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HomeMy WebLinkAbout14474-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy bio....Z.1.5.5.!6 ..... 'Date ..... December 17 ....... 19 86 THIS CERTIFIES that the building One family dwelling . Location of Property .... 4. 8..1.3.0~.. ~.a i:n. Road...: ...... S o.u t h 9.[.d · House. No. Street Ham/er ty p N ' Coun Tax Ma o. 1000 Section .. 0.6.~ ...... Block .... ~ .......... Lot .... P.~2 ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ..... No.v. ~. J ,~ ......... 19.8 5pursuant to which Building Permit No...I.~A 24 g ............. dated ...... D~.a.. 26 .............. 19.8 5, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued i~ ......... The certificate is issued to ..... .. $~,L.V. ATOR.E..4. J~.AI~$11L .CA~,~,I~0 .................. .. (owner, I~ o~i~ZIlit~ X X of the aforesaid building. Suffolk County Department of Health Approval ....8.5.--.5. Q 7.2.2.1. .......................... N755970 UNDERWRITERS CERTIFICATE NO .............................................. . ... PLUMBERS CERTIFICATE 9/30/86 ml&ng ' ' Inspector Rev. 1/81 TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 14474 Z PermissiOn is hereby granted to: ...,....;..~.......~........c]..l..~. .................... .~.~~.,..~.:~ ....... ~.~. to ...~.~~......~.~.....~A~..t ............ ~.~t~ ....................... ............... ~.~ ....................... ~~.~.....~ ...... ~.~.~~.~ ...... at premises I~ated at ..~..~.[~.....~[.~.....~...~ ................................................ ........................................ ...................... ...................................................................................................... ~~.~.~.~.:~ ..... ~un~ Tax Map No. 1000 Section ....OA~. ...... Bilk ....~ ........ bt No...~.:..~ pursuant to application dat~ .~.~.....L~ ......................... , i~ and approv~ by the Building Inspector. Fee $....~....'T...T. ........ Rev. 6/30/80 FORM NO. 6 TOWN OF 80UTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY '~2,4x~- ~ .~¢_~, ~y~,f Instructions This application must' be filled in typewriter OR ink, and submitted m ~ to the Buitdlng 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 responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings iprior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~coperty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. COpy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 NewC°nstructi°u......OIdorPre-existingBuilding ........ · .. . VacantLand ............ . Location of Property .................................................................. House No. /~ /~ Street i /~ / Hamlet Owner or Owners of Property. J~ . ~/>.~;....~.~.... (~.v~..~..~. ?. ....... County Tax Map No. 1000 Section ...... ~k7 .... Block ../~. ....... Lot.. · ,~: , ,~, ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ,/,ZTf.y.~, ~/,ZOate of Permit .......... Applicant .................................. Health Dept. Approval ................. Labor Dept, Approval .............. ............ ~eguest for Temporary Certificate ..................... Final Certificate .....~-~-~.. ................ Fee Submitted $ ............................. Construction on above described building and~rmit meets all applic~j)le codes and regulal~ions. . App,,cant. (~,o, zf~7~ ~ ' ....... ~ ........ ' ~': ............ R~. 10-10.78 ]ooo663 THE NEW YORK BOARD OF FIRE UNDERWRITERS N 755970 THIS CERTIFIES THAT only the electrlca~ equipment ~ ~scri~d be~ and i~trodaced by t~ applicant ~med on th~ a~ve application number in the prem~s of Sa1 Catap~no, Rt, 25 i So. Iiarbor Rd., Southold, N.Y. in Ihe followlng location; ~ Basement ~ Ist FI, ~ 2nd FI. Sectlo~ flick Lot u~s examined on ,T~ll ~ 19,1986 attd found to be in con~pliance u, it h the requirements qf this lloard. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FLUORESCENT 25 36 DRYERS MULTI.OUTLET SYSTEMS NO. OF FEET OTHER APPARATUE: Smoke Detectors-2 Track Lighting~8~ 0"- O- litos R V I C 1 OF NEUTRAL 4 Clenn Bradl oy ~~ Box 392 lic.#1227 Laurel, NoY., 11.948 Per GENE~ MANAGERj~/],~.,, .jtk ~J This certlfi~t not be altered Tn any manner; return to the office of the Board if incorreci. Inspectors may be identified by their credentials. COPY FOE BUILD[HG DEPART~EHT. THiS COPY OF CEETIFIC~TE ~UST ~OT BE ALTEEED IN AHY ~NHEE. 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. / Owner ~-L ~'x~Ec~-YL(%/~ (pleas~ p~-£~%}' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~O day of 19~ Notary Public, County (plumbe/' s signature) Notary Public NO. 4707878, Soffo~ , FIELD INS?ECTION~,· DATE COMMENTS- .. --~--~--~ 1. , FOU__NDA_TIO__N ~ (1st), .... ....... FOUNDATION (2nd) _--== ROUGH FRAME & ~ / ~ PLUMBING C~ODE ' " ADDITIONAL COMMENTS: IMPORTANT: READ ALL NOTI~S ON THIS DRAWING TOTAL SPAN ' 2OFT DIN TOP CHORD BOTTOM CHORD 2x B SO. PINE KD 15 NO. 2 2x 4 SO. PINE KO [5 ND. 2 2x 4 SOoPINE KD 15 NO. ~ 12 P.O. Box 914 Riverhead, New York 11901 (516) 369-0450 OF LONG iSLAND AUTHENTIC LOG HOMES TOWN OF $OUTHOLD S Jackson Court Hempstead, NY 11550 (516) 485-0899 - evenings and weekends January 23, 1986 Buildiug Departmeut Town of Southold Main Road Southold, ~.Yo 11971 Att= Mr. H~ndermaun Catapauo Residence Main Road (Rt. 25) and South Harbor Road, Southold, N.Y. Gentlemen: please be advised 'that this office is no longer to be considered as the general contractor for the above-mentioned project. We accept no responsibility for any of the other trades involved with the construction of this house. Mr. Catapano has assumed the position of the general. contractor. This office assumes responsibility only for the portions of the house we may be contracted'to do~ Sincerely yours Gerald ~. perry gap cc Mr. Salvatore Catapano CESTIFIED, RETURN RECEIPT REQUESTED 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBQ. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS; FINAL 765-S802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: [ ] FOUNDATION 1ST []ROUGH PLBG. [ ] FOUNDATION 2ND []INSULATION []FINAL 7GS-~,802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS,' FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND £ ] INSULATION [ ] FINAL INSPECTOR, 765-1802 BUILDING DEPT. INSPECTION / / ' ,Nsp-c~o,~ IMPORTANT: READ ALL NOTI~S ON THIS DRAWING TOP CHORD 2x 8 SO. PINE KD 15 WE~S 2x 4 SO. PINE KD 15 NO. 2 NO. 2 NO. 3 I NT~O C K NEH 1¥ P, O. l~ox 914 Riverhead, Hew York llg01 ST A THE WAT ER~'$U SYSTE~dS FO~ CO,~FORM I SUFFOLK SUFFOLK SERVICES CONStrUCT JO DATE: H. S. REF. NO.: $~NGL~ FAM ~UFFOLK DIST. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-180:2 ., 1 ..~.PermitNo. · (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG, OEP'r, TOWN OF SOUTHOLD INSTRUCTIONS a. This application must be completely tilled 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 throu~out the work. e. No building shall be occupied or used in wkgle or in part for any 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe~ions. __ __ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .//.~..~.~. ~.. ~...~ .~.~ ~ .~..~...G ~.~ ~ .~.~. ................... : ......................... Name of owner o f premises . ./f~..~. ~..~.,/~...,~..~.......~.~.ZH.~ ,7~ f~~-' ' / & ...~.~..~f~.. ~./.~. .............. (as on the tax roll or latest deed) If applicant is a corporation~il~nature of duly authorized officer. · (Name andqS'tle o~rporate officer) elumber'sLicense No. ~./.?. ~/...~.. ..... .~.o../~/?.o?,~' ~-~//~7 /~z/c-/~c//o,v Electrician's Licerlse No. fl.~.~./.....ff.°../z'z~Y~.Z.~'' ~o,v~ /.,~C,~/~',V,E ,'~"~/°"~'7 Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~'~ ~ f- ~oo'~, .7~... .~.~...~../.~.o. ~ ....... .~.~. .... ~ f~ ................... ¢, .................................. ~ ................ House Number Street Hamlet County Tax Map No. 1000 Section .... ?..~. ~. ........ Block ..... d ........... Lot ..... .~'..~. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: E itl d p ~ a. xs ngusean occu ancy ............................................................. b. Intended use and.°ccupan~y....~?.'~..~......~d'??..~....~..~..~.., ?'~' '~'7'' ' '~' ' ' '' '~' 'ff"~' "~' .~.~..o .f'./C_~. 3. Nature of work (check which applicable): New Building .... t ..... Addition ........... Alteration ......... Repair .............. Removal. ............. Demolition ............... Other Work... ............ . ~. ca (Description) '4. Estimated Cost... ~.o. ¢, ........................... Fee ....... ! .......................... * (to be paid on filing this application) 5. Ifdwelling, number of dwelling units ..... .// ........ .. Number of dwelling uniti on each floor ............. If garage, number of cars .............. ~ ............................. ~ ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each typb of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ i ...... Depth ............... Height ............... Number of Stories ............................. . Dimensions of same structure with alterations or additions: Front ............ ~ .... Rear .................. Depth ...................... Height ...................... Number of Stories ................... 8. Dimensions of entire new construction: Front ... 2~.~. '. ....... Rear .... d>.d. ~. ...... Depth .. ~. P..t ..... Height . ./..~fY..' .q .......Num, ber of Stones .... ~. · · · ~ ............ I ........................ 9. Size of lot: Front 4.~.~. 7.... .. Rear..././'~.~...2~.'Az~ ..... Depth :./'.~../.~.'.7 ........ 10. Date of Purchase ............................. Name of Former Owner . .i ........................ 11. Zone or use district in which premises are situated .......................... i ........................... 12. Do~s proposed construction violate any zoning law, ordinance or mgulation: ...~..a ........................... 13. Will lot be regraded ...... ~. .......... :.... ....... Will excess fill be removedl from p~flmises: Yes 14. Name of Owner of pre~mises 5.'4~ .Z t~,~ 1,~.~.~. c.'q ?q t~e,e. Address~.~¢/..~¢.~.~..'¢.'~r4...2+~.{"f:it~r~e'~No,-C/.~. . ~/..~. Name of Architect . ?.~.~.~. ¥..~.. ~.¢iP.~!./~ ~.'f.~$ ..... Address(CO? .~.~.9~.~.' ~'.~.~q~'~Phone No~.2/gq. ~-ff ~ -.7[00 NameofContractor/~/gw £~9.2~.j5 /09 /.Ae,,~.r Addressf, O..~..,5 c/t~''. ~ 7'ph~_~x,~.~f~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show' street names and indicate whe~ther interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ' · ...... (~qa'~; ;'fi~&i'vi~idi/si~:i~'c;~iia'c~j .......... being du y sworn, deposes and says that he is the applicant ab4,ve named. (Contractor, agent, corporate officer, etc.); of said owner or owners, ~d is duly authorized to perform or have perfomed the smd work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief and that the work w~l be perfo~ed in the m~ner set for~ ~ the application filed therewith. Sworn to before me this 4; ' ..................... day of ............... 19 .. ~ ........ ....... ~~,~7 ~ ~ ~ (Signature of appIicant) ISUFFG'LK COUNTY HEALTH DEPARTMENT SINGLE FAMILY DWELLING ONLY H.D. R~F. NO. ,~,~'-,~c~ -¢~/' DAT~-~i ,~[0 THE~AGE DISPOSAL AND WATER SUPPLY FACILITIES FOR ~]S LOCA~N HAVE BEEN INSPECTED BY THIS DEPARTMENT :AND FO~N~O BE SAT S~ACTORY ~ '~:~~water Management Section . ~ ~ ~ LICENSED LAND ~EENPO~T NEW YORK ~UFFOLK CO' MEALTH DEPT. APPROVAL H. $. NO. '~-5':~,~-2Z1,,, . STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. lsl APPLICANT SUFFOLK COUNTY DEPT.' OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.. E:~:.~(,,~';~2 j APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST, SECT. BLOCK PCL, oca. 9 .. , OWNERS ADDRESS: 9~-0675 DEED: L, P. TEST HOLE STAMP SEAL TE~OY~4~ ~:~$T N8132~ ~,~ - ~ ~ ~es . : ~ THE ~A~R ~LY AND ~WA~ D I~AL ~ ,- t ; CONF~M TO T~ ~A~AR~ ~ THE " ~ SUFFmK CO~TM OEPT, OF HEALTH , ~ ~ / ~ONSTRUCTJ~N / ll- DAT~: ' "-- ,~ /, StNG~ FAM~LY~W~UNG ONLY .,.~v,~ ~ ~, ~ :, ... ... ~ I ~ ~; ~~ ' ~ ~ .... :-'~:~"*~"~ ~'~' ~"*" '-., ' ~W ENd~ LOG HOMBS ~ ~v~h~d, New York 11901 ~ (516 ) 369 - ~50 ~ ~ ~ .~ ~AL ~dd/~ : ZOO'=/., RODERICK VAN TUYL LICENSED LAND SURVEYORS GREEN~RT NEW YORK SI even Winler A s.s ociales, Inc. Building Syslems ConsuHanls 610D Empire $tMe Building NewYork N.Y. Model: Code: Date: HEAT IOSS~ALCULATION: · Cataphno; S0uthold, N.Y. Northeast November 7, 1985 ~EAS (S.F.) !. 1st Floo~ = 2. 2nd Floor' = 3. Roof Det.~Net = 4. Roof Dot. ~ Net = 5. Gross Roof = Window ~ = Door W~ll Det. Net 6. Gross Wall = THER3CAL TR~,NSMITTI~CE (U) 1. Floor Detail No.~ = ,/g~ 2. Gross Roof ~ =,~ 3. Gross Wall = ./~ 4. Gross Wall = "U" VALUES OF 1';ALL COMPONENTS .. Wall Detail 2. Wall Detail 3. Wall Detail 5. Window '6.' Door 2. Roof Area 3. Wall Area . Wall Area Floor Area x JUl= .~ )= /~,~ x (u~=,~)= /~.~ x (U4= 1. Floor Area x ~1= ~' $ 2. Roof Area x U2= ~~ 3. ~alt Area x U3= .~ 4. Wall Area x U4= TO T.AZ~- TOgA1~= REQIStEMENT'S / OOMi'Z, ENTS : Il. Floor Insulation R1= 2. Roof Insulation R2= 3. Roof Insulation R3= This calculation is for a zone of ~ODD degree days maximum. This mo~ therefore meets code requirements. I ,/ SOLDER USED IN WA TER S UPPL Y SYSTEM CANNOT EXCEED 2/10 o] 1% LEAD. piping shall be f~.l~es K or L only ~1; FOUN~)ATION FOR PbURED CONCRetE 2. ROUGH - FRAMING & pLUMBiNG , 3. INSULATION ' 4. FINAL . CONSTRUCTION MUST BE COMPEETE FOR C.O. DO' NOT SCRLE THE BETTER 1 ,( SCALE 7 L F-"~ I Il I L--J I (~ I L__J I ,<) I L J L Ja · shall not be the responsibility of Steven / :' Steven Winter Associates, I~c. 9lament be deslgmed by others practices Re dos±gn of footinss,, foundation Wails, and shall be approved by appropriate authori. DO NOT oF '~ 1st FLOUR JOIST I~iOTE: NELH~, ~i~ I~iT TO B~ USED AB A ~EFE~NCg ONLY. O~ I8 ~ON6~LE ~O~ F~ING ~O~ 8~D W~L~,(2 x 4 OR 2 ~ 6) AS NECEss~Y, C~AWL- SPACE ACCE~ SIZE ~ LO~A~ON IS ~E~ON. jr'' DO NOT SCALE ,OF ~ F Up, sa. ml(~ ,,, 2301 · H~ld~n, Gonnectlcut ¢ ,\ 5ILL o~ p~q,, LF 'IM~O\\/SL,II~pF-.M F_ F--xTISfe. 1012-- '5'-C¢F4'-~" \VII'4~\"V ~k~WT~Oa~ ¢_-~-0 x.7_=IO \Vliqi~Ox'v ~LAVATiO~J~ , ~ NOT sc;NLe THE BETTER I NeW: ,England, ' r '' Log Mo~es Ir, c,, , \WILIFOO\V 'i'?F_--TAI L5 P,O, Box 5056 H.mden, Conn~tJcut (203) 562~J~1 ·