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Home My WebLink About7416-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Zl.L79~ ......... Date ......... July..20 ................ 19 8.3 THIS CERTIFIES that the building., ona-: family, cl~elling ....................... Location of Property ...650 .......... Beachwoo~ .Lana .......... ~qoutkQld .......... House No. Street Ham/et County Tax Map No. 1000 Section . 7.Q ........ Block ....16. ........ Lot...5.6 ............ Sub.vision ...... $outhwooc~ .............. Filed Map No. 21A!...Lot No .... 3.2. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Ju.l.¥. 1.2 ......... ,19 7~t. pursuant to which Building Permit No .... 743.K7. ............ dated .... JuLy · 15 ................ 1974., 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 ......... ...... ~;iv~e. on~- family, d~el~&.ng ......................................... The certificate is issued to ......... iCl, TO. BRgoSd, Oa .................. of the aforesaid building. Suffolk County Department of Health Approval ...... 6 - 80- 90 ...... 3¢24/.7.7~ · · V .i.1.1. a ..... UNDERWRITERS CERTIFICATE NO .............. bi. ,3,9,4.9. ,8 ,9 ............................ Building Inspector Rev. 1/81 FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT ('rillS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7416 Z Permission is hereby granted to: ....... ~ka..l~l~u£~ ....................... : .................... · .~ ........ .3~...-.~get, ......................................... .............. ~.~..c~.~. ......... ~.....~........!~J.~ .......... ~ .~1,,~ 3,,~,..~ew...~ne.. iam~l~.. ~wal//~ ...................................................................................... at premises located at .~t/...1.~ ..........6e~tt,~l~ee~ ............................................................................ ....................................... ~T~eaehweoe%..;i,I .............. 8o*/th~l~! ......................................... -~ ....... : ........ pursuant to application dated ....................... ~tt~F.....1.p ............. , 19~t~..., and approved by the Building Inspector. Fee $:13,6...9~ ......... e. No ~ildi~ ~11 be~i~ or u~ in ~e or in ~ for any pu~e ~atever until a Ce~i~ of ~c~ncy~ shall have ~en g~an~ ~ the Building In~or. ~ ~.PLI~ATION,[S HEEE~Y.~DE to the Bui~i~ ~nt~r the issuance of a ~ildi~ Pe~it - ' ~gnatum of ~lican[~me, if a c~l~ Stote whe~er opplic~nt is ~ner, les~e, ~ent, ~i~,'~r;-~ner~l controctor, el~tricion, plu~r or If a~licant is a co~mte, signature of duly a~riz~ officer. (yame and title of co~orate offi~'- ,'..: ~her Trade's'Licen~ No ............................................... ........................................ ~t No ......................... Street and Number 2. State existing use and ~cu~ncy of premiss and intended use and ~cu~ncy of pr~ c~: a. ~isiting u~ a~ ~cupancy 3. Nature of work (check which applicable): New Building x Addition Alteration ......... -~:. ~ _ Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4. Estimated Cost ............................................................ Fee ..................................... . .............................. ~ ...................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .....1. ...................... Number of dwelling units on each floor ............................ 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 ............................ Depth ................................. Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front''' Jill[ J'~'[~ ................... Rear,..'6eeee.l.~aeee~.I. ........... Depth ' '~l Height lC)l Number of Stories ! (and attic) 9. Size of lot: Frc~nt 135' 110' 176' ***:~. ................................................... Rear .......................................... Depth ................................ 10. 'Dote of Purchase ..; ......... ~.:L.~ ..................................... Name of Former Owner ........................................................ 1 I. Zone or use distric~ in which premises ore situated ....~iz~Lg**~P,~t~3*. .................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~..o. .................................................. [3. W~II lot be regraded ............... : ............ Will excess fill be removed from premises: ( ) Yes ( ) No Name of Owner of ' '" 'c 33-48 29th~r~sst l.on8 Island City,~ 14. prem,ses ...~.Ua%gR..~..L~.lD.A.:,~ ..................... ...... : ......................... Phone No..c).~.Z.:..~..... Nam ...... "~"~-* ~- =aile-- 3Z-z0a 30th Ave,,.L, on~ Ismnd ~;it¥, lXrf .1_110Z ' .,~ e or ~rcn recr .~.~.~.~ .~ ~. .Y-~ ..... ~k~ress~ .................... Phone No. .t P. u,~u ...... 33-48 st.. Lon ~lom~ OT L.ofITractor~.A A.~.~. . ,. .~ .... ~' Address ....... ~Gao~ u ...................................... Phone No..7. ........... .7 ...... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to dee_d, an,~ show street names and indicate whether interior or corner lot. STATE OF NEW YORK, I,, COUNTY OF ...1~.~ ............... -I~'~ ..... , Luka Picinic .................................................................................. t ........... being d~Jy sworn~ deposes and says that he is the applicant (Name of individual signing contracf) above named. He is the owner and contractor (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements .contained in thi~ 'o-ppl~cati0n' ~fe;.tFue-tO the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ~'/2 /' ~ ........... d,:,y of ...... ............................. , ( / ///. " ~ ~ ~ (Signature o;C";i;i;ii;;;;~')' ............................. ~'" - --- ~ ~JOI"FN B.'BECK ~J ' Notary Public, State Of New York] . '4 -NO. 41-5232340 - Queens County Term Expires ~rch 30, _1.97~, · POKM NO. ¢ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Occupancy No..Z77~8 ..... Date ............. J. ul~ ....¶8 .... , 19. THIS CERTIFIES that the building located at . Bo&eh,~oe4. L~ ............ Street Map NoSell~O~ .. Block No ........... Lot No. ~.~. .... 8olt~r, ho~,d ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. Ju~'- - ~.~ 19..~t~ pursuant to which Building Permit No. dated ........... ~1~'-- 1 ~"', 19. ~,, 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~,~;e..ol-~e. ~.~ul,f~ .~,e~L~:l.~g ....................................... The certificate is issued to .~41k~..P:l.e.illle .......... 0~rner .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .,t~al'...~...~977...by ~[,V~& .... UNDERWRITERS CERTIFICATE No. l~l~l~t~[~ .................................... HOUSE NUMBER...6,~0 ........ Street .. Be~ehvond. L~ ....... I~ottghol& ........ ............ Building InspeCtor NO, $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Dote (o,ffner or authorized agent of owner) ; (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that ...~..~..~?.~.t..?..~...~. ......*~1/! ~.~L.~.~......~.~.~..~.... (state character of violation) in violation of ~ ~r I e 0 ' I ~ ~1 (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the J ~ day of "il) I 't 19/l...~.. The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at ............................................... .~ ........... ~ ................... ~oun[y of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector /t y.~ TOWN OF 8OUTHOLD -' ~'- . '- · Building '~'~/~_.~,~ ~¢~ ~'~ ('~ Town Hall Sou~hold, N.Y. 11e71 ~ l~{~~'~ (~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This ~pli~tion must b~ fill~d in W~ri~r O~ ink, ~d tot ~i~ ~ ~l~ln~; for n~ ~ild~ or ~ u~: 5. ~it Planning Boeffi ~p~al of ~le~ ~i~ plan ~ui~en~ ~ ~lic~le. B. For ~i~ing ~ildin~ (prior to April 1~7), Non~on~rming u~s, ~ ~lldin~ ~ "p~i~" I~ u.s: 1. A~mm ~wey of ~e~ ~owing MI prope~ lines, ~,, ~ildi~ a~ u~mM ~1 or to~g~hic 2. S~rn ~t~ent of ow~r or ~i~s w as to um, 3. Dam of any h~sing ~e or ~ in~n of ~ildi~ or p~i~, tion ~ui~ ~o p~am a ~ific~. 1. Certificate of occupancy $5.00 Certificate of occupancy on pre-existing dwelling or land use ~3[ Copy of certificate of occupancy $1.00 $5.00 New Building .......... Old or Pre-existing Building ......... Vacant Land ........... L_~ ~o=~on o~ ero.er~.. ~. C..~. .......... [~.~. ~00. ~. ................................... H~M No. ~t H~let Owner or Ownem of P~e~ .~J'~ ~ ~...~:..~J~(~..~0~ ~ ............ Lot No. ~... ( ..... ,.~.o. ~... ==.o~,.rm~. ~/.~,~=.~ ~.[~ .... P~'.~."~. ............. ~ ~=~ ~ ... ,..,~hO~,.~r~ .... .~ .... ~ ......... ~.~o.~.~w, ............. ~ ..... R~u~ for T~ra~ Cenifica~ .................... Final Ce~ifica~ ........ F. Submi~ $ .~ .................. on = ,on npp,c~,. ~~ ...... ~ .............. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. '(owner or outhorizgd age,~t of owner)~ ~ ..-... ~/~ ~..:.~.~....~..~...._~...~......- .......... ~.. (address of owner or authorized agent of ow~r) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ORDER TO REMEDY VIOLATION Date . ......./....~... ..................... , !9 (State section or paragraph of applicable law, ordinance or regulation) day ........... .,4 .~,¢f-r~,~ ............................ , / The r~/~ises to which this .ORDER TO REMEDY VIOLATION refers are situated at --~-//.~.~.~.~..~~..~.....t~,~..~~uff~olk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Budding nsp c SUFFOLK COUNTY DEPARTMENT OF HEALTH 1. Applicant Address ~.41~Z~I~,e ~,. llm--~K;l~3r, eN~ ]11~ 6. Section 2. Property Location ~--~ .l~.~..,,-_-~-_~_!~u 7. Lot Number 8. Private Well Village It~lll~m~d Township ~ N.I', 9. Public Water 3. Public Water Company Name ~ Distance to main 4. Lot size: Width 1)$ feet Length l?& feet Health Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY l~m~ml~4~ Phone 9M-4~1,0 5. Subdiv. 17 10. Sew~q~lisposal System: A.(g~tgallOn septic tank: Pre~st~ Equivalent Block B. Leaching pools: 11. Number of pools ~ Precast~)Block Special in If private well, fill the following blanks: A. Tank capacity ~. gallons B. Pump G.P.M. ~ C. Total well depth. == D. ~Depth to ground wa~er~ <~ ' E. !~nount of water in well (For Health Dept. Use) T nde~'gned CERTIFIES: "Construction of authorized installations will be in accordance wi-~the ~uffolk County Department of Health's current standards thereto. This application w~be valid for one year from the date of approval indicated below and may be renewed if a~(~rent~ocal Building Department Permit is in effect. Da~ge_ ~ Signed ~_~/~ /~_~f~ 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 7~)-//?~ SIGNED THE ~ July 2~, THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8E JOHN STREET, NEW YORK NEW YORK 10038 inthefollowinglocatio~ .[~Xl~Aemeilt~.~] lstFL ~ 2nd FL outsAde ~. m~ ~ 17 ~ exami~ on ~ ~:~ ~ '( I ~ ~ I0 and found to be in compliance ~ith the r~uirements of th~ B~rd. ~XTURE E I I ~XTUEES ~NGES ~gl~ ~KS OVENS ~ WA~ERS ~HAUST FANS ~T~TS ~EKACLES] ~ITCHES ItNCAN~SCENTrFL~E~ENT I ~" ~'. ~.~- ~,. ~.w. ~. ,.w. ~,. ,.w. ~. I DRYERS I ~RNACE ~TO~ I mTURE AKAKE ~ ~AL~' TME~KS [ ~ ~ KTI~TUT m~ERS SYST~ METER ~.~ CC. COND. A.W,G, ~ ~ ~KG A.W.~. ~ ~HE~ ~W.O. 5uka Piclnle 38-26 222nd St. Bayslde, L.I. 11361 ~is certificate must not ~ alter~ in any manner;, return to t~ office of t~ ~ard if incor~. Ins~ors may be ide~if~ by thdr credential~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFI~TE ~Ug NOT BE ALTERED IN '1 'APPROVED AS NOTED DATE:~0 J' / . 'J~' FEE: ~ ~lJ NOTIFY BUILDING DEPARTMENT '( ////~ 765.2660 9AMTO 4PM FOR REQ~IR- ~ ED INSPECTIONS: '1. BEFORE BACKFILLING FOUNDA- TION OR START FRAMING 2. BEFORE COVERING PIPELINE 3 J FINAL WHEN JOE COMPLETED NOT RESPONSIBLE FOR DESIGN OR ~ STRUCTION ERRORS · ~'Z. '--~~'~~~"~'" .L ~.~:. ,,* , ~.~ ' * " ' ' ' ' ' ' ' ' .... 0 , , ' - ~, H ~ ~ ' ' ~" ' , ~, · · , '1 ~ ~ ..... v! -.. -- t, , ~ ~L~ ~.~ , ,' , ,'t :; ...... I,t ! ' 't~ '~ I ' I ' I , I I Il¸ '1 .-+- ~) CH- Fi~BT PLAN ' FLOO,q "' ' -¸4-- PtC ItqlC