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HomeMy WebLinkAbout16395-zFORM NO. 4 TOWN OF SOU~HOLD BUILDING DEPP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~NCY No Z17221 Date AUGUST 23, 1988 THIS CERTIFIES that the building Location of Property 1840 House No. County Tax Map No. 1000 Section 127 Subdivision LAUREL COUNTRY EST.Filed Map No. ACCESSORY DELMAR DRIVE LAUREL Street Hamlet Block 4 Lot 19 5486 Lot No. 47 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 26, 1987 ~ursuant to which Building Permit No. i6395Z dated AUGUST 30~ 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which %his certificate is issued is ACCESSORY GARAGE. The certificate is issued to DOUGLAS G. & NANCY M. HAVILAND (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF2tLTH APPROVB_L N/A UNDERWRITERS CERTIFICATE NO. H003837 PLUMBERS CERTIFICATION DATED N/A B~ding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N*_ 1 ~.3 ? 5 Z Date ...~.J~'l,~.......~ .......... . 19.~.] Permission is hereby granted to: , \ , . , ~.....~ ............. ~....~ ......... ~~. ..~~ ....... ~..y...,...~.~r_~.~ ................... ~ ~.~ ~. ~,,o. ,ooo,.~,,o~..~_~.~.. ......... ,,~ ...... ..o...~.. ........ ~o,,o ....... ~..~ pursuant ,o application dated ..~.~a~.....~...&/ ~ -- .......... , ,9.~..~..,-- and approved by the / Building Inspector. Building Inspector 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 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 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. 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 p!an regu!remepts ~he_re 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 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: Additions $25.00 POOLS $25.OOALTERATION $25.00 1, Certificate of occupancy New Dwelling, $25.00, Accessory ~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5 00, over 5 · years $ 10.0,0 5.Updated C.O. $ 50.00 Oate ............... NewC°nstruction ...... Old or Pre-existing BuiJding ............ Vacant Land ............. Location of Property /~'.Z~.~. . '~..~.~.,~.)~./~;~__ ~.C, .~../z~..~...~.._~. House No. Street Ham/et Owner or Owners of Property .®.,. . . .,. ..... County Tax Map No. 1000 Section .............. Block ............. Lot Subdivision.~.l~..~..e..~..o..~J.~J..~....~.~..~. .... Filed Map No..~..]f.~...Lot No.. d:V ........ Permit No./¢i.~.~-...-~. Date of Permit ~.~.0~.'7. ·Applicant..~.: ~...,.~'~..~/.~-. ~.~-?~ ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Ptanning Board Approval ..... ..,;~ ............. Request for Temporary Certificate ..................... Final Certificate ....................... V~ Fee Submitted $ ........................... Construction on above described building.a~ permit meets a appli~ble c~es and regulations ~ ~'~1 Applicant ............... Rev. 10-10-78 ' --~ ~ FIELD INSPECTION COMMENTS FOUNDATION ~ (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I- ] ROUGH PLBG. FOUNDATION 2ND [ ~ INSULATION FRAMING 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~ON 2ND [ ] INSULATION FRAMING FINAL REMARKS: INSPECTOR~ pTSS-lS02 ILDING DEPT. ECTION FRAMING FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION []FINAL REMARKS: DATE INSPECTO~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~(0523q BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CE~IFIES ~AT ~ exami~ ~ ~nd/~nd to ~ in ~mplien~ ~ith the ~ui~ment. of th~ ~rd. ~ I0 3 4 SIIIVICE DISC:(2f4flBCT S E R V I C E I,AI~R~,~ NY. 1!9~8 be ahered in any mariner; return to the office of the Board if CERTIFICATE MU~T P#r. ., ~-~:N W.~OUNC- . [ ~O'W~,~'YOU~'~ ~ ' -SURVE~ FOR: .' ~' M.. DOUGLAS G. HAVtLAND ~ NANCY, M. HAVIL~ LOT NO. 47," L AUR EL ~UNTRY ESTATE S" AT GUARANTEED TO: ~ LAUREL ~. THETITLE G~RA~EE CO. "'~ SOUTHOLD SAVINGS TOwN o~ SOUTHOLD :: ~. I' 0~' ' ;0'\',' '~. fiEV:S,ONS YOUNG & YOUr ., ALDEN W. YOUNG , ~O~YOUhG J -SURVEY FOR: _ DOUGLAS G. HAVIL~D ~ NANCY M. HAVlL~ LOT NO. 4?," LAUREL ~UNTRY ESTATES" ~T GUARANTEED TO: ~ LAUreL :: THE TITLE G~RANTEE CO. ~ow~ o~ SOUTHOLD~: SUFFOLK CO., ", Y:~ "Y~~ ~ ~' U TEL,: 765-1802 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 BOARD OF HEALTH..;~... 3 SETS OF PLANS ~Y~... CHECK - SEPTIC FORM ............. : NOTIFY CALL .... ~0 ~f,~ 2,--.'7 ~ 5 ...... MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 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. 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 permit shall be kept on the premises available for inspection hhroughout t-he work. e. No building shall be occupied or used in whole or in part forffny purpose whatever until a Certificate of Occupancy 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 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, ho}lsing cfi~de, and regulations, and to admit authorized inspectors on premises and in building for neces~inspe~ions0, x~l [ ] /r~ · - (Sigtqature of applicant, or name, if a corporation) · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plmnber or builder. Name of owner of premises ~.O.O.~r~'..',-~...~--~.t..c~.. ~. ~.~. .-~..' .... '~V[/~/~. .~. ................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· (Name and title of corporate officer) - ALL CONTRAGTOR~$ MUS~T~,BE SUFFOLK COUNTY LICENSED Builder's License No.....~.~ ./~?~. .............. Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No. ~.T.~(q~34.¥.~vA, c~-4-~ ~ 1. Location of land on which proposed work will be d6ne .................................................. ...1¢4 .o. ..... e, ....... k. ' House Number Street Hanil~t County Tax Map No. 1000 Section. l.r~..~ ........... Block .~...~.. ..... Lot...~..,tq ........ Subdivision ~.1~.~..~.~ .~.~..~,~ ...... Filed Map No.. 5./~.~. ..... Lot..q.~ .......... (Nmne) 2. State existing use and occupancy of premises and intended use and occupangY ?fp.rop?ed,construction: a. Existing use and occupancy ........... . ....~...~:. ....: .... .~ ........ ....... ': ....................... b. Intended use and occupancy ...~.'~.{'~,-~....~..~.~ ........... i~ ii'. ..................... 3. Natureofwork(checkwhichapplicable): New Building Addition .......... Alteration .......... Repair .............. Rem:oval .............. Demolition .............. Other Work~,14)..~... .~. ~..Q.~..C).° ~} (Descrip~tion) · s mated Cost .............................. Fee ......................... :.. .......... i " (to be paid on filing this application) 5. . i ' · ~ .... ,< .... Number of dwelling units on each floor ............... If dwelling, number of dwelhngi units If garage, number of cars .... :. ~,,. · ~. [2 ....) ............................... . ....... 6. If business, commercial or mixdd occupancy, specify nature and extent of each type of use . .' ................... 7. Dimensions of existing structures if any: Front ..... ~ .......... Rear .............. Depth ............... Height Number of Stories · Dimensions'of same structure With alterations or additions: Front ................. Rear Dept ................... ... Height ....................... Number of Stones .......... t ......... D~mensmns p$,etntire new construction: Front..~t{: .... . ..... Rear . ~.qJ .......... Depth . ~.' ........... Height .../.~ ......... Nu~n. ber of Stories .. ~ ............ } .................................. ._~.. 10. Date of Purchase . .2:J..~ [..M.. ] .q.9.~. ............ ,,,Name of Former Owner '~19~.It..199.~. ~ .O.'~.I~ ......... 11. Zone or use district m which premises are situated..'&¢4~/~.l~}C., ............. .' .................... !. 12. Does proposed construction violate any zoning law, ordinance or regulation: .6,./0. ........................... 13. Will lot be regraded . ./~O. · · .................... Will excess fill be removed from premises: Ye, s No Name of Architect ' Add Ph No ........................... ress ................... one ................ Name of Contractor ........ ~ .................. Address .... : .............. Phone No ................ 15. Is this property locatediwithinl 300 feet of a tidal wetland? *Yes ..... No ~.. · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed, and. indicate ail s~t-back dimensions from property lines. Give street and block! number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COMNTY OF .................. ...~-~'.Q.0.~.A.~.~.. ~.':...~. jd//.(.:.~J...~:/.a~. ................. being duly sworn, deposes and says that he is the applicant ~ (Name of individual sig~ing contract) above named· Heisthe , .~t.o.~.~..~.~..~...<~.. t~./~,g]Q.~ .................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements conthined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ' Notary Public, ...~~~' x , on fid ,uv-ou o. "'y ................. ' ....... ~ 8~ONV I~*~l t ,t~Ft _ Qu_allf. led In_ Suffolk Oounly ,~,. c~ (Signature of applicant) ~ / xerrn GARAGE )RAGE AREA Imm the end wall below. Then slip rails. RaFter ties h doorpockage. MATERIAL LIST Nailing Schedule For ~5~.?t~r.~lJMe, Description of Suilding Materials Number &Tyr of Fastener Spacing of Fasteners Top or sole plate to stud, end naU 2-t6d -- Stud to sole plate, toe nail 4~d or 3-1~ Doubled studs, face nail 16~ 24" o.c. Ceiling oist, taps over par[itions, face nail Ceiling 'oist to parallel rafters Rafter to plate, toe nail t/' brace to each stud and plate, face nail Built-up corner studs 16d Built-up girder and beams Roof rafters to ridge, valley or hip rafters, toe nail 4-16d -- Description of Building Materials Fiberboard Sheathir 1~' plvanized rooflngnail 6d common nail NATION~ Thls plan has bee fesslonal careful study o£ 2x4., 16' PROJECT ,L PLAN SERVICE, INC. ~ prepared to meet pro- SHEET NO. 1 s of constructlon, A lan instructions and TOTAL 4 sed before starting work. :PLAN NO. P-2011 [" Poor ~BO~ ~ ~ ,/ _IJ-di RIGHT 741~oIl T FI ffod£C, TlON FOUNDATION PLAN i1_ ~,11 T zl~II(% y P, ) (SEE SERVICE .DOOR THRE SHOLI% DETAIL T FLINCH PLATE BEAM DETAIL 2A SC ~,LE ~/,411 = ~1-0~1 SIDE ELEV. REAR ELE ', A, TION ~_4i_oIl JL ~LdII iL4u ~l_411 5L4u :~II ~GE FLO0~ =~ EP DONN 8 ~o~M ~O~D~ CONDUIT HND~ ~L~ Tor/sL~ ~L~,-o'-oW'? z41-g~ i /~FOUNDATIgN PLAN (turned down slob) ,~ ~l~l~'lq. ~C, ALF' i/4Ll= I I 0I (~ ~SE~"TION 4~ ,,:~0~ F DESIGN LOAD -~ ~,:s'¢ ~"¢ ~ Ill~.~I I DRAFTSPERSON I~,d.H. ISECTION 4A SECTION 4B ICHECKER T,L,5 formed ~~n ~ptionol) ~LrF Z'. 4'ITIE PLATE7 NAILER . ~ s~ ~,~ a~ r'-~'~ ¢IPlN~ ~/ I0;/$ SECT,ON SCALE ~/~ II = ~ SHiM I~ . SECTION 4D formed foundotion SHEET 4 TOTAL 4 SERVICE DOOR JAMB DETAIL 3A,,** a,~,¢,, II blOTE :IF INTEI~IoR ~,oD ~-" X4" ~TLJD ~*,'T ~=.~,,CH COF~N~F~ 3B /~\ CORNER .DETAIL .~ C.~.LE I I/z. ll ~ll~d:)IL ILl dO 0 o ~ CENTER SECTIONAL DOOR JAMB DETAIL :3C I SHEfr. I 3 , TOTAL 4