HomeMy WebLinkAbout9052-zFOI~I NO. &
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ,7668 ...... Date .............. E~y.. 20 ...... ,
THIS CERTIFIES that the building located at ~her®.~a. D~ive ............ Street
Ck Est,
~ap No. D~.eR, Hole. Block No ........... Lot No~ ~2... ~ttituek...N,Y.~ .........
conforms substantially to the Application for Building Permit heretofore filed ~n this office
dated ........... Feb..2~.., 19. ~7. pursuant to which Building Permit No..90~.
dated ........... Feb...2~ .... , 1977.., was issued, and conforms to all of the req~re-
merits of the applicable provisions of the law. The occup~cy for which this certificate is
issued is . P~lvate .one..~amt.ty. d~ll~g .......................................
The certificate is issued to .~a~zo -~ai~i~g..Co. ~ ...........................
(owner, lessee or ten,t)
oI the aforesaid building.
Suffolk County Department of Health Approval .~a~ ..20...~9~..b~..R,. ~a ....
UNDERWRITERS CERTIFICATE No. ~. ~. ~. ~;. ~'~ ~ ...... ~.7 ............
HOUSE NUMBER ...... ~6~ .... Street . ~eS~ .D~ ..... ~ti~R~k .............
Building Inspector
TOWN oF SouTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 9052 Z
Date ................... ~.eh....23 ................... , 19..~..
Permission is hereby granted to:
Randazz~..Bldg..C.o ...........................................
............. ~.2~......S~..L~..D~. .......... P. atchogue
Build new one fami.l_y, dwelling ........................................
at premises located at ...~.~.~...~.~ ......... .~..~.~ll..]~D.].e...~k..~.-~t ...........................................................
............................................. .1~/..S...Tke.~e.s a..Dr.i.v.e ............ ~4a.ttituo~ ........................................
pursuant to application dated ......................... ~..~.~.....2.~ ............... 19.~.~..., and approved by the
Building Inspector.
Fee $.....?...~/....:~.
THE NEW YOrK BOARD OF FIRE UNDERWRITERS
d ' ' BUREAU OF ELECTRICITY
~ ~ I , * ' I ~ ~ ' I' ' I ~ 8B JOHN STREET, NEW YORK, NEW,,YORK: 10038
,pp,lcatio,,.,'o.o, fi,e 9056 8' N 335942
THIS CERTIFIES THA ,: , '.' ' :
only t~ electrical equipment' ~s described bel~ a~d introduced by the applicant ~amed o~ the above application ~umber in the pren~isez of
. Cliff Ya~odzinsky, E/S Theresa Dr., ~10~ S/o..Ne~ Suffolk, Ma~E~uek, L.
in th~ fo. ow ng locatlon;~. . ::' ~ flasement 1at Fl.
FIXTURE , 'SWITCHES
22
DRYERS FURNACE MOTORS :
~] 2nd Fl.t 0 -: _: : Section Block
at,a fo~n~ ~o be in ~ompliance ~i lh the ;~qul/e,lents of this Board.
RANGES : OVENS
APPLIANCE FEEDERS
Lot
EXHAUST FANS
TIME CLOCKS
DIMMERS
SERVICE DISCONNECT'
NO, OF CC, COND. J A W, G
THER APPARATUS: F t;;' '~i ":' - · : '
Motors
1-Smoke det'~'¢go~ ':~- ~,~ ' ::' ' ~' ' ' ~ ' ' ·
*Future Appliance-'TFeede s:'1~2#14, 1~2~1'2
John. T, saPanaro, Inc.'- '.'!,
102 Oak':A~e. . . ", ':'' '- : ' : GENERAt MANAGER~ ~ 1
' Shirley; N.Y. 11957 -', ~'i: ~: LIc#334E ~/ 'l
This certificate' ' must not be altered in any manner; return~~~to the offc~ of the Board if incorrect, inspectors may be identified by thg~d~tials,
BUILDING DEPARTMENT ~.~¢~.~?~
TOWN CL,:R~'S omcE ~, ,
..........
Examined
· ...... ............. ^pplicot~on
~proved " '> -~ ~9.~Z Permit No. ?'0 :z :-
Disapproved
a~,::,:~ ....... ~~.,~
'' r" ~'""~h'~Gi ...... i ......................
Date ...............
INSTRUGTION$
a. This application must be campletely filled in by typewriter a~ ia ink and submitted in trlp[icote ta the Building
Inspector, with 3 sets of plans, accurate plat plan to scale. Fee according to schedule.
b. Plot plan showing location of Iot and of buildings on premises, relationship to adjoining premises or public streets o~
ureas, 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 approva~ of this application, the Building Inspector 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
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 Paws, ordinances, building code, housing code, and regulations, and to~
admit authorized inspectors on premises and in, buildings for necessary in~l~ctions.
(Signature of applic~., or name, if a cl6~oration~
....... /.. , ,: , . . ..:L . , , . , , .:. . . '.
~, ~ '4''
(Address of applicant) [ { '-~ -7'~.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber r~.
If applicants a ~porate~ signature of dul.vvvvvvvvvvvvvvvvvv~uthor~zed officer.
........ .
Plumber's License No. ~..~.1~...1~.~.'~.1~'~...
Electrician's License No. :~...~/.~.t~......~....~. .l~'~.o //C~ c~ --J,~-. /.,:_ ~
Other Trade's License No ...............................................
Locat'onof andonwhc ro osedwor willbedone Ma No'~l~:~.~ q/.~'~.~.~.ot ~..
..,~t~ ~ . p ................. ' No ...... ~ ..........
Street and Number .... ~..~(~.~.d...... ~J~ .~...~... ......... .~. .... ~/'.~'~ .~ ~/.~:~. ~;.i~ i~l i~.. ~~.
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
........ :.~z....:.'' ~- ..........................................................................................
Exisiting use and occupancy
b. 'ntendeduseondoccupancy ............. ~....~..~..(...~.~,...~.J~:~.~'"~ ............. .L. ...... .~....~....~.~......~.../~&...~,~.
3. Nature of work (check which applicable): New Building' ...V............. Addition .................. Alteration ................
Repair .................. Removal .................. DemoHtior ..................... Other Work ................................................ .
~ ~ (Description)
4. Estimated Cost ,~. ~..,~.~ Fee .....
.......................
5. If dwelling, number of dwelling units ............................ 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 .................. ~......l..Number of Stories ....... ~',:'"'I .................
construction: Front /~...~-.'. ............... i .......... Rear ...~.~ ................... Depth ..~3. ..............
8.
Dimensions
Ol
entire
new
Height .J.~.. ............ Number/of Stories .......... ~'~J": ....................... ; ....... j ......................................... ;';A":~'"~ ..................
9. Size of lot: Front ........ J.~..(.9. ........................................ Rear ..... J.[..~) .............................. Depth .J..~..~..~:.. ....................
10. Date of Purchase ........................................................ Name of Former Owner .~ ....................................................
1 1. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.{).m ..........................................
13. Will lot be regraded .....~.~,~ .............. Will excess fill be removed from premises: ( ) Yes (/~) No.
14. Name of Owner of premis~e[~/~)/~..~...J~C~..~i~3 ............... Address/,,~,.~.,.~..~/~.~/~.._..~'..~.~..,/,'~.._Phone No.
· FiFFC'/f~ v~.
Name of Architect .............................................................. Address ................................ Phone No .......................
Nome of Contractor ....~../~t-~ft.~. ......................................... Address ............... t...t .............. Phone No ........... .~ .........
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.
jl~21
STA-FE OF NEW_...YO.~,j,~ ,.~ ¢ ¢
cou N'i;Y ;z .......... f
............ ..V..~..~_~J~.l..'>.l/~.~.'tt.~.J~.~..4~...~.. ...................................... being duly sworn, deposes and says
that
he
is
the
applicon!
(Name of individual signing contracO
above named.
He is the ............. ..k~.O.A-~.~..~.~ ................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file
this application; that oil statements contained in this application ore true to the best of his knowledge and belief; and
tha~ the work will be performed in the manner set forth in the application flied therewit~h~.
Sworn to b~fore me this / \
..~.,~.1[~. ......day of ..F~.~..tf,~...~ ................ , 19"7"7
Notary Public,. ......................... .~..~,,,-/~,~.[J~.. County .................. V .,~,,.:..-.l~~~.~...j/~,-.~ ....
.~ ~lgnoture or appl~/trl
· -' MONUMENT
SUSOIVIMON MAP FILEO IN ~ OPPICE
OF TN~ C~RK OF SUrfaK ~N~Y ON
JAN. 2~ I~ A~ FIL~ NO. ~2~
NEAREST W~R~IN = 4 MIL~ ~
WATER ~IC~ = PRI~A~ W~LL
~ ~ S~AK~
APPLICANT:_
ADDRESS
TEL
lot
Lot 24
182.00 '
, ,7A.rera =20,020 Gq. £t
/~y ·
IB~O0'
Lot 41
Lot 2~
UNAUTHORIZED ALTERATION OR AODITION TO
~HIS SURVEY 18 A VIOLATION OF SECTION
7209 OF THE NEW YORK STATE EOUCATION
REVISIONS
MAR./Z,/97,7
MA.R. 30,1~77
APR. 81, 1977
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YOLK
ALDEN W, YOUNG
survey FOR:
RANDAZZO BUILDING COMPANY, /NC.
£OT NO. 42
'. DEEP HOLE CREEK ESTA TLS"
HOWARD W. YOUNG
^7 MATT/TUCK
rbw? or ~SOUTHOLD
SUFFOLK CO., N.Y,
S~CALE: /,,.._ 40' DATE:
GUARANTEED TO:
RIVER.HEAD SAVINGS BANK
FIR.ST AMERICAN TItle INSURANCE
COMPANY OF N.Y.
BY
FEB. 15, 1977 77 - 6~I
!
THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTE~MS FOR THIS RESIDENCE
WILL CONFORM TT~THETHE STANDARDS OF THE SUFFOLK COUNTY DEPARTMEN~
SUFFOLK COUNTY DEP,~J~]7,~ENT OF HEAL'~.H SERV!CT'
FOR APPROVAL OF CONSTRUCTION ONLY
A~PROVED. Q ~" .' _
Lot 2,q
182.00 '
Are~ =20,020 sq. ft.
1~2.00 '
lot
Lot 2~
NOTE,
I -' M~,~IVUMEAIT
$1.10DII/I$1OIV MAt~ F/I. ED IIV 1lie OFF/CE
JAN.~S, 1955 AS PILE IV0.4255
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
~LDEN W. YOUNG HOWARD W, YOUNG~
FOR:
RANDAZZO BUILDING COMPANY,
LOT NO. 42
# D'~EP HOLE CREEK EJ
MA TTI TUC. K
.~SOUTHOLD
SUFFOLK CO., N,y.
= 40 ' FEB. 16, 1977
//
'V',/Z L L_ Z,.
//
S UN'Y-'EyED F'Otg:'
PON-FI,AC C~ D 1 L LA.C,
~T
PEc. ol~lc
APPP-,O.~V~D AS NOTED