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HomeMy WebLinkAbout13700-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No .... .g.l.q .6 ~37. ....... Date ........ 3..~.o..5 .................. 19 ~3.6. THIS CERTIFIES that the building ....~.~.q-. C a?.. g ~ r.a.g~, s.c.~ e ~ ~.o?. y. b.tx J. i d J_x~g ..... Location of Property .1 ~ &0. .............. ~/e~.~. ~ti2&. ~ ct ............ ~,~ ¢ i.L,~q k .... /~se No. Street Ham/et County Tax Map No. 1000 Section ..... ~ 0 6 .... Block ....... .1 ~ ...... Lot ...... 2.2 ........ Subdivision ........... X ................... Filed Map No... X .... Lot No ........ X ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..F. e l>?.ua r 7..5 ....... 19 ~ 5. pursuant to which Building Permit No. ..... ~ 2.?.Q 0 g ......... dated ....... k'.e 1> p n~,r. 7..1 .~ ........ 19~3 5., was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ...T~..car. 4gar ag.e..ac c.e.a ~ 9r3~..~¢J-.1.cl Sr~F> ...................................... The certificate is issued to ............. ~IAM~$. D.... &. L.]~NI~g. ~I,. ~/.0.I,B g R.T. ............. of the aforesaid building. Suffolk County Department of Health Approval ............... iq. Ag ....................... UNDERWRITERS CERTIFICATE NO ....................... lq././~ ....................... Rev. 1/81 Building Inspector FOIIM 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) N-° 13700 Z Date .................. Perrnissi°n is hereby gronted~r~/./)~,~ ~ ~~ .... . ',..~..,'"'~: ........ ,...~ ............................... ....... ~~.~,..7-2.....~..' ............. ............. ..... ~ ................................ ~ ......... ~ ............................................... Mop No lO00 Sec~o~../_.d~ ~ o~k .. CounBt T~x · ......... ...-., ~ ....... t N . .~..~.~....~ ....... ~. ~u~o~t to o~p,,cot,o~ ~o~ed .... ~ ..................................... 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==,----== 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of p~operty showing ail property lines, streets, buildings and unusual natural or topo graph lc 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 Date .......................... New Building .... ~ ..... Old or Pre~existlng Building ............ Vacant Land ............. Location of Property ./.~...~.~ ~q::?.,-~/~... ,'~/,/,, ....~¢:~4~. ....... .~...~/~.,..~..~... House No. Street Hamlet Owner or Owners of Property ~, .~..~r~..., .t~...~. ~.~?.0./..~. ¢~ .7~...~..~,(.~..~...~..~.. ~...~...~..~...~..~".. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map~,~ ......... Lot No .............. PermitNo..~.~.~..~...~. Date of Permit .~.).lJ/.<~.~.Applican ..t~,~,,,~.,.,/~.,",~/~;../~.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Bequest for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $, .~:~...~...~../.~.l .......... Construction on above described building and p, ermit meets all applicable codes and regulations. 2ql dS' PP ....... ' ................................. Rev. 10-10-78 FIELD, INSP.ECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..--~....(.F ...... 19F.~"- Abproved . .Id ....... 1 e~it No ...... (Building Inspector) Received ........... ,19... APPLICATION FOR BUILDING PERMIT 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 Bui/ding 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 County, New York, and other applicable Laws, Ordinancgs or Regulations, for the construction of buildings, additions or alterations, or for removal br 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 i~spections~/~ ~// /~'~ . ~,' ' ' ,. ....................... /'($imaature o~.~pplicant,~qr nome, if a corporation) .... ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................................... Name of owner of premises ...~...O..~..~.~,~ ..... . .~...~....~.. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ............................ ........ i~'a~e and title of corporate officer) Builder's License No ........ .~/~"...f~. ............ Plumber's License No ....... ~.~'...~ ............ Electrician's License No ..... . .~.~/. ~ ............ Other Trade's License No .... .~..~. ~. · ........... 1. Location of land on which proposed work will be done .................................................. I g.O . . . . .L.r:.d. . . x). House Number Street Hamlet County Tax Map No. 1000 Section ..... M.~..~ ..... Block .../.~.. .......... Lot. ·..~..~.. · .~-~. · ...... .~. ~- ............... Filed Map No ..... .~/~. ..... Lot ..... .~./J~- ..... Subdivision ........... '~' ~(~q'ame) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .--'..~---~/~. ~...{~. ~../.~J. ~..."~. ................................ b. Intended use and occupancy &P~..../~,~z?. fi.~ .... ~. ~../..X~. ~....""~. ..... ~ .~...'~. ........ 3. Nature of wgrfi~(~hg~t~h~J]t[~icable): New Building .... .~. .... 'Addition...?.~.~.... Alteration ~..~.tq ...... R~p~r .. ~~al ...... ~/~... Demolition .... ~/~ ...... Other Work .... ~/~ ...... 4. Es~al~4~. ~. ................... Fee./~ .t~ .~ ....................... ~~~ 'i~ ~ '~ (to be paid on filing this appli~a$ion) 5. If h~~ts .z.. ~ ...... Number of dwelling units on each floor .... ~[~ ....... If garage, number of c~s ..... [~' '~) ...................................... i ~ z:a .............. 6. If business, commercial or mixeO occupancy, specify nat~e and extent of each type of use ... ~/.~ ............ 7. Dimensions 9~ e~isting structure.S, if any: Front ..... ~/~ ~... Rear ..... ~/~... Depth .... ~/~ .... Height .. ~la~.~ ...... Number of Sto~es . ~/~ . . Dimensions df same structure with alterations or additions: Front .... ~/~ ........ Rear ..... ~ ......... Depth .... ~ .......... {.. HeiSt ..... ~/~ ............ Number of Stories.. ~/~ ............... · · , · . / r '--8. Dimensions of entire new construction: Front ..... ~ ..... Rear ...... ~ ..... Depth .... ~ ......... , Height .... [ ~ ~ ....... Num~ber of Sto~es ...~. ~.~. ~ ................................. z ...... 9. Size of lot: Front .../~.( ~.'~ ......... Rear ...... ~.~. ~. ~ ....... Depth .... 10. Date of Purehas~ .... ~.~.,~ .............. N~e of Fo~r Owner .~.e.~.. 11. Zone or us~ district in which pr~mis~s ar~ situated .... ~g&~~ .............................. 12. Does proposed construction violate any zoning law, ordinanc~ or r~gulafion: ~..~..~. 13. Will lot b~ regrad~d ....... ~ ................. Will excess fill b~ removed from premises: Yes N~e of Archit¢~t ....... ~ ............... Address ...... ~/~ ......... Phon~ No...~ ......... N~ of Contractor ..... ~/~ ............... Address ...... ~/~ ........ Phon~ No... ~/~ ........ Locate clearly and distinctly all property fines. Give street and block: interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from umber or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ................. $.S .................. .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named,. the ..... ~/ff.~O ,~,~.% ....................................................................... He is (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; ,that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne: set forth in the application filed therewith. Sworn to before me this ........................ day oi ............. Notary Public, ....... :,. '~..~.'...~..~.d~ Coun [4~' ~I ]117,678, ftdi011l COi~llt!C -- U (Signature of applicant) ' CEILING LOAD ' $ PSF TOTAL LOAD £.__~_3 PSF llx16 PL. T.C.#2 16xlO PL. 18 GA. llx13 #2 6 6xlO PL,- PL LUBBER STRESSES Ap?~©~ AS NO.TED.. NOTI~ BU~LD)NG D=~,RTMENT AT 755-]802 9 AM TO 4 PM FOR THE FOLLO' t'~C ~NSPECT~ONS: FOR ~OURED CONCRETE 2. ROUG'~ - FP~MING & PLUMBING 3. INSULA?~ON 4. FINAL - CqN'SmRUCT]ON MUST B~ ~C~?L~T~ FOR C. O. ALL COF<ST~CT~ON SHALL MEET THE RE~U~RSM~NTS OF THE N.Y. CONSTRUCTION & ENERGY NOT RESPONSIBLE FOR SIGN OR CONSTRUCTION ERRORS. 12 3 5 LC 13x8 CAMBER AT C/NTE:RL.TI~ Truss has been designed by I" computer using the Purdue Plane Structures Analyzer IAW the Truss Plate Instl- tute's specifications. Out- put data will be provided upon request. 1950f MSR lumber used tn lower chord and 1600f or better lumber used in top chord and web members. Allowable stresses are creased for short term .loadtngo 20 Ga. galvanized 10'8" -- 17' lo-1/2- 2"x4" PURLINS ~'_'7-" O.C. HIRE} STEEL BEV. PURLIN, SOFF~ 1/2"x5- I/2" M. BOLTS >~1 R~ STEEL LAMINATED COLUMN L~ ROWS 2"x4" NAILERS SIDEWALL SECTION 15' PS~ ~ ROW(S) 2"x 8" SPL'ASHBOARD ~TE~ OORNER & ENDWALL COLUMNS TO ~VE 14"~ HOLES & 2 BAGS SACKRETE o" BAG(S) SACKRETE IN HOLE & BAGS WHEN SETTING COLU~ OF~=ICE ~. Jo~ No. ~3,~'~ ~ SCALE: SHEET NO, -- -,,~ ~- ~, :uu~o,al~ pounOs of concrete mix ~is poured around the base of the post. SP~SHBOAP~DS - Splashboards are No. 2 and better southern yellow pine 2"x8'' $2S and center matched, pressure treated with pentachlorophenol to .4ipounds retention. One row is furnished for buildings on ~ level grad~. ROOF TRUSSES - Factory assembled with 48 or 20 gauge steel truss plates as required. Trusses are designed by a registered professional engineer fur roof loads as required by local conditions and building codes. BRACING - 0.035"x1~" high tensile steel diagonal, X-bracing i~ all corners. Lateral truss ties as needed. ROOFING AND SIDING PANELS - 0.019" min., Ggo zinc galvanized steel with an additional baked-on silicone finish. Color is I mil thick on exterior. TRIM - Die-formed trim of O.O19"min. steel with silicone finish on corners, gables, ridges, and doors. GUlF. ERS - 5" box type gutters, colors to match trim, on both sides of the building. SKYLITES~ 38"x7'1" panels of 8 oz. translucent green fiberglass or 6 oz. translucent white fiberglass with Tedlar formed into same pattern as roofing and siding panels. ~EATING, PLUMBING, VENTILATION, AND ELECTRICAL WORK - By others, not part of these plans. 300 :'