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HomeMy WebLinkAbout6407-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-15851 June 16 1987 ........ ate ...... , THIS CERTIFIES that the building PRIVATE ONE FAMILY ' DWELL TNG · 340 Pine Avenue So.u, chold: New York Location of Property Hou~ No. ' ' ' Strut H~r~et County Tax Map No~ 1000 Section ...7.7. ....... Block 3 . .Lot .26. Subdivision M/o Goose Bay Ests. 1!76. .16 Co 20 .... ~ .Filed Map No ....... Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 13, 1973 6407Z ........................ pursuant to which Building Permit No ...................... dated March 14; 1973 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 ......... · PRIVATE ONE FAH~LY DWELLING WT~H AT~ACHED 'GARAGE WITH WOOD DEOR AB.O.V.E. The certificate is issued to LOUIS & AUDREY DINIZIO ..................... io'~, );i~f~,T~X .................... of the aforesaid building. Suffolk County Depa~ment of He~th Approval. Nov; 2,.....1973 b~ R. Villa UNDERWRITERS CERTIFICATE NO .... N3 14242 = N~¥. ~4, 19~ PLUMBERS CERTIFICATION DATED: N/A NOTE: This R.v. 1/81 Building Inspector Certificate of Occupancy updates CO Z-7415 dated 12/10/1976 FO~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE W~ORK AUTHORIZED) N°. 6407 Z Date ....................... JJlt. l~Jl~.....J J~ ........... , 19.1~.~.. Permission is hereby granted to: pursuant to application dated ..........................~.~:~.....~? ............. , 19..?~.., and approved by the Building Inspector. Fee ~0', ~0' ............ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec- tor 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, Ind6strial buildings, Multiple Residences and similar buildings and installa- tions, 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. For existing buildings (prior to April 19,57), Non-conforming uses, or buildings and "pre-existing" land uses:~ I. Accurate survey of p~.perty 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 $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C .O. $ ,50.00 Date . .J.u.n.e..1.0.,..1.9.8.7. ........... New Cons truc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 340 Pi~e. Avenue, Southold,.. . New York House No. Street lYarn/e~ Owner or Owners of Property . .L.o,u.i,s..a.n.d..A,u,d,r,e.y, .D.i.n.i.z,i.o, .................................. County Tax Map No. 1000Section 077.00 Block 03.00 Lot 026.000 Subdivision Goose Bay Estates ................................. Filed Map No ........... Lot No. :16-20 Permit No..(~Z~Q7.2; .... Date of Permit .3,/.1,4./,7,3., .Applicant . Loui. s. Di, ni.z, io Health Dept. Approval :1:1/2/73 .Labor Dept. Approval Underwriters Approval :1:1/24/76 .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted S.. 3.0:.0.0 ...................... Construction on above described building and permit meets all applicable codes and regulations. Rev. 10,10-78 o ?_ - Applicant .................................................... PETER S. DANOWSKI, JR., ESQ., ATTORNEY FOR OWNERS LOUIS DINIZIO AND AUDRE? DINIZIO SURVEY FOR LOUIS ~ AUDREY DINIZIO ~oos~ ~T 311~-02258 ~cflon 7209 of the New York S~ate ~ducafion Law. Copies ol this *urvey map not ~aring the land su~eyar's inked ©uaron; c, :~ mications indicated hereon shali run only 1o the I ELEVA'FI3NS ARE REFER~*.NCED TO AN A$.$UME*'D DATUM. SURVEY FOR LOUIS AUDREY AT BA¥~I~-W TOWN, OF SOUTHOLD SUFFOLK COUNTYi N.Y. SCALE ~ I"= ..~0 DINIZIO REFERENCE; FILED NOV ,3,1934 A5 MAP NO 1176 8UARANTEED TO: CHICAGO TITLE INSURANCE COMPANY SUFFOLK COUNTY NATIONAL BANK LOUIS ~ AUDREY DINIZIO FEB, 6, ~973 JUNE 7, 1973 AU~ ~1, 1973 LAND SURVEYOlt N.Y.S. LIC. NO.E~ RIVERHEA D~ ~,d. ¥ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZT~.~. .~ ....... Date ............. D~.C...~.Q ...... , 197/~.. THIS CERTIFIES that the building located at . .P.:~n.o..A.?e ................. Strut Map No. G0?Se..~. Block No ........... Lot No.. ~ ~,~9 ..... 8P.q~$~ ........... conforms substantially to the Application for Building Permit heretofore ffl~ in ~is office dated ..............~.. ~ lg ~. p~suant to which Building Pemit No.. ~. dated ~ar ~ 1~ was issued, ~d confoms ~ ~ of ~e r~ ments of the applicable provisions of the law. The occup~cy for wMch ~is ce~ificate issued is .P~. 0~e. ~[. ~e~g ....................................... The certificate is issued to ...L~.~ .~. .... ~Og ........................... (owner, lessee or ten~t) of the aforesaid building. S~olk County Department of Health Approv~ .... ~0~..2...f.?7~...bY ~.Y~.. UNDERWRITERS CERTIFICATE No. ]3 ~2~2 NOV HOUSE NUMBER : .~O ...... Street ... P~.$~. ...... 8~hq~ .............. Building Inspector/ FOl~I NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEMPORARY Certificate Of Occupancy No..Z ~6.L~. ..... Date .............. TOY .... THIS CERTIFIES that the building located at ..... p..~.z...A.v.~. ............. Street Map No..~9.°.~.0 .BAY.. Block No ........... Lot No...~.6..i.e..2.0 ..... .~.q~.t;.hp.~.d ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ~a~'...1.3 .... , 19.73. pursuant to which Building Permit No..6br. 0?~... dated ........... ~.la~' .... J.~..., 19. ?2, 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 .. p~l.?.~.t.~...em..f..~. ~.]:~. d~?~.l.iU, g ...................................... The certificate is issued to . .L~8. Dll~t'-£~ .... (1~1' ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .I~.o.~... 2...~. ~7~...bY..R.~. ¥.!1..].& .... UNDERWRITERS CERTIFICATE No...p.~?.d..~ ..................... HOUSE NUMBER . .3If0 ......... Street . .P.~.~ ~V~ .............................. :~:l. , THE NEW YORK BOARD,,OF FIRE,UNDERWRITERS ~ :~ ', ' : BUREAU OF ELECTR C TY ; ~ [-- ~'~ ~ ;~ i~ i:!ili~,,~ : , SS jOHN STREET. NEW YORK NEW YORK too3e ~' ~ 19 19 C Elec. room~heaCe~:s:4-l.5, 3-1;25, 2~l'i0, 3-.75, 3-.Skw.: 'J,, HoC !4acer Heater: ].-/~.Sk~. Louis A. Dinizio 90 Sunrise Ave. Riverhead~ L.I, 11901 This certificate must not be altered in any manner; return to the office of the Board if incorrect, nspectors may be identified y~ Per A .~ APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 4. 10. Applicant Address Property location Village__~z~¢~ Township ~z~c~ Public Water Company name a/~-' Lot size: Width /~ feet Length ~ feet 6. Section 7. Lot No. ~,~z~ 8. Private well Y~$ 9. Public water ~- Distance to main (Enter on center plot below) Sewage Disp o s~y s t em: A. /gOO/gallon septic B. ~_~ching pools: Number / Precas~-~Block tank: Precast~Equivalent FBiock Special__ If private well fill in blanks below: Tank capacit~ C c!s. Pump G.P.M. ~- ~,~. Total well depth Depth to G.W. 6~° Amount of water in well Test Hole Data Feet I o 2 lO 12 16 18 The undersigned CERTIFIES: "Construction of authorized be in accordance with the Suffolk County Department of Health's current ards thereto." Owner or Buil~.W~ installations will stand- FOR HEALTH DEPARTMENT USE ONLY· Based on the information presented herewith, it is the opinion of the ~ealth Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot· Da~e ~"~f? f/~ ~ Si ed S-15 ~....-~ ~/~ /9~1/, ?/ /f'7 TOWN oF SOUTHOLD I/'~'~/'75 ' " " BUILDING DEPARTMENT~/~ ~ TOWN CLERK'S OFFICE .. '. ~ . . . ~U~H~O, ,. Y. /'~ ~ ' ~ .......... .......... . ...... ......... Di~pproved a/c ....................... ~ ....... ~ * ... ~ ~/~'~ , ~ ............ ~ ......... ~. ~ ~_ ........................... ] ................................................. ~~ ..... ~.n~ ~'~,~ ~,~,' Z APPLICATION FOR BUILDIN~[~IT~ ~ /~-~,' INSTRU~IONS ~. This .ppli~tion ~ust ~ ~mpletely filled in by ty~writer or in ink and submitted in triplicate to the Building Inspect, wt~ 3,ts of plans, ~urete plot plan to scale. Fee according to schedule. b. Pict plan showing Io~fion of lot and of buildin~ on premises relationship to adjoining premiss 0r Dub ic giving ~ detailed ~iption of ,your of pro~rty, must ~ ~ on 'di~rem which is' ~nr~ 6f this ,~pff~tion. ' ' ' c. T~ ~ ~red by this ap~licetion may not ~ commen~d ~fore i,unn~ of Building Permit. d. Upon epprowl of this appli~tion, the Building I~s~ctor will i,ue n Building Permit to the nppli~nt. Su~ ~rmit ~all ~ kept on the premiss ,vailable f~ ins~ction throughout the work. e. No building shall ~ o~upiad or u~d in whole or in part for any purpose whate~r until ~ ~ifi~te of O~u~n~ shall h.ve grnn~ by t~ Building Ins~or. 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 law-~ ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. -' ~t-T~ ~.. ~'~_~ Z~, ~'o (Signature of applicant, or name, if a corporation) . - · .S"t, W~ r_.applic.a.ntj~ own~,~J~..e~. _n~,~arxchitect, engineer, general contractor, electrician, plumber or builder. o, ow..r o, I f eP~/~~:~i~u~IY ~'°rize~er' ~ s License No .......................................................... P Umber's L cen~ No .. . .... ' .................................................... ~l~ctrl~lan S, Llcen, No ..................................................... Other ~rade s Licen~ No ........... ,. ,o.,io. o, ,..~ on ~,c, ,ro~ ~r, w,,~ ;~:':,a, ,o ......... ZZZ.~.....~.~.....~, s,~,.n,.u..r .......... :.~ "~ ....... ~....., ......................... _..,.~..., ................. Municipali~ ~. S,a. exi~,.......oc~u...c,o~a~ i~e.u..n. ~cu..nc, o,.ro.o..~on..c,,o.: a. Exi~ing u~ and ~upancy ..~.~~ ................. ~ .............................................. ; ............................... b. Intended.u~and o~upancy ...... Nature of work (check wh,ch applicable) New Building v .................. Addition ... q'Repair .......... ...... ..... .... Removal ......................... Demolition ........................ Otl ' ~OO .... ~ .................................... 4. Estimated Cost .........,~..) ........... : .................. Fee O ~' cD (to be paid on filing this 5. If dwelling, number of dwelling units ....... ./. ....... Number of dwelling units on each ................. Alteration..:.;;. ......... ;er Work ........................... ~..Z... (DeScription) application) floor .......................... If garage, number of cars ........... ~ ......................................................................................................................... 6. If business, commercial or mixed occuoancy, spec fy nature and extent of each type of use ..................................... 7. Dime.nsions of existing structures, if any: Front ..................... Rear ........................ I'" Depth ................................... Height ............... ..... ...... ....... ....... ....... ....... Number of Stories ........................... t ................................................. Dimensions of same structure with alterations or a,dditions: Front ........................ .~ Rear ......................................... Depth ..................... He ght . . . Number of ,~tor es ............. 8. Dimensions of entire new construction: Front ....~.~. .............. Rear .......... -'~-~.....l ...... Depth ...... ~..."..~..~.... Height ................ ~-.~- ................ ~. ~ ......... NumberRearOf Stories ..... : ........ ../. .................... ~,[ .......................... ..~ ..................... 9. S~ze of lot Front ...... ........................... ............. Dept? ..... ....... ,0. Date o,,urch-- ..................................... Name o, ................... 11. Zone or use district in which premises are situated ......... .x_~..t.~,~(~~._. .................. 12. Does prooosed construction violate any zoning law, ordinance or regulation ........ 1 ................................. ~3. W,~ot~,~aded~.-...,..:~ ............... W~x~fi, beremp~¢~ro~mp,6~:b] Yes ~ [ ] N.o~ .. Name o~ Owner of pre~,ses .~'~.~...+.-.~...~.....~..~...~.~ .......... .?....~.--~=~...~..E.- . ............... /... ....... '. .......... l ....... -- ...... ........... Name of Archimct ............. .~..~L.,e ............................. ~...~ ................... ~ ....... ..~..~ ....... //~/.~.,,9,~ ~./ . ////. d)t~.~ _ i/,~f_///~ ,~p,~ Z~.~....~/k////" ~ ./~ (Addr~.s) F~II /. ,///,,~ (Phone ~o.) . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. in~dicate all set-back dimensions from property lines. Give street and block number or description according to deed, and shc ~ street names and indicate wheth- er interior or corner lot. STATE OF NE~YOPAK,. ) COUNTY OF ....~....~.....~.'...~....~..~.~..~ ........................ ) SS .......................................................................................................... being duly sworn, deposes and isays that he is the applicant above named. (Name o[ individual signing contract) He is the ............ :...~..C~.....~...~...~'~...-~....©. ~, ..................... :. .......................................................... (Contractor, agent, corporate officer, etc.)! of said owner or owners, and is duly authorized to perform or have performed the said work an~ to make and file this application; that all statements contained in this application are true to the best of his knowledge and 'belief; a6d that!the work will be performed in the manner set forth in the application filed therew;th. TERRI L[[.[U~K /~ ($igFature of applicant) ra~¢c ed hec.n .~hall run only to the ELEVATIONS ,~RE REFERENCED TO AN ASSU'MED DATUM, SURVEY FOR LOUIS DINIZIO AT BZlYVIf-W TOWN OF SOUTHOLD SUFFOLK COUNTY~ N.Y. SCALE; I"= 50' FEB.I, 1975 FEB. 6, I973 REFERENCE: .... "GOOSE I~AY ESTATES" FILED I~OV 13,1954 AS MAP NO. 1176 gUARANTEED TOt N Y'3. LIC. h'O. 2? 1'25 73S'02258 SUFFOLK COUN~y MEALrN DEPAR~NEN~ NOV Ig7'3 The Sewage disposal amd ~'oter facil~',~es for this location have been inspocie~ by this department and found tO b~ satisfactory~__ zed a teration or addition to th~* suwey I~ a violat~n of ef thll ~u~ey map net ~ring tbe land su~yo~s ~nked ~nt owners. bail ,dist~?ces. to wells an~l cesspools are x ,ocat,on ~rom house owne~ and field observations, since mo~t well~ and pools are not visibb the~e cannot be certified. ELEVA't'IONS APE RIEFERENC£D TO AN ASSUMED DATUM. SURVEY FOR LOUIS 8~ AUDREY DINIZIO AT BAYVI~W/ TOWN OF SOUTHOLD SUFF~)LK COUNTY, N.Y. SCALE' I"z 50 FEB. $, 197,'3 JUNE 7, 1973 AU(; ,51, 1973 REFERENCE ' GOOSE B4Y ESTATE, S ~ FILEO NOV ~3,19S4 AS MAP NO 1176 ~IARANTEED TO* CHICAGO TITLE INSURANCE COMPANY SUFFOLK COUNTY NATIONAL SANK LOUIS a AUDREY DiNIZIO LAND BUNVEYOR RIVERHEA DI N. Y, &,t.,.,