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Home My WebLink About7573-zNO. 4 TOWN OF SOUTIIOLD BU1LDING DEPARTm~'T Town Cl~k% O~iee Sou~lola, N. Y. Certificate Of Occupancy No..~67.1.1t ..... Date ..............Sep.t .... 29.., 19.~. THIS CERTIFIES that the butl&J-g located at . .W&ta.--w~e~t .Dr ............ Street Map NoX~ .......... Block No..~ar, ...... Lot No. xx ..... Sour, hold...]~,~., .... [... conforms substantially to the Application for Building Permit heretofore filed in this office sept 3o 75'73 dated ........... Juue '10''" 19.~ pursuant to which B~flal-g Permit No. dated . ~ct.2+ .7~. & .Ju~e..lp197~[., was issued, and conforms to all of the requir~ merits of the applicable provisions of the law. The occupancy for which th~ certificate is ~sued i, . Pr. iva~e .one..fa~LI~T. d~ellLu&..wi~h .fence .~. Acce~aorT. The ~cate ~s ~sued to .Joeeph. D~ella.. & .¥L~e~r~ ................... (owner, lessee or t~t) of the aforesaid building. Suffolk County Department of Health Approval . 6tal~;. :~.1~... 19~.~ ................... UNDERWRITERS CERTIFICATE No. 1[15.t8.~.~1~ .... ~,9~ .~....19.75 ................... HOUSE NUMBER .23~ .......... Street..Water.view. Dm .......................... Ia p or ltO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF~E SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'f'ION OF THE WORK AUTHORIZED) 7573 Z Permission is hereby granted to: Ba~dur P tel' ~To · ..................... ~ ............ ~ ....... ~.~.,.,~.....!~,,...~..~a .... ~....,l~,l~,L~,'m ......... ~ ................................ ....... ~,~,~a....,....s. ttSt......~ ....................... ~o It~..n~...~.. ~- ~1~..4~1~ ...................................................................................... at premises located at ....~/~.....J~t~,ll~..~J~J31~ ........................................................................ .................................................... tjala:thl~[....ll ,~, ........................................................................... pursuant to application dated ..................... ~f,......~ ............... , lg..~J~., and approVed by the ~Building Inspector. AFPLICATION FOR BUILDING I)K~,IT .sz. uct o.s a. This .a. pplication mu~t be completely filled in by typewriter o~. in ink and submitted in triplicate to the Buildir~ In~, W!8'l 3 sete of plot4, ~:.,.r~e~ .lc~ plan ~ ~ Fee ~i' /',~ areas, aha gw~ng o (WTa,ea oescril:fl¢m dt layout orproparty must De oraw~ on c:: ..~ covemcl by this ap~icGtion may not be commenc, ldbe,f.om issuance ~fBu!lding Permit. d..~9PPraval of this a/~plication, the Building Inspector will issue a Building Perm,t to the applicant. Such permit ~ shall 5e kept on the premises available for inspection throughout 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. B iAI,P''PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pu~ ~muant to the~ _u, dlr~.' Zone Ordinance of the Town of Southold, Suffolk County, New York, and ..other agldicable ~ ~ a~ .~u ah,.ons, for the construction of buildings, additions or a!teratlons, or for removal or dem~ Itlon, .e .a. pl~lcon.t agrees to comply with all applicable laws, ordinances, building ~code, homing code, and regul~iam, and to admit authorized Inspectors on promises and in buildlng~ for necessary insp~l~. ..................... .......... ........ ,...' ........ (Signature of applicant, or name, If a corpdmtlon) 235 (^ddmss of applicant) State whet~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~.~ ................................................................................................................. If applicant is a corporate, signature of duly authorized officer· (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map Nevi'. .............................. Lot No. Street and Number State existing use and occupancy of premises and intended use and ~ncy of p~ construction: a. Exisiting use and occupancy ....~r..~ .............. i.,i .................................................................... b. Intended use and occupancy ....~~...Clllt,;~MM..~..~ .......................................................... · 1. '~ature of work (check which applicable): New Building........~.. ......... Addition .................. Alteration -. ................ Repair .................. Removal .................. Demolition. .................... Other Work ..................................................... (Description) 4. Estimated Cost .........~2.4. DDD,,.-. ................................. Fee ..... $.53.DD ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............1....ql~-..~:~ ............................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing str.u.c, tures, 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 ....~.: ........................... Rear ..~B.! .................... Depth ...;~.~. ............ 12e Height .................... Number of Stories ......... gl~ ...................................................................................................... Size of lot: Front .59,,~)...(1'¢:~1~..~..4~'.:7~ .............. Rear ..... 102.85 ......................... Depth ........... Date of Purchase '.~.~..~1~....~..~1 ................... Name of Former Owner-- .- ...... ' ~ _.....'~ .......... 11. 12. 13. 14. Zone or use district in which premises are situated ..... .~e~..&.~..".~". ................................... Does proposed construction violate any zoning law, ordinance or regulation: ..... ~ .............................................. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No Name of Owner of premises ..~11~:~.~ .................... Address ~DI:~III~ ........... Phone No~ ........ Name of Architect ..]~!1~11~.~...~ ........................ Address ~kti;~l~l~ ............. ~ N~.I~ ......... Name of Contractor ..... '~..01~..;~.~ ................ Address ~ ............. Phone ~ ........ PLOT DIAGRAM ~3¢J6 Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YO~, ~/.~_ ........................ .~....~....~....,? .......................................... being du~ .swom~d~oses and soys t~t he is the appliCam - (Name of i~ig~l ~igning c~tmc~ He is the ............... ~ ..................................................................................................................................................... (Contractor, ag~t, cp~rate off,er, ~c.) of ~id owner or owners, and is duly a~rized to ~orm or h~e performed the said work a~ to ~ke and file this application; that all state~n~ con~qin~ i~ thi~ ap~[cat~ ~r~.to the best of his knowledge and belief; and that the work will ~ perfor~ in th~"~ ~f ~h in the appli~tion flt~ ~h. Swam to ~f~ me this ......... o, ........ Noto .................................................... ........ ........................... ~ (Si~re of applicant) ~ / GERARD A, SORMANI NOTARY PUBLIC, State of New Yor~ No. 52.45~foik ~unty Exp~[e~ 1975 THE NEW YORK BOARD OF FIRE UNDERWRITERS ["').r BUREAU OF ELECTRICITY '~ ,i I~, ~,~ iA 4,,'1975 ~,,,,,,,~,~o,.,,,o.o..~,~ 8o62s4 N 238752 THIS CE~IFIE5 THAT J0-Nal Constr. Co~p., 735 Waterview D~., Soughold, L.I. FIXTURE fiXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORESCENt A W G NO. OF HI-LEG OF CC. COND 4/O AW.G O~ HI.LEG ]- I 4/0 OTHER APPARATUS: Elec. room heaters: 3-2.0, 7-.75, 2-.Skw. Llghtway Elec. Co. 3 Dewey Pl. Bay Shore, L.I. 11706 GENERAL MANAGER Per D ~ This certificate must not be altered n any manner; return to me office of the Board if incorrect. InspecTors may be identified by their credentials. SUFFOLK COUNTY DEPARTMENT OF HEALTH Heal th Department Reference Number ~/--,3~m APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Appl icant~hone Address~)5 2. Property Location Village Township 3. Public Water Company Name 4. Lot size: Width 1~ feet Length 10. Sewage Disposal System: 5. Subdiv. m 6. Section ~ 7. Lot Number 8. Private Well ~ 9. Public Water Distance to main feet (For Health Dept. Use) A. 900-gallon septic tank: Precast · ~quivalent Block B. Leaching pools: Number of pools $ Precast Block ~pecial · ll. If private well, fill in the following blanks: A. Tank capacity 42 gallons B. Pump G.P.M. $ C. Total well depth D. Depth to ground water E. Amount of water in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. 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 and Water Supply can be installed on this plot. : APPROVAL DATE S-15 Rev. 4/1/73 32' 0.8'/' : ..... ~~ ~ocation have be n inspected bY this~ ~d Chief oF General Servioe~ ~rF_$T .P, o L.~- 1,4 2,0 48' ,LA~ ~) oF Jo.5 ,~F'H C~l D~L~A 1.7 4,- 2,~ 50UTH E. .L ~V A,T ,~ 0 'E.A%T £L£ViAT lO ~' %,. APPROVED AS NOTED B~KJRE BACKFILLING FOUNDA- FINAL WHEN JOB COMPLETED HI- b.~VAT'I O ~ ALt~ C~NCRETE TO BE OF A MIN, C~f~PRESSIV~ STRFJ~ ALIp F~T~5 B~I~, ALL F~TI~ ~ = ~OOi,OOp,~ FB = ~SOO ~. PER S~.IN. : ~,E ~/~L L~L'~ O~ ~ ~V~ d~ISDICTI~. ' Wi~ L~CO ~]~S., ~m.~El'~; ~ ~CHi~CT ~SE SEAL ~ ,SZ~ S~V]SE ~REOF ~ I~EBT~ TO ~ ~CH~T~ F~ ~,1 2 Z DII E. LLA 'RESIDENCE baldur peter, a.i.a, i~,,, ,~, ~o~. ARCHITECT 2 3 5 M A P L E A V E N U E, S M I T H T O W N, N Y , 11787 O, .4': baldur peter, a.i.a. ,~,~, ~-~o~ A R C H I T E C T ~w~..o:. 2 3 5 M A P L E A V E N U E, S M I T H T 0 W N, N. Y,, 11787 DATE: ~t:~l,~~ I 4 Roo~'. P.L,~I,,,.I ~ SF_CT.I O~J-S baldur peter, a.i.a. ~5,E~ ~=,- Eo~ A R C.IH I I E C T 235 M A P L E A V E N U E S M It H T 0 W N, N. Y., 11787 REVISIONS JOB, NO, DWG. NO. gATE: S~-.~.~ 2