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Home My WebLink About16719-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17475 Date OCTOBER 31t 1988 THIS CERTIFIES that the building. Location of Property 395 KOUROS ROAD House No. County Tax Map No. 1000 Section 117 Subdivision ONE FAMILY DWELLING. Block 06 Filed Map No. NEW SUFFOLK Street Lot 11.1 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 14r 1988 pursuant to which Building Permit No. 16719Z dated JANUARY 29, 1988 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, ATTACHED GARAGE~ AND DECK. The certificate is issued to EDWARD & DOROTHY HENNEMEIER (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-S0-233 SEPT. 20~ 1988 UNDERWRITERS CERTIFICATE NO. N040559 OCTOBER 18~ 1988 PLUMBERS CERTIFICATION DATED RONALD MURRAY OCTOBER 28, 1988 Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE[ KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 16719 z Dote ............................................... , ]9.. . . -- .................. ..; ................ =~-.~.~.;,,,?,-~. ~ , ~ ~o.~.~...~:~.......~..~......~...~.~ ........ ~. ..................... ..... ~......~ ............. ~ ................ .~_.....~ ........................................................ at premises located at ..........~...~......~...~ .~L.~...i~.CZ~ .. ........................................................... County Tox Map No. 1000 Section ....... /.'./,7.. ....... Block ..... .~..~.'. ........ Lot No .....//~.Z ........ pursuant to application dated ...... ./..~./.~.. ...................................... , 19~.~..~., and approved by the Building Inspector. Fee *...zZ..~.~ Rev. 6/30/80 APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 Instructions A. This application must be fitted in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: I. 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. B. 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: Additions $25.00 POOLS $25.00 ALTERATION $25.O0 1. Certificate of occupancy ~ ~~ Accessoryi$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 $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50 O0 Date New Cons t ruc t ion ...... Old or Pre-existing//Building ....'' · t-~,' ' Vacant L~and ............. Hous~ No. ' ....................... Street , / ~ Ham/et County Tax Map^No. 1000Section . .~.~.,~... Bock I~ ,,. ///~ / · ' 1 ~ , .~ /./..~ ,, . ................................. Subdiviso, '.~../~.~....~./..~....~. o .~L .~..??~.F ed Ma No . ............. ;/r. _ ./.~ P .......... Lot I~1o .............. · .. .ua of Permit .~./~¢/Z~Applicant~.~//..(~C.~.'..~..'. ~'c~,~/,~/~ ,,~ . -__ ...... ..... Health Dept. Approva, .¥.% ..~. ~'~''~''~.. · LaborDept A roa · , pp v ........................ Unde~riters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building ~d permit m~e~ts all applicable codec ar~regulations. U ......... x. · ......... C.o. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y'. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /~ 71 $ Owner ~. ~, (please print) Plu~er (please print) / I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this A ~<~_~ay of 00/i~ , 19 g~ . Notary Public,_~ County got~ry P%~,lio, ~t~te of New Yo~ ~o. 483682g C~mQuallfiecl in Suffolk County mission Expk~s Feb, 28, 1990 .-OUNDATIO.~'~{ 1st) ~ ' ~ FOU~DA rlON ( 2nd ) = 2. 7-/' S RUCTURAL Technolog Inc. P,O.BOX 378 - 1029 WILI'IAM FLOYD PARKWAY SHIRLEY, NEW YORK 11967 (516) 281-4800 September 29, 1988 Town of Southold Building Department P.O. Box 1179 Southold, N.Y. 11971 Permit #16719 E. & A. Hennemeier 395 Kouros Rd. New Suffolk Gentlemen: I would like to amend the above Building Permit to include a 10 x 10 deck in the rear of the dwelling. Enclosed please find three copies of the deck plan, a survey showing the location of the deck and a check in the amount of $15.00 for the permit. Joan Pallateri Vice-President Structural Technology, Inc. JP:ks Enc. 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION IST [ ] ROUGH PLBG. []FOUNDATION 2ND [ ] INSULATION []FRAMING REMARKS' ~/'"~/~-~/"~/'~ DATE G5 802 BUILDING DEPT. INSPECTIO FOUNDATION ZST [,~ROUGH PLBG. FOUNDATION ;ZND [ ~ 'NsULAT'ON REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]INSULATION FRAMING [ ~i~NA L -// t DATE INSPECTOR ~_~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ '~INSULATION FRAMING [ ] FINAL DATE ~/~/~/~,.// INSPECTOR~_~~ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION / /]FRAMING [ ] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST ~ ] ROUGH FOUNDATION FRAMING PLBG. 2ND [ ] INSULATION [ ] FINAL REMARKS: DATE INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] F~NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL K'- ~ ~'~ REMAR S: ~ ~/ 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~/] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL THE NEW YORK I OARD OF FIRE UNDERWRITERS 1000491 BUREAU OF ELECTRICITY ~'-- 85 JOHN STREET. NEW YORK. NEW YORK 10038 T~I$ CE~I~IES STR{~CTURkI., TECHNO[,~Y, N/S [OVROUS RO~I), NE~ SUFF()],~ ~TOBER ~ examin~ on andf~nd to be in ~mpldance u'dth the r~qui~ments of th~ ~d. RXTU~ IqXTUEIS IANOIS OVEN~ IXHAUST FANS OUTLETS SWITCHES 27 44 2~ DRYERS FURNACE MOTORS FUTUI~ AF~JAHCE NID~S TIMIECI~OCKS ~lffNlATlI$ MUtYbO~T~T DfMMERS SYSTEMS MOTORS: 1-1 G.F,C.I:-3 SMOKE DETECTOR :-2 S E R V I ,' C E NO. (~RCC~rCOND. A.W.G. HO, O~ HI-t. EG A.W.G. A.W.G. OF CC ¢~O. OF "1-~'~ OF NEUTRAL 4 KORTE FRED G. 56 ABINET COURT SELDEN, NY, 11784 This certificate must n~t be altered in any manner; return te L[CEMSE NO. ;1169 E office of the Board if incorrect. be identified OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry., Town Clerk Town Hall', 53095 Main'Road P. O. Box 1179 ' Southold, New York 11971 Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 279 Fee $, 10.00 Residential X Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Structural Technology Inc., ADDRESS: 1029 William Floyd Parkway, .Shirley, New York 11967 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwellin9 with Cesspool System. Attn: Joan Pallater P.O. Box 378 APPROVED as per Suffolk County Health Department approval, LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Edward and Dorothy Hennemeier OWNER MAILING ADDRESS: 27 Leonard Drive OWNER PROPERTY ADDRESS: TAX MAP NO.: Section Massapequa, New York 11758 K~uro's Road New Suf~lk,.~ew York 11926. 117 Block 6 Lot CROSS STREET: Grathwohl Avenue BUILDING PERMI-I: NUMBER CROSS REFERENCE: 11.1 . Judith T. Te~,~y Southold Town Clerk DATE: January I~, .1988 (TOWN SEAL) BLDG~ DEPT. TOWN OF $OUTHOLD BOARD OF HEALTH '~ 3 SETS OF PLANS 'FORM NO. I SURVEY TOWN OF SOUTHOLD CHECK [~J'[/~[ BUILDING DEPARTMENT SEPTIC FO~M TOWN HALL ~/~ gOUTHOLD, N,Y. 11971 /., ./. ~. TEL.: 765-1802 MAIL Approved ~ 19 .~. Permit No/~ ~'/~ ~ ......... ' ............ Disapproved a/c ..................................... (l~fiihiiifg/ln spec tor) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app! 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 issued a Building Permit to the applicant. Such penn 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 Building 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 describe The applicant agrees to comply with all applicable taws, ordinances, building code, hous~g code, and regulations, and admit authorized inspectors on premises and in building for necessary insp~tions. ,//~,~ ~ .~_ (Mailing address.O'~ applicant).~ . // State whether applicant is. owner~chitect, engineer, general contractor,electrician, plumber or builde ................... ('a} 'o~' t]~e' ;a'x' ~o'1{ ;; iat;}t' J;e'~) ......... If applic2qt is a corporati,oa~, signature of duly autllorized officer. ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No.../~...0.~.. ~ .......... Other Trade's License No ...................... ~ df ~-~?~5'--"~ .,~_..~ 1. Locat,on of,ana on which proposed work will be ..... House N'umber Street Hamlet o' County 'Fax Map No. 1000 Section ../../.7 ........... Block ...0..6 ............ Lot.../4-./. ......... Subdivision,/_j.~e~.¢~.,.'.~.e.~ .~.~..4.~.~/. .... Filed Map No ............... Lot.' ............. · '(hame) -- ' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ,_. a. Existing use and occupancy .. · .~'. ~ · :... '.....': .:,::.:: .......................... 4pplicable): B'tdlding Nature of work (check which New ....~... Addition!.~:i,] i ..... Alteratioql i; ........ Repair .............. Renlovai .............. Demolition"' ....... i./.~...~th~ ~l..,.') ~ ~ ........ . ~..~ - ~, ~. . :... 4. Estimated Cost. ~Z~ ................... Fet ..... ~ .....:-'r~;,,?~(?: ~ .. 5. Ifdwelling, number6fdwellin~units. / . . Numberofdwelling~R};~'ea~*'fi;;;:'~Z' ...~.. If garage, number of cars ...~ ..... 2'.ZZTZZE.ZZ,ZZ ................................. ZZ,ZZZ252 ..... 6. If business, commercial or mixed occupancy, specify natnre and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ D~ensions'of same structure With alterations or additions: Front ................. Rear .................. Depth ................... ~... Height ...................... Numbe~tofies ......... ~.. ~ ......... - 8. Dimensions of entire pew construction: Front .... ff~{.' ..... Rear .... ~ ........ Depth ~ ......... Helsht ,. , ~, ,. NumberafStodeq ........ ~-,r ..................... 7 ~''. ......... ''",- 9. Size of lot: Front .. ~.2~'' .......... Rear .... ~: ............. ~ep~ .~,.~.~,'?~( ......... 10. Date of Purchase .... Z .~(~ ................. Name of Fomer Owner~'..~?.~t ~ ~ .......... 1 1. Zone or use district in which p~emises are situated.. ;~ ............................................... 12. Does proposed construction viglate any zoning law, ordinance or regulation: ~ ........................... 13. Will lot be regraded ... ~ ...... v ............ Will e~ss fill be removed from premises: 14. N~e of Owner of pre~s~g~ddress-~~~,Phone No.~ C..7¢ ~O..-~ Name of Architect , ~x~. ~ ........ Address ~ ..... Phone No~ ~. ~mne of Contracto~~ ~. )ddrysS,~e~. ] ] ~[~:nego~f:zK* ~ .... 15. ~s this property ~ocate~ within ~ou teen or a ciua~ we . *If yes, Southold Town T~ustees Permit maybe required. ~ PLOW DIAG~M Locate clearly and distinctly ~1 build.ts, whether existing or proposed, and, indicate ~1 set-back d~ensions from pfo¢,ertv~' e~. Give, street and block~._number or description, accor~t, ~ ~ deed., --.~nd,~ ~*qhnw. '~t[~* =nm~q ~nd~l i.ml.n*~, wh~th~r / ~ ' ....... <' '11 ,,e,o~ ~[ ~ ........ ~: ~ :~ ...... ~~ ........ being duly sworn, deposes and says that he is the applicant ~(Name of individual signing contract) above named. ~ . He is the .............. ~ ................................. . ................................... (c ontractor, agent~ corporate officer, etc.) of said owner or owners, ~d is d¢ly authodzed to perform or have performed the said work and to m~e and file this application', that all statements con:tained ~ this application are true to the best of his knowledge and belief; and that the work w~l be performed in the m~der set forth in the application filed therewith. Sworn to before me this ........ '../~.. ~...day o~ ...... --, ....... 19.. ~ ' ' Nota~ Public,~.~ ~~~S ...... County ( ~ ~ - No. 483Uuzu_ nt,' ' ....... //'~"~ ................... n,,&lffied n Suffolk G~ J~ ~ (Signature of a~p]icant) I CommiSsion E~lres ~eb, ~ TAX DISTRICT /o~ ,, TAX SECTION / / ~' TAX BLOCK O~ TAX LOTS //' / TITLE NO.: ', 8LOCK: . , ...... ,~-~ , LOTS: FILED MAP NO,: FILED: SCALE* ~.~ Z~I0 ~ ~ux~ ~/~c~ I ....... I ( .-- ~. ~J ~ ~l IV'.' ~ ' .,::- 0 ~o~* ~ ~) ' 0 PLOT A~64 = /7~7Z ~'~. ,.~.~, ~LEASE NOTE ' z~w~ : .-' It ~ the applicant GRADES TO ROADS MAInTaINeD aY ~ ~ ~ N ~. JEROME D'AMARO DRAWN BY: / ~ ~ -~, TAX DISTRICT IOOO rAXSECTION II 7 TAXBLOCK O~ TAXLOTS I1.1 TiTLENO, 07' //,~-ZO~ BLOCK ~_. LOTS. MAPOF~ ~ ~ ~ ~ ~ ~ /~ ~ ~ FILED MAP NO, FILED SCALE / ~= ~ $1 'ZI 3~I 95'~o * ffi gl Zl 30 ~ 9~00 SU~ ~U~ ~A~ ~ ~ ~ - DATE~ ~ ~H.~. ~ ~. ~~< ~/ ' ~'~ ~ ~/= ~'/~ location have bee~ i.ecte~ by this D.~1.t I~ll ~ 0 U ~ 0 ~ R O~ ~ . other ag~cie~ and feund to be ..da~. - .- - _ . ,~u. .~, , _ d~°~°~ ~ef~f .......... Bureau of Wa~ewa~r ~flagem~ ~ oA o ~ ~ ,~ ~ ~.~/ ROADS MAINTAINED BY ~ ~ ~ ~/~ T/Tg~ /~ ~ N Y S LIC NO PEL 037209 ~ LS 049684 GUARANTEED TO: ~ ~~/~ BOX 460M 1265 SUNRISE HWY ~ ~,' ~ TH ~ ~~ / ~ BAYSHORE, N Y 11706 ~~;~:;~%~// su.w ~ .o ~ ~ 7, ~ ~ o DRAWN aY T'' FINAL SURVEY ~ /~ /~ Off.ts are not ~r) be u~d to eslabhsh property hr~es ~[~Z ~ ~[P~ /~ ~P~ /~ ~ ~/~ ~ - ~U~ /~ TAX DISTRICT /~,,, TAX SECTION !t *~ TAX BLOCK ~ TAX LOTS ,. //* 3ITLENO.: BLOCK: ......... LOTS: ,, t 5~dT¢~AL tE¢'~NO(¢~Y BOX 460M 1205 SUNRISE HWY. ~ SURVEY NO.' "' SURVEYED: OCTObeR ED ~ IL! ' ~--=~ ~ I~ BED ROOM ~ CL BED ROOM ,./l"~, ,l:O I: I :.~ : ~ .~ .-~::--,. ~l il i .... .] I i I i:~lO ROUGH gAWN CEDAR RAKE BD RIGHT ELEVAT!: O 6x~o lU WO 4~1N0[11 '~R'O SOLDER USED IN WATER SUPPLY SYSTEM CANNOr EXCEED 2/10 of I% LEA. ', LIVING Rm (2) 2BI2 HON ~/ITH /E' PLYW'D FILLL~ DINING Rffl~ KITCHEN BOLT~ ILO OC OBU'WD OIRD! R FL, J'eT9 f~OC' ~!Efl NOt5 FELT I"THK PC FOUND WALL ZEO0 FSI WATERP~OOFIN~ (11 ~OAT BITUMINOUS DAMP PROOF'G ~ TO CODE 4"CONC !LAB 2EOOPEt 4X IEPC FT6 2.~,00 Pti EXl6 COUNTINIOUB FTO 2~00 PSI 1'.4Q IN ~ q IPLAN AT CLEARSTORY nTs ff coiN)er tu.bl, n~ I~ u~ed ~ w~ter diltr~uting iyitem; piping 8hill be of typel K or L on~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY C L E,~ P, .: T3,~Y HEATING EQ~IFtlBIT TO MEET Ig RU FT IT SQ. FT St EQ FT. DINING Rm ALLLIVING RmI I SECTIGN B-B SOFFIT ,..--- ~,T CATHEDR ~' ' KITCHEN - UNFiNiSHED SPACE --"-"' GARAGE 'BELOW INTERIOR ELEVATI6N ,'~ I ; UNFINISHED SPACE I~lNI IG RM3ELOW ~ /% --k~ ~ t ~' 14x45 ..... UNFINISHED SPACE I , 306,0 0 BEO 2 OPI'. LOFT & CLEARSTORY PLAN ? 14` MAIN FLOOR Rm Rm-CL LAYOUT, FOR LOFT OPT REVISIONS BY Date Scale Job Sheet STEPS TO GRADE Xi6 ;DEIC ~ IN 2X6 TOP RAIL( TYP} I I0L 0 PLAN DECK IoLo'' ~r-2X6 TOP RAIL 2X6 LEDGER (2) 2 X6 TRIMME, R5 2-'0" ELEVATION A NOTES SECURE JSTS TO TRIMMERS ~,LEDGER WITH TECO CONN , SECURE LEDGER WITH 3/8" LAG BOLTS 2-'00C SET DECK HTI"BELOW FL~ LEVEL PITCH DECK AWAY FROM HOUSE I/8 r PER FT ELEVATION B