HomeMy WebLinkAbout7237-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-17515 Date NOVEMBER 15, 1988
THIS CERTIFIES that the building. ONE FAMILY DWELLING & ADDITIONS
Location of Property 775 EUGENE ROAD House No.
County Tax Map No. 1000 Section 97 Block 2
Subdivision Filed Map No.
CUTCHOGUE~ NEW YORK
Street Hamlet
Lot 18
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated 2/8/61~5/6/74,7/28/83 pursuant to which
1300Z,
Building Permit No.7237Z,12523Zdated 2/9/61,5/7/74 & 7/28/83
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued isONE FAMILY DWELLING WITH DORMERS~KITCHEN ADDITION & ACCESSORY
BUILDING IN REAR YARD.
The certificate is issued to
PATRICIA CASTOLDI
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N178422-AUG 23~
PLUMBERS CERTIFICATION DATED
1~74
NOTE: Inground Swimming Pool was put in prior to the Zoning Code
requiring a permit for such an accessory. ~
Building Inspector
FOU~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, BI. Y.
Certificale Of Occupancy
No. Z5092 ....... Date .............. 3. ep.t., .9 ...... , lg...~.
THIS CERTIFIES that the building located at g/.S. Ellgene..Road, ......... Street
Map No... ~ ....... Block No....x~. ...... Lot No. ~,x. ·/:utelaogue .... I~,Y, .......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ......... )~ay ....6 ...., 19. ?.~. pursuant to which Building Permit No.
dated ........... l~,a~' .... '7' ", 19..71,, 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 . Pr~vat~ .one..fa~Lly. d~.elling..with. ~ddi.tion ......................
The certificate is issued to . Geo,.ge. Able rs ...... (~l.e.r ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .~I..~, ..............................
UNDERWRITERS CERTIFICATE No.. ~I.t?.8l+2~ .... &ug.. 2~ .. 197.~ ...............
HOUSE BIUMBER..77~. ........ Street..E.u. gg.n.e..R..o.a.d. ...........................
..... ,~. C~., . ..........
Building Inspector
IVOItM NO. ~t
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)
7237 Z
Date .............................. 3~y ....... .~. ........ , 19..7.~..
Permission is hereby granted to:
............ .Q].t, ebe Ip2e ..............................................
to ..2~:a:L:Ld..An...a~t £t ~.oz~...~r,...ez.t a.t: ~.1~ g..,cLve,].X~& .............................................................
at premises located at ..]~/~J~....~Jl~t~ll..,~J~d. ............................................................ ? ......................
.................................................. X~zztg~o&'~....~,~, ..........................................................................
pursuant to application dated ...................... }:~'.....6 ................... , 19.~.~, and approved by the
Building ~nspector.
Fee :~,q,.,(~,, .............
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks 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:
I. 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), Nonrconforming 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 $$.00
2. Certificate of occupancy on pre-existing dwelling or land use $,5.00
3. Copy of certificate of occupancy $!.00
New Building ........... Addition .......~ ........ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property .,~/.~...~.u~;.en~..~.oa,d.,...~.~,~c~.fk~tl.e .....................................................................
Owner Or Owners Of Property I~r~ G~or~,e Ahlere .........
Subdivision ................................................................ Lot No ............. Block No ............. House No .............
Permit No..7.2,3.7.~ ........ Date Of Permit 5,Z.Z,,4.7..4......Applicant P~.~o.v.[e...~,J~.].~,~.s ...................................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval 7..4,.3.9...4.9...,~ug...~.~,,.],9..Z.~... Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate .......... .~. ..............................
Fee Submitted $ '~' ~
Construction on above described building and permit/c,c~ets all a~,,~s and regulations.
Applicant ..................... .~......~.. ...................................................................
Sworn to before me this
........... ~ day of ....... ~.., ...... '/"?'"~'7
Notary Public .............. ~Y'.~,,~ County
(stamp or seal)
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - [802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 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 instaJlation from Board of Fire Underwriters.
4, Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and inszalla-
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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topograph ic featu res.
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: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.(10, Accessory ,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ I00.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date . Nov. ~, 1988
NewC°nstructi°n ...... O~dorPre-existingSuHding X UPDATED Vacant kand
855 EUOENES ROAD ' CUTC .O ? .
Location of Property , NEW YORK
House No. Street Ham/et
Owner or Owners of Property RONALD & MILDRED CAS~0LDI
County Tax Map No. 1000 Section 97 Block 02 18
Lot ................
Subdivision ................................. Filed Map No ........... Lot No .........
1300 ]300 GEORGE AHLERS
Permit No ........... Date of Permit ... Applicant
Health Dept. Approval ........................ Labor Dept. Approval. ....... ..
Underwriters Approval ........................ Planning Board Approval ..........
Request for Temporary Certificate ..................... Final Certificate. ............... ... ... .
Fee Submitted $.. 50.00
Construction on above described building and permit meets all applicable codes and regulations.
Applicant Barry M. Tuminello, Arty
Rev. 10-10-78
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRIC~t~Y
B5 JOHN STREET, NEW YORK, N,E~IA~_ YORK 10038
THIS CERTIFIES THAT
and found to be in compliance avlth the requirements of this Board,
Lot
FIXTURE 10 12 1G
OUTLETS ~R~EPTAC~ES SWITCHES ~NCAN~ESCE
FUTURE AI~tJANC~ F~EDERS
RANGES
K.W.
COOKING DECKS OVENS DISH WASHERS
A,'~T. K.W. I ~T. ~.w. / ~T. I K.W.
TIMECLOCKS B~LLIUNITHEATERSUNITHEATERS MULTI-OUTLET
T. . TRAN . .~ SYSTEMS
OTHER APPARATUS:
~-10e:ap touters
1-10a~p garbage disposal
R V I C
OF CC. COND.
OF HI-LEG
EXHAUST FANS
DIMMERS
OF NEUTRAL
Oustav Bartra
RR~lR22?E Break~ater ~d.
~at~i~uck,L.I. 11952
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved .............. .~.! ........... .~. ........ , 19~.. './,~.. Permit No..7....~.....~....7..~
Disapproved a/c ......................................................................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date .............. ~.&~...~.~ .................... , 19..~.~ ......
a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building~
Inspector, with 3 sets of plans, accurate pl0t plan to scale. Fee according to schedule, r~
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building InsPeCto~ will issue a Building Permit to the applicant. Such permit
shall be 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.
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 laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................................ .........................................................................................................................................
Name of owner of premises ........... .Q~.Q~'~II..~.~,~.~.g .........................................................................................................
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 No.: ........................................ Lot No .........................
Street and Number .... .~..~.~...~.~g.e.g.~....~..9.fl.C~,...~.~.~;.gb.Q~L~#.,...~*.~.* ...................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of- proposed construction:
a. Exisiting use and occupancy ......... ~K.9~.~.~.~.~ ..............................................................................................
b. Intended use and occupancy .u........l~.~l~,,1,[I,~.~:
3. Nat of work (check which applicable): New Building .................. Addition ........ ~, ....... Alteration
Repair .................. Removal .................. Demolition .................... Other Work ............................................... : ......
(Description)
4. Estimated Cost ...~..6.~..0..0...0.~..0...0. ................. . .................. Fee ../. .....................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ..... O~e ................ Number of dwelling units on each floor ............................
If garage, number of cars ..... ~l.<~lt.e. ..............................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ..........7.2 .............. Rear ......... :~2. .................. Depth ..34 .............
Height ...... '~2` ............. Number of Stories ....... JJ ......................................................................................................
Dimensions of same structure with alterations or additions: Front ...:Z2` ............................Rear ....... 7.2 .................
Depth .....zJ,0 ....................... Height ....22, ................... Number af Stories .....]'.~. ........................
8. Dimensions of entire new construction: Front .................................... Rear ........ ].6u~ ............. Depth .....1~ ...............
Height ...,1,.(~. ............ Number of Stories .................. (:~,e .............................................................................................
9. Size of lot: Front ........ .]...0..(). ......................................... Rear ...... ,[.CI0 ............................. Depth .15,~ ........................
10. Date of Purchase ...,,1..9.6D. ......................................... Name of Former Owner ..... .~...a.~.k...e.~...~,.~..]-.~.l~. ...................
11. Zone or use district in which premises are situated ........... ~1, .......................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .......... ~4~ .........................................
13. Will lot be regradect ......~..o. ................... Will excess fill be removed from premises: ( ) Yes (X) No
14. Name of Owner of premises ....... C~eozg~..Alt~z& ............. Address ..~..u..~[.e...a..e......[~...e ........ Phone No .......................
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor .Ge,~3~e..All.l. ez'.e..~:tctez..r[.~o,.. Address .2$~..Ce~c.,~e,~ ..... Phone No..?...3..4..~..5..0...~.0....
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 deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW_ YORK, ! c ¢
COUNTY OF ..~.~(~.~.7,~, ............. ~'~
.................. .~..~.q..~.~.9,...A...~.~.~.~.~. ............................................... being duly sworn, deposes and soys that he is the applicanl
(Name of individual signing contract~ ,
above named.
He is the ........................... ..~.~.$..],.4.~ .....................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perfprm or have performed the said work and to make and file
this application; that all statements contained in this application are true 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.
Sworn to before me this ~ ~
..................... . dayof ...... .................
Notary Public, . ................................................... County ................... ~...~.....v~. ...... ~ .........................
(Signature of applicant)
.J