rough opening /I
38"by 85" /I
/I
railing
--- I| ................ Il ...................
3 II II II
f II II
t ::::::::::::::::::::::::::::::::: ...... II
.... //////////////////////////////////////////////////////////
2 Il II II/. /
f Il II Il/ / (5)
t II II II/ / STEPS
GROUND
I .................. 14{t ..................
> NORTH > .................. >
TOP VIEW
FLOOR JOIST
2"by4"by14' to support floor joist
][~----][======][ .... ==][ ...... ][ ...... ][= .... =3[=====][====][
Tcos to join joist to house
============: - ...................... I
......... 5/4" DECKING ...... ::=== ..... ==:I
....................... |
~=============== :====I II II II
Il II Il Il Il II II
II II II II II II II
II II II II II II
7
f
t
II Il II II II II II II II
::::::::::::::::::::::::::::::::: ...... ::::::::::::::::::::::: --
JOIST WILL BE 16" CENTER TO CENTER TeDs
DECKING WILL BE PLACED 1/4" APART
SIDE WIEW
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railing
2"by6" joist
II]1111111111/1111111//11/////////I///////II/[II
II]11111/1111//1111111/11111/11/I/7171/111111[II
ll~:<--2"by4" girder--->
II< ............. 6~6''- ...............
II
II post-->
IIII
f
<--- t
I
I
2
t
GROUND
.............. ) .............. EAST .......... · ..............
PROPOSED DOOR
I
I
I
I <---1" 23" ......... >II
I
I
IIIIIIIIIIIIIIIIIII I
II I II
I ' ,',.-" ...... 38 " ---zll '" I
II I II
II 83" II
II I II I
II I II
II * I II I
II I II
II I II
II I II
II I II
LOOKING NORTH
////////////////////////////////~
////////////////////////////////II< .... HEADER= 2-2"by 10"
////////////////////////////////II nailed together
I I Ifil
',< ....... 38" ................
I II<--support 2"by4"
I Ifil for header
B3"
I IIll<--2"by4"
'
I
Ifil
I
l
I I Ifil
ROUGH OPENING =:===:
steps--->======
DOOR SILL WILL BE 2" ABOVE DECK
PROPOSED WINDO~
I/////////////////////////////////////////?/////////////~I
~///////////////////////-LINTEL-////////////////////?///II
I/I/////1111////11/!11///I/11/////11////I//////I///1111
I II '~'
~ II 2-2"by 10"
I II< ................. CLEAR
II,' ~ II
, II 32"
II,' ~ II
SPAN .........................
>================ ...... ==========llll
II II
II II IIII
LINTELS WILL BE 2-2"bylO" NAILED WITH I6 PENNEY MALLS AT EACH
END AND 16 INCHES ON CENTERS IN EACH OF 2 LINES; 5/8 INCH THICK
SPACER BETWEEN LINTEL FARTS.
LINTEL IS FASTENED TO FULL LENGTH STUD WITH A MININUM OF 2 10
PENNEY NAILS.
REMOVAL AND ALTERATION
LOOKING AT FRONT OF HOUSE
~<-REMOVE | ~<-REMOVE ~ ~ }
~ WINDOW ~ ~ WINDOW ~ I ~
...... ~ ......... I ~ >
~ .... ~ I ~ I <-REMOVE ~
PROPOSED ~ ~ I DOOR >
WINDOW I <-PROPOSED I ~ ~
; DOOR I ; HOUSE--- >
I ~ ~ CON] INUES,
///////////////~ I I d
////////////////|================================================
PROPOSED ////////////////
DECK \\\\\\\\\\\\\\\\ <-REMOVE
///////////////// STEPS
SIDE VIEW
LOOKING NORTH
PROPOSED
DOOR
REMOVE
THIS
WINDOW
......................... 7 ...................