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HomeMy WebLinkAbout23933-Z FORMX0. 2 f }� TOWN OFF SOUTHOLD U U BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N ��- BUILDING PERMIT "j ��rMl T ISS u2 (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ( 5 Ci COMPLETION OF THE WORK AUTHORIZED) IJP _ N° 23933 Z Date ............�f/ ............................ Permission is hereby grant to: 9,✓i ,, .. Az ...teocr..:........... / � rTtu-�.....1'�..`......,.G1.(�.1 to . !Ft4,�2. .....1' ... 2&.x(7c✓...... ...../'V7V.l .Cn.!� l.... .....e r ... 1?4.0 .....rD ..... .../p. Ant..�...i`........ .............. at premises located at /�SXJ /1'/f i./ l�� ........................ .... ....... ................................................................................ ...............................................! rlf.l...TLrC ................................................................................ ................................................................................................................................................................. County Tax Mop No. 1000 Section ..ZW:4:............ Block ...0..i.......... Lot No. ....` :.......... pursuant to application dated .......... s ......... '.................. 19........, and approved by the Building Inspector. Q.o Fee $...Ifo......:......... .............. /........... B 1Z........................... r Rev. 6/30/80 IELD INSPECTION REPORT DA _ _ _ _ = ====11---- ------__-- _-----COAASEENTS=====_____= L �� w r•. 'OUNDATTON ( 1ST) It LI —9 � 'OUNDATION (2ND) _ __ 17 I D � I OUCH FRAME S Ijr PLIIlD3ING ii ii I �I u H yl NSIILATZON PER N. Y. � It H STATE ENERGY n u A A I II II CODE u x II II r -1 7 II li II _ I II II � II II II II I II II I FINAL n I � MCIII 11 —_— -- — ADDITIONAL COMMENTS:_--= —Y_— I I C Z I � \ �\VVV BOARD OF HEA1:111 . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PIANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . FEB SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: Q- CALL ' T . . .1.1.9 . . . 19J MAIL TO: . . . . . . . . . . . . . . . . . . . . ......... �j z Approved.../ ..., 19 J.� Permit No. !/. .�... .................................... Disapproved a/c .................................. .................................... ................................................. .... .. .....J...... (Bu 11L .i .. I tor) APPLICATION FOR BUILDING PERMIT Date. .�?. .( . . . . . . . . , 19.�t..7. INSTRUCTIONS a. ibis 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be camienced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 HE11EBY MATE 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. ................................... ................. (Signature of applicant, or name, if a corporation) 1R q PIT ................................................... (Mailing address of applicant) �6 J State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........Q.'^1 A)F- 2 d-- G r5w►�.t4•- C-0 wV 7-0 f__ .................................... . ....................................................... Namof owner of premises ...................:......................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done........ `J o vtt �.../GL ...ntiq........................................ ....................................................................................................................... House Number Street Hamlet ... a.a:.. Block .....3......... Lot .. County Tax Map No. 1000 Section .... ...... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy off premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1. +. d S.. q /. 17 . -t 2 `..... K.( .................................4-t 11 ...................................... b. Intended use and occupancy ............................................................................. 3. N•hture of work (clwckwhidh applicable): New ikuilding. .......... Addition ...<�.•. Alteration .,.• Repair ............ Removal ............. Dermlition ............ Other Work .................................. (Description) 4. Estimated Cost ....... �.'..`....... fee .............................................. (to be paid on filing this application) 5. If ckaelling, h,tumi)er of dwelling units .N�`��Z.', Unber of (knelling units on each floor ................ Ifgarage, cuiher of cars ...................................... G. If lxrsiness, commercial or mixed occupar specify nature and extent of eadi �)'. Fe fY type of use... �.. 7. Dimension •��• .�v /�d���1r� s of existing strictures, if any- Front................ Rear ............... Depth ................ Ileiglht ......................... Numiuer of Stories ...... Dimensions of same structure with alterations or xiditions: Front .............. Rear ............... Sze- Depth .................... lleiglht .................... Akrnbher of Stories ............... S i T-d a. Dimensions of entire new construction: Front ................ Rear ............... Depth /, lleiglht ......................... Nuniuer of Stories ..................... �,- 9. Size of lot: Front .................... Rear .................... Depth . 10. Date of Purchase .... .�.a:�?........ N.•me of Former Owner ...1 ..Z :.©........................ If. pone or use district in whidn premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation- A 10. ........................ 13. Will lot be regraded ....... ........... Will excess fill be removed from premises: Yi,S NO C- 14- Nares of Owner of premises ..�.:,/R'v 0.41r ��..... A(kiress ..'.�...s2./. z C.......`... Plxxie No. Name of ArdhitectH ' jg- I- UC% � � . .7�• ?.-16 .. . Ackress .............................. Plxe No. .... 7l-G 7GcJ.re of Contractor .�. . r /kklress . i .....d..PN . ... .... 15. is this property within 3001 feet of a ti(4•u1 wetlaml? * Yi!S NO .......... *IF YES, Stl(11111-D IMN IM SRx.S Pf-146T MAY Br,- M- ARM.). PLOT DIAGRAM Locate clearly and distinctly all buildings, wlhether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block cumber or description according to deed, and show street nares am] indicate whether interior or corner lot. Siww" (v N1J Yum, .......... SS /l�i2 Fes/ !' 4••••• •'"` .....being (filly sworn, depOSes and says that he is the applicant (Name of individuual signing contract) above rk-wmed, file is the .....� !1/ /' ..... X/T"e:IV? ....................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have per[ormed the said work and to nuke and file this alrpl icatiorh; that: all sLatenenLs contained in this appl.i.caticm are true to due best of bis knowledge and b6l.ief31 and t.haL the work will be performed in the rraurner set forth in the application filed therewith. Sworn to before me this / r..............day o- /. ��.........19. Nota Public ...�...... .. ry ... ...... .... .. ............................ / ... (Siruat.ure of Applicant) DANIEL C. MOONEY Notary Public,State of New York NO.30.4882095 Oualified in Nassau County Commission Exp±res December E, 19]!t F NE yr toth`"" lora n�of ' y /( Secilon 7M of the Naw York SUN A�.p I ' EducNnon t,aw. 4 A ~ O ;4 Copies of this survey map rwl baa m the land surveyors Inked seal or A4 e.boand a"I shall net"OOOddMad - y I y + �� �� to be a valid true COPY ! - f'�Fq,�O LS 2yr°tiQ,vi , Guaranteaperkrdk son� ah$WM only to the ' LAND 9v k ispreWre&mWonhis behalf 10" b title Company.9m*flwn" now Z ' IendYq"Mutkn listed MISM and to the aha of to MrdnY lmr' � ouarardm we admnal kWkAMorw�aa9uelt cu � to 14 g _ s .�. 4-0 IA T ural q', ' K •���,4! b f Z 3 3 4 S ♦P A 2 , `� �� � a' car r __'�:�._ - - _, ._ ''� •. v lee Ad AC- . ' I i"er s��'7 :.1..1 _, ' _ _ •1� ` 1,. • ^I �CJ �r {^ C_x"' 7� K 4 e.t--� i r.. eo 44 i X'r G t/�'G� w. dC� f ti1�IQ '"k A f 4xd 44 r log Z6. c+5✓ s �+ !ff3y y h ✓� • ',y r� !�J C.J�''t'• , r �'+.�+► *7 '' Ami F"J"',G',L,,,t 2�S/1.-3r jt ,. . ! 1 7�1�z . Af 0 ,burse Z3; 199 .lc: t , ssrt , 1 , 9 GENERAL NOTES I . All. c-)nl;t.Luction shall be in compliance with the N.Y. S. Uniform Fire Prevention and Building Code, A . C. I . -318 Reinforced concr-te Building Code, A . I . S . C . Structural Steel Manual , and Steel Jois; x Institute Specifications . 2 . Al construction is to be to acro-dance with prevailing codes and srandards . Whenbuilding in other jurisdictions, variations or adjustments .may The required . Verify any such requirements with { she local code or enforcement officer . t 3 All materials and methods of construction for this project must co.iA orm to th :� requirements of all applicable federal , state amp locr1 ordinances . r q Al _ wATBrials for this project shall be installed in compliance wlTi, inanufactur-s specifications and recommendations . 5 '"h Architect o, Engineer assumes no responsibility for constrgC,-cton meanE methods techniques , sequences , or procedures, or for skf-wry precautions and program in connection with work . there are no warrar• --les, nor. any merchandibility of fitness for a specific use aydressed ox implied in the use of these plans . 6 , The architect€. or engineers certification applies only to this plan Alteration of this document , except by a licensed professianal Architecf ox Evagineer is illegal . 7 . Engineer • or ^r•clhitt_, is seal and signature only good for initia ' use of drawing . Changes alterations or revisions to or re-use oW, drawings vithout Engineers or Architects approval voids Soal and Signature An same. n 8. Contractor to verify all dimensions and conditions , before starting construction, and notify the architect or engineer of any discrepancies . Dm not scale drawings , follow dimensions only . 10. All Plumbing is to conform to N. Y. S. and Local Plumbing Code r requirexrents . 11 . Electrical work Ito conform to the National Electric Code and �. appi ic^.ablle Local Codes . i. 12 . All framing lumber to be Doug / Fir 75 % #1 and 25 % *2 - 13. All ,footings to rest on virgin soil or compacted per code . 4 ; 14. Bearing capacity of sail shall conform to building code . 15. All conv rete is 2500 P. S . I . 4 28 day min . i 16. All lumber and plywood must be grade stamped . d 1Y. Double Svpport studs under all headers 6 ft . and larger . C 18. Double framing members around all openings and below all Y .. para. lel partitions . 19, Teco coni . required all flush stru,-ruxal load carrying conditions . 20.. All Iwterior headers to be ^5 N01 L-3 21 . All exterior headers to be., A S R E 4�t� OLZ ��.�� �44 - OCCUPANC 1 Oil , Y - �. 0 UNLAWFUL USE I� UI`� • 22. Smoke Deter ting device single stat �+.rri-"`+?le� tr �-ca.►. 1�( operated . WITHOUT CERTIFICATE 23. All 'bath rooms without a window must be provideci with a •man OF OCCUPANCY vent*J to exterior per code. PE,Vt►,,ren,I T' R.I--C;i U V-: t> P R,I C:>R, Tp 'T1i v- Ail 1�1 '1,11 r.,ATE: FEE ll.P'.# FOR THE V 1. FOUNDATION _ ' "..`,; :� EIi<€T^�I :� FOR POURED Cr'NC,1I iE 2. ROUGH - FRMORIG & PLUM-1pl,� 3. INSULATION ' 4. FINAL - ti Os:4S'J2G,1CTIDN C,.'RJ ST .� BE CON',PLETF FOR C.0-1. ALL UCTIOM } "� • y • THEF3��'?lliT�PEI'�'EEI' � OPA�'� V. t I STATE CONIS"d"RUC N.",,M CODES. NOT RE, d?ESIa.'N OR ENERGY NOTES UNDERWRITERS CERTIFICATE REQUIRED A. The following dralwings have been prepared to meet all requirements of the N.Y.S. Energy Conservation construction code. - - 023 B. All (C) coefficielnts for windows and skydomes ( 0 . 59 ) IMAX. NE`s C. All (U) coefficieints for exterior door or as noted { 0 . 40 ) MAX . D. All (R) values of walls R ( 19) MTN. as required . E. All (R) values of ceilings R ( 19) MIN. as required. F. Insulate all pipiwg as required per code. G. All (R) values of floors R ( 19) MIN . as required . r y r .,. Vit. . n• � "' ..^w. eeil� yt i '.A e 4 .e _. ., .. 5 wX+' + - - ' �";! .f,'. . C"*-4".r i S"i,, ,z"'"-.�x�t�'.x`i. '9�,. t� -_ ,._f. : ,. .5� ....,..,�An?,•e• ,9.."....� -, .._._., ._ � - _. ..... _,. .w._.. - .., _: .._ -_ - navts IONS �Y 4 k � t...�►.s�-�! n,�c��J t�oca� -t-a � ��srtNG ,Lack WALL A P K A 4.T N Cp LF S ;;�4W R An10 r't p F- P leR,, aw N E R„ Z L./a.Y G m S O t S L-ep FE t_r I/Z " PLS( W t SHEATNInlC.. ` !4%Ru U F A C-'r vR'-Ccs WD. rizu%scs 24 "©,G . MAx T t u s S 1� St cm.n! 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