HomeMy WebLinkAbout8583-zlrOB,M NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No..~..7..5'. .~...~.~ Date FI ~ ~ 3 1977/.
THIS CERTIPIES that the b~ding located at ff~..~? ~. ~.. ~.~'~ Strut
Map No.. ~ ~ ? f~... Block No. -- . Lot No ...... ~ ..........................
conforms substantially to the Application for Building Permit heretofore ffl~ in this office
dated ........ ~8.T...~.~ .... ,
dated ........ ~ .~.'(... ~ ~..., 1~., was issued, ~d confoms ~ ~ of ~e r~
merits of the applicable pro~sions of the law. The occup~cy for which ~is ce~ificate
The certificate is issued to ~ ~0 -~ ~ ~l ~ A ~ 0
(owner, t~o~ ~, .... ~t )
of the aforesaid building.
S~o~ County Department of He~th Approval ~.~ ~ ~ .... ~ ~. ~ ....~. :. ~. ~. ~.~ f..
HOUSE NUMBER 7 ~/~ Street
Bffilding ~speetor
(THIS PEP. MIT MUST BE KEPT ON ~ :t~Rrd~iSES UNTIL FULL
~ION OF THE WOEK AUTHORIZED)
N°. 8583 Z
r~..suont to ol~ltcotlon cloud ....................... 14a,~ ....... 3..~. ............. , t97.6...., and opproved by tm
B~k~O Imp~ctor.
APPLICATION
FOI~X NO. 6
TOWN OF SOUTHOLD
, Building Depn~fmenf
Town Clerks Office
Southold, N. Y. 11971
FOR GERTIFiCATE OF OCGuPANcy
Instructions
A. This opplicotion 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, end
unusual natural or topogrophic features.
2. Final approval of Health Dept. of water supply and sewerage disposol--(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:
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 os to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formotion required to prepare (3 certificate.
C. Fees: ]. 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
New Building ................ Addition ................ Old or Pre-existing Building .............. .,/Vacant LGnd ..............
· ocation Of Property .......... ......... ........ .;Y.....,.~.~;.'Z....W... ....................................
Owner Or O~ners Of Property ......... ..V.L? ............. .~.~..~.~.?..~:..~. .........................................................
Subdivision PrT( . .o Lot No. Block No. House No .............
erm,t,o ..................... Of Permit ...... ..................................................................
Heo,th Dept. Approva, ~.~..~..:.....~:..S..O..:~.7....~obor ~t. ;,ppro~o, ....... :...~.~}. ..........................
Underwr}ters Approval ........ ..~......~.~/....~..~...?~.~. ......... Planning B°~rd Approval ........ ..~...~....~.....~. ................
Request For Temporary Certificote ........................................ Fin~ Certificate ..........................................
Fee S~bmi,ed $ ............ 5.~... ..........
Construction on above described building a.,nc~,~mitj~eets .all opplicable codes and regulations.
Sworn to before me this Apphcant ~...,. .J.//~,~t~*~,J/~
................ day of ............................................
Notary Public .................................... County
(stomp or seal)
THE NEW YORK BOARD OF Fl'RE UNDERWRITERS
BUREAU OF ~LECTR C TY
85 JOHN BTREET, NEW YORK, NEw ~ORK IOOS8
~,. November 17. 1976 ~pp"c~"o-Na. onfle867156 N312998
THIS CERTIFIEB THAT
only the electrical equipment as described below and introduced by the appllcont named on the above application number in the premises of
Handazzo Bldg. Co., Inc. s/s No. Bayview Rd 280' n/o Topsail Lane,
Southold ~L. I. ~ '
in Ehe/ollowinglocution: L~ ~as~.,e.t [~ ~ ri. [] ~nd ri. Outside s~c~io, mo~ rot
,~,.,n.,~do. November 15. 1976 andfoundtobeincompl~an?ewithther~quire~nentsofthisBoard.
fiXTURE FIXTURES RANGES
OUTLETS SWITCHES EXHAUST
21 27 18 21
DRYERS FURNACE MO¥~R~ FUTURE APPUANCE FEEDERS
TIME CLOCKS UNIT HEATER MULTI-OUT/E
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
S E
NO, OF CC COND.I A.W.G. J A.W.G
PER ~' OF CC. COND. NO. OF HI-LEG OF HhLEG
1 2
R V I C E
NO, OF NEUTRALS
OF NEUTRA[
*Future Appliance Feeders: 1-2#12amp, 1-2#1~amp.
*Special Receptacles: 1-B0amp, 1-50amp.
Motors: 1-1/2bp.
1-G.F.C.I.
1-Smoke Detector
Sapanano & Mineo, Inc.
102 Oak Ave.
Shirley, N.Y. 11967
Lic. #B3hE
D
This certificate must not be altered in any n~anner; return to the office of the Board ~f incorrect. InspectOrs may be ~dentified by s.
~ O! no
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTYON dUNE 4, 1971 AS FILE N0.5599
WATER SUPPLY - PRIVATE WELLS
NEAREST PUBLIC WATER-2 MILES
FOR APPRC"//I C>- "c~'TTq~]CTICN ONLY
APPROVED _ ~ ~
RANDAZZO BUILDING
LOT 8
"LEEWARD ACRES
BAYVIEW
SUFFOLK COUNTY, 'L I "~%uq~ ~ - ~--
MARCH 4, 1976 [ [ 76- 129
~ ~00~ ~'/t
/ ~/t~/b
su~ ~ NO~ ~E~,N~ rM[ ~o SU~V~O~S ,~; ~ o~ ~oss~ SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SiAL s.~ ~T ~ CONS~OEREO TO ~ A V~[ D '~U~ "~Y G~ C~A~, - SUFFOLK COUNTY ON dUNE 4, 1971 AS FILE N0.5599
~[~R~D,~NDON~S ~[,~ TO ~ T=TLE CO~PA~Y,GOVER.~ENT~ ~G["~:~ ~A~R SUPPLY -PRIVATE WELLS
LENDING INS~'~:j'rON GUARANTE[$ ARE NO~ rRANSkE~&~ [ ' c 7 '..~ NEAREST PUBLIC WATER-2 MILES ~
~ ~,~- oNs ~NOfO~ ........... ~o~ o~ OB,A NEC F~O~ 0'~ ~ S~OLO~SAVINGS ~ANK
, :.~: LOT 8
c I"LEEWARD ACRES
~'~ ~;':~]-~ SUFFOLK COUNTY, N. Y .o.~.~ .
~ '' ~, ~.-t ....... YOUNG 8 YOUNG L~ND SURVEYORS
'-'~' '~ 400 OST~ANDE~ &VENUE
,,- ' RIVERHEAD, NEW YOR~
~ "= ~ 76- 129
~;': ' .... M~H 4,1976 50'
l?O~ltd[ 1~0. 1
TOWN OF SOUTHOLD 7/ ~ ~ ~/.,~.d ~ ~r~. ~ ~ ~
BUILDING DEPARTMEHT,/~v ~ ~ ~ ~ /~ ~
TOWN CLERK'S OFFICE ~ ~ ~ /~
~provea ................ :( ........ ~.~ ...... , 19~.. Permit No. ~-~,~...~.,.~ ~,~ ~ ,
.................................................. ............
.... ~.L,.,J ....... ~.~.. e ~ ; ~ ~ ~ ~
INSTRUCTIONS
a. T~is application must be completely filled in by typewriter oR in ink and submitted in triplicate to the Building
Inspector, with 3 set~ of plo.ns, accurate plot plan to ~ale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~
areas, and giving a detailed description of layout ofproper~ must be drawn on the diagram which is pa~ of this application.
c. ~he 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 inspect on throughout the work~
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Ce~ificate of ~cupancy
shall have been granted by the Building Inspector.
APPblCATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the ~own 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 c~e, housing code, and regulations, and ~o
for n~essa~ inspection~
.......................................................... .........................
(Si~notu e of opp ica , or nome,~a co~orotlon)
..... ...... .......
(Address o{ opplic*nt)
State whether ~pplic~nt i~ lessee, ~ent, orchitect~ en~ineer~ ~enerol controctoC olectricion, plumber or
builder.
If applicant is a/~l'por~e, signature of duly authorized officer.
........ .............................
(Name and title'of corporate officer)
Builder's, License No ........................ ~ ...........................
Plumbers License No. [~J~.~.!.~!.~..J~....~..~..~.(~.l.~/~'
~?~ -7-//
Other Trade's License No ............................................... / .^
O~
Location of land on which proposed,~ork will be done. M,qp No..' ;,~~.~..%!;k~6t No...~. ...................
Street and Number ......... ~. ...... ../'r~....°~....~...J~.,4v~.....~...C~ ....... ~ .............................................
/ Municipality
State existing use and occupancy of premises and in~.ended use and occupancy of proposed construction:
a. Exislting use and occupancy .................................................................................................................
~t~.~ff~/~t '
b. Intended use and occupancy ........ :... ~...~.:.,., ..~.~ ...................................................................................
property lines. Give street and block number or description according to deec
3. Nature of work (check which applicable): New Building' .b~:rr.../~.... Addition .................. Alteration
Repair .................. Removal .................. Demolition .................... Other Work ....................................................
.~......~.. ~ (Description)
4. Estimated Cost '~2.,...(~....f.O....' ..................................... Fee : ....................................................J .............
I
(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 ..... .~..~(~,~.. ..........................................................................................................................
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 ..................... ,....,fNumber of Stories ............. ./, .................
8. Dimzio~)t entire neuWm~strfuct~2 Frolt ....~.f~. .......................... Rear ...~..~. ................... Depth ~....~... .............
Neig ....~.. ...........N , o St r' s ........................................... ~- ............................................. > ........ ¢ .................
9. Size of lot: Front ...I..~..?...~ ........................................... Rear ....I...U...U..'' ................. ; ......... Depth ....~..~.~. ...................
10. Date of Purchase ........................................................ Name of Former Owner
1 ]. Zone ar use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .... .~/..O. ...........................................
13. Will lot be regraded ....~..~-d~.. ...........Will excess fill be removed from premises: (,,) Yes ('x~, No
14. Name of Owner of premises~.~.~.?....~.~..0/~..~..,.~... ................ Address/~.~..~'..f~Z~Z~..~J~.,~Phone No.
Name of Architect .............................................................. Address ................................ Phone No .......................
Nome of Contractor ............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicote all set-bock dimensions from
and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK,
cou I~TY~OF ..... ~u~folk ..........
....... ..~/..b~...'r......~.= ................................................................ being duly sworn, deposes and says that he is the opplican~
(Name of individual signing contracf)
above named.
He is the ............................................. ~.~........o.~.e.~ ..............................................................................................
~(Contracto~ agent, corporate officer, etc.) ,
of said owner or owners, and is duly a'OthcnCz~d to perform or hove 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 the,~e, with.
Sworn to before me this / I
ELIZABETH ANN 'NEVILLE
NO. 52-8125850, Suffelk
',Term Expires March 30,
APPRQyJ~D AS NOTED
NOTIFY BUILDING DEPARTMENT
765-2660 9AM TO 4PM FO~, REQ,
ED INSPECTIONS:
1, BEFORE BACKFILLING FOUND,¥
TION OR START FRAMING
2. BEFORE COVERING p PEL NE
3. FINAL WHEN JOB COMFLETED
It