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Home My WebLink About13948-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy D.t~ecember 10 19 .~? THIS CERTIFIES that the building One family dwelling with attached aeck & carpgr t .' Location of Property . bl~c..~. ~. E~.4. oY; .~, 0,.~,. OY~..~a~ .~o~ ....... Oc~,. ~..Y.. Hou~ ~o. Steer Hamle~ County Tax Map No. 1000 ~ctJon .. ~.~ ...... Block . 0 q .... Lot ~ ~ ] Subdivision ............................ ... Fried Map No ......... Lot No ............. . conforms substantially to the Application for Building Permit heretofore flied in this office dated ~.~:~n}.gr.. arS., ....... 19 .a~pursuant to which Building Permit No....l~.~zt ~ ............ dated ~.a~'.. ~..7 ~ .................... 19 .~.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 ig ......... with attached d..e.ck &. c.a, rp..o.rt .One family dw.e..llin.~ ...................... JOSEPH B ROSE & DOROTHY E ROSE The c~rtificate is issued to ....................................... ... .. ... ... . ... . .. . . (owner,~ ~g4N(fX X X of the aforesaid building. Suffolk County Department of Health Approval 1.2 + S O- 9 8 UNDERWRITERS CERTIFICATE NO ............... P.E. ~..I) .~.N...G .......................... Plumbers Certification dated May ~ 1986 Rev. 1/81 l~Olt~ NO. ~ TOWN 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~ 13948 Z Permission is hereby granted to: ......... .J.~o~ .e.,~.~...~.....~ -o... ................ ..... ~.~......~.~...~. .......................... ..... ..:.~-.~.~.~.~.....~.~..~ ........... /../.~.~.... ~o ........ ~.0..~.. .~....~.~ ........ O.~.~.... .~. .,~.~..c..~........~.~.~..dY_~ ~..~ ...................... County Tax Map No. 1000 Section .....~..~.-.~.. ......... Block....~/.. ........ .~ Lot No.....~./...0..~...:~..o.../ pursuo,t to opplicction doted ...3~-~.~.~.]~.... ...... ..~f....~....., 19~.....~., ond opproved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~m ~mmmmm to the Building Insp?c- 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 unu'sual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-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 Amhitect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. 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. 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 .......................... NewCons f, ruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Proper .... ~. ' · Street Ham/et Owner or Owners of Property .~/' ..P..~J .~.~ ./~..~: ~'~.~..' .'~.".'~. J~:~L~. ~'~.~/.. ~..~ ¢.~ ~..' .............. County Tax Map No. 1000 Section., ?.~.'~..~..~. .... Block . .~. ~.~/ ........ Lot. ~.J'..~7/;~, ~ .... Subdivision. ~, ,~>¢ )~,, .,~',, .~.~..ti~,/~..~. ........... Filed Map No ........... Lot No .............. Permit No./~.' .~.' ~. ,~.~,-. Date of Permit ~l~'/~.//~.~q..Applicant.. :~.~.~, ~../~..'./~.~, v~.~.~..~. ......... Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval . ~ . .Planning Board rov .................. .................... App al ... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $....~.. ....................... Construction on above described building a%~mit meets all appl~e codes and regulations. Applicant....~~....~?.' "~ ' '~-~' ' 7. .... ¢/~'¢~/~' ....... Rev, 10,10-78 Co FIELD INSP~CTIO~ COMMENTS ~OUNDATION (2nd) OUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: TOT/N OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permi% No./~ggg (please print) (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 /~ day of ~Q~ 19~ Notary Public, ~.County O(p ig lumber' s s nature Notary Publ~Jc UNOA j. COOPER Notary Pubfl~, ~e of N~ No. ~2503, Su Term EXoire- ~- ~k CO.~ " "~ucemDer 3~, INFORMATION FOIl BUILDING DEPARTMENT WE ARE 1N THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN ~ APPLICATION FILED WITH OUR DISTRICT O FFICE~/d~i?' /k.~ ~ ~ THE NEW.M~RK BOARD OF FIRE UNDERWRITERS '~PL393'°NNo.~ ? / ~ ~Oc~TiO - ._ , 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST · ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION REMARKS: DATE 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH FOUNDATION 2ND [ ] INSULATION FINAL DATE INSPECTOR 76S.X802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS ~~~~__~ 'FORM NO. 1 TOWN O'~ SOUTHOLD BUILDING DEPARTMENT TOWN HALL · ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Z..., }~sapproved a/c .................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 ts 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 · areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- trion. 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 mil 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 Oocupancy tll 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 ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described· he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, a,n,.~egulations, and to lmit authorized inspectors on premises and in building for necessary inspg~:~as. , ....... ......... (Sign~t~g bf adSplicant, or name, if a corporation) (Mailing address of applicant) / ;rate whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. a,ne of owner of premises...'.~. ,-~/.:'-.~ .~., .~.'. ~. ~' .~./'-~'~'/. ~''~''' ~'O'~' ~ ......................... (as on the tax roll or latest deed) 'applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. '>~../..; ............. /Plumber's License No. -~.~ ................ /Electrician's License No. ~ .~./v.~..". .............. Other Trade's License No ...................... Location of land on which proposed work will be done. d/.~. ~. ~'~A~ .~./'7. '~Lst ~' /~f ~//~t~9 ~./. ...... D ........................................ ................................. House Number Street Hamlet . County Tax Map No. 1000 Section .:~?'~ a~g~ ....... Block..~./'.~.~9 .......... Lot..~.~J..~."/.~.O.O..~.... ................. Filed Map No ............... Lot S bdivision.. (Narhe) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................... b. Intended use and occupancy ...... ~, ?. · ;' , .................... 3. Nature of work (cheek which applieable)~ New Building . ..~..'..'.'J.. Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 'dC F 4. Estimate' est. ...... . -7. .,. . ,...... ee . . .............. . . ..... .. . *" (to be paid on filing this application) 5. If dwelling, number of dwelling Units .............. Number of dwelling units on each floor ............... If garage, number of cars .......................... ~, ...... 6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use ..................... 7. DimenSions of existing stmctur{s, if any: Front ............... Rear .............. Depth~..; .............. Height . .............. Number of Stories ........................................................ D~ensions of same structure with alterations or additions: Front ................. Rear .................. D p~ ....................... He~t ..................... Number of Stones .......... ~.~ ......... 9. ,0. ... ..... ' ~ .... ~: .....~' ' , , ' 'z .... ~, ' ''' I I. Zone 0r use dmtnct m which premises are s~tuated ....... ~ (.. ~ .................................. 12. Does proposed constructio, a yio~te any zoning law, ordinanbe or repletion: . .~. ......................... 13. Will lot be regraded .... ~. ~ ~ ~.~/~ ........ Will excess ~l be removed,from, pfemisesc ~-- Yes No ofArchitect/~.... ~ _ ~ ~~Address-~"~' ~ ~ ' ~ ~/~...PhoneNo ................ Name N~e of Contractor-~ ~'~ ~' ~ ~~f~. :~, .~_. Address ................... Phone No ................ P~T DIAG~ Lodate ~cle~ly ~d dis~cfly ~ bufld~gs, whether existing or proposed, ~d~ indicate M1 set-back d~ensions from prope~ ~es. Give street ~d block~number or description accord~g to deed, ~d show street n~es and indicate whether interior or comer lot. STATE OF NE.W~..OfiF, . ,_ COUI~I~Y OF .~... i (Name of individual sigl above named. S.S dng contract) .... being duly sworn, deposes and says that he is the applicant (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 conlained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannOr set forth in the application filed therewith. Sworn to before me this l i .... .......... day o ....... 19. Noti~y Public, . ....... County ~ /~ L WANDA $. GUTHRI£ ..... /.~'-/,a~""~. ·/~.-.c.-. a · · .'.',~' · ;-~. · ~.. ,'. ........ ' NOTARY NJSLIO. State of New York // '- / . - ¢Sianatur~ of aoolicant) ' N9, 52-4785315, Suffolk County'.~ ~ C/ ' ' .. ~ ...... '~ '': system lor this resFdeace will con- j pr~pedy~'is located Jn an agricultural area, the possibility exists that the wate~ Supply maY contain trace amOunts of pesticides m~d/or nitrote~. ' Speca :.anaysis~/~ required /~UC gO 198~ S C DECT. OF ~ /tE,~t. TH ~i~VICES CEMENT DAMPPROOFING. PAINT ON INSIDE WALL PARGE WALL IN EXTREME FOUNDATION WALL -- BITUMINOUS DAMPPRO0~ FLOOR SLAB -- POLYETHYLENE FILM UNDER SLAB STONE -- FOOTING DETAIL c FOOTING ~ TO 8"COVER, COARSE GRAVED ~ 1/4" SPACING IN DRAIN TILE ~DILDING PAPER UNDER TILE TILES SHOULD BE LAID WITH MIN. SLOPE OF ~-" IN 20' AND CONNECTED TO A POSITIVE OUTFALL OR STORM SEWER. ~:ORE lNGr RU~TI ' ' )NS'BE STAF{T CONST ON 'fir ' ' ' , ~'~' -'ii','. NOTE: CONTRACTOR TO CHECK ALL DIMENSIONS BEFORr' STARTtN¢~ CONSTRUCTION. , ( ,:J' r Tr=~HfT~ P'I24~TE~*Ti o~I I N ~t.I Lb~TIOIJ ASPLtALT P EL.T CONTRACTOR TO CHECK ALL DETAILS AND LUMBER SIZES TO MAKE SURE THEY MEET LOCAL CODES. LUMBER GRADES SHOULD CONFORM WITH SPANS SHOWN ON BUILDING PLANS. NOTE: CONTRACTOR TO CHECK ALL DIMENSIONS BEFORE STARTING CONSTRUCTK)FL HOME FOR ' C~LE 'W. L. Corley PLan Service 1677 Dorsey Ave. East Point, Ga. E~'~CKED-EL~ATI'ONL SEC TFON "A' -'A~' AROUND I ALL WOOD 'FRAMIN(:;i AREA -I NOTE: CONTRACTOR TO CHECK ALL DIMENSIONS BEFORE STARTING CONSTRUCTION. "J;]l~:t~,~ ARE USSD. .~--.RUl E ll[llllllllllllll ~ L I1 ~R~Us~ "TO O0 1 - I ~YPIC~L PLAN :EL~'gAT 10 N ABOVE Ally PART OF ROOt= ~ITRIN I0'. -- ,~ETA L / LAP ~" .~Jt, l. C HI,NEY ':FLASHING :LUE -GO0 C.~/'A CENTRF~U~AL :FAN TYPICAL OUTDIDE AiR INTAKF: ~I',~O-~'C,~i'E-~AL' "FIF-,'EPLA~;~JS ~UIS.~TITUTED~. INSTALLATION ~-~ :_: _/~II?~T:]SE:AC.C:ORDIN~C..]'O MANUFAC]'LLRER ~JSE~P-FlC~ATION~J. W. L. Corley Plan Service 1677 Dorsey Ave. East Point, Ga. HOME FOR SHEET :FIREPLACEDETAIL~ SPECIFICATIONS FOR VER W Il'IL EFFICIENCY ENERGY POR BARRIE,~' 1. CAULK & CHINK AROUND ALL EXTERIOR DOORS. [~ / 2)(4 STUDS ,// WINDOWS, ELECTRICAL OUTLETS, PIPES, AND ~ BO~X ~PLUMB ALLCANTILEVERED OVERHANGS. COVER THESE ~ AREAS WITH VAPOR BARRIER. ~LEC lNG PIPES '~lt /'~ ~,11 ~' ~ ~-I~::~ HARRIER ~--CONTINUOUS RIDGE VENT 2. WINDOWS TO SE INSULATED GLASS AND/OR ? ................. DROP R,DGE SEW 3,8' .STORM SAS.. REDUCE GLASS AREA O, .O,T. DECKING SACK s.,.G ES USE TRUSS A.C.OR & WEST S,DES OF .CUBE AS MUC. AS POSS,BLE. × ))m~LIMITINFILTRATION ' ~ ~//15~ FELT ~ ~ AT EACH TRUSS 8TUFF CRACKS OF WINDOW~ ~ c,. /_~ ~ ~ECKING ~ ~ 3. USE METAL CLAD FOAM CORE EXTERIOR DOORS & EXT. DOORS WITH INSUL. - ~ _, o~ ~ ~ ~ ~ WITH MAGNETIC WEATHERSTRIPPING. OR USE 'MONOFOAM' ~ ~ ~ ~ ~ ~ ~INSULATION 'R-~' 4. FOR AMOUNT OF RECOMMENDED INSULATION, POLYMERIC FOAM SEALANT ~/SINGLE GLAZING ONLY ~~ 2X8 R~GE~ ~ ~/ ~um k Ju~ SEE CHART BELOW. ~ ~ [~:~::~ ~o~;[~[ v~ ~ ~;~ ~ VENTILATOR FOR ATTIC VENTILATION AND/OR ~ SECTION A CONTINUOUS RIDGE AND SOFFIT VENTS. NOTE: SOME OF THESE SPECIFICATIONS MAY SHOW CONSTRUCTION PLANS. IN THAT CASE. THE II[ll il I mE, mm%% / i)) ~ ~ ~ ~ ~ SHINGLESx. ~ " ED TO ~ INFORMATION ON THIS SHEET SHOULD TAKE PRE- 111 Imm I~)ll ~% / I[l~ [~ ~ / ~ ~ ~ 15~ FELTx y//~()~PLYWOOD GUSSET PRE-ENGINEERER TRUSS ~ CEDENCE. ma mi I~ ~ ~~ ~ ~ DECKI~~ ~. ~~2X12 RAFTERS ~ IN ENERGY EFFICIENT HOUSING, SPECIAL TRATION AROUND WINDOWS, DOORS, ELECTRICAL ~ ', / ' TRUSS DETAIL BOXES, PIPES. & CANTILEVERED AREAS. GLASS AREAS SHOULD BE LIMITED AND ~~ ~ ~ SECTION AT CATHEDRAL CEILING. DOUBLE GLAZING OR STORM SASH ARE OF ~~ ~ DOUBLE GLAZING _ ~ _ ~ GREAT VALUE. ADEQUATE ATTIC VENTILATION ~ ~1 ,W/ STORM SASH VAPOR BARRIER~ ~ ~SIDIN~ ~ .... SHOULD BE PROVIDED. / FIN FLOOR ~ ~ ~ ~x~ RAFTERS AT 16 s.c. THE DEGREE OF ENERGY EFFICIENCY IS ' SUB-FLOO~ i~ --INSULATION ~ ~ AND QUANTITY OF INSULATION. ~ ~ , ' NEW (R-VALUE) VAPOR BARRIER ~ INSUL. SHEATHING ~ ~~ ,NSULATmON--~ ~~~ INSULATION STANDARDS ~ ~ .~ - 2X6 CLG. .......... JST. AT 16 s.c.' --- ~'~ ~~ ~ VAPOR BARRIER~ ~ ~. O~=mT RECOMMENDED FOR PASSIVE SOLAR HOMES 2X4 AT 16 s.c. ~ ' VENT REGION CEILING WALLS FLOOR SECTION AT CANTILEVER3 1/3' BATT (R=19)- ~ ZONE 1 38 19 22 INCREASE WINDOWGLAZING- ZONE 2 33 19 22 VAPOR BARRIER. FIN. FLOOR~ ~- ~ ~ ...... ZONE 3 30 19 19 SUB FLOOR~ j ~ ~ INSULATION ~ ZONE 4 26 19 11 ~ ZONE 5 26 13 1 1 NOTE: WITH FOIL FACED FOAM SHEATHING, USE r)~(~ ~ m~ 6-MIL. POLYETHYLENE VAPOR BARRIER INSIDE ~6" B*TT "oUL~ CAULK OR USE ]~ ZONE 6 19 11 11 ~ ~ ~ ~ ~ ~ ~ POLYSTYRENE INSUL. BETWEEN ~ ~// 6~ ~ ~ ~3 ' ~~ m ~ / ~/ ~ ,/~ -- I X2 FURRING STR~S. C~ER ~~ ~ ~~ ~ ~ ~~~ ~ ~ . ~ SHEETROCK ~ SIDING WITH VA~R~E~&' ~~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~/ / VAPOR BARRIER~ ~SHEATHING PLYWOOD OR DRYWALL.~~~~ ~X~ ~/ · ~ ~ ~ ~ ~ /~ ~ ' ~ ~ ~* RE~NF. CO,C. SL*B ~ --~,SUL*T~O, ~-- ~'~' - ~ ~_~ ~ ~ ~ ~ ~/ ~3 1/2" FUL~ THICK ~VER VAPOR BARRIER ~ ~ ~ - PACK )~PACE BET / ~. .... .~ INSULATION TURNED IN 2 , , THIS MAP IS REASONABLY ACCURATE FOR MOST PARTS .............. ~ ~ ~ -VAPOR BARRIF~ ~ ~ ~ ~ ~, ~' ' ' ~ '~';' ';-- ~ CONSEQUENTLY NOT TOO ACCURATE IN MOUNTAINOUS , ~ ~ ~ ~ ~ REG ONS. PART CULARLY N THE ROCK ES .~, ~.~u~. ~ (~o w..~ o.~) ou,~ ~.su~ ~o. ~ (.o.,z)- ,,*i ~ ~;~'~' ~ ~ ~ - ~._ ·/ AT AP,ROX~ 3' ~NTERWLS ' ~~" VAPOR ~ARR~ER~ ~ ~ ~ _ . 3/4' OR 1' TH TO P , ~ ' ~, ' ' W. L Corley Plon Sew~ce, IRc POLYSTYRENE FO ' .. ~ . ~ . ~ ~ 4 ~/~ ~;..~. , ~ ~ .:~ ~ P 0 BOXD0430-ATLANTA GEORGA30364 _ TYRENE FO~ ~ '~/ ~ ..... ' SEE WATERPROOFING ENERGY SAVING EXTERIOR CORNER & FRAMING SECTION AT SLAB FLOOR TYPICAL WALL SECTION. DETAILS COPYRIGHT BY W. L. CORLEY PLAN SERVICE, INC NOT TO BE REPRODUCED. ALL FERGUSON 'HEATING .CO. F :4 East point,, Georgia , ~761:5749