HomeMy WebLinkAbout14522-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southoid, N.Y.
Certi[icate O[ Occupancy
No. Z15058 Date October 30, ..6.
.................................................. 198
THIS CERTIFIES that the building ...O.n.e., .f.a.m.i. 1. y..d.w.e..1.1.i.n.~..w.i.t.h...a.t,t.a..c.h.e.d...d.e.c.k,s
410 Huckleberry Will East Marion, N.Y.
Location of Property ..........................................
House No. ' ....... 'S'tle~'~ ........ Ham/er
County Tax Map No. 1000 Section 031 .Block 16 .Lot 003.2
Subdivision ............................... Flied Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore fried in this office dated
December 6 14522 Z
................... 19.8.5. pursuant to which Building Permit No ......................
dated.....,.................January 30, ..... 19 .~.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 .........
One family dwelling with attached decks
The certificate is issued to Frank & Loretta McCue
..................... ....................
of the aforesaid building.
Suf~ik County Depa~ment of Health Approval ....... ~.~9r. 1.~¢ ........................
UNDERWRITERS CERTIFICATE NO ..... ~ e n d ± n g
Plumbers Certification dated August 21, 1986
Rev. 1/81
FO~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
14522 Z
Permission ~s hereb,v gronte~,~
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........ szo....,..C..,.~....zz.z .............................
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o, p,em,se~ ,~.ated ot .....~.a.....~.:¥.,..~.~.~..~ -~.~..x......(..-/,~.~..(~z.~...~..~-'
.......................................................................................................... ,~ ..~.~.,r-,,,~.,...~.~
County Tax Map No, 1000 Section ...... ~....~.../. ....... Block ..... .~..[............. Lot No..~.~)..~.'..J. .....
pursuant to application dated ......~'~-~J~ ...... ~. ........ , 19~...~.~., ond approved by the
Building Inspector.
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 mm,-,--,-,- 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-
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.
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 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.
C. 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
$15.00
Date..~q~9~.~.,..~.~ ....
NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property . .~.qq~.[.e.he..~?Y..H.$ .1.1.. ~iVa.t.~ .RoAd .) ....... .~.s.l;. MA~%OD .........
House No. Street Hamlet
Owner or Owners of Property Frank & Loretta McCue
County Tax Map No. 1000 Section .... .0.3.~. ....... Block . .[,6 ............ Lot...3., ,2 ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No..1.4.5.~..2.~... Date of Permit . .~./.3. 0. ~/.8.6.Applicant . ?.q~.9.~.s..~.9.s.~..C. 9.~.s.~.~gg.~.%q~' ....
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all appliceble codes and regulations.
Applicant ~?..-'~-..~.....~..~..;... ~ .~..~../~...
O0 ~ )503~
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date August
Building Permit No. ~4522 z
Owner Frank McCue
(please print)
Plumber Peter J. Victor(a DBA Perfection P].umb~.ng
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
'(p/~'~umb~ature)
Sworn to before me this
/.~~ NOTARY PUB/_IC Slate of New
Notary Public, County {'40. 52-463666~, Suff otk CounW
(~6m6~,ss~on Expires ~~
FIEL~ INg~ECTION COMMENTS
FOUNDATION (1st)
FOUNDATION (
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL
COMMENTS:
7GS-'~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
./
[ ] FOUNDATION ;ZND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
REMARKS; ~2~ (~:~/~/~ ,~
76S-'~802
BUILDING DEPT.
INSPECTION
FOUNDATION~.$T ~ ] ROUGH PL.BG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
INSPECTOR ...~, g, ~. ,
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG,
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING .~ ~.~] FINAL
REMARKS -' ........ ( ~///,~,, '
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ~INSULATION
[ ] FRAMING [ ] FINAL
INSPECTOR
Re~ulato~ Affairs Unit
Bldg. t0~ S~o~ 219
~tony Brook~ ~ 11791
(516) 751-7900
User ~r. lq¢ Co...
A revie~ has been ~ade of your'proposal to:
o' L~k~ ~,'*- as ~,r Ju~,~
The N~ York State Department of En~irom~ental Conservation has determined
that the above project is:
L~' ?~,ore than 100* from Freshwater ~!etlands.
The Freshwater Wetlands present ere tentatively mapped as less than 12.4
acres and have not been desi~,nated by the State as having unusual local
importance at this time so are not currently regulated by NYSDEC.
.. The wetlands present are Tidal and it appears that you need to apply for
a Tidal Wetland Per01it.
Therefore, no pezln/t under Article 24 (Freshwater lqetlends) of the
Environmental Conservation Lm~ ts required.
C~H:DDR:cogs
Examined ..//.'~. · ....... , 19~..
Approved.../~./' ......... 19~. Permit No../.~. · .~. .g'. .7-:.-'~
Disapproved a/c ....... ~t~ ........... .~..~..
.... .... ....
~ , ~ ~i~ (~uiMin~ I~s~ecto~)
APPLICATION FOR BUILDING PER~IT
' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
D
BLDG. DEPT.
TOWN OF SOUTHOLD
Received ........... ,19...
Dat~e'Dec ember.. 6 ' 198..5.
INSTRUCTIONS
a. Tins application must be comlSletely 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.
¢. 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 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 Count, 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 alt applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
· .3.2.9. .q..R. ,..1.1.1....M.a.,gr.v.i..1.i.e.,..N...%.... 1. J.9.49.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, ~chitect, en~neer, general contractor, electrician, plumber or builder.
Builder
Frank & Loretta McCue
Name of owner of premises ..........................................................................
(as on the tax roll or latest deed)
If all~ma~s a corporati~Fsig~ure o.f duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No...t9..b.~..d?.t.~?~;i~l.
E ' c n N to be determmgeqt
lectriciansLie se o ............... '. · ·
Other Trade's License No ...................
Location of land on which proposed work will be done ..................................................
..~.(.0 .... P.r..iy.a~. ~.o. ad., .~=.~. Eas.t Marion
House Number u ,~ Street Hamlet
County Tax Map No. 1000 Section .0~ 1 Block 1 0 Lot .... 3. · 2
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
vacant land
a. Existing use and occupancy .....................................................................
b. Intended use and occupancy 2. .s.t.ql?y..si.n.g.l.e.f.~.m.i.l.y. residence ..~
3. Nature of work (¢-hed~:~hich applicable): New Building ....XX .... Addition .......... Alteration ..........
Repair .............. Removal ............ Demolition .............. Other Work ...............
.' ~.~ (Description)
4. Estimated Cost.,· I~..1.00,D. OO.OD. .............. Fee..4~. ?'. · .~.. ............................
i '~ (to be paid on filing this application)
~q~t .... our .'
5. If dwelling, number of dwelhn s ..... 1 Number of dwelhng umts on each fl .~ .
If garage, number of cars ..... i ............. . .................................... . ....... iiii .....
6.If business, commercial or mixed occupan'cy, specify nature and extent of each type of use .. N/A ...........
7 Dimensions of existing stmcturels if any: Front N/A Rear --- Depth r.-.': .....
Height ..... ., ......... Number of Stories....'-.-.-. ...............................................
Dimensions of same structure w~th alterations or additions: Front .. .N~.A. ......... Rear .... - .........
Denth --' . .i. · HeiSt...77.- . .. Number of Stories ......................
-~ ........................ feet;
8. Dimensions of e,,nt, ire~new construction: Front ... ~.} .~..e.e.~ ~.. Rear ...3.3...i'.e. qt;. .... Depth ... ,~.2 ........
Height ............... Number of Stones ..................................... ;,;dd .' ' :,',,'~ ........
9. Siz;oflot: Front.. fi. 3?...Q2..i ........... Rear ..... ~.2.7 .............. ~_~13,/~th,.a . ~j~.. 9.~o. ........
10. Date of Purchase ........... i .................. Name of Former Owner C'..tT(, ,.t,~,... M?.r~. ............
11. Zone or use district in whichpremisesaresituated....Sg.u.t;h.°.l.d... . .....................D±nt;r±¢t; ................ ...
ordinance or regulation: ...................... ,-., ........
12. Does proposed construction vic!ate any zoning law, No
13. Will lot be regraded ..... ............... Will excess fill be remove f,r o lltr mtses:if a {C s) No
.. Address . .7.3. ..............,~.'one No...$~ .........
14. Name of Owner of pl:emises ..F.~.a.n.k...Iyi.c.qu..e... 6 Deer Park ~ 2 .-."~)../,0
· G. Bartoli a~. ~.O.Box 9. .gr.6.T9rs.s.4.o.
Name of Architect ........ ..........................................................
....... C.R. ~1~ .. Phone No. 8. 7.8r 9.4.0.6 .....
Name of Contractor P. 9.5.n.g.~. .! .E.a.s.~.., Conet;: . .. Address ~.2.0. ......... 0k'~h~)rv',~tq
PLOT DIAGRAM
Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from
number or description according to deed, and show street names and indicate whether
lines. Giv,~-~reet and block
STATE OF NEW YORK, ~ I~ e '
· .?~ .,.~.. ~....~....'~~.~ ................ being duly sworn, deposes and says that he is the applicant
(Nam~idual mgmng contract)
·' ' . ..........
~ (Contractor, agent, corporate officer, ~tc.)
of said owner or owners, ~d is du~y authorized to perfom or have pe3fo~ed the said work and to m~e and file ~is
application; that ail statements cont~ned ~ this application are true to thc best of his ~owledge and belief; and that the
work will be perfo~ed in the m~ner set forth in the application filed therewith.
Sworn to before me this
Notaw Public ........... rr~ ~w~ ,
S£8.0
SUFFOLK CO. DEPT Of HEALTH SERVICES
APPLICANT
SUFFOLK
SERVICES - FOR
CONSTRUCTION ONLY
DATE: i
N. S. REF. NO.
APPROVED:
COUNTY DEPT. OF HEALTH
APPROVAL OF
SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SECT. BLOCK PCL.
OWNERS ADDRESS:
TE~ ~OLE
SEAL
'%
SUFFOLK CO~ NTY HEALTH DEPARTMENT
SINGLE FA~Y D_W.F.~Lt~NG~ONL~4'' ,~.+
H-D..REF. NO. ~.
THE ~A~ DISPOS~B ~ND ~ SUPPLY ~AOlLITi~8 ~0~ THIS
Chief ewater Management Section
SUFFOLK CO. HEALTH DEPT. APPROVAL
H.S. un ~5;-50'f5E
' 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.
(si i
APPLICANT
suFFOLK COUNTy DEPT. OF "HEALTH
SERVICES -- FOR APPROVAL OF
CONSTRUCTION ONLY
DATE: ..... :
H. S. REF. :NO.: ~5:~:~D~'!5~ ' - ,,,
APPROVED: , ,, ' .... -
SL/FFOLK .T~X MAP
DIST. SECT.' BI~OC~:
..... TEST ~OLE
LOAh4
%'\
8.0
SUFFOLK CO. HEALTH DEPT. APPROVAL
H,S. NO.
ST .ATEMENT OF' iNTENT
THE WATER SUPPLY A~ ~WAG
SY~EMS FOR THIS RESfDENCE WILL
CONFORM TO THE STANDAR~ OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
A~LICANT
SUFFOLK COUNTY DEPT. OF HEALTH
SERVICES -- FOR APPROVAL OF I
CONSTRUCTION ONLY
H. S. REF, NO.:
APPROVED: I I
~JFF~K Ico ' TAX MAp QESI~ATIONI:
DIST. ~CT. BLOCK PCL
~VEL
LICENSED LAND SURVEYORS
~REENPORT NEW YORK
AM TO 4,
~.,- TWO~ ',
CONSTRiJCT ON
"'Nq'F RE~PONsIBL~J.i
o~ CONS-r~udTloN ~,
181.125 +
M
2947.6B
850.
209.758
50°
2097,68
30.B3
v ~ at on of sectio~ 7209
laW.
Unautho~'iz~d ~
a~ldifion to
the Flew Y~rk State, Eclu~t~oh '~
CF:,I-...ITP__.!:~..S.TP__.~I .-COLUMN
,I
4
J L
t~e;New York St~!~ Educ~i~l~n,,, ~
8
Jc.
Unauthorized alteration or
addition fo this document is a
violation of section 7209 of
the New York 51a,~e Educaf~o~l;
Copies of this document not
bearing the engineer's inked
seal or embossed seal shatl not
,U
II
II
I
II
'T' t,"Pl ~
~/,~' - /'- o"
. Unauth&dzed alfera lion o~
'addition to this docum~h;: iJ~,
' ,'~i~lafion of section 7209 o{ ~
! fh~ New Yor~'Sfa~ Educaflon
~, Copies ~f ~his document not
: s~l or embosS~ seal sh~ll nor
'be considered valid ~ples, '
DETAIL A ROOF TRUSS
SPACER DETAIL
DETAIL B ROOF FASCIA DETAIL
alteration or
to this document is a ,
viol~tion of section 7209 of
New Yorh SrBte Education
TYPICAL BAY FRAMING
ROOF
FRAMING
~ of fbi= document not
beBring fbe engineer's inked
~ h~z~idered valid copies, .
4¸:
g'~vOo C:, W/
'T'V'I=>I C~,L ~
7
r 'r
Cop es 6f th s document not
bee~ng~ fhe engineer's raked
seaFor~nbos~d s~al s~ll not
be cbnsidei'ed velid cop~es.
WOOD
vlobtion of section 7209 of
York S~te Education
6eari¢~'~fhe eng:nee~s inked,
cs~sldemd ~alid copies,
r-Pr~O-toud,,ad
RISER DIAGRAM
MAIN WATER SUPPL~
If copp~ ~
for water d~slr,~
~ys em;,plp
MAIN
RISER DIAGRAM;
DRAIN-WASTE & VENT
KITCHEN S~IK, DISPOSALL & DISHWASHER
Una'uf~erlzed, attest;on ~
add f on fo th s document
the N~W ~6r~ St~fe
Copies of fhi~ d~umbqf
bearing;'
wltheut{
and1972,
KITCt
DINING
// ,.'/
/
/
.j
DECK
BATH~E
Dane! //
ELECTRICAL
i'., I
SYMBOLS
UPPER LEVEL ELECTRICAL PLAN
LOWER LEVEL
Unauthorized alter~f;on iR" ·
addition to this document is a
E L E C T R I C AL v ,l~l~i~,~ section ~20g of.
Copies of'fhi~ d=c~e~ p~f ,
seal or embossed seal ~hall ~pf '
1/14
,~1
SECTION ~A-A'
FLASHING DETAIL
PLAN
SCALE: 3/8':1'-0'
Unauthorized alteration or
adcl[tlon to fhB ~ocumenf is a
the New Yorl( $1a~e Education
Copies of this document not
bearing the eng[neeCS in[~ed
seal or embossed sea[ sbatl net
be cons~clered vallc~ cop[eS,
.ELEVATION
SCALE: 3/16':1'-0'
MODEL~109
5' CANTILEVERED DECK
Topside[
The designs lllustfat ed in this document are the property of T~nglewood Manulacturlng,
IT~C, with permission of Guy A Bartoh. Architect This document shall nol be reproduced
rights are reserved Patents D220, 947 and 3,633,325 Copyright Guy A. Bartoh 1969
and 1972
DraWn By PW
S/M
SECTION 'B-B' SECTION
SCALE: 3/4':1'-0'
)