The URL can be used to link to this page

Home My WebLink About8403-z· ORM NO. & TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Ot~ice Southold, N. Y. Certificnte Of Occupnncy No..Z..?..~..~.? Date ........... ./X.?. ?..,.. !?., 19. THIS CERTIFIES that the building located at...~ ,-7.0...W.~.o~?. ! ?.[.-....k?..~..~ Street Map No. ~.~..~.~... Block No.....--T.... Lot No. ./.ff. ......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .~.~ ~...~.., 19~. ,~. pursuant to which Building Pemit No..~. ~.~..5.~..Z.,, dated .... .~.~. ?..~5.. ~.~, 19.~.~., was issued, and confoms to sll of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to L0.~!$, .~l ~ ~.~..j? ?..L. ! .~ L..0 ......................... (owner ..... ) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. ~l ~ f~ 9 HOUSE NUMBER .. t -I D... Street V,~ 5~-O K ~ t~EL- Building Inspector FOR~ NO. ~ TOWN OF Sou~rHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERA~IT 8403 (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) z Do,, .......................... .~.~....~: ....... '~-~.. Permission is hereby granted~to: at premises located at ..~..~....~ .......... ~...1~ ............................................................................ ........,...'-,~,..~. ............. ~ .................... :.~v~,~,...~..: ......... ~, ..... : .................. : ............ : .......... , :.-. ~ '~, pq.[~nt: to app,,cat,o ............................................. ."~ ~. and~ appro~ bY the .... .~ Building Inspirer .... ~,. ~ :- ~-~ q :~ g'~-~ ~ FOKM NOo $ TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR GERTIFICATE OF OCGUPANGY 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, aha 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 comphance 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-exmting" land uses: 1. Accurate survey of property showing oil 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 buddings 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 $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3 Copy of certificate of occupancy $1.00 ,/ __ Rte ..... z ........ New Building .....~......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ....... ../..?..~. ........... ~.../,R.~;.~....~...~.~...~.-. ...... '¥'~""~'"'(~'"'x ..... "~'"~f":"~'t~'"~";""/~':'"~':' ................... ___ O ner O, Of P,op y ..... ..... ................................................................. Subdivis,on ~.(..*~..'Z~.~:Z.~...~) ....... ~:~.C.~...~.~ ............. Lot No.....J..~..... Block No ............. House No..~'~.~.~ .. Permit No .[.¥.~..~.....~.. Date Of Permit ..-~.?/....~.~.~.-.Applicantr~-'-~' z_, z~ ...... ..~.~.~.,.~...../~..~:..6..~ ..................... Health Dept. Approval ........................................... Dept. Approval ..................................... Underwriters Approval ....................... : ...................... t-mnmng Board Approval ....................... Request For Temporary Certificate ........................................ Fin~ Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and p~rmit meets all applicable codes an~ regulations. Applicant ..~.....~~-~/~ .............................. Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) THE NEW YORK BOARD OF FIRE UNDERWRITERS Jl E~UREAU OF ELECTRICITY '-- 85 JOHN STREET, NEW YORK, NEW YORK I0038 v.,~ October 27, 1976 A.,,,i~o,~o.~o.o.f.. 858239 N 309395 THIS CERTIFIES THAT Louis Nardolillo, Woodside Lane off Laurelwood La., Laurel, L.I. ,, ,~ yotto~,i.~ to~a,lo.~ [] t~.~.,~,,~ [] ~,~ rt. [~ ~,,d rt. Outside s~,o. ~o~ £o~ 1~ .~...,~.,,,i,,,.do. October 22, 1976 andfoundtobeincon~pllancewlthth,,r~quire,,,ent~ofthi~Hoard. FIXTURE FIXTURES RANGES OUTleTS ~ECEPTACLES SWITCHES FLUORESCENT 38 44 35 38 DRYERS FURNACE MOTORS OVENS DISH WASHERS EXHAUST FANS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF FEET SERVICE DISCONNECT '~ S E R V I C E OTHER APPARATUS' Elec. Room Heaters: 2-.5k~. Louis Nardolil!o Woodside Lane Box 78 Laurel, N.Y. 11948 NO OF CC COND PER J~ 1 A,W G J NO OFHI LEG OF CC COND 2/0 1-4.0kw, 1-1.5kw, 2-1.25kw, 2-1.0kw, AWG OF HI LEG 3-1.28kw, 5-.75kw, ~ Th,s certif~cote must not be altered m any manner, retu n to the off,ce of the Board ,f ,ncorrect Inspectors may be sdenhf,ed by th~c_creden~t~als IUILDIN~ DEfAR'rMi~,~-~ ~'~ I + ...... ~ ~ ~ ~~ ~cm~ ~o ................................. ~r~~' ~ .., 19.~.~ ~--'~ ~ ~ ~ ~ ~ ..................................... .................................... ,. ............... e. This o~licQfion mu~ be c~pl~ly fill~ in ~ ~ewriter ~ in i~ o~ ~m~ in tripl~ In--or, with 3 ~ of p~, ~cum~ pl~ plan ~ ~I~. ~ ~i~ ~ b. Plot ~lon shying l~ofion of Tot and of buildings ~ premiX, P~lofionsEip fo ~joining premiss or ~lic ~fre~ or~s, and Divi~ o detail~ de~ription of I~ ofpr~ must ~ drown ~ the dioDram which c. The work c~er~ ~ this o~licQtion ~y n~ be comme~ before issuance of Buildi~ Pe~it. d. U~ o~I of ~is application, ~e Buildi~ In~tor will i~ue o Building Permit to the ~li~nt. S~h permit shall be ~pt ~ ~e pr~mises ~iloble ~r in~ti~ ~r~h~t ~ e. ~o buildi~ ~oll ~ ~cupi~ or u~ in whole or in ~ for any pu~e ~r until ~ ~ificot~ shell hove ~en Omnt~ ~ the Building In~r. APPLI~TIO~ IS HEREBY ~DE to the BuildinD ~meqt for ~e i~uonce of o Buildi~ P~it pu~t Buildi~ Z~e O~inonce of tbe T~ of ~thold, Suffolk C~, New Yo~, and ~r ~plic~ Reguletions, for the constru~ion of building, ~iti~s or ~Itemti~s, or for m~el or de, Ifil, m h~mln ~ri~. ~e opplicent ngr~s to comply with all o~licoble I~, ordino~, building c~, ~i~ c~, ......... Z (Signatq~ of a~licant, or ~, ~f a co~l~) ....... ....... Stot~ wh~ffi~ applicont i~ ~r, I,~e, ~nt, ~mhltect, ~n~in~r, Oon~ral ~contraclor, *l~Iriei~n, plum~r or buil~r. ~am~ o{ p ...................................................................................................................................... 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 ....... ~ .............. Location of land on which proposed work will be done. Map No.: Lot No. ....................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy b. ~ntended use and o~cupancy -- l.I ...~...~. ......... 3. Nature of work (check which applicable): New Building..............X ..... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... (Description) aa F 4. Estimated Cost .................... ~. .0. .0. . .0. ?. ............................ ee .......................................................................................... (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 2 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 ........................ Nurnher of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front 60 , Rear 69 . Depth 20 Height ......,~,0, ......... Number of Stories ......... ~,;~ ........................................................................................................ 9. Size of lot: Front 200 250 ].80 · ....................................................... Rear .......................................... Depth ................................ 10. 'Date of Purchase .~ ....................................................... Name of Former Owner ........................................................ ! 1. Zone or use district in which premises are situated ................................... .................. '~i~ ........................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded. .........~ ............... Will excess fill be removed from premises: ( ~ Yes ( ) No ]4. Name of Owner of premises TUOlZim Naz'c]~],~J. le Address ..,~,?.,,m,.n~..~.lF., Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor me].£ Address 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~ according to deed, and show street names and indicate whether interior or corner lot. ~.- ,,I~ LBNE STATE OF NEW ~R,K~. ~/ ~c c COUNTY 0~...~'~''' ................................. ~ ............................................................... being ~uly sworn, deposes ond says thor he is the opplicanl (Nome of individual signing contr0cf) obove named. He is 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 thor the work will be performed in the manner set forth in the opptt'c-~ion filed therewith./ Swam to before me this / J ~ - / ....... day of ...... ............. , ( // / - C," / ~(Signature of applicant) .~JDITH T, BoKEN I,l~a~f Public, Stole of New ¥~ No. 52-0344963 Suffol~ County~ Commi~ian Exptre~ N~ar¢~ 30, ' ~l~ ~ I I I .... I ~ ~ _ ~ .... ~.~ - -- - --- ~o* ~x, . ' ~OMT ELEV~TIO~ ~/~'=_F~' ~IGHT 51DE [LEV~TIO~ Yo". m I !~. , ~ ., I ~ L .... ~ ~ 7 I I J I - I ~ ~. ~ I I ~ I~III ~ I I I L L ....... ~ ..... J ~OM ~P OF FOOTi~G TO ~~~ ~~ ~ FOR LO~ ~6~DOLILIO , SHT. I OF Z DATE 1-~0-7~ REVISIONS AREA NODEL NO. ~~, ~~ ~~ MKT NAME 'APPROVAL ,~orti~ High Nitrates- Water not to be used for preparation of baby formula or use by infants under 6 mos. of age. L.oI MOTE: · -' I~OIVUI~EIVT SUBDI V/SIOb/ MAP FILED lb/ THE OFFICE OF THE CLERK OF SUFFOLK COUNTY Ob/ 4f4Y 17, 1971 AS FI£E NO 5595. .EWS~ONS YOUNG & YOUNG ,4P/?11.~,1~7~ 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK OC~'. ~ /9X6 ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: LOUIS T. NARDOLILLO LOT 14 "LAURELWOOD ESTATES" GUARANTEE~ TO: Ar LAUREL ' SOUTHOLO SAVINGS BANK TOWN OF HOME TITLE DIVISION OF CHICAGO SOUTHOLD T1TLE INSURANCE CO. iSCALr:I"= 40' IDATE: DEC. 17, 1975 j N ~'~/75-9~0 1.0t 14 Y REVISIONS ¥OUN~ ~ ¥oq~~' ~ii~ '", 400 OSTRANDER AVENUE, RIVER~D~ NE~j:'/~' ' : : 7 ALDEN W. YOUNG ~ .~.~'6 W. Y~NG PROFEgSlONAL ENGINEER AND ~ ~'~ ~YOR LOUIS T. NARDOLILLO LOT 14 " LAURELWOOD ESTATES" AT GUARANTEED TO: LAUREL TOWN o~ SOUTHOLD SUFFOLK CO., N.Y. ~^~: ~"= 4o' I°A,E: DEC. ~7,~S75 I"°'~?s-~3o