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