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HomeMy WebLinkAbout15690-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildlng Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the hmldmg . . .agr. i.c.u.l, fi.u..r.a.l .s. tor. a.?.e ......... Location of Property~ 3.77.29 ..... .Cpun. t¥. R. qg.d ~ 48 Pecon~-c House No Street Hamlet 1 0 2 County Tax Map I'4'oI 1000 Section , . .(59 .... Block . .4,. .Lot I X Filed ~,, No X .Lot No X Subdivision conforms substantially to the Application for Buriding Permit heretofore fried in this office dated .... F~h~Ua~:kz .10, 1987 pursuant to winch Building Permit No .1..5.6.90..Z .... dated ..... ~F~k)~pe~ry. 2.3. ,..19.8.7 was issued, and conforms to all of the requirements of the applicable prov~lsions of the law The occupancy for winch this certificate is issued is ..... An agricuitural building. CATHERINE M. BURNS The certificate is issued to . . of the aforesaid building Suffolk County Department of Health Approval .................. UNDERWRITERS CERTIFICATE NO .............. .N/.~ ............ PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev 1/81 FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERM, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLET'ION OF THE WORK AUTHORIZED) N~ 15690 Z Permissson is hereby granted to: ~, .... ~;..../..~ ...................................... ~~.. ,'~ ' , :""2 , ................................... '.~ ......... L/..~.~: ................ premises at .............................. ..~r.....~....,..~. ................ ............................ County Tax Map No. 1000 Section .... ,.~....~.....cj ....... Btock ......... ..L[ ......... Lot No. o ...z~..,../ ....... Building Inspector. Fee $.. .:.. and approved by the Bulldlno In.~ector Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE I 11987 BLDC L, brT TOWN OF SOq.i..!~,.. .. j FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, Thru apphcat~on must be f~lled in typewriter OR ~nk, and submitted ! I to the Buitdmg Inspec- tor w~th the followm¢, for new buddmgs or new use' 1. F~nal survey of prDperty w~th accurate location of ali buddings, property lines, streets, and unusual natural or topographic features. 2.F mai approval of Health Dept. of water supply and sewerage dlsposal-(S-9 form or equal). 3Approval of electrical mstallatlon from Board of Ftre Underwriters. 4. Commercml budd~hgs, Industrml buddings, Multiple Residences and similar buildmgs and installa- tions, a certificate Icl Code comphance from the Architect or Engmeer responsible for the buildmg. 5.Submit Planing Board approval of completed site plan requirements where apphcable, B. For existing buddings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I 1. Accurate survey o7 p~:operty showing all property lines, streets, buildings and unusual natural or topographic featu re_s. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any hous~¢g code or safety mspect~on of buddings or premises, or other pertinent informa- tion reqmred to p?pare a cert~hcate. C, Fees' 1. Cert~ficate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-extstmg dwe{[mg $ 50,00 3. Copy of cert~f~cate,of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ......................... NewConstructzon ...... Old or Pre-ex~stmg Buddmg ............ Vacant Land ............. Location of Property ...',~.7~.~- .O ..... ~V,'¢~.~¢~, ...... 1~/~.( .¢.b.~.~ .~. ........... .~.~¢q~J$¢.. .... Hou,.~ No, Street Hamlet Owner or Owners of Property . . .(~.~.t--l~-~(%)J~ . .1¢~ .'~.~.¢,.4d,~ ................................ County Tax Map No. 1000 Section ~ Block .~. Lot ~(O.,.t. Subdlwmon .~.R.I~E..~/ ~...~.9.~.~.~ ........ Fded Map No ........... Lot No .............. Permit No t~'~.~(2, . . Date of Perm,t ~-.~/~-,~/¢'.~'.Appilcant ...*'~..~.~]¢-~T., .~)...~.,I/~ .-~.. ...... Health Dept. Approval ..................... Labor Dept. Approval ........................ Underwmters Approval ...................... Plannmg Board Approval ...................... Request for Temporary Certificate .................... F~nal Certificate ...... . ,~... ............ Fee Submitted $ ................... Construction on above described bulldmg and permit meets all apphcable codes and regulations. 765-1802 BUILDING DEPT. INSPECTION /~?. F~ATION 1ST [ ] ROUGH PLBG. i~FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE TOWN OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 ~ /g />~z TEL. 765-1802 To who~ This May Concern, W~ are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy is not on file. /Z/ N~ Underwriters Certificate on file. The check ls(outdated/~pt__t_t_t~on_~l~k~) N6 Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. B~ilding Permit ~ _~ ~,. (/. _~ ~ Z Building Dept. ***/~/ No Plumber solder Certificate on ( all permits involving plumbing being issued after April 1,1984 OUNDATION (1st) OUNDATtON ( 2nd ) OUGH FRAME & FLUMBING NSULATION FER N. Y. STATE ENERGY CODE FI~AL ADDITIONAL COMMENTS: Examined 34~.~~' ~, Approved ~ . .~..~ ~, Disapproved a/c .... FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y 11971 TEL.. 765-1803 1987 No / (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Recezved ........... ,19. Date . .c~.//0 ..... 192~ a. Ttus appllcahon must b :ompletely filled m by typewriter or in mk and submitted to the Bmldmg Inspector, wit sets of plans, accurate plot plan to scale Fee according to schedule b Plot plan showmg location of lot and of buddmgs on premises, relationship to adjoining premises or pubhc stre or areas, and gwmg a detmled descnptmn of layout of property must be drawn on the dlagmm whmh is part of thru ap cation · t' I ' t tb d' f fB ild " t c. The WOrK covered by ms appnca xon may no e commence oe ore xssuance o u' lng rermx d Upon approval of ttus application, the Building Inspector will ~ssued a Building Permit to the applicant Such pen shall be kept on the premises awulable for mspechon throughout the work. e No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupm shall have been granted by the Bmlding Inspector APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Bmldlng Permit pursuant to. Bmldlng Zone Ordinance of theI Town of Southold, Suffolk CounW, New York, and other applicable Laws, Ordmances Regulations, for the construction of bmldmgs, ad&lions or alterations, or for removal or demolition, as herem describ The applicant agrees to comply with all apphcable laws, ordinances, bufldmg code, housing code, and regulations, and admit authorized mspectors on I remmes and m buildmg for necessary Etspectmns./ (S~gnature of applicant, or name, ~f a corporation) (raa~Z±ng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build / Name of owner ofpremmes ~/qT ~lh'i~ /A/~- . t'~ x~>~gJ .~ ........... (as on the tax roll or latest deed) If apphcant is a corporahon, signature of duly authorized officer (Name and title of cdrporate officer) Builder's License No Plumber's License No Electrician's License No .... Other Trade's Lxcense No Location of land on which proposed House Number County Tax Map No 1000 Section Subd~v~s,on /I)ttl~g~l 3, ~M~ (Name) work will be done .... Street Hamlet O.~ Block .zJ. Lot.. Fded Map No Lot State ex,sting use and occupancy of premises and intended use and occupancy of proposed construchon a Existing use and occupancy c~qd_ b Intended use and occupancy / ~ 3. Nature of, wprk (cheq~ ~vluch applicable), New Braiding .. ¥ . .. Addition ...... Alteratmn .... . RepOt ~. [ :, 'I -} -I Removal ....... Demolition ........ Other Work ...... · .~ ! I,. (Description % .° .oo.: o o .............. Fee ............................... 4 "~ ....... (to be paid on filing this application) 5 If dwelling, number of dwelhng unlts .......... Number of dwelhng units on each floor ........... If garage, number of cars I' ' .$T~ p~_lqc~J~. ~ ff~.~/~.[ C.C)~. ~ 1~ .tx. ....................... 6 If bumness, commercial or m~xed occupancy specify nature and extent of each type of use ............. 7 D~'nens~onsofexist~ngstructures, ifany Front. ,..~t~ ...... Rear ,. -~.~ . . Depth. ?~.~....~., Height ~ l ........ Number of Stones . ~Z~ ............................... Dunensmns of same structure w~th alteratmns or addmons Front ...... Rear ........... Depth ........ I. . Height ........... Number of Stones 8. Dimensions of entire new construction' Front $.~/. ff.a.s~'. . Rear .~.%' ~.q~?T .. Depth ...~.~.' Height .1~. ..... Number of Stones ~ ,~4 ~ ................... ~... > ..... 9 Size of lot Front ~ I ~ ... Rear ..... ~..5..c2f ...... Depth .. ~ 5z 7. .......... 10 DateofPurchase I ..lq.~..q ..... Name of Former Owner ~l~q~.cb~f. 15.. 11. Zone or use d~strmt in wh~[ch prem~ses are mtuated ~ ~.C~.¢..I(~.O~.~-~.~.~.J_. ~..l~.5, q~.f)l~t97],4Zr ....... 12 Does proposed construction v~olate any zomng law, ordinance or regulatmn' ~ lq O 13. Will lot be regraded !)?.E~ ........... Will excess fill be removed from premises Yes ( 14. Name of Owner of premises CaT~tt~ .¢~aJ~..~1 ~.u~. ~ Address .~o..-6~. tSP..f.~o~. ~.c... Phone No. Fc~.5. ~. 5.zc.q.. Name of Architect m.~.¥ ./3ctt.cb.ttdCT. ~ ..... Address ........... Phone No./:,~qc ' .qyT- 7q.£ Name of Contractor . ! .............. Address ............. Phone No... %/. ~... 15. Is th~s property loc~ted withinl00 feet of a tidal wetland? * Yes ..... No .... · If yes, Southold Town Trustees Permzt may be requzred. I PLOT DIAGRAM / Locate clearly and d~stmcfly all buddings, whether ex~stmg or proposed, and. indicate all set-back dimensions fr property hnes G~ve street and lock number or descnptzon according to deed, and show street names and mdmate whet interior or corner lot STATE OF NEW YORK, S.S COUNTY OF .5~. ,c¢~t, ¢ (Name of lnd~v~du~l s~gnmg contract) above named He is the d~9~ .. ..... bemg duly sworn, deposes and says that he ~s the applic (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the smd work and to make and file 1 apphcat~on, that ail statements contained m this apphcatton are true to the best of hm knowledge and belief, and that work wflI be performed m the manner set forth m the applicatmn filed therewzth. Sworn to before me thru . of NotaryPubhc, .. ~q? .~'. HELEN IL DE ~E I No 4707878, Suffolk Co~Jnty,~- '.? Te, m~ Exmres ~¢fch 3(], (Signature of apphc,' WEL.L. tYACAN T) 250, O MAre gUL~V,F-W~m, Fr2_ IZ. ,r2OBEI2T BUI2NS SOUT i]O LD AIZEA' 8t,.g79 5, F jun ~, EB. 12, 1987 MAY ROJ~:E~::K VAN .~_~IYL, P C. LICE:I~O I,,AI~tD SLIRVi~¥C:I~S SUFFOLK CQ. HEALTH D~.PI STAteMeNT OF I~ENT THE WATER $U~Y AND SEWAGE DIS~SAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES. (SI_ ~ ,, , AP~ICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES ~ FOR APPROVAL OF CONSTRUCTI6N ONLY DATE ....................... A~ROV[D- ,,, - SUFFOLK Co. TAX MAp DEslGN'A~i'oN .... DIST SECT BLOCK PCL owNERS ~DD~E~. ' ..... -(6~' 1476 I -- - ' ~ ..... ~AL MORTON BUILDINGS GENERAL SPECIFICATIONS LAMINATED COLUMNS - No. 1 or better southern yellow pine nail laminated 3 member S4S columns used in Morton Buildings are pressure treated below grade to a retention of .8 pounds per cubic foot with Chromated Copper Arsenate Type III, Oxide type, as listed in Federal Specification TT-W-571J. The treated portion of the column embedded in ground shall be laminated with stainless steel nails. FOOTINGS AND ANCHORAGE - Column holes are dug 4 feet min. d~pth below grade and ready-mix concrete pads or dry concrete mix pads are poured in place (note plans for size & type). A 1/2" galvanized steel rod is placed 2-1/2" from bottom of column. Additional concrete mix is poured around base of column then backfilted with soil and compacted at 8" intervals. SPLASHBOARDS - Splashboards are No. 2 or better southern yellow pine 2"x8" S2S and center matched, pressure treated to a net retention of ,4 pounds per cubic foot with Chromated Copper Arsenate Type III, Oxide type, in accordance with American Wood Preservers' Association Specification C2. One row is furnished for building on a level grade, FRAMING LUMBER - Side nailers are 2"x~ "S4S SPF standard or better spaced approximately 30" O.C. with all joints staggered at attachment to columns. Roof purlins are 2"x4" S4S No, 2 SPF or better on edge spaced approximately 24" O.C. All other framing lumber is standard grade or better. ROOF TRUSSES - Factory assembled with 18 or 20 gauge galvanized steel truss plates as required and graded kiln dried lumber as specified. In-plant quality control inspection is conducted under the auspices of the TPI inspection bureau. Trusses are designsd in accordance with current and specifications for the stated loading. 0,035"x1-1/4" high tensile steel construction X-bracing in all unobstructed corners, standards BRACING - Lateral truss ties and end bracing as needed. SIDING PANELS - 0,019" min., Ggo zinc galvanized steel with an additional finish. Color is 1 mil thick on exterior. baked-on silicone ROOFING PANELS (PLASTISSL) - 0.019" min., G90 zinc galvanized steel. The top side of the panel shall have a baked-on plastisol coat with a minimum paint thickness of 4 mils. PRIM - Die-formed trim of O.019".min,, Ggo galvanized steel on gables, ridges, corners, base, windows and doors with same paint finish as roofing and siding panels. GUTTERS - 5" box type gutters, color to match trim, on both sides of the building, HEATING, PLUMBING, VENTILATION, AND ELECTRICAL WORN - By others, not part of these plans, NOTE: MORTON BUILDINGS GENERAL SPECIFICATIONSinformation.apply unless indicated differently on~., spec, ~,~i/:... ~'~,~ ?~,~ AS NQ'-[~' Co~ mOT ~E ~ ~N O~ CG~ST~ION ~0~. /~'~PO job drawings or supplemental 382-90 PL 2/86 DRAWH DATE: DATE: /-19- ~77 SHEET INDEX SHEET DESCRIPTION / OF'Z/ SPECIFICATIONS c~ SHEET INDEX 2 OF z~ C~LUMN PLAN AND ELEVATIONS .~ OF z/ ' SIL'b_-~I,dLL ANfD , ~E-/1Z,~/,, DETAILS 4 OFZ/%/TRUS'S OCCUPANCY OR U..S_E. IS UNLAWFUL W HOUT CERTIFICATE %CU?ANCY I hereby certify that this plan and . spedfzcation was prepared by me or under my direct personal supervision and that I am a duly regJsterbd Professional Engineer and competent to prepare this document. DATE I-2.7-&~ REG. NO. S-~q'[c~ IOFFICE PHI/-LI~-'~BIZ,P'C~,/",J [ ao~ NO. 7&-2 7 2 ~. SCALE: CHECKED BY: REVISED BY: F~-CON/C/NEWYORK / SHEETer NO. 4 DRAWN BY- ~/v/o ~.~, DATE. /'/~" ~ ~ -- ,~ Z ~ -' -- SCALE PLA~,~ JS3L HI-RIB 2"x4" PURLINS (NO. 't. SPF) 2"x4" BEV. PURLIN -- FILLER 5" O,G. GUTTERS 2"x6" BEV. FASCIA-- SRDO FASCIA COVER PRECUT SOFFIT 2"x6" OVERHANG NAILER 1/2"x5-1/2" M. BOLTS &- 20d R,S, NAILS ROWS 2"x4" NAILERS-- (2100f MSR SPF) HI-RIB STEEL TRUSS BATT INS. W/ 4 MIL VAPOR BARRIER --2"x4" STRIPPING 16" O.C, 6" BATT INS. W/ 4 MIL VAPOR BARRIER --2"x4" STRIPPING 16" O.C. GRADE TO HEEL SIDEWALL SEOTION ~c:, MPN WIND LOAD PROTECTIVE LINER SR73 BASE 3-2"x6" LAMINATED COLUMN I) ROW(S) 2"x8" SPLASHBOARD TREATED CONC, STOP FLASHING CONC, (BY OTHERS) --PERIMETER INS. (BY OTHERS) -- 2"x6" TR. BOTTOM PLATE NOTE: ~ER AND ENDWALL COLUMNS TO NAVE 15" DIA. HOLES AND {2) 50# BAGS SACKRETE, F~i~-.~---46M BASE ANCHORS I;<!~l.,.!~(%) 50# BAGS SACKRETE PRE-MIXED W/WATER I:"i'L:~',=..'l ' IN HOLE AND ALLOWED TO HARDEN. ~''"'"~) (~) BO# BAGS SACKRETE PRE-MIXED W/WATER WHEN SBT INGCOL M,. (~) 1/2"x~" M. BOLTS -- S.C. TRUSS (5) 2"x ~" STUB COLUMN~ 2"x6" SR24/26~ )~~ SR44/49 2"x3" JAMB (BEYOND) OHO (3) 2"x 6" JAMB COLUMN (BEYOND 2"x6" BLOCK (BEYOND) HEADER STUB JAI~B MFJ~tER COL~ COLU~ NOTES: 1. Numbers above are 20d R.S. required per connection. 2. Pre-drll! headers as re- quired to prevent splitting. 3. If number of nails required for header to jamb column connection Is excessive to cause splitting, the excess halls may be installed ~n header support blocking. OHD HEADER SECTION DRAWN BY: ~/o ~-6. DATE: __ CHECKED BY D TRUSS SPACING ~ O.C. LIVE L0AD .~0 PSF DEAD LOAD z¢ PSF CEILING LOAD ~ PSF TOTAL LOAD -~7 PSF NOTE· ~BS ARE RAFTER LUUBER 2X4'S LENOTH 18'5-1/8" STRESSES TOP CHORD LOWER CHORD NO, 1 1950 MSR 11x16 PL. WE~ 5'9-1/8" CA~J~3 E R AT 16xlO PL. 18 GA, 7 CENTERLINE1" T,C, //2 llx13 //2 IIEB #3 -- 6xlO PL-; L.C. 2)ciO 12 x5 ,PL. #4 //2 rE~, ¢~ 5 3 13X8 ~L.'18 GA, 10'8" 17' 10-1/2" PL, 18 GA. · l sL~/2" TRUSS DESIGN SPECIFICATION: Truss has been designed by computer using the Purdue Plane Structures Analyzer IAW current standards and specifications of recognized engineering principles. Output data will be provided upon request. LUMUER SPECIFICATION (1982 NDS for Wood Construction): Louer Chord -- 1950f - 1.5E MSR Southern Pine Top Chord .... No. i R.D. - 15 Southern Pine Web Members -- No. i R.D. - 15 Southern Pine TRUSS PLATE SPECIFICATION (ICBO Evaluation Report No. 2929): i ASTM A-446, Grade A 20 Ga, and 18 Ga, where noted, galvapized steel Morton truss plates identified by a hexagon stamped every 1-1/4" along the center of the plate.' DRAWN BY: ~'C& DATE: CHECKED BY: DATE: REVISED BY: DATE: $6'L COMM. S.C. TRUSS JOB NO. "-- -7'-~ 7 ~ SCALE: SHEET NO..