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HomeMy WebLinkAbout16624-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22202 Date MARCH 22, 1993 THIS CERTIFIES that the building ADDITION Location of Property 46695 COUNTY ROAD #48 House No. Street County Tax Map No. 1000 Section 55 Block 2 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 20 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 12, 1987 pursuant to which Building Permit No. I6624-Z dated NOVF14BER 12, 1987 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 TNRW.~ STORE ADDITION TO AN ~XIgTING SHOPPING CENTER ANTHONY PIRRERA The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-87-0006~10/28/1988 UNDERWRITERS CERTIFICATE NO. N-036796-9/30/88 & N-070995-5/9/1989 PLUMBERS CERTIFICATION DATED MARCH 9~ 1993-FRANK GIANCONTIER~ fBuilding Inspector Rev. 1/81 lrOK~ NO. ~ TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WOP, K AUTHORIZED) 16624 Z Date .... ~ ........................................ , Permission is hereby granted to: ~'~ K'xF ~.~......9..~~.~'..~.~ ~c~h~. ..~.~ ~,..~.~......~.~....~ ............................ o~..~.....~...~..,.....c(~.~../. ......... ,_, , ,o ~.~....~.....~...~....~...~....~ ............ a~..~. ~.:....:~ ........................................ .~, ........... ~. ................................... o~ ,,~,,~ ,o~o,Z~L.~.C~..~,.'.......4~...~.....(...~..'.?J...~.~.~. County Tax Map No. 1000 Sectio~n~......C).~..~' ...... Block .... .,~.,....~=. ........ Lot No.....~_..o..,.~X..,.-~....!.. pursuant to application dated ..~..~/~ ........................... 19.....~., and approved by the Building Inspector. Fee $...~..~.;.....'~.. ;'":'""'""Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TENPORARY Certificate Of Occupancy No. Z!7325 Date Sept. 19, 1988 THIS CERTIFIES that the building ADD 3 s t o r e s 46695 North Road (Cty #48) South.oLd Location of Property ...... House No. Street Ham/et County Tax Map No. 1000 Section 055 .Block 02 .Lot 20 & 2 l Subdivision ..... XX .Filed Map No. X.X. Lot No. XX conforms substantially to the Application for Building Permit heretofore filed in this office dated ,g.oy.:. J .2.,.. ] .9 .8.7 ....... pursuant to which Building Permit No. 16624 Z dated................,...........N°v' 16, .1987 . was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... C.o. ns.truct 3 stores to an existing shopping center, ' The certificate is issued to VILLAGE OF SOUTHOLD SHOPPING CENTER, INC. ..................... Io¥.'o;, .......... :.' ......... of the aforesaid building. Suffolk County Department of Health Approval ....... Iq...../A ............................. UNDERWRITERS CERTIFICATE NO. PEIqDIIqG 9 / 16/88 PLUMBERS CERTIFICATION DATED: PENDING Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN R~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial b~ilding, mul.tiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan-requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees t. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00~ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.. Certificate of Occupancy on Pre-existing Building - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 - 5. Temporary Certificate of Occupancy - Residential $15.00/, Cor~mercial $15.00 // ...... .................. New Construction...~ L A .c, ,-- , . Locat,on of Property..~ ..................... .. House ..... No. ~~ ...... Stree~'~ ~Hamlet .................... Onwer or Owners of Property county ~ax Xap ~o ~o00, Section..~.~ ...... ~oc~ .... ~.~ ....... Subdi¥ision ........................... Filed Map ............ Lot ......... ~ ........ Permit No/.'.~.. ii ii i]] .Date Of Permit..//.~./...~..c~.~.~..Applicant~.~%/... ~.f~.~. ~.~. ] Health Dept. Approval ..... ~.~ ................... Underwriters Approval ............. '.~;%". ........ Planning Board Approval Request for: Tempor~y Certificate ..... . ..... Final Certicate .......... . ~-~-~ Fee Submitted: $ ............ ~g~-' ~ ~ ~ ' ''' ~ ~APPLI''NTCA ~'~" ' ' ' Co TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR. P.O. BOX 1179 TOWN HALL £OUTHOLD, N.Y. 11971 TEL. 765-1/]02 I certify that the solder used in the Water supply system contains less than 2/10 of 1%' lead. S.worn t~ before me this 19_~_. ~;Otary Public, ~'u~ -! Coun~ No tary~puf~i-£C ' Term F'n,re~ o~ercfl 30, 19..~.~./ Giaz ,¢ont~eri 95 9OTA~LE WATER DATE COLLECTED. LEAD 2.6 ug/] [15.0] ~ Result(~) Reported meet(s) [USEPA action leve~] for potable water. COP~ES TO: DATE ISSUED 03/04/93 FOUNDATION (lsd) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ) SUBTITLE S HOUSING AND C~MMU~IT¥ RENEWAL § 739.1 (2) Concealed spaces between the combustible exterior facing and the masonry wall shall be filled with noncombustible material or fire-stopped so that no dimension exceeds 8 feet vertically or 20 feet horizontally. Flrestopping shall be of material having a flame-spread rating at least equivalent to the flame-spread rating of the facing, (3) Where combustible exterior facing has a total area exceeding i0 percent of the area of the wall on which if is mounted, the distance between such facing and another building or interior lot line shall be not less than 15 feet. Historical Note Sec. filed Dec. 13, 1983 elf. Jan. 1, 1984. PART 739 PI~EVENTION OF INTERIOR FIRE SPI~EAD (Statutory authority; Executive Law, §§ 375,377) Sec. Sec. 739,1 General requirements 739.4 Division by fire separations 739.2 Fire walls 739.5 Openings in fire walls and fire and tr~sses in buildings of types 1 739.6 Firestopping Historical Note Part (§§ 739.:[-739.6) filed Dec. :[3, 1983 elf. Jan. Section 739.! General requirements. (a) Structural elements or members, in. cinding walls, partitions, columns, beams and trusses, shall have fire-resistance ratings of not tess than those set ferth in table II-7~4 of ~qis code, except as required by section 739.2(b) of this Part. The fire-resista~nc~ ~tings of the structural elements or members shall be determined in conformity with generally accepted standard fire test procedure. (b) Rooms a~nd spaces used for purposes involving a fire hazard, including, among others, rooms for storage of combustible materials, paint and repair rooms, kitchens and pantries serving dining rooms, garages, and rooms for incinerators and heating equip- ment, shall be enclosed by tire-resistive construction as set forth in section 739.4 of this Part, or shall be provided with fire-protection equipment as set forth in Part 742 of this code. (c) Exits, including passageways, hallways and stairways, and elevators and dumbwaiter hoistways, escalators, shafts and other openings in floors, shall be enclosed or protected as set inrth in section 739.4(d) of this Part. (d) Space within multiple dwellings used for occupancies other than residential or accessory shall be separated from space used for residential purposes as set forth in section 729.4(a) of this Part. (e) In buildings of types I and 2 construction not more tha~, 150 teet in height, nonhear. lng partitions within a dwelling unit may be constructed of fire-retardant wood. (f) Construction not required to have a fire-resistance rating may have combustible doors having no tire-resistance rating. 547 EX 6-30-84 COMMERCIAL INSULATION SOUND ATTENUATION FIRE 8LANCETS CONTAINS NO ASBESTOS. ASTM~ CSIB~ & C177 2 X 24 X 48.0 S{]/FT S-7-8W3 R-2, 4 APPROUEO BY THE BOARD OF STANDARDS AND APPEALS FOR U~E IN YORK CITY UNDER CALENDAR NOS. BSA 35-&~-S{~.. 17:~-77-S~ St1; ~ 34-&.5-SM. ACCEPTED BY NEW YORK CITY DEPT. OF BLDGS. MEA 20~-82-M. CONTAINS MAN-MADE MfNERAL FIBER (MINERAL WOOL) THIS PRODUCT CONTAINS NO ASBESTOS, Long-term breathing of b~gh levels of mereral wool fiber during product installaben or removal, may cause lung cancer or other lung disease. Use a NIOSH-approved dust mask (3M #8710 or its equivalent, available in many budding supply centers) when instaihng or removing this ploduct, it is recommended that people who install or remove th~e product on a regular basis, not smoke, Contact with mineral wool dost may cause temporary eye and sk(n ~rritat©e. Wear long-sleeved, loose-tiffing clothmD closed at the neck and wnsts, and safety glasses or dust goggles while installing or removing this product to avoid possible irritation. Wash work clothing separately from other clothing Rinse washer thoroughly after use. FIRST AID: For skin irritation, shower hrst w~th coo~ water, followed by a warm-water shower with soap. For eye irritation, flush eyes with water to remove dust. It ~rritation continues, call a physician. ~i th~e produst is swaUewed, ca~ a physician. Material Satety Data Sheet aod additional product safety information are avmlable by calling (312) 606-3759. Themtafiber Division USG interiors, Inc. Chicago, IL 60606-4385 A Subsidiary of USG Corporation ©1987, USG rnter(ors, loc, ~W-814/rev 11-87 Produ~d in U.S,A Printed m U 'I FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLiCATiON FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m --- 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 respons hie for the building. 5.Submit Planning Board approval of completed site p an requirements where applicable, B. For existing buildings (prior to April lg57}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all properW 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling.$25.(lO, Accessory'~,$10.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00. 4.Vacant Land C.O. $ 20.00 5oUpdated C.O. $ 50.00 Date New Cons truc t ion ...... Old or Pre-existing 8ui{ding ............ Vacant Land ............. Loca.on of Property ............. Ho. ,Vo. ...................... Street Owner or Owners of Property . O/r ~'~o,.//j ~ W/:/~#~: ~ ................. County Tax Map No, 1000 Section .... O -~&~" O ~-~ ~ O ~ / ......... Block -~. 7- Subdivision ................................. Filed Map No ........... Lot No .... Permit No ......... ~ Date of Permit Health Dept. Approval ................. Labor Dept Approval Request for Temporary i ............... Final Certificate ...... ' Fee Submitted $ .... /~:.~.d.,, ,~. /~% .... Construction on above described building an~e~ ts all applicable codes and regulations Rev. 10.10-78 ~ /~/ ..... ' ' ' ' .... ' ................ 6L'9.89 ALCHRIS CONTILACTING P.O. BOX 612 CUTCHOGUE N.Y. 11955 166~¢Z , DATED 11-16-87 ...... CAN BE COMPLETED. JOHN Ro GULDI~PE & LS 197 Shore Road Southampton, New York 11968 {516) 283-3363 July 25, 1987 Mr. Robert Jewell, PE Suffolk County Department of Health Services Riverhead County Center Riverhead, New York 11901 Ref: C 10-87-006 Village of Sou%hold Shopping Center Dear Mr. Jewell: Please find enclosed the following documents in connection with the re-submission of the above captioned application: SCDI~S "Notice of Incomplete Application" DTD 4/9/87 Three (3) copies of SCDHS Form WWM-004 3. Sanitary System Calculations (2 pgs,) 4. Approval letter from Southold Town Planning Board DTD 3/11/87 5. Four (4) copies of Plans and Survey~ including Profile and Test Boring Log The appropriate fee has been previously forwarded to your office. We believe that this will now complete this application and would appreciate your expeditious processing of same and forwarding of an approved permit as soon as possible. Thank you for your anticipated service in this matter. Very_~ruly yours, & LS cc: Thomas Byrne JRG:cag Name: Surveyor: Location: Tax Map Number: Project Description: Date: ./ McDONAII Box 1000 · Southold, New York 11971 · {516) 765-3677 Lewandowsl~i Sou t} ~old Lot a/~/a7 TEST HOLE DATA SHEET Dark bro~ silty lomn Browa silty loam Comments: SUFFOLK COUNTY DEQA?TMENT OF HEALTH ¢9)/oE',~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION I$T [ ]ROUGH PLBG. [ ~FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL / / INSP£CTOR~,~ ~ 7GS.Z80Z BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [,/j/INSULATIoN [ ] FRAMING r ] FINAL REMARKS, ~~-c~ "~.~ ~1~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]~ROUGH PLBG. FOUNDATION 2ND [ ]~INSULATION [ ] FRAMING,,/) ~ r~ ] FINAL. REMARKS: ~"#'* L ~ ' ~ DATE ~/ ' INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~OUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL DATE~INSPECTOR~/ 765-1802 BUILDING DEPT. INSPECTION [ ]~/FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING ,r. ]FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION~-' [ ]~F~MING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]INSULATION FRAMING [] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS · , ~ ~UREAU OF ELECTRICITY ..... B~ JO~4~l S~REET, N~ YORK, NEW YORK 10038 ~Y 09,1989 ~.~i~No. on~l. 6~782089/89 N 0?0995 Iqxl'uIII RXTIJIIIS IANGIS OVENS 6 7 6 DIIYIIS FUIINAC! MOTORS IqJTUI~ AJ~UANCI ~ TN GOCKS m O & S COMTRACTOR IVOX 215 SOUTHOLI) NY, ].1971 This certificate must not be altered in an,' manner; ~iC.#578~ of the Board if incorrect. Inspectors 11 COPY PMt B~ILDIHG DEP*RTMEHT. THIS COPY OF CERTIFIC&TE J4JST HOT iW A.L. TLIt~ IH ~ ~. ., .i lOOO~3~ THE NEW YORK OF FIRE UNDERWRITERS 'UR"AU ~ .~.EcY.,crrY STREET. NEW YORK. ~ JOHN NBW YORKIOO ~t~ Applicati~ ~o. on file ~IS CE~IFIES T~T THOHAS BYRN~:S, 48 N/S COIINTY ~OAD, POhK{92, g()UTHOi~D, N.Y.. examined on RXTUIIfS [] 2nd FI. .~*ction Block Lot and found to be in contplianc~ with the r~quieement# of th~s lkmrd. RANGiS OViNS EXHAUST D~YBIIS FURNACE MOTORS RJTUI~ AI~UANCI ~ TIMI'2-s_-~-- S UNfl'I4IATIIS MULTI-OUT~T DIMMINIS SYSiIMS NO. OF NIT SIIIVICE mm.~d~;~x.-~ S ! R 500 I C E 150,1-t cfR. 100 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ! 0 0 ! fi / t BUREAU OF: ELECTRICITY ~- ES JOHN STREET, NEW YORK, NEW YORK 10038 ~ ~Y ~ THIS CE~IFIE~ THaT ~AGEI. 5 PLUS ANNEX, RI'.~, 5uO1HO~O. in t~]~/o~ ~ation~ ~examin~ MAY ~)~ 108~ ondf~ndtobeln~nlpli~neewlththe~ui~ment~oft~. RXTURI RXTURIS RANGIS OVENS EXHAUST FANS 6 DllY~S RJRNACJI MOTORS I~A C2OCKS UNffi HIATIIS ~TI.QUT~IT DIMMERS SYSteMS SIRVICl D~SCOflNlCl' S I R V I C OTfllER APPARATUS: OF HI-LEG G ~ S CONTRACTOR BOX $OUTHOLD, NY, 1!9Vl L IC.#578E This certificate must not be o~ttred in any manner; return to th~ office of the Board if incorrect. --,MB 11 .V~, ' COPY FOR BUILDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1802 xamined .g).o'>~.....k%. l~ .... 1977. pproved /Q.on.,.,.aA~..IxA+... ]. 9.., 19 ?.~. Permit No..].6,. gOARD OF tlEALTH 3 SETS OF PLANS SURVEY CIIECK SEPTIC FORM NOTIFY . MAlL TO: isapproved a/c ................................ ~ ............................... ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and subnfitted to the Building Inspector, with 3 s 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 of property must be drawn on the diagram which is part of this appli- don. 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 wilt issued a Building Permit to the applicant. Such permit dl 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 ~ll 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 dding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [,.ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. e applicant agrees to comply with all applicable laws, ordinances, b~[ding code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary/._7__///iqg~ctip~s., (Mailing address of applicant) rte whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) q~a corporation, signature of duly authorized officer. ............ (Name alS{l title of corporate officer) - 5LL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. '. ...................... .... ................. ltouse Number Street Hamlet County Tax Mat, No. lO00 Sectiou ............ ~57.5~... Block ...;~. ............. Lot...~.(>. 7~. ~ .1 ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. I:.xmtmg use and occupancy .... '["~t&,.].. I '0~, .toT(..~)..~. ~.~..r.c.S ............ b. Intended use and occupancy ./.4.If, ~½. ''¢..~..u-5.-t.~qs57..,.. ~qq.~. . I/~q~7~. .5.~. qs.e' .q .~. .r~tc. ,~.~,w: .......... 3. Nature of work (check which applicable): New Building Addition . i ~ .... Alteration .......... Repair .............. Removal ............ Demolition .......... i . Other Work ............... (Description) 4. Estimated Cost.. r ......................... Fee ......... [ .......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... . ........ Number of dwelling units on each floor ................ If garage nmnber of cars ' 6. If business, co nmercial or mixed occupancy, specify natt re and extent of each type of use . ~.r.q B.~re $ . 7. D ne~sonsofexistingstmctures, ifany Front ~>..~o~e.~ Rear .~.Oi l~,,.e. De~th ~.~-7 C,,~.. ' lteig~t ~,.~...~eef ..... NunberofStores ............. .r . i ..'...i.' Dimensions of same structure with alterations or additions: Front . ..... :t ~'.O.. ~u~.~& .....Rear . .~ ...... ~.'¢.~. ~.. , Depth .iP. .................. Height . .I.~-.. ,.r. .............. Number of Stories.. ~ ................... 8. Dimensions of entire new construction: Front ..... /.~¢..Oe/v. R, ear .... t ¢.o...~?.... Depth .. h~...~..~k ...... Height ....... > ~..~... Nmnber of Stories...I,,, ' ....... ~ ............................. 9,. Size of lot: Front ..... ~.5~....~. (:' ......... Rear...Tt.a/o..OqO ........... i Depth .. t %.~q. ~.q~ ............ 10. '~ate of Purchase . ~...a.a.,..~5~'{o .................. Name of Fenner Owner i.. ~ :i.d./t~,~t~.,.~s'. ............ l 1. Zone or use district in which premises are situated... ,~rI... ' !2. Does proposed construction violate any zoning law ordinance or regulation: .ti(.O ...... , ...................... 13. Will lot be regraded .. MX' ~ ...................... Will excess fill be removed from vremises: ('~ No 14. Name of Owner of premmes gl/0~. ,~5~g.3-'},¥~B(~,/et.l~ttdress .~/q~.~./qpa. 4 ..... ! .....Phone No. 7.~.~ .~?'/?. ...... Nam,e. of Architect /,-d~lrCn~e .'~-.~ .~Y]. Address ,~JIr/.lca~& l.~<e~.~.,~oi.rT. ~,y Phoue No, Name of Contractor qho~,.,,.5 ~/r.,/.~. . Address ~{ i~.~//~.4°~.-~.d~ $00 .~.°/'( Phone No 15. Is this property located w±th±n 300 feet of a tidal wetland. ~Y~s ..... No *If yes, Southold Town Trustees Permit maybe required. PLO~ DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ihdicate all set-back dimensions from 0roperty lines. Give street and block number or description according to deed, and sh6w street names and indicate whether ~nterior or corner lot. .... ~ ~x~e_..~~ ..... /7~'wn:4..¢2.&e~5. being duly sworn, dep:oses and (Name o~ndividual signing contract) ~bove named, (Contractor, agent, corporate officer, etc0 said owuer or owners, and is duly authorized to perform or have performed the smd work aud to make and file this ~pplication; that all statements contained N this application are true to the best of h~s knowledge and belief; and that the ~ork will be performed in the m~ner set forth in the application filed therewith. ;worn to before me this ,:' Notaw Public, .......... V~RONIC~. F..CI~NEff~ .... County ~---~-~---} /)) NOTARY PO~tlC, State of New York ( / / ~ ~ml,~ ~i~ Oec, s ~ ,~ (Signature of applicant) says that he is the applicant ' ~SUF~'OI~K COUNTY' DEJ~ART/'~ENT OF HEALI:H -I 1 N OCCUFANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ©F OCCUPANCY N ~L o T ~L ,~ A/ 4 - L~IDS~PE~ APE,4: If ~ tubing i. usa4 for water distributin~ · l~tem; piping shall be of typ~ K or L only, OLDER USED IN WA TER A'UPPLY SYSTEM CANNOT E~fCEED 2110 of 1% LEAD. PLIIIMBER CERTIFICATION ON LEAD cONTENT BEFORE CERTIFICATE OF OCCUPANCY /4/]100 'A o ' o4r~, t- PI:2" Iq '- J il¸ T--T FOE.iL/OAT/O,/,,,/ I~ J__,,L~ /,,J I .. , " ~. 7rmO U /kJ O A T" I O AJF.) i~. O F=:' c.) s i ~r'~. IOBl-87 V/LL,,6, G~_ OF ~OU, T/dO/ ~,L./ O~t::)/ L./ G CEL/TE,~ D /////,~1 L O A D Z ~I C~ p L ,A T ,~'o ~' /~ / 1£15 ~e, ~r. 1,0 11-7 7¢ I0" -- /-0 ' ;~' lO.lo lo-to F:'L Oo 3-0 PLAH I0 -0 1~ -o 57-1A1~ /0-/0 gO'-O" /0- I0 -7- /0/' V'ILLA~E' o,~' __G /-/ 0 /:%o / ,w 6 FL fu fP O ;>0 SEE) >4'r£ Ia. 2¢- ,..~? Jo,~ JOIST TYPE END_2 JO $T SCHEDULE PUNCHED BEARi,NG PLATE BdT CHORD EXTH END2 END1 ~ TO ~ END2 END1 END2 C2 EXTEHDED END END1 END2 OVERALL LENL5 ~ H -] D2 PARALLEL SGL. PITCH END I, TOP CHORD FIOTES SECTIONS APPLICABLE NOTES & SECTIONS NOTES NOTES i LONGSPAN JOIST ECR1D8IlN6 SCHEDULE lOiST TOpE JOI~T BRIDGING OVERALL 711s' Souad Ho~s SIZE LENGTH JOiIST ACCESSORY SCHEDULE NO. PCS. NO., : MATERIAL DESCRIPTION PCS, "L ROOF DECI( NOTES AL,, D~.t,K TO ~:,- ,~ ~,. ,GAUG¢- WITH ! ~ DEEP RIB,~, 6" CENTER TO CENTER, 2. D,.~, PLATES ARE 'TO RECEIVE A STANDARD SHOP C~,,~ O, 6R,;Y PA1HT. D~.C~, TO BE WELDED IN PLACE IN FIELD BY THE ERECTOR. · t;, O.-~NII~,u~. AND PROJLCTION~ ..... .,~: O} ~ !?*:'T;]'O ~E FERFORfv ED N THE FIELD BY THE ERECTOR· 5, :f,~D5 IJ~P OVER. ~P JOINTS TO OCCUR ON CENTERLINE CZ ........ ',~ ' ,,-- '~ ' ' C,ECO CORPORATION 51' 5 SWEETLAND AVENUE HILLSIDE, N.J. 07205 NOTES INSTRUCTIONS TO THE ERECTOR GENERAL NOTES 1, Every component of the structure must be braced laterally ~s erection progresses. 2. Erection must be completed before the apphcabon of any external Icad 3. Bridging must be anchored to be effective Shortspan Joists (H - SERIES) 1 One row oi bridging at mid-span is reqmred prior to releasing hoisting cables for the following conditions: Chord Size* #6 #7 #8 #9 #10 #11 Span Length Spa~s m excess ef Spans m excess of 46' Spans in excess of 48' Spans In excess of 52' Spa~s in excess of 53' Spans in excess of 55' · Last digits of joist designation. (e.g.,24H6 or 30tiS) All shodspan joints bearing on steel are to be welded to unless a bolted connection is shown on the details. All shortspan joists bearing on masonry are to be anchored w~th a 3/8" round government type wall anchor or as otherwise shown. All shortspan joists are to bear a mmmum of 4" on masonry end 21/2" on steel unless otherwise noted· Hoisting cables must not be released unht al least one hddging line nearest midspan for spans up to 60', 2 bridg- ing lines nearest the third point,; of the spgns for spans belween 60' and $00', and ail bridging hnes for spans over 100', are installed, and, where jo~sts are bottom bearing, their ends have been rostrained laterally When mstalhng bolted diagonal bridging, the bet and nut at the intel- secbon of two pieces must be installed as the bndging is being placed and bolted or welded in place Span Lengfh 45 fi, or greeter 50 ft. or greater 60 ft or greater 70 fi, or greater 85 It or greater DATE REVISIONS DATE REVISIONS F E-L E: VA TIO ~ .. P£ o Po ~ £o_,~_ .~_ , O /L/ -/- F~ _/ TIo ,~ E×I.ST/ t,,I ~ ¸'5 E C TIO/,J YEAJEEI~. WA TE/EP£Oop/U, 7"oi0 ~' w ~Ll._ 5~I D~ 12 ~EC '1 I Oh,,l [i J ~,~ w,4LL ~ Iq vxLu~ /Lo" ~ECTIOld PLY ~x ~ dols] 'fx,4- STOZ~6 ~/~ ~ECT/OU /.-/ ~I= CTIOAt A4 - ,41 ~1~ VALUE,' I~,uILT ~JP 6ECTIO~J G xl'2 x/.~." I~ II i/,JsuLAT'Iot,.I OF $OUTMOLD ~LEV,-i.. /,?~/~