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HomeMy WebLinkAbout20731-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24520 Date JULY 25, 1996 THIS CERTIFIES that the building STRUCTURE Location of Property 53005 COUNTY ROAD #48 SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 5 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10, 1992 pursuant to which Building Permit No. 20731-Z dated JUNE 18, 1992 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 RESTROOM FACILITY BUILDING AT SOUTHOLD TOWN BEACH AS APPLIED FOR. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED JULY 23, 1996-HENRY SMITH PLUMBING & HEAT. aet, Z'X;- Building I Spector Rev. 1/81 ~/l FORM X0.2 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°_N° 20731Z Date .....................5%l.j......................, 19.lL Permission is hereby granted to: Vie .....:S3cG..5...................... I .pk C9....... .p/.... at premises located at ................Sl ~ iS.... ...1 4 w w C l~ n i ..................................................................r............................................................................................... County Tax Map No. 1000 Section Y 1 Block CE Lot No. l j pursuant to application dated ...................1Q 14.2 and approved by the Building Inspector. i I Fee ' tom`.. J Building Inspector \Rev. 6130180 _OC~d 07 SOUT_OLD n T E-- 7 0 Cqr r L 1AJ..L icy-:302 +?°L.C3_:ON .OR CR T`_==CdT~ OF OCCU?-N. i -i-,s anol-cacicn must be -d _a OV C7D ewriCBr UD L{ -=,a SUCmi°ad e„ C7e bu=_. -+e '18pector w_t7 C7e COIICW''g: -or new'Build=.ng or 'new use: Zl s-,1 i'Ye!7 Or pi O9 ert7 wi t:1 aCtu rata _O CatiCII 0r all Olli?d=mss, -p rot) er7: -_Eleg, straecs, and unusual nacura1 or =oDOgrapniC =-attires. a1 AODroval t_om ae='= Dep L. Or :vZter sunn7y and sewerage-disposal (S-0 corm)- 3. ADDroval of elaccrical Lnstallation from. 3eard of -ire Unde N'r- cars. j worn statement _r Om plumber Lerti `y=ap C7aL C7e solider used System G0IItalns lass clan 2/10 of 1a lead- s. Cpmmerci building, industrial bui=d'zg, mui__ala ras dencss and s~=i_ar ou:'digs and iascallaclons, a C_rt1_1CaLe or Code Cpmnlianca -rom azcmitecc Cr engineer rasp onside for :1e Oll'~Q1ag. b.. Submit ?fanning 3oard Anproval of completed sic=- plan recuiraments. 3. ?or a.=sting bu+i dings (prior to Auril 0, 1057) non-conforming uses, br bui'_d_,gs and pre-moist ng" land uses: dcCUrata sur7ey of orcper_~ s:.ow-=g pronerr7 L,-es, sti°-e _t3, Ju_Q_l~ aIld anusual natural or tcpcgraoaic =aatures. 2. a Oronerl-7 completed auclicaLipn and consent Co 'zsnecc sib ed by C7e anDlIcant. c Cart=__tare of l)CC71Danci _s deniad, tae 3u4tldiag Lnspecrar sna1~ state t7e raasons =7erafor in --r tiag to =7e applicant. CarL___caca of Occupar_c•: - NeTV dwa114ng 525.00, Additions cc d~eL'•ag ?25.00, Altarations to dwelling 525.00, Swimming pool 525.00, 3CCesSOry bu=adi.:g 525.00, Additions cc accessary bu 'd~- 525.00. 3usdnesses 550.00. 2. Caru_'icsta of Occunanc•T on ?te-existing 3uild,'m.s - 5100.00 Cony of Cartificata of Occunancy - .25C Updated Car-'-ficace of Occupancy - 550.00 T_ampora^y Cartificata of Occupancy - Residentiall3 13.00,, Commercial 515.00 Date New Cons =%'ccion... Old Or ?ra-emistiaa 3uiiding........... ZZ'P 71 Location of proper--I.... 9~`6 aouse No. Straec aamLat Onwer or Owners at ?roperty..... lPw p ...SR/.1.~? . Couat7 Tam `Sap No 1000, Sact_on....J~~........ icci.... ........Lot . T_S iOII.........-~.lS............t,.. ........g24an LOC Filed 'ermit No..(:P~22a/.... ''Data Of ?emit.. L pp-icanc. J0,. .....n........... Heal:.: Den C. ADD roval....? J-ndervrica--3 AOpro ra_....?~'. 'lann_ag 3oard Approval..... / ;acuest _ m"Cra-T Car ta........... ._:al CartcCate........... . . eo~a45aa S fF ~y3 Town gall, 53095 Main Road v z Fax (516) 765-1823 P. O. Sox 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: July 23, 1996 Building Permit No. tap9 j~ Owner: Town of Southold (please print) Plumber: H. Smith Plumbing & Heating, Inc. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. P tubers Signature H ry P. Smith, President Sworn tq before me this ,--?D day of July 1996 uffolk Notar<r Public, County , Fcc I.c tC DILLAY D. KRU E Notary Public, State of New York Qualified in Suffolk County O1KR7360260 Commission Expires May 31,!?f i _ BO,\FO OF HEALTH FORM No.1 3 SETS OF PLANS q,g MAR 0992 Ij TOWN OFSOUTHOLD SURVEY ~pY Y` L JJ BUILDING DEPARTMENT Cllccr BLCG.OLPI'. TOWN HALL SEPTIC FORM NOFSOUTHOLD „J, SOUTHOLD, N.Y. 11971 p TEL.: 765.1802 1: OT 1 FY ; Examined ~!/lJ/..... 19.~L CALL n HAIL TO: Approved ~~i , 19Pe Permit No.d~ till . . Disapproved a/c (B ding Inspector) APPLICATION FOR BUILDING PERMIT Date . MW.6k . Q..., 19 ?Q. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 zts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 rall 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 \all 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 uilding 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, and regulations, and to Imit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) raUP<,.11x4-..::. '54 ~ 7. I , (Mailing address of applicant) tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. _ ;APPROVED AS NOTED ;ame of owner of premises So4J. Tyro Gt~ , DATE: 11.F% tt~ 3/ (as on the tax roll or latest de a-BY: IFY BUILDING DEPART ENT AT applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: .17,~xeis FOUNDATION - Two REQUIRED (Name acrd title of corporate officer) FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Builder's License No . OCCUPANCY OR 3. INSULATION Plumber's License No. USE AWFUL 86tCOMPLETE FOR C.O IQN MUST WITHOUT CERTIFICATE ALL CONSTRUCTION SHALL MEET Electrician's License No. OF OCCUPANCY THE REQUIREMENTS OF THE N.Y. STATE' CONSTRUCTION IN ENERGY Other Trade's License No . CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Location of land on which proposed work will be done. ....%T? ; •45Et . (louse Number Street Hamlet County Tax Map No. 1000 Section Block Lot. Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy =x,:. xey, tI1,,: a • . . . . . . • :1Qiel•r n.Aat • µ4 9• N. •yPr it. • . . . ~4C:z xi> b. Intended use and occupancy An; 3. Nature of work check which applicable): New Building . ( t/• • • • Addition ,Vteration Repair oval Demolition Other Work . 4. Estimated Cost ...41~Gb....... (Descriptl4n) 1 (to be paid on filing this app"',icahon S. If dwelling, number of dwelling h units . . . Number of dwelling units on each floor If garage, number of cars • . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structure if any: Front . . Rear . . . . Hai ht Depth............. g Num er of Stories . . Dimensions of same structure with alterations or additions: Front . , • • • . ' Depth } . Height Number of Stories u Heincnmstons o entire new constn Mcdon: Front Rear Q. , , , , , , , , v2 Depth . /r~........ . b • • ~~o • • • • • • Number of Stories QZ'L,.Q_--- 9. Size of lot: Front ....p.:.......... Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which remises are situated . 12. Does proposed construction violate any zoning law, ordinance or. regulation: . 13. Will lot be re raded . 1 Name of Architect Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . Address , Phone No........ . Name of Contractor . • • " • • " ' • • Address Phone No.......... , , , , IS. Is this IE propesert Southold T' Address Phone No. " 311 Y within QO feet of a tidal wetland. * yes, own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all setback dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~I it I 1 11 n 11 LATE OF NE YO OUNT OF.~ S.SI e " ~oon(Namof individual being duly sworn, deposes and says that he is the applicant signing contract) ova named. " is the 111 . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,rk will be performed in the manner setl,fortlt in file application filed therewith. orn to before me this , day of l1 1 191.2• tary Public, Count CLAIRE L OLEW Notary Public, state of his* York No.4878606 Qualified in Suffolk Cou I My (Signature of app t t) Commission Expires Decembs 8,18 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 10 DATE INSPECTOR 1 _ U.'-fmLNTC - t. ? V FOUNDATION (1st) Y T FOUNDATION (2nd) _ - ~ 2. os POUCH FRAME & -PLUMBING F7 cn H . • rn H INSULATION PER N. Y. STATE ENERGY CODE I x FINAL ' I o L ADDITIONAL COMMENTS: x 43 H f~ m r H Z m ^o H LONG ISLAND S LSr uND somw errs 7ACATI~ LO IJG tSLF1N D SOUND ,11I s ze W 971' (M1XW Sgt. tol ) co t ' MI, ! ttn f W 0 Y ~ T6 LINE) ~ 4~o_~e~T ° CO/ y ~ all, mnx QQ ~ W < E l - - - - 6E.AG1.1 ~ «UTWOL• ' o SOUTHOLD BAY Vz PRmOLtS REStRoOM E a~ s, . I ti © ~ a u LOGAT'ION O YS. i O -t3 ~ "o Q - EXI SfiNG !-3SPHALf A^ I 0 I r.. SCTM # 1000 - 51 - 05 - 01 ,m PARKINL> Lu1' q•O.O 4ESf FIoL - FKOPo5E0 LacArlc LacanoN - M/r SCALD: 1" - 3,750' WAp 9 5.29 S G4° 50' oo' W v h 55 2g pO r emir _ ENig1 o° N r~ f~-- 9829 - LLM_ CouIQ'(`f R-rE,. 46 Y d W ftpot6D OGUJ PAN. CY 1 pF)R CY - 90 PEOPUm BIZ ' f6f6: R6CaWWE,LT• EAISTIN1a WATF-P, SERVICG -rO PROPOSGD ArrSfAoDM FAGILI?Y DF?51(otJ CRITERIA = G 5 GAL / oar / OCCJ RA r 5 I P LPrI~ 9 10 x 5 = '`I'SO Ca PiL/DAY ~oAl.t I = (PO,oo T 1140 DAY CAPAr- rY a 900 i R6L. W Z er a *4 ROOF 'awi kb; 90o GE `loo GPL SEPTic, IANr Z s V er. NDTE: fat'" C REPAIR ExISfING fHRKIM& LQ'f PAV6Y Wr - LCY.KA9LE CAST 2RON AST 2RoK ' Z PPavL©t 2' fttlmLt oven SRAM. C covt~ outs; i4r~ 4" 5044L dLtwo Q' BI'I•UMIFIOUS A5 P'44 D'US ASPµa LT oµ 4° STONE BLEND-OF Of PavFxMBktu it BLEND-Tj?ICAL Zit M ~ "t" ' - 2u~ i n w rF~•tBNT r I i 1 I s-(d•4°) 11~2> 2I¢; ~4,"¢ guy i1~2°~ Gs c W IL GRADS - EbEVAfION:-(o•4 D I "'4` o: - coHCAF-T6 MASONRI MA SON R'( LAY, i i 1 i I.qY. ~G J~ ~0 L'V AS RfoutREO i - O I _ 4 ASPHALT - 'Y r' O11 I -ASPHALT ~v u P&A 1/5" 19 C.0.~ 0.17 _ I m"MINdM l~ IR/VF.RT~ E Eva17oN: - 3"¢CS, 4"96 FREbH AIR VENt e C." A80V6 GRAoE LoAH LEAvok6 POOL----- POOL. -r GNING ~ 8 DIyfR18N lON ~ 8 ~ cLASO 2400 AP6 of 0 G.Z' r~ a • - g` PREGASr fK6LAA5( e01LGRPifE 8j1~ coRRu( rEo m%. T" METAL z_ 4M4 Top- - 3.01 - ~WJ N e-p- -fo CL CON.RPJ(E LEALNINfa FPI( 6vvC;r PIPFi GROS'JOV ER- 120 ~ ~ RIKG- TY PICwL ~PIGAL ADdAG6N1' ~6A6N~Nlt ~F:ALNIN(~ Pcd- -o PLUM15106 RISER DIAGRAM --vRLE 6Ro PRLE GROW MEDIUM 4O O Q I GROUND WAtP.R VERY 60A veRY 60066. SAND 14 sL z I I O yl Bdrio~l pc~OL GROUWC WATER Z '"7 aal GROUND P S, of 4 CAS'( IRON J it WkfER IN WkfEK 114 PALE YRVHW W1 L . ~ I ~a C MtDIUr1 To VERY GOARSf, SANG INV. E.L, - (21 41 2`I 61rU1`71NOU6 RSPNPA f ~IAtFR FouNtralk-- ~v~i MtDIUM Ti Lof IF1oN ~ 0 } j ON 4° STONE 6LEND COVET Lov6R vER 0 PRArlRAt'IE LOCKABLE CAST q00 GALLON j QYryGAL , i tRoN FRAME c E , f.&P'nL -MINK GRADE-~. TYPICAL p a rre, L 9.0' - - I-T i9Hou SF- TRAP Pi I' I- ° - 4! `r' TRAP 4" G.M.U. TY P, r ° PL&H II4 _ 11 S~TYP.~ eITLH I Il I ~ ~lz ~ PVR fool ~g± - FLd1fLim, rtlu~hun PLUMBING BING FIXTURE SCHEDULE MINIMUM RE MFG. / MODEL # NOTES: cLa5/~5~ 2400 MF& our LL _ QUAN'TIT'Y FIXTURE MFG. INV. EL. -U-100) 2 EA. TOILET III 2108 CLASS 240? PI FLOOR DRAIN - J le" RI y 2108.416 AMERICAN STANDARD Manufacturer's catalog ~ _ aP Of hLA6 ~ _F ~Nv, IHv. 6L.-(Z.4„S WRIER CLOSET'-' 2 EA. 18" HIGH CADET numbers specified herein PREGRSf CouGRbfE T~OGV~i; ON: 'fRAff tL CON OR 4' ~'DICEY 8 0101 EAT WRITE 8 030106A - 295C for the purposes of WHITE ALONG OPEN FRONT establishing a basis of ' r quality & design. Fixtures PRF.LRSt l.ONGR(7iE ' ` ~ 2 EA. LAVATORY 27 9141 by other CRY B 9141.011 AMERICAN STANDARD manufacturers will 5E P(IC. TANK- x2 27 x 20 WHEELCHAIR LAV, be at subject to the Architects approval. I A 7723 7723.018 AMERICAN STANDARD Items listed herein shall A not be construed as a NoSt 618. y F-y OPERA'ftD ~,,I OFFSET OFFSET LAV. DRAIN complete schedule. It d 2102 shall be the contractors d 2103.620 AMERICAN STANDARD responsibility to provide 4" CT'F 4" C1'R. W/A LAV. FAUCET all necessary and additional accessories as required to # W52( 9 W520 - M24 WADE provide a Apmplete ~?F/PTIG 'Cgt~K RIP 'C )OK. PLU MCI NG /DRAI? l FLAi-~ CAFIRRII CARRIER FOR LAV. installatio . ~tif~T1G SYS1"~M Pl,RN cl(lo 6r)L,Lo~ X21.1 1~2~`~'~" TS 1 EA. DRINKING 8 680C Ts, xALt 1/i'~i FOUNTAIN NG 8 6800 - WC HALSEY / TAYLOR 1IN NN ~I - 2~}0~ F)SPNAL? RAF Sf'~1NGTLES - /r T- I I l PL'(Wooo 5101 Ncq A -0Rlm ON Ixc" RAKE BtoiARD N O m 12 ~ 12 p~~O 4 rr N _ .Ili I! - -MIRE, MEhH SCREEN • SLE I~ - - - W ~ - - I~ IJRfER FoJ NfAIN - i,,l III INSTALL PS P K - 'I MFGS SPE.GIPIGAjiON7S J a -4°IRK cot,i4 rc tLAD Ii -I OOLLOW MEtAL DOOR : FRAME - '~YPIGAL L LOGAtIONS ~I I I LL ~ -LiN6 OF MASONRY ~o r ~ ~ r 6ELOW GRaO~- ~ -I I a y a O a •UH~~yI~ SO~IT~ ~iL~VAT~L2 SST FiL ^24I0' ASPHALT Roof SHINGLES OR 3o# FELT 1211 COX PL`II•IA~O SNEA7µINy - 12 Iz 8 Ywa rRovlof, III roiAooo SlolwiI -J 2x8 CCA TREAb-P Bil ON 2x(. CCA ~RLAT&P fRAMIN[q I FIDtaE- CON'CINUOL6 1 4 ~ 41 ¢ } SK-"Z.. ABovf, INfERIoK BLo.1cK - 11 QQ o~ rARfIfIomb ,0. & 2 Lo[.AIloot Ina BRIM oN q I A I I ~ S FASCIA RAF TF,R-5 ro IG" o,C. TYPICAL - - 2x SOLIO DLocKINq -TY6 _ +4--_ - -for oF.,MASON)='(__- ToP OF MAgou2Y - - 1 T- 8n CH U - • -fp.. 121. AG I'Cll~oco aI W z ~qr ~2° PA611aDBD = ~off~r- pAIN7EO--~ ~ ~ , 3 JY- Jolu7 FILLER--, % A • l o l )Ne NOR 50-(5 Zsv CoNGR~1E 6LAB g'. o" O, c.. MAX. - I . AI hl~~xv-lobo ~IPJf 2- 2x8 ccA TR6ar" _ j ILL VOIDS 6o LID _ ' z for o( SLaD (~I'A'(L - CON'(INl10US ~w 0 e," U, Liwrt, L it MASoNIRY UNITS 4 MILL VAPOK 6LOC,k W.' ELI I"THK CON69Ef6 - bHRRIE2 'I 'i "TYPICAL . a w SLAB f-fop foor*41 NoLLO METAL irmmfi W a ---8xly GoICA&yE FILL SoLIL) W11 LoNCKfj-f- I' y ' I I I I 11oTE: SF. Fi DETHIL 1 . D METAL GooK - # 1 tNIS SNF/ET FOR - ADDITIONAL t~otf,5 CRr~55 S~GTI01`J II ^ All ~ N~~ I/4V - o" ~ I J ON t3 ,I 1 • 20.p" g°CMU- tYPIGAL- - - 311~q'I III PLYI~oOD SiDINy _ z it YAIN7'FiD - I n u , , a' 4!' ~ 3 4 ~ 4 4'• 2•a' ; I I----~. - 2x9- CCA STUDS = ~ W M. 0. M. 0. Q1.0. 134, 001LL---I MFitPU~ - 2-2X6 CcA PLATE pw PRO/lp E. FRAMPi- 3 ANc.HORS GoNTI N UOU S P6R jAf - YP. - 12" LAYPiR of T op of MASoNR`f to Z z ~~jj LEAN SA.N/D \ r kl! R sI A0 A I MFiFaL Leon U C3 c°> T(NO LONGRb Pi A HIS RooM~ • 2n2 CCA jReP,-rbD FRAME - yZx CCA BLOGK~N - - - ~f 8 GAGV I F I" GALv. W a 1 WIRt MfhHG ANC.Hop, _ ' -421 GRAB r-- To PRAMS HS RtQUIRW -Q, ~ I -INSET ScREFiN NI LONGRFiF6 I` I- FLmR r p - MEAL OaoFZ- -¢°'(NIGI- CANoKF/(b 7-4- ZxZ CCA-~R6.4Te0 FRAM f. DRAIN SLAB W/ rak6- T 8 CM1J- ' I n' , d 12° PRP~MOLDP~D li `Io/10 TYPICAL P! C.•D~ r7•¢~ ~•O/ 8 JoINf ~ILLER- o c~ i-- 2X8 CCR SILL SLo Pfi 'Fo PRAIN " LAS lav. 5 6o LYb - N ei MEN dflI IT'( I.IoMVN r 'Z PER E Pc H scR66N FILL VOIDS SOLID 411 '(dl" CONCRETE ~4 MILL YAPOK 6ARRIF F, ~--I SLAM T ;I i -s HAU NGH IN SLgB L-- Lori PAC.TFr0 FILL - r-f Z~/~ ¢ ~Ar~P` -r? -IVPIGAL C. 2 DooR~ ~i~LLAN ~jAMD/Ca RAV `LL~ ~ ' oUN1AIN 0 I - 91' c rt u - TYP. Cr1J YP ~ - - - >.'~~~a ~If ~r'8d AI .1'+T 4' 4 t ~ 4 4 t , 14, ~~f F 00 K rL V+ %i, 01