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HomeMy WebLinkAbout2247-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~PDATED CERTIFICATE OF OCCUPANCY No: Z-28152 Date: 01/08/02 THIS U~u~TIFIES that the building NEW DWELLING Location of Property: 1200 YOUNGS ROAD ORIENT (HOUSE NO.) (STREET) (F3%MLET) County Tax Map No. 473889 Section 18 Block 2 Lot 9 Subdivision Filed Map No. -- Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 1963 pu-rsuant to which Building Petit No. 2247-Z dated NOVEMBER 15~ 1963 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 ONE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE. · ~ne certificate is issued to BRUCE E & ROBERT 0 SAUL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAI, 6/22~64 E~C~rKI~ ~TIFI~ NO. N/A PL~ u~TIFI~TION ~r~ N/A ~is Certificate of Occupancy updates C~ zm878 Rev. 1/81 ~LDG. DEPT. "ff~WN OF sOUTH0Lo Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter oi~ ink and submitted to the Building Department with the following: A. For new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approoal of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, .multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B.. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent t0 inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of OccupancY - New dwelling $25.00, Additious to dwelling $25.00, Alterations to dwelling $25.00, Swimmir~g pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: / Location of Property: /a).O0 ~t~'c ~I~ House No. ~ Street Suffolk County Map No 2000. Sectio Subdivision e tNo. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fei Submitted $ ~"(-~) ~ Date. (check one) Hamlet Block Filed Map. Applicant: Underwriters Approval: Lot Final Certificate: (check one) ~ Applic~it Sf'g~ture - FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PI:RMIT MUST I~E KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2247 z Date ...................... Permission is hereby granted to: ... ~s~a~...ii,...J~,l,..&..lla/i, eleir~.. ~aul .... .................... i~...,~.~.e ........................................... .............................. 0~'4.~,v.~ .................................... to ..... ltutl& .,na~.. ont~ · · l'~ad, l~ · .~e.t.~t~ .................................................................................. at premises located at ....,~/~..,.,~/:l~tl~.~cJ~ ................................................................................. ............................................... ~.:l.e.~l~.~... ti',, ,~ ,, ....................................................................................... pursuant to application dated ........................... ~D.~,,C~b~,~.....~il: ........ 1919~3 and approved by the 'Building Inspector ( Yal':tanee Granted) Fee $.. JLgz, ~.~ ......... FO~i~ NO. 4 : TOWN OF SOUTHOLD , BUILDING DEPARTMEN~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OC¢ No. ~.,18~.8 ............. Dote I L ~ Map No..,If, IQG% .......... Block No....Z~'lr.~ .......... Lot No ....... ~i~'"'"~f~'~'~:~ ...................... conforms substantially to the Application for ~uilding P~rm~ heretofore filed in this'~office dated ............................... Oe~ober....~ ........ , ]9~.... pursuont(toXwhich ,Suildin~ Permit ~8:'.,_~,, d~ted ........................ ~Ob~'""~'"", 19.63..., w,s ssued~ ~a~ con*~rms to *1t o* tho r*qu,~m*nts of the ~ppUcable prows~ons o{ the Iow. The occuponcy for which thin, certificate is issued is h~ ..... ....... ~l~a.te...o~..$am~ty..d. wett.~n~ ............................... ~X ........ :~: ........................................ ~ .... The cert ~ cate r S ssued too~a~ ~ ~a~ ' ~'~ ........................ of the aforesaid building. [ } ~ H.D.approval ~e 22, i96~ by R. V~I ~ ~ ,' SUFFOLK COUNTY DEPARTMENT OF HEALTH TO ~,m~OM IT MAY CONCERN: Date June 2,2, 1~6[~ Building Permit No. 22~7Z The sewage disposal facilities for a structure located at ..... (~ve dee~ loc~ion) have been inspected by this Department and found to be satisfactory, District Engineer I~OE~I NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 5OUTHOLD, N. Y. Application No....~-~L/-! '~ Approved ........................................ , ]9 ........ Permit No ................................. Disapproved a/c ...... C~ .............................. .......................... ................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application 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 application. 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 wh61e or in pa rt for any purpose whatever until a Csrtific~te 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 alterations, 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) ...... ............................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... 0.~.fl..a..z'....~.~...~..a.~q~. ............................................................................................................... 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 done. Map No: ............................................ Lot No: .................... Street and Number ..... ~.°....Ll:P...~.$....~.°..~.~.....0..r..'.z.e.~.~....~.e...~...~.o.?..~ ................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and ',/acala~, '1o~; occupancy ................................................................................................................................... b. Intended use and occupancy ~O bl2~.'lc~ Z'S. rtOh hO125~ 3. Nature of work (check which applicable): New Building ...... .X. ......... Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ...$~.~..~.~'.0...0.....0..0. ................................. Fee ,...~LIlI~....,..(~) (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ~ .................. Number of dwelling units on each floor 1 car 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 structures, if any: Front .......................... Rear .......................... Depth Height ............................ Number of Stories Dimensions of same structure with alterations or additions: Front ................................ Rear Del?th ............................ Height ................................ Number of Stories ................................... 'Ir'Shaped 8. Dimensions of entire new construction: Front ....... ~.,'~....f.~., ........... Rear ..,~.,~....f..~..:. ........... Deptl~..!...rJ, g]::l, tl:;...~ Height ....~J~l~l ...........Number of Stories .......'1 ........................ 314't left 9. Size of lot: Front ..... .C)~.....~..t..t ............. Rear .,...~.~...~'.$., .......... Depth .....]..~...O...f..~..: .................... ~ , Entering into Contract o~, o~For+~ ^ ncr Edward Latham Date of ~urcnases~'li~'Z"O'OPY"WIl"l'"~'"Pl¥~J'~;r~~, ~,,~ ~ard'J 11. Zone or use district in which premises are situated.....A. 12. Do~s proposed construction violate any zoning la~ ordinance or regulatiqn? 13. Name of Owner of premises .~...f ....... ~...~.~ddress ............................................ Phone No. Name of Architect .................................................... Address ............................................ Phone No. Name of ~, .~ .................................................. Address ..~0~,:.=....~_~(.~ ....... ~...:.:~'.. mane No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block numbers or description according to deed, and show street names and indic whether interior or corner lot. Luterior lot. House to be kept in line with other houses in this ~ ...... diatrict. Young~ R~ad,~ Orient, New York. STA'r'E OF~ NEW. ~OR~,. ~ ) COUNTY ,OF ~..) S,S. Oscar ~. Saul ................................................................................................. being duly sworn, deposes and soys that he is the (N,ame of individual signing application) above named. He is the (Contractor, agent, corporate officer, etc.) of said owper or owners, and is duly authorized to perform or have performed the said work and to make and this a,pplicbtion; that all statements contained.jp, thi~j~plication are true to the best of his knowledge and and that tRe work will be performed in the man~eF'~et ~[~'Ft,)a;,.~n the application filed therewith. Sworn to E me this ~,,,,.,~, o ~...., 19.~ Notary Public, (Sit applicant) CM N/F' BE~OR^ N 77'59'50'E ASPHALT DRIVEWAy GARAGE ONE STOE9' 5.0' 150. 00' TM~ 1000-018-02-009 GUARANTEED TO: FRANK G~NNELLI JUDY GIANNELLI CHICAGO TITLE INS. CO. OF N.Y. ~TLE NO. 3801-01312 BNY MORTGAGE COMPANY LLC. ITS SUCCESSORS AND/OR ASSIGNS. CM S 77~9~0'W RESIDENCE 150.00' N/F CASS~D¥ / SURVEY OF DE$CRIB£D PROP£R-D~ $1TOAIE ORIENT, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y'. SURVEYED FOR: FRANK GIANNELLI JUDY GIANNELLI SURVEYED: 12 DECEMBER 2001 SCALE 1'= ,30' AREA - 14,250 S.F. OR .327 ACRES SURVEYED BY STANLEY d. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 11956 ~ NYS E~c. No. 4927.g" 01RlOg4 /' SITUATE: TOWN OF MAP OF PROPERTY SUFFOLK COUNTY. N.Y. GUARANTEED TO: RICHARD WILHELM,~L. S. CONSULTANTS CENTER MORICHE$ ~' PATCNOGU£ NEW YORK'