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Home My WebLink About7021-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPAt~TMENT Town Clerk's Office Southold, N. Y. Certificete Of Occupnncy No. Z.~926 ...... Date ............. Me~.... 23 ..... , 19. THIS CERTIFIES that the building located at . E/.S. Paradisa. Sho~.®s. Rd Street Map No.. XXXX ..... Block No.. xxx ..... Lot No.. x:r, xx.. ~outhQld,..l~,y.. ........ conforms substantially to the Application for Building Pemit heretofore filed in this office dated .......... Dec.-. 1+..., 19. '?3 pursuant to which Building Permit No. 7021Z.. dated .......... Dee..-5 ..... , 19-73-, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... Private..one..fami~..dw.elllng ..................................... The certificate is issued to . JErasmo. Ir~.~.za~'~. & .W,. Owne. r ...................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Ray.. '21...%97L~ · .by- .R,. V.~.11a... UNDERWRITERS CERTIFICATE No. $~1 .~6965... May..~...19.7~ .................. HOUSE NUMBER .... 860 ....... Street .... P. ared~Lse. Shorei .Road ............. I~ORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7021 Z Permission is hereby granted to: ...... ~..e..z:.~.e.~.~ ....... ~....~.:. ....... .!..~.~.~. ................ to .~.~g...~....o.~ .e... ~..s.~z..~.~.z..~ .................................................................................... at premises located at .J~....~.l~,T. IB.~,~.Jj...~J~g.~..q~l....(~l?~.v.~.~.q.)....~ ......................................... .............................................. .~J~tJ:~,~,,l,~ ......... ~.(~.,. ........................................................................... pursuant to application dated ....................... JJ~J.~ ......... ~ ............. , 19~...., and approved by the Building Inspector. Building Inspector j THE NEW YORK BOARD OF FIRE UNDERWRITERS E*¥[ BUREAU OF EI. ECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,a,e ,97,, on,,,e N 156965 THIS CERTIFIES THAT only the electrical equipr~ent as described belotv and introduced by the applicant ~amed on the abo~e application number in the premises of Erasmo Irizarry, e/s Paradise Shores Rd., 700' n/o Bayview Rd., ~outho] L.I. in thefollotvlng location; ~ Basement ~ 1st FI. [] 2nd Fl. O~Jt S ! de s~tlon Block rot tvas e,amined on AD ri i 2 9, 19 7 ;~ ,nd/o,nd to be in compliance tvith the requ;rement, of thi, Board. OUTLETS E~EPTACLES SWITCHES INCAND ENT MV~i~Y 12 DRyERs FURNACE MOTORS FUTURE APPUANCE FEEDERS A~T. K.W, OiL H.P. GAS H.P. AM~T. NO. A. W, G, R SERVICE DISCONNECT NO. OF S · A,.,~. '~E mU"' '.~'~W '~'~W *.~aW ~.*'W'O. 0~ CC. CON0, 1 ?O0 CD ' x ~"* 1 "~uture App. Feeders: 1-2#10, 1-2#]~ Elec. Room Heaters: 1-2.0F~I, 1-1.?SKW, RANGES JFECIAL REC'PT R COA~OKT! NG DK,~W~($ A~,T0 VENKSw. DI~,, WASicHw, E S SYSTEMS NO. OF FEET V I C EXHAUST FANS DIMMERS A, W, G, NO. OF HI-LEG A.W.G. NO. OF NEUTRALS A.W.G. OF CC. COND. OF HI.I~G OF NEUTRAL ~1/0 1 2/n ?-l. Sk'W, 2-1.25},~, 3-.75EW Towle & Sons, Inc. ~3 Lincoln Ave. M~stic Beach, New York ilnS1 Per 11 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 6 TOWN OF SOUTHOLD Building Delm~tment Town Clerk~ Office 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 Inspector 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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ..... ~ ......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property E/S ?aradise Shores Rd.: 700' N/O No. Bavview Rd. Sour:hold Owner Or Owners Of Property ~ra~mp. and Edith Iriza.~;~ . Bayview Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No. 7021;~ Date Of Permit 12-5-7~. Applicant Riverside ~(~i~,es Inc. Health Dept. Approval .... ,3. . .,S, ,0,. . %,7. .7. ........................ Labor Dept. Approval ................................................ Underwriters Approval ,.N,.lfifi~fi5 ............................ Planning Board Approval ........................ ; ............... Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ...5.;.,0,.0. .......................... Construction on above described building and per~q~t meets all applicable cgd~.s ~3nd regulations. Rzverelde-' v '' , Homes, ........ T" '~'] ................. ~;~ ................. Sworn to before me this ~'~:cY °f "~"~''~'''-7''''~''' (stamp or seal) ~f~. ~ ~ ~ ' ~ ~ JUDITH T, BOKEN ~ Nota~ Publlc, State of New Yor~ ~, 52-0344963 Suffolk Coun~ ~ Commi~ion Exp~ March 30, ]9~ TOWN cLilK'S ~ ~, N. Y. ~ .... " ~ 1~~ ~,' .o. ~.~..~L.~., ........................................ , ........... ................. . . ......................................................... ........ ~-~ ) ~" ~/ (Buildi~ I~or)~ ~.~ ..: ~ _ ~ ~ /~,~ ~ ~te ........ ~,..~ ........................... , 19..23 ..... . a. Th? ~li~ ~.~mpl~l~ fil~ in by W~cimr or in ~ w~ or m~, ~ura~.pt~t ~an to s~. F~ ~rdi~ to ~ule. . b. ~ot M~ ~ r~tmh' ~ Io~ ~d ~ ~ildi~' bn pm~,'r~atio~ip~to ~joininf~mi~ or givi~ a ~Mi~ ~i~i~ of I~out of ~ muK ~ dr~ on di~ram ~i~ is ~n of'~is ~im~. c. T~ ~ ~d ~ this a~i~tion ~y not ~ ~m~n~d ~ i~u~M of Building Permit. d. U~ ~M ~ this a~i~ti~, ~ Building. I~r will i~ t~ premim ~Ml~le ~ ins~i~ ~rou~out t~ wo~. e. No ~ildl~ shill ~ ~p~d or u~ in whole or in ~ for ~y ~r~M whitest until a ~ifi~ of ~ MI hM ~ ~ ~ Building Im~or. · APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bud na Permit =uraumtt to ~m 8ulld~m ~Zm~'~= ~O~..n. ance o~f l~e Town of Southold, Suffolk CounW, New Y.ork, and otl~e, r .applicable Laws, Ordlnino. or Reguiellem, for tlm~~ OrUc~,ian,n~s, .mldt. t.t..om or ?~ratt.ons, or. for r.emov.iI .or dim?litlon, as hem, n described. The al~licant agrem to ~ wl~lR~ledd~ liw~/ o a nantes, Omlmng coee, r~ou~ng ooze, .ne i~gulltlons, and to admit authorized Inspactors on premises and in build~ fM CeM~I~y Inspections. State whether applicant Is owner, IwMe, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premi~ee ..... ~t,..a=d.2~r,~,..~tAame..7,t:~.llctX ....... : .......................... : ............................................... If applicant is a corporate, signature of duly ~uthorized officer./h .......... ~'g'lR~T"a"*Y'~9'~'9'l'ML'~'""~'fl~"~'t"e"e'"'~"r'f'9~'~(Name and title of corpor.te officer) ...... Builder's License No ....................... '..'..'. .............................. Plumber's L cerise No ..............~.1..2..-..9. ............................ Electrician's License No ............. ~.,~,~1~.-~ ............................ Other Trade's Licee4e No ................................................... 1. Location of land on which pro~ work will be done. Map No .................. .-..-. .................. ;.....Lot No..~ .................. Street and Number ~/S Pm:mLtae glmtee la. - 7~" lf/O Ne. ~ ~ ~ 2. Sram exi~ing um and ~u~my of pmmi~ a~ in~nd~ u~ and ~u~ of p~ ~cti~: a. Exi~ing u~ and ~u~n~ ................ ~L.~ .................................................................. ~ ......... ~ ............... b. In~n~ u~ and ~U~ .............. ~..~.~E..~ ................................................... ~.,.~ ...................... ~ 3. Na rk (check whic poi able): New Building ....................... Addition ..................... Alteration ...... : Repair ......................... Removal ......................... Demolition ........................ Other Work .............................. .~ .... (Description) 4. Estimated Cost .........Iii~,.~,001~ ........................ Fee ~ 7 ~ i (to be paid on filing this application) 5. If dwelling, number of dwelling units .....~ ..........Number of dwelling units on each floor ............. .3. .......................... If garage, number of cars.. ............ . .-..-..-..-....... ................................................................................. .. .. .. . .. . 6. If business. Commercial or mixed occuoancy, specify nature and extent of each type of use .......... '..'..'..'. .................... 7. Dimensions of existing structures, if any: Front i .................... Rear ........................... Depth ................................... Height ................................................. · ... ... .. . Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ................... Height ................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front .......... ./g).~. ......... Rear t ....... .~l~ ................. Depth ........... .2.8..~ ................. .......... .1:§... - ...... t Height t ................................ ~um~er OT ~orles 9. Size of lot: t ' t Front ............ 10.0. .................... Rear .......... .1.~..2.~ ..................... ................... ,1,.Q~I ................. Depth .............. 10. Date of Purchase ....$ap£...18r..Zg.7_% ..... Name of Former Owner ....... ,~,q~E.t...§§.d. ~tl~.n O'T~e 11. Zone or usa district in which premises are situated ........................... 1~.- Does proposed construction violate any zoning law, ordinance or re~lation: ........... ~ ............................................ 13. Will Iotberegraded ......... ..~..S. ..................... Will exCeSS fill be removed from premises: [ ] Yes ~] No 14. Name of Owner of premises .............. g~:e. msa .~[. ~,~/,~ J;~.; ~J.l~ pj:£y. ...................................................................... (Address) (Phone No.) Name of Architect..._~_~o,l,d..N,..l~glil;lll¥.~.~;l~l~'..~.y.~.~, ~.l,.~erbead, N. ¥. 727-3910 - d ) No.) Name of Contractor ..~..:l;.v..e. reid.e. Homea, Inc., P.O. ]~x 27~ ~[~erhemt, N.Y. 727-1~J~ (Address) (Phone No.) PLOT DIAG RAM Locate clearly and distinctly all bui)dings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW~pRI~,/d~' ) ~ ~ · ................................................................................................. ~'v'"' ~being duly sworn, deposes and says that he is the applicant above named. '¥Narne of indj4itdu, g~si~in$ C° ntr~t ) He is the .............................. (Cont~ctor, ;~;, coyote ~;er, etc.) of said owner or owners, and is duly authorized to ~Horm or have ~Hormed the ~id work and to make and file this ~ppliotion; ~t ~11 statements contained in this application are tr~ to t~ ~st of his kno~e~ an~lief; and t~t t~ work will ~ ~fior~ in t~ anmr set forth in the application filed t~wlth. ' Nota~ Public ...................................................................... County 'ZO' W_AP Orr. L'A~D APPROVE~ /~,$ NOHFY B~.~.LI~IN_~ DEPAKTMENT 765-2660 9~ TO 4PM FO~. REQLIK- ED INSPECTIONS: I BEFORE BACKFILLING FCUNDA- TION OR START FRA,~,ING 2. BEFORE COVERING PIP~LINE 3. FINAL WHEN JOB COMFLt:TED NOT RESPONSIBLE FOP. E ESIGN OR CO~.~.~ _r'~..._~.~- STRUCTION ERROkS g ~ASMO._ IP. IZAt~¥ ~,ldD ~Y k4A P 'i8F L A,H.D ~ECTRIC HEAT lNsrRt'crloNs--De~rr[be ail materiafs and equipment to be included in the proposed ~ork. H J~ere r"~(e ~ ;~- and de~crtbe under iwm 3], or attach additional sheet*. A l[ ,?or~ t~ot of material and equipment shall eqaal or exceed that descttbed s~ld ~[o~.gt_~v~ .............. blin~mum dcplh excavatim~ below l]niq~cd F~,, .................... ~00~pgJ. Size 16" t~ 8"__ Reinforclna: Type .................. b,,,c . .- 9~ncrek¢__sze_~_'J_g_~A"-- Mix~_Q~-P~ __Reinforcing: 'I'H~e- . M~terial Piers: Material and size-~2~ ..~ _X_ sro:el ltned __Size .... ~_[ ....... Sills: Materiatht~k~K-~ Size.g ~_.5 ~,J~ ....... ~ pit~}Lg~ ................ Parging .......................................... lun4num with 5~ ~ound felt o~d ~ill ~eOJ~er ............................ ~--- ; thickness _~]J}--; ~idth ---~-1----2; ~ solidi ~ spaced ......... "o c; ~ tha~:o-,~ - ; grade ......... ; typg~O~g-l~.; gize ........ exposure la,lcr~,n; brigk 2~_gcr _p~lo Sills ............................... I in,cia .... sf,~c{es [{~J~K-~ .......... J ..... S{zC~-l~-~--; spacing --~}---" o. c.: X,>()'0'XY,>~2'v~X C D.X~ Plywood ~d' 5/8 TG W~M. grade and :,ptciel -:~e~t~_~Z ......... Siz~2x~ .... Spacin$ _~.,__" o.c. Collar hc~,m -_ ~ __" o c Grade and ,p~icl ---P~7~or~-~D~_.2_2.;'slz~ 't ...... ; rFp* _~r ; ~ solid; [j >p;~,cd ..... "o. c. axpt~lL__, grade -S~r~_; weight or thicknc:a ._j~ .... ; ~izo 1~ ~c 36 · ............................................... Underlay ............................ .... [ ....................... ; gage or weight .......... ; ~ gravel $tops; aND DOWNSPO~IS: .................. ~ ....... ' .......................... d,, ~ cdih.g~: Material ................ 1 wright or th~c~me~a ......... Pl~ster: Coals 7~-qZ%: .... :~,:-=-:':--'---'= ..... : ................ I..-_ ..... ..... . ........................................ z ................ ---,,Ti:C: ............. ~ '~ t ~ ) .... 7 ............................ ............. h-- - .................. r'~ ........................... Y---7 ....... ]nmi ceiN nr~ , ' ..................................... ......... }~_,~rJ~J[ ..................... ; 2',k ~ -~P~g. J2 ........ ............ , ~ ~sh ~'/c~s~t~; ~ balai;~:~ tyl:{-21 · ~f~(~4 , · Rff, {i' haft ~}ia ......................... u P m,c ~ (tm;c :ms ~] tL~gcboard radiation. M;d~c .nd nocc_--~:~.I~C-JlEA~-~ ............. ~ - /' ' lJlld¢lgrou.d .................. lnterm~: [~ Cond::iL [] armored cable, ~ nonmelallic cable, ~ knob and tu6e, ~ other _j~Ome~ 3 ~orcelain fixtures in basement ' Ce, rog ---~_. 420g_ Fiber&lass gatts stapled, ~ "-, rll ~ PiberKlaas Batts sta~led ~. XG. DISPOSAl.: 2 Board of Health approve~ cesepooSs - ALLOWANCE 925.00 D[.um.c f:or~: Wr}l _.100___ fl,, Fgundation ' ft., Nearest lot lln0; Lq front [-] side [; ~c~r ........ ........................................... ~ ............. 7T'--7 .............. 7 ......r ~ th, event fill fs to be brought to the jobsite or removed from ................................. .._~__~._.~ ..... rT._?z_..; ................................... 1"7 SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant ~/~-~l~/_~r~-~f~_~//__PhOne . . . 3. Public ~ater Company Name 4. Lot size: Width~_~eet Length_ ~'M feet 5. Subdiv. 6. Section 7. Lot Number 8. Private Well 9. Public Water Distance to ~in 10. Sewage Disposal System: (For Health Dept. Use) A. 900-gallon septic tank: Precast LJEquivalent Block B. Leacning pools: Number of pools / Precast ~<~ Block Special__~__ ll. following blanks: A. Tank capacity Pump G.P.M. If ,ivate well, fill in the B. C. Total well depth ~?~ D. Depth to ground water ~ E. Pmount o, water in well ...... <~, The undersigned [ERTfFIES: "Construction of authorized installations will be in accordan,::e ~;1u,/ ~iie ~,JF[o]h County Department of Health's current standards thereto Th~s appl will te valid for on~ year from the date of ~,pproval indicated below and may he ~ene','eJ ~;~ Date y/Y/ ~',~ h Signed ............... FOR HEALTH DFP?,,RTMEtlT USE ONLY. Based on the information presented herewith, it is the c]inicn o'F it'- Ilealch--b~'p-a-~Llnent that an adequate and satisfactory anJ LL~oT SuF]ly Call be installed on this plot. ~ ~-->wage Disposal System S-15 , / !