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Home My WebLink About8487-zF~F,,~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Ot~ice Southold, N. Y. Certificate Of Occupancy No ............. Date ............................ , .... THIS CERTIFIES that the building located at MapNo..~.~.~... BlockNo. -- ...LotNo,..~.~ ........................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............... ~ ~, 19~. pursuant to which Building Permit No.~.~ dated .............. ~'..~.., 1~., was issued, ~d conforms to all of the requir~ ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to ~ ~ ~Y~ ~ nO~ ~ (owner, ~) of the aforesaid building. UNDERWRITERS CERTIFICAT~ No. N ~ ~ ~ HOUSE NUMBER ~q'~ Street ~ Building Inspector ~OR~ ~0. 2 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? 8487 Z Permission is hereby granted to: v. ~.~.~.~...~.. ,...! ~z~.;L;L. ~ ...................................... ......... · 2. ~...O.....~¢o;~.~.e.~.s .. ;, ye ......... ~or~x ........ ~o build new one ~'amil~ d~r,:el~,in~ at premises located at ]aQ.$. 22, ~k~,~.~.¥[. ~.~J,~.~ .......................................... ................................................. ~.a~...~.~.~.~...~.~.~.~,.~..~..~.;L~.:L~.~...~..~...~.o..~ .......... ~.u,t~ol~ ......... pursuant to application dated ....................... ;~..~2..±i ....... -9 ........... , 19..~.~;., and approved by the Building Inspector. Fee $~.~.~.,J.O .......... 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: 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 end installations, o 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: ]. 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 ~'~ 2-..~-- 7 ~ New Bt4ilding// Addition ................ Old or Pre-existing Building ................ Vacant Land Location Of Property ..................... 4'.~....../~....../-(...~.~..~.. ........ ................................................................ Owner Or Owners Of Property ~Z'ume~' ~ /~--~ls'e* ~'-]~'e Subdivision ..... /. ......................................................... Lot No..~. .......... Block No ............. House No ............. Permit No..~.~.~..i.7..;.~...... Date Of Permit ...~........~....~..~.Appl,cant .................................................................. Health Dept. Approval ...~.~.,o...~.'.~..~. ...................... Labor Dept. Approval ................................................ Underwriters Approval ..,.~......~..~'...~{..~.d...~'~. ................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ .................................... Construction on above described building andx, permit meets all applicable codes and regulations. Applicant Sworn to before me this ¢'6 ~Z '71~ ~/ ................ day of ............................................ (stamp or seal')~c:~ I I ~ I ~7 Notary Public .................................... County THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY E~5 JOHN ~TREET, NEW YORK, NEW YORK 'JOO3E~ .a,,.^ugust z2. z978 .~.pll¢.tio,,~',,.o.~.e 848540 N 298185 THIS CERTIFIES THAT ,; ¥. T±rell±, Wil'tow ?o±nt Road e/o ]Bay Home Road, $outhold, T..T. in the followlng location: ~- B~emen~ [~ ls~ Fl. Lot FIXTURE OUTLETS ?ECEPTACLES SWITCHES 31 ~ I 36 DRYERS ~] 2nd Fl. outside Section Block and found to be in compliance with the requirements of this Board, FIXTURES RANGES fiVE-Ns EXHAUST FANS 31 SYSTEMS NO. OF FEET E OTHER APPARATUS: R ¸ C NO. OF CC. COND. A,W.-G NO. OF Hi-LEG A.W*O. NO, OFNEUTRAL A,W,G pER ~' OF CC, tONg, OF HI.LEG OF N~UTRAL 1 ~/o 1 1/o 1 GFI 1-13amp Vac. Unit G & S Contracting Box 215 Southold, L.I. llg71 Lic 578 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by thelr cr~ntials. APPLIC, ATION FOR BUILDING PERMIT ............ ....... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building~-~ Inspector, with 3 set~ of plans, accurate plot plan to scale. Fee according to schedule. ~J~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets om areas, and giving i3 detailed description of layout ofpraperty 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 Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. 7~i 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. VI,~,,EN1 LOUIS TIRELLI 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 ....... ~/~~C~"~ ................. Other Trode's License No ............................................... Location of land on which proposed work will be done. Map No.: ....~.~.5.~, ........................... Lot No.....~..~. ................. Street and Number ..................(]oz'ner .......... Lo~..........~....~....- ~ Horn~ .......... ...Ro~....~......"l.~lZow... ........... ?o..~. ....... ..~oa~...................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy '~'o~a311~u Lot; b. Intended use and occupancy ......... ]~?.~,.T.{~.~.0...~.~,f].~.~ .............................................................................. 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ . I~1'0,000 ° 00 ~ Z.~.. ~/~ (Description) 4. Estimated Cost ............................................................ rea ......................................................................................... (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 c~rs ............................................................................................................................................. 6. If business, commercial or mixed occuponcy, specify noture and extent of eoch type of use ............................ 7. Dimensions of existing structures, if any: Front ...~.9..~..e. ............... Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ...:~.* ................... Rear ....]!~1~:]~ ......... Depth ....... ~1~]~.. ...........Height ......~.; ........ Number of Stories ...... .~.. ....................... 8. Dimensions of entire new construction: Front ..... ~.~...~'.~ ................. Rear ..... ..~..~.....~..~..; ......... Depth ....~.~....~.~.t. ....... Height 20 f~,o Number of Stories 9. Size of lot= Front .~.~..e.~.:.....~..0..0.....~.....]:..14:.0.....~.~.t ........ Rear .......................................... Depth ................................ 10. Date of Purchase ...,~47.~.,~.~,...~..~...~,.9.~,~. ................... Name of Former Owner .~.~.a.!~.e....~...]:.~.?.?...~..e.?.. ..................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ~...o. ............................................. 13. Will lot be regraded .....~..q.~. ............... Will excess fill be removed from premises: ( ) Yes (X) No 14. Name of Owner of premises ....~.~,~.~..~a...~.~,~..q.~.~-.~, ..... Address ................................ Phone No ....................... · kV'e.,~ 3.~2~_8~~ 06 C Name of Architect ...,~.~..~o~..~ .............................. Address~.~...~'/,~...~J.~,,~'.D~llone mo. ...~.~.~..~.... Name of Contractor ..Ro~e~.~..~Bo~;e~. ............................. Address~'~'t~s~11' Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-l;~:~ck dimensions fram p~operty lines. Give street and block number or description occording to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK. ~ c ¢ COUNTY OF ..... ~t,~'.9.~ .~. .......... f~-~ .................................. ~/',&zi,ce~,¢...Tuo...~,~..~L-I J. ................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named. He is the ............................................................ ~t~e.Zn ........................................................................................................ (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 this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith· Sworn to before me this ~J~t doy of ~.~,~,'1 , 1976 I/ ~ /~ ~ ' ................................................ ~'~un ....... ~ .~..-.~. ~ /..~' Notan/ Public, . ......................... ~u££o,]~]~ ........ . ty ........................................................................................... , ~ (Signature of applicant) "NAP 5.7. BAY ~.0 P1E P-.D. ~ 120DEI2!CKVAN TUYL,RC. ' ,SUFE CO DEP'T, OF' NEALTH 5EP_VICl~ FOE APPROVAL OF_CONSTr<Su(.TION_ ONLY SEA,L.J H.5.~EE NO. *. APPROVE D: ~S,~[N,C~ ~U.-,CONrOUM ro i .DEp'T..OrH£ALT,~4 .S/I~VICES- A.t~PLI CAMT 5TI~.TEMENT OF INTENT DE WATEI~,$UPPLY AND 5EV;/AGE.. ~he ~e~ ~tsposal and wate~ supply facilities ~or this location have been inSPeet~ by this de~rtment ~d found to be ~ )~,. 5,2 BAY RAIN I ? ,I ~l ~ ~~ __ !~ ~' ,I ~_ ,I - __ L_ __ "-- --~ ' ";Ii'.,,'? f___- '-'- .... ~ - - ..~., ~,.=.~;.. ~ ' FRONT ELEVATION .... ~'~-~~ · ~"-/~"~.c., ~ ~ //~"~l " .,. , ~ ~M~ ....,. ~ / , ,. ' ~'~flZ'~*'' tll ~ "' ' ~--~c'~/ ' -~-~ ~l~ ~/ ~ ~//_ I~1~ ~ .... ' DETAIL "A" DETAIL "B" T- 1.59- A iT "I ,L '4 REAR ELEVATION RIGHT SIDE ELEVATION .~...-. ".'.' = ,'-,," , $~¥?~ ~:... //: o" -, ,/.,:'. ~.- ~ ~,o,,,,,; -~'~'~ ~ " -- DE!Al L "C" SHEET PLOT 'PLAN ~ , ' , ,~.. ,/~";I'-~;' / T -t 39 - A 'OTAL-4 ~'-~" , 4'.~'" t'-4-,/ ~ ., ''~fL~ 7~ ¢ ~ ~ /a-a H ~x ~ BED RM. ~ ~. I~ ~ , BED RM. ~ ,'~ -~ BED RM. ~, I IF~H e' ,~ ~ ~ , 7 - o" //L o '~ /12 o" SECOND FLOOR PLAN ~-'-~,~ ~/~' =/-o" ¢"'"°'~' 7 ~MUD ROOM FAMILY ~j KITCHEN DINE LIVING DINING RM. ~,/~,~ ~ ROOM FIRST FLOOR PLAN I ,. ~ ,,," -~ < ~_, I * ' ~" = ,r,',,?~ .... -- __ -"r'l ' / . I I ' *", ,-" : , ~], Cr~" '~ REF 6. & .RANGE WALL SINK WALL " ' ' , ., , -, ~ : .'',,', ~I~CHEN CABINET, ELEVATIOn8 ' _ ' . _ _ ~.~-, ,-. .... . _ .... , ,,,,, - , "',: ,:~; STAIR DETAIL I I ELEVATION /7'-/o" .T FRONT WALL SE.CTION SECTION Tt '139 -'A SHEET -4 ,,:S' -'//'