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Home My WebLink About6739-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at ....L.ul~.t. 0.n..P.t.. R.o.&5...(p.?l;..). Street Map No.. ~ ........ Block No.X~ ........ Lot No..x~r......!~..t .t.i.t.u.ck...~. ;.Y.; ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ ~.u.l.y...1.2 .... , 19. ?3. pursuant to which Building Permit No. dated ........... ~. ..... 1..8 .... , 1973.., 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~i. yg~..o.n.~..s..~.~.i.l.y .c1.~.$..1.1.i.n~; ..................................... The certificate is issued to .]~$.z~..y...J.,..L..o~..f.f.$e~'. ...... 0~a~tl' ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ...J..o~....~.7... ~1.~..~....b.~r..R.. UNDERWRITERS CERTIFICATE No. N...13..0Q.?.ll .... .N.o.'(... 29... l. 9Y,,~ ............... HOUSE NUMBER ... ~3~. ....... Street ...... .L.u~.t..o.n..P.t...R..o~..5 ................... FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPAR?MENT TOWN CLERK'S OFFICE SOU?HOLD, N- Y. BUILDING PERMIT COMPLETION OF THE WORK AUTHORIZED) N? 6739 Z Permission is hereby granted to: Frank Inairillo A/C He....~. ~ Loeffler 18 Grace Ct ........... ~.,.v.~..h..o..~ .......... ~. ,.~,.,......~..~.?.~ ............. Build ne o e ~ :J,1 ~.1.1~ ..... ~o .................... ~.~.....~ ...... ~ Z ...... · ............................................................................... l~ttituek N.Z. pursuant to application dated ....................... tT..1A~. .......... ~[~, ........ , 19..~..~.., and approved by the Building Inspector. Suil~lng Iispector J FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Sou~hoM, 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 comp!lance 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 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 Date .~....~.............~...?. ......... ../....~....7.....~ New Buildin ..... Addition ......~.. ........ Old or Pre-existing Building Vacant land .............. Owner Or Owners Of Property ./...~.....~'.....-~.~ Subdivision ................................................................ Lot No ............. ~~ No ............. Permit N°'~'?'~'"'"'"~'-Date'-~'~'~ 1Of PermZ./../.?../..~.....Applicant ~~~ ............... Health Dept. Approval ..... .~ ........................ Labor Dept. Approval ................................................ Underwriters Approval ......." ~'-' '...~ .................... Planning Board Approval ........................................ Request For Temporary~ Certificate ........................................ Final Certificate ....~ ...................... Fee Submitted ~.............. ...................... Construction on above described building and permit meets oil applicable codes and regulations. Applicant ..~...:~ ~..~ ............................./~ Sworn to before me this j/' ~w~ Not~gry Pub licX,~.'~..~. ,...~ ..... County (stamp or seal) ILl, THE NEW YORK BOARD OF FIRE UNDERWRITERS ~],C BUREAU OF ELECTRICITY r~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 ,,,,e,~o,,'e~,,'.r ~, ~.~?:~ ,~,,,,,,c.,,o, No. ,,,,',,e ~,~ N 130071 THIS CE~IFIE~ THAT only the e~t~al equip~nt ~ ~sc~b~ ~ a~ ~nt~uc~ by t~ appli~nt ~m~ on t~ a~ ~pl~ation numar in t~ p~mises of Prank Inz~r~Zlo, n/side Lupron Pt., 620' e/Marratooka Mattituck~ L.I. inthefollowlnglocation; ~ Boement ~ lstFI. ~ 2nd F~. 3rd fi. & outsi~tio. B~ Lot ~as exami~d on ~0 ve~bo~ ~ ~, ~ 9 7 ~ and found to be in complia~e with the requirements of this B~rd. FIXTURE OUTLETS I; INCANDESCENT FIXTURES ECEPTACLES SWITCHES FLUORESCENT RANGES MT. K+ W+ 1 16. iPECIAL REC'PT COOKING DECKS OVENS DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET EXHAUST FANS 2 F DIMMERS AMT. WATTS SERVICE DISCONNECT I NO. O *Furnaces: Oil ]-l/Shp, 2-1/12bp Motor/s: l- 1/2bp R V I C E NO. OF CC, COND. pER ~' OF CC. COND. NO. OF HF-~G OF HI4EG !NO. OFNEUTRAL$ A.W.G. 2/o 1 OF NEUTRAL Star Arc Inc., 223 !Jo. Oak St., NO. Massapequa, L.i.11758 Br=NEEAL MANAGER Per 1 ! COPY FOR BUILDING DEPARTMENT. THIS COPY OF ~I:K],F~CATE MUST NOT BE ALTERED IN ANY MANNER. SUFFOLK COUNTY DEPARTHENT OF HEALTH APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant~'~ I O?~RL&O Phone 3~ 5. Subdiv. Address /~ ~P~C~O--7- , ~-'-~O~?~ ~)~ II~O& 6. Section 2. Property location ~/~ ~~ ~ 7. Lot No. ~O ' ~/~ ~~Ok~ ~O~ 8. Private well Village ~rOC~ Township~oLO 9. Public water 3. Public Water Company name Distance to main 4. Lot size: Width~eet Length~?,~eet (Enter on center plot below) 10. Sewage Dispos~-~ystem: A. ~0~Y gallon septic tank: Precast ~'~qutvalent Block B. ~L-eaching pools: Number $-Precast /~lock Special If private well fill in blanks below: Tank cac~paci~y~._~als. Pump GfP.M. Total we~l d~h__ Depth to G.W~ Amount ef wat~ in well~ Test Hole Data Feet .~o ~ 0 2 LOAmy 6 8 r .... 10 "'~"'"' 12 ~ou~o 16 ~a 18 The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current stand- ards thereto." ~ Date Signed.~//L-F.-~~Owner FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot. Date 7 Signed[ S-15 Revised 4/]/7~ TOWN OF SOUTHOLD ~-~?"-~ ::) ~-~ ~,-~-~,~ - BUILDING DE fA liTMENT '~);~-~/::~c ~ TOWN CL~RK'S OFFICE ~ ~ /~.,.~- ... ~ ~ · ~UTH~D, N.Y. . ~prov~ .... :.~ ............. , ,~5.P.m,,No& 73'2~-/~~ ................................... ....... APPLICATION FOR BUILDING PERM~ Dote~ i. lhi* ~li~tion mu~t ~ ~mpl~t~l~ filled in b~ W~ritor or in ink and ~ubmi~d in b. ~lot ~l~n ~ho~in~ location of lot ~nd of buildin~ on ~remi~, r~l*tion~hi~ to ~djoinin~ ~r~mi~ or ~i~in~ * ~t~ ~eri~tion of ~a~out of pro~rW mu*t ~ dr~n on di~rim ~hieh 'i~ o. T~ ~o~ ~r~d b~ thi~ ~ic*tion m*~ not ~ communed ~for~ i~u~n~ of Buildin~ ~rmit. d. ~n ~ro~ of thi~ ~lieation, th~ 8uildin~ In~ctor ~il~ i*~u~ ~ Buildin~ ~rmit to t~ ~mi~ ~il~bl~ for in~etion throughout th~ ~ork. ~. ~o ~ildi~ *~11 ~ oeeu~i~d or u~d in whol~ or in part for *n~ pur~ whatever until ~ ~rtifimt~ o{ ~ ~11 h~ ~an~ by t~ ~ilding Ins~ctor. APPLICATION IS HEREBY MADE to the Building Depa~nt for the issuan~ of a Building Permit ~rsuant to t~ Building Z~ Ordinan~ of t~ Town of ~uthold, Suffolk County, New York, and other applicable La~, Ordinan~s or R~ulpti~s, f~ ~ ~ru~ion of buildin~. ~ditions or alterations, or for removal or demolition, as herein descried. The applicant ~rees to ~y with all a~icable la~ ~dinan~s, bu~l~ n~,.~ housing code, and regulations, and toHadmit authorized ins~ors on ~emises and in ~ildi~ ~r ~ry ins~ions. (Signature of appli~nt, or~, if a ~r~ration) ,~ ' I .a....~m~..~.,.~....,~.~...~.~,~.~.....,.~.~. ......... (Addre~ of a~li~nt) S~ whet~ ~pli~nt is ow~r, le~, a~nt, arch~engin~r, ~neral contr~tor, el~trician, plum~r or builder. .... .~.~*.,.~.~. ............... : .......................................... ~ ........ : ................................................... ~ ................................. Name of ow~ of premiss ...~..~'~....~.=....~=.~..[.[~ .................................................................................. If applicant is a cor~rate, signature of duly authorized offi~r. ~ .....................~~q~';~';'~'~"iiii~';r~;~;';;~';';~:~<'~ ~7,o ~:/~ ..................... ~ 1. L~tion of land on which pro~o~ work ~ill ~ don~. ~ap ~o.: ...... ~ ............ ~...~....~. ................... kot ~o. ~..~ ..... 2. Sta~ ~xi~in~ um ~nd o~upane~ 0f pr~mim~ ~nd in~ndod u~ and ~eu~ne~ of Cro~ eon~metion: ~., ~ ~ ~. ~v.'.....~.~.~.....c~ ...................................................................................... b. In~n~ u~ and ~up~nev ...... ~.~.~.~ ............................................................................................... 3. Nature of work (check which applicable): New Butld~ng .................. Addition ..................... A raft ......... Repair ......................... Removal .................... ,... Demolition ........................ Other Work .................................... (Description) - OC~ Fee ...... /.../...'.....-~.. .................................................................. 4. Estimated cost ........c,::~.) ............................... (to be paid on filing this application) ......... 5. If dwelling, number of dwelling units ..... J. .......... Number of dwelling units on each floor .._~i~q..~J.g...F..~. ~.~..J~- if garage, number of ~r~ ~'~ ~ ............................................... 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 ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ....~.,G'...~.~I.! Rear ....~..~....~ ........... Depth .....~.~L...~. ................. Height ............ .'~-,.~,~.~.~.- ....................... " Number of Stories ...... .T..~.....~. ........................................................................ 9. Size of lot: Front ............... .~. .................. Rear ...... .................... Depth .lZ~cL~.~-..V,~.'~.~.j..t.'/.Fa,~[.-.~..~.. 10. Date of Purchase ......... £)..,~.']...~ ...... -~ ...... Name of Former Owner ....J~.~.~.~.V.~...~ ........................................... 11. Zone or use district in which premises are situated ........ )~...5.L~.....vt..~.}...~, ............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~.Q.~.~. .......................................... 13.. Will lot be regraded .~ _,.~.C..-~- ................ Will excess fill be removed from premises: [Vi Yes [ ] No 14. Name of Owner of premises ...J:~.P,y~.~.~...~..~,.~.~.~.~.~l~]~. ..................................................................... (Address) (Phone No.) Name of Architect .~.y.~.~.y.....T.)c.~,x~i.~ .................................................................................................................. ,.. ~, ,, ~t ~,~ ,~ ~ _ _, .,,~, , (Address) (Phone No.) Name of Contractor .................. / (A~dress) (Phone No.) PLOT DIAGRAM [:ocate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat4)ack 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 YOR K, _ .~,~/~ .. ) COUNTY OF ................... .~..u.... ~.'.~ .I...~ ..., .~ SS .~'...v;..c~Z~,.~. ~,~.~,l....I. .~ ................................................... ~ing duly s~rn, de~s and says that he is the appli~nt above named. (Na~ o[ i~ivia,,~t si~ing con~act) He is the ...~.~L~.~.t~b.....~O~.O~. ............................................................................................................. ~ ................................. (~nt~tor, ~h co~mte of~r, etc.} of ~id owner or owners, and is duly authorized to ~orm or have ~rfor~d ~ said work and to make and file this appli~tion; that all s~temen~ ~ntained in this application a~e true to t~ ~st of his kno~ed~ and ~lief; and that the work will ~ ~orm~ ~t forth in t~ application flied t~rewith~. ~ ..... ........ ....... ......... .... _ . .................. ....... ........... ........................... 1277447 N/O/F LAND oF RuL~NO Unauthoflzed alteration or addition to this ~urvey II a violation of ,ectlc, n 7209 of the New York State Education Law. Copies of thil *urvey map not beadng the land surveyolZs Inked *eal or embossed seal shal~ not be considered to be a valid ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM SURVEY FOR HENRY J. LOEFFLER AT LUPTON'S POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SCALE: I'% 30' OCT. 20, 1972 JUNE 4, 1973 JUNE 7, 1973 REFERENCE OUARANTEED TO: SOUTHOLD SAVINGS BANK THE TITLE GUARANTEE COMPANY. HENRY d. LOEFFLER LAND SURVEYOR N.YS. LIC. NO. 9'87~5 RIVERNEADI N.Y. 1277447 AT:3AN 1 7 J974 ". n. R:F. ~he se~ge disposa: and wate~ ~upp:y f~ilit:es for thi~ location hav~ been inspected by this de~ent~nd ~Ound ~hief of ~eneral Engineer*lng Services LAND 0 CF Unauthorized 0Iteration or addition to this survey Is a violation o~ section 7209 of the New York .State Education Law. Co~ie~ o~ this survey map not beadng the land surveyor's inked sea~ or embossed seal ~hall not be considered to be a valld copy. a e~ or certifications indicated hereon shall mn only to the pe~son fo~ whom the survey is prepared, and on his behalf to the Hde company, governmental agency and lending in~tltution listed ~ereon, and to the assignees of the lending institution. Guarantees or certifications are not transferabJe lo additional institutions or subsequent owners. distances to wells and cesspools are location ~rom house owners and field .0' ELEVATIONS ARE REFERENCED SURVEY FOR HENRY d. LOEFFLER AT LUP;)'ON'S POINT TOWN *OF SOUTHOLD SUFFOLK COUNTY, N. I'. SCALE: I'% ;50' OCT. 20, 1972 DEC. 6, 197,.3 JUNE 4, 1973 JUNE 7, 197;5 AUG. 17, 197;5 TO AN ASSUMED DATUM REFERENCE: BUARANTEED TO: SOUTHOLD SAVINGS BANK THE TITLE GUARANTEE COMPANY. HENRY J. LOEFFLER LAND SURVEYOR N.Ys. Lm¢.NO. ae~ R~VENNEA~N.~ ¸Ir NOTIFY BUILDING DEPARTMENT ~ , 9AM TO 4. PM FOR REQUII~,- INSPECTIONS: 1, BEFORE BAGKFILLING FOUNDA- TION OR START FP, AMING, 2, BEFORE COVERING PIPELINE 3. FINAL WHEN JOB COMPLETED' ,RE; r: ~ r G~ - b rh