HomeMy WebLinkAbout8383-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No: Z-28387 Date: 05/03/02
THIS CERTIFIES that the building DWELLING
Location of Property: 350 SAILORS LANE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 14 Lot 37
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 23, 1976 pursuant to which
Building Permit No. 8383-Z dated FEBRUARY 23, 1976
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 ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR.
The certificate is issued to ALEC & MAUREEN GINAS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R. VILLA 01/20/77
ELECTRICAL CERTIFICATE NO_ N314724 11/30/76
PLUMBERS CERTIFICATION DATED N/A
This updates 00 Z-7456 dated Jan. 7, 1977.
y `
A horize Signature
Rev. 1/81
· 0~ NO. &
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's O~[ice
Southold, N. Y.
Certificate Of Occupancy
~'~ ? 7~
No.. ZT..~. .... Date ......................... , 19 ....
Sailors Lane
THIS CERTIFIES that the building located at ......................... Street
Map No. M..~..o.r...~..u~. Block No .......... Lot No. Cutehoguz N,Y,
conforms substantially to the Application for Building Permit heretofore filed in this office
8383Z
dated ...... F®.b.. 2~, 19....7%ursuant to which Building Permit No .........
dated . . .-.~.F?b...2.~, 19....?,6was issued, and conforms to a~l of the require-
ments"of the applicable provisions of the law. The occupancy for which this certificate is
issued is Private one family dwelling
The certificate is issued ~fo ~ .................................................
~'~--~ (owner, lessee or tenant)
of the aforesaid building.
Ja~ ~0 ~977 by R. ¥~la
Suffolk County Department of Health Approval ........................
NBlV~72~ Nov B0 1976
UNDERWRITERS CERTIFICATE No .........................................
~50 Sailors Lane Nass~ Pt, Cutehog~:
HOUSE NUMBER ......... Street .........................................
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, lq. Y.
BUILDING PERMIT
fi.HiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 8383 Z
Permission is hereby granted to:
·..~ ~. ~,x~.. &.. ~ta~-~_-~..-- G$~,? ...................
..... ~ ~ '~ .~
................. ~ ...... ~ ................................
~Iication"~t~ .... : ...... ~ ' ~ ,b~
-"~-~.~-' >~2~'~"~: ..... ;t~;;;~; ........ ~A~'~'-, and approv~ by the
, ,,THE NEW YORK BOARD OF FIRE UNDERWRITERS
~' BUREAU OF ELECTRICITY
[;'~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT '
only the e~tr~al ~qui~ent ~ ~sc~bed ~w and intr~c~ by ~he appllc~t ~med on the ab~ application numar in the prem~es of,
Alex:,~lnas, Sailors Lane n/s of Dead End, Cutchogue, L.I., ,,
fixTuRE' ' F Ir 11 ' J'i -' .I; ''~ FIXTURES' ~ ~lS )~oKiNG DECKSI 'OVENS ~DISH WASHERS EXHAUST FANS
DRYERS ( FURNACE MOTORS J ~1UEE AP~ANCE FEEDERS JSPECI~L~EC'PTJ TImSCL~KS ] B"LL JUNIT HEATERS j MULTI-OUTLET DIMMERS
w O~L ~ ~. ~ A W O. ~1 ~ ~S IRANS.
~ ~ G~S ~ ....~ .............
SERVICE DI~ONNECT J' ~.OF~ . S E -. - R-* V I' C E
--~ -' " " Mt~R w ~ w
~T ~ ~ ~ 1~2W 1~3W 3~3W 3~4W NO O~C~D ~. ~.,~ ~ ~ HIEG ~ ~.,,.~ NO ~NEUI~ ...... ~..
1 "120 'C'O B'(: I .... ' Ix I' :~' 1:" "3; 1 3O/
OTHER AFPARATUS~
1-G.¥.¢.T.
1-Smoke Detector
1-10amp Compactor
Terence T. O~Hanl0n
N.Y. Ave. eENE~AL MANAGE~..--~. I~]
Sound Beachs N.Y. 11789~ ~ P,r D ~~?. ~
This certsficate must not be altered m any manner, return to the office of the ~oord [f ,ncorrect Inspector~ may be idenfif,ed b~. ~the r credentials ~
MAKC
F0RK Na I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT MIA" d�
TOWN CLERKS OFFICE rr A--7,1
SOUTHOLD, N. Y.
calla"
/ P . dw / oy
Examined ..... ... `.3.........., 19.7%2 d .w�^ a�pl oq;i°nN°' 'i3 .. 3.............
Approved .........................................
Disapproved a/c is�sl`76 mac/ /ia. oma.
� r- 3n.m�
..................................................................................... ........... ..-.....
bcc / /ar,x Coe Co .
............. L
.... :�../. C1 ala
...... ... ..... ........... ........ ..
(Buildctod l 0�7 G Coof
APPLICATION FOR BUILDING PERMIT �V � Ul
Date ....... ....................................... 19............
INSTRUCTIONS
3
a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building n
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises; relationship to adjoining premises or public streets of
areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this application. i
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.
e. No building shall be occupied or used in whole or in port 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 t
admit authorized inspectors on premises and in buildings for necessary inspections.
...................................................................`
(Signature of applicant, or name, if a corporation)
owvm < 0,4d'-II . 33.W.. Denis Lanes Coram.,New,York ( �
7.....
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.....................9 Mlr....................................................................................................................................................................
Name of owner of premises ................Alec...ec'.....Gina..nas................................................................................................................ l
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ....................................................
Plumber's License No. ................................................
S"T3
Electrician's License No. ............................................
Other Trade's License No. ..............................................
1. Location of land on which proposed work will be done. Map No.: ........ be z..7135............ Lot No. ...... ..............
Street and Number ..................gi,J,or!.4.LAne..............................................................Southold Tom
.................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ................................................................................................................................
b. Intended use and occupancy Site oR dNeRkn............................................................
3. Nature of work (check which applicable): New Building .......IC......... Addition .................. Alteration ..............
Repair .................. Removal .................. Demolition.................... Other Work ................................................ .....
3 y (Description)
4. Estimated Cost ...........40x099......................................Fee ... ...7..............................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ...-........................
a If garage, number of cars .............................
................................................................................................................
j 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 .................................... Rear ............................ Depth ........................
Height .................... Number of Stories .....................................................................................................................
9. Size of lot: Front 1139................................ Rear .......165............................ Depth ......233!
10. Date of Purchase .......HarCh 24R 1972....................Name of Former Owner .HR1CbRX..CRY!Pa...TRAt....................
....
11. Zone or use district in which premises are situated ......Resideetial
12. Does proposed construction violate any zoning law, ordinance or regulation: ..........NR..........................................
13. Will lot be regraded .......!!P................. Will excess fill be removed from premises: ( ) Yes (h) No
14. Name of Owner of premises ...�. ...Gice............................ Ad ress§NW.MAM Phone No. 732-1789,
Name of Architect .............�aMA...St�1de .....•..•.............•.• AddreSss .Rtt..23s..PM.... Phone No. 732-3553„••,•
Allied Builders •••.•.• Address 29 w. 11111s Rd.�Phone No. 423-6841
I l�alne of Contractor ................................................... . . ..... .....
l PIhmt. Station
LOT DIAGRAM
( tly �
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
�ywhether interior or corner Int c
r Nwrior dery iNf A � ^' ewI
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STATE C •`` _
COUNTY OF ................................f�.� -
Alec riven. ...........................................,.,•.,,...,.•..•.,being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Owner
Heis the .................................................................................................................................................................................
(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
thaT the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
`C Vii/Llr < / 76
... day of ...... ... t.., 19........
Notary Public. .................... . County �.
-t't...
/] (Signature of applicant)
ELIZABETH ANN NNEEVI LLE
NOTARY PUBLIC, State of New Y rR
No. 528125850, Sutfulk Ca
Term Expires March 30, 19�
Q q'~
SURVEY MADE AP[ill, 6, 1974 BY:-
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ED A5 I�C7VLU �[Yn?:�Fu,.=MfL .�" r4'(-R,� ,2:aL L* 1N4
- _ DATE
BY "
rEE:
-- ,\ Y �`+ -EE; BUILDING DEPARTMENT '
765.1660 9AM TO 4PM FOR REQ'- F. _. 'f" t D t.
ED INSPECTIONS: .� �',,,.---�'�^i+. ,JS, £G, p.'A 5 '"�" q,�• G •j'
Ito.. J BEFORE BACKFILLING FOUNOP•- /�,, of N sr Fc
U 6
TION OR START FRANJNG c t w �n „ 47 P4C }I N L' : ftOur.JTT�y PD "y Fwd;
2 BErORE COVERING PIPeLINE - r I e�J
'v ;• FINAL WHEN JOB COMPLETED71
NOT RESPONSIBLE FOR DESIGN OR CON- 9 r„ ..j { f'
,I w STRUCTION ERRORS ,,+ i4
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