HomeMy WebLinkAbout14492-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z14464 Date June 3
.................................................. 19 86
THIS CERTIFIES that the building addition to existing dwelling.
Location of Property ...5..60 .... Theresa Dr. Mattituck
h3use ~Vol ................... 's'tle3i ....................... h3d~id
County Tax Map No. 1000 Section ...1. ~. 5. ...... Block 1 3 ...... Lot 2 0
Subdivision. pp.e.p..Hp.~.e...C.r.e.e..k..g?.l? .a.~.e.s...Filed Map No .... 6.2..5.6.Lot No. ~ 6
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· .N. 9 y.e,m.~..e ?..2. q. ...... ,19 .8.5. pursuant to which Building Permit No ..... ! .4.4.9. .2 .Z ..........
dated ...... .d,a.n..u.a.v.y...2 ...........19.8.6. , 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 .........
Addition to existing dwelling.
The certificate is issued to .... MR~ & MRS. JOHN WHALEN
................ ?o¥,'~;, ~'~k'~'~ ......................
of the aforesaid building.
Suffolk County Department of Health Approval .................. .N./.fi, ....................
U~t)ERWR[T~S CERT[F[CAT~ ~O ................. ~.7.~.7.7.~.~. .................
Building Inspector
Rev. 1/81
:~ORM NO. ~
?OWN 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)
N~ 14492' Z
Permission is hereby granted to:
....~...A....::...~c.~....c~~..z..~ LTD.
.... .~,..~.~....~.....,~.~.~ ........................
.... .~c,~....'~.~.~.T...r ..~.~:.....u~.v ~
,o ...... ..co..~.~~..~...../.~.~.~.~..c,.~......~.~......~.~..~m~.:.~. ....................
..... ~.,,~u..~.~.%....~..~ .......... ~.,~-~.~....~..QF-~.......~:~ .....
at premises I~ated at .........~ ......... ~~~......~.~ .......................................
....................................................................................................... ~~..~..~.~,
~~...~~..~T~ ........................................................................
co~,~ ~ ~ No. ~oo0 s~t~o, ..... ~.~.~ ......... m~ ....... ~.~. ........ Lot ~ ..... ~.~.9 ......
~r,~,t to ~pp~ot~o, ~*t~ ...~ ...... .~.~ ....................... , ~.~U~"d ~pp~o,~ ~ t~,
Building Inspector.
Fee $......~,..~....~ .,~....
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department · ·
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m~ 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 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-
lions, 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 huildlngs (prior to April lgB7), Non-co~forming uses, or-buildings end "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
Date ..... ..........
/.
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property ..' .,~..~.O.,..' .'--~., ~ .~;~'..~...~.~./..~..~ .... //~.~q..~./.~.~ ./~'., .........
House No. Street Hamlet
Owner or Owners of Property ~.~..~...~...~--."~.. ~//~.. · . . .~...~.~./~'.~'~ ..................
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. J./'J.~. ~.o~..~. Date of Permit ~ / ~, ./.o~/,..Applicant ~..c~O. ~.~. ~'~..~-~..~/t,,'~P~./~??.~-
Health Dept. Approval ........................ Labor Dept. Approval .......................
Underwriters Approval ........................ Planning Board Approval .....................
Request for Temporary C_~ertificate ..................... Final Certificate ~
Fee Submitted $ ............
Construction on above described building and per3~t m~s all applicable codes and regulations.
Rev, 10-10-78
TOWN OF SOUTItOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-I 802
To Whom This May Concern,
We are unable to compl~e your Certificate
of Occupancy because.of the following reasons.
/~ An application for Certificate of Occupancy
is not on file. ~ ~
/~/ No Underwriters Certificate on file. ~--'
/~'/ T~e ~heq~ ~'si°Utdated/not on file.)
/~/ No Health Dept. Approval on file.
/Z/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # / ~ ~ ~ & Z
Building Dept.
***~ No Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
THE NEW yORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
I~''~"* 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
only the electrical equlptttent as described below and it~troduced by the applicant ~med on the able application nu tuber in t~ premises of
in the followlng location; ~ Baset~ent ~sg FI.
was examined on ~.~.~a~ '~s ]~c~.) Lot
FIXTURE
OUTLETS
3
RECEPTACLE~
[] 2nd ~l. Section Block
and found to be in compliaace with the requirements of this Board.
SWITCHES FIXTURES RANGES OVENS EXHAUST FANS
, FLUORESCENT
DRYERS
SYSTEMS
NO. OF FEET
E
OTHER APPARATUS:
E
NO. OldE R~ C,~COND.
R v I C
A. WG
OF CC, COND,
NO, OF HI-LEG
A, W. G, NO. OF NEUTRALS A, W G,
OF Hi-LEG OF NEUTRAL
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern~
We are unable to complete your Certificate
of Occupancy because.of the following reasons.
/~ An application for Certificate of Occupancy
is not on file ..... ~ ~~
/~/ No Underwriters Certificate on file.
/~/ The check is(outdated/not on file.)
/~/ No Health Dept. Approval on file.
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # / // ~ ~ ~ Z
Building Dept.
***/~/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
76S-~e2
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
~IELD I~SPECTION DATE
FOUNDATION ( ~ s~._t )_ ........... /
FOUNDATION ( 2nd )
2.
~ou~ ~M~ ~/,?c ~.~
PLUMBING
I~SUL~TION PER N. Y.
STATE ENERGY
G~ODE
~/~ ~I~
FINAL
ADDITIONAL COMMENTS:
I~2 00'
~ o! 15
NOTE:
m -' MONUMENT
SUBDIVISION MAP FIL ED tN TH~' OFFICE
OFTHE CLERK OFSUFFOLK COUNTYON
Jl.~Pt PB~ 1965 AS M.~ P NO. 4,956.
REVISIONS
OCT.$, ~973.
YOUNG & YOUNG
~IDEN W, YOUNG HOWARD W. YOUNG
SURVEY FOR:
JOHN WHALEN
LOT NO. 16
"DEEP HOLE CREEK ESTATES"
AT MATTITUCK
TOWN of, SOUTHOLD
SUFFOLK CO.,
SCALE:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
', TEL.: 765-1803
Examined ..xJ~.~.~(. ~-~ , 19
.............
nnroved ~..~ ...... 19~ee~tNo.~...~.~%' ~
A~ .
~is,p~oveda/c...~ ...... > ............ %:",?,
.............. .....
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
,ow~'§~
]Received ........... )19.. ·
Date
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 inspectinn throughout the work.
e. No building shall be occupied or used in whole 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 inspections. .~ ~/ ~.~o~//~/-~o~,
(Signature of applicant, or aa/m/e, if a corporation)
' .~.~. ~.<;<¢. x. ~.. ~.~, .......
.... ' (Mailing add'ess of applicant) /
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .~.,~....qx~-r/~/~6/. g~/. ~Lo//;~. ..................................... . ......
/
(as on the tax roll or latest deed)
If applicant is a co~e of duly authorized officer.
Builder's License No ................
Plumber's License No.../..,5.77../?. ...........
Electrician's License No..~.....7. ~.. ...........
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
.~o ......... ¢:..~..:..~-~...~9~e .... ~~/~ ................. ...
ltouse Nmnber Street Hamlet
County Tax Map No. I000 Section . .~./. ~. ..... i ..... Block . .~J ~ ........... Lot... · .~'.~.'. ............
Subdivision ~-).e.~,rY .)g~./~..6~/Q.~/~.. ~.~-~]~'~' .'~.. ' Filed Map No..z.f.~ ....... Lot.../~ ..........
~- (Name1
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: / !
a Existing use and occupancy '-ff~.~-~--~rL/~-~-) ~1~(('~ .~..//~..-/~ ~U~//~
bl Intended use and occupancy' i i:;i:~~~~ i i i i i i: i
3. Nature of work (check which applicable): New Building .......... Addition ......... Alteration ..........
Repair .............. Removal .............. Demolition ............. Other Work ...............
4.
Estimated
Cost
~ (to be pfiid on filing this applicatic
5. If dwelling, number of dwell~g units...~ / ......... ~umber of dwelling units ion each floor.. / .............
If garage, number of cars . D,~/~.~ ......... l.C/.'q~ · ' .................. ! ..........................
6. If business, commercial or mixed occupancy, specff~..n,,ture and extent of eac~l.Lype' of use . ...-~--~-~=...~-~... - .
..... . ~, r. I! ~ ~ i! ........ '~ .....
Height ] -~ ¢~O..~. Number of Stories . ./ 7 , ,~,, .. ~
. . · ............ . . · .... : ............... ................ ,..., ......
Dimensions qf~s~r~e.st~¢ture with alterations or additlons:_Front .. ~ ~. ...... , ....Rear . .,gS.. :. ~... O. .......
Depth .~].' ]. Height Z ~'TW,4gz'/ Number of gtories ~' - ,,
Dimensions' "' ..... of ' ............. ' Front ........../Il /'..~' ~/...: ...... '~ Z '~ 'l i ........ '?.~..:~,r .........
8.
entire new construction: .... /,/., Rear .,. 7. ...... Depth
Height {c5'/O,~. Number of Stories t, ..........
9. Size of lot: Front ..... /.f,(? ............. Rear.: .~./.rig. ............. Depth . .~.a0;~ ......... I ......
10. Date of Purchase ........................... ~/.. Ni~me of l~ormer Owner .. ................
1 1. Zone or use district in which premises are situated..~ft~: .~ :'~ .[~l~,,x. . .. ...... i ...........................
12. Does proposed construction violate any zoning law, ordinanceorreghta~a~an....~_ ............... .,,~%. ....
13. Will lot be regraded t~g-{~> ........................ Will excess fill be removed ,from premises: ~ ,-/ , No
14. Name of Owner of p;e~nises .~,~ ~,./.-~../~ .......... AddressoC. O0 72~We.~4'(c/M[: ~.~... Phone No. ~:~.~. ~.~.~ .~..~'.
Name of Architect .. ~ ,~,2{.//~.~ .~. ~: O~../., fi'~,Aadress~?~9?.er~;', ¢/~. ,~.,~. (. Phone No. ~/drdf~.': ~z.~.O '.~
Name of Contractor f. ~.o~y~...~.~f~. Phone No. ~.~. ?z/..~ ~....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensio ~s from
property lines. Give street and block number or description according to deed, and show[street names and indicate vhether
interior or corner lot.
STATE OF NEWArDRK, ,,~ ""
COUNTY O~' ..,4~. .... ~'~ r'h ' i
...... %'~,'_~4' ~.i....~.~... beingdulysworn, depo~esandsaystha~isthe
above named.
He is the ......... 7.. t', ................... i ...................
corporate officer, etc.)
>f said owner or owners, and is duly authorized to perform or have performed the said work and to make an,
~pplication; that ..all statements contained in this application are true to the best of l~i~knowledge and belief; and
~vork will be performed ~n the manner set forth m the apphcahon filed therewith.
5worn to before"me this
............ ¢ .Z-J.~..fl/ .... day of...,~.~ .V. ~:..r~,~ .... 19~.
qo County[ ,-~ , ,
,licant
file this
that the
¢lican0
- _ ~
£ ot 15
NOTE~
· -- MONUMENT
$6'~01 VIS10 N MA P Fl £ EO IN THE OPFIC£
JAN.~ 1965~ MAP NO. 4256.
OCI~, 1973,
YOUNG & YOUNG
4.00 OSTRANDER AVENUE. R[VERHEAD. NEW YORK
ALDEN W. YOUNG HOWAIRD W. YOUNG
SURVEY FOR:
JOHN WHALEN
, RECEIVED 0CT3 0 1985
~ ~OTI~ ~u~' -
~, i~' I" '~ ~1NG IN~CTIONS: -
iI
~! ~ ~ , 4 FINAL ......
~ /~;~lil ~ ,~ E Oq~PLcTF FO~ C O.
!,] ~ ~l ~ ~O~[gTRUCTION sHALL
~ ~ ..... EO~IpEMENTS OF THE ~.-, , '
: ~ ~~?t[~~ ¢: ~:*.-m ~i'.; ~=~ ~ ~ ~' J THEsTATE ~ coNSTRUCTION- & ENER~
~ CODES, NOT RESPONSIBLE FOR
.jr
j,
L
LA~' N~T~D R A ~ T ~ R W/ W' N DOW STOPS ' ~m ~ m //~//~ ~/ EXPLODED
HEADER
~,~ ~oc~,~
INSULATED WINDOW PANEL '
TWO-WAY FAN AND CONTROLLER UNIT ~..,
POURED CONCRETE FOOTIN~ '
,, RIGID [NSU~TION
S,D,~
.
--HOUSE FOUNDATION WALL
I I'- t I/8"
WINDOW PNLS.
14'-5"
4 PNL$.
NORTH
17'-8
5 PNLS.
FOUNDATI'ON
LAYOUT
HOUSE ' =: ,
FRAMING
RAFT
PRE-CUT
ADJUST AS
NEEDED
!1'-03/4"
6 PNLS.
24'- 45/8'
7 PNLS.
.d
END
WALL¢
CO
FRONT WALL
FO'
TO MEE
SOIL
CONDIIT
NOTE
HEADER AND SILL BLOCKING
PRE'CUT TO 3'-13/B" USE AS
· ACER TO LOCATE RAFTERS
~ /~ ~r~ter IN I/4" FROM OUTSIDE
into sillblocking OF SILL PLATE
DETAIL:
RAFTER, FRAMING ~ WINDOW ASSEMBLY
I
5
,7