HomeMy WebLinkAbout432-z FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
U P D A T E D
Certificate Of Occupancy
No....Z12414 April 5 84
Date .................................19...
THIS CERTIFIES that the building --dwelling,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Location of Property ..245. Bay, Road, ,1465, ,Sandy .Beach Road Greenport
House No. Street Hamlet
County Tax Map No. 1000 Section ...043......Block ...44..........Lot .:...042 , , , , , , , ,
Subdivision X .........................Filed Map No. ..X .....Lot No. X .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
,September. 8, , , , , 19 5$ pursuant to which Building Permit No. 432 . Z.. , , , .
dated September 19 58. ,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 .
.an.updated C.O. for private one-family dwelling.
The certificate is issued to ....A~7TOAJ, yd,., I~,U,R~~,~,,Z , HIS ,WIFE , JU,LIA.......... .
(owner, lesseeerterrent}
of the aforesaid building.
Suffolk County Department of Health Approval no ,record
UNDERWRITERS CERTIFICATE NO no ,record
Building Inspector
Rev. 1/ai
FORM NO. B
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
torwith 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, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
8. For existing buildings (prior to April 1957?, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty 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 tJr land use s/S/$5.00
3. Copy of certificate of occupancy $1.00 r
Date ,February 3, 1984
New Building .............Old or Pre-existin Buildi XX Vacant Land
g ~ay'Rbad.....
Location of Property . . . . .Beach Road Greenport
House No. .
Street Ham/et
Owner or Owners of Property Anton CV. and Julia Ficurilli
Count Tax Ma No. 1000 Section 043 04 042
y P Block Lot................
Subdivision .................................Filed Map No. ..........Lot No.
Permit No. Date of Permit ..........Applicant .
Health Dept. Approval ........................Labor Dept. Approval
Underwriters Approval . . . . . .plannin Board A
9 PProval
Request for Temporary Certificate .....................Final Certificate , , , , XX
Fee Submitted $ , , 15.00
Construction on above described building and rmit meets all le codes a ulations.
Applicant ...~~i~, , , .'L ZGC~
w«. ~o-to-~e Irving L. Price, ~Jr.~ ~Att~ ~ ey%~lgent 'f6Y"
Anton W. and Julia Ficurilli
Premises at Beach Road and Bay Road
Greenport, New York
STATE OF NEW YORK) ss.:
COUNTY OF SUFFOLK)
I, JULIA FICURILLI, residing at 215 Fourth Avenue,
Greenport, New York, being duly sworn, deposes and says:
That I am one of the present owners of the premises located
at Beach Road and Bay Road, Greenport, New York, and designated on the
Suffolk County Tax Map as District 1000, Section 043, Block 04, Lot
042, and am familiar with the condition of same;
That the structure situated thereon has been designed,
arranged and physically occupied as a single family dwelling;
That at this time the premises is/is not occupied; '
That the condition of the existing structure on the premises
is good;
That I make this affidavit in the knowledge that the Build-
ing Department of the Town of Southold will rely on the accuracy there
of in issuing a certificate of occupancy for pre-existing use.
ulia Fi uril i
Sworn to before me this
zd
day of , 1984.
Notary Publi
uui/IS M, CANNON
NOIgLLY PUBLIC, State of N.Y
Sulf fo. No. 470159q
term Expires March 3Q 1901
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N/F MOLL ER
CERT/F/ED TO
MAP OF THE T/TLE GUARANTEE CO.
DESCR/BED PROPERTY ROBERT P. SHUHY
ANN MAR/E SNUNY
EAST O~' THE V/LLA6E OF
6REENA~4T
TOWN OF SOUTf~LO y<P`%W,
of yo,~, dOf10CI~ OSSOCI~IteS
SUFFOLA' CO.,Mr '~o~o ~A
"9~~\~ 313 west main street
* Q ~ riverhead ,new York 11901
(516) 369-1717
AREA ~ d;6e? ~ • '~~yy+~,"~' 48269 ~t~JO~ JAN.16, 1884 Joe Pb. 84-418
0./S3~ ACRES ~ SAND SuQ 1000-043-04-42 Sca le I •20
FORM NO. 4
TOWN OF SOUTFIOLD
BUILDING DEPARTMENT
MOWN CLERK'S OFFICE
SOUTFIOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No.........'T'...631.... Date JLit?e 14 19. ~!4.
THIS CERTIFIES that the, building located at.~?~Y...~4?~.~..~.,~~?~~:Y?...R,~r.s...~~(~I~.><}Ia5t#c~et
Map No............'~~`ap..... Block No.......tr+~eb........... Lot No....„.trtv~
conforms substantially to the Application for Building Permit heretofore filed in this office dated
g'8~~~'~ex 19..~.~., Pursuant to which Building Permit No....,....P'',..~~'~
$~xatBlmbt~z' $ 58
dated 19........, 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
~'RI~"A'I~~' O ~'1~Ni~C2aX DWELLI2T(~
This certificate is issued to ..................!'~.~r~^..5!..~~?~?...~~~:~:~: ~~C~~:~~~:~:t...p~~~
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector
POEM NO. 8
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S. OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 432 Z Date .:...~'~""0' 19~.~'.`.
Permission is hereby granted to: ,
~~.~-....~.~a......~,.~...~
~
to ..........A..wn- µ.......M..:.. .
,,..~?.~.........nl.~........~~ ..~.,~.R...::........-~
....:......................................................p.....................................................................................................
at premises located at r~,~'.~~f:~.:.:T..~'...~~..,,~ 5~
pursuant to application doted ....................lv~"a".', and approved. by the
Building Inspector
Fee ~.t)..~.......
t~..~
Building spector
s~ FOIILM NO. 3 •
TOWN OF SOl1TF10LD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOIJTFIOLD, N. Y.
NOTICE OF DISAPPROVAL
File No.~ Date yi"~p~~'1?Ia]Bl` ~ ~8
..........................................................19........
To eTtll;~.a. AY1tOtd,.W.,, ~J,;C1.~1';L1~.1,,,,,,,,,,,,
21~'..?t~h..Avera
Greenport,~„New..Xo~Tt
PLEASE TAKE NOTICE that your application dated ........................U~.~~'~:+~.t?®~.. i9.+t~.$..
for permit to construct .~W~x~~:?~ .....................at the premises located at ~ ~eAL:I1
T+3
.ROad~.. Street
Map Block .'*~k'k................................... Lot ....'la#Kok................................ is
rp. disapproved on the following grounds .~~~`i.C.~.4~...~~~,.q...1°r.~t,~r!~~..~~~.
S~W81°d ~1. ~'61'2'y'
Building Inspector
_ ~ ~ 0
Fosaz xo. i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
G s..
S
Examined ........8...........11.....19........ Application No.. U
Approved ........................................19........Permit No. ~.~.~..Z.-....
Disapproved o/c ....r~..~'.~::.`.~`~..'.'."~.~:....~:':'.1
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date......:_.z?.'.~:.T~.Q.?9.b.2.r....... ~.....19.
INSTRUCTIONS
a. This applicotion must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 location.
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 issue a Building Permit to the applicant. Such
permit shall 'be kept on the premises available for inspection throughout the progress of 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, Ordinances or
Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
(Signature of applicant, or name, if a corporation)
~ ~ s- y~
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,
N~-r
. . . . . . . .
~ J ....Z.... . . . . . .
Name of owner of premises....~11.~1.R.....~...`.:'.R.to/I...V.':if~f.R..~!1....T.....~C,IJ..k.l./~
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be d/-one. Map No Lot No:....................
Street and Number ...~L.C,~....,~~~1~~D.1.1.~Z.A..~d...../...Q.IN..IY
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupahcy .............~,.~./.}:.~4~:..1..........................................................................................
3. Nature of work (check which applicable): New Building...Y .............Addition ....................Alteration
Repair ................,..,,..yy.Re77moval ....................Demolition....................Other Work (Describe)
4. Estimated Cost....7..'..../i.. U Fee v............................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units...... ................Number of dwelling units on each floor...L?!J.:..°~...............
If garage, number of cars...........~:~~~r
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.....~e.?:..!.:~l.......
7. Dimensions ofpexisting structures, if any: Front....:~.~.../~..c~7:.. Rear Depth
Height ...............Number of Stories ........Q/r~...........................................................................................
Dimensions of same structure with alterations or additions: Front ......1.y...4. ~:.G.' Rear
Depth Height ..............................Number of Stories
8. Dimensions of entire new construction: Front.........~..~.......... Rear Depth
Height Number of Stories
9. Size of lot: Front ...lc~~'..~>! ~r.. Rear ......75~kV.~.d!?:..°.~be th eNd.~ ~.~...'...Qy 07~~PV`-
/ p L
10. Date of Purchase 'Q~........../..rl..~,.3 ..................Name of Former Owner ~(r/.Y..°'-..Z...l.:..°. ~.4~.!~.44r!'.~.............
11. Zone or use district in which premises are situated,....~.QR.7~?.Q.~a:....~/.STL.~.......~......~...'.'A'...........
' 12. Does proposed construction violate any zoning law//,~~ ordinance or regulation? ..>~C?
13. Name of Owner of premises~>.L:G'}:.Ql?Lon w:C.lk!!hryAddress .a:!~.!]~~l..IL.U:C..r~.~....Phone NO. ~'.Q.S'.0.~.....
Name of Architect ........................................................Address ............................................Phone NO.....................
Name of Contractor..~~l.t.~f.'~~`....~U/1.9b~.1°.........Address,3~1...:.,Y~..~...~~7~.1.......Phone NO.:7.-.°.2d?.....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
,~,,.u~(, 3 O
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cS
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u
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~ p t~ t c.:..
STATE OF N Y ~ > S S
COUNTY OF
...............being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the C9-~c~'n."..`..:..................................................................................
(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 contained in this application are true to the best of his knowledge and belief;
and that the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this f1p~~
. .
G ~
fN
.......L1...`~Gi........ day of //~v"`p ~noture of app~nt)
Notary Public, .~d:.(.s,e....~'.Y.:^
:.................P.^..e v'~' .
. s q
FOSM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
pp.-- SOUTHOLD, N. Y.
Examined..'.^..$:':.......1......'.
d~...19........ Application No.......~.3.~......
Approved .........................n...............19........QPermit No. ~.~.~..r~
Disapproved a/c ..~?..`~^~jr-....~1.~.....~'~....
~ ~......./r..-(
(Building Inspector) /
APPLICATION FOR BUILDING PERMIT
Date...........CY.`.~ ..............19..~U
INSTRUCTIONS
a. This applicotion must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 location.
c. The work covered by this applicotion may not be commenced 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 progress of 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 Lows, Ordinances or
Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
........~..N...~..d.~~.......~.`..~..v.l? I L L.. ~
(Signature of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises...~?..~!h:..~4k~.....l.l.l.~.l..~'~'....!!!i..~~F~kirl....~..:..C.cJtfl•lj
If applicant is o corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on whichyyproposed work,~wppill be done. Map No L/ot No:....................
Street and Number~y~/$.P.~:~(3ea. ..iC..d........ ...~.Q..u~.a ~..L.'.) l...a."r /v
tc~~'at fNGa~Municipality
2. State existing use and occupy y of prem~es and intended use and occupancy of proposed construction:
a. Existing use and occupancy............p
b. Intended use and occupancy.......f~t.l.?..~P..:..6•
-
3. Nature of work (check which applicable): New Building....~.....Addition ....................Alteration
Repair ....................Removal ....................Demolition....................Other Work (Describe)
4. Estimated Cost..:~.7r~01~ .........................................Fee .........1 d.:.~:"!?.................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units.......~~e :.............Number of dwelling units on each floor....d~~-:..........
If garage, number of cars .............~!.°..~?.::e:...........................................................................................//~~........__,.....
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.......t!).~~?~`r'/
7. Dimensions of existing structures, if any: Front....`30.~1.°...t~~~.. Rear Depth
v
Height ......................Number of Stories l?..~....................................................:.....................................
Dimensions of same structure with alterations or additions: Front Rear
Depth Height ..............................Number of Stories
8. Dimensions of entire new construction: Front............~~...J........ Rear Depth Z:7.................
Height Number of Stories oi? OT7iGY
p .r. G„?d. (o s
9. Size of lot: Front l~D.~.Go~.~i..... Rear ......7.5..
k/.!..d.'~.5... Dep h ~..e.~ .
10. Date of Purchase .~~y...%:gS.~
.............................Name of Former Owner ~/lr~Z,,,~c?{"a!h,(t~}.j,,,,,,,,,,,
• r,
11. Zone or use district in, which premises ore situated......:~.P.~.7.`.~A.~4r........~!.S(.h..l.S.~ ....~....~:r..^..-..........
12. Does' proposed construction violate any zoning law, yordinance or regulation? .....N d
13. Name of Owner of premisesV A.~! 4. ~A.cY7.`aN..~.G!~rA~dress y.~~.~.... Q':?. ~~...Phone NO. ~
Name of Architect ........................................................Address ............................................Phone NO.....................
Name of Contractor.>;...~l.P.-r:.1.£.S..IJ.urlt!~~~......Address ...~.lrL.:.~~~'.Q.O,(...r.U.
°~L~..,..Phone NO. T'.~?.~d..7....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
y, . ~.~.~2/ G~.C..Q'L
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STATE OF N Y R) S S ~`3 l
COUNTY OF
`.'..::"'.`.................being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the
(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 contained in this application are true to the best of his knowledge and belief;
and that the work will be performed in the ~i~er set forth in the application filed therewith.
Sworn to_before me this Mares, P~ai;~. sra~WoFn yo
QQ ~i » `.d
.......0 day of r„ 5. ~ .'f (Signature of applicant)
s yL~ ~ U,~G~1/~
Notary Public, ...-`vsS......a`.^.:41.'.•::• ~4 t~ ,